ROEBIC Laboratory's Free Restaurant & Food Service Facility Survey

Please fill out this survey as complete as possible and submit. Also print a copy of your completed survey for your reference. One of Roebic's Professional Consultants will contact you via e-mail or phone to provide you with a Custom Grease & Drain Treatment Program designed exclusively for your establishment.

* Required

Facility Information


Problem Experienced

Odor      Grease Buildup      Both






Yes      No




Yes      No



A Roebic Consultant may call you to obtain more information for proper assistance.