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Survey Scoresheet

Name (Optional): ____________________ Tray no.: ________

In front of you are five (5) sample of instant coffee. Smell the coffee and tick () how much you like or
dislike each sample in terms of aroma.

5- Like a lot 4- Like a little 3- Neither like nor dislike 2- Dislike a little 1- Dislike a lot

315 222 402 109 537

(5) ___ ___ ___ ___ ___

(4) ___ ___ ___ ___ ___

(3) ___ ___ ___ ___ ___

(2) ___ ___ ___ ___ ___

(1) ___ ___ ___ ___ ___

Survey Scoresheet

Name (Optional): ____________________ Tray no.: ________

In front of you are five (5) sample of instant coffee. Smell the coffee and tick () how much you like or
dislike each sample in terms of aroma.

5- Like a lot 4- Like a little 3- Neither like nor dislike 2- Dislike a little 1- Dislike a lot

315 222 402 109 537

(5) ___ ___ ___ ___ ___

(4) ___ ___ ___ ___ ___

(3) ___ ___ ___ ___ ___

(2) ___ ___ ___ ___ ___

(1) ___ ___ ___ ___ ___


Survey Scoresheet

Name (Optional): ____________________ Tray no.: ________

In front of you are five (5) sample of instant coffee. Taste the coffee and tick () how much you like or
dislike each sample in terms of flavor.

5- Like a lot 4- Like a little 3- Neither like nor dislike 2- Dislike a little 1- Dislike a lot

315 222 402 109 537

(5) ___ ___ ___ ___ ___

(4) ___ ___ ___ ___ ___

(3) ___ ___ ___ ___ ___

(2) ___ ___ ___ ___ ___

(1) ___ ___ ___ ___ ___

Survey Scoresheet

Name (Optional): ____________________ Tray no.: ________

In front of you are five (5) sample of instant coffee. Taste the coffee and tick () how much you like or
dislike each sample in terms of the flavor.

5- Like a lot 4- Like a little 3- Neither like nor dislike 2- Dislike a little 1- Dislike a lot

315 222 402 109 537

(5) ___ ___ ___ ___ ___

(4) ___ ___ ___ ___ ___

(3) ___ ___ ___ ___ ___

(2) ___ ___ ___ ___ ___

(1) ___ ___ ___ ___ ___


Survey Scoresheet

Name (Optional): ____________________ Tray no.: ________

In front of you are five (5) sample of instant coffee. Taste the coffee and tick () how much you like or
dislike each sample in terms of deliciousness.

5- Like a lot 4- Like a little 3- Neither like nor dislike 2- Dislike a little 1- Dislike a lot

315 222 402 109 537

(5) ___ ___ ___ ___ ___

(4) ___ ___ ___ ___ ___

(3) ___ ___ ___ ___ ___

(2) ___ ___ ___ ___ ___

(1) ___ ___ ___ ___ ___

Survey Scoresheet

Name (Optional): ____________________ Tray no.: ________

In front of you are five (5) sample of instant coffee. Taste the coffee and tick () how much you like or
dislike each sample in terms of deliciousness.

5- Like a lot 4- Like a little 3- Neither like nor dislike 2- Dislike a little 1- Dislike a lot

315 222 402 109 537

(5) ___ ___ ___ ___ ___

(4) ___ ___ ___ ___ ___

(3) ___ ___ ___ ___ ___

(2) ___ ___ ___ ___ ___

(1) ___ ___ ___ ___ ___

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