Nescafe Choose Wellness Road Show REPORT FORM

PLEASE COMPLETE AT THE END OF YOUR ACTIVITY

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1. Name and Store

Name

Store Name

Email Address

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2. Date of the Activation

Date

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3. Time you ran the Activation

Arrival Time

Time

AM/PM

Finish Time

Time

AM/PM

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4. Stock Sold in the Store During the Activation

MAGGI 2 Min Wholegrain Noodles Chicken

MAGGI 2 Min Wholegrain Noodles Beef

MILO Powder 200g

MILO Powder 310g

MILO Powder 530g

MILO Powder 900g

Nescafe GOLD Barista Intense 100g tin

Nescafe GOLD Barista Smooth 100g tin

Uncle Tobys Natures Mix 100g

MAGGI Recipe Mix packets

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5. How Busy was the store during the activation

Very Quiet

Steady

Very Busy

Clear

i We adjusted the number you entered based on the slider’s scale.

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6. What was the Weather like during the Activation

Sunny

Overcast with Rain

Thunder storms

Clear

i We adjusted the number you entered based on the slider’s scale.

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7. General feedback on consumers’ first impressions of MILO

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8. General feedback of consumers’ reactions to MILO

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9. MILO

Number of Samples

Number of Coupons Given

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10. General feedback on consumers’ first impressions of Uncle Toby Oats

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11. General feedback of consumers’ reactions of Uncle Toby Oats

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12. Uncle Toby Oats

Number of Samples

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13. General feedback on consumers Nescafe GOLD

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14. Nescafe GOLD

Number of Samples

What was the most popular Gold variant chosen?

Were there any comments regarding taste/ comparisons to Moccona?

Have they heard of, are they members of Cup of rewards? Feedback

Number of Coupons given for Nescafe Classic

Nescafe Choose Wellness Road Show REPORT FORM

PLEASE COMPLETE AT THE END OF YOUR ACTIVITY

Question Title

1. Name and Store

Question Title

2. Date of the Activation

Question Title

3. Time you ran the Activation

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4. Stock Sold in the Store During the Activation

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5. How Busy was the store during the activation

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6. What was the Weather like during the Activation

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7. General feedback on consumers’ first impressions of MILO

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8. General feedback of consumers’ reactions to MILO

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9. MILO

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10. General feedback on consumers’ first impressions of Uncle Toby Oats

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11. General feedback of consumers’ reactions of Uncle Toby Oats

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12. Uncle Toby Oats

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13. General feedback on consumers Nescafe GOLD

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14. Nescafe GOLD

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15. General feedback on consumers’ first impressions of MAGGI Spaghetti Bolognese

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16. General feedback of consumers’ reactions to MAGGI Spaghetti Bolognese

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17. MAGGI Spaghetti Bolognese

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18. General Feedback for the activity

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* 1. Name and Store

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* 2. Date of the Activation

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* 3. Time you ran the Activation

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* 4. Stock Sold in the Store During the Activation

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* 5. How Busy was the store during the activation

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* 6. What was the Weather like during the Activation

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* 7. General feedback on consumers’ first impressions of MILO

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* 8. General feedback of consumers’ reactions to MILO

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* 9. MILO

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* 10. General feedback on consumers’ first impressions of Uncle Toby Oats

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* 11. General feedback of consumers’ reactions of Uncle Toby Oats

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* 12. Uncle Toby Oats

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* 13. General feedback on consumers Nescafe GOLD

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* 14. Nescafe GOLD

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* 15. General feedback on consumers’ first impressions of MAGGI Spaghetti Bolognese

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* 16. General feedback of consumers’ reactions to MAGGI Spaghetti Bolognese

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* 17. MAGGI Spaghetti Bolognese

Question Title

* 18. General Feedback for the activity

1. Name and Store

2. Date of the Activation

3. Time you ran the Activation

4. Stock Sold in the Store During the Activation

5. How Busy was the store during the activation

6. What was the Weather like during the Activation

7. General feedback on consumers’ first impressions of MILO

8. General feedback of consumers’ reactions to MILO

9. MILO

10. General feedback on consumers’ first impressions of Uncle Toby Oats

11. General feedback of consumers’ reactions of Uncle Toby Oats

12. Uncle Toby Oats

13. General feedback on consumers Nescafe GOLD

14. Nescafe GOLD

15. General feedback on consumers’ first impressions of MAGGI Spaghetti Bolognese

16. General feedback of consumers’ reactions to MAGGI Spaghetti Bolognese

17. MAGGI Spaghetti Bolognese

18. General Feedback for the activity