Have you tasted?


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Symbol: Normal Normal Good Good Very good Very good Excellent Excellent Unsufficent Unsufficent

PERSONAL INFORMATION

Name (*) Company
Profession Age
Gender Male Female E-mail (*)
State (only U.S.) Country

GENERAL ASPECT

Product description Code


YOUR VISUAL SENSATIONS
Your visual sensations Outside color Normal     Good     Very Good     Excellent     Unsufficent
Inside color Normal     Good     Very good     Excellent     Unsufficent
Structure Normal     Good     Very good     Excellent     Unsufficent
Freshness Normal     Good     Very good     Excellent     Unsufficent
Comments and suggestions

YOUR TASTE SENSATIONS
Your taste sensations Intensity Normal     Good     Very good     Excellent     Unsufficent
Complexity Normal     Good     Very good     Excellent     Unsufficent
Sweetness Normal     Good     Very good     Excellent     Unsufficent
Butter Normal     Good     Very good     Excellent     Unsufficent
Egg Normal     Good     Very good     Excellent     Unsufficent
Candied citron-peel Normal     Good     Very good     Excellent     Unsufficent
Candied orange Normal     Good     Very good     Excellent     Unsufficent
Raisins Normal     Good     Very good     Excellent     Unsufficent
Leaven Normal     Good     Very good     Excellent     Unsufficent
After-taste Normal     Good     Very good     Excellent     Unsufficent
Comments and suggestions

YOUR TACTILE SENSATIONS
Your tactile sensations Reaction to cuting Normal     Good     Very good     Excellent     Unsufficent
Consistency Normal     Good     Very good     Excellent     Unsufficent
Softness Normal     Good     Very good     Excellent     Unsufficent
Comments and suggestions

YOUR OLFACTORY SENSATIONS
Your olfactory sensations Fragrance Normal     Good     Very good     Excellent     Unsufficent
Complexity Normal     Good     Very good     Excellent     Unsufficent
Butter Normal     Good     Very good     Excellent     Unsufficent
Leaven Normal     Good     Very good     Excellent     Unsufficent
Candied fruit Normal     Good     Very good     Excellent     Unsufficent
Persistence Normal     Good     Very good     Excellent     Unsufficent
Comments and suggestions

YOUR OVERALL EMOTIONS
Your overall emotions Pleasantness Normal     Good     Very good     Excellent     Unsufficent
Satisfaction Normal     Good     Very good     Excellent     Unsufficent
Temptation Normal     Good     Very good     Excellent     Unsufficent
Elegance Normal     Good     Very good     Excellent     Unsufficent
Comments and suggestions

DOLCIARIA A. LOISON S.R.L.
S.S. PASUBIO, 6 36030 COSTABISSARA (VICENZA) ITALY - Tel. +39 0444 557844 Fax +39 0444 557869
E-mail: loison@loison.com - P.iva 02259320246
Prohibited the partial reproduction also of the contents without authorization.