Beverage Consumer Flavor Inquiry Form

Beverage Consumer Flavor Inquiry Form
Help us understand your beverage flavor preferences and experiences.
Full Name
First NameLast Name
Email Address
example@example.com
What is your age group?
How often do you consume beverages (such as soft drinks, juices, flavored waters, etc.)?
Which types of beverages do you regularly consume? (Select all that apply)
Other

Please rate your liking for the following beverage flavors.

Rows	Dislike Strongly	Dislike	Neutral	Like	Like Strongly
Citrus (e.g., lemon, orange)
Berry (e.g., strawberry, blueberry)
Tropical (e.g., mango, pineapple)
Cola
Apple
Grape
Vanilla
Spicy (e.g., ginger, cinnamon)
Herbal (e.g., mint, chamomile)

Which beverage flavor do you like the most?
Which beverage flavor do you dislike the most?
How willing are you to try new beverage flavors?

1
2
3
4
5
1 is Not willing at all, 5 is Very willing
What factors influence your decision to purchase a beverage? (Select all that apply)
Other
Please share any additional comments or suggestions about beverage flavors.
Should be Empty:

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