Survey Customers APW

1
Company Name:
2
Your Name:* This field is required.
First Name
Last Name
3
Email:* This field is required.
example@example.com
4
Company Name:* This field is required.
5
Industry:* This field is required.
Please Select
Please Select
Mining
Transport
Excavation
Construction
Other
6
Please specify your industry:
7
Location:* This field is required.
8
Average Weekly Fuel Consumption (Litres):* This field is required.
9
Current Refueling Model:
Tank on-site
Petrol Station
Mobile refuelling
10
Do you own the tank?
YESNO
11
Who currently supplies the tank?
12
Do you use a fuel card?
YESNO
13
Do you have a negotiated fuel price? Please describe.
14
Please describe your current refuelling process and pricing model. (e.g., fixed price per litre, daily rate, etc.)
15
Current Fuel Supplier (if any):If you prefer to not say, just leave in blank.
16
What are your primary challenges related to fuel management? (e.g., cost fluctuations, supply issues, administrative burden)
17
Do you experience seasonal fluctuations in fuel usage?
18
Who currently supplies the tank?
Should be Empty: