Beverage Flavor Selection Voting Form
Vote for your favorite beverage flavors and help us improve our offerings!
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Age Group
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55+
Which type of beverage do you consume most often?
*
Soda
Juice
Tea
Coffee
Energy Drink
Other
How often do you consume beverages?
*
Daily
Several times a week
Once a week
Rarely
Select your top 3 favorite beverage flavors from the list below:
*
Lemon
Peach
Berry
Apple
Cola
Mango
Orange
Ginger
Grape
Other
Please rate the following beverage flavors based on your preference:
*
Rows
Love it
Like it
Neutral
Dislike it
Lemon
1
2
3
4
Peach
5
6
7
8
Berry
9
10
11
12
Apple
13
14
15
16
Cola
17
18
19
20
Mango
21
22
23
24
Orange
25
26
27
28
Ginger
29
30
31
32
Grape
33
34
35
36
Which single flavor would you most like to see as a new beverage option?
*
Lemon
Peach
Berry
Apple
Cola
Mango
Orange
Ginger
Grape
Other (please specify)
How likely are you to try a new beverage flavor?
*
Not at all likely
1
2
3
4
Extremely likely
5
1 is Not at all likely, 5 is Extremely likely
How did you hear about this voting survey?
Please Select
Social Media
Email
In-store
Friend/Family
Other
If you have any suggestions for new flavors or additional comments, please share them below:
Submit Vote
Should be Empty: