*Required

.Presently, which brand of milk you are 1.How are you aware of the brand/s
Date * Name * using? *Tick all that apply. mentioned above? *Tick all that apply.
Mother Dairy Media
Example: 15 January 2019 Gowardhan
Word of mouth
Gender * Female Gokul
Age * Agent/ Salesman
Mark only one oval. Male Amul
Other
Other
Occupation * Email address *
1.If yes, the reasons for satisfaction.
1.Are you satisfied with the brand?
*Tick all that apply.
*Mark only one oval.
Yes Easy availability
1. How many members live in your house? 2.How many members consume milk?
No Taste
* Mark only one oval. * Mark only one oval.
Hygiene
Less than 4 All
.What is your opinion about the quality of Quantity
4 Members Few
the product? *Tick all that apply.
More than 4 None of them Price
Excellent
Other
3.In a day, how often you consume milk? 4. How much milk does your family consume Very good
* Mark only one oval. everyday? *Mark only one oval. Good
Once Half litre
Average
Twice 1 litre
Thrice 2 litre .What do you do when price increase?
*Tick all that apply.
More than 3 times 2 litre and above
Change the brand
5.What kind of milk do you prefer? 6.What type of packaging do you prefer for your
Change the type of milk
* Tick all that apply. milk? * Tick all that apply.
Decrease the quantity of milk
Cow milk Loose milk
Don't do anything
Buffalo milk Packaged
Pasteurised milk Tetra packaged
Toned milk Bottle

7.Where do you prefer to buy your milk 8.Are you aware of the different diary brands
from? * Tick all that apply. available in the market? *Mark only one oval.
Dealer's point Yes
No
Shop
Diary booth
Home delivery