Well INFORMATION QUESTIONNAIRE
Name of Oil Company	Click here to enter text.
Name of Field	Click here to enter text.
Location (Country, State or Province)	Click here to enter text.
Name of Lease (Block)	Click here to enter text.
Year of First Oil	Click here to enter text.
Field Type (Onshore or Offshore)	Click here to enter text.
Water Depth	Click here to enter text.
Platform, Name and Number	Click here to enter text.
Problem Well Number (s)	Click here to enter text.
Location Ambient Temperature Summer	Click here to enter text.
Location Ambient Temperature Winter	Click here to enter text.
Offshore Well Type (Dry Tree Well or Subsea)	Click here to enter text.
Type of Well (Flowing, Gas Lift, Power Fluid)	Click here to enter text.
Packer (Yes or No)	Click here to enter text.
Flood Type (Water, Steam, Gas, CO2, NGL or Other)	Click here to enter text.
Has Break through Occurred (Yes or No)	Click here to enter text.
Chemicals in Use	Click here to enter text.
Oil/Condensate Production (BOPD)	Click here to enter text.
Water Production (BWPD)	Click here to enter text.
Gas Production (MMSCFD)	Click here to enter text.
API Gravity of Crude	Click here to enter text.
Total Dissolved Solids in Water	Click here to enter text.

downhole information
Number of Producing Zones	Click here to enter text.
Formation Name(s)	Click here to enter text.
Type of Formation(s) (Sand, Limestone, Dolomite, Other)	Click here to enter text.
Porosity of each formation	Click here to enter text.
Permeability of each formation	Click here to enter text.
Type Completion (Perforated; Open Hole; Slotted Liner)	Click here to enter text.
Producing Interval 1 (From:To)	Click here to enter text.
Producing Intervals 2 (From:To)	Click here to enter text.
Producing Interval 3 (From:To)	Click here to enter text.
Producing Interval 4 (From:To)	Click here to enter text.
Producing Interval 5 (From:To)	Click here to enter text.
Has Well been Fractured (Yes or No )	Choose an item.
Acid Frac (Yes or No)	Choose an item.
Frac Size	Click here to enter text.
Are Wells Acidized (Yes or No)	Choose an item.
Frequency of Acid Treatment	Click here to enter text.
Bottomhole Shut-in Pressure	Click here to enter text.
Formation Temperature	Click here to enter text.
Total Well Depth	Click here to enter text.
Shut-in Casing Fluid Level	Click here to enter text.
Producing Casing Fluid Level	Click here to enter text.
Gas Lift Valve Depth	Click here to enter text.
Gas Lift Gas Injected per Day	Click here to enter text.
Tubing Size Outside Diameter	Click here to enter text.
Tubing Size Inside Diameter	Click here to enter text.
Casing Size Inside Diameter	Click here to enter text.
Chemical Injection Capillary Available. Yes or No	Choose an item.
Chemical Injected Down Casing Continuously. Yes or No	Choose an item.

wellhead information
Wellhead Fluid Temperature	Click here to enter text.
Shut-in Wellhead Tubing Pressure	Click here to enter text.
Shut-in Wellhead Casing Pressure	Click here to enter text.
Choke Present (Yes or No)	Choose an item.
Choke Setting	Click here to enter text.
Pressure Upstream of choke	Click here to enter text.
Pressure Downstream of choke	Click here to enter text.

COMPLETION DRAWINGS
Insert drawing and completion status
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Description of Problem Experienced
Number of Producing Zones	Click here to enter text.
Brief Description of Problem	Click here to enter text.
Current Methodology	Click here to enter text.
Alternative to Investigate	Click here to enter text.
Comments / Pictures
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