supportcentral.ge.com
Open in
urlscan Pro
65.90.67.31
Public Scan
Submitted URL: http://sc.ge.com/*Click%20here%20to%20log%20a%20concern
Effective URL: https://supportcentral.ge.com/esurvey/takesurvey.asp?p=329090&d=3964380
Submission: On April 11 via manual from US — Scanned from DE
Effective URL: https://supportcentral.ge.com/esurvey/takesurvey.asp?p=329090&d=3964380
Submission: On April 11 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: frmsurvey — POST
<form name="frmsurvey" method="post" action="">
<div name="surveyNew" id="surveyNew">
<center>
<table border="0" cellspacing="0" cellpadding="0" class="bottomtable" width="100%">
<tbody>
<tr>
<td>
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tbody>
<tr>
<td><img src="banner_surveycentral_left.gif"></td>
<td width="100%"><img src="banner_surveycentral_spacer.gif" width="100%" height="45"></td>
<td><img src="banner_surveycentral_right.gif"><img src="spacer.gif" border="0" style="z-index:2; position:absolute; top:53px; right:0px;" width="140" height="37"></td>
</tr>
</tbody>
</table>
<br><br>
</td>
</tr>
<tr>
<td align="center">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody>
<tr>
<td class="surveytitle">GE Concern Reporting System, Customer Complaints Form</td>
</tr>
</tbody>
</table>
<div name="surveyDisplay" id="surveyDisplay">
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tbody>
<tr id="TR_A6989709">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6989709" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q1. Are you submitting this survey as a: * </td>
<input type="hidden" name="h_q_id1" value="6989709" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond1" value="6989709" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6989709" id="h_tab_index6989709" value="">
<input type="hidden" name="h_cond_q6989709_1" value="6989805" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_enable_details6989709" value="6989805" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_disable_details6989709" value="6989805" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<tr>
<td colspan="2">
<table border="0" cellspacing="0" cellpadding="0" class="optiontable">
<tbody>
<tr>
<input type="hidden" name="h_tab_index6989709" id="h_tab_index6989709" value="">
<td align="right" width="1%"><img src="spacer.gif" width="35" height="1"><input type="radio" name="A6989709" value="01" onclick="javascript:enable_question1('6989805','1',19,6989709,01)"></td>
<td>Test</td>
<input type="hidden" name="h_tab_index6989709" id="h_tab_index6989709" value="">
<td align="right" width="1%"><img src="spacer.gif" width="35" height="1"><input type="radio" name="A6989709" value="02" onclick="javascript:disable_question('6989805',19,6989709,02,'1')"></td>
<td>Complaint</td>
</tr>
<tr>
<input type="hidden" name="h_tab_index6989709" id="h_tab_index6989709" value="">
<td align="right" width="1%"><img src="spacer.gif" width="35" height="1"><input type="radio" name="A6989709" value="03" onclick="javascript:disable_question('6989805',19,6989709,03,'1')"></td>
<td>Customer Service request</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6989709" value="3" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6989709" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6989709.value">
<input type="hidden" name="h_mandatory_flag6989709" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6989709" value="2" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6989709" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6989805" style="display: none;">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6989805" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q2. Please mention the reason for testing the survey * </td>
<input type="hidden" name="h_q_id2" value="6989805" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond2" value="6989805" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6989805" id="h_tab_index6989805" value="">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td>
<textarea name="txtcomment6989805" rows="3" cols="50" disabled=""></textarea>
<span>(Maximum 1000 characters)</span>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6989805" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6989805" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6989805.value">
<input type="hidden" name="h_mandatory_flag6989805" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6989805" value="3" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6989805" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6574249">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6574249" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td class="label" colspan="2">
<p align="left"><span
style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA">
<font size="4">
<font color="#ff0000">If you are a GE employee,</font> <span
style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"><a title="" href="http://supportcentral.ge.com/dataforms/sup_dataform_display_beta.asp?dataform_id=703502" target=""><font color="#000000"><strong>click here</strong></font></a></span>
</font>
</span></p>
</td>
<input type="hidden" name="h_qid_cond3" value="6574249" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6574249" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6574249" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6574249.value">
<input type="hidden" name="h_mandatory_flag6574249" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6574249" value="17" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6574249" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6556347">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6556347" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td class="label" colspan="2">
