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 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. 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?
(A) NO
(B) YES
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)
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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