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1. Please type your complete name: (Required.)

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2. CURRENT RESIDENTIAL ADDRESS (Required.)

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3. YOUR AGE

(Required.)

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4. YOUR GENDER

(Required.)

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5. CONTACT DETAILS: (Required.)

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6. What is your civil status?

(Required.)

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7. How many kids do you have? (Required.)

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8. If you have kid/s: what are their ages (please check all that apply)?

(Required.)

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9. What is your highest educational attainment?
(Required.)

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10. What is your occupation?
(Required.)

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11. What is your current living arrangement?

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12. Your monthly household income

(Required.)

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13. Aside from yourself, husband/ partner, and your kids, is there anyone else living in your house? (check all that apply)

(Required.)

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14. Are you the primary grocery shopper in your household? (Required.)

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15. How often do you do your groceries? (Required.)

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16. How much do you spend on groceries on the average PER VISIT?

(Required.)

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17. Where do you usually go to buy groceries?

(Required.)

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18. Do you go to the palengke?

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19. Who cooks at home? (please check all that apply) (Required.)

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20. When you’re cooking, what is your favorite ingredient to use & why?

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21. In the past 30 days, which of the following food items have you purchased? (Please select all that apply.)

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22. What is your favorite seasoning brand? (Required.)

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23. What is your favorite cheese brand?

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24. What is your favorite milk brand?

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25. Name five meals you regularly cook at home:

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26. When shopping for cleaning items, which are your go-to brands?

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27. Which chores do you dislike the most? Please rank from most disliked to least disliked:

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28. For big ticket items and investments (i.e., house, car, appliances, etc), who is the decision maker?

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29. If you have a car, what brand is your car? (check all that apply)

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30. How did you buy your family car/s?

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31. If you were to buy your new home, which real estate company would you seek out? (please check all that apply) (Required.)

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32. What bank do you use? (Required.)

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33. If you have credit cards, what credit cards do you have?

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34. If you have insurance policies: What insurance / financial service provider do you use?

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35. What does your insurance cover? Please check all that apply

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36. Do you take care of your skin?

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37. What is your favorite skincare brand/s? (Required.)

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38. Do you wear makeup:

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39. What is your favorite makeup brand/s?

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40. Do you share your shampoo and bath soap with the family?

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41. What is your favorite shampoo brand/s? (Required.)

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42. Where do you shop for your clothes? (Required.)

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43. Where do you shop for your kid's/ baby’s clothes? (Required.)

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44. What is your favorite brand of shoes? (Required.)

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45. What is your go-to medicine for headaches? (Required.)

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46. What is your go-to medicine for colds? (Required.)

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47. What is your go-to medicine for body pain/ dysmennorhea?

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48. Which products / brands do you consider as must-haves in your handbag? (Required.)

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49. What activities do you do to relax? (Please list all)

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50. Do you still go on dates with your husband/ partner?

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51. If yes, where do you go or what do you usually do when you go on dates? (please list all)

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52. What do you want to tell your husband/ partner that you’ve never been able to say before?

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53. What are your current concerns (please rank from highest to lowest)

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