FOOD EVALUATION FORM

Name (optional):____________________________________________
Age: _____ Sex: ___________
Name of Innovated Product: _______________________________________
Please put a check on a specified scale based on your evaluation of the given product. You will be given a
sample and evaluate its level of acceptability by answering the following questions:
1.How acceptable or unacceptable is the Ampalaya Coffee in terms of taste?
Verbal Interpretation Scale Response
Extremely Acceptable 9
Very much Acceptable 8
Moderately Acceptable 7
Slightly Acceptable 6
Neither Acceptable nor unacceptable 5
Slightly Unacceptable 4
Moderately Unacceptable 3
Very much Unacceptable 2
Extremely Unacceptable 1

2.How acceptable or unacceptable is the aroma in Ampalaya Coffee?

Verbal Interpretation Scale Response
Extremely Acceptable 9
Very much Acceptable 8
Moderately Acceptable 7
Slightly Acceptable 6
Neither Acceptable nor unacceptable 5
Slightly Unacceptable 4
Moderately Unacceptable 3
Very much Unacceptable 2
Extremely Unacceptable 1

3.How acceptable or unacceptable is the Ampalaya Coffee terms of affordability?

Verbal Interpretation Scale Response
Extremely Acceptable 9
Very much Acceptable 8
Moderately Acceptable 7
Slightly Acceptable 6
Neither Acceptable nor unacceptable 5
Slightly Unacceptable 4
Moderately Unacceptable 3
Very much Unacceptable 2
Extremely Unacceptable 1

a.If there is anything you accept in the product, what is it?

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b.If there is anything unacceptable in the product, what is it?

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Thank you for your cooperation.