Well Qualification Form

Thank you for your interest in Zen Earth’s Enhanced Oil Recovery (EOR) Products. To help us assess your EOR needs, please complete the following form and a Zen Earth representative will contact you soon!
Please note: If you have more than one well with the same information, detail the number in the note section below. If the information is different, please complete a separate form so that we can properly assess your EOR needs for each well’s unique history.

Contact Information*

Well Completion Type:

Well Trajectory Type:

Stimulation History:

Well Depth:

Production Type:

Production System Type:

Well Completion Details:

Production Phase:

Water Flood:

Formation Lithology:

Initial Completion Design:

Isolation Method:

Perforation Details (If Applicable):

Zonal Configuration:

Additional Details