HOME VISIT – Officers will
conduct the survey at your house
We are targeting
Mothers who are users of Shower Gel to participate in our Shower Gel Home Visit
Survey.
Date : 6/7/8/9/10/11/12/13 Dec
Time : 10.30am / 3pm
Venue
: Bangsar (can reach by LRT)
Duration : 2 hours
Language : Malay
Race : Malay
Gender : Female
Age : 25 – 45 years old
Marital
status : Married With Kid(s)
Occupation : Housewives
Incentive : RM180 (cash payment to you on the
spot)
IMPORTANT : You are required to complete and send
back the Diary prior the Home Visit 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 _______.
(A) RM7000
and above
(B) RM6000 –
RM6999
(C) RM5000
– RM5999
(D) RM4000
– RM4999
(E) RM3000
– RM3999
(F) RM2000
– RM2999
(G) RM1999
and below
9. Are you
willing to complete and send back the diary prior the Home Visit Survey?
(A) YES
(B) NO
(B) NO
10. How old
are your kid(s)? _________ (PLEASE LIST ALL)
11. Please
name the brand(s) of the shower gel which you are using currently. __________
12. How
long have you been using the shower gel as stated in Q12? ________ (e.g.: 1
month, 6 months, 8 months, 1 year, more than 1 year, etc)
13.
Currently you are staying in which area? ____________ (e.g.: Subang Jaya,
Kepong, Sg Buloh, Damansara Perdana, etc)
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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