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    5 views4 pages

    Web Development

    Uploaded by

    MicahDelaCruzCuatrona

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    Tud, Ruby Ann R. Assignment in Web Development.

    DICT 2-5

    Section 1
    (Codes)

    <!DOCTYPE html>
    <html>
    <head><title>FORMS</title></head>
    <body>
    <h2 text align="center"> CUSTOMER SATISFACTION FORM </h2>
    <form action="process.html" method="post">
    1.) Why did you contact customer services?<br>
    <textarea name="tellus" rows="8" cols="80" align="center"></textarea><br>

    2.) What method did you use to contact customer services?<br>


    <input type="radio" name="radio1">Telephone
    <input type="radio" name="radio1">Mail
    <input type="radio" name="radio1">E-mail
    <input type="radio" name="radio1">Fox
    <input type="radio" name="radio1">Other</form>
    <input name="" type="" ><br>
    </br>

    3.) How satisfied are you with the time it look custoner service
    to answer your question or resolve your issue?<br>
    <input type="radio" name="radio1">Very Dissatisfied
    <input type="radio" name="radio1">Dissatisfied
    <input type="radio" name="radio1">Undecided
    <input type="radio" name="radio1">Satisfied
    <input type="radio" name="radio1">Very Satisfied<br>
    </br>

    <h3> Please tell us how much you agree or disagree with the following statement.</h3>
    4.) The customer service representative was knowledgeable and easy to
    understand.<br>
    <input type="radio" name="radio1">Strongly Disagree
    <input type="radio" name="radio1">Disagree
    <input type="radio" name="radio1">Undecided
    <input type="radio" name="radio1">Agree
    <input type="radio" name="radio1">Strongly Agree<br>
    </br>

    5.) The customer service representative was able to handle my problem quickly and to
    my satisfaction.<br>
    <input type="radio" name="radio1">Strongly Disagree
    <input type="radio" name="radio1">Disagree
    <input type="radio" name="radio1">Undecided
    <input type="radio" name="radio1">Agree
    <input type="radio" name="radio1">Strongly Agree<br>
    </br>

    6.) I was treated respect by the customer representative.<br>


    <input type="radio" name="radio1">Strongly Disagree
    <input type="radio" name="radio1">Disagree
    <input type="radio" name="radio1">Undecided
    <input type="radio" name="radio1">Agree
    <input type="radio" name="radio1">Strongly Agree<br>
    </br>

    7.) The customer representative was corteous and professional.<br>


    <input type="radio" name="radio1">Strongly Disagree
    <input type="radio" name="radio1">Disagree
    <input type="radio" name="radio1">Undecided
    <input type="radio" name="radio1">Agree
    <input type="radio" name="radio1">Strongly Agree<br>
    </br>

    &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp
    &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp
    &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp <input type="Submit"
    value="SUBMIT">

    <input type="Reset" value="RESET">

    </body>
    </html>
    Forms

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