Form
Name
First Name
Last Name
Select who is filling
Employee
Admin
Employee Table
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Service Quality
Cleanliness
Responsiveness
Friendliness
Admin Table
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Service Quality
Cleanliness
Responsiveness
Friendliness
Select an option
Option 1
Option 2
Option 3
Number
Email
example@example.com
Appointment
Print
Submit
Should be Empty: