APPLICATION FORM: https://forms.gle/K7qspxPo8dkZSh3FA
TWITTER: @cheongsurvey
We are looking for respondents to participate in our survey.
TWITTER: @cheongsurvey
We are looking for respondents to participate in our survey.
Requirements:
- Malay male / female
age 45yo – 65yo
- Working & Non-Working Adults
- Diabetic
patients
- Must
consume adult milk powder weekly
Note:
- This is not a sale &
marketing position and you are not required to sell or promote any products or
services.
- Short-listed candidates will
receive confirmation via phone call and sms.
- Your personal data will not be
used for any other reasons apart for the survey.
Date / Time
: 30 April 2019, 10am – 12pm,
special milk powder drinker
: 30 April 2019, 2pm – 4pm,
special milk powder drinker
: 2 May 2019, 10am – 12pm,
special milk powder drinker
: 2 May 2019, 2pm – 4pm, general
milk powder drinker
Venue
: KL (will SMS you full address should you short-listed)
Incentive
: 2 hours; RM200 (cash payment to you on the spot)
Interested, please provide the
information for “Questions for selection criteria” as
stated below to Cheong via
Questions for selection criteria:
1. Full name
2. NRIC (FOR SURVEY PURPOSE ONLY)
3. Gender
(A) Male
(B) Female
4. Race
(A) Bumi
(B) Malay
(C) Chinese
(D) Indian
(E) Others
5. Mobile no.
6. Occupation ___________________
(e.g.: Officer); Industry _________________ (e.g.: Banking)
7. Have you attended survey in
the past 1 month?
(A) NO
(B) YES
8. Marital status?
(A) Married with kid(s)
(B) Married without kid
(C) Single
(D) Divorced / widowed
9. My
monthly household income / jumlah pendapatan rumahtangga sebulan / 家庭成员每月总收入 _______.
(A)
RM15000 and above
(B)
RM10000 – RM14999
(C)
RM9000 – RM9999
(D)
RM8000 – RM8999
(E)
RM7000 – RM7999
(F)
RM6000 – RM6999
(G)
RM5000 – RM5999
(H)
RM4000 – RM4999
(I)
RM3500 – RM3999
(J)
RM3000 – RM3499
(K)
RM2500 – RM2999
(L)
RM2000 – RM2499
10.
Suffer any long term illness now? (YES/NO)
11.
If yes, please write down the long term illness you suffering now? ________
(e.g.: diabetic, high blood pressure, high cholesterol, gout, etc)
12.
Length you suffer the long term illness mentioned above? __________
13.
If suffering diabetic, are you type 1 / 2 diabetic? _____________
14.
Taking any milk powder now? (Yes / no)
15.
If yes, brand of milk powder you taking most often now? _________
16.
How long you taking the milk powder brand mentioned above? __________
14. Area of staying: ____________
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