Pedido
*
Tipo Pedido
*
Congelado
Refrigerado
Seco
Number
Cantidad Cajones
*
Cajon 1
*
Type a question
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Type a question
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Type a question
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Service Quality
Cleanliness
Responsiveness
Friendliness
1
2
3
4
*
Type a question
Type option 1
Type option 2
Type option 3
Type option 4
Type a question
1
2
3
4
1 is , 4 is
1
2
3
4
Cajon 3
*
1
2
3
4
Cajon 4
*
1
2
3
4
Cajon 5
*
1
2
3
4
Cajon 6
*
1
2
3
4
Cajon 7
*
1
2
3
4
Cajon 8
*
1
2
3
4
Cajon 9
*
1
2
3
4
Cajon 10
*
1
2
3
4
Cajon 11
*
1
2
3
4
Cajon 12
*
1
2
3
4
Cajon 13
*
1
2
3
4
Cajon 14
*
1
2
3
4
Cajon 15
*
1
2
3
4
Enviar
Should be Empty: