This document is a questionnaire from a tire company to a customer regarding their fleet details. It asks for information such as the number of tractors, trailers and buses; average tire failures and repair costs per unit; cargo hauled; tire manufacturer; tire age and tread depth; use of retreads; tire pressures; and ambient temperatures. It then asks the customer to rank the importance of issues like pressure maintenance, punctures, retreads, bead leaks, and prolonging tire and casing life on a scale of 1 to 10. Providing these details will help the tire company recommend the best tire solutions for the customer's needs.

1. COMPANY NAME _____________________________
Date: ____________
DECISION MAKERS NAME: ________________________ PHONE #:__________________
Email: ____________________________
We conduct our business similar to a doctor/patient relationship and therefore we need the
following questions answered to assist you with the best solution for your tires.
How many Tractors _____Trailers _____ Buses _____
What is the average number of tire failures per unit per year? ______
What is the average annual tire related repair cost per trailer_______ Power Unit_______?
What do you haul? _____________________________
Manufacture of your tires? ____________________________
Are these tires new or have they been in use before? _______
If used… for how long? ______
What is the tread depth? _______
Any retreads? Yes ___ No____
If yes, then what type of casings? Virgin____ A____ B____
Tires used mainly in city, hi-way or rough terrain? __________
What pressures are they filled with (cold)? ____________
What are the extreme ambient temperatures where the tires are used?
Winter ___________Summer___________

2. A. Which of the following tire issues require the most attention?
__PRESSURE MAINTENANCE __PUNCTURES __RETREADS
__BEAD LEAK __POWER UNIT TIRES __TRAILER TIRES
B. Fill in the number on how important is the following; One (1) being the lowest to Ten
(10)being the highest:
___ Using retread tires;
___ Prolonging tire casing life;
___ Prolonging tire/tread life;
___ Continuously seal punctures up to 1/2”;
___ Achieving better fuel economy by maintaining tire pressure;
___ Lower labor cost for manual tire pressure inspection and maintenance.
Thank you and please fax back the form to (866) 486-7706 to qualify for preferred pricing.