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First Name*
Last Name*
NIC*
E-mail*
Web-based e-mail addresses, such as Yahoo Mail or RocketMail, will not be counted.
Address 1*
Address 2
Zip Code
City*
Country
Tel
Fax
Age*
Sex Male Female
Annual Household Income*
Married Yes No
Occupation
Education Level
Do you have an Internet Account?* Yes No

If yes, with which company?* (Enter all that apply)
Fascom, Digicom, Cybernet, BrainNet, IBM, Asia Online, PieNet, Compunet, Comsats, Paknet, CubeXS, SuperNet, Other

Where do you access the Internet from?
Home, Office, School, Friend's house, Other

What do you mainly use the Internet for?*
For example: Business, Browsing, Chatting, E-mail, Other

How many hours a day do you spend on the Internet?*

Do you have your own computer?* Yes No

Do you have your own Web site? Yes No
URL

Have you ever bought anything from the Internet?* Yes No
If so, what?
For example: Software, Books, Music, Clothes, Other

What are your interests?*

Which Pakistani English language newspapers do you read?* (Enter all that apply)

For example: Dawn, Business Recorder, Muslim, The Nation, The News, The Star,TFT, None

Which Pakistani magazines do you read?*(Enter all that apply)

For example: Herald, Libas, Newsline, Women's Own, She, Zameen, Extra, None

Which foreign magazines do you read?* (Enter all that apply)

For example: Cosmopolitan, Newsweek, Reader's Digest, Time, None

Which Pakistani computer magazines do you read?* (Enter all that apply)

For example: Byte, Computerworld, Int'l, Computerworld Pakistan, Computer News, None

Which foreign computer magazines do you read?* (Enter all that apply)

For example: Computerworld, Internet World, PC World, Yahoo Internet Life, Wired, None



 
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