Loyalty Survey - MTI Life

Name *

First

Last

Phone Number *

Email *

Where do you usually buy your food stuff? You can select multiple options. *

Do you prefer bio products? *

When you’re out and about, where do you usually plan to grab a meal? *

On what frequency do you eat outside? *

Where do you like to buy your clothing? You can select multiple options. *

On what frequency do buy your clothes? *

What gas station do you fuel up? *

What would you prefer as medical assistance? *

In case of medical emergency, would you prefer to call for speedy assistance *

Are you currently subscribed to a fitness/sports membership? *

prefer residence safe

In case of utilities emergency (electrical, plumbing), whom would you call for assistance? *

How do you refill your gas cylinder? *

While going on holidays, how do you ensure your residence is safe from thief? (Out of house for some days) *

In case of mechanical and electrical breakdown of your vehicle, what would you do? *

Feel free to add any other comment