1.

) Name of the respondant

Ans:- 

2.) Age

Ans:- 

3.) Portal Address

Ans:- 

4.) Educational qualification

Ans:- SSC ☐ HSC ☐ Graduate ☐ Undergraduate ☐

5.) Occupation. 

Ans:- Business ☐
          Service    ☐
          Student   ☐
          Profession ☐
          Housewife  ☐
           Others        ☐

6.) No.of family members  ☐

a) upto 10 yrs ☐
b) 10 to 20 yrs ☐
C) 20 to 30 yrs ☐
d) 30 to 40 yrs  ☐

7.) Family Income (Monthly) 

Ans:- a.) Upto 50k ☐

          b.) 1lakh to 1.50 lakh ☐
          C.) 1.5 lakh to 2 lakh ☐
          d.)  2 lakh and above ☐

8.)  Who takes purchasing decision at home? 

Ans:- 

9.) Which soap or detergent do you use for washing clothes? 

Ans:- Nirma ☐ Ghadi ☐ Tide ☐ Arial ☐ other ☐

10.) Appropriate quantity required during a month

Ans:- upto 1kg ☐

         1kg to 2kg ☐
          2kg to 3kg ☐
          3kg and above ☐

11.) Since from when are you using this soap/detergent

Ans:- 

12.) Price of the detergent or soap you are using

Ans:- 

13.) Before purchasing this brand any other brand do you recognise by you 

Ans:- Nirma ☐     Ghadi ☐    other ☐

          Tide    ☐     Arial   ☐

14:) Do you find the price reasonable? 

Ans:- Yes   ☐
          No    ☐

15.) Are you satisfied with your detergent/soap in respect to? 

Ans:-  Price                        Yes / No

          Packaging                Yes / No
          Color                          Yes / No
         Size/shape                 Yes / No
         Quality                        Yes  / No
          Quantity                    Yes   / No

16.) Have you faced any problem while using your soap/detergent

Ans:- Skin burning Rashess                           ☐

          Color of the clothes become fade      ☐
           Soap vanishes immediately                ☐

17.)  Do you use Washing machine? 

Ans:-  Yes ☐              No ☐

18.) In which form your detergent/soap is available? 

Ans:-  Cake Bar   ☐
           Powder     ☐
           Liquid        ☐         

19.)  Which soap do you use for washing following types of clothes? 

Ans:-  Regular clothes              ☐

           White clothes                 ☐
           Curtains/ Bedsheets     ☐
           Silk / woolan                   ☐

20.) Do you use hot water for washing clothes? 

Ans:- Yes ☐     No ☐

21.) Is your product available in the market? 

Ans:-  Yes ☐    No ☐

22.) From where do you purchase your product

Ans:- Kirana shop      ☐

          Supermarket    ☐
           Online               ☐
           Other                ☐

23.) Do you buy your product by advertising effect

Ans:-   Yes  ☐
            No   ☐

24.) Which is your frequency of buying your product

Ans:- weekly                ☐
          Fortnightly         ☐
          Half monthly     ☐     
         Monthly              ☐

25.) Do you view T.V advertisements

Ans:- Yes  ☐
          No    ☐

26.) Which types of programme do you like

Ans:- Family     ☐
          Sports     ☐
          News       ☐
          Other       ☐

28.) Which is your favourite T.V viewing

Ans:-   Morning         ☐
            Afternoon      ☐
           Evening           ☐
            Night              ☐

29.) Do you suggest your product to others to buy

Ans:- Yes     ☐
          No      ☐

30.) Any other valuable suggestion 

Ans:- 

                                            Signature of respondant