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How long have you been drinking coffee?
 
Less than 6 months
 
6 months to less than 1 year
 
1 year to less than 3 years
 
3 years to less than 5 years
 
5 years or more
 
 
How often do you purchase coffee beverages from the following?
Don't Use Daily Weekly Monthly Quarterly
Starbucks
Dunkin Donuts
McDonald's
Panera Bread
Other
 
 
 
Where do you purchase your coffee?
 
Coffee Shops
 
Gas Stations / Convenience Stores
 
Grocery Stores
 
Wholesale Retailers (i.e. SAM's/COSTCO)
 
Online (i.e. Amazon)
 
Other
 
 
 
 
Do you consider yourself physically active?
 
Yes
 
No
 
If yes, favorite physical activity/sport
 
 
 
 
Why do you drink coffee products?
 
Energy Boost
 
Flavor/Taste
 
Meal Replacement
 
Meal Supplement
 
Health Benefits
 
Other
 
 
 
Do you consume energy drinks?
Red Bull Rockstar Monster Amp Other
Often
Sometimes
Only as needed
Only as a mixer
Never
 
 
 
What is your gender?
 
Male
 
Female
 
Prefer not to answer
 
 
 
Which of the following categories describes your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
What is your favorite coffee flavor?
 
Latte
 
Mocha
 
Americano
 
Vanilla Latte
 
White Chocolate Mocha
 
Other
 
 
 
 
What best describes your employment status?
 
Employed full-time
 
Employed part-time
 
Self-employed
 
Unemployed, looking for work
 
Unemployed, not looking for work
 
Student
 
Retired
 
Military
 
Other
 
 
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