1.

GENDER: [ ] Male [ ] Female

2. OCCUPATION: [ ] Student [ ] House wife [ ] Private Company Employee

[ ] Business [ ] Government Employee

3. AVERAGE MONTHLY INCOME: [ ] No Income

[ ] Upto Rs. 10,000 [ ] Rs. 10,001 Rs. 20,000

[ ] Rs. 20,001-Rs. 30,000 [ ] Above Rs. 30,000

Name of your Cellular Telecommunication Service Provider

[ ] AIRTEL [ ] AIRCEL [ ] BSNL [ ] VODAFONE

3. Whether the connection is [ ] Pre-paid [ ] Post-paid

4. The bill / usage amount per month:

[ ] Upto Rs. 100 [ ] Rs..101-250 [ ] Rs. 251-500

[ ] Rs. 501-1000 [ ] Above Rs. 1000

FOR EACH THE FOLLOWING DIMENSIONS, PLEASE INDICATE YOUR

PERECEPTION BY CIRCLING ANY ONE NUMBER (1 FOR LOWEST RATING

AND 5 FOR HIGHEST RATING) FOR EACH DIMENSION.

Rating 1: Very Poor Quality (Service falls far short of my expectations OR Service does not

exist)

Rating 2: Poor Quality (Service slightly falls short of my expectations)

Rating 3: Satisfactory Quality (Service just matches my expectations)

Rating 4: Good Quality (Service slightly exceeds my expectations)

Rating 5: Excellent Quality (Service greatly exceeds my expectations)

 1 2 3 4 5
Providing service as promised

1 2 3 4 5
Response to customers requests

1 2 3 4 5
Service delivery time (activation)

1 2 3 4 5
value-added services

1 2 3 4 5
Service innovation (SMS, Mail, etc.)

1 2 3 4 5
Airtime hours / charges

1 2 3 4 5
Quality service at a reasonable cost

Geographical coverage 1 2 3 4 5

Corporate / Brand Image 1 2 3 4 5

1 2 3 4 5
Staffs knowledge in answering