Section A: Personal Informations

1. Name:
2. Gender
Male
Female
3. Marital Status
Married
Single
4. Age Group
10 - 20
20 - 30
30 - 50
50 & Above
5. Occupation

Self Employed

Professional

Salaried

House wife

Student

Others

6. Education Level

University degree & above

High School

Elementary Level

Illiterate

7. Income Level (per month)

< 1 0000 < 3 0000 < 5 0000

Greater than 5000

3Section B: About mobile phones

8)
Which mobile phone you are using.
Specify
9)
Please write the model of your phone(example: Nokia 1100, Ericson k800i, etc.)
10)
How long you are using the mobile phone
Less than 1 year

1 – 2 years

2 – 4 years

Above 4 years

11)
What are the reasons for using the above mentioned model.
A) Nokia
B) Samsung
C) Sony Ericson
D) LG
E) Motorola
F) iPhone
G) Blackberry
H) Others
Section B: About mobile phones
8)
Which mobile phone you are using.
Specify
9)
Please write the model of your phone(example: Nokia 1100, Ericson k800i, etc.)
10)
How long you are using the mobile phone

Less than 1 year

1 – 2 years

2 – 4 years

Above 4 years

11)
What are the reasons for using the above mentioned model.
A) Nokia
B) Samsung
C) Sony Ericson
D) LG
E) Motorola
F) iPhone
G) Blackberry
H)
) WAP
B) Just to talk on it

C) Use GPRS function

D) Receive Email & SMS

E) Down Load Files

F) Others (Specify

7)
Do you prefer phones to be
Slim or
medium or
thick
Light or
medium or
heavy
Small or
medium or
large
18)
What would you be willing to pay for a mobile phone
< 1 0000

10000 to 20000 20000 to 40000 Any amount

19)
Do you think prolonged use (use under long period) of mobile phone would cause
health problem e.g. cancer
Yes
No
No Comment
20)
Where did you often see the mobile advertisement?
A) TV
B) News Paper
C) Magazine
D) Online
E) Outdoor
 F) Radio

G) Leaflets

H) Others Please specify

21)
Consider the TV advertisement you like – what brand is it promoting
Specify
A) Nokia
B) Samsung
C) Sony Ericson
D) LG
E) Motorola
F) iPhone
G) Blackberry
H) Oth