001.
<?php
002.
003.
004.
005.
session_start();
006.
error_reporting
(~E_NOTICE);
007.
$_SESSION
[
'value'
] =
$_REQUEST
[
'value'
];
008.
$date
=
date
(
"Y-m-d"
);
009.
date_default_timezone_set(
"Asia/bangkok"
);
010.
011.
012.
013.
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015.
016.
017.
018.
019.
020.
?>
021.
022.
023.
024.
<!DOCTYPE html>
025.
<html>
026.
<head>
027.
<title></title>
028.
</head>
033.
034.
035.
036.
037.
038.
<center>
039.
<body>
040.
041.
042.
043.
044.
<script language=
"javascript"
>
045.
function
fncSubmit()
046.
{
047.
048.
049.
if
(document.form_1.no_8.value ==
""
)
050.
{
051.
alert(
'Please input Input 1'
);
052.
document.form_1.no_8.focus();
053.
return
false;
054.
}
055.
if
(document.form_1.no_9.value ==
""
)
056.
{
057.
alert(
'Please input Input 2'
);
058.
document.form_1.no_9.focus();
059.
return
false;
060.
}
061.
document.form_1.submit();
062.
}
063.
064.
</script>
065.
066.
067.
068.
<div
class
=
"container"
>
069.
<div
class
=
"row"
>
070.
<div
class
=
"col-xs-12 col-sm-6 col-md-2"
></div>
071.
<div
class
=
"col-xs-12 col-sm-6 col-md-8"
>
072.
073.
074.
075.
<div
class
=
"card text-center"
>
076.
077.
<div
class
=
"card-header"
>
078.
<h4>Form content</h4>
079.
<ul
class
=
"nav nav-tabs card-header-tabs"
>
080.
<li
class
=
"nav-item"
>
081.
082.
</li>
083.
</ul>
084.
</div>
085.
086.
<br>
087.
<form action=
"insert.php"
method=
"post"
class
=
"form-horizontal"
name=
"form_1"
>
088.
089.
090.
091.
<div
class
=
"container"
>
092.
093.
<label >1. ความสะดวกในการเดินทางมาศูนย์บริการ</label><br>
094.
<div
class
=
"form-check form-check-inline"
>
095.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_1"
value=
"1"
id=
"no1"
>
096.
<label
class
=
"form-check-label"
>1</label>
097.
</div>
098.
099.
100.
<div
class
=
"form-check form-check-inline"
>
101.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_1"
value=
"2"
id=
"no2"
>
102.
<label
class
=
"form-check-label"
>2</label>
103.
</div>
104.
105.
106.
<div
class
=
"form-check form-check-inline"
>
107.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_1"
value=
"3"
id=
"no3"
>
108.
<label
class
=
"form-check-label"
>3</label>
109.
</div>
110.
111.
112.
<div
class
=
"form-check form-check-inline"
>
113.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_1"
value=
"4"
id=
"no4"
>
114.
<label
class
=
"form-check-label"
>4</label>
115.
</div>
116.
117.
118.
<div
class
=
"form-check form-check-inline"
>
119.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_1"
value=
"5"
id=
"no5"
>
120.
<label
class
=
"form-check-label"
>5</label>
121.
</div>
122.
</div>
123.
124.
125.
<br>
126.
<div
class
=
"container"
>
127.
128.
<label >2. ความชัดเจนของจุดให้บริการ เช่น ช่องการชำระเงิน งานติดตั้ง</label><br>
129.
<div
class
=
"form-check form-check-inline"
>
130.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_2"
value=
"1"
id=
"no6"
>
131.
<label
class
=
"form-check-label"
>1</label>
132.
</div>
133.
134.
135.
<div
class
=
"form-check form-check-inline"
>
136.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_2"
value=
"2"
id=
"no7"
>
137.
<label
class
=
"form-check-label"
>2</label>
138.
</div>
139.
140.
141.
<div
class
=
"form-check form-check-inline"
>
142.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_2"
value=
"3"
id=
"no8"
>
143.
<label
class
=
"form-check-label"
>3</label>
144.
</div>
145.
146.
147.
<div
class
=
"form-check form-check-inline"
>
148.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_2"
value=
"4"
id=
"no9"
>
149.
<label
class
=
"form-check-label"
>4</label>
150.
</div>
151.
152.
153.
<div
class
=
"form-check form-check-inline"
>
154.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_2"
value=
"5"
id=
"no10"
>
155.
<label
class
=
"form-check-label"
>5</label>
156.
</div>
157.
</div>
158.
