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We would now like a better understanding of who you are, this information will be treated

as confidential.

I Personal Profile:

1. Age:

18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 and over

Indicate your marital status.

Single
Married
Widowed
Divorced

2. Are you male or female?


Male Female

3. Marital status:

Single

Married

Divorced

Widowed

4. How many children (any age) do you have?

4
None 1 2 3 More than 3

5. What is the highest level of education you have obtained?


CPE

SC
HSC
Undergraduate
Postgraduate
Others. Please specify…………………………………

6. Occupation:………………………………………………………………………………..

7. Family Income (per month)

Less than Rs 5000

Rs 5001 – 10,000

More than Rs 10,000

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