MBD Customer Survey

1

Customer Name* This field is required.

First Name

Last Name

2

Contact Number* This field is required.

3

Is this your main contact number?* This field is required.

Yes

No

4

Please capture you primary contact number

5

Are you working?* This field is required.

Yes

No

6

Do you get a payslip?

Yes

No

7

Formal Sector (Yes)

9

Please help with more detail on "Other". select one that best fits you?

Government : Defence/Police

Government: Teaching/Social Work

Government: Municipality

Government: Other

Other

10

informal Sector (no)

13

Please give a short description of what you do

14

Thank you for completing this survey!