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8/6/2014 Organic Products - Google Forms

https://docs.google.com/a/iimidr.ac.in/forms/d/1CEEf_q53nB67TagRPZPl2iFFndVEmc6BhkGF8PQCLx8/edit 1/6
Organic Products
1. Are you aware of Organic Products?
Check all that apply.
Yes
No
2. How do you know about Organic food
Mark only one oval.
Newspaper, Magzines
Television
Internet
Word of Mouth - friends, collegaues
Pamphlets, Leaflets
Family
Others
3. Are you wiling to buy Organic Food?
Check all that apply.
Definitely buy
Probably buy
Neutral
Probably not buy
Definitely not buy
4. How often you consume Organic food?
Mark only one oval.
Atleast once a week
Atleast once every 2 weeks
Atleast once in a month
Atleast once in 3 months
Never Brought Organic food
8/6/2014 Organic Products - Google Forms
https://docs.google.com/a/iimidr.ac.in/forms/d/1CEEf_q53nB67TagRPZPl2iFFndVEmc6BhkGF8PQCLx8/edit 2/6
5. How do you usually shop for Organic food?
Medium of Purchase
Mark only one oval.
Specialty Food Store e.g Nature's Basket
Large Retailers e.g Reliance Fresh
Small/Locally-owned food store
Local farmer's market e.g APMC
Online Medium
6. Will you buy Organic food if available online?
Check all that apply.
Definitely buy
Probably buy
Neutral
Probably not buy
Definitely not buy
7. Which of following categories do you think Organic food is better than non-organic food?
select all relevant options
Mark only one oval per row.
Ratings
Eco-Friendly
Healthy
Accessibility
Price
Quality
On-going trend
Elite Product
Sense of Satisfaction
8. Rate following Parameters in order of Importance for buying Organic food
Rating 1 as highest rating and Rating 6 as Lowest
Mark only one oval per row.
Price Quality Packaging Accessibility Brand Name
Rating 1
Rating 2
Rating 3
Rating 4
Rating 5
8/6/2014 Organic Products - Google Forms
https://docs.google.com/a/iimidr.ac.in/forms/d/1CEEf_q53nB67TagRPZPl2iFFndVEmc6BhkGF8PQCLx8/edit 3/6
9. I consume Organic Food because
Rating 1 as most important and Rating 5 as least important
Mark only one oval per row.
Strongly Agree Agree Neutral Disagree Strongly Disagree
They are Fresh
They are more tasty
They are more Nutritous
They are Healthier
10. Are you ready to pay premium price for Organic food?
Check all that apply.
Yes
No
Depends on difference in price of Organic and Non-Organic food
11. What is your opinion about following statements keeping Organic food in mind
Mark only one oval per row.
Strongly
Agree
Agree Neutral Disagree
Strongly
Disagree
I worry that Non-Organic Food
contains harmful chemicals
I worry that Non-Organic Food
can cause Cancer and other
diseases
I am satisfied with current Non-
Organic food I consume
I do nothing about such concerns
I am worried about health
concerns but Organic food is
Expensive
I believe organic food will keep
my body fit
I feel organic food is not free from
preservatives & chemicals
I feel I care for myself & my
family when I buy organic food
I recommend organic food to
others.
8/6/2014 Organic Products - Google Forms
https://docs.google.com/a/iimidr.ac.in/forms/d/1CEEf_q53nB67TagRPZPl2iFFndVEmc6BhkGF8PQCLx8/edit 4/6
12. Rate Categories of Organic food in order of number of units sold?
Rating 1 as most important and Rating 4 as least important (Fill only if you are a retailer selling
organic products)
Mark only one oval per row.
Fruits and
Vegetables
Dairy Products -
Milk, Cheese,
Butter
Eggs
and
Meat
Accessories -
Oils, Honey,
Juices
International
Food
Rating 1
Rating 2
Rating 3
Rating 4
Rating 5
13. Are you Satisfied with Organic Food?
Mark only one oval.
Extremely Satisfied
Slightly Satisfied
Neither Satisfied nor Dissatisfied
Slightly Dissatisfied
Extremely Dissatisfied
14. Have you heard of these Online organic portals?
select all relevant options
Check all that apply.
Farm2Kitchen.com
Organicshop.in
Organicgarden.co.in
naturallyyours.in
mygreenkart.com
Others
8/6/2014 Organic Products - Google Forms
https://docs.google.com/a/iimidr.ac.in/forms/d/1CEEf_q53nB67TagRPZPl2iFFndVEmc6BhkGF8PQCLx8/edit 5/6
15. What do you feel about Prices of Organic Food?
Mark only one oval per row.
Strongly
Agree
Agree Neutral Disagree
Strongly
Disagree
They are very expensive but I still
buy them
They are very expensive so I
avoid buying them
They are not expensive and
affordable
They are expensive and I will buy
them if price are reduced by 15%
They are expensive and I will buy
them if price are reduced by 30%
They are expensive and I will buy
them if price are reduced by 45%
They are expensive but I buy
them for my children
They are expensive but they
keep my body physique in shape
and fit
16. Gender
Check all that apply.
Male
Female
17. What is your age?
Mark only one oval.
below 18
18 - 30
31 - 45
46 - 60
Above 60
18. What is your educational qualification?
Mark only one oval.
12th Pass or below
Undergraduate
Graduate
PostGraduate
PHD/Others
8/6/2014 Organic Products - Google Forms
https://docs.google.com/a/iimidr.ac.in/forms/d/1CEEf_q53nB67TagRPZPl2iFFndVEmc6BhkGF8PQCLx8/edit 6/6
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19. What is your Annual household Income?
Mark only one oval.
Below 2.5 Lakhs
2.5 - 4.9
5.0 - 9.9
10 - 20
20+
20. What is your Marital Status?
Check all that apply.
Unmarried
Married
21. How many people currently live in Household?
Mark only one oval.
1 - 2
3 - 5
6 - 8
8 - 10
10+

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