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					4U2BU Knowledge Café Market Survey - Answer Sheet

Please refer to 4U2BU Knowledge Café Market Survey Questionnaire.
Kindly e-mail your completed Answer Sheet to cafe@4U2BUknowledge.com.

QUESTION
    1      Please rank 1, 2, or 3 in the appropriate spaces accordingly.
    a
    b
    c
    d
    e
     f
    g
    h
  Others
 (Specify)

    2        State the reason(s) for your choice of the three most important goals in Question 1.
  Goal #1
  Goal #2
  Goal #3

    3        State start date and end date for the choices ranked 1, 2, and 3 in Question 1.
  Goal #1    Start date:
             End date:
  Goal #2    Start date:
             End date:
  Goal #3    Start date:
             End date:

    4        Indicate '1' in the appropriate spaces accordingly.
    a
    b
    c
    d
    e
     f
    g
    h
  Others
 (Specify)

     5       State how else can you work towards achieving the three goals in Question 1.



     6       Please indicate '1' in the appropirate spaces accordingly.
     a
     b
     c
     d
     e
     f
     g
     h
     i
  Others
 (Specify)

     7       State comments on any other service(s) you need or require, if applicable.




Name
(Optional)
Country of
residence
E-mail
address
Telephone/
Mobile

             THANK YOU FOR YOUR PARTICIPATION IN THE SURVEY.



INTEREST GROUP MEMBERSHIP FORM

NAME
NRIC NO.

ADDRESS

TEL NO. #1
             TELEPHONE:

TEL NO. #2
          MOBILE:
E-MAIL
MARITAL
STATUS    *SINGLE / MARRIED / DIVORCE / WIDOW
AGE
DATE OF
BIRTH     DD/MM/YYYY
HIGHEST
EDUCATION ACADEMIC QUALIFICATIONS:
INTEREST
GROUP
SMARTX
STUDENTS *YES / NO
CHILD #1
CHILD #2
CHILD #3
CHILD #4
CHILD #5
POSITIVE
PARENTS   *YES / NO
BOOK
LOVERS    *YES / NO
SIGNATURE
/ DATE

				
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posted:11/25/2011
language:English
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