Basket of Goods Survey Form
Share your feedback on the items in your basket.
Full Name
First Name
Last Name
Age
How often do you shop for household goods?
*
Daily
Weekly
Bi-weekly
Monthly
Less often
Where do you usually shop for your goods?
*
Supermarket
Local market
Online store
Convenience store
Other
Which categories of goods do you purchase most often? (Select all that apply)
*
Groceries
Personal care products
Household cleaning items
Beverages
Snacks
Other
What is your average monthly spending on household goods? (in USD)
Please share any additional comments or feedback about your shopping habits.
Submit Survey
Should be Empty: