Home | Help | Contact Us

MALE QUESTIONNAIRE - PAGE 2(c)      < You are on page 2(c) of 9 The following questions deal with coffee and tea consumption. 203.  How much caffeinated coffee do you drink on average? None / very little / don't know About one cup per day About two cups per day About three cups per day Four or more cups per day 204.  How does coffee affect you? Adverse reactions include feeling 'wired', 'hyper' or jittery, nauseated or hungry. I do very well on it It seems to benefit me slightly There is no particular effect / don't know Occasional adverse reaction Significant adverse reaction(s) 205.  How much non-herbal ('ordinary') black tea do you drink on average? None / very little / don't know About one cup per day About two cups per day About three cups per day Four cups or more per day 206.  Do you consume green tea? No / rarely / don't know Yes, about one cup per day About two cups per day About three cups per day Four cups or more per day Add any additional information here for the questions above: Please mention the question number(s) if possible.

Home | Help | Contact Us Design by: RoyalWebHosting.com