Hummingbird Billboard Sampling Feedback Form Question Title * 1. Brand Evangelist / Preacher Name Phone Number Question Title * 2. Date of Activation Enter Here Date Question Title * 3. Time of Activation Start Time Time AM/PM - AM PM Finish Time Time AM/PM - AM PM LOCATION EVALUATION Question Title * 4. Was the location suitable for the activation? Question Title * 5. Describe pedestrian foot traffic at the location. (write what times were busy and quiet) CUSTOMER FEEDBACK Question Title * 6. List 5 recurring comments from consumers about Hummingbird and the new flavoursWere they familiar with Hummingbird Brand 1, 2, 3, 4, 5, Question Title * 7. Average Age of people taking part in the activity 1 Year 55 Years 99 Years Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 8. Describe the weather Fine Overcast Heavy Rain/snow Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 9. Describe how busy the location was Quiet Steady Flat out busy Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 10. General feedback on the activation Done