1.  Do you have spare time daily?

(a) If yes how much time daily you can spare (could be even a min 15 minutes) : __________

2.  Total spare time you have in a week   : __________
3.  Total spare time you have on Sun/Mon: __________
4.  Total spare time you have in a month : __________
5.  Top 5 ways you utilize spare time
    (1)  ______________________
    (2)  ______________________
    (3)  ______________________
    (4)  ______________________
    (5)  ______________________
6.   Name:
7.   Age and Date of Birth:
8.   Address:
9.    Email:
10.  Phone number with std code:
11.  Basic qualification:
12.  Your marks in English for
       (1) 10th:
       (2) 12th or PUC:
       (3)  Degree:
13.   Your skills in computers:
14.    Do you have Internet connected PC at home (Yes/No):
15.   How much time do you spend on Internet:

E&O.E.