Join the Waitlist
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Your phone number will be used to communicate important updates regarding your purchases, account activity, and order notifications.
Format: (000) 000-0000.
May we send you Email/SMS updates on new products & deals?
*
Yes
No
Would you be willing to sample new coffees and provide honest reviews? Your feedback will help us build a more personalized coffee experience for you and future Brew Samplers Club members.
*
Yes
No
Would you be willing to help us grow the Brew Samplers Club community by sharing your experience and introducing your friends, family, and coworkers to what we're building?
*
Yes
No
Does your workplace offer complimentary coffee for employees or staff?
*
Yes
No
Not sure
If yes, would you be willing to recommend Brew Samplers Club to your employer? If your referral results in a commercial partnership, you'll receive a $100 referral reward.
*
Yes, I'm willing to share with my employer.
No, Sorry.
Do you currently drink particular type of coffee? Please name each one. Example under the text box in the Sub label space.
*
EXAMPLE: Brand Name (Folgers) - Roast name (Colombian) - Pack size (22oz or 6pk)
What roast level do you prefer?
*
Light Roast (smooth & mellow)
Dark Roast (bold & intense)
I enjoy all roast levels
How strong do you like your coffee?
*
Mild
Medium/Balanced
Strong & Bold
Other
What flavor notes do you enjoy?
*
Nutty
Chocolatey
Fruity
Earthy
Spicy
Floral
Sweet/Caramel-like
Smoky
I’m open to anything
Other
What kind of coffee do you usually drink?
*
Regular (caffeinated)
Decaf
Both (Reg & Decaf)
Other
What type of coffee do you usually buy
*
K-cups/pods
Grounds
Whole Beans
Instant Coffee
Nespresso capsules
Other
What type of coffee products is your machine compatible with?
*
Grounds
K-cups/pods
Nespresso capsules
Whole Beans
Other
Want to win prizes and exclusive offers by referring us to your friends, family and colleagues?
*
Yes!
No
How did you find this Coffee Survey
*
Brew Samplers Club Website
Facebook
Instagram
DFW Car & Toy Museum
Other
How often do you drink coffee?
*
Daily
A few times a week
Weekly
Rarely
What size cups do you usually make?
*
Small/Single-serve
Medium
Large
Not sure
Any dietary preferences or restrictions?
*
None
Dairy-free
Lactose-free
Sugar-free
Other
What are your preferred brewing method?
*
Drip
Pour-over
French press
Espresso
Cold brew
Pod machine
Not sure
What’s your zip code (for local offers)?
*
Street Address
Street Address Line 2
City
State / Province
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