In February, 1996 - we sent this questionnaire to Kombucha brewers/drinkers all over the world. The response was fascinating! We learned more from these people than we could find in any book. We learned how they brew Kombucha, why they brew Kombucha, and what it has done for them. We invite you to participate by completing this questionnaire, so that we may include your observations, comments , and brewing practices in upcoming books, newsletters and articles. You may remain anonymous if you wish, and can either reply by sending Email to Ariana at email@example.com or regular postal mail. Our mailing address is:
P.O. Box 82
Harwood, TX 78632 USA
1. Where did you first hear about Kombucha? Word of mouth _____ TV/Radio _________ Print ____________ Internet _________ Other ____________ 2. Where did you obtain your Kombucha colony? Commercial Grower _____ Friend ________________ Other _________________ 3. How much did you pay for your Kombucha colony? $100 ____ $75 ____ $50 ____ $25 ____ Other amount $______ Free _____ 4. What instructions/directions did you receive with the Kombucha /Growing Kit? What else came with it Starter tea? ____ How much? _______________________ pH strips ______ Book ___________ Audio Tape _________ Instruction Sheet ____________ Loose Tea? ______ Tea Bags? _________ Rubber Band __________________ 5. Did you receive what you consider clear and understandable instructions for brewing Kombucha? Yes _____ No ______ 6. How long have you been brewing/drinking Kombucha? 7. What fermentation formula do you use? Please indicate types and amount of: Boiling pan: _______________________ Water: _____________________________ Sugar: _____________________________ Do you use loose tea or tea bags: Black Tea: _________ Brand/type __________ Bags/Loose __________ Green Tea: _________ Brand/type __________ Bags/Loose __________ Oolong Tea: _________ Brand/type __________ Bags/Loose __________ Pu Erh Tea: _________ Brand/type __________ Bags/Loose __________ Other: ________________________ Please indicate your preference in tea for Kombucha - and - WHY you prefer it: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Briefly describe your brewing process: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ 8. What type of fermentation vessel do you use? Also, indicate what type of cover you use during the fermentation process. _________________________________________________________________ 9. Do you always add 10% (or more) starter tea? ____________________ 10. Do you ever add other ingredients? (Herbs/fruit/juices, etc.) If so, briefly describe your additional ingredients and process: ________________________________________________________________ ________________________________________________________________ 11. How long do you allow your Kombucha to ferment? ________________ 12. Do you strain the tea when harvested? __________________________ 13. What type of container do you store your tea in? _______________ 14. Do you refrigerate the fermented tea? __________________________ 15. Do you cover/cap your storage container? What with? ____________ ________________________________________________________________ 16. Have you ever had mold appear on your Kombucha? What color was the mold? Did you continue to use the contaminated Kombucha? If the answer is yes', how did you get rid of the mold? ________________________________________________________________ ________________________________________________________________ 17. Have you ever had a Kombucha colony die'? ______________________ 18. Have you ever had a batch of Kombucha that tasted really bad/foul/nasty? Could you describe the taste? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 19. What does you fermented Kombucha tea usually taste like? Wine ______ Cider ______ Vinegar _______ Other _________________ 20. How many batches do you brew each week? Please indicate size of batch. ________________________________________________________________ 21. How many members of your household are drinking Kombucha? ______ 22. How much KT did you drink (per day) when you first began? ______ 23. How much KT are you drinking (per day) now? ____________________ 24. Do you use any of the following? _______________________________ pH Strips __________________ pH Meter ___________________ Ketone Strips ______________ Ketone/Glucose Strips ______ 25. Do you give KT to your children? _______________________________ Reason: ________________________________________________________ Their ages(s): _________________________________________________ Results: _______________________________________________________ 26. Do you use KT topically? _______________________________________ Reason: ________________________________________________________ Results: _______________________________________________________ 27. Have you ever given KT to your pets? ___________________________ Type of pet: ___________________________________________________ Reason: ________________________________________________________ Results: _______________________________________________________ 28. What was your primary reason for brewing/drinking Kombucha Tea? ________________________________________________________________ 29. Did KT produce the desired results? ____________________________ 30. What differences/benefits have you noticed in your body... your health since you began to drink KT? Please take as much room as you need, as this information is very important to other people and the details may be important. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ NOTE: If you do NOT wish your name, age, occupation or place of residence to be used in upcoming publications, books, articles, etc. please state NO here.. or.. YES if we may include that information. NAME: ______________________________________________ SEX: ___________________________ AGE: ______________ OCCUPATION: ________________________________________ PHONE: __________ EMAIL ADDRESS: ___________________ If you wish, you may add your postal/mailing address below. However, it is not necessary.
Thank you in advance for sharing your experiences and information. It is only through surveys such as this that we can learn more about the benefits that Kombucha is providing. We appreciate your time & effort. The data received will be collated but NO PERSONAL data will be released with out your specific consent.
This publication is copyrighted and the publication or portions thereof may not be used in any way without written permission from the author. All rights reserved.
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