Section 1 of 1
CPE Recovery Form
Field Agent Name
Field Agent Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
1.
Sanju_South Delhi
2.
Chetan Goyal_West Delhi
3.
Hitesh_LKW
4.
Vipin_LKW
5.
Vicky_LKW
6.
Abhishek Kumar Singh
7.
Maheshwar
8.
Tryambkesh
9.
Sandeep Tanwar
10.
Ram
11.
Chandan
12.
Vijay
13.
Shivam_North Delhi
14.
Jasmeet_West Delhi
15.
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Customer_Phone1
Customer_Phone1
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
and
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Customer Name
Customer Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Number
Text
Length
Regular expression
Contains
Doesn't contain
Email
URL
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Customer_ID
Customer_ID
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
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STB/ONT Number
STB/ONT Number
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
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Box Type
Box Type
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
1.
STB
2.
ONT
3.
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Box Condition
Box Condition
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Ok to collect
Damaged_Not_collected
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or
add "Other"
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Picture of Box Condition
Picture of Box Condition
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Add file
View folder
Allow only specific file types
Maximum number of files
1
5
10
Maximum file size
1 MB
10 MB
100 MB
1 GB
10 GB
View folder
Answer key
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Accessories
Accessories
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Adaptor
HDMI Cable
Remote
Only STB Box
Only ONT Box
Add option
or
add "Other"
…
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