QUESTIONNAIRE No. ________________
(to be filled in by WINTERTHUR)

	Company:	*
	Address:
	City, State, Zip:
	Contact:	*
	Phone #:
	Fax #:

For best possible wheel recommendation, this frame should be filled in or boxes ticked

	Perfomance of wheel in use satisfactory ?:
	yes
	no: » please tick boxes below
	too coarse	too fine
	too hard	too soft
	loading	loss of form
	chatter	burn
	other:

	Manufacturer			Dimension D	T	H
	Type			x	x
	Specification
	Manuf. No.

	Max. wheel speed:	m/s
	Wheel requirement: approx.	pieces per year

	Grinding Operation:	rough grinding	finish grinding
	surface	oscillating
		profile grinding
		creep feed
	external cylindrical	traverse grinding
		plunge grinding
		angle plunge
	internal cylindrical	traverse grinding
		plunge grinding
		jig grinding
	centerless	through feed
		plunge grinding
		profile grinding

	Coolant
	dry grinding
	wet grinding		coolant name/type
	pure oil		soluble oil %
			synthetic %

Material Specification:

	State of Material:
	soft
	hard >>		HRc:	Hb:	Other:
	Surface:
	RMS:		Ra: µinch	Rz: µm	Other:
	Workpiece:
	Dia:		Thick:	Hole:	Drawing ? yes no
	Material Removal Rate:
	inch/side		inch/diameter	Tightest Radius/profile to hold:

	Dressing diamond:
	single point
	multi-point
	rotary dressing
	fliesen tool
	roll
	In-feed:
	Cross-Feed:

Additional Information     Machine Make: Model #:   spindle drive power: kw: HP:         Wheel spindel:   RPM       or Wheel peripheral speed: m/s   Table speed:   inches/min.         or Wheel peripheral speed: mm/min.   Infeed:     inches/rev       or Wheel peripheral speed: inches/pass   Workpiece:     RPM

Print & Fax Manually to:
+41 (0)52 233 33 70 for all customers all over the world
(508) 798-2732 for US Customers only
(Please remember to include any drawings & critical Specs.)