ONLINE AND DRIVE-THRU GROCERY SHOPPING SURVEY
Answers marked with a * are required.
 
1. Gender *

      

 
 
 
2. Marital Status *


      

 
 
 
3. Age Group *



      

 
 
 
4. Location *










      

 
 
 
5. Occupation *




      

 
 
 
6. Monthly Income *




      

 
 
 
7. Including yourself, how many people are in your household? *
 
 
 
8. Number of Dependants (Children/s) *




      

 
 
 
9. Do you own a car? *

      

 
 
 
 
 

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