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* 1. Please type your complete name:

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* 2. CURRENT RESIDENTIAL ADDRESS

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* 3. YOUR AGE

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* 4. YOUR GENDER

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* 5. CONTACT DETAILS:

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* 6. What is your civil status?

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* 7. How many kids do you have?

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

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* 9. What is your highest educational attainment?

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* 10. What is your occupation?

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* 11. What is your current living arrangement?

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* 12. Your monthly household income

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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)

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* 14. Are you the primary grocery shopper in your household?

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* 15. How often do you do your groceries?

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

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* 17. Where do you usually go to buy groceries?

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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)

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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?

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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)

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* 32. What bank do you use?

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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?

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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?

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* 42. Where do you shop for your clothes?

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

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* 44. What is your favorite brand of shoes?

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* 45. What is your go-to medicine for headaches?

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* 46. What is your go-to medicine for colds?

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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?

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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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