Do you like donuts? Do you like donuts?

yes yes
no no

Are you willing to buy donut? Are you willing to buy donut?
Yes Yes
No No

How often do you buy donuts? How often do you buy donuts?
everday everday
every week every week
every month every month
every year every year
other please specify other please specify
Other: Other:

How much do you spend when How much do you spend when
buying donuts? buying donuts?
50 50
100 100
150 150
other please specify other please specify
Other: Other:

How many do you usually buy? How many do you usually buy?
Single Single
Half dozen Half dozen
Dozen Dozen
other other
Other: Other:
State your favorite donut flavor. State your favorite donut flavor.
(If none please put "none".) (If none please put "none".)

From a scale of 1-5, how will you From a scale of 1-5, how will you
rate our donuts? (1 being the rate our donuts? (1 being the
lowest and 5 is the highest) lowest and 5 is the highest)

Comments: Comments:

_______________________________ _______________________________