Customer Feedback Form
Dear Valued Customer, We request your valued feedback to improve our services towards your total satisfaction.
Organization Name*
{!! Form::hidden("is_mandatory_fields[18]", "company_name") !!}
Date*
{!! Form::text('feedback_date',"",['class'=>'dw-input-box date-feedback','id'=>'js-date-feedback','placeholder'=>'Enter date','readonly'=>true]) !!}
{!! Form::hidden("is_mandatory_fields[17]", "feedback_date") !!}
Organization Address*
{!! Form::hidden("is_mandatory_fields[16]", "company_address") !!}
Feedback Period
April 2026 - March 2027 April 2025 - March 2026
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{!! Form::hidden("is_mandatory_fields[15]", "feedback-period") !!}
{!! Form::hidden('feedback_period_value','',['id'=>'feedback_period_value']) !!}--}}
List of Services Availed*
Proctored Assessments
Coding
Psychometric
Speech Proficiency
LMS
ATS
Employability Assessment
Content Service
{!! Form::hidden('service_name_availed','',['id'=>'service_name_availed']) !!}
{!! Form::hidden("is_mandatory_fields[14]", "service_name_availed") !!}
Please tick your perception on the following aspects of our service*
Please tell us what we should change in order to meet your expectations*
{!! Form::hidden("is_mandatory_fields[7]", "service-expectation-textarea") !!}
Please tell us what we should change in order to meet your expectations*
{!! Form::hidden("is_mandatory_fields[5]", "security-expectation-textarea") !!}
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Full Name(Customer Signature)*
{!! Form::hidden("is_mandatory_fields[4]", "customer_signature") !!}
Designation*
{!! Form::hidden("is_mandatory_fields[3]", "customer_designation") !!}
Date
{!! Form::hidden("is_mandatory_fields[2]", "feedback-date-footer") !!}
Captcha*
{!! NoCaptcha::renderJs() !!}
{!! NoCaptcha::display() !!}
{{--
{!! Form::hidden("is_mandatory_fields[1]", "termCheck_mandate") !!}
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