FillMe - A Premium Form Developer

Section A

ABOUT YOU

Let's start with some basic details.

1. Full Name *

2. Email Address *

3. Age Group *

4. Household Type *

Section B

AWARENESS & USAGE

5. Are you aware of quick commerce platforms? *

Yes

No

6. Which platforms have you used? (Select all that apply) *

Zepto

Blinkit

Swiggy Instamart

BigBasket Now

Others

7. Which platform do you use the most? *

8. How often do you use these platforms? *

Section C

VALUE & TIME

9. Average order value *

10. Time saved compared to physical store *

Section D

CONSUMPTION BEHAVIOUR

11. Product categories ordered (Select all that apply) *

12. Effect on overall purchase frequency vs physical stores *

13. Does quick commerce leads to unplanned/impulse purchases. *

Section E

PRICE & LOCAL SHOPS

14. How sensitive is your household to price changes when shopping online? (1 = Not sensitive, 5 = Highly sensitive) *

1 means price doesn't matter, 5 means highly price conscious.

15. Price comparison vs local shops *

16. Impact on visits to local kirana stores *

Section F

PREFERENCE FACTORS

Rate the importance of the following factors.

17.1 Delivery Speed *

17.2 Convenience *

17.3 Pricing *

17.4 Product Availability *

Final

OVERALL PERCEPTION

18. How satisfied are you with quick commerce services overall? *

19. Future Usage Intent *

20. (Optional) How has quick commerce changed your daily purchase planning?

DATA COLLECTION
REIMAGINED.

QUICK COMMERCE IMPACT SURVEY

ABOUT YOU

AWARENESS & USAGE

VALUE & TIME

CONSUMPTION BEHAVIOUR

PRICE & LOCAL SHOPS

PREFERENCE FACTORS

OVERALL PERCEPTION

Your Contribution Matters!

DATA COLLECTIONREIMAGINED.

QUICK COMMERCE IMPACT SURVEY

ABOUT YOU

AWARENESS & USAGE

VALUE & TIME

CONSUMPTION BEHAVIOUR

PRICE & LOCAL SHOPS

PREFERENCE FACTORS

OVERALL PERCEPTION

Your Contribution Matters!

DATA COLLECTION
REIMAGINED.