Chocolate Survey
Name
First Name
Last Name
Age
Gender
Please Select
Male
Female
N/A
1) On a scale of one to ten, how much do you like chocolate?
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
2) What types of chocolate do you like?
White
Milk
Dark
Ruby
Other
3) What form of chocolate do you like to eat the most?
Bar
Biscuits
Ice Cream
Drinks
Other
4) How many chocolate approximately do you eat in a week?
1-5 chocolates
5-10 chocolates
10-20 chocolates
20+ chocolate
5) What size you prefer to eat?
Mini
Small
Regular
Larger
King-Size
Other
6) Where would you expect too see "Chocolate Shops"
Shopping Mall
Train Station
City Center
School
Airport
Other
7) Do you suffer from any chocolate allergies?
Yes
No
Other
8) How much money do you spend on chocolate bars in a week?
0 - $10
$10 - $50
$50 - $100
$100+
9) What is your favorite chocolate brand?
10) What is your favorite filling in a flavored chocolate?
Additional Comments
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