Format of Questionnaire

1. QUESTIONNAIRE

2. TOPIC

3. The information gathered is strictly for academic purpose.

4. Note/ Instruction: (Specific instruction how the respondent has to respond)

5. Personal details of the respondent:
   Name:
   Address:
   Phone no.:
   Email ID:
   (Other variables according to the need of your topic and theme)
   Religion/Caste:
   Education:
   Status:
   Mother Tongue:
   Medium of Instruction at School/College level:
   Income Group:
   Age Slab:
   Gender:
6. Questions:
7. Name: (of respondent)
    Date:
    Signature: (of respondent)