Date of Service:

Please enter date:

Customer Company Name:

Customer Contact Email:

Project No.


Branch Name & Number:

Branch Contact First and Last Name:

Please Choose the Equipment Center Location (enter all that apply):

Please Evaluate the Following:

1 - Poor 3- AverageĀ  5- Excellent

  1 2 3 4 5
Availability of the equipment and timeliness of delivery
Accuracy in the equipment received versus your order requirements
Working condition of the equipment provided for the project
Were all safety guards and other items in place and functioning properly
Adequacy of the packaging of the equipment for protection during shipping and transit to the jobsite
Overall, please rate the level of service provided by the Equipment Center

Additional Comments

Additional requirements you would like to discuss?