159.
<br>
160.
<div
class
=
"container"
>
161.
162.
<label >3. เจ้าหน้าที่เอาใจใส่ กระตือรือร้น และพร้อมที่จะให้บริการทำงาน</label><br>
163.
<div
class
=
"form-check form-check-inline"
>
164.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_3"
value=
"1"
id=
"no11"
>
165.
<label
class
=
"form-check-label"
>1</label>
166.
</div>
167.
168.
169.
<div
class
=
"form-check form-check-inline"
>
170.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_3"
value=
"2"
id=
"no12"
>
171.
<label
class
=
"form-check-label"
>2</label>
172.
</div>
173.
174.
175.
<div
class
=
"form-check form-check-inline"
>
176.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_3"
value=
"3"
id=
"no13"
>
177.
<label
class
=
"form-check-label"
>3</label>
178.
</div>
179.
180.
181.
<div
class
=
"form-check form-check-inline"
>
182.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_3"
value=
"4"
id=
"no14"
>
183.
<label
class
=
"form-check-label"
>4</label>
184.
</div>
185.
186.
187.
<div
class
=
"form-check form-check-inline"
>
188.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_3"
value=
"5"
id=
"no15"
>
189.
<label
class
=
"form-check-label"
>5</label>
190.
</div>
191.
</div>
192.
193.
<br>
194.
<div
class
=
"container"
>
195.
<label >4. ความรวดเร็วในการได้รับบริการจนแล้วเสร็จ</label><br>
196.
<div
class
=
"form-check form-check-inline"
>
197.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_4"
value=
"1"
id=
"no16"
>
198.
<label
class
=
"form-check-label"
>1</label>
199.
</div>
200.
201.
202.
<div
class
=
"form-check form-check-inline"
>
203.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_4"
value=
"2"
id=
"no17"
>
204.
<label
class
=
"form-check-label"
>2</label>
205.
</div>
206.
207.
208.
<div
class
=
"form-check form-check-inline"
>
209.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_4"
value=
"3"
id=
"no18"
>
210.
<label
class
=
"form-check-label"
>3</label>
211.
</div>
212.
213.
214.
<div
class
=
"form-check form-check-inline"
>
215.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_4"
value=
"4"
id=
"no19"
>
216.
<label
class
=
"form-check-label"
>4</label>
217.
</div>
218.
219.
220.
<div
class
=
"form-check form-check-inline"
>
221.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_4"
value=
"5"
id=
"no20"
>
222.
<label
class
=
"form-check-label"
>5</label>
223.
</div>
224.
</div>
225.
226.
<br>
227.
<div
class
=
"container"
>
228.
<label >5. ความเพียงพอของสิ่งอำนวยความสะดวก เช่น ที่นั่ง น้ำดื่ม</label><br>
229.
<div
class
=
"form-check form-check-inline"
>
230.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_5"
value=
"1"
id=
"no21"
>
231.
<label
class
=
"form-check-label"
>1</label>
232.
</div>
233.
234.
235.
<div
class
=
"form-check form-check-inline"
>
236.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_5"
value=
"2"
id=
"no22"
>
237.
<label
class
=
"form-check-label"
>2</label>
238.
</div>
239.
240.
241.
<div
class
=
"form-check form-check-inline"
>
242.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_5"
value=
"3"
id=
"no23"
>
243.
<label
class
=
"form-check-label"
>3</label>
244.
</div>
245.
246.
247.
<div
class
=
"form-check form-check-inline"
>
248.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_5"
value=
"4"
id=
"no24"
>
249.
<label
class
=
"form-check-label"
>4</label>
250.
</div>
251.
252.
253.
<div
class
=
"form-check form-check-inline"
>
254.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_5"
value=
"5"
id=
"no25"
>
255.
<label
class
=
"form-check-label"
>5</label>
256.
</div>
257.
</div>
258.
259.
260.
<br>
261.
<div
class
=
"container"
>
262.
<label >6. ข้อมูลข่าวสารเกี่ยวกับการให้บริการต่างๆ</label><br>
263.
<div
class
=
"form-check form-check-inline"
>
264.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_6"
value=
"1"
id=
"no26"
>
265.
<label
class
=
"form-check-label"
>1</label>
266.
</div>
267.
268.
269.
<div
class
=
"form-check form-check-inline"
>
270.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_6"
value=
"2"
id=
"no27"
>
271.
<label
class
=
"form-check-label"
>2</label>
272.
</div>
273.
274.
275.
