FIX Teas Giveaway Survey

more info about...
matcha energy
matcha ORAC tests
matcha vs. coffee
matcha focus
matcha antioxidants
matcha nutrients
matcha FAQs

FIX Energy Tea...
usage
ingredients
testimonials
recipes

FIX Teas iPad Giveaway

Please fill in your contact information below and answer the survey questions for one entry in the FIX Teas iPad Giveaway.
*mandatory field
*First Name:
*Last Name:
*Email:
*Phone:	Draw winner contact method.
Please complete the survey below if you tasted a sample of FIX Energy Tea. If you did not receive a sample click here to get one and receive an entry in the draw.
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A. On a scale of 1 to 5, where 1 is "Poor" and 5 is "Excellent!", how would you rate the taste of FIX Energy Tea? If you did not get a sample click here to get one sent to you free of charge.
1. 2. 3. 4. 5.
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B. How often do you drink some form of beverage to boost your energy level? (e.g. coffee, tea, yerba mate, Red Bull, Monster Energy or similar beverage).
Never or rarely (1 to 2 times weekly or less) Once or twice daily (1-2 cups or equivalent per day) Throughout the day (3 or more cups or equivalent per day) Only on weekends (for rec. activity, staying up late etc.) I consume energy drinks by the case load!
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C. How concerned are you about the negative health effects of energy drinks due to the amount of sugar and processed ingredients usually contained within:
Haven't given it any thought Somewhat, but what can you do Very, I seek out healthy alternatives The more sugar & caffeine the better! Isn't that the point!? Don't care as long as it does the job!
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D. After drinking the FIX Energy Tea sample which of the following did you notice the most:
Felt more focused and able to concentrate Felt energetic and wanted to do something active Felt more awake and able to perform daily tasks Felt calm and not at all lathargic Didn't change the way I felt
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E. Which of the following choices is most important to you when choosing an energy drink:
Cost per serving Duration of energy Taste Natural ingredients Additional benefits (antioxidants, vitamins/minerals etc.)
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F. Please share your FIX Tea experience with us (effects, benefits, taste etc.) and/or any other comments, notes or suggestions. Best FIX testimonial each month wins a free one month supply of FIX Energy Tea!

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Please complete the skill testing question below:

3 + 6 =

That's it! Thank you! Once you click "Submit" below you will be entered into the iPad draw.

Can we contact you with other special offers, surveys and newsletters and/or with info on how to earn more entries in awesome prize draws? Select "Yes" and receive another entry in the draw! Yes No

We hate spam as much as you do! Your information and survey answers will be kept 100% private and used only to inform you if you win in the draw or to send you more information IF you request it.

Limited supply. Samples only available until draw deadline or while supplies last, whichever occurs first.

Contest Details:
The draw is open to anybody in the world (except where prohibited by law). No purchase is necessary. Winner will be drawn January 02, 2012. For more info call 1-604-244-8999 or email support@naturelinesolutions.com.

Prize:
iPad with Wi-Fi
* 9.7-inch (diagonal) LED-backlit display with IPS technology
* Multi-Touch screen
* 16GB
* Wi-Fi (802.11a/b/g/n)
* Bluetooth 2.1 + EDR technology
* Up to 10 hours of battery life
* 1.5 pounds and 0.5 inch thin