document.writeln('<table width=\"100%\" border=\"0\" cellspacing=\"2\" cellpadding=\"1\" class=\"Ab_text\">')
document.writeln('<form name=\"myform\" action=\"/plus/form.asp?action=Save&id=3\" method=\"post\"> ')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Which product did you buy from us：</td>')
document.writeln('  <td><input type=\"checkbox\" name=\"KS_Product2\" value=\"AFT300 Electrolytes analyzer\">AFT300 Electrolytes analyzer<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"AFT500 Electrolytes analyzer\">AFT500 Electrolytes analyzer<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"AFT300 AU Electrolytes analyzer\">AFT300 AU Electrolytes analyzer<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"AFT500 AU Electrolytes analyzer\">AFT500 AU Electrolytes analyzer<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"BG10 Blood Gas analyzer\">BG10 Blood Gas analyzer<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"BG20 Blood Gas Electrolytes analyzer\">BG20 Blood Gas Electrolytes analyzer<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"BG30 Blood Gas Electrolytes analyzer\">BG30 Blood Gas Electrolytes analyzer<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"AFT600 Electrolytes/TCO2 Analyzer\">AFT600 Electrolytes/TCO2 Analyzer<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"TCO2 Analyzer\">TCO2 Analyzer<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"KL800 Semi-auto Chemistry Analyzer\">KL800 Semi-auto Chemistry Analyzer<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"KL830 Auto Chemistry Analyzer\">KL830 Auto Chemistry Analyzer<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"KL210/220/240 Coagulation Analyzer\">KL210/220/240 Coagulation Analyzer<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"BioSig 8000 Patient Monitor\">BioSig 8000 Patient Monitor<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"BioSig 9000 Patient Monitor\">BioSig 9000 Patient Monitor<br>')
document.writeln('    <input type=\"checkbox\" name=\"KS_Product2\" value=\"Else products\">Else products<font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Remark：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:300\" name=\"KS_Say01\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Are you satisfied with quality of our products?：</td>')
document.writeln('  <td><input type=\"radio\" name=\"KS_Support\" value=\"Very pleasant\">Very pleasant<br><input type=\"radio\" name=\"KS_Support\" value=\"Somewhat pleasant\">Somewhat pleasant<br><input type=\"radio\" name=\"KS_Support\" value=\"Neither pleasant\">Neither pleasant<br><input type=\"radio\" name=\"KS_Support\" value=\"nor unpleasant\">nor unpleasant<br><input type=\"radio\" name=\"KS_Support\" value=\"Somewhat unpleasant \">Somewhat unpleasant <br><input type=\"radio\" name=\"KS_Support\" value=\"Very unpleasant\">Very unpleasant<br><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Remark：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:300\" name=\"KS_Say02\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Are you satisfied with our training：</td>')
document.writeln('  <td><input type=\"radio\" name=\"KS_Installation\" value=\"Very pleasant\">Very pleasant<br><input type=\"radio\" name=\"KS_Installation\" value=\"Somewhat pleasant\">Somewhat pleasant<br><input type=\"radio\" name=\"KS_Installation\" value=\"Neither pleasant\">Neither pleasant<br><input type=\"radio\" name=\"KS_Installation\" value=\"nor unpleasant\">nor unpleasant<br><input type=\"radio\" name=\"KS_Installation\" value=\"Somewhat unpleasant\">Somewhat unpleasant<br><input type=\"radio\" name=\"KS_Installation\" value=\"Very unpleasant\">Very unpleasant<br><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Remark：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:300\" name=\"KS_Say03\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Are you satisfied with our after sales service：</td>')
document.writeln('  <td><input type=\"radio\" name=\"KS_Service\" value=\"Very pleasant\">Very pleasant<br><input type=\"radio\" name=\"KS_Service\" value=\"Somewhat pleasant\">Somewhat pleasant<br><input type=\"radio\" name=\"KS_Service\" value=\"Neither pleasant\">Neither pleasant<br><input type=\"radio\" name=\"KS_Service\" value=\"nor unpleasant\">nor unpleasant<br><input type=\"radio\" name=\"KS_Service\" value=\"Somewhat unpleasant\">Somewhat unpleasant<br><input type=\"radio\" name=\"KS_Service\" value=\"Very unpleasant\">Very unpleasant<br><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Remark：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:300\" name=\"KS_Say04\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Remark：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:300\" name=\"KS_Say05\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Advice：</td>')
document.writeln('  <td><textarea style=\"width:300px;height:100px\" rows=\"5\" name=\"KS_Suggest1\"></textarea>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Your Name：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:200\" name=\"KS_Name2\" value=\"\"><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Company：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:200\" name=\"KS_Company2\" value=\"\"><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Department：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:200\" name=\"KS_Dept2\" value=\"\"><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Email：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:200\" name=\"KS_Email2\" value=\"\"><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Contact No：</td>')
document.writeln('  <td><input type=\"text\" class=\"upfile\" style=\"width:200\" name=\"KS_Tel2\" value=\"\"><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln('<tr><td colspan=\"2\" class=\"subtdbg\" align=\"center\"><input type=\"submit\" value=\"Submit\" name=\"submit1\"></td></tr>')
document.writeln('</form>')
document.writeln('</table>')
document.writeln('')