Early Explorer Form

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

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?

Does your workplace offer complimentary coffee for employees or staff?

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.

Do you currently drink particular type of coffee? Please name each one. Example under the text box in the Sub label space. (Enter N/A or No if you don't.)

EXAMPLE: Brand Name (Folgers) - Roast name (Colombian) - Pack size (22oz or 6pk)

What roast level do you prefer?

How strong do you like your coffee?

What flavor notes do you enjoy?

What kind of coffee do you usually drink?

What type of coffee do you usually buy?

What type of coffee products is your coffee machine compatible with?

Want to win prizes and exclusive offers by referring us to your friends, family and colleagues?

How did you find this Coffee Survey?

How often do you drink coffee?

What size cups do you usually make?

Any dietary preferences or restrictions?

What are your preferred brewing method?