Survey

Survey Favorite Chocolate*

Your name*

Your email*

Subject : Survey-Chocolate

Mobile*

Favorite Chocolate Brand

Chocolate Type: Check The Appropriate Box
MilkWhiteDark

Flavor: Check The Appropriate Box
NuttyCreamyFruityCrunchyChewy

Chocolate Gifts: Check All The Appropriate Boxes
Chocolate Gift BoxChocolate TrayChocolate Basket

Frequency of Purchase: Check The Appropriate Box
WeeklyMonthlyQuarterlyOccasionFestival

You Often Purchase At: Check The Appropriate Box
Chocolate BoutiqueChocolate ShopOnlineMallHypermarket

Would You Like To Enroll : Check All The Appropriate Boxes
Tasting EventWorkshopNewsletterSubscriptionOffers

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