Emissions Monitoring

Questionnaire

Setting new standards in surface cleaning

Name :
Company Name :
Position in Company :
Telephone :
Email Address :
Is your company Mcerts accredited? :	YES NO
Is your company planning for Mcerts accreditation? :	YES NO
What analysers do you use for Stack Monitoring? :
What concentrations of calibration gas mixtures does this equipment use? :

With reference to the list below please could you rate the importance of the following examples of how a gas supplier can offer you value added benefits. For each point, using the scale below, click the number which best fits your opinion on the importance of the issue using the key below.
KEY 0 Not important at all \| 1 Relatively unimportant \| 2 Slightly unimportant 3 Slightly important \| 4 Relatively important \| 5 Extremely important
Question	Scale
Gases Product Range	0 1 2 3 4 5
Equipment Product Range	0 1 2 3 4 5
Product Quality	0 1 2 3 4 5
Lead Time	0 1 2 3 4 5
Pricing Structure	0 1 2 3 4 5
Deliveries/Collections	0 1 2 3 4 5
Certification/Accreditation Advice	0 1 2 3 4 5
Customer Service Support	0 1 2 3 4 5
Ecommerce	0 1 2 3 4 5
Invoicing	0 1 2 3 4 5
Safety/Handling/Training Advice	0 1 2 3 4 5
Others	0 1 2 3 4 5

What do you feel are the 'positives' you receive from your gas supplier at present?:
What do you feel are the 'negatives' you encounter from your gas supplier at present?:
Would a gas cylinder/equipment training course be an additional H&S training aid which could benefit your employees?:	YES NO
Who is the main contact for Quality within your organisation?:
Who is the main contact for Purchasing within your organisation?:
Who is your current gas supplier?:
Would you like to be kept informed of Air Liquide developments for Emissions Monitoring in future?:	YES NO

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