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Customer questionnaire

 

Address field
Company: *
Contact person: *
 
Phone: *
Street: *
 
Fax:
Zip: *
 
E-Mail: *
City: *
 
Country: *
* Mandatory field
   
Type of operation
Other:
Machine
Manufacturer:
 
Model:
Operating hours per day:
 
Load and carry:
Average travelling distance/km:
 
Bucket capacity/m³:
Tyres
Manufacturer:
 
Size:
Type:
 
Tread:
Tyre condition:
 
in%
Non-standard tyres:
 
Twin tyres:
   
Distance between tyres:
Material
Quartz content in %:
 
Material hardness:
Material temperatures from ° up to °:
 
Operating conditions:
Reason for using chains:
 
Other:
Other information
Cause of premature tyre failure
Tyre life without chain in
operating hours:
 
Tyre life with chain (if used):
Remarks:
Date: