Business Survey Form

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Working one job in this kind of dire times is not enough to sustain our daily expenses anymore. So if you were given a choice to have a part time income, please fill in the form to see what type of income do you like. Your details will be kept private and confidential. Please contact +6017 652 1676 should you have any problem

What is your name? *

How old are you as if today? *

Are you male or female *

Female

Male

Where do you see our survey form *

Facebook

Website

Given by someone

Other:

What is your occupation? *

What is your marital status?

Single

Married with no kids

Married with kids

Divorced

Single Parenting

Clear selection

Do you have any part time income? *

Yes

If yes, please state your part time income

Financial related product such Public Mutual, Philips Captial etc...

Insurance such as Prudential, AIA, Allianz etc...

Street Vendor

Online traditional business such as clothes, food, handphone accessories etc...

Part time job such as waiter, salesman

Food Vendor

MLM Business such as Amway, Herbalife, Usana etc...

Property Agent

Other:

What is your average income per month for your part time income based on (Ringgit Malaysia) RM?

0-1000

1001-2000

2001-3000

3000-4000

5000 above

Clear selection

Are you satisfy with your current part time income?

Yes

Maybe

Clear selection

What is your ideal income overall include your main income (based on RM)?

Clear form

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