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index.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8" />
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
<title>Survey form</title>
<link rel="stylesheet" href="./index.css" />
</head>
<body id="body">
<div id="form">
<div id="header">
<h1 id="title">Customer Satisfaction Survey Form</h1>
<p id="description">
Thank you for taking the time to help us improve the platform
</p>
</div>
<form action="" id="survey-form">
<label for="name" id="name-label">Name</label>
<input
type="text"
id="name"
name="name"
placeholder="Enter your name"
required
/>
<label for="email" id="email-label">Email</label>
<input
type="email"
id="email"
name="email"
placeholder="Enter your email"
required
/>
<label for="number" id="number-label">Age</label>
<input
type="number"
id="number"
min="0"
max="150"
placeholder="Enter your age"
/>
<label for="dropdown" id="dropdown-label"
>How long have you been a customer of our customer?</label
>
<select name="" id="dropdown">
<option value="" disabled selected>Please Select</option>
<option value="1">This is my first purchase</option>
<option value="2">less than six months</option>
<option value="3">Six months to a year</option>
<option value="3">1-2 years</option>
<option value="3">3 or more years</option>
<option value="3">I haven't made a purchase yet</option>
</select>
<label for="feedback" id="radio-label"
>Overall, how satisfied or dissatisfied are you with our
company?</label
>
<input
type="radio"
name="feedBack"
id="very-satisfied"
value="very satisfied"
/>
<label for="very-satisfied">Very Satisfied</label>
<input
type="radio"
name="feedBack"
id="somewhat-satisfied"
value="somewhat satisfied"
/>
<label for="somewhat-satisfied">Somewhat Satisfied</label>
<input
type="radio"
name="feedBack"
id="nsd"
value="neither satisfied or dissatisfied"
/>
<label for="nsd">neither satisfied or dissatisfied</label>
<input
type="radio"
name="feedBack"
id="somewhat-dissatisfied"
value="somewhat dissatisfied"
/>
<label for="somewhat-dissatisfied">Somewhat Dissatisfied</label>
<input
type="radio"
name="feedBack"
id="very-dissatisfied"
value="very dissatisfied"
/>
<label for="very-dissatisfied">Very Dissatisfied</label>
<label for="" id="checkbox-label"
>Which of the following words would you use to describe our products?
Select all that apply.</label
>
<input type="checkbox" value="reliable" id="check-1" />
<label for="check-1">Reliable</label>
<input type="checkbox" value="high quality" id="check-2" />
<label for="check-2">High quality</label>
<input type="checkbox" value="useful" id="check-3" />
<label for="check-3">Useful</label>
<input type="checkbox" value="unique" id="check-4" />
<label for="check-4">Unique</label>
<input type="checkbox" value="Good value for money" id="check-5" />
<label for="check-5">Good value for money</label>
<input type="checkbox" value="overpriced" id="check-6" />
<label for="check-6">Overpriced</label>
<input type="checkbox" value="impractical" id="check-7" />
<label for="check-7">Impractical</label>
<input type="checkbox" value="ineffective" id="check-8" />
<label for="check-8">Ineffective</label>
<input type="checkbox" value="poor quality" id="check-9" />
<label for="check-9">Poor quality</label>
<input type="checkbox" value="unreliable" id="check-10" />
<label for="check-10">Unreliable</label>
<label for="comments" id="commnet-label"
>Do you have any other comments, questions, or concerns?</label
>
<textarea
name="addition_comment"
id="comments"
cols="30"
rows="10"
></textarea>
<button type="submit" id="submit">Submit</button>
</form>
</div>
</body>
</html>