Test Your Alcohol IQ Survey
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1. Default Section
1
. Please check the appropriate category:
Please check the appropriate category:
Licensee/Owner
Manager
Server/Bartender
Customer
2
. To help us track the distribution of coasters, please provide the name of the business and city/town where you work or were a customer:
To help us track the distribution of coasters, please provide the name of the business and city/town where you work or were a customer:
Name of Business
City/Town
3
. There are 5 different color coasters each with a set of different questions. How many different sets/colors of coasters did you have the opportunity to read?
There are 5 different color coasters each with a set of different questions. How many different sets/colors of coasters did you have the opportunity to read?
1
2
3
4
5
4
. Did you like the overall design of the coasters?
Did you like the overall design of the coasters?
Yes
No
5
. If you didn't like the coaster design, could you tell us why?
If you didn't like the coaster design, could you tell us why?
6
. The questions and answers were interesting and educational.
The questions and answers were interesting and educational.
Strongly Agree
Agree
Disagree
Strongly Disagree
7
. The "Did You Know" fact was interesting and educational.
The "Did You Know" fact was interesting and educational.
Strongly Agree
Agree
Disagree
Strongly Disagree
8
. This project is a good way to both entertain and educate the general public at licensed premises.
This project is a good way to both entertain and educate the general public at licensed premises.
Strongly Agree
Agree
Disagree
Strongly Disagree
9
. Would you like to see this type of project continued?
Would you like to see this type of project continued?
Yes
No
10
. Is there an alcohol-related topic, issue, or concern that you would like to see addressed in a future project?
Is there an alcohol-related topic, issue, or concern that you would like to see addressed in a future project?
11
. Demographics - Gender
Demographics - Gender
Male
Female
12
. Demographics - Age
Demographics - Age
Under 21
21-35
36-50
51-65
Over 65
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