The Koi Enthusiasts Survey

Please complete and submit the following questionnaire, so we can better serve you.

First name
Last name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail

Please keep me updated with Koi Bulletins, Pond & Feeding Tips, New Koi Shipments, Promotions, Annual Koi Showing, or Koi Buying Tours... 

Please check here .

How long (years) have you been a Koi enthusiast?
How many Koi do you own (approx.)?:
How many Koi larger than 10 inches?:
How many Koi have you purchased in the last year?:

What seasons do you purchase Koi?

Spring  
Summer  
Fall    
Winter
Do you show your Koi? Yes No
What type of food do you feed your fish?
Are you happy with your current food? Yes No
Are you interested in receiving Koi Feeding Tips? Yes No

Koi Magazines and newsletters to which you subscribe:
Koi clubs you belong to:

Koi shows that you have attended or plan to attend this year:


What size is your pond?

            Length:Width:Depth:Gallons:

        Construction:  

         Concrete/Gunnite Block Prefab Plastic Liner Other 

How many settlement chambers?  

        Total Gallons Brushes: Yes No

How many pumps?

            Quantity type Gallons/Hour Watts

How many filters?

           BioFilters:      Total Gallons Media

           trickle Bed:  Total Gallons Media

           Mechanical:  Total Gallons  

           Bubble Bead  Total Gallons

        Other:

Heating System?

        Direct Fired Heat Exchanger 

        Indirect Fired Heat Exchanger 

        Electrical Heater Other

Aeration:  

      Compressor/Airstones Eductor Waterfall

Mark, If Applicable:   

        SkimmerFoam SeparatorBottom Drains UV Lights Ozone

Any additional comments:

Thank you for your time!

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