Fill Me - 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. "Quick commerce leads to unplanned/impulse purchases." *

Section E

Price & Local Shops

14. Price Sensitivity (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. Overall Satisfaction *

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 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 Collection,
Reimagined.