Grainger Survey

This offer is not valid for Government customers or W.W. Grainger, Inc. employees.

Thank you for your response to our offer!

Due to an overwhelming response, we no longer have stock on the ergonomic reversible screwdriver.

We apologize for this inconvenience and value your business! We would greatly appreciate it if you could share with us
your most current information. This will allow us to continue providing you with the service you have come to expect from us.

Thank you!

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Step 1: Registration
*Company Name	*Title	*Department	Grainger Account #
*First Name	*Last Name
*Address 1	*Address 2	* City	*State	*Zip
Phone Number	Fax Number
*Email Address	*Re-enter Email Address
Step 2: Survey
1. Which of the following products do you or your department use at your workplace? Please check all that apply. Adhesives, Sealants & TapeLightingPneumatics & Hydraulics Cleaning & Painting Material HandlingPumps & Plumbing Electrical Metalworking, Welding & Shop Supplies Safety & Security HVACMotors & Power TransmissionsTest Instruments HardwareOutdoor EquipmentTools & Auto Shop Other :
2. How important are each of the following issues in your workplace? Please use a scale from 1 to 5 where 1 means Not At All Important and 5 means Very Important. Healthy Workplaces 12345 OSHA Compliance12345 Workplace Security 12345 Fire Safety 12345 Electrical Safety & Arc Flash 12345 Environmental Responsibility 12345 Productivity 12345 Homeland Security 12345 Inventory Management 12345 Preventative Maintenance 12345 Predictive Maintenance 12345 Emergency Preparedness12345
3. How interested are you in each of the following Grainger services? Please use a scale from 1 to 5 where 1 means Not At All Interested and 5 means Very Interested. Inventory Management Solutions - processes to help you stock and replenish your inventory and improve productivity. 12345 Safety Services - specialized programs to help manage health, safety and environmental needs. 12345 eCommerce Solutions - using technology such as eProcurement, electronic data interchange (EDI) and Grainger.com to make shop-to-pay process as efficient as possible. 12345 Sourcing Services – locating hard to find products for maintenance, repair and operational needs. 12345 Triple Guard® repair & replacement coverage - additional 2 years of coverage to your 1-year Grainger warranty on select products, for a total of 3 years of coverage. 12345 Emergency Services – 24 hour emergency service where a Grainger branch is opened up, even at nights and on weekends (a fee may apply).12345 Other: 12345
4. Which of the following trade publications do you subscribe to? Please check all that apply. Plant EngineeringIndustrial Equipment NewsPlant Services Maintenance SolutionsPurchasingNone Today's Facility ManagerPlumbing & Mechanical Other
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Terms and Conditions
Approximate retail value of the ergonomic screwdriver is $5.00. Please allow 6 to 8 weeks for shipment. Offer good through December 31, 2009 or while supplies last. No purchase necessary. Government and W.W. Grainger, Inc. employees are not eligible for this offer. One gift per catalog recipient. Offer applies only to customers within the 48 contiguous United States. Grainger, grainger.com are registered trademarks of W.W. Grainger, Inc. For our privacy policy, visit Grainger.com