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Interview Form

This form is intended to help us understand each other more fully and ensure smooth communication.
Please send us your responses.
Please understand that we may be unable to provide assistance in all areas

My machinery isn't functioning as well as I'd like. *If you answered Yes, please indicate the type of machinery. Yes   No 
I want to investigate labor savings in certain production processes. Yes   No 
I want to shorten lead times. Yes   No 
I want to find out about areas where costs can be reduced. Yes   No 
I want to investigate redeploying idle equipment. Yes   No 
I have machinery or equipment on which I want to make modifications. *If you answered Yes, please describe in detail.
Name of manufacturer
Year of manufacture
Yes   No 
Please tell us about any other concerns you may have or solutions you seek.  

Customer Information

Name of your company
Postal code
Address Prefecture 

Town/city and street address 
Telephone number
Fax number
Contact person
Job title
E-mail address

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