Happiness Survey Form
Happiness Survey Form
First Name *
Your answer
Last Name *
Your answer
Sex *
Required
Date of Birth
MM
/
DD
/
YYYY
Address
Your answer
Phone Number
Your answer
Email id
Your answer
State
Your answer
City
Your answer
Pin Code
Your answer
Education
Your answer
Profession
Your answer
Languages Spoken
Your answer
1) Are you Happy in Life?
2) What are your reason for unhappiness?
3) I am troubled by
4) My worry is
5) My happiness is related with my country's progress
6) Are you satisfied or dissatisfied with the current state of country?
7) Have you been seriously affected by corruption?
8) Have you been seriously affected by price rise?
9) How would you rate the economic state of country?
10) What would be the single most important criteria for you when you vote in 2014?
11) What according to you can bring about the maximum change in current scenario?
12) I would like to volunteer for a better india and give one hour in service
13) Are you registered to Vote?
Voter Id Card Number
Your answer
14) Have you done any Art of Living worshop?
15) Are you doing any spiritual practices?
Your Surveyor Name
Your answer
Phone Number
Your answer
Note (In case of follow up required)
Your answer
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