{"id":6183,"date":"2021-04-17T13:32:56","date_gmt":"2021-04-17T09:02:56","guid":{"rendered":"https:\/\/asamedlab.com\/?page_id=6183"},"modified":"2023-07-17T11:57:29","modified_gmt":"2023-07-17T08:27:29","slug":"customer-satisfaction-form","status":"publish","type":"page","link":"https:\/\/asamedlab.com\/?page_id=6183&lang=en","title":{"rendered":"Customer Satisfaction Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6183\" class=\"elementor elementor-6183 elementor-5681\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1a2dda1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1a2dda1\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-52504bd\" data-id=\"52504bd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0eb6efa elementor-widget elementor-widget-heading\" data-id=\"0eb6efa\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.14.0 - 26-06-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Customer Satisfaction Form<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4141e83 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4141e83\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-544dbb0\" data-id=\"544dbb0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1618300 elementor-widget elementor-widget-shortcode\" data-id=\"1618300\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_11' ><form method='post' enctype='multipart\/form-data'  id='gform_11'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F6183'>\n                        <div class='gform_heading'>\n                            <span class='gform_description'><\/span>\n                        <\/div>\n                        <div class='gform_body'><ul id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below'><li id='field_11_77'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_77' >Invoice number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_11_77' type='text' value='' class='medium'    placeholder='12345' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_11_73'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_73' >Customer \/ company profile<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_11_73' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_11_76'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_76' >Form for completing the form<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_11_76' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_11_74'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_74' >Mobile Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_74' id='input_11_74' type='text' value='' class='medium'  placeholder='0912-1111111' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_11_75'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_75' >Tellphone Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_75' id='input_11_75' type='text' value='' class='medium'  placeholder='021-22222222' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_11_22'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Quality of services provided<\/h2><\/li><li id='field_11_13'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_13' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_11_13' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_13'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_19'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_19' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_11_19' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_19'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_21'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>The degree of compliance of services with your needs<\/h2><\/li><li id='field_11_17'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_17' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_11_17' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_17'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_20'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_20' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_11_20' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_20'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_23'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Reliability of received services<\/h2><\/li><li id='field_11_24'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_24' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_11_24' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_24'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_25'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_25' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_11_25' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_25'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_26'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Proportion of services received in relation to the price paid<\/h2><\/li><li id='field_11_27'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_27' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_11_27' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_27'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_28'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_28' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_28' id='input_11_28' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_28'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_29'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>The appropriateness of the existing process for our settlement<\/h2><\/li><li id='field_11_30'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_30' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_30' id='input_11_30' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_30'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_31'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_31' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_11_31' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_31'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_32'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>How to receive the order<\/h2><\/li><li id='field_11_33'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_33' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_33' id='input_11_33' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_33'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_34'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_34' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_34' id='input_11_34' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_34'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_35'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Order handling speed<\/h2><\/li><li id='field_11_36'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_36' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_36' id='input_11_36' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_36'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_37'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_37' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_11_37' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_37'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_38'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>How to deliver<\/h2><\/li><li id='field_11_39'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_39' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_39' id='input_11_39' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_39'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_40'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_40' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_40' id='input_11_40' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_40'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_41'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>How experts and laboratory officials interact and interact<\/h2><\/li><li id='field_11_42'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_42' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_42' id='input_11_42' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_42'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_43'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_43' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_43' id='input_11_43' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_43'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_44'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Access to relevant laboratory officials in person<\/h2><\/li><li id='field_11_46'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_46' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_46' id='input_11_46' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_46'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_47'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_47' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_47' id='input_11_47' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_47'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_48'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Responsibility for problem solving<\/h2><\/li><li id='field_11_50'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_50' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_50' id='input_11_50' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_50'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_51'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_51' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_51' id='input_11_51' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_51'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_49'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Effectiveness of actions taken regarding complaints<\/h2><\/li><li id='field_11_52'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_52' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_52' id='input_11_52' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_52'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_53'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_53' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_53' id='input_11_53' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_53'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_54'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Speed of responding to complaints<\/h2><\/li><li id='field_11_55'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_55' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_55' id='input_11_55' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_55'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_56'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_56' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_56' id='input_11_56' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_56'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_57'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Appropriateness of the information process regarding the handling of complaints<\/h2><\/li><li id='field_11_59'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_59' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_59' id='input_11_59' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_59'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_60'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_60' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_60' id='input_11_60' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_60'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_61'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Satisfaction with the services provided (in general)<\/h2><\/li><li id='field_11_62'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_62' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_62' id='input_11_62' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_62'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_64'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_64' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_64' id='input_11_64' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_64'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_65'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Willingness to receive re-services from laboratories<\/h2><\/li><li id='field_11_66'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_66' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_66' id='input_11_66' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_66'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_67'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_67' >Level of importance<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_67' id='input_11_67' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_67'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_68'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Willingness to recommend labs to others<\/h2><\/li><li id='field_11_69'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_11_69' >Score<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_69' id='input_11_69' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_69'>Please enter a number between 1 (very poor) and 5 (very good).<\/div><\/li><li id='field_11_70'  class='gfield gf_left_half 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