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Personal Information Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Full Name
Enter your full name
2
Gender
Select your gender
Male
Female
Other
3
Contact
Enter your contact number
4
Occupation
Specify your occupation
5
Address
Enter your complete address
6
Purok
Specify your purok
7
Question 7
This is a star rating question
8
Question 8
This is a single choice question
Option 1
Option 2
Option 3
9
Question 9
This is a text answer question
10
Question 10
This is a star rating question with 5 stars
Submit
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