Emergency supplies demand registration form

Hello, our operator of China Ready to Ship website, we are from China, our company is investigating your emergency supplies needs, and invites you to help you fill out this questionnaire in a few minutes. All data in this questionnaire is only for statistical analysis, please rest assured to fill in. There is no right or wrong question to choose, please fill in according to your actual situation. thank you for your help.

Your name? (actual name)

Your gender

Your email

Your phone number

Which country do you come from

Which city are you from

What are you missing now

Do you have any other questions?