html-task/project html survey form.html at main · SaiAkashDev/html-task · GitHub

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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>Feedback Form</title>
    <style>
        body {
            font-family: Arial, sans-serif;
            margin: 20px;
        }
        .container {
            max-width: 600px;
            margin: 0 auto;
            padding: 20px;
            border: 1px solid #ccc;
            border-radius: 10px;
            box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);
            background-color: #f9f9f9;
        }
        .form-group {
            margin-bottom: 15px;
        }
        label {
            display: block;
            margin-bottom: 5px;
            font-weight: bold;
        }
        input[type="text"],
        input[type="email"],
        textarea {
            width: 100%;
            padding: 8px;
            border: 1px solid #ccc;
            border-radius: 5px;
        }
        .rating {
            display: flex;
            gap: 5px;
        }
        .radio-group {
            display: flex;
            justify-content: space-between;
        }
        .radio-group input {
            margin-right: 5px;
        }
        .submit-btn {
            display: block;
            margin-top: 20px;
            padding: 10px 20px;
            background-color: #4CAF50;
            color: #fff;
            border: none;
            border-radius: 5px;
            cursor: pointer;
        }
        .submit-btn:hover {
            background-color: #45a049;
        }
    </style>
</head>
<body>
    <div class="container">
        <form>
            <div class="form-group">
                <label for="name">Name *</label>
                <input type="text" id="firstName" placeholder="First" required>
                <input type="text" id="lastName" placeholder="Last" required>
            </div>
            <div class="form-group">
                <label for="email">Email *</label>
                <input type="email" id="email" required>
            </div>
            <div class="form-group">
                <label>Your Experience *</label>
                <div class="rating">
                    <input type="radio" name="experience" value="1">1
                    <input type="radio" name="experience" value="2">2
                    <input type="radio" name="experience" value="3">3
                    <input type="radio" name="experience" value="4">4
                    <input type="radio" name="experience" value="5">5
                </div>
            </div>
            <div class="form-group">
                <label>How satisfied are you with *</label>
                <div>
                    <p>Purchase</p>
                    <div class="radio-group">
                        <label><input type="radio" name="purchase" value="1">Very Unsatisfied</label>
                        <label><input type="radio" name="purchase" value="2">Unsatisfied</label>
                        <label><input type="radio" name="purchase" value="3">Neutral</label>
                        <label><input type="radio" name="purchase" value="4">Satisfied</label>
                        <label><input type="radio" name="purchase" value="5">Very Satisfied</label>
                    </div>
                </div>
                <div>
                    <p>Service</p>
                    <div class="radio-group">
                        <label><input type="radio" name="service" value="1">Very Unsatisfied</label>
                        <label><input type="radio" name="service" value="2">Unsatisfied</label>
                        <label><input type="radio" name="service" value="3">Neutral</label>
                        <label><input type="radio" name="service" value="4">Satisfied</label>
                        <label><input type="radio" name="service" value="5">Very Satisfied</label>
                    </div>
                </div>
                <div>
                    <p>Company Overall</p>
                    <div class="radio-group">
                        <label><input type="radio" name="company" value="1">Very Unsatisfied</label>
                        <label><input type="radio" name="company" value="2">Unsatisfied</label>
                        <label><input type="radio" name="company" value="3">Neutral</label>
                        <label><input type="radio" name="company" value="4">Satisfied</label>
                        <label><input type="radio" name="company" value="5">Very Satisfied</label>
                    </div>
                </div>
            </div>
            <div class="form-group">
                <label>How likely are you to *</label>
                <div>
                    <p>Buy from us again</p>
                    <div class="radio-group">
                        <label><input type="radio" name="buyAgain" value="1">Very Unlikely</label>
                        <label><input type="radio" name="buyAgain" value="2">Unlikely</label>
                        <label><input type="radio" name="buyAgain" value="3">Neutral</label>
                        <label><input type="radio" name="buyAgain" value="4">Likely</label>
                        <label><input type="radio" name="buyAgain" value="5">Very Likely</label>
                    </div>
                </div>
                <div>
                    <p>Recommend our product to others</p>
                    <div class="radio-group">
                        <label><input type="radio" name="recommendProduct" value="1">Very Unlikely</label>
                        <label><input type="radio" name="recommendProduct" value="2">Unlikely</label>
                        <label><input type="radio" name="recommendProduct" value="3">Neutral</label>
                        <label><input type="radio" name="recommendProduct" value="4">Likely</label>
                        <label><input type="radio" name="recommendProduct" value="5">Very Likely</label>
                    </div>
                </div>
                <div>
                    <p>Recommend our company to others</p>
                    <div class="radio-group">
                        <label><input type="radio" name="recommendCompany" value="1">Very Unlikely</label>
                        <label><input type="radio" name="recommendCompany" value="2">Unlikely</label>
                        <label><input type="radio" name="recommendCompany" value="3">Neutral</label>
                        <label><input type="radio" name="recommendCompany" value="4">Likely</label>
                        <label><input type="radio" name="recommendCompany" value="5">Very Likely</label>
                    </div>
                </div>
            </div>
            <div class="form-group">
                <label for="comments">Additional comments or suggestions</label>
                <textarea id="comments" rows="4"></textarea>
            </div>
            <button type="submit" class="submit-btn">Submit</button>
        </form>
    </div>
</body>
</html>