ANSWER CHOICE
Single Choice

How old are you?

  • Under 18 year old
  • 19 – 25 year old
  • 26 – 40 year old
  • Over 40 year old

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Checkboxes

What do you do in your free time?

  • Study
  • Playing games
  • Listen music
  • Cooking

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Dropdown

Where do you live?

...
  • HaNoi
  • HCM City
  • Danang
  • Can Tho
  • Hai Phong
  • Nghe An
  • Dong Nai
  • Binh Duong
  • An Giang

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Spon Dropdown

Referring to the financial - banking industry, which banks do you know?

SHB|
  • HSBC
  • Standard Chartered
  • ANZ
  • City Bank

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RATING
Star Rating (Full)

Please rate your satisfaction with our service

:

Star Rating (Half)

Please rate your satisfaction with our service

:

Emoji

Are you satisfied with our service?

:

Score

Are you satisfied with our service?

Comment

:

Slider Scale

How would you rate our restaurant?

Decor:

Food:

Service:

:

Thumbs Up / Down

What do you think of Volvo?

:

ORDERING
Rank

Please rank (1-6) Football Club in order of interest

Bayern Munich 1
Barcelona 2
Barcelona 3
Manchester City 4
Liverpool 5
Arsenal 6
Chelsea 7

:

Drag & Drop

Let choose 3 activities that you enjoy the most

  • Skiing
  • Bikking
  • Climbing
  • Racing
  • Swimming
  • Sailing

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Constant Sum

Please allocate 100 points on how you spend your income:

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TEXT
Textbox

What are you not satisfied with in our restaurant?

Comment

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Date

What is your date of birth?

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Number

How many years of experience do you have in your field?

:

Contact Information

Your contact nformation

:

IMAGE
Select One Image

Your contact nformation

:

Select Many Image

What kind of cars do you like?

:

Select Many Image

Please rate the package design

  • Option 1
  • Option 2
  • Option 3
  • Option 4

:

a
Image Upload

Please capture and upload a photo of your car?

Upload

:

Image Upload With Title

Please capture and upload a photo of your car?

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MATRIX
Matrix Radio

How satisfied are you with the following?

Very dissatisfied Not satisfied Neutral Satisfied Very satisfied
Website
App
Hotline
Fanpage

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Matrix Checkbox

Which of the following bank products are you using?

HSBC ANZ Citibank ICBC Bank of America
Debit Card
E-Banking
Loans
Saving
Investment

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Matrix Text

Please rate and evaluate the following factors of our car after test driving

Score (1-5) COMMENT (Good Points or Point to Improved)
Design 5 Good
Acceleration 1 1
Performance 5 5
Brake Feeling 2 2
Operation 3 3
Performance 4 4

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SPECIAL
Heatmap

What do you love about the interior of this car?

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Location

What do you love about the interior of this car?

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Text Highlighter

Please highlight specific text to share feedback. You can share your suggestions through comments

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Net Promoter Score

How likely is it that you would recommend this brand to a friend or colleague?

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$34

$25

$75