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Global Gas Detection and Monitoring Solutions

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Contact Information:

* First Name:
* Last Name:
* Company:
* Email:
* Phone:

* Address:

* City:
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Other Province:
* Postal / Zip Code:
* Country:

Instrument Information:

* Date of Purchase:	[None]
* Purchased From:

* Model:	* Serial Number:






Model Other:

* Model:	* Serial Number:






Model Other:

Additional Information:
In an effort to serve you better we would like your input on your initial experience of this purchase. Please call 1-800-338-3287, ext. 1861 or 412-490-1861 for assistance.
1. Please indicate your satisfaction with the following. ( 1 Being Very Satisfied and 5 Being Very Dissatisfied )
Ordering and delivery process	1 2 3 4 5 N/A
Technical support before purchase	1 2 3 4 5 N/A
Overall purchasing experience	1 2 3 4 5 N/A
2. If you are involved with the operation of this equipment, please evaluate the following.
Helpfulness of instruction manual	1 2 3 4 5 N/A
Ease of operation	1 2 3 4 5 N/A
3. In the best of your knowledge, please indicate your company's buying patterns (choose one)
This is the 1st purchase of Industrial Scientific gas monitors. This is the 2nd purchase of Industrial Scientific gas monitors. We have purchased Industrial Scientific gas monitors many times in the past.
4. Does your company own and operate other brands of gas detection monitors?
Yes No Don't Know
5. What products, features or services would you like to see us add to our selection?

6. Would you be open to participating in a brief follow up call?