<p align="left">Click to translate Form in <a title="" href="https://supportcentral.ge.com/esurvey/takesurvey.asp?p=329090&d=3965193" target="">French</a>,
<a title="" href="https://supportcentral.ge.com/esurvey/takesurvey.asp?p=329090&d=3965383" target="">Dutch</a>,
<a title="" href="https://supportcentral.ge.com/esurvey/takesurvey.asp?p=329090&d=3965289" target="">German</a>,
<a title="" href="https://supportcentral.ge.com/esurvey/takesurvey.asp?p=329090&d=3965387" target="">Hungarian</a>,
<a title="" href="https://supportcentral.ge.com/esurvey/takesurvey.asp?p=329090&d=3965385" target="">Italian</a>,
<a title="" href="https://supportcentral.ge.com/esurvey/takesurvey.asp?p=329090&d=3965386" target="">Polish</a>,
<a title="" href="https://supportcentral.ge.com/esurvey/takesurvey.asp?p=329090&d=3964480" target="">中文</a>,
<a title="" href="https://supportcentral.ge.com/esurvey/takesurvey.asp?p=329090&d=3965286" target="">Spanish</a></p>
</td>
<input type="hidden" name="h_qid_cond4" value="6556347" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6556347" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6556347" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6556347.value">
<input type="hidden" name="h_mandatory_flag6556347" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6556347" value="17" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6556347" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6553904">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6553904" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q3. Your full name * </td>
<input type="hidden" name="h_q_id3" value="6553904" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond5" value="6553904" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6553904" id="h_tab_index6553904" value="">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td>
<input type="text" name="txtcomment6553904" size="50"> <span>(Maximum 1000 characters)</span>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6553904" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6553904" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6553904.value">
<input type="hidden" name="h_mandatory_flag6553904" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6553904" value="5" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6553904" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6553706">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6553706" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q4. Your email address (for correspondence related to this complaint) * </td>
<input type="hidden" name="h_q_id4" value="6553706" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond6" value="6553706" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6553706" id="h_tab_index6553706" value="">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td>
<input type="text" name="txtcomment6553706" size="50"> <span>(Maximum 1000 characters)</span>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6553706" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6553706" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6553706.value">
<input type="hidden" name="h_mandatory_flag6553706" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6553706" value="5" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6553706" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6553707">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6553707" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q5. Your contact phone number * </td>
<input type="hidden" name="h_q_id5" value="6553707" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond7" value="6553707" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6553707" id="h_tab_index6553707" value="">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td>
<input type="text" name="txtcomment6553707" size="50"> <span>(Maximum 1000 characters)</span>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6553707" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6553707" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6553707.value">
<input type="hidden" name="h_mandatory_flag6553707" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6553707" value="5" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6553707" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6578430">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6578430" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q6. Name of GE company which this complaint relates to (if known) * </td>
<input type="hidden" name="h_q_id6" value="6578430" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond8" value="6578430" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6578430" id="h_tab_index6578430" value="">
<input type="hidden" name="h_cond_q6578430_19" id="h_cond_q6578430_19" value="6553709"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_cond_status6578430" id="h_cond_status6578430" value="1"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_cond_question6578430" id="h_cond_question6578430" value="Y"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_cond_q6578430_20" id="h_cond_q6578430_20" value="6553709"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_cond_status6578430" id="h_cond_status6578430" value="1"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_cond_question6578430" id="h_cond_question6578430" value="Y"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_cond_q6578430_38" id="h_cond_q6578430_38" value="6553709"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_cond_status6578430" id="h_cond_status6578430" value="1"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_cond_question6578430" id="h_cond_question6578430" value="Y"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_enable_details6578430" id="h_enable_details6578430" value="6553709,6553709,6553709"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_disable_details6578430" id="h_disable_details6578430" value="6553709,6553709,6553709"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_max_options6578430" id="h_max_options6578430" value="19"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td> <select id="selectBusiness6578430" name="selectBusiness6578430" onchange="javascript:show_hide_dd(6578430)">
