-
Notifications
You must be signed in to change notification settings - Fork 0
/
index.html
209 lines (195 loc) · 8.28 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
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
<!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">
<title>Simple Survey Form</title>
<link rel="stylesheet" href="./main.css">
</head>
<body>
<div class="container">
<header>
<h1 id="title"
class="text_center">Customer Satisfaction Service Survey</h1>
<p id="description"
class="description text_center">Please take a moment to fill out this survey</p>
</header>
<form id="survey_form" autocomplete="off">
<div class="form_group">
<label for="name"
id="name_label">Name</label>
<input type="text"
name="name"
id="name"
class="form_control"
placeholder="Please enter your name" required>
</div>
<div class="form_group">
<label for="email"
id="email_label">Email</label>
<input type="text"
name="email"
id="email"
class="form_control"
placeholder="Please enter your email" required>
</div>
<div class="form_group">
<label for="age"
id="age_label">Age
<span class="clue">(Optional)</span></label>
<input type="number"
name="age"
id="number"
min="18"
max="99"
class="form_control"
placeholder="Age" required>
</div>
<div class="form_group">
<label for="contact-number"
id="contact-number_label">Contact Number</label>
<input type="text"
name="contact-number"
id="contact-number"
class="form_control"
placeholder="Please enter your number" required>
</div>
<div class="form_group">
<p>For how long have you been using our product/service?</p>
<select name="rate" id="dropdown" class="form_control">
<option value="Select">Choose Options</option>
<option value="5">Less than a month</option>
<option value="4">1-12 months</option>
<option value="3">1-3 years</option>
<option value="2">Over 3 years</option>
<option value="1">Haven't used it</option>
</select>
</div>
<div class="form_group">
<p>How satisfied are you with our product/service?</p>
<label>
<input type="radio"
name="user-recommend"
value="very_satisfied"
class="input_radio"
checked/>Very Satisfied
</label>
<label>
<input type="radio"
name="user-recommend"
value="Satisfied"
class="input_radio"
checked/>Satisfied
</label>
<label>
<input type="radio"
name="user-recommend"
value="neutral"
class="input_radio"
checked/>Neutral
</label>
<label>
<input type="radio"
name="user-recommend"
value="unsatisfied"
class="input_radio"
checked/>Unsatisfied
</label>
<label>
<input type="radio"
name="user-recommend"
value="very_unsatisfied"
class="input_radio"
checked/>Very Unsatisfied
</label>
</div>
<div class="form_group">
<p>What impressed you most about the product/service?</p>
<select name="mostLike"
id="most_like"
class="form_control">
<option value="options">Choose Options</option>
<option value="quality">Quality</option>
<option value="price">Price</option>
<option value="experience">Shopping Experience</option>
<option value="first_use">First Use Experience</option>
<option value="usability">Usability</option>
<option value="service">Customer Service</option>
<option value="others">Others</option>
</select>
<p>What disappointed you most about the product/service?</p>
<select name="mostDislike"
id="most_dislike"
class="form_control">
<option value="options">Choose Options</option>
<option value="quality">Quality</option>
<option value="price">Price</option>
<option value="experience">Shopping Experience</option>
<option value="first_use">First Use Experience</option>
<option value="usability">Usability</option>
<option value="service">Customer Service</option>
<option value="others">Others</option>
</select>
</div>
<div class="form_group">
<p>What do you like most about our product/service?
</p>
<label>
<input type="checkbox"
name="prefer"
value="apparel"
class="input_radio"/>Apparel
</label>
<label>
<input type="checkbox"
name="prefer"
value="footwear"
class="input_radio"/>Footwear
</label>
<label>
<input type="checkbox"
name="prefer"
value="traditional"
class="input_radio"/>Traditional
</label>
<label>
<input type="checkbox"
name="prefer"
value="formal_wear"
class="input_radio"/>Formal Wear
</label>
<label>
<input type="checkbox"
name="prefer"
value="accessories"
class="input_radio"/>Accessories
</label>
<label>
<input type="checkbox"
name="prefer"
value="watches_and_jewelry"
class="input_radio"/>Watches and Jewelry
</label>
<label>
<input type="checkbox"
name="prefer"
value="others"
class="input_radio"/>Others
</label>
</div>
<div class="form_group">
<p>Any comments or suggestions?</p>
<textarea name="comment"
class="input-textarea"
id="comment"
placeholder="Type your comment here..."
></textarea>
</div>
<div class="form_group">
<button type="submit" class="submit_btn">Submit</button>
</div>
</form>
</div>
</body>
</html>