Please fill out this survey so we can access which coffee you want plus extra coffee samples we may send.

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Which sample of JavaFit coffee do you prefer? Each makes a full pot of coffee (Pick one)*
Weight loss Coffee
Energy boost Coffee
Original Gourmet Blend-100% Arabica Beans
Does the idea of drinking delicious coffee that is healthy for you sound interesting to you?*
Yes
No
How many cups of coffee do you drink per day?*
0
1-2
3-4
5-6
7 or more
JavaFit coffees provide many functions: (Check all that apply to you)
Appetite suppression
Energy boost
Mental clarity and focus
Essential minerals and multi-vitamins
All of the above
What age group are you in?*
Under 20
20 - 29
30 - 39
40 - 49
50 - 59
60 - 69
70 - 79
80+
I am interested in a home business:
Yes
No
How much money do you have to invest in a home business?
$100
$250
$500
$1000
How much extra money do you expect to make per month from your home?
$250-$500
$500-$1,000
$1,000-$2,000
$2,000-$4,000
$4,000-$6,000
$6,000-$10,000
Over $10,000
* Required