Form Fill | Prime Laravel Form Builder

user name *

email *

Did our product or service meet your expectations?

yes

no

The customer service representative handled my call quickly *

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Out of the following list of attributes, which do you feel the customer service employee possessed? Please select all that apply *

Patience

Enthusiasm

Knowledagable

Friendliness

Responsive

Understanding

Other

Knowledge of the product *

Poor

Fair

Good

Very Good

Excellent

N/A

Any questions or comments: *

Star Rating