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Feedback Form
Customer Name:
E-mail Address:
Telephone Number:
Vehicle Make:
Model:        
Year:
Km Reading:
 
1. What percentage ratio of Activ BD-you    initially use ? %
2. How long did you use the above blend ratio? days

3.  What did you observe to be the effects of using BioActiv for this initial period?

 
4. What effects (if any) did you observe in your vehicle’s emission? (smell, smoke, etc.)

5. What effects (if any) did you observe in your vehicle’s power?

6. What effects (if any) did you observe in your vehicle’s engine response?

 
7. Was there an improvement in your mileage? Yes       % increase
No % decrease

8. How did you get to know of BioActiv Diesel Enhancer?     

 

 friend’s recommendation     
media 
Chemrez Representative

9. Would you continue using BioActiv Diesel Enhancer?

 Yes/No

10. Please give us your general comments about BioActiv.

 
 
 
 

   
  Accredited by: DENR & Department of Energy    

 
 

   
 

In support of Fuels for Life Movement by USAID and USDOE

    
 

 

   

    

Certificate of Fuel Additive Registration
DOE CFAR #04-04-011 CME

    
 
 
 
     
       

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Copyright 2006 © Chemrez Inc.   

Last Modified: 10/19/2006