MOBILITY X 10-12 DEC 2025
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Personal Information
Full Name (As per NRIC)
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Phone Number
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Email Address
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Gender
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MALE
FEMALE
Age Range
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20 & BELOW
21 - 29
30 - 39
40 - 49
50 & ABOVE
Which state are you currently residing in?
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JOHOR
KEDAH
KELANTAN
KUALA LUMPUR
LABUAN
MELAKA
NEGERI SEMBILAN
PAHANG
PENANG
PERAK
PERLIS
PUTRAJAYA
SABAH
SARAWAK
SELANGOR
TERENGGANU
OUT OF MALAYSIA
Personal Interests
What Brand/Model are you driving currently?
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When do you expect to buy a new car?
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IN THE NEXT 3 MONTHS
IN THE NEXT 6 MONTHS
IN THE NEXT 12 MONTHS
IN THE NEXT 24 MONTHS
I DON'T EXPECT TO BUY A NEW CAR
Which of the following car model you are interested in? (Multiple Selection)
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CAMRY
COROLLA ALTIS
COROLLA CROSS
COROLLA CROSS GR SPORT
COROLLA CROSS HYBRID ELECTRIC
FORTUNER
GR 86
GR COROLLA
GR SUPRA
GR YARIS
HARRIER
HILUX
HILUX GR SPORT
INNOVA
INNOVA ZENIX
INNOVA ZENIX HYBRID ELECTRIC
RUSH
VELOZ
VIOS
YARIS
Information
Dealer Name
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TOYOTA HQ
Sales Consultant Name
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