-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathSurvey_Form.html
64 lines (57 loc) · 2.03 KB
/
Survey_Form.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
<!DOCTYPE html>
<html>
<header>
<h1 id="title"> Arsenal FC Membership </h1>
</header>
<body>
<p id="description">Fill out your details down below to complete your membership </p>
<form id="survey-form">
<div class="input-headings">
<label for="name" id="name-label"> Name</label>
<input id="name" type="text" name="name" placeholder="Zaynul Abedin" class="form-inputs" required>
<br>
<label for="email" id="email-label"> Email</label>
<input id="email" type="email" name="email" placeholder="[email protected]" class="form-inputs" required>
<br>
<label for="number" id="number-label"> Age</label>
<input id="number" type="number" name="number" placeholder="16" min="16" max="100" class="form-inputs" required>
<br>
<label for="dropdown" id="item"> Select Item</label>
<select id="dropdown" class="form-inputs" >
<option value="Home Jersey"> Home Jersey </option>
<option value="Away Jersey"> Away Jersey </option>
<option value="Third Kit"> Third Kit </option>
</select>
<br>
<label for="jersey_color" id="jersey_color"> <b> Jersey Color:</b> </label>
<br>
<input id="jn" type="radio" name="color" value="red">
<label for="jersey_color">Red </label>
<br>
<input id="jt" type="radio" name="color" value="yellow">
<label for="jersey_color">Yellow </label>
<br>
<input id="jk" type="radio" name="color" value="white">
<label for="jersey_color">White </label>
<br>
<label for="feature"><b> Membership Type: </b> </label>
<br>
<input id="checkbox" type="checkbox" name="features" value="free">
<label for="checkbox">Free membership</label>
<br>
<input id="h" type="checkbox" name="features" value="premium">
<label for="checkbox">Premium membership 10$</label>
<br>
<input id="c" type="checkbox" name="features" value="vip">
<label for="checkbox">VIP 100$</label>
<br>
<br>
<label id="textarea">Additional Comments </label>
<textarea id="area" name="instructions" rows="5" cols="40">
</textarea>
<br>
<input id="submit" type="submit" value="confirm" class="submit-button">
</div>
</form>
</body>
</html>