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  1. Surveys
  2. 2011
  3. October
  4. P
  5. PurePouch
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Hello:
You are invited to participate in our survey for PurePouch. In this survey, approximately 50 people will be asked to complete a survey that asks questions about our product. It will take approximatel 1-2 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
 
Do you drink coffee or any energy supplements daily?
 
Yes
 
No
 
 
 
Are you interested in trying alternative supplements that provide energy?
 
Yes
 
No
 
 
 
Are you currently addicted to any smokeless nicotine or tobacco products?
 
Yes
 
No
 
 
 
If yes, how often do you use smokeless tobacco products?
 
multiple times a day
 
once a day
 
few times a week
 
once a week
 
rarely
 
 
 
Would you be interested in a healthier alternative to smokeless tobacco?
 
Yes
 
No
 
 
 
Our product utilizes the energy and flavor properties of coffee. What different flavors of coffee would appeal to you as a customer?
 
Hazenut
 
French Vanilla
 
Caramel
 
 
Other
 
 
 
 
There are 15 pouches in one tin. If one pouch of our product is equivalent to one cup of coffee, would the price of $5 dollars per tin seem reasonable?
 
Yes
 
No
 
 
 
Would the absence of harmful products such as nicotine and tobacco encourage you to buy our product? Please explain
   
 
 
On a scale of 1-5 (5 being most beneficial), how would you rate our product's usage as a healthier alternative to smokeless tobacco?
1 2 3 4 5
 
 
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