<option value="x">Please Select One</option>
<option value="1">GE Current</option>
<option value="2">GE Aviation</option>
<option value="3">GE Capital</option>
<option value="4">GE Digital</option>
<option value="5">GE Healthcare</option>
<option value="6">Lighting</option>
<option value="7">GE Oil & Gas</option>
<option value="8">GE Gas Power</option>
<option value="9">GE Nuclear Power</option>
<option value="10">GE Steam Power</option>
<option value="11">GE Renewable Energy</option>
<option value="12">Transportation</option>
<option value="13">WCS-Working Capital Solutions</option>
<option value="14">TPS-Trade Payable Services</option>
<option value="15">HEF (Healthcare Equipment) /IFS (Industrial)--UK</option>
<option value="16">HEF (Healthcare Equipment) /IFS (Industrial)--Americas</option>
<option value="17">Baker Hughes</option>
<option value="18">Healthcare Equipment and Industrial Finance (Non US)</option>
<option value="19">Other (Please specify)</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6578430" value="19" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6578430" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6578430.value">
<input type="hidden" name="h_mandatory_flag6578430" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6578430" value="9" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6578430" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6553709" style="display: none;">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6553709" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q7. If other, please specify name of GE company which this complaint relates to </td>
<input type="hidden" name="h_q_id7" value="6553709" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond9" value="6553709" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6553709" id="h_tab_index6553709" value="">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td>
<input type="text" name="txtcomment6553709" size="50" disabled=""> <span>(Maximum 1000 characters)</span>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6553709" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6553709" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6553709.value">
<input type="hidden" name="h_mandatory_flag6553709" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6553709" value="5" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6553709" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6553907">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6553907" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q8. Your company name * </td>
<input type="hidden" name="h_q_id8" value="6553907" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond10" value="6553907" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6553907" id="h_tab_index6553907" value="">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td>
<input type="text" name="txtcomment6553907" size="50"> <span>(Maximum 1000 characters)</span>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6553907" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6553907" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6553907.value">
<input type="hidden" name="h_mandatory_flag6553907" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6553907" value="5" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6553907" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6717303">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6717303" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q9. Name of your country * </td>
<input type="hidden" name="h_q_id9" value="6717303" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond11" value="6717303" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6717303" id="h_tab_index6717303" value="">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td>
<input type="text" name="txtcomment6717303" size="50"> <span>(Maximum 1000 characters)</span>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6717303" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6717303" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6717303.value">
<input type="hidden" name="h_mandatory_flag6717303" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6717303" value="5" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6717303" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6731076">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6731076" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q10. State , Provence or Territory (if applicable) </td>
<input type="hidden" name="h_q_id10" value="6731076" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond12" value="6731076" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6731076" id="h_tab_index6731076" value="">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td>
<input type="text" name="txtcomment6731076" size="50"> <span>(Maximum 1000 characters)</span>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6731076" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6731076" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6731076.value">
