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Customer Profile

Name : Sex : Male Female Date of Birth : 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Anniversary : 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 Address : City : State : Phone (Res./Office) : Mobile : Email :

Occupation

Profession : Student Salaried Self employed/Business House wife Others

Family income per month

upto Rs. 20,000 Rs. 20,000 to Rs. 30,000 Rs. 30,000 to Rs. 50,000 above Rs. 50,000

Do you own a vehicle?

Bicycle Scooter Motor Cycle Car None

How often do you visit cafe coffee day?

Daily  Weekly Monthly Occasionally

What is the average amount you spend when you visit cafe?

Upto Rs. 30 Rs. 30-50 Rs. 50-100 Above Rs. 100

What time of the day you usually visit the cafe?

10 - 12 am 12 - 4 pm 4 - 7 pm 7 - 9 pm After 9pm Anytime

The best thing you like about CCD?

Your comments on contests/events/promotions conducted by CCD?

Your suggestion to make a lot MORE happen over coffee: