Guest User

Untitled

a guest
Jul 15th, 2018
76
0
Never
Not a member of Pastebin yet? Sign Up, it unlocks many cool features!
text 2.53 KB | None | 0 0
  1. <h1 id="title">Community Survey</h1>
  2. <p id="description">Short Analytics Survey</p>
  3.  
  4. <form id="survey-form">
  5. <div class="form-group">
  6. <label id="name-label" for="name">Name:</label>
  7. <input id="name" type"text" required placeholder="Enter your full name">
  8. <span class="validity"></span></div>
  9.  
  10. <div class="form-group">
  11. <label id="email-label" for="email">Email:</label>
  12. <input id="email" type="email" required placeholder="Enter your email"
  13. <span class="validity"></span></div>
  14.  
  15. <div class="form-group">
  16. <label id="number-label"
  17. for="number">Your Age:</label>
  18. <input id="number" type"number" min="13" max="99" step="1" required placeholder="Enter your age"></input>
  19. <span class="validity"></span>
  20. </div>
  21.  
  22. <div class="form-group">
  23. <label id="role-label" for="dropdown">Your current education status:</label>
  24. <select id="dropdown" name="current-role">
  25. <option value="" disabled selected>Select an option</option>
  26. <option value="other">Other</option>
  27. <option value="High school">High school/Equivalent</option>
  28. <option value="Some college">Some college</option>
  29. <option value= "degree">Degree/Graduate</option>
  30. </select>
  31. </div>
  32.  
  33. <div class="form-group">
  34. <p>Would you like to subcribe to our weekly newsletter:</p>
  35. <div class="input-group">
  36. <label for="yes"><input id="yes" type="radio" name="user-rating" value="yes" checked> Yes</label>
  37. <label for="no"><input id="no" type="radio" name="user-rating" value="no"> No</label>
  38. </div>
  39. </div>
  40.  
  41.  
  42. <div class="form-group">
  43. <p>Type of housing you have lived in<br>(Check all that apply)</p>
  44. <div class="input-group">
  45. <label><input type="checkbox" name="housing" value="house-type">Apartment</label>
  46. <label><input type="checkbox"
  47. name="housing"
  48. value="house-type">Single floor</label>
  49. <label><input type="checkbox" name="housing" value="house-type">Two-story</label>
  50. <label><input
  51. type="checkbox" name="housing" value="house-type">Other</label>
  52. </div>
  53. </div>
  54.  
  55. <div class="form-group">
  56. <label id="textarea-label"
  57. for="comments"> A summary of how you could better your community:</label>
  58. <textarea id="comments" placeholder="Enter your summary here..." cols="30" rows"5"></textarea>
  59. </div>
  60.  
  61. <div class="form-group">
  62. <input id="submit"
  63. class="button" type="submit" value="Submit">
  64. </div>
  65. </form>
Add Comment
Please, Sign In to add comment