<input type="hidden" name="h_mandatory_flag6731076" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6731076" value="5" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6731076" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6553908">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6553908" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q11. Billing ID or account schedule number or customer account number * </td>
<input type="hidden" name="h_q_id11" value="6553908" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond13" value="6553908" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6553908" id="h_tab_index6553908" value="">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td>
<input type="text" name="txtcomment6553908" size="50"> <span>(Maximum 1000 characters)</span>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6553908" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6553908" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6553908.value">
<input type="hidden" name="h_mandatory_flag6553908" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6553908" value="5" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6553908" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6553813">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6553813" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q12. Please select a category for this Complaint * </td>
<input type="hidden" name="h_q_id12" value="6553813" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond14" value="6553813" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6553813" id="h_tab_index6553813" value="">
<input type="hidden" name="h_cond_q6553813_11" id="h_cond_q6553813_11" value="6553909"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_cond_status6553813" id="h_cond_status6553813" value="1"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_cond_question6553813" id="h_cond_question6553813" value="Y"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_enable_details6553813" id="h_enable_details6553813" value="6553909"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_disable_details6553813" id="h_disable_details6553813" value="6553909"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_max_options6553813" id="h_max_options6553813" value="11"
style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td> <select id="selectBusiness6553813" name="selectBusiness6553813" onchange="javascript:show_hide_dd(6553813)">
<option value="x">Please Select One</option>
<option value="1">Customer service</option>
<option value="2">Collection</option>
<option value="3">Cash application</option>
<option value="4">Correspondence</option>
<option value="5">Billing</option>
<option value="6">Pricing</option>
<option value="7">Terms</option>
<option value="8">End of Term</option>
<option value="9">Equipment or service request</option>
<option value="10">Invoicing</option>
<option value="11">Other (please specify)</option>
</select>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6553813" value="11" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6553813" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6553813.value">
<input type="hidden" name="h_mandatory_flag6553813" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6553813" value="9" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6553813" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6553909" style="display: none;">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6553909" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q13. If others * </td>
<input type="hidden" name="h_q_id13" value="6553909" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond15" value="6553909" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6553909" id="h_tab_index6553909" value="">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td>
<input type="text" name="txtcomment6553909" size="50" disabled=""> <span>(Maximum 1000 characters)</span>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6553909" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6553909" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6553909.value">
<input type="hidden" name="h_mandatory_flag6553909" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6553909" value="5" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6553909" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6553814">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6553814" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q14. Invoice number,if applicable </td>
<input type="hidden" name="h_q_id14" value="6553814" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond16" value="6553814" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6553814" id="h_tab_index6553814" value="">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td>
<input type="text" name="txtcomment6553814" size="50"> <span>(Maximum 1000 characters)</span>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6553814" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6553814" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6553814.value">
<input type="hidden" name="h_mandatory_flag6553814" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6553814" value="5" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6553814" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6553815">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6553815" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q15. Please describe concern/complaint here (Please provide as much information as possible including name of GE Industrial, person or persons you have worked with relating to this
