Power Equipment Survey


A red asterisk (*) indicates required questions.

  1. Please enter your store number.*


  1. How many power jacks (NOT including forklifts) does your store have?*
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10


  1. How many manual jacks does your store have?*
    0
    1
    2
    3
    4


  1. Are all of your power jacks (NOT including forklifts) functioning properly?*
    Yes
    No


  1. if you answered "No" to question 4, please explain what is not working properly.




Templates provided by QUIA.COM.