Name
Title
Company
Address
City
State
Zip
Phone
Fax
Email
1. What best describes your job title?
Architect
Consultant
Sales Rep
Design Engineer
Consulting Engineer
Other (please identify)
2. Type of facilities You/Your Company is involved with:
% Total Commercial
Office
Industrial
Hotel
Retail
Other (please identify)
% Total Residential
Single Family
Multi-Family
Other (please identify)
% Total Institutional
Education
Healthcare
Government
Nursing Homes
Prison
Other (please identify)
3. What percent of your business is new construction versus repair or remodeling?
% New Construction
% Repair/Modernization
% Expansion
100%
TOTAL
4. How many employees work at your company?
1-10
11-20
21-50
51-100
101-250
251-500
501-1000
1000 plus
5. What is your function in the acquisition of plumbing systems and equipment?
Make recommendations to Owners /Property Managers
Make recommendations to Facility Maintenance Engineers
Make recommendations to Contactors
Authorize or make buying decisions
Other (explain)
6. What types of plumbing products do you specify/recommend?
Electronic Flushometers
Manual Flushometers
Electronic Faucets
Manual Faucets
Sinks
Solid Surface Sinks
Hand Dryers
Soap Dispensers
Waterfree Urinals
Plumbing Systems
Flushometer Parts
Pressure Assisted Toilets, Brand:
Other Plumbing Products: