1) Your gender ? 
Male Female 

2) How old are you ? 
Under 16 Between 16 to 20 Between 21 to 25 
Between 26 to 30Between 31 and 40 Between 41 and 50
Above 50 

3) Do you drink coffee ? 
Yes Seldom No 

4) How many cups per day ? 
Zero One Two Three Half a pot One whole pot  
I'm crazy. More than a pot. 

5) Do you drink Decaf ? 
Yes No Don't know what Decaf is. 

6) How many hours daily spent sleeping ? 
Need no sleep Less than 2 Between 2 to 4  
Between 4 to 6 Around 7 Around 8 Around 9  
At least 10. I'm a Sleeping Beauty. 
 

7) What is your favorite coffee ?

Cafe Au Lait Cafe Freddo Cafe Latte 

Cafe Mocha Cappucinno Cappucinno Chiaro 

Cappucinno Scuro Con Panna Corretto 

Doppio Espresso Irish Coffee 

Latte Machiato Lungo Macchiato 

Mexican Coffee Ristretto 

Don't know what I am drinking.

8) Best coffee place ? 

The Coffee Bean & Tea Leaf Coffee Club The Coffee Connection

Starbucks Spenelli Olio Dome Others

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