Survey Questionnaire

Contact name:
Contact email address:
Contact phone number:
Company name
Address line 1:
Address line 2:
Select your survey date:
Alternative survey date:

In addition, please provide the following information:

1. Name and email address of your ESD coordinator:
2. Name and email address of contact managing your ESD control procurement:
3. How many employees are working with ESD sensitive devices?
4. How many ESD safe work stations do you have?
5. Number of automated production lines for PCB manufacturing?
6. What does your ESD control plan consist of?
7. What level is your most sensitive device, both in terms of HBM and CDM?
8. What is driving ESD protection at your company?

9. Do you have a budget for upgrading/implementing ESD equipment?

10. What is your annual spend on ESD control products?
11. Who are your current suppliers for ESD control products?

12. Do you commit to a follow-up discussion either via GoToMeeting (web conference) or a 2nd visit 2 weeks after you have received the survey report to review any recommendations made? Please note that the person managing the ESD control procurement will have to be present.

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