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The Coffee Club needs you! Please take less than three minutes to answer these questions. This survey will help me gauge how much coffee, creamer, sugar, or additional supplies to buy. Your answers will be completely confidential. I will not let anyone know about your coffee preferences.

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* 1. On a scale of 1 to 10, how much do you love coffee?

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

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* 2. How many cups of coffee do you usually drink while at work per day?

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* 3. I would like to sign up for coffee club (Please type full name and email)

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* 4. By signing up for coffee club, I acknowledge and agree to contribute to the $8 bi-monthly club fee.

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