Name *

Client Information

First Name

Last Name

Date *

Date

MM

DD

YYYY

Appearance *

Appearance - How would you rate the appearance of the sample? (i.e. color, shape)

9 - Like Extremely

8 - Like Very Much

7- Like Moderately

6- Like Slightly

5 - Neither like or dislike

4 - Dislike Slightly

3 - Dislike Moderately

2 - Dislike Very Much

1 - Dislike Extremely

Aroma *

Aroma - How would you rate the smell or aroma of the sample?

9 - Like Extremely

8 - Like Very Much

7- Like Moderately

6- Like Slightly

5 - Neither like or dislike

4 - Dislike Slightly

3 - Dislike Moderately

2 - Dislike Very Much

1 - Dislike Extremely

Flavor *

Flavor - How would you rate the flavor of the sample?

9 - Like Extremely

8 - Like Very Much

7- Like Moderately

6- Like Slightly

5 - Neither like or dislike

4 - Dislike Slightly

3 - Dislike Moderately

2 - Dislike Very Much

1 - Dislike Extremely

Sweetness *

Sweetness - How would you rate the sweetness of the sample?

9 - Like Extremely

8 - Like Very Much

7- Like Moderately

6- Like Slightly

5 - Neither like or dislike

4 - Dislike Slightly

3 - Dislike Moderately

2 - Dislike Very Much

1 - Dislike Extremely

Texture / Mouthfeel *

Texture/Mouthfeel - How would you rate the Texture or mouthfeel of the sample?

9 - Like Extremely

8 - Like Very Much

7- Like Moderately

6- Like Slightly

5 - Neither like or dislike

4 - Dislike Slightly

3 - Dislike Moderately

2 - Dislike Very Much

1 - Dislike Extremely