PART A

(Demographic & Socio-Economic Information)

Instructions
Answer questions as they relate to you. For most answers, check the box(es) most
applicable to you.

A1. Your Age group

(Select only one.)
17 or less
18-25
26-35
36-45
46-55
56-65
66-75
76 or more

A2. Your Gender

(Select only one.)
Female
Male
Trans-Gender

A3. Education
(Select only one.)
 Equivalent or Below Intermediate
 Bachelor's
Masters
Above

A4. Occupation
(Select only one.)
Student
Self Employed
 Employed
Retired
Others

A5. Martial Status

(Select only one.)
Married
Unmarried
Divorced
  Widowed
Separated

A6. Monthly Household Income

 Less than RS 20000

RS 20000 To RS 300000
RS 30000 To RS 40000
RS 40000 To RS 50000
Above RS 50000

A7. Famil Size

(Select all that apply.)
 Less than 5 members
5 To 6 members
6 To 7 members
7 To 8 members
Above 8 members

A8. How do you consider yourself?

(Select only one.)
Very Poor
 Poor
 Lower Middle Income Level
Middle Income Level
Higher Middle Income Level
Rich
Very Rich

A9. Number of economically active members in your family?

(Select only one.)
One
 Two
 Three Or More

PART B
(Supermarket Experience)
B1. Do you shop from Supermarket?
(Select only one.)
Yes
 No
 Occasionally

B2. Do you prefer shopping at a large supermarket than ordinary

grocery shop
(Select only one.)
Yes
 No

B3. How long you have been shopping at supermarket?

(Select only one.)
Very Recently
 For a couple of Months
 Above one Year
Above one Year