Hate to ask but I ct find what I'm looking for.

Hi guys and gals.

I have been looking for a poll to add to my site.
I have been looking for two days now and I can’t seem to find what I’m looking for.
Sometimes this can be frustration but I know what I’m after is out there.
I’m looking for a free script; I don’t not use my site to make money but rather
To help others with information.

Anyway here is what I’m after. (Example)

1 would be the lowest rating 10 would be the highest rating

Question ………How would you rate your stand on the following.

(Answer 1) Safety Dropdown box choices 1 to 10
(Answer 2) Quite Dropdown box choices 1 to 10
(Answer 3) Comfort Dropdown box choices 1 to 10

And so on, there would be five answers to answer.

I would like to have the results all on one page and I would also have a picture with each poll.

So basically I’m looking for a poll that can have 5 question related to a single poll.

Here would be what I would like to see as the results

This stand rates as follows

Safety 6
Quite 4
Comfort 10
And so on.

Thanks to anyone who is willing to help point me in the right direction.

Your friend Zaner.