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Customer's Questionnaire.

Note to Customer: Although all fields are NOT required and you may just fill out this questionnaire to the best of your ability, more detailed information certainly helps making more weighed recommendations, so we urge you to give us as many details as you can. This form gives us a starting point to determine your specific needs.

Please click here to down load this questionnaire as a Word document.

Customer Information.

Customer Name: 
Contact Person: 
Address: 
City: 
State: 
Country: 
Zip: 
Phone No.: 
Fax No.: 
E-mail: 
1. Material Characteristics.

Feed material to be screened: 
Particle Size Distribution: 
Size [µ]
%
Material Temperature in the screener entry point:  
Bulk Density (if the material is slurry, please, indicate seperately volume density of slurry and bulk density of it's solids)
Moisture Content: % indicate if moisture % is calculated by
If the material is slurry, it's concentration: solids % liquids %
 Characteristics
Low
Med.
High
   Remarks
Abrasive  
Free Flowing  
Hygroscopic  
Sticky  
Corrosive  PH =
Is static electricity an issue:
Is the material chemically aggressive?
Is the material Explosive? 
Particle Description:
Percentage of irregular shape particles - irregularity factor:  Min Max size.
Is the material hazardous or toxic? . If yes, please describe in notes:

Any additional information about the material:

2. Present Operation.

If the material is presently processed with non-vibratory machinery (centrifuges, filters, hydro-cyclones, air-classifiers etc.), please, name the equipment, its characteristics, working parameters and results:

If the material is presently being screened, what type of machine is being used:

Producer Model
Number of screeners     Size

Current results:

Feed capacity (per m2 of screening area, per screener, for all screeners together, please, clarify)
Efficiency 
Blinding 
If the material is slurry, is water added during the separation process ( for example, via overhead sprinklers)
If water is added in the process, how is it added and what is the volume of it?

Other specifications

Mode of operation, used screening media:

Screening media opening mesh µ
Lifespan of meshes (or other screening media)
What is not satisfactory for an end-user in the current processing:
 blinding of meshes;
 short lifespan of meshes;
 poor efficiency;
 low feed capacity;
 desire to go to finer separation, which currently used equipment cannot provide with;
What did an end-user do to fight those problems and what were the achievements?

Any other information about present operation, you would consider sharing with us

3. Operating Information.

Is the operation
Number of production hours per day
Type of operation: if Filteration

Any possible description/story, you would consider sharing with us in order to help us visualizing your current production process:

4. Customer's Requests.

Feed Capacity:
If the material is slurry, please indicate if the feed capacity is calculated by:
Cut point:
For how many fractions shall the material be separated?
The product is:

Efficiency % 
Contamination tolerances OS (oversize) in US (undersize) %;
US in OS %
Limitations (available square, electric power, adding water, else):

Any other information/requests, which weren't present in the questionnaire, but which you consider important noting:

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