You may submit your survey anonymously by checking the box to the left.

1.   What size drink do you want? (R)

        Short
        Tall
        Grande
        Venti

2.   Which drink would you like? (R)

     

3.   If you want to add an extra, say below: if not, put "N/A". (R)

     

4.   If you have a message to your recipient, say below. If you don't add a message, I'll just say "from Anonymous".

     

5.   To whom is this gift for? (R)

     

6.   Here is where you can say what raffle you want your tickets to go to, what signature shop you want your gift certificate to come from, merit badge or awardicon... if you didn't buy any of these things, this is where you can praise us. (just kidding about that last part.)

     

7.   This survey requires the sending of Gift Points.
      Add up your total; a 2.5% deduction is taken, but that's okay.

      You currently have 0 Gift Points.
      Enter the number of Gift Points to be sent:
      Confirm this Gift Point amount by re-entering:
      (From a minimum of 100 to a maximum 250,000 Gift Points.)

Important: Gift Points included will be sent to "The Coffee House Employees" . Writing.Com will deduct a fee of 5% for processing the transaction for group. Gift Points sent through this form are not refundable for any reason. Please use good judgement when sending Gift Points to any member or group.

Disclaimer: The information that you are submitting with this survey form is being sent to Lonewolf - Catching up . It is NOT being sent to Writing.Com. You should be careful to not submit any information which you may deem as private or confidential. Writing.Com and its affiliates will not and may not be held responsible or liable, in any way, for any damages that may or may not arise from your submission of this form.