Healthy Products 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 Jones Soda Company Sugarfree Blackberry-12 oz. Hansen’s Creamy Root Beer-12 oz. Me-Tangerine Pineapple-10.5 oz The Switch Sparkling Grape Juice-8.3 oz. Blue Sky Natural Cola-12 oz. Zevia Natural Twist Soda-12 oz. Brain Toniq Focus & Memory bDrink-8.4 oz. Blue Sky Blue Energy Drink-8.3 oz. Mix 1 Blueberry Vanilla Shake-11 oz. Steaz Berry Energy Drink-12 oz. Opta Energy Berry Fusion Energy Drink-12 oz. Guru Natural Energy Drink-8.3 oz. Jumex Guananbana Nector juice-11.3 oz. Del Frutal Pear Nector Juice-11.5 oz. Gojilania Goji Acai Juice-10.5 oz. Carpe Diem Quince Kombucha Juice-16.9 oz. Zola Acai with Pineapple-12 oz. Kombucha Wonder Drink Asian Pear Ginger-8.4 oz. Lifeway Kefir Lowfat Nondairy Blueberry Smoothie- 8 oz. Stoneyfield Farms Super Peach Nondairy Smoothie-4 oz. Lifeway Kefir Lowfat Strawberry Nondairy Smoothie-8 oz. Lifeway Kefir Nondairy Mango Lassi-8 oz. Balanced Vanilla Nutrition Drink-11 oz. Stoneyfield Farms Nondairy Strawberry Banana Smoothie 4-4 oz. Steaz Iced Lemon Black Tea-16 oz. Anteadote Organic Black Tea-16.9 oz. San Benedetto Peach Tea-16.9 oz. Iteon Green Tea-16.9 oz. Anteadote Organic White Tea-16.9 oz. Illy Issimo Cappuccino-8.45 oz. Balance Water for the Mind-16.9 oz. Give Water Give Love Spring Water-23 oz. Hi Ball Lemon Lime Soda Water-10 oz. Nature Factor Young Coconut Water-10.1 oz Poland Springs Lemon Sparkling Water-16.9 oz. Hint Blackberry Water-16 oz. Chips / Crackers / Nuts / Cookies Kashi, TLC-Roasted Almond Crunch-1.4 oz. Nature’s Path Peanut Chocolate Bar-1.2 oz. Kind Fruit and Nut Bars-Cranbury & Almond Plus-1.4 oz. Kettle Valley-Wildberry Fruits & Fiber Bar-1.4 oz EnviroKidz-Berry Blast Crispy Rice Bar-1.4 oz Pirate Brands Veggie Booty-1oz. Popchips-.8 oz Terrachips-1 oz Boulder Canyon Chips-1.5 oz Dirty Chips-2 oz Barbara’s Bakery Cheese Puffs-1 oz. Kashi, TLC-Chewey Dark Chocolate Bar-1.2 oz. Enjoy Life-Snickerdoodle-1 oz. Enjoy Life Chocolate Chip Cookie-1 oz. Nana’s Cookie-Peanut Butter Cookie-3.5 oz. Late July Snacks-Vanilla Bean Sandwich Cookie-1.7 oz Nana’s Cookie-Lemon Cookie-3.5 oz. Late July Snacks-Dark Chocolate Sandwich-1.5 oz. Back to Nature Crispy Cheddar Crackers-1 oz Late July Mini PB Sandwich Crackers-1.125 oz Mary’s Gone Crackers-1.25 oz. Annie’s Homegrown Bunny Graham Crackers-1oz. Late July Cheese Sandwich Cracker-1.2 oz Annie’s Homegrown Cheddar Bunny Crackers-1 oz. Stretch Island-Raspberry Fruit Leather Bar-.5 oz. Kopali Organics-Dried Mulberry-1.7 oz Funky Monkey Bananaman Dried Fruit-.42 oz. Materne Go Go Squeeze Applesauce-3.2 oz. Candy / Gum / Mints Chocolove-Cherries & Almonds in Chocolate-3.2 oz Dagoba, New Moon-Dark Chocolate-.32 oz. Vermints-Wintermints-1.4 oz. Glee-Peppermint Chewing Gum Endangered Species-Supreme Dark Chocolate-3 oz. Yummy Earth-Fruit Lollipops-3 oz. CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.