* State

* Postal Code

Email Address (Optional)

* Would you use our services?

Yes

No

* How often would you use our services?

1-3 Times A Month

4-6 Times A Month

More Than 6 Times A Month

* What brand of coffee do you prefer?

a. Seattle's

b. Royal Cup

c. Red Diamond

d. Other

* What kind of milk do you prefer?

Dairy milk

Soy milk

If Soy Milk Please specify Regular, Vanilla or Chocolate:

* About how much do you spend on coffee monthly?

$0

$1-$15

More Than $15

* What is your preferred gourmet coffee shop?

* What products do you prefer to purchase?

* If you purchase iced tea would you prefer:

a. Peach?

b. Rasberry?

c. Other

* If we sell newspapers, what paper would you purchase most?

* If we sell magazines which would you purchase most?

*

If you purchase bottled water from us which do you prefer?

a. Dasani

b. Deer Park

c. Evian

d. Other

* Do you prefer flavored waters?

Yes

No

* If you are provided with free WiFi access, would you purchase a beverage or snack while there?

Yes

No

*

What pastries do you enjoy?

* If we have an entertainment night (poetry night, talent night, tournaments, childrens book reading) would you come?

Yes

No

* What type of entertainment would you prefer or like to see on entertainment night?

* If we offered PC gaming, what games do you enjoy most?

a. Single player

b. Multiplayer/player vs. player

* List favorite PC games (up to 3)

* If we offered console gaming, which console gaming do you enjoy most?

Xbox©

Playstation©

Wii©

Yes

No

* Please list up to 3 games from your favorite console system that you would like us to carry.

* Choose one or more of the following:

a. Fulltime College Student

b. Work Fulltime

d. Part-time College Student

e. Work Part-time

Demographics Information

The following information is optional and is collected only for statistical purposes.

Age

Race/Ethnicity

Gender

Male

Female

* Indicates Response Required