Home Visit – Officers will conduct the survey at your house.
We are targeting mothers with baby aged 0 – 3 years old to participate in our Home Visit
Date/Time : 7 November, 2pm or 3pm
Venue : At your house (preferable those who stayed in Bangsar / Pantai Dalam area)
Duration : 1.5 hours
Language : Malay / English
Occupation : Housewife / Working
Gender : Female
Race : Malay / Chinese
Age : OPEN
Interested, please provide the information for “Questions for selection criteria” as stated below to Cheong via SMS to 012-9234620 or you may email to firstname.lastname@example.org :
Questions for selection criteria:
1. Full name
2. NRIC (FOR SURVEY PURPOSE ONLY)
4. Mobile no.
6. Have you attended survey in the past 6 months?
7. My monthly household income / jumlah pendapatan rumahtangga sebulan / 家庭成员每月总收入 _______.
(A) RM6000 and above
(B) RM5000 – RM5999
(C) RM4000 – RM4999
(D) RM3000 – RM3999
(E) RM2000 – RM2999
(F) RM1999 and below
8. Are you pregnant?
9. How old are your kids? ___________. (Please list all)
10. Please name the baby milk powder brand which your kids are consuming presently.___________
11. I am presently staying in ________. (Please stated which area)
Qualified candidates who meet our selection criteria will receive notification from us (over the phone) to confirm your participation in the survey.