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index.html
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<!-- survey Form -->
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Survey Form - Rajendran Ramasamy</title>
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/[email protected]/dist/css/bootstrap.min.css"
integrity="sha384-xOolHFLEh07PJGoPkLv1IbcEPTNtaed2xpHsD9ESMhqIYd0nLMwNLD69Npy4HI+N" crossorigin="anonymous">
<link rel="stylesheet" href="./index.css">
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css"
integrity="sha512-SfTiTlX6kk+qitfevl/7LibUOeJWlt9rbyDn92a1DqWOw9vWG2MFoays0sgObmWazO5BQPiFucnnEAjpAB+/Sw=="
crossorigin="anonymous" referrerpolicy="no-referrer" />
</head>
<body>
<div class="container-md">
<form>
<h1>Survey Form</h1><br>
<div class="required">
<label>Name</label><br>
<input type="text" required>
<input type="text" required><br>
<span>First</span><span style="margin-left: 165px;">Last</span>
</div><br>
<div class="required">
<label for="email">Email</label><br>
<input type="text" id="email" name="email" required size="46px">
</div><br>
<div class="required">
<label>Your Experience</label><br>
<span class="fa fa-star checked fa-2x"></span>
<span class="fa fa-star checked fa-2x"></span>
<span class="fa fa-star checked fa-2x"></span>
<span class="fa fa-star checked fa-2x"></span>
<span class="fa fa-star checked fa-2x"></span><br>
<span>Overall, how would you rate your experience with us?</span>
</div><br>
<div class="required">
<label>How satisfied are you with</label>
<table>
<tbody>
<tr>
<td></td>
<td>Very Unsatisfied</td>
<td>Unsatisfied</td>
<td>Neutral</td>
<td>Satidfied</td>
<td>Very Satisfied</td>
</tr>
<tr style="background-color: lightgrey;">
<td style="text-align: left;">Purchase</td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
</tr>
<tr>
<td style="text-align: left;">Service</td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
</tr>
<tr style="background-color: lightgrey;">
<td style="text-align: left; width: 170">Company Overall</td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
</tr>
</tbody>
</table>
</div><br>
<div class="required">
<label>How likely are you to</label>
<table>
<tbody>
<tr>
<td></td>
<td>Very Unlikely</td>
<td>Unlikely</td>
<td>Neutral</td>
<td>Likely</td>
<td>Very Likely</td>
</tr>
<tr style="background-color: lightgrey;">
<td style="text-align: left;">Buy from us again</td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
</tr>
<tr>
<td style="text-align: left;">Recommend our products to others</td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
</tr>
<tr style="background-color: lightgrey;">
<td style="text-align: left; width: 190px;">Recommend our company to others</td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
<td><input type="radio"></td>
</tr>
</tbody>
</table>
</div><br>
<span style="font-weight: bold;">Additional comments or suggestions</span><br>
<textarea name="sugg" id="sugg" cols="100" rows="5"></textarea><br><br>
<input type="button" value="submit">
</form>
</div>
</body>
</html>