Traditional Snacks / Drinks (Survey) Please fill out the form below, thank you! Traditional Vending (Snack + Beverage) Survey Step 1 of 2 50% Business Name* Contact Name* First Last Phone Number*Email Address* Why do you have vending in your business?* How many employees use your break room daily?* Do you have any additional walk-through traffic? If so, how much?* What are your hours of operation?* Do you have multiple shifts?* Yes No If answered 'yes' to multiple shifts, how many? Saturdays?* Yes No Who is your current vending company? Do you have a contract with them? Yes No How often do they fill the machines? How often does your current vending company do a survey with your employees to find out what kind of products they would like? Have you ever had a problem with your products not being fresh? Yes No When was the last time your vendor updated your equipment? Which of the following does your current vending machine(s) accept? $1 $5 $10 $20 Credit Cards Debit Cards Has your vendor shared with you about the ADA Regulations that were implemented in 2012? Yes No If you had a magic wand and could change or improve anything about your current vending program, what would it be? Other than yourself - is there anybody else involved in making this decision about whether our Refreshment Program makes better sense for you and your employees? To better understand your vending needs and help us serve you better, please review this sampling of products below and check off three (3) of your favorites in each category.Soda / Juice / Bottled Water Coke Coke C2 Diet Coke Caffeine Free Coke Cherry Coke Vanilla Coke Sprite Orange Crush Root Beer Pepsi Diet Pepsi Pepsi One Mountain Dew Diet Mountain Dew Dr. Pepper Diet Dr. Pepper R. C. Cola Squirt Diet Squirt 7 UP Diet 7 UP Water – Cherry Water – Orange Water – Lemon Water – Natural Water – Propel Water – Evian Orange Juice Apple Juice Grape Juice V8 Snapple Iced Tea Red Bull Gatorade All Sport Candy / Gum / Mints Almond Joy Baby Ruth Butterfinger Peanut Butter Cups Hershey’s Hershey’s Almonds Kit Kat Fast Break Junior Mints York Peppermint Patties Twix Twix Peanut Butter Mounds M&M’s Plain M&M’s Peanut M&M’s Almond Mars Bar Milky Way Payday Granola Bars Snickers Snickers Crunch Snickers with Almonds 5th Avenue Salted Nut Roll 3 Musketeers Mr. Goodbar Whoppers Juicy Fruit Gum Double Mint Gum Big Red Gum Breath Mints Rolaids Halls Cough Drops Lifesavers Rice Krispie Treats Chips / Crackers / Nuts / Cookies Peanuts Honey-Roasted Peanuts Granola Bars Sunflower Seeds Corn Nuts Fritos Cheese & Crackers Peanut Butter Crackers Almonds Plain Potato Chips BBQ Potato Chips Baked Potato Chips Crunchers Potato Chips Doritos Pringles Cheetos Gardetto’s Chex Mix Pretzels Popcorn Cheese Popcorn Microwave Popcorn Oreos Famous Amos Cookies Austin Brand Cookies Lance Brand Cookies Grandma’s Big Cookies Cakes / Pastries Ho Ho’s Twinkies Honey Buns Cupcakes Ding Dongs Brownies Powered Donuts Chocolate Donuts
