แบบสอบถาม

*****   *******  *        *        *******  *******   *     *     *     *        *           *        *      *           *     *        *           *        *       *****      *     *        *           *        *            *     *     *        *           *        *      *     *     *     *        *           *        *       *****   *******  *******  *******     *     *******   * กรอกตัวอักษร