Date/Time
: 18 July,
3-5pm, Malay, Male & Female, aged 20-40, Single/Married, Students / Working
Adults / Housewives, Malay Speaking, RM150
: 18 July,
7-9pm, Chinese, Male & Female, aged 20-40, Single/Married, Students /
Working Adults / Housewives, Cantonese Speaking, RM150
Venue
: Menara UOA Bangsar
Duration : 2 hours
Language : Malay / Cantonese
Race : Malay / Chinese
Gender : Male & Female ONLY
Age : 20-40 years old
Marital
status : Single / Married
Occupation : Working Adults / Housewives / Students
Incentive : RM150 (cash payment to you on the
spot)
We are targeting
respondents (yourself or your kids if married with kids) who are suffering from
some sort of food allergies to participate in our Health Care Survey.
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 cheongsurvey@gmail.com
:
Questions for selection criteria:
1. Full
name
2. NRIC
(FOR SURVEY PURPOSE ONLY)
3. Gender
(A) Male
(B) Female
4. Mobile
no.
5.
Occupation
6. Have you
attended survey in the past 6 months?
(A) NO
(B) YES
7. Marital
status?
(A) Married
with kid(s)
(B) Married
without kid
(C) Single
8. My
monthly household income / jumlah pendapatan rumahtangga sebulan / 家庭成员每月总收入 _______.
9.
Is there anyone in your household suffering from food allergy/dairy/lactose
intolerance?
(A)
YES (please go to Q10 & Q11 & Q12)
(B)
NO
10.
Who are suffering from food allergy/dairy/lactose intolerance?
(A)
Myself
(B)
My kids, please stated how old is your kid if your kid is suffering from food
allergy/dairy/lactose intolerance?
__________
(C)
Other family members
11.
If your kid is suffering from food allergy/dairy/lactose intolerance, do you
know your kid’s medical condition well (i.e.: types of food can eat or cannot
eat, bring him to Dr, etc.)?
(A)
YES
(B)
NO
12.
Please tell a little bit of the food allergy/dairy/lactose intolerance symptoms
Experienced by You or Your Kids. ______________________________________
Important: Qualified
candidates who meet our selection criteria will receive notification from us
(over the phone) to confirm your participation in the survey.
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