Exceptional Caribbean

Dear Valued Respondent,

We would like to create an online network of Exceptional Caribbean brands and products.

We are doing this for you. Your feedback is greatly appreciated.

All information will be treated in a confidential manner and will be treated anonymously in aggregated format.

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1. Contact Details (Required.)

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number

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2. What Social Media platforms do you use (Required.)

Facebook

Instagram

YouTube

Twitter

Tumblr

Other (please specify)

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3. What are your best communication preferences? (Required.)

Text (SMS)

Messenger

Phone calls / mobile

FaceTime

Skype

Other (please specify)

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4. Gender (Required.)

Male

Female

Other

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5. Age (Required.)

18-24

25-34

35-44

45-54

55-64

65+

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6. Date of Birth

Date

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7. What is your relationship status?

Single

In a Long-Term Relationship but not married

Engaged

Married

Divorced

Widower/Widow

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8. Household size:

1 person,

2 persons,

3-5 persons,

over 5 persons

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9. What languages do you speak fluently?

Arabic

Dutch

English

French

German

Hindi

Italian

Japanese

Mandarin Chinese

Patois / Creole

Polish

Portuguese

Russian

Spanish

Other (please specify)

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10. Monthly Income level (USD):

1,000 – 3,000

3,000 – 5,000

5,000 – 7,000

7,000 – 9,000

Over 9,000

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11. What category of employment most relates to you?

Government

Private Industry

Self-employed

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12. What is the highest level of Education you have attained?

High School

University

Post Graduate

Professional Certification

Exceptional Caribbean

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* 1. Contact Details (Required.)

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* 2. What Social Media platforms do you use (Required.)

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* 3. What are your best communication preferences? (Required.)

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* 4. Gender (Required.)

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* 5. Age (Required.)

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* 6. Date of Birth

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* 7. What is your relationship status?

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* 8. Household size:

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* 9. What languages do you speak fluently?

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* 10. Monthly Income level (USD):

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* 11. What category of employment most relates to you?

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* 12. What is the highest level of Education you have attained?

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* 13. What is your profession?

1. Contact Details (Required.)

2. What Social Media platforms do you use (Required.)

3. What are your best communication preferences? (Required.)

4. Gender (Required.)

5. Age (Required.)

6. Date of Birth

7. What is your relationship status?

8. Household size:

9. What languages do you speak fluently?

10. Monthly Income level (USD):

11. What category of employment most relates to you?

12. What is the highest level of Education you have attained?

13. What is your profession?