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www.iGroceryMoKo.com.

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Q1. What is your gender?
o
o

Male
Female

Q2. Age
o
o
o
o
o

<18
18-29
30-44
45-59
60+

Other, please specify: _______________________

Q8. Is there many, few, or enough number of grocery stores in your area?
o
o
o
o

Few
Many
Enough
Others, please specify: ______________________

Q9. What is your mode of transportation going to and from supermarket?


o
o
o
o

Tricycle
Passenger jeepney
Taxi
Others, please specify: ______________________

Q3. What is your marital status?


Q10. How much do you spend (in Philippines pesos) on your groceries?
o
o
o
o

Single
Married
Divorced
I prefer not to answer

Q4. Whats your employment status?


o
o
o
o

Employed
Self-employed
Housewife
Others, please specify: _______________________

Q5. Number of dependent/s (children)?


o
o
o
o
o

0
1
2
3
4 or more

o
o
o
o
o

1000
2000
3000
4000
Others, please specify: ______________________

Q11. On an average, how much time do you allot when doing groceries?
o
o
o
o

1 hour
2 hours
3 hours
Others, please specify: ______________________

Q12. Have you ever tried shopping online?


o
o

Yes
No

Q6. How frequent do you do groceries?


o
o
o
o

Weekly
Bi-monthly
Monthly
Others, please specify: _______________________

Q13. If you are not available to do grocery, would you be interested in a grocery
shopping home delivery service?
o
o
o
o

Q7. Are your groceries for personal consumption or for business?


o
o

Personal
Sari-sari store

Really interested
Interested
Somewhat interested
Not interested

Q14. To what extend do you agree or disagree with the following statements?

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