-
Notifications
You must be signed in to change notification settings - Fork 1
/
Copy pathfeedback.html
77 lines (66 loc) · 2.33 KB
/
feedback.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Patient Feedback and Reviews</title>
<link rel="stylesheet" href="feedback.css">
</head>
<body>
<header>
<h1>Patient Feedback and Reviews</h1>
</header>
<main>
<div class="feedback-form">
<h2>Leave Your Feedback</h2>
<form>
<div class="form-group">
<label for="fullName">Full Name</label>
<input type="text" id="fullName" required>
</div>
<div class="form-group">
<label for="email">Email</label>
<input type="email" id="email" required>
</div>
<div class="form-group">
<label for="rating">Rating</label>
<select id="rating" required>
<option value="" disabled selected>Select rating</option>
<option value="5">5 - Excellent</option>
<option value="4">4 - Very Good</option>
<option value="3">3 - Good</option>
<option value="2">2 - Fair</option>
<option value="1">1 - Poor</option>
</select>
</div>
<div class="form-group">
<label for="feedback">Feedback</label>
<textarea id="feedback" rows="4" required></textarea>
</div>
<button type="submit">Submit Feedback</button>
</form>
</div>
<div class="reviews">
<h2>Recent Reviews</h2>
<div class="review">
<div class="review-header">
<span class="review-rating">5</span>
<span class="review-date">12th October, 2023</span>
</div>
<p class="review-feedback">Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse euismod</p>
<p class="review-author">- John Doe</p>
</div>
<div class="review">
<div class="review-header">
<span class="review-rating">4</span>
<span class="review-date">9th October, 2023</span>
</div>
<p class="review-feedback">Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse euismod</p>
<p class="review-author">- Jane Smith</p>
</div>
<!-- Add more reviews here -->
</div>
</main>
<script src="feedback.js"></script>
</body>
</html>