Just fill out this simple form to contact us with any questions or comments you might have. Areas in bold orange print are required in order to send this form.

Your Contact Information First Name: Last Name: Email Address: Company Name: Street Address: City: State:   Zip:   Phone:

Your Message Direct message to: General Information Michael Lynn - President Curtiss Grymala - System Maintenance Curtiss Grymala - Website Development Please rate the urgency of your message Urgent For Review Please Comment Please Reply Subject: Message:

Note:   There are a few optional questions at the bottom of this form. We would appreciate it if you fill them out, so that we can have your feedback on our performance, and on our web site. Please take the time to fill them out before submitting this form. Thank you very much.

Feedback 1.   Has Onsite Solutions or any of the SES companies ever done work for you? Yes No No Comment If you answer "yes" to Question 1, please answer questions 2 through 5.   If you answer "no" to Question 1, please answer questions 6 and 7. 2.   Were you satisfied with that work? Yes Somewhat No No Comment 3.   Who did the work for you? Michael Lynn Robert Fields Chris Erney Billy Willard Chris Froemel None of the above Do not know No Comment 4.   What kind of work did they perform? Soil Work Wetland Delineation Environmental Assessment Reports Leaking Storage Tank Remediation Drainfield Design Drainfield Repair Other No Comment 5.   If you have any comments concerning the work we performed for you, please put them in the box below. Thank you. 6.   Are you planning on contracting Onsite Solutions or any of the SES companies to do work for you? Yes Possibly No No Comment 7.   If yes, what kind of work would you want them to perform? Soil Work Wetland Delineation Environmental Assessment Reports Leaking Storage Tank Remediation Drainfield Design Drainfield Repair Other No Comment 8.   How did you hear about Onsite Solutions and the SES companies? Yellow Pages Health Department Web Search Engine Contractor Friend Other No Comment If you selected Health Dept, Web Search Engine, Contractor, or Friend, please tell us which one. If you chose Other, please elaborate. Thank you.

Website Feedback 1.   Do you find this web site informative? Yes Somewhat No No Comment 2.   How much of the site have you navigated? All of it Most of it Some of it A little bit Just this page No Comment 3.   On a scale of 1 to 5, how would you rate the information found on this web site? 5 - Great 4 - Good 3 - Fair 2 - Poor 1 - Pitiful No Comment 4.   On a scale of 1 to 5, how would you rate the appearance of this web site? 5 - Great 4 - Good 3 - Fair 2 - Poor 1 - Pitiful No Comment 5.   On a scale of 1 to 5, how easy is it to navigate this web site? 5 - Very Easy 4 - Somewhat Easy 3 - Fair 2 - Somewhat Difficult 1 - Very Difficult No Comment 6.   If you have any suggestions on how to improve the web site, or you would like to mention something specific that you like/dislike about the web site, please make those comments in the space provided below.