Please take a moment to fill out this survey on the EZ Street Pothole Repair Kit®
1. Could you use EZ Street in place of current applications?
Yes
No
2. How often could you use EZ Street?
At least once a month
More than once a month
Weekly
Daily
Other
3. Because EZ Street reduces the cost of application significantly, would you be willing to pay a higher price for the material?
Yes
No
4. Do you have enough information about EZ Street now to make a decision to use the product?
Yes
No
5. What appeals to you most about the product (check as many as apply):
Ease of application
Length of time it can be used
Limited preparation required
Cost Savings (e.g., crew, equipment, etc.)
6. Would you like someone from S.T. Wooten Corporation to contact you about EZ Street?
No
Yes
* If Yes, please provide us with a way to contact you:
Name:
Phone:
Email:
City:
State: