$2 off Survey

At My Coffee Gourmet.Com, we value your input. Please complete the short survey below and submit it to us. We will use the information to improve our site and our selection of fine quality products. Let us know how we are doing, and what we can do to make your experience better in the future.

We know your time is a valuable commodity, time is money right? Well for completing this survey, we will send you a coupon good valid for $2 off your next My Coffee Gourmet purchase. You will receive this coupon immediately by email. Just our little way of saying “Thanks for helping us serve you better!”

1. Name (Optional)
Please Enter Your Name (Optional)

2. City:*
Please Enter the City You Live In

3. State:*
Please Enter Your State

4. Email Address:*

5. What Product?*
What Product Were You Looking At Today?

6. Purchase
Did you make a purchase today?

7. Future Purchases:*
If yes to above, will you return in the future to purchase other items? If no, please tell us why you did not like your experience today.

8. How did you arrive today at My Coffee Gourmet.Com?
How did you arrive today at My Coffee Gourmet.Com

9. Page Views
How many pages did you view today?