1) Name :

2) Age :

3) Contact Details :

4) Members in family :

5) From which source do you purchase milk ? Milkman Packaged milk

6) Which milk dairy brand you prefer most ? Saras Amul Lotus Gorus

7) How many liters of milk do you purchase daily ? 1 3 2 4

Or more (Specify). 8) What type of dairy products are you using ? (other than milk) Ghee Cheese Butter Ice cream

others, please specify

9) Frequency of purchasing dairy products. (other than milk) Quantity Purchased (in a month) :: Ghee ------:: Butter -----:: Cheese-----:: Ice cream--:: Others-------