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Let’s create your profile by answering few questions

Step

How do you wish to participate in CongSight Hub research surveys?*

Phone

Online

Do you wish to become a part of our Consumer or Business2Business groups?*

Consumer Group

Business2Business Group

How often would you like to participate in market research survey.*

Once a Week

Once a Month

Once a Quarter

I am available to participate once the survey is made available to me.

Are you the main income earner in your household?*

Yes

What is your family's monthly household income?*

Less than $9,999

$10,000 - $19,999

$20,000 - $44,999

$45,000 - $139,999

$140,000 - $149,999

$150,000 - $199,999

$200,000+

TYPE OF ACCOMMODATION*

Rented apartment

Owned apartment

Rented house

Owned house

Living with my parents

Other

Are you the one who make financial decision when it comes to choosing financial institution/services? ex- bank accounts, credit cards, etc.*

Yes

Yes, but I share my decisions with others/family members

Number of people in your household including you*

Number of children under 18 in your household*

Number of vehicles in household*

Vehicle manufacturer (Primary)*

Secondary Manufacture Name (If you have multiple vehicle manufacture please add seprator)*

Which brand of mobile phone do you use?*

Other Brand*

Which personal mobile phone carrier do you use?*

Select The Desktop Brand you use?*

Any other (Specify Desktop Brand)*

Select The Laptop Brand you use?*

Any Other Laptop Brand*

Select The Tablet Brand you use?*

Any Other Tablet Brand*

Which type of internet connection do you use?*

Mobile internet connection

Fixed Internet Connection

Modem/Dial-up

Other type of broadband connection

I have no internet connection at home

Specify Other type*

Are you responsible for the shopping in your household?*

Yes

Shared responsibility

Please select the maximum level of education of the chief wage earner in your household (the person who contributes the most towards household expenses).*

Illeterate

Literate but no formal schooling / School - Upto 4 years

Some High School

High School Diploma / GED

Some college (incl. a Diploma) but not Graduate

Graduate / Post Graduate – General

Graduate / Post Graduate - Professional

PHD

Please select the maximum level of education you hold.*

Illeterate

Literate but no formal schooling / School - Upto 4 years

Some High School

High School Diploma / GED

Some college (incl. a Diploma) but not Graduate

Graduate / Post Graduate – General

Graduate / Post Graduate - Professional

PHD

Where did you complete your Graduation/ PG/ Ph.D? Please name the university*

Please specify your UG (Under Graduate)/ PG (Post Graduate) course?*

Please specify your Ph.D (Doctor of Philosophy) course?*

What is your employment status?*

Please describe your occupation?*

Freelancer

Senior managerial or professional (For e.g. senior executive, lawyer, Architect, Attorney)

Lower managerial and professional (For e.g. teacher, journalist, managers, Analyst, Web/Software Developer, Graphic Designer, Engineer, Administrative staff, Accountant)

Intermediate occupations (For e.g., bank staff, armed forces or police up to sergeant)

Small-business owner or self-employed (For e.g. farmer, taxi driver, shopkeeper)

Lower supervisory and technical (For e.g. mechanic, train driver, plumber, electrician)

Semi-routine occupation (For e.g. traffic warden, receptionist, care worker, telesales)

Routine occupation (For e.g. bar staff, cleaner, labourer, lorry driver)

Healthcare professional

Healthcare professional (Please select from the below)*

Physician & Surgeon

Hospital Employee (Non-MD)

Hospital or Physician Group Executive

Pharmacist

Nurse

Dietitian

Transplant coordinator

Medical Office Personnel (Non-MD)

Other Medical Professional

Other Medical Professional (please specify)*

Please indicate your current position or level within your firm*

Others (Please Specify)*

Please indicate your current title or nursing type:*

Other (Please Specify)*

Please select the type of Pharmacy you work in:*

Other (Please Specify)*

Please specify your Primary Specialty.*

Please select your Practice setting(s).*

Ambulatory Surgery Center

Community Health Center (Federally Qualified)

Private Practice or Clinic affiliated with an academic/teaching Hospital

Private Practice or Clinic affiliated with a community hospital

Veterans Affairs

Academic/Teaching Hospital

Community Hospital

HMO

Integrated Delivery System *

Hemophilia Treatment Center

Others

What is your firm’s industry segment?*

Other (Please Specify)*

What is your organization’s annual revenue in USD for the most recently completed fiscal year?*

What is the total size of your firm’s assets under management in USD as on date?*

What is your firm's annual budget in US$ for the most recently completed fiscal year?*

Please indicate your current position or level within your organization.*

please specify your exact title*

Which of the following best describes your current position/department?*

Others (Please Specify)*

Using your best estimate, how many employees work for your firm/organization worldwide?*

Hospital Bed size.*

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