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  1. <h1 id="title"> <strong> Voter Survey </strong></h1>
  2. <div id="form-layout">
  3. <p id="survey-description"><strong>Please fill out the survey with your political infromation for research purposes</strong></p>
  4. <form id="survey-form" method="GET">
  5. <div class="rows">
  6. <div class="labels">
  7. <label id="name-label" for="name">* Name: </label>
  8. </div>
  9. <div class="rightRows">
  10. <input autofocus type="text" name="name" id="name" class="input-field" placeholder="Enter Your Name" required>
  11. </div>
  12. </div>
  13. <div class="rows">
  14. <div class="labels">
  15. <label id="email-label" for="email">* E-mail: </label>
  16. </div>
  17. <div class="rightRows">
  18. <input type="text" name="email" id="email" class="input-field" placeholder="Enter Your E-mail" required>
  19. </div>
  20. </div>
  21. <div class="rows">
  22. <div class="labels">
  23. <label id="number-label" for="age">* Age: </label>
  24. </div>
  25. <div class="rightRows">
  26. <input type="text" name="age" id="number" class="input-field" min="1" max="125" placeholder="Enter Your Age" required>
  27. </div>
  28. </div>
  29. <div class="rows">
  30. <div class="labels">
  31. <label for="currWork">What politcal affliation would you describe yourself as? : </label>
  32. </div>
  33. <div class="rightRows">
  34. <select id="dropdown" name="currWork" class="dropdown">
  35. <option disabled selected value>Please select one of the following</option>
  36. <option value="dem">Democratic</option>
  37. <option value="rep">Republican</option>
  38. <option value="lib">Libertarian</option>
  39. <option value="green">Green Party</option>
  40. <option value="other">Other</option>
  41. </select>
  42. </div>
  43. </div>
  44. <div class="rows">
  45. <div class="labels">
  46. <label for="intensity">* Which of the following would best match your own personal beliefs with your respective politcal affiliation? </label>
  47. </div>
  48. <div class="rightRows">
  49. <ul style="list-style: none;">
  50. <li class="radio">
  51. <label> Exactly Alike
  52. <input name="radio-buttons" value="1" type="radio" class="polActivity">
  53. </label>
  54. </li>
  55. <li class="radio">
  56. <label> Similar Enough
  57. <input name="radio-buttons" value="2" type="radio" class="polActivity">
  58. </label>
  59. </li>
  60. <li class="radio">
  61. <label>I'm just a clueless follower
  62. <input name="radio-buttons" value="3" type="radio" class="polActivity">
  63. </label>
  64. </li>
  65. </ul>
  66. </div>
  67. </div>
  68. <div class="rows">
  69. <div class="labels">
  70. <label for="beliefs">Please check the following statements if they allign with your politcal beliefs: </label>
  71. </div>
  72. <div class="rightRows">
  73. <ul id="beliefChk" style="list-style: none;">
  74. <li class="checks">
  75. <label>
  76. <input name="prefer" value="1" type="checkbox" class="polActivity">
  77. Pro-life
  78. </label>
  79. </li>
  80. <li class="checks">
  81. <label>
  82. <input name="prefer" value="2" type="checkbox" class="polActivity">
  83. Pro-Choice
  84. </label>
  85. </li>
  86. <li class="checks">
  87. <label>
  88. <input name="prefer" value="3" type="checkbox" class="polActivity">
  89. Government should increase environmental regulations to combat climate change
  90. </label>
  91. </li>
  92. <li class="checks">
  93. <label>
  94. <input name="prefer" value="4" type="checkbox" class="polActivity">
  95. There should be more regulation on gun control for the safety of US citizens
  96. </label>
  97. </li>
  98. <li class="checks">
  99. <label>
  100. <input name="prefer" value="5" type="checkbox" class="polActivity">
  101. No more added regulations! We have the right to bear arms!
  102. </label>
  103. </li>
  104. <li class="checks">
  105. <label>
  106. <input name="prefer" value="6" type="checkbox" class="polActivity">
  107. We should allow Syrian refugee's into our country for safety
  108. </label>
  109. </li>
  110. <li class="checks">
  111. <label>
  112. <input name="prefer" value="7" type="checkbox" class="polActivity">
  113. We need more border control to stop these damn illegals from tarnishing this country
  114. </label>
  115. </li>
  116. <li class="checks">
  117. <label>
  118. <input name="prefer" value="8" type="checkbox" class="polActivity">
  119. The police force is too brutal with their use of authority
  120. </label>
  121. </li>
  122. <li class="checks">
  123. <label>
  124. <input name="prefer" value="9" type="checkbox" class="polActivity">
  125. It is the people who do not listen to police authority, they are just doing there job
  126. </label>
  127. </li>
  128. </ul>
  129. </div>
  130. </div>
  131. <div class="rows">
  132. <div class="labels">
  133. <label for="registered">Are you a registered voter in the county you currently reside in?: </label>
  134. </div>
  135. <div class="rightRows">
  136. <select id="registered" name="reg" class="dropdown">
  137. <option disabled selected value>Select an option</option>
  138. <option value="yes">Yes</option>
  139. <option value="no">No</option>
  140. </select>
  141. </div>
  142. </div>
  143. <div class="rows">
  144. <div class="labels">
  145. <label for="response"> Please leave any comments or suggestions below!: </label>
  146. </div>
  147. <div class="rightRows">
  148. <textarea id="response" class="input-field" style="height:65px;width: 300px;resize:vertical;"
  149. name="comment" placeholder="Leave any comments you have here..."></textarea>
  150. </div>
  151. </div>
  152. <button id="submit" type="submit" onclick="saveTextAsFile()">Submit</button>
  153. </form>
  154. </div>
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