BEAUTIFUL MIND COFFEE

www.beaUtifulmindcoffee.ca

Consumer Surveys International - Coffee Survey - 20230202-14

We sincerely appreciate and thank you for your time and assistance by participating in our COFFEE SURVEY. As our way of saying "Thank-You", please enter your email address in the appropriate area below and we will subscribe you to our monthly digital news feature, "The Cup and Saucer." We will not share the information that you have supplied in the survey below and will not share your email address or make it available. Please note that * in red means that the question must be answered.

In which Country do you live? *

Email Address

Sex Male Female Other Would rather not say

Age 18 to 21 22 to 31 31 to 40 41 to 50 50 to 65 65 and over

How old were you when you started drinking coffee? Younger than 12 12 to 15 15 to 18 18 to 21 21 to 25 25 and older

What kind of coffee do you prefer? Regular Conventional Specialty Boutique Blend Organic Fair Trade

Besides coffee, do you drink Tea (including Green Tea) Yes No

Why do you drink coffee? * Energy boost Attention and focus Taste Benefits to my health Social interaction

Do you think that coffee has health benefits? Yes No Not sure Would like information on if coffee benefits to my health

What is your preferred coffee? Regular Decaffeinated

Which brand of coffee do you purchase?

Where do you purchase your coffee? Grocery Store Health Food Store Coffee Specialty Store Mail Order Online

How is your coffee brewed at home? Drip Coffee Pods Instant K-Cups Coffee Percolator

How is your coffee brewed at work? Drip Coffee Pods Instant K-Cups Percolator Vending Machine Outside Vendor

How many cups of coffee do you drink a day? 1 to 2 2 to 3 3 to 4 4 to 5 5 to 6 7 to 8 8 to 9 9 to 10 10 plus

How many people in your household drink coffee? 1 2 3 4 5 6 7 More

Where do you drink most of your coffee during the day? Home Work School Driving Socializing

Does your brand of coffee contain any added ingredients- Maca, Green Tea, American Ginseng? Yes No

Please supply us with your email address and you will receive information on coffee that Your Brian will love and that has natural supplements in the blend - Maca, Green Tea and American Ginseng.

Did you know that taking care of your brain’s health now can help delay or prevent the onset of cognitive dysfunction, including dementia, Alzheimer’s, and more general memory loss as you get older. Yes No

Would you be interested in receiving information about coffee that was scientifically developed that your Brain will Love? Yes No Not Interested

What price would you pay for a 300 gram / 10.58 ounce bag of coffee that would include herbal ingredients to aid in boosting your daily mental clarity and focus $15 to $20 $20 to $25 $25 to $30 $35 to $40

At home, where do you store your coffee? Refridgerator Cupboards Air tight container Freezer In container coffee comes in Other

When do you drink most coffee? Morning Afternoon Evening Throughout the day

Comments that you would like to send us.

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