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Personal Information

Name (optional):__________________________________________ Sex:_____________

Age:____________ Grade and Section:________________________________

Survey Questionnaire

A. Put a mark on the prescribed box that suits your answer.

Category : Aroma 1 2 3
Vanilla, sweet, balsamic, pleasant
Buttery and a little nutty

Category: Texture 1 2 3
Soft, Porous Structure
Heavy, full,

Category: Taste Yes No

Is the taste of Potato Peel Starch evident in taste?


(Nalalasahan niyo ba ang lasa ng patatas sa
pancakes?)

B. Others

1. How much are you willing to pay if ever we decide to sell the pancakes?
(Kindly write down the price per pancake) ____________

Comments:

Disclaimer:

While we take extreme cautions to minimize the risk of contamination,


moreover, we cannot guarantee that any of our products are safe to consume for people
with specific allergies. However, even when it is not required by local regulation, if there
is a risk to allergic consumers due to the presence of a major allergen in a product, we
will declare its presence on the description of that product.

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