concern, invoice information, date of service etc.) * </td>
<input type="hidden" name="h_q_id15" value="6553815" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond17" value="6553815" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<input type="hidden" name="h_tab_index6553815" id="h_tab_index6553815" value="">
<tr>
<td width="1%"><img src="spacer.gif" width="35" height="1"></td>
<td>
<textarea name="txtcomment6553815" rows="3" cols="50"></textarea>
<span>(Maximum 1000 characters)</span>
</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6553815" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6553815" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6553815.value">
<input type="hidden" name="h_mandatory_flag6553815" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6553815" value="3" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6553815" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6621504">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6621504" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td colspan="2" class="questionheader"> Q16. Does this relate to a prior request? * </td>
<input type="hidden" name="h_q_id16" value="6621504" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_qid_cond18" value="6621504" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<tr>
<input type="hidden" name="h_tab_index6621504" id="h_tab_index6621504" value="">
<td align="right" width="1%"><img src="spacer.gif" width="35" height="1"> <input type="radio" name="A6621504" value="01"></td>
<td> Yes</td>
</tr>
<tr>
<input type="hidden" name="h_tab_index6621504" id="h_tab_index6621504" value="">
<td align="right" width="1%"><img src="spacer.gif" width="35" height="1"> <input type="radio" name="A6621504" value="02"></td>
<td> No</td>
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6621504" value="2" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6621504" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6621504.value">
<input type="hidden" name="h_mandatory_flag6621504" value="on" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6621504" value="2" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6621504" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr id="TR_A6553819">
<td colspan="2" class="questioncontainer">
<table id="TR_BB6553819" border="0" cellspacing="0" cellpadding="0" class="questiontable">
<tbody>
<tr>
<td class="label" colspan="2">
<p align="center"><a title="" href="http://www.ge.com/privacy" target="_blank">Data Privacy Disclaimer</a></p>
</td>
<input type="hidden" name="h_qid_cond19" value="6553819" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</tr>
<tr>
<td colspan="2" height="0" style="display:none;">
<input type="hidden" name="h_total_option6553819" value="0" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="B6553819" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff" value="6553819.value">
<input type="hidden" name="h_mandatory_flag6553819" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_q_type6553819" value="17" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
<input type="hidden" name="h_mandatory_verbatim6553819" value="" style="BORDER-RIGHT: 0px; BORDER-TOP: 0px; BORDER-LEFT: 0px; WIDTH: 0px; BORDER-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff; font-color: #ffffff">
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
<tr>
<td class="centered">
<table width="100%">
<tbody>
<tr>
<td class="centeredsmall">Note : Questions marked with "*" character at the end are mandatory. </td>
</tr>
</tbody>
</table>
<span class="buttons"><a href="javascript:submit_survey(16,0)" id="emailSubmit" name="emailSubmit">Submit Answer </a></span>
<span align="center" class="surveytitle" style="font-size:11px;"><br>© GE Copyright | <a href="showDisclaimer.asp?l=eng" target="_blank"><u>Survey Disclaimer</u></a></span>
<br>
<br>
</td>
</tr>
</tbody>
</table>
</center>
<div style="display:none">|*|</div>
<script language="javascript">
<!--
if ('1' == "1") {
no_recs = 19
var m;
m = 1;
for (m == 1; m <= no_recs; m++) {
q_id_conditional = eval("document.frmsurvey.h_qid_cond" + m + ".value")
//alert("q_id_conditional="+ q_id_conditional);
q_type = eval("document.frmsurvey.h_q_type" + q_id_conditional + ".value");
//alert("q_type=" +q_type);
if (q_type == 2 || q_type == 1 || q_type == 9) {
if (eval("document.frmsurvey.h_disable_details" + q_id_conditional)) {
disable_q_id_str = "";
disable_q_id_str = eval("document.frmsurvey.h_disable_details" + q_id_conditional + ".value");
//alert("disable=" + disable_q_id_str);
if (disable_q_id_str != "") {
//CALL disable function
disable_question1(disable_q_id_str);
}
}
}
}
}
if ('0' == 1) {
var ques_cat_id_list;
ques_cat_id_list = 0
if (document.getElementById("h_ques_cat_id_list_pagination")) {
ques_cat_id_list = document.getElementById("h_ques_cat_id_list_pagination").value;
}
//alert("question_cat_id_list in show_tab" + ques_cat_id_list);
//alert("id in show_tab = " +id);
question_cat_id_list_var = new String(ques_cat_id_list);
var thearray = question_cat_id_list_var.split(",");
var size;
var x = 0;
size = thearray.length;
//alert("size in default = " +size);
//if only one tab--hide next and previous
if (size == 1) {
//alert("entered");
if (document.getElementById("prev_button")) {
document.getElementById("prev_button").style.display = "none";
//alert(" prev entered");
}
if (document.getElementById("next_button")) {
document.getElementById("next_button").style.display = "none";
//alert(" next entered");
}
}
//alwyas make the first tab selected.
