Market Research Survey
Please take a few minutes to fill out this research survey. Your time spent to fill in this survey form is highly appreciated. Thank you.
Name / Nama
*
First Name
Last Name
E-mail / E-mel
*
example@example.com
Telephone No. / No. Telephone
-
Area Code
Phone Number
Gender / Jantina
*
Male / Lelaki
Female / Perempuan
Age / Umur
*
0 - 17
18 - 24
25 - 34
35 - 44
45 - 55
56 - 60
60 and above
Monthly Income / Pendapatan Bulanan
*
RM0 - RM1,999
RM2,000 - RM4,999
RM5,000 - RM6,999
RM7,000 - RM9,999
RM10,000 - RM49,999
RM50,000 and above
Education / Pendidikan
*
Primary / Rendah
Secondary / Menengah
Tertiary / TInggi
Professional / Profesional
Others / Lain-lain
Employment Sector / Sektor Pekerjaan
*
Government Servant / Kakitangan Kerajaan
Private / Swasta
Limited Company / Berhad
Public Listed Company / Sendirian Berhad
Co-operative / Koperasi
Sole Proprietor / Milikan Tunggal
Partnership / Perkongsian
Occupation / Pekerjaan
*
General Worker / Pekerja Am
Clerical / Kerani
Officer / Executive / Pegawai / Eksekutif
Manager / Pengurus
Professional / Profesional
Educator / Pendidik
Other
Do you have Takaful Coverage? / Adakah anda mempunyai perlindungan Takaful?
*
Yes / Ya
No / Tidak
If yes, which of the following package is your Coverage? / Jika ya, yang manakah pilihan di bawah adalah Pakej Perlindungan Takaful anda?
*
Life Takaful / Takaful Hayat
Medical / Perubatan
Investment Linked / Pelaburan
Education / Pendidikan
Not Applicable / Tidak Berkaitan
Other
If no, why? / Jika tidak, kenapa?
*
Financial Constraint / Kekangan Kewangan
Lack of knowledge / Kurang Pengetahuan
Not interested / Tidak Berminat
Not Applicable / Tidak Berkaitan
Other
Do you agree if Premium Contribution is maed through your EPF Savings Account 2 on an annual basis? / Adakah anda bersetuju sekiranya Sumbangan Premium dibuat melalui Akaun 2 Simpanan KWSP anda secara tahunan?
*
Yes / Ya
No / Tidak
Submit
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