DIE FEED-BACK FORM
all fields are manditory
CONTACT INFORMATION

Client
Die No.
Dash:

Front End:
good:   satisfactory:   poor:  
Middle:
good:   satisfactory:   poor:  
Back End:
good:   satisfactory:   poor:  

Rod Spread:
(1 is very poor, 10 is very good)
1   2  3   4   5   6   7   8   9   10  

Performance:
(1 is very poor, 10 is very good)
1   2   3   4   5   6   7   8   9   10  


Shape Dimensions:
approved  not approved

comments