Please change your page layout to landscape in the print preferences menu when printing this form.
1. Contact Information
*Company name
*Your name
*Address
*City
*State
-
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KT
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*Zip
*Phone
Fax
Cell
*E-mail
*E-mail (again)
Are you the primary contact person in your company for shipping?
yes
no
If not, please specify:
Name
Phone
E-mail
Primary Shipping Location
(if different)
Street Address
City
State
Zip
Fields marked with an asterisk are required.
2. Questionnaire
*How did you hear about PeriShip?
web search
FedEx
other
Who referred you to PeriShip (if you know)?
How do you ship?
Ship Manager at Fedex.com
Fedex Workstation (Powership or Cafe system)
Filling out manual air bill
Do you have Internet access?
yes
no
If so, what type of access do you have?
high speed
dialup
What is your number one challenge in managing an overnight program?
How much time do you or your employees spend tracking packages and dealing with issues related to your overnight
program?
How many times in the last 6 months did you discover late in the day, or days later, that a shipment did not make it to its destination?
How many claims did you have to present in the past 6 months?
How much time do you spend on the phone dealing with your carrier's customer service department?
What percentage of your shipments are...
*Express:
*Ground
Who is your primary carrier for...
*Express
*Ground
If you use any additional carriers for express, please list them here:
Do you have a regularly scheduled pickup?
yes
no
Which days?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time:
Have you changed your primary carrier in the last 12 months?
yes
no
If so, why?
Please rate the customer service and service performance of each carrier you have used in the past 12 months,
on a scale of 1 to 10, 10 being the best.
Carrier
Customer Service
Service Level
FedEx
N/A
1
2
3
4
5
6
7
8
9
10
N/A
1
2
3
4
5
6
7
8
9
10
DHL
N/A
1
2
3
4
5
6
7
8
9
10
N/A
1
2
3
4
5
6
7
8
9
10
UPS
N/A
1
2
3
4
5
6
7
8
9
10
N/A
1
2
3
4
5
6
7
8
9
10
BAX
N/A
1
2
3
4
5
6
7
8
9
10
N/A
1
2
3
4
5
6
7
8
9
10
3. Package Profile
Express Shipping
Air Cargo
*Typical # of Packages shipped per week
*Typical # of Packages shipped per month
*Average weight per Box:
*Type of product shipped:
Box sizes (list all in common use)
Insulation used
Molded Styrofoam
1"
1.5"
2
Panels/Inserts
Molded Styrofoam
1"
1.5"
2
Panels/Inserts
Product And Coolant Information
Percent fresh
Packed in:
Dry Ice
Gel Packs
Cryomat
Other:
Percent frozen
Packed in:
Dry Ice
Gel Packs
Cryomat
Other:
Percent fresh
Packed in:
Dry Ice
Gel Packs
Cryomat
Other:
Percent frozen
Packed in:
Dry Ice
Gel Packs
Cryomat
Other:
Average Shipping Expenses per Month
Under $5,000
$5,000-$20,000
$20,000-$50,000
Over $50,000
Under $5,000
$5,000-$20,000
$20,000-$50,000
Over $50,000
