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- <!DOCTYPE html>
- <html>
- <head>
- <title></title>
- </head>
- <body>
- <div class="container">
- <header class="header">
- <h1 id="title">Music Survey Form</h1>
- <p id="subt">Thank you for participating</p><br>
- </header>
- <form id="survey-form">
- <div class="form-group">
- <label for="name" id="name-label">
- <input type="text" id="name" placeholder="Name">
- </label>
- <br>
- <label for="email" id="email-label">
- <input type="text" id="email" placeholder="Enter your email">
- </label>
- <br>
- <label for="number" id="number-label">
- <input type="text" id="number" placeholder="Age" max="200">
- </label>
- <br>
- </div>
- <div class="form-group">
- <p>Where do you listen music mostly?</p>
- <select id="dropdown">
- <option disabled selected value>Select option</option>
- <option value="at home">At home</option>
- <option value="in the car">In the car</option>
- <option value="anywhere">Anywhere(MP3 player)</option>
- <option value="other">Other</option>
- </select>
- <p>Which option best describes your current role?</p>
- <input type="radio" name="option" value="student"> Student<br>
- <input type="radio" name="option" value="full time job"> Full Time Job<br>
- <input type="radio" name="option" value="not sure"> Other<br>
- </div>
- <div class="form-group">
- <p>Select how often you purchase Music CDs</p>
- <select id="favorite">
- <option disabled selected value>Select an option</option>
- <option value="weekly">Weekly</option>
- <option value="a few cds">A few CDs each year</option>
- <option value="monthly">monthly</option>
- <option value="never">Never purchase</option>
- </select>
- </div>
- <div class="form-group">
- <p>Select your favorite types of music:</p>
- <input type="checkbox" name="option" value="Pop"> Pop<br>
- <input type="checkbox" name="option" value="rock"> Rock<br>
- <input type="checkbox" name="option" value="folk"> Folk<br>
- <input type="checkbox" name="option" value="rap"> Rap<br>
- <input type="checkbox" name="option" value="techno"> Techno<br>
- <input type="checkbox" name="option" value="country"> Country<br>
- <input type="checkbox" name="option" value="metal"> Metal<br>
- <input type="checkbox" name="option" value="r'n'b"> R'n'B<br>
- <input type="checkbox" name="option" value="classical"> Classical<br>
- <input type="checkbox" name="option" value="other"> Other<br>
- </div>
- <div class="form-group">
- <p>What role does music play in your life?</p>
- <textarea id="comments" class="input-textarea" name="comment" placeholder="Enter your comment here..."> </textarea>
- </div>
- <div class="form-group">
- <button type="submit" id="submit" class="submit-button">Submit</button>
- </div>
- </form>
- </div>
- </body>
- </html>
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