-
Notifications
You must be signed in to change notification settings - Fork 0
/
index.html
92 lines (87 loc) · 3.67 KB
/
index.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
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
<!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>Satisfaction Survey Form</title>
<link rel="stylesheet" href="style.css">
</head>
<body>
<header>
<h1 id="title"><b> Customer Satisfaction Survey Form </b></h1>
<br>
<p id="description" style="color: #a239ca">
Thank you for taking the time to help us improve our services
</p>
<br>
</header>
<main>
<div class="form">
<form action="" id="survey-form">
<label id="name-label" for="name">Name</label>
<br>
<input type="text" id="name" class="boxes" placeholder="Enter your Name" required>
<br>
<br>
<label id="email-label" for="email">Email</label>
<br>
<input type="email" id="email" class="boxes" placeholder="Enter your Email" required>
<br>
<br>
<label id="number-label" for="number">How satisfied were you with your experience?</label>
<br>
<input type="number" class="boxes" id="number" min="0" max="10" placeholder="On a scale of 1 to 10"
required>
<br>
<br>
<label for="dropdown">How likely are you to recommend us to family, friends, or colleagues?</label>
<br>
<select class="boxes" id="dropdown">
<option value="Extremely unlikely">Extremely unlikely</option>
<option value="Somewhat unlikely">Somewhat unlikely</option>
<option value="Neutral">Neutral</option>
<option value="Somewhat likely">Somewhat likely</option>
<option value="Extremely likely">Extremely likely</option>
</select>
<br>
<br>
<label for="choose">Would you purchase from our company again?</label>
<br>
<input id="choose" type="radio" name="purchase" value="yes" id="yes">
<label for="yes">yes</label>
<br>
<input id="choose" type="radio" name="purchase" value="no" id="no">
<label for="no">No</label>
<br>
<br>
<label name="contact-op">How would you prefer we contact you ?</label>
<br>
<input name="contact-op" type="checkbox" value="phone">
<label for="">Phone</label>
<br>
<input id="text" name="contact-op" type="checkbox" value="text">
<label for="text">Text</label>
<br>
<input id="email" name="contact-op" type="checkbox" value="email">
<label for="email">Email</label>
<br>
<input id="mail" name="contact-op" type="checkbox" value="mail">
<label for="mail">Mail</label>
<br>
<br>
<label for="text-area"> How can we improve your experience for the future?</label>
<br>
<textarea id="text-area" rows="10" placeholder="Type here . . . "></textarea>
<br>
<br>
<input id="submit" class="btn-submit" type="submit" value="Submit">
</form>
</div>
</main>
<br>
<footer>
<p>Design and code by - <a href="https://codepen.io/melkam-neh" target="_blank"> Melkamneh</a></p>
</footer>
</body>
</html>