diff --git a/src/modules/03_leave/views/result.vue b/src/modules/03_leave/views/result.vue
new file mode 100644
index 0000000..dcd7877
--- /dev/null
+++ b/src/modules/03_leave/views/result.vue
@@ -0,0 +1,85 @@
+<script setup lang="ts">
+import type { QTableProps } from "quasar"
+import { ref, onMounted } from "vue"
+import { useQuasar } from "quasar"
+import { useRouter, useRoute } from "vue-router"
+import { useCounterMixin } from "@/stores/mixin"
+import http from "@/plugins/http"
+import config from "@/app.config"
+
+const router = useRouter()
+const $q = useQuasar()
+const mixin = useCounterMixin()
+const { date2Thai, dateToISO, success, messageError, showLoader, hideLoader } = mixin
+const leaveReason = ref("")
+const noteReason = ref("")
+const routeName = router.currentRoute.value.name
+
+const saveForm = () => {
+	$q.dialog({
+		title: "ยืนยันข้อมูลแบบสอบถาม",
+		message: "ต้องการส่งข้อมูลแบบสอบถามนี้ใช่หรือไม่?",
+		cancel: {
+			flat: true,
+			color: "negative",
+		},
+		persistent: true,
+	})
+		.onOk(async () => {
+			createResult()
+		})
+		.onCancel(() => {})
+		.onDismiss(() => {})
+}
+
+const createResult = async () => {
+	// const formData = new FormData()
+	// // formData.append("Location", tranferOrg.value)
+	// // formData.append("SendDate", dateToISO(dateCommand.value))
+	// await http
+	// 	.post(config.API.listResign(), formData)
+	// 	.then((res: any) => {
+	// 		// console.log(res);
+	// 		success($q, "บันทึกข้อมูลสำเร็จ")
+	// 		router.push(`/leave`)
+	// 	})
+	// 	.catch((e: any) => {
+	// 		messageError($q, e)
+	// 		console.log(e)
+	// 	})
+	success($q, "บันทึกข้อมูลสำเร็จ")
+	router.push(`/leave`)
+}
+</script>
+
+<template>
+	<div class="col-12 row justify-center">
+		<div class="col-xs-12 col-sm-12 col-md-11">
+			<div class="toptitle text-white col-12 row items-center">
+				<q-btn icon="mdi-arrow-left" unelevated round dense flat color="primary" class="q-mr-sm" @click="router.go(-1)" />
+				<div>เราได้รับแบบฟอร์มของคุณแล้ว กรุณาตอบแบบสอบถาม</div>
+			</div>
+			<div class="col-12">
+				<q-card bordered>
+					<div class="col-12 row q-col-gutter-md q-pa-md">
+						<div class="col-xs-12 col-sm-12">
+							<q-card bordered flat>
+								<div class="q-pa-xs bg-grey-2 row items-center q-py-sm q-px-md justify-center text-bold">แบบสอบถาม</div>
+								<q-separator />
+								<div class="col-12 row q-pa-sm q-col-gutter-sm">
+									<q-input class="col-12" dense outlined v-model="leaveReason" label="ทำไมคุณถึงลาออก?" type="textarea" />
+									<q-input class="col-12" dense outlined v-model="noteReason" label="สิ่งที่คุณต้องการจะบอกเรา?" type="textarea" />
+									<q-separator />
+								</div>
+							</q-card>
+						</div>
+					</div>
+					<div class="row col-12 q-pa-sm">
+						<q-space />
+						<q-btn unelevated dense class="q-px-md items-center" color="primary" label="บันทึกข้อมูลแบบสอบถาม" @click="saveForm" />
+					</div>
+				</q-card>
+			</div>
+		</div>
+	</div>
+</template>