1. COMPLETE THE FOLLOWING SURVEY TO SEE IF YOU’RE ELIGIBLE TO RECEIVE A FREE HOSE MANAGEMENT ASSESSMENT

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1. How many hoses are installed in your facility(s) (Required.)

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2. What media is conveyed through these hoses (tick all that apply) (Required.)

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3. Do you have a preventative maintenance schedule for your hoses? (Required.)

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4. Have your staff been trained in proper hose practices by a Certified Instructor (Required.)

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5. How often do you have outages due to hose issues? (Required.)

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