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Respondent No……..

1. Have you bought anything out of the following product categories:


a. Pain reliever
b. Cough and cold prep
c. Cough Lozenges
d. Face wash/ Lotion
e. Antacids
2. Which brands have you bought?

A) ………………. B)………………… C)…………………

3. Since what time have you been using this brand? (Relevant brand code…….)
a. First time user
b. 0-6 months
c. 6-12 months
d. 1-2 years
e. More than 2 years
4. Have you decided the brand beforehand or decided just on the counter?..............................
5. What are the other brands which you considered? (If any)………………………………….
6. What are the important factors you considered before buying this product?
a. Brand
b. Ingredient
c. Nutritional facts
d. Packaging
e. Price
7. While you bought the brand for the first time, what was the reason?
a. Recommended by friend/ family member
b. Recommended by the shopkeeper/ chemists
c. Got convinced/ attracted by the communication on TV or newspaper
d. Product features
e. Got attracted by the packaging
8. What is the source of awareness for this brand?
a. TV
b. Newspaper
c. Magazines
d. Friends
e. Family Members
f. Others
9. Is there anything which you wanted to buy but couldn’t get?...........................................
10. Do you remember any Point of Purchase (POP) in the store?............................................

Name: ………………………………… Sex……..

Age Group…………………

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