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Items Replacement Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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Qual item vai ser necessario
1

Which item needs replacement?

Select the item that needs to be replaced.
2

Rate the urgency of replacement

Rate the urgency of replacement on a scale of 1 to 10.
3

Provide details about the replacement needs

Please describe in detail the items that need replacement.
4

How frequently does this item need replacement?

Indicate how often this item needs to be replaced.
5

What is the reason for this item needing replacement?

Explain the reason behind the need for replacement.
6

How soon do you need the replacement to be done?

Mention the urgency or desired timeline for the replacement.