first_li_id = "li_" + thearray[0];
if (document.getElementById(first_li_id)) {
document.getElementById(first_li_id).className = "selected";
}
//when first tab -- then hide previous and when last tab--hide next
div_id = "cat" + thearray[0];
li_id = "li_" + thearray[0];
//alert("div_id=" + div_id);
//alert("li_id=" +li_id);
if (document.getElementById(div_id)) {
document.getElementById(div_id).style.display = "block";
}
first_id = thearray[0];
showTab(first_id)
}
function disable_question1(q_id_str) {
//alert("q_id_str="+q_id_str);
q_id_str_var = new String(q_id_str);
var q_id_array = q_id_str_var.split(",");
var x = 0;
var num_q_disable;
var q_obj;
num_q_disable = q_id_array.length;
//Disable all the listed questions - Start
while (x < num_q_disable) {
q_obj = "";
q_id = "";
q_id = q_id_array[x];
//alert("ques_id=" + q_id);
if (eval("document.frmsurvey.h_q_type" + q_id)) {
func_enable_disable(q_id, 'disable');
//Hide the disabled question
hide_obj = "";
hide_obj = eval("document.all.TR_A" + q_id + ".style");
hide_obj.display = 'none';
//alert("when");
}
x += 1;
}
//Disable all the listed questions - End
}
//Developed for conditional show_hide of dropdown.
function show_hide_dd(ques_id) {
// alert("ques_id=" + ques_id);
var sel_option_no = eval("document.frmsurvey.selectBusiness" + ques_id + ".selectedIndex");
// alert("option_no=" + sel_option_no);
var no_records = 19;
// alert("no_records=" + no_records);
//gets selected option_no
element_id = "h_cond_q" + ques_id + "_" + sel_option_no;
if (eval(document.getElementById(element_id))) {
var q_id_str = document.getElementById(element_id).value;
// alert("q_id_str=" + q_id_str);
}
//gets enabled string
enable_id = "h_enable_details" + ques_id;
if (eval(document.getElementById(enable_id))) {
var enable_id_str = document.getElementById(enable_id).value;
//alert("enable_id_str=" + enable_id_str);
}
//gets disabled string
disable_id = "h_disable_details" + ques_id;
if (eval(document.getElementById(disable_id))) {
var disable_id_str = document.getElementById(disable_id).value;
// alert("disable_id_str=" + disable_id_str);
}
//gets Y or null for conditional question.
conditional_ques = "h_cond_question" + ques_id;
if (eval(document.getElementById(conditional_ques))) {
var conditionl_ques = document.getElementById(conditional_ques).value;
// alert("conditionl_ques=" + conditionl_ques);
}
//gets status for show and hide 1
-->
show
and
0
-- >
hide.
status_id = "h_cond_status"
+
ques_id
;
if
(eval(document.getElementById(status_id)))
{
var
conditional_status
=
document.getElementById(status_id).value;
//
alert("conditional_status="
+
conditional_status);
}
//Call
enable
and
disable
function
by
passinf
all
above
values.
if
(conditional_status == "1"
)
{
if (
conditionl_ques == "Y"
)
{
if
(q_id_str
!=
"")
{
enable_question1(q_id_str, conditional_status, no_records, ques_id, sel_option_no);
}
else
{
disable_question(disable_id_str, no_records, ques_id, sel_option_no, conditional_status);
}
}
}
else
{
if (
conditionl_ques == "Y"
)
{
if
(q_id_str
!=
"")
{
disable_question(q_id_str, no_records, ques_id, sel_option_no, conditional_status);
}
else
{
enable_question1(enable_id_str, conditional_status, no_records, ques_id, sel_option_no);
}
}
}
} //show_hide
for
DD(type_9)
ends
here.
//
function
called
on
change
of
business.
