<?php
/**
 * Created by PhpStorm.
 * Project : jmstar07022020
 * User: fahmihilmansyah
 * Date: 06/05/20
 * Email : fahmi.hilmansyah@gmail.com
 * Telp : 0817170820
 * Time: 13.11
 * Dilarang Keras Mengubah atau Mendistribusikan ulang code ini tanpa sepengetahuan.
 */
 ?>
<div class="row">
    <div class="col-md-12">
        <div class="form-check">
            <input class="form-check-input" type="radio" name="nilai" id="exampleRadios1" value="Significantly Improved" checked>
            <label class="form-check-label" for="exampleRadios1">
                Significantly Improved
            </label>
        </div>
        <div class="form-check">
            <input class="form-check-input" type="radio" name="nilai" id="exampleRadios2" value="Improved" checked>
            <label class="form-check-label" for="exampleRadios2">
                Improved
            </label>
        </div>
        <div class="form-check">
            <input class="form-check-input" type="radio" name="nilai" id="exampleRadios3" value="Slightly Improved" checked>
            <label class="form-check-label" for="exampleRadios3">
                Slightly Improved
            </label>
        </div>
        <div class="form-check">
            <input class="form-check-input" type="radio" name="nilai" id="exampleRadios4" value="Not Improved" checked>
            <label class="form-check-label" for="exampleRadios4">
                Not Improved
            </label>
        </div>
    </div>
    <div class="col-md-12">
        <textarea class="form-control" name="keterangan"></textarea>
    </div>
</div>