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1. Please describe the problem you want to solve or improvement you want to achieve:

2. How would you define the scope of the problem? Please select all that apply:

Benefits I am seeking are:	Business Areas Impacted:	My Problem Is:	I Need Help With:
Value/Profit/Cost	Engineering	Process/Practice	Setting Strategy
Cycle Time	Manufacturing	People/Organization	Assessing
Quality	Distribution	Information Systems	Planning
Service	Other	Facilities/Capacity	Detailing Solutions
Response/Flexibility		Performance Measures	Implementing
		All of the above

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4. What is the best way to contact you in addition to e-mail?

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