Name: Occupation: Age: Gender: M F

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Name:___________________________ Occupation: ___________________

Age: ___________ Gender: ___M ____F

Please encircle the letter of your desired answer:


1. What kind of desert do you enjoy?
a. Pancakes c. Chocolate
b. Ice Cream d. Other(s): _______________
2. What kind of beverage do you prefer?
a. Coffee c. Chocolate
b. Tea d. Other(s): _______________
3. If the setting of the restaurant has a nature feel, would you like it?
a. Yes b. No
4. What kind of season do you enjoy?
a. Spring c. Fall
b. Summer d. Winter
5. Do you enjoy staying up all night?
a. Yes b. No

Name:___________________________ Occupation: ___________________

Age: ___________ Gender: ___M ____F

Please encircle the letter of your desired answer:

1. What kind of desert do you enjoy?


a. Pancakes c. Chocolate
b. Ice Cream d. Other(s): _______________
2. What kind of beverage do you prefer?
a. Coffee c. Chocolate
b. Tea d. Other(s): _______________
3. If the setting of the restaurant has a nature feel, would you like it?
a. Yes b. No
4. What kind of season do you enjoy?
a. Spring c. Fall
b. Summer d. Winter
5. Do you enjoy staying up all night?
a. Yes b. No
Name:___________________________ Occupation: ___________________

Age: ___________ Gender: ___M ____F

Please encircle the letter of your desired answer:


1. What kind of paper do you prefer?
a. Smooth c. Thick
b. Soft d. Other(s): _______________
2. What kind color the do you want?
a. None c. Blue
b. Yellow d. Other(s): _______________
3. What kind design do you prefer?
a. Floral c. Other(s): _______________
b. Lines
4. What size do you prefer in a paper?
a. Small c. Large
b. Medium d. Specific: ______________
5. How often do you use paper?
a. Always c. If only needed
b. Seldom d. Never

Name:___________________________ Occupation: ___________________

Age: ___________ Gender: ___M ____F

Please encircle the letter of your desired answer:

1. What kind of paper do you prefer?


a. Smooth c. Thick
b. Soft d. Other(s): _______________
2. What kind color the do you want?
a. None c. Blue
b. Yellow d. Other(s): _______________
3. What kind design do you prefer?
a. Floral c. Other(s): _______________
b. Lines
4. What size do you prefer in a paper?
a. Small c. Large
b. Medium d. Specific: ______________
5. How often do you use paper?
a. Always c. If only needed
b. Seldom d. Never

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