<div
class
=
"form-check form-check-inline"
>
276.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_6"
value=
"3"
id=
"no28"
>
277.
<label
class
=
"form-check-label"
>3</label>
278.
</div>
279.
280.
281.
<div
class
=
"form-check form-check-inline"
>
282.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_6"
value=
"4"
id=
"no29"
>
283.
<label
class
=
"form-check-label"
>4</label>
284.
</div>
285.
286.
287.
<div
class
=
"form-check form-check-inline"
>
288.
<input
class
=
"form-check-input"
type=
"radio"
name=
"no_6"
value=
"5"
id=
"no30"
>
289.
<label
class
=
"form-check-label"
>5</label>
290.
</div>
291.
</div>
292.
293.
<br>
294.
<div
class
=
"container"
>
295.
<div
class
=
"row"
></div>
296.
<div
class
=
"col-md-2"
></div>
297.
<div
class
=
"col-md-12"
>
298.
299.
<label >7. ท่านสะดวกใช้บริการ ทีโอที ณ สถานที่ใดบ้าง(สามารถเลือกได้มากกว่า 1 ข้อ )</label><br>
300.
<div
class
=
"form-check"
>
301.
<input
class
=
"form-check-input"
type=
"checkbox"
name=
"no_7[]"
value=
"ศูนย์บริการลูกค้า (จันทร์-ศุกร์ เวลา 8.00-17.00 น.)"
>
302.
<label
class
=
"form-check-label"
>ศูนย์บริการลูกค้า (จันทร์-ศุกร์ เวลา 8.00-17.00 น.)</label>
303.
<br>
304.
<input type=
"checkbox"
name=
"no_7[]"
value=
"ศูนย์บริการลูกค้า ที่ตั้งอยู่ในห้างสรรพสินค้า (ตามเวลาของห้าง)"
>
305.
<label
class
=
"form-check-label"
>ศูนย์บริการลูกค้า ที่ตั้งอยู่ในห้างสรรพสินค้า (ตามเวลาของห้าง)</label>
306.
<br>
307.
<input
class
=
"form-check-input"
type=
"checkbox"
name=
"no_7[]"
value=
"แอพพลิเคชั่น TOT Easy Life(24.ชั่วโมง)"
>
308.
<label
class
=
"form-check-label"
>แอพพลิเคชั่น TOT Easy Life(24.ชั่วโมง)</label>
309.
<br>
310.
<input
class
=
"form-check-input"
type=
"checkbox"
name=
"no_7[]"
value=
"อื่นๆ"
>
311.
<label
class
=
"form-check-label"
>อื่นๆ</label>
312.
</div>
313.
314.
<br>
315.
<div
class
=
"container"
>
316.
<div
class
=
"form-group"
>
317.
<div
class
=
"row"
>
318.
<label >8. ท่านต้องการได้รับข้อมูลข่าวสารเกี่ยวกับการใช้บริการผ่านทางช่องทางใดเพิ่มเติม</label>
319.
<input type=
"text"
class
=
"form-control"
name=
"no_8"
placeholder=
"คำตอบของคุณ"
>
320.
321.
</div>
322.
</div>
323.
324.
</div>
325.
326.
<br>
327.
<div
class
=
"container"
>
328.
<div
class
=
"form-group"
>
329.
<div
class
=
"row"
>
330.
<label >9. ท่านมีความคิดเห็นว่า ศูนย์บริการควรปรับปรุงในเรื่องใดอีกบ้าง เช่น เพิ่มเติมงานบริการอื่นๆ ความยาก-ง่ายในการเข้าถึงจุดบริการ สิ่งอำนวยความสะดวกต่างๆ
331.
</label>
332.
<input type=
"text"
class
=
"form-control"
name=
"no_9"
placeholder=
"คำตอบของคุณ"
>
333.
334.
</div>
335.
</div>
336.
337.
</div>
338.
339.
340.
341.
342.
343.
344.
345.
346.
347.
348.
349.
350.
351.
352.
353.
<div
class
=
"card-body"
>
354.
355.
356.
<input type=
""
name=
"date_db"
value=
"<?=$date;?>"
>
357.
<input type=
""
name=
""
value=
"<?=$_SESSION['value'];?>"
>
358.
<input name=
"submit"
type=
"submit"
value=
"submit"
>
359.
360.
361.
362.
</div>
363.
</div>
364.
365.
366.
367.
368.
369.
370.
371.
372.
373.
374.
</form>
375.
</div>
376.
</div>
377.
</div>
378.
379.
380.
381.
</body>
382.
</center>
383.
384.
385.
</html>