Questionnaire Questionnaire for Automatic fluid dispenser CUSTEOMER Name of company Address Office Tel. No. Factory Tel. No. E-mail Products Concerned executive Name Designation 1. What is the fluid to be dispensed 1. What is the fluid to be dispensed SealantAdhesiveChemicalFoodstuffSolder pasteOther Specify Brand Name/Code/Grade/Type 2. What is its viscosity? 2. What is its viscosity? Waterylike tomato ketchupPaste likevery viscous-rubber initial curing 3. What is the initial curing/hardening time at room temperature? A few secondsHalf an hourOne to three hourDon’t cure. cleaning solvent Dispensing Ratio Temperature of Hot melt WORKPICE Type 1. Type Single partsAssembly Material of construction Position 3. Position Hand heldOn fixtureOn ConveyerOn TableOther Placing 4. Placing VerticalHorizontal arrangedRandomly placed Approximate Weight Size APPLICATIONS Dispensing Pattern 1. Required Dispensing Pattern DotLineArc (2 Dimensional)Counter (3 Dimensional)Circular RingPottingSpray Dosage/Shot per Work Consumption Filling machine Presently manufacturing 1. How are you presently manufacturing? ManualSemi automaticAutomaticFully automatic Production Rate 2. What is your Production Rate? Per MinutesPer HoursPer shift (10hrs)Per day (22hrs) marketing capacity level of control 4. Intended level of control ManualSemi automaticAutomatic Requirement (immediate) Remarks 4 + 14 = Submit
