Please Complete This Brief Survey for Your Chance to Win Either a FREE Oil Change* or a Pint of Ben & Jerry's Ice Cream!

Personal Information
First Name:
Last Name:
Address Line 1:
Address Line 2:
City, State & ZIP:
Phone Number:
Email Address:
   
Phone Number & Email Address Required for Entry

Survey Questions
How Often Do You Visit Oil n' Go?
Did You Know that Oil n' Go is Locally Owned?  Yes        No
Did You Know that Oil n' Go Recycles All of Its Oil?  Yes        No
Would You Use a High-Quality, 100% Recycled Oil?  Yes        No
Do You Use Facebook?  Yes        No
Do You Use Twitter?  Yes        No
Would You Use Coupons Sent to Your Mobile Phone?  Yes        No
Did You Know that Oil n' Go Does Automotive Repairs?  Yes        No
Where Do You Take Your Car for Automotive Repairs? Why?

Please Rate the Following on a Scale of 1 to 5, with 1 Being Excellent and 5 Being Poor.
  Excellent                                                    Poor
Knowledge of Our Staff:  1         2         3         4         5
Friendliness of Our Staff:  1         2         3         4         5
Convenience of Our Locations:  1         2         3         4         5
Quality of Our Products:  1         2         3         4         5
Overall Service Satisfaction:  1         2         3         4         5

Thank You and Good Luck!

Only Completed Surveys Will Be Considered Valid. One Entry per Person Please.
Contest Drawing Will Take Place Weekly. Winners Will Be Notified by Email or Phone,
So Please Include BOTH. *Free Oil Change is Our #1 Basic Package. No Purchase Necessary.