Annual Facilities Maintenance Survey

Company Name:

Contact Name:

Title:

Address:

City:

State:

-Please Choose- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland N.W.T Nova Scotia Nunavut Ontario P.E.I. Quebec Saskatchewan Yukon International        Zip Code:

Phone:

Fax:

Email:

Website:

1. How many healthcare maintenance clients (individual clients only, not multiple locations) under contract in 2007?

* 2. What were your firm's total healthcare maintenance bilings in 2007?

3. What types of maintenance services does your firm provide? (check all that apply)

4. Please list your leading healthcare clients:

5. What do you see as the biggest challenge facing the healthcare industry in the coming years?

6. Do you want information on Healthcare Building Expo? Yes No

Thank you for your assistance.