Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Personal Information
Sign in to Google
to save your progress.
Learn more
* Indicates required question
1.
What is your age group?
*
18-24
25-44
45-64
Above 65
2.
What is your education level?
*
Secondary education
Tertiary education
Post graduate
3.
What is your job?
*
Farmer
Researcher
Worker in technology company
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report