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DATA PRIVACY & CONFIDENTIALITY INSTRUCTIONS:

• Ensure segregate respondents personal data from project file

• Ensure personal data are not transferred to unauthorized persons or 3rd party

• Ensure questionnaires can be linked to personal data using IDs only

• Ensure fieldworkers/field suppliers are briefed on data protection requirements for the project

• Ensure parents/guardian consent are given to interview children (aged less than 16) or vulnerable respondents

• Ensure fieldworkers/field suppliers are managing data protection according to project requirements

• Ensure personal data files are protected / encrypted

• Ensure personal data is securely destroyed when no longer required, or in accordance with legal requirements

*Required field.
Client Name:*

Project Name:*

Job Number:*
(Job Number Format: xx-xxxxxx-xx-xx)
- - -


Date Issued (Original):*

Version:

Date of Revision:

Service Line:*



Client Servicing (CS) Team:* Director: Manager:
CS-in-Charge:

Research Objective:*

Project Methodology:*

Methodology1:*
Methodology2:*
Methodology3:*
Methodology4:*
Methodology # :*

Online Platform (e.g. TEAMS / ZOOM / etc.) :*

Length of Interview:*
mins
mins
mins
mins

Total Sample Size:*
n =
n =
n =
n =

No. of Respondent (per FGD / IDI / IHV / Shop Along / Community) :*
Main: Back-Up:
Main: Back-Up:
Main: Back-Up:
Main: Back-Up:

Target Audience :*

Target Respondent (e.g. Demographic Profile) :*

Quota Control Parameter:*

Pre-Task :*

Pre-Task involving Video :

Mode of Pre-Task (e.g. ppt, word, Ipsos Community Direct, Applife, Indeemo, etc.) :

Location (e.g. Ipsos Office, Rendevous Garden, Hotel XXX, etc.) :*

QC to be at location :

Sample / Recruitment :*

Group Composition Structure (Upload Excel File) :
State/Territory Project 1 Project 2 Project 3 Project 4

Nationwide n= n= n= n=

Peninsular Malaysia n= n= n= n=

Northern n= n= n= n=
Perlis n= n= n= n=
Kedah n= n= n= n=
Penang n= n= n= n=
Perak n= n= n= n=

Central n= n= n= n=
Selangor n= n= n= n=
Kuala Lumpur n= n= n= n=
Putrajaya n= n= n= n=

Southern n= n= n= n=
Negeri Sembilan n= n= n= n=
Melaka n= n= n= n=
Johor n= n= n= n=

EastCoast n= n= n= n=
Pahang n= n= n= n=
Terengganu n= n= n= n=
Kelantan n= n= n= n=

East Malaysia n= n= n= n=
Sarawak n= n= n= n=
Sabah n= n= n= n=
Requirement
Moderator :

Moderator Name 1:
 Moderator Name 2:
 Moderator Name 3:
# of Client Observing :
pax

Product Testing :
 No. of Product Test :
# of Server Required :
pax






Detail Original Date Revised Date
Screener Development
Finalised English Screener
Finalised Screener with Translation
FW material: Client database
Data Collection
Screener Briefing
Recruitment Start
Pre-Task Start
Pre-Task End
Fieldwork Start



Provided by OPS Team

Email us at #DG-MY-R-MalaysiaJBF_SERVICEUNITs