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| Fill and Send your opinion online securely |
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| Section 1. Tell us about Yourselves: |
| First
Name: |
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| Last
Name: |
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| Address1: |
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| Address2: |
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| City: |
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| State or Province: |
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| Zip: |
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| Country: |
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| Home
Phone: |
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| Work
Phone: |
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| Email
ID: |
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| Are you a: |
Male
Female
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| You belong to the agegroup:
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Under 16
16 - 30
31 - 45
46 - 60
Over 60
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| Section 2. Please answer the Survey Questions below: |
| How do you rate contents of this site?
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Excellent
Good
Okay
Poor
Very Poor
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| Information provided on this site is of relevance?
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Excellent
Good
Okay
Poor
Very Poor
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| How did you find out about this site?: |
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| Which Browser are you using? |
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| If other browser, please specify: |
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| Would you use the following services if added? ( Check all applicable boxes): |
| Online Puja Offering: |
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| Poor Feeding: |
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| Devotional Cassettes & CD's: |
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| Books, Photos & Idols: |
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| Information on Other Pligrim Centers: |
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| Garlands, Rudraksha Beads, Lockets, Etc: |
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| Section 3. Write your opinion and comments, date and submit: |
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your opinion or other features you would like to see: |
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| Opinion
Date: |
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