Emergency Assistance Survey

General Interest

1. Would you be interested in a service that helps you during emergencies (e.g., getting medicine, groceries, or other urgent tasks)?

Yes No

General Interest

2. How likely are you to use this service in the future?

Very Likely Likely Neutral Unlikely Very Unlikely

Service Preferences

3. What type of assistance would you find most valuable? (Select all that apply)

Medicine delivery Grocery shopping Urgent errands Other:

Service Preferences

4. In which situations do you think this service would be most helpful ?

Medical emergencies Personal emergencies Unexpected situations Other:

Service Preferences

5. How would you prefer to request assistance ?

Mobile app Phone call Website Social media Other:

Service Preferences

6. How would you prefer we conatct you ?

Phone Email Whatsapp Other:

Service Preferences

7. What is your most immediate concern or challenge right now ?

Financial Health Technical Issue Other:

Service Preferences

8. How urgently do you need support or a response ?

Within 24 hours 2-3 days By next week Not urgent

Experience & Expectations

9. Have you used any similar emergency services before ?

Yes No If yes, experience:

Experience & Expectations

10. What would make you more likely to use this service ?

Affordable pricing Fast response Reliable service Friendly staff Other:

Demographic Information (optional)

11. What is your age group ?

Under 18 18-30 31-50 51 and above

Demographic Information

Emergency Assistance Service Survey

1. Would you be interested in a service that helps you during emergencies (e.g., getting medicine, groceries, or other urgent tasks)?

2. How likely are you to use this service in the future?

3. What type of assistance would you find most valuable? (Select all that apply)

4. In which situations do you think this service would be most helpful ?

5. How would you prefer to request assistance ?

6. How would you prefer we conatct you ?

7. What is your most immediate concern or challenge right now ?

8. How urgently do you need support or a response ?

9. Have you used any similar emergency services before ?

10. What would make you more likely to use this service ?

11. What is your age group ?

12. Which area do you live in ?

Your Name

Your Email

Your Social Media link or name (Optional)