QUESTIONNAIRE

Objective: To find out the usage, triggers to purchase and users of pain relief sprays.

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Zone Ward
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Pin Code
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Time – Start____ Am/Pm End _______ Am/Pm Duration ______Minutes

Name of Interviewer : Name of Supervisor :

Hello Sir/Madam, I am a student of IBS Ahmedabad pursuing my MBA. As a part of our course
curriculum we are required to do a project on pain relief products. We would appreciate if you could
kindly spend few minutes of your valuable time and help us in filling this questionnaire. The data
collected through this survey is purely for the academic purpose and will be kept completely
confidential and not divulged to any organization or put to any commercial use whatsoever

1. Please let me know the first thing which comes to your mind when I say the following words
Strains ……………………………………. Sprains ……………………………………………..
Cramps ……………………………………. Backache ……………………………………………..
Headache ……………………………………. Stiff neck ………………………………………………
Joint pain ……………………………………. Twisted ankle ……………………………………………….
Twisted fingers/hand…………………………… Sore hands/legs………………………………………………

2. Which type of products are you aware of for relieving pain?

OINTMENTS Balms Sprays Tablets Hot water bags Electric Massagers Home
remedy

3a) UNAIDED RECALL b) AIDED RECALL

Top of the mind Others in the mind

Secondary in the mind

Brands Recall
 4a) UNAIDED RECALL b) AIDED RECALL

Top of the mind Others in the mind

Secondary in the mind

1. Generally what type of pains do you experience?

Strains Sprains Cramps Backache Headache Stiff neck
Joint pain Twisted ankle Twisted fingers/hand Sore hands/legs
ARTHRITIC JOINT PAIN

2. In which parts of your body do you generally experience pain?

3. For what kind of pain do you use ointments? ..................................................................................

4. For what kind of pain do you use balms? …………………………………………………………………………………….
5. For what kind of pain do you use sprays? …………………………………………………………………………………….
6. For what kind of pain do you use tablets? ……………………………………………………………………………………
7. For what kind of pain do you use hot water bags? ……………………………………………………………………….
8. For what kind of pain do you use electric massagers? ………………………………………………………………….
9. For what kind of pain do you use home remedy? ………………………………………………………………………..
Please mention the remedy used…………………………………………………………………………………………………
10. When was the last time you experienced pain in the following parts of your body?

Head Last week Last month Last 6 months

Shoulders Last week Last month Last 6 months
Neck Last week Last month Last 6 months
Wrist Last week Last month Last 6 months
Fingers Last week Last month Last 6 months
Back Last week Last month Last 6 months
Joint pain Last week Last month Last 6 months
Knee pain Last week Last month Last 6 months
Arms Last week Last month Last 6 months
Calf Last week Last month Last 6 months
Thighs Last week Last month Last 6 months
Ankle Last week Last month Last 6 months
Chest Last week Last month Last 6 months
Shins Last week Last month Last 6 months

11. Do you suffer from any chronic pain problems? Yes No

If yes, please specify the type of pain ………………………………………………………………………………………….
From how long are you suffering from this problem? .....................................................................
12. Have you consulted the doctor for the above purpose? Yes No
What medication did he prescribe? .................................................................................................
13. What are the benefits you would associate with pain relief sprays?
Ease of application No stickiness Easy to handle Can be kept with
oneself in purse/bag Clothes don’t get spoilt Instant relief Other persons aid not
required while application
14. Which brands of pain relief spray are you aware of?

3a) UNAIDED RECALL b) AIDED RECALL

Top of the mind Others in the mind

Secondary in the mind

15. Which brands of sprays have you tried?
Moov – Never tried Tried but stopped Currently using Intend to use
Volini – Never tried Tried but stopped Currently using Intend to use
Relispray – Never tried Tried but stopped Currently using Intend to use
Volitra - Never tried Tried but stopped Currently using Intend to use
Amrutanjan Never tried Tried but stopped Currently using Intend to use
If tried but stopped, please mention the reasons for the same
…………………………………………………………………………………………………………………………………………………….

16. If user, which brand of spray do you generally use? ……………………………………………………………………

What do you do if your favorite brand is not available?
Don’t buy the product Buy the same brand in other format
Search for the brand in different outlets
Buy any brand which is available

17. Why do you buy this

brand? ...............................................................................................................................................
...........................................................................................................................................................
............
18. Would you recommend this brand to others? Yes No
19. If yes then why? ................................................................................................................................
20. When was the last time you tried that brand?
Last week Last month in Last 6 months

21. What influenced your decision to buy the brand you are currently using?
Availability Effectiveness Price Doctor recommendation
Chemists recommendation Advertisements

22. What would you associate the following brands with?

Moov …………………………………..
Relispray …………………………………..
Volini ……………………………………

23. Are you involved in any kind of physical activity? Yes No

Which activity are you involved in?
Sports Gym Morning/evening walks Dancing Others
Please specify ……………………………………………………………………………………………………………………………
24. How often do you indulge yourself in the activities mentioned above?
Once a week Twice a week Thrice a week Five days a week Daily
 PERSONAL INFORMATION

1) Respondent Name : ………………………………. Contact No : ______________

2) Address____________________________________________________________
___________________________________________________________________
Area : _____________________________ Pincode :

3) From how many years are you living in Ahmedabad ……………yrs

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4) Do you live in a family? Gender : Male Female Age : ___ yrs

5) Currently you are living
5 With own family 5 With Relatives 5 With Friends
5 Single living Separately Any other please specify………………………….
6) Could you please let us know who contributes the maximum income to the family income?
________________________________________
7) What is the maximum educational qualification attained by the CWE of the family? (Pl Show Card - 6)
5 Illiterate 5 Schooling upto 4 yrs 5Schooling (upto 5 to 9 yrs)
5 SSC/HSC 5 Some College but not a Graduate
5 Graduate 5 Post Graduate (General) 5 Post Graduate (Professional)
5 PhD. 5 Others
8) What is the occupation of the CWE? ( Pl Show Card - 7)
5 Unskilled Workers 5 Skilled Workers 5 Petty Traders
5 Businessmen (1-9 employees) 5 Businessmen (10 + employees) 5Shop Owners
5 Self Employed 5 Clerical/Salesman 5 Supervisory Level
5 Officers/Executives Junior 5Officers/Executives Middle/Seniors

9) What is your relationship with the CWE: ………………………………

10) Which of the following best describe your current martial status?
Qu es tio n Bo ok let N o.

11) Which of the following best describe your current employment status?
5 Unskilled Workers 5 Skilled Workers 5 Petty Traders
5 Businessmen (1-9 employees) 5 Businessmen (10 + employees) 5Shop Owners
5 Self Employed 5 Clerical/Salesman 5 Supervisory Level
 5 Officers/Executives Junior 5Officers/Executives Middle/Seniors
5 House wife 5 Student 5 Retired Personnel

Respondent Orgn: _____________________ Designation:____________________

12) What is your educational qualification?

5 Illiterate 5 Schooling upto 4 yrs 5Schooling (upto 5 to 9 yrs)

5 SSC/HSC 5 Some College but not a Graduate
5 Graduate 5 Post Graduate (General) 5 Post Graduate (Professional)
5 PhD. 5 Others
13) Is your home 16) Residence type
a) Owned by you(and your family) a) Tenant b) Row House
b) Privately rented from landlord c) Bungalow d) Flat (Which Floor) ___
c) Other (Please specify)……………… e) Other, Please Specify…………

14) Which of the following categories best represents your total household monthly income
that is, the total of everyone living in your household?
5 Under 10,000 575000 but less than 100,000
5 10,000 but less than 35,000 5 100,00 but less than 150,000
5 35,000 but less than 50,000 5 150,000 but less than 200,000
5 50,000 but less than 75,000 5 200,000 and higher