diff --git a/app/Forms/AskSubmitForm.php b/app/Forms/AskSubmitForm.php
index 4dfb57d..6a607de 100755
--- a/app/Forms/AskSubmitForm.php
+++ b/app/Forms/AskSubmitForm.php
@@ -15,16 +15,11 @@ class AskSubmitForm extends Form
         $this->add("visit", Field::TEXT, ["label" => "拜访人员", "rules" => "required"]);
         $this->add("date", Field::DATE, ["label" => "考核日期", "rules" => "required"]);
         $this->add("department", Field::TEXT, ["label" => "科室", "rules" => "required"]);
-        $this->add("ask[]", Field::RADIO, ["label" => "遵守医院各项规章制度，维持秩序。", "choices" => [
-            "20" => "满意-20",
-            "19" => "满意-19",
-            "18" => "满意18",
-            "17" => "较满意-17",
-            "16" => "较满意-16",
-            "15" => "较满意-15",
-            "14" => "开放",
+        $this->add("ask[]", Field::NUMBER, ["label" => "遵守医院各项规章制度，维持秩序。","rules" => "required",[
+            'attr' => ['placeholder' => 'Enter text here...']
         ]]);
 
+
         $this->add("tip", Field::TEXTAREA, ["label" => "建议"]);
         $this->add('buttons', 'buttongroup', ["splitted" => true, "buttons" => [
             ["label" => "保存", "attr" => ["class" => "btn btn-primary mr-1", "type" => "submit"]],