Notes
Notes - notes.io |
<html lang="en">
<head>
<meta charset="UTF-8">
<title>
Student Survey Form
</title>
<link rel="stylesheet" href="style.css">
<link rel="stylesheet" href="https://www.w3schools.com/w3css/4/w3.css">
</head>
<body>
<form id="form" action="formconfirmation.html" autocomplete="on">
<div class="rect_box"><h1 class="header-cls">Student Survey Form</h1><br/></div>
<div class="form-control">
<label for="fname" id="label-fname">First Name<span class="required">*</span></label>
<input type="text" id="fname" required placeholder="Enter your first name" autocomplete="given-name" autofocus/>
</div>
<div class="form-control">
<label for="lname" id="label-lname">Last Name<span class="required">*</span></label>
<input type="text" id="lname" required placeholder="Enter your last name" autocomplete="last-name"/>
</div>
<div class="form-control">
<label for="address" id="label-streetaddress">Street Address<span class="required">*</span></label>
<input type="text" id="address" required placeholder="Enter your address" autocomplete="on"/>
</div>
<div class="form-control">
<label for="city" id="label-city">City<span class="required">*</span></label>
<input type="text" id="city" required placeholder="Enter your city" autocomplete="on"/>
</div>
<div class="form-control">
<label for="state" id="label-state">State<span class="required">*</span></label>
<input type="text" id="state" required placeholder="Enter your state" autocomplete="on"/>
</div>
<div class="form-control">
<label for="zip" id="label-zip">Zip<span class="required">*</span></label>
<input type="text" id="zip" required placeholder="Enter your zip code" autocomplete="on"/>
</div>
<div class="form-control">
<label for="telephone" id="label-telephone">Telephone Number</label>
<input type="tel" id="telephone" pattern="(?:(d{3})|d{3})[- ]?d{3}[- ]?d{4}" required placeholder="Enter your telephone number (xxx) xxx-xxxx" autocomplete="on"/>
</div>
<div class="form-control">
<label for="email" id="label-email">Email<span class="required">*</span></label>
<input type="email" id="email" required placeholder="Enter your email" autocomplete="on"/>
</div>
<div class="form-control">
<label for="homepage">Add your homepage:<span class="required">*</span></label>
<input type="url" id="homepage" name="homepage" placeholder="Enter your URL" required autocomplete="on">
</div>
<div class="form-control">
<label for="date_of_survey" id="label-dos">Date Of Survey<span class="required">*</span></label>
<input type="date" required id="date_of_survey"/>
</div>
<div class="form-control">
<label>What do you like the most in the campus?
<small>(Check all that apply)</small>
</label>
<label for="student-checkbox">
<input type="checkbox" name="inp" id="student-checkbox">students</input>
</label>
<label for="location-checkbox">
<input type="checkbox" name="inp" id="location-checkbox">location</input>
</label>
<label for="campus-checkbox">
<input type="checkbox" name="inp" id="campus-checkbox">campus</input>
</label>
<label for="atmoshpere-checkbox">
<input type="checkbox" name="inp" id="atmoshpere-checkbox">atmosphere</input>
</label>
<label for="dormrooms-checkbox">
<input type="checkbox" name="inp" id="dormrooms-checkbox">dorm rooms</input>
</label>
<label for="sports-checkbox">
<input type="checkbox" name="inp" id="sports-checkbox">sports</input>
</label>
</div>
<div class="form-control">
<label>
How they have become interested in the University?
</label>
<label for="friends-radio">
<input type="radio" id="friends-radio" name="recommed">Friends</input>
</label>
<label for="tv-radio">
<input type="radio" id="tv-radio" name="recommed">Television</input>
</label>
<label for="internet-radio">
<input type="radio" id="internet-radio" name="recommed">Internet</input>
</label>
<label for="other-radio">
<input type="radio" id="other-radio" name="recommed">Other</input>
</label>
</div>
<div class="form-control">
<label for="recommend" id="label-role">
Select the likelihood of him/her recommending this school to other prospective students
</label>
<select name="option" id="recommend">
<option value="veryLikely">Very Likely</option>
<option value="Likely">Likely</option>
<option value="unlikely">Unlikely</option>
</select>
</div>
<div class="form-control">
<label for="comment">
Additional Comments
</label>
<textarea name="comment" id="comment" placeholder="Enter your comment here"></textarea>
</div>
<div class="form-control">
<label for="graduation_month">
Select high-school graduation month (January through December):
</label>
<input list="graduation_months" id="graduation_month" name="graduation_month"
placeholder="Select your graduation month"/>
<datalist id="graduation_months">
<option value="January">
<option value="February">
<option value="March">
<option value="April">
<option value="May">
<option value="June">
<option value="July">
<option value="August">
<option value="September">
<option value="October">
<option value="November">
<option value="December">
</datalist>
</div>
<div class="form-control">
<label for="Graduation_year" id="graduation_year">
Graduation Year
</label>
<input type= "text" name= "year" id= "year" placeholder="Enter your graduation year here"></input>
</div>
<button class="submit-button">
Submit
</button>
<div id="footer">
<a href="https://www.gmu.edu/" target="_blank"><img height="100" src="gmu_logo.png" width="150"></a>
</div>
</form>
</body>
</html>
|
|
Notes.io is a web-based application for taking notes. You can take your notes and share with others people. If you like taking long notes, notes.io is designed for you. To date, over 8,000,000,000 notes created and continuing...
With notes.io;
- * You can take a note from anywhere and any device with internet connection.
- * You can share the notes in social platforms (YouTube, Facebook, Twitter, instagram etc.).
- * You can quickly share your contents without website, blog and e-mail.
- * You don't need to create any Account to share a note. As you wish you can use quick, easy and best shortened notes with sms, websites, e-mail, or messaging services (WhatsApp, iMessage, Telegram, Signal).
- * Notes.io has fabulous infrastructure design for a short link and allows you to share the note as an easy and understandable link.
Fast: Notes.io is built for speed and performance. You can take a notes quickly and browse your archive.
Easy: Notes.io doesn’t require installation. Just write and share note!
Short: Notes.io’s url just 8 character. You’ll get shorten link of your note when you want to share. (Ex: notes.io/q )
Free: Notes.io works for 12 years and has been free since the day it was started.
You immediately create your first note and start sharing with the ones you wish. If you want to contact us, you can use the following communication channels;
Email: [email protected]
Twitter: http://twitter.com/notesio
Instagram: http://instagram.com/notes.io
Facebook: http://facebook.com/notesio
Regards;
Notes.io Team
