I will create an online survey within your Facebook fan page with 5 questions with Op-tin at the end of the survey.

survey can have 18 different types of questions.  It will also allow up to 21 seconds of audio feed back from your clients.

Capability of sending link via email for mobile phones.

This link will give you an idea of how it works.

http://linkz.mobi/sm/lafiesta

Powerful cloud based Survey app
25 stunning templates, image library and WYSIWG editing tools
Amazing audio survey functions
Unrivaled voice recording feedback system
Auto-responder integration
Full re targeting capability
10 “one click” question types in our dashboard
Powerful conditional logic system
Fully exportable statistics system
Video Survey questions
Embeddable surveys