HELP - TOOTH PASTE SUrvey

[aitristina]

Dear frenz....

Bnatu g donk...g bth waktu kalian sebentar hehehe..

Tolong isi n krm ke aishite.tris [at] yahoo.com. Thx

G yakin karma baik kalian bertambah heheheh :p

Tooth Paste Survey                                       
                                       
                                       
Please fill in the question in CAPITAL.                                       
                                       
Identity                                       
                                       
Name            :                           
Age            :                           
Gender            :                           
Occupation            :                           
                                       
Brand                                        
                                       
Name of tooth paste            :                           
Reason using it            :                           
Time using it            :                           
2 other best brand, according to you                   1                     
                  2                     
                                       
Identification                                        
                                       
Packaging         Tube      others.........................                        
Size         Large      Medium      Small                  
Form         White      Gel                        
Function                                       
Taste         Menthol      Common                        
Kinds                                       
Quality for the formula (refers to the function)                                       
                                       
Expectation                                       
                                       
For the brand which you using now :                     
[at]    Critics         :         
                     
[at]    Suggestion         :         
                     
For other brand                     
[at]    Critics         :         
                     
[at]    Suggestion         :         
                     
Do you want to use a new brand?                  Yes   No
If Yes, the reason is                      
                     
                     
Signature,                     
                     
            
Thanks for filling this form.            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            

[kullatiro]

alamat email nya tidak jelas kk

[FZ]

Saran gw.. biar rapi..
coba ketik formnya di excel / txt notepad.. terus dibikin attachment aja..

[at]  atas
alamat emailnya di sensor karena ada s h i t .. jadinya : a i s h i t e . t r i s  [at]  yahoo.com (tanpa spasi [at] diganti jadi a-keong)