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Exit Survey
 
 
How many cups of coffee do you drink per day?
 
1
 
2
 
3
 
More than 3
 
 
 
How often do you use paper coffee cups to drink coffee?
 
Always
 
Sometimes
 
Rarely
 
Never
 
 
 
Do you use a personal mug when you buy coffee to go from the coffee shop?
 
Always
 
Sometimes
 
Rarely
 
Never
 
 
 

  Do you ask for a ceramic cup to have coffee at the coffee shop?
 
Always
 
Sometimes
 
Rarely
 
Never
 
 
 
Did you know that most of the paper coffee cups have a plastic film lining that is harmful to your health?
 
Yes
 
No
 
 
 
Do you know what kind of material is used for the lining of the paper coffee cups?
 
Yes
 
No
 
 
 

Did you know most of the  plastic lining paper coffee cups increase the risk for Prostate and Breast Cancer, Diabetes, and Neurological and Behavioral Disorder?
 
Yes
 
NO
 
 
 
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Weekly
 
Monthly
 
Quarterly
 
Annually