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Do you drink coffee?
 
Yes
 
No
 
 
 
What's your reason for not drinking coffee?
 
taste
 
dietary preference
 
Other
 
 
 
 
How often do you drink coffee?
 
daily
 
weekly
 
monthly
 
rarely
 
never
 
Other
 
 
 
 
What type of coffee beverage/beverages do you usually drink?
   
 
 
 
How do you like your coffee?
 
black
 
with milk/cream only
 
with sweetener/sugar only
 
with milk/cream and sweetener/sugar
 
Other
 
 
 
 
On a scale of 1 - 10, 1 being lowest tolerant level and 10 being the highest, what is your tolerance level for coffee?
   
 
 
 
Do you eat chocolate?
 
yes
 
no
 
 
 
How often do you eat chocolate?
 
daily
 
weekly
 
monthly
 
rarely
 
never
 
other
 
Other
 
 
 
On a scale of 1 - 10, what is you bitter taste perception for chocolate?
1 2 3 4 5 6 7 8 9 10
white chocolate
milk chocolate
dark chocolate
 
 
On a scale of 1 - 10, what is you sweet taste perception for chocolate?
1 2 3 4 5 6 7 8 9 10
white chocolate
milk chocolate
dark chocolate
 
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