JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
БИНОЛОДЖИ анкета клиента
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Company name
*
Your answer
Country of Company headquarters
*
Your answer
Countries/territories of operation
Your answer
Website
*
Your answer
Name
*
Your answer
Surname
*
Your answer
Position
*
Your answer
Email
*
Your answer
Mobile phone (in international format)
*
Your answer
Working phone
Your answer
Linkedin
Your answer
Type of Company
*
commercial enterprise
state/government-owned entity
local governing body / municipal corporation
Other:
Company size
Micro-sized (<10 employees)
Small-sized (<50 employees)
Medium-sized (<250 employees)
Large-sized (>250 employees)
Clear selection
Main field of Company activity / task area
*
Waste removal
Container servicing
Facility management
Manufacture of containers/tanks
Manufacture of other Waste Management equipment
Management of Public Places and Territories
Supply of hardware and software for Waste Management
Supply of sensing hardware
Supply of Smart City solutions
Transport
Development and construction
Utilities
Oil-Gas
Retail
Entertainment and recreation
HORECA
Chemistry
Health
Consulting services
Software systems integrator
Hardware systems integrator
Cloud-services provider
Architecture/design/planning
Other:
Required
Company is interested in Binology products and technologies to:
*
Digitize own waste management, optimize Company's business processes and reduce costs
Control contractors and save on payments
Become a partner/dealer and sell/promote Binology products and solutions to others
Other:
Required
Interested in
*
Sensors only
Smart Containers only
Both - Sensors and Smart Containers
Joint R&D to develop/integrate a special modification of existing products
Joint venture for local production
Other:
Required
Number of containers available to Company or planned for digitalization with SENSORS? (=upper estimate of the scope of our possible cooperation, under ideal circumstances, when all your requirements are met)
Your answer
Number of places available to Company or planned for digitalization with SMART CONTAINERS? (=upper estimate of the scope of our possible cooperation, under ideal circumstances, when all your requirements are met)
Your answer
Are you personally familiar with such technologies, do you have any relevant experience in the past?
Definitely yes, I already got use-cases in the past
Just a little, I know something and have heard about technologies and use-cases
Not at all, this is the first time I came across such solutions and possibilities
Other:
Clear selection
Type and quantity of products you consider to purchase for test in your area? Please put "no" if test is not required.
Your answer
Approximate month of the purchase of equipment for local test in your area OR month of the first possible commetcial purchase, if test is not required.
Choose
July 2022
August 2022
September 2022
October 2022
November 2022
December 2022
January 2023
February 2023
March 2023
April 2023
May 2023
June 2023
Approximate number of Sensors for a first commercial order, that you consider to place under ideal circumstances when all your requirements are met?
Your answer
Approximate number of Smart Containers for a first commetcial order, that you consider to place under ideal circumstances when all your requirements are met?
Your answer
If you’re looking to become our dealer/reseller, how many employees (salesforce) will be involved in market promotion of our products?
Your answer
If you’re looking to become our dealer/reseller, how many units of each type you're looking to sell annually?
Your answer
Do you have any internal ESG-practices implemented in your Company?
Yes
No
Other:
Clear selection
Can we use messengers for prompt business communication? If yes, please mark and add your corresponding login/phone in "other" field.
Whatsapp
Telegram
Viber
Wechat
Skype
No, email only please
Other:
Additional prefered languages for communication besides English:
Spanish
French
German
Arabic
Hindi
Chinese
Other:
Email, connected to Google services, so we can share a folder with you for convenient workflow.
Your answer
Additional questions, comments and requests?
Your answer
Источник лида
Выставка вх.
Выставка исх.
Email вх.
Email исх.
Звонок вх.
Звонок исх.
Сайт (заявка)
Рекомендация
Facebook
Linkedin
Youtube
Web search
Other:
Clear selection
Ответственный
Choose
Островский
Жуйков
Шендрик
Тордия
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
