[New Product Distribution Questionnaire Survey]

Incharge: Company:

Location: Department :

Date: Contact:

We are carrying out an evaluation of our distribution products, to see if you are interested and give you the best price
in the market. Thank you for taking the time to fill in this questionnaire; it should only take 5 minutes. Please return
your completed questionnaire to any member staff. Your answers will be treated with complete confidentiality, and
unless you choose to provide an e-mail address, will be entirely anonymous. If you have any questions about this
questionnaire, please contact [0200410962].

Your type of business

a. Whole sales (warehouse)

b. Retail

c. Mini shop (supermarket)

What Size of Rice product do you deal in

(Select these.)

a. 50kgx1

b. 25kgx1

c. 5kgx5

d. 4.5kgx5

e. 1kgx20

f. 900gx20

g. Others ……………
What Size of Oil do you deal in

(Select these.)

a.  25lx1

b.  5lx3

c.  4.5lx4

d.  3lx6

e.  1.8lx6

f.  1lx12

g.  960mlx12

h.  850mlx12

i. Others …………….

What brand of Rice do you mostly buy

(Product name):

size

50kgx1  25kgx1  5kgx5  4.5kgx5  1kgx20  900gx20 

What brand of Oil do you mostly buy

(Product name):

size

25lx1  5lx3  4.5lx4  3lx6 1.8lx6 1lx12960mlx12850mlx12

Write down top 10 brands of Rice you purchase

2
Module 1: Background Size(kg) price
brand Name

3
4

10

Write down top 10 brands of oil you purchase

Module 2: Background Size(liters price

brand Name )

3
4

10

Have you ever come across, been aware of, or bought the following brand of rice or oil

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Module 1: Background Not at Not Neutra Well Very
all well l well
la riziere 5% brisures max rice 50kgx1
2.1.
1 2 3 4 5
1
vietnamien Jasmine rice 100% long 50kgx1
2.1.
1 2 3 4 5
2
nouveu la riziere rice 50kg
2.1. 1 2 3 4 5
3
2.1.4 cic daibon rice 50kgx1 1 2 3 4 5

2.1.5 1 2 3 4 5
poisson riz parfume 5kgx5 5% broken
2.1.6 la merveille 5% broken rice 4.5kgx5 1 2 3 4 5

2.1.7 royal umbrella rice 50kg 1 2 3 4 5

2.1.8 Genius Indian rice 50kgx1 1 2 3 4 5

2.1.9 Genius indian rice 5% 50kgx1 1 2 3 4 5

2.2.0 Dinor vietnamie rice5kgx5 1 2 3 4 5

2.2.1 1 2 3 4 5
cic riz mimo rice 50kgx5
2.2.2 happy viren rice 50kgx1 1 2 3 4 5

2.2.3 Dinor oil sania 12LX1 1 2 3 4 5

2.2.4 Hero riz 22.5kgx1 1 2 3 4 5

2.2.5 origin pakistan rice 50kgx1 1 2 3 4 5

2.2.6 savon SM de marseille rice580gx24 1 2 3 4 5

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Would you purchase this brand of rice or oil if am willing to supply you?

Module 2: Background Yes No Remark

2.1.1 la riziere 5% brisures max 50kgx1 1 2

2.1.2 vietnamien Jasmine 100% long 50kgx1 1 2

2.1.3 nouveu la riziere rice 50kgx1 1 2

2.1.4 cic daibon 50kgx1 1 2

2.1.5 poisson riz parfume 5kgx5 5% brisures 1 2

2.1.6 la merveille 5% brisures 4.5kgx5 1 2

2.1.7 royal umbrella rice 5kgx5 1 2

2.1.8 Genius Indian rice 50kgx1 1 2

2.1.9 Genius indian rice 5% 50kgx1 1 2

2.2.0 Dinor vietnamie riz 5kgx5 1 2

2.2.1 cic riz mimo 50kgx5 1 2

2.2.2 happy viren 50kgx1 1 2

2.2.3 Dinor oil sania 15x0.9L 1 2

2.2.4 Hero riz 22.5kgx1 1 2

2.2.5 origin pakistan 50kgx1 1 2

2.2.6 savon SM de marseille 580gx24 1 2

What distribution channel do you prefer?

h. direct (from supplier to customer delivery)

i. indirect (customer picking up from supplier)

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 j. others