Customer Survey Step 1 of 6 16% What is the zip code where your heating oil is/would be delivered?* ZIP Code What is your age?*Under 2021 - 3031 - 4041 - 5051 - 6060+What is your gender?*FemaleMaleHow many gallons of heating oil do you use annually (ballpark is fine)?*Approximately when was your last heating oil delivery received?*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Are you the person responsible for making purchasing decisions on heating oil?*YesNo When selecting a heating oil company what are the three most important factors in your decision? [Please rank Factor 1 as most important, Factor 2 as 2nd most important and Factor 3 as 3rd most important]Factor 1 (Most Important)*Factor 2 (2nd Most Important)*Factor 3 (3rd Most Important)* Heating Oil DeliveryPlease rate the relative importance of the following DELIVERY SERVICE factors in the selection of your heating oil supplier. [Please check one number for each factor.]*1 - NOT AT ALL IMPORTANT2 - SLIGHTLY IMPORTANT3 - SOMEWHAT IMPORTANT4 - VERY IMPORTANT5 - EXTREMELY IMPORTANTLow minimum deliveriesLow price per gallonAutomatic deliveryWill-call/non-automatic deliveryNeat/clean appearance of truckNeat/clean appearance of driverSpeed of deliveryHVAC service24-hour repair service Customer ServicesPlease rate the relative importance of the following CUSTOMER SERVICE factors in the selection of your heating oil supplier. [Please check one number for each factor.]*1 - NOT AT ALL IMPORTANT2 - SLIGHTLY IMPORTANT3 - SOMEWHAT IMPORTANT4 - VERY IMPORTANT5 - EXTREMELY IMPORTANTLocal companyFriendly/courteous serviceCall answered by a personFull service capabilities Payment OptionsPlease rate the relative importance of the following PAYMENT/ORDERING SERVICE factors in the selection of your heating oil supplier. [Please check one number for each factor.]*1 - NOT AT ALL IMPORTANT2 - SLIGHTLY IMPORTANT3 - SOMEWHAT IMPORTANT4 - VERY IMPORTANT5 - EXTREMELY IMPORTANTConvenient payment options (credit cards, checks, cash)Online orderingDiscounts for veterans/senior citizens/churches Approximately how often do you service/have serviced your oil furnace?*Twice a yearOnce a yearEvery other yearRarelyHave you EVER needed emergency oil furnace service?*YesNoCan you remember the last time you needed emergency oil furnace service?*Within last 2 yearsWithin last 3 yearsWithin the last 5 years7 years or longerWould you like more information on: Heating oil delivery Online ordering/ Registering account online Price protection plans Heating systems Air conditioning Heat pumps Service agreements System tune-ups We are asking for your email so we may include you in our drawing for a $250 JJPowell account credit or a $250 Snappy’s gift card. Your email will not be shared with third parties.Email* This iframe contains the logic required to handle Ajax powered Gravity Forms.