SURVEY FORM

INSTRUCTIONS. Please answer the following questions. Tick the box with your corresponding answer.

NAME: _____________________________________________________________________ GRADE:

______________________

1. How would you like your rice krispies? [ ]

[ ] plain [ ] with add-ons others:________________________

If you want add-ons,

1.1 What dips would you like? 1.3 What other add-ons would you like?

[ ] white chocolate
. m [ ] milk chocolate
. [ ] dark chocolate 2. What would you prefer to drink while
. [ ] none eating something sweet?
. [ ] others: [ ] chocolate drink
________________________ what type?
[ ] iced chocolate [ ]
1.2 What toppings would you hot chocolate
like? [ ] coffee
what type?
[ ] sprinkles
[ ] iced coffee [ ]
[ ] kitkat hot coffee
[ ] white chocolate [ ] others:
drizzle . [ ] chocolate ____________________________________
drizzle
[ ] chocolate chips 3. What are your other preferences in rice
krispies and drinks? Any suggestions on
[ ] marshmallow other products involving rice krispies.
[ ] none

SURVEY FORM

INSTRUCTIONS. Please answer the following questions. Tick the box with your corresponding answer.

NAME: _____________________________________________________________________ GRADE:

______________________

1. How would you like your rice krispies?

[ ] plain [ ] with add-ons [ ] kitkat
[ ] white chocolate
If you want add-ons, drizzle . [ ] chocolate
1.1 What dips would you like? drizzle
[ ] chocolate chips
[ ] white chocolate
. m [ ] milk chocolate [ ] marshmallow
. [ ] dark chocolate [ ] none
. [ ] none [ ]
. [ ] others: others:________________________
________________________

1.2 What toppings would you

1.3 What other add-ons would you like?
like?

[ ] sprinkles
2. What would you prefer to drink while [ ] iced coffee [ ]
eating something sweet? hot coffee
[ ] chocolate drink
what type? [ ] others:
[ ] iced chocolate [ ] ____________________________________
hot chocolate
3. What are your other preferences in rice
[ ] coffee
krispies and drinks? Any suggestions on
what type?
other products involving rice krispies?