Gets
all
the
sub
business
for
the
business.
function
getSub(q_id)
{
var
i = 0
;
var
iCnt = 0;
var
iTypeID
=
eval("document.frmsurvey.selectBusiness"
+
q_id
+
".options[document.frmsurvey.selectBusiness"
+
q_id
+
".selectedIndex
].value ");
var
in_flag
=
true;
var
arrValue
=
new
Array;
var
arrText
=
new
Array;
var
iSubBusID
=
eval("document.frmsurvey.selectSubBusiness"
+
q_id
+
".selectedIndex");
if (iSubBusID != 0)
{
sub_bus_obj = "";
sub_bus_obj
=
eval("document.frmsurvey.selectSubBusiness"
+
q_id);
sub_bus_obj.selectedIndex
=
0;
}
if (iTypeID == 0
||
iTypeID == "x")
{
arrValue[i]
=
'x'
arrText[i]
=
'Select
a
business
first '
} else {
//Show
the
sub
business
for
(var
x = 1;
x
<asubBus.length; x++) { if (asubBus[x].TypeID==iTypeID) { if (in_flag==true) { arrValue[i]='x' arrText[i]='Select a Sub Business' in_flag=false; } i++; arrValue[i]=asubBus[x].ID arrText[i]=asubBus[x].Name iCnt++; } } if (iCnt==0){ arrValue[i]='x'
arrText[i]='Sub Business Not Available' } } if(i!=0) { sub_bus_obj="" ; sub_bus_obj=eval("document.frmsurvey.elements['selectSubBusiness" + q_id + "']" ); sub_bus_obj.length=i+1; } else { sub_bus_obj="" ;
sub_bus_obj=eval("document.frmsurvey.elements['selectSubBusiness" + q_id + "']" ); sub_bus_obj.length=1; } sub_bus_obj="" ; sub_bus_obj=eval("document.frmsurvey.elements['selectSubBusiness" + q_id + "']" ); for(k=0;k<=i;k++){
sub_bus_obj.options[k].value=arrValue[k]; sub_bus_obj.options[k].text=arrText[k]; } } if (document.getElementById("splashScreen")){ var splash=document.getElementById("splashScreen").style; hideObject(splash); } //-->
</script>
</div>
</form>Text Content
Please Wait... GE Concern Reporting System, Customer Complaints Form Q1. Are you submitting this survey as a: * Test Complaint Customer Service request Q2. Please mention the reason for testing the survey * (Maximum 1000 characters) If you are a GE employee, click here Click to translate Form in French, Dutch, German, Hungarian, Italian, Polish, 中文, Spanish Q3. Your full name * (Maximum 1000 characters) Q4. Your email address (for correspondence related to this complaint) * (Maximum 1000 characters) Q5. Your contact phone number * (Maximum 1000 characters) Q6. Name of GE company which this complaint relates to (if known) * Please Select OneGE CurrentGE AviationGE CapitalGE DigitalGE HealthcareLightingGE Oil & GasGE Gas PowerGE Nuclear PowerGE Steam PowerGE Renewable EnergyTransportationWCS-Working Capital SolutionsTPS-Trade Payable ServicesHEF (Healthcare Equipment) /IFS (Industrial)--UKHEF (Healthcare Equipment) /IFS (Industrial)--AmericasBaker HughesHealthcare Equipment and Industrial Finance (Non US)Other (Please specify) Q7. If other, please specify name of GE company which this complaint relates to (Maximum 1000 characters) Q8. Your company name * (Maximum 1000 characters) Q9. Name of your country * (Maximum 1000 characters) Q10. State , Provence or Territory (if applicable) (Maximum 1000 characters) Q11. Billing ID or account schedule number or customer account number * (Maximum 1000 characters) Q12. Please select a category for this Complaint * Please Select OneCustomer serviceCollectionCash applicationCorrespondenceBillingPricingTermsEnd of TermEquipment or service requestInvoicingOther (please specify) Q13. If others * (Maximum 1000 characters) Q14. Invoice number,if applicable (Maximum 1000 characters) Q15. Please describe concern/complaint here (Please provide as much information as possible including name of GE Industrial, person or persons you have worked with relating to this concern, invoice information, date of service etc.) * (Maximum 1000 characters) Q16. Does this relate to a prior request? * Yes No Data Privacy Disclaimer Note : Questions marked with "*" character at the end are mandatory. Submit Answer © GE Copyright | Survey Disclaimer |*|