Feedback form according to Avishek Singal's requirement

Specification list for the Feedback form

To,
Chandan Kesharwani,

I am the owner of an electronic shop. I want you to create a feedback form for my customers. It should include the following points: 
    1. Name of product 
    2. Response of product 
    3. Will you like our product 
    4. Will you like to purchase our product in future 
    5. Would you like to get notification regarding discount/offer in future 
    6. Contact Details of the customers 
    7.Time limit should be within working hour(10 am to 6 pm) 8. Upload image (for system record) Image              can be uploaded by various way Source, alt Text, Link, Title Or it can be directly uploaded.

URL: http://avisheksingal.blogspot.in/2013/09/i-am-owner-of-electronic-shop.html

Feedback's forms link is given below-
http://kesarichandu67.blogspot.in/2013/09/feedback-form-according-to-avishek.html
User Mannual- 
Option 1. Name of the product,
2. Do you like our product
3. Do you want topurchase your product in future
4. do you like to get notification...
5. Gender
being filled by choosing options.
Response of product is a plain text box
Name, Email Add., Contact no. also a plain text box
verification code is a captcha.
the optins containing "*" are mendatory to be filled.

Specification for Hotel and Restorant services

SPECIFICATION REQUEST

Dear Vignesh Vetri Vel,

Please find the specifications for creating the form on zoho.

This is form meant for our hotel and restaurant services. The form should get the following datas

1)      Name

2)      Contact Number

3)      Feedback for

a.       Restaurants

b.      Rooms

4)      If chosen forrestaurants it should ask

a.       Table number

b.      Rating for menu available

c.       Rating for the quality of the food provided

5)      If chosen for room it should ask

a.       Room number

b.      Type of room

c.       Rating for

                                                               i.      Room cleanliness

                                                             ii.      Room Service

After completion and submitting the form the responder should get a thanking from the company which similar to an auto response

Initially there should be no options available than feedback for and then based on choosing the option it should display the corresponding feedback question.

form

zoho program's demo