Questionnaire

Product: Sensitivity relief toothpaste Name: _______________________ Gender: ______________________ Location: ____________________

1. How many times do you use brush your teeth in a day? Once Twice Thrice After every meal 2. How often do you change your toothbrush? Every month After 2-3 months More than 3 months 3. What are the things you look for while buying toothpaste? Medicinal value Brand Taste and flavour Calcium content Cavity protection Whitening of teeth Sensitivity protection 4. What type of toothpaste do you prefer? Gel Paste Others ______ 5. What is the brand that first comes to your mind when you think of toothpaste? Colgate Pepsodent Close-up Other (please specify)_______ 6. Which flavour of toothpaste does you like the most? Plain Mint Fruit Other (please specify)_______

7. Whose advice do you take while buying toothpaste? Friends Dentist Family Storekeeper Individual decision 8. Where do you buy toothpaste from? Departmental store General store Supermarket Other (please specify)_______ 9. While purchasing what are the factors that influence you? 1+1 offer Toothbrush/Freebie Discount Attractive packaging 10. How often do you switch between brands? Frequently Rarely Never 11. How often do you visit dentist? Monthly Quarterly Half yearly Yearly More than a year 12. Do you suffer from any of these problems? Bad breath Plaque Bleeding gums Other (please specify)________ 13. Do you use mouthwash regularly? Yes No 14. Are your teeth sensitive to extreme hot or cold food? Yes No 15. If yes, what is the prescription that your dentist has given you? New toothpaste Medicine Increasing the frequency of brushing Other (please specify)______

 I have not visited the dentist 16. Have you used sensitivity relief toothpaste before? If yes, name the brand. Yes ______ No 17. Answer this question only if you replied positively to the above question.. For how long do you feel relief after using sensitivity toothpaste? Till 1 hour 2-4 hours 4-6 hours More than 6 hours 18. What is the feature that you would want sensitivity relief toothpaste to have? Freshness Whitening Gum care High medicinal value Other (please specify)______