Home :: Custom Solutions Questionnaire

Custom Solutions Questionnaire

[Survey header text]
1. Title (Mr., Mrs., Dr., Ms.) *
2. First Name *
3. Last Name *
4. University/Company Name *
5. Department *
6. Mailing Address 1 *
7. Mailing Address 2
8. City *
9. State or Province *
10. Country *
11. ZIP or Postal Code *
12. Website
13. Email Address *
14. Skype Address
15. Phone Country Code
16. Phone Number
17. Preferred Method to contact you:
18. New Product Description/Idea:
19. Modification to current SEC Product:
20. Please provide an abstract of the product invention or product change. Please include a physical description of the product including size, dimensions, weight, power requirements, etc. if possible:
21. Would this product have international appeal?
If yes, please indicate why.
22. How do you see Soilmoisture helping with this product?
23. Would you sign a nondisclosure agreement? *
24. Will this product require software? *
25. If software needs to be created, please describe how the software would operate in general terms.
26. Does the product already have software? *
27. What operating system would be/is used?
28. Current software communicate with (check all that apply) *
29. Do you need to meet regulatory or industry requirements? *
30. Estimated sales volumes?
31. Estimated selling price?
32. Is your intent to sell as an OEM Product under your name or Soilmoisture?
33. Is there currently a patent pending? *
34. This product has a patent. The Patent number is:
35. Please attach sketch/drawing in PDF of the product/concept
Only files with extensions of the following type are allowed: doc, dwg, dxf, jpg, png
Type the characters you see in the picture:

*