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Traditional Snacks / Drinks (Survey
Please fill out the form below, thank you!
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
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Full Name
*
Business Name
*
Email
*
Phone Number
*
Message
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