Name Of the DSO

To be Filled Town/City
by DSO State
Date

Which product do you use?

Agriculture Construction Mechanic Carpenter Engineering Fishing Industrial General Others
Purpose works use use

Which Brand?
Which other brands do you
know for agricultural
products/files/hand tools?
How often do you buy this
0-6 Months 6 months- 1 Yr 1-2 Yr More than 2 Yr
product?

Any difficulty or complaints 1.

To be filled with the product?
from 2.
Consumer Have you ever purchased TATA Yes No
AGRICO Product (Y/N)
How many marks for TATA
AGRICO products will you give
out of 10?
(0 lowest and 10 highest)
Why? (If not Tata Agrico, then
why not Tata Agrico) 1.
2.
1.
Expectation From Tata Agrico:
2.
Name of Consumer
Contact No.