Survey

 Customer Survey
Thanks so much for visiting our site. We appreciate your feedback on how to best continue satisfying all your boiler needs. Please take a moment to fill out this short survey. All your answers and personal information will be kept confidential. Items marked with a * are required.
  Reason for Visiting CB boilers website(check all that apply)

Gathering information for potential boiler purchase
Gathering information for boiler accessory purchase
Following up on sales distributor referral to website
General industry search
Review site in conjunction with job search/career development
Other
*Your Name
Organization
*Address
Address Line 2
*City
*State/Province
*Zip/Postal Code
*Country
*Phone
Fax
*E-mail
Website
Occupation
Other
Industry
Other
Type of Boiler Owned/Operated
Other
Brand of Boiler Owned/Operated
Other
Number of Boiler Projects Specified in a Year
  none    1 to 5
6 to 10 More than 10
Are you planning on purchasing a boiler or boiler accessory within the next 12 months?
  Yes No
Use the box below if you would like to leave additional comments:
       
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