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A good way for your Home and Health.
Please help with Survey, you are helping in startup decision making.
* Indicates required question
Name
*
Your answer
Gender
*
Male
Female
Age
*
Under 18
18-24
25-34
25-44
45-54
55 and above
Are you aware of Organic Food Products Available in Market
*
Yes
No
How do you come to know about Organic Products
*
Friends and Relatives
Television Advertisements
Newspaper
Education Events
Health Magazine's
Not Sure
Others
Which of the following products do you buy? Select which ever is applicable
*
Fruits
Grains
Sugar
Edible Oils/Ghee
Spices
Honey
EGG/Other Poultry
Vegetables
Leafy Vegetables
Pulses
Tea/Coffee
Milk/Yougurt
Snacks
Soups
Mushrooms
Required
Which of the following products do you intend to buy
? Select which ever is applicable
*
Fruits
Grains
Sugar
Edible Oils/Ghee
Spices
Honey
EGG/Other Poultry
Vegetables
Leafy Vegetables
Pulses
Tea/Coffee
Milk/Yougurt
Snacks
Soups
Mushrooms
Other:
Required
Varieties are limited
*
Strongly Disagree
Somewhat Disagree
Disagree
Neutral
Agree
Somewhat Agree
Strongly Agree
Do you need Home Delivery? Select which ever is applicable
*
Organic Products
Home Groceries
Medicines
Required
Let us know which other services you would like to receive as Home Delivery
*
Your answer
Address ( do not enter unit no )
*
Your answer
Mobile No
*
Your answer
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