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feedback.html
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feedback.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Feedback Form HTML Template - reusable form</title>
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css" >
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap-theme.min.css" >
<link rel="stylesheet" href="/css/form.css" >
</head>
<body >
<div class="container">
<div class="imagebg"></div>
<div class="row " style="margin-top: 50px">
<div class="col-md-6 col-md-offset-3 form-container">
<h2>Feedback</h2>
<p> Please provide your valuable feedback below: </p>
<form id="reused_form" action="cardetails.html">
<div class="row">
<div class="col-sm-12 form-group">
<label>How do you rate your overall experience?</label>
<p>
<label class="radio-inline">
<input type="radio" name="experience" id="radio_experience" value="bad" >
Bad
</label>
<label class="radio-inline">
<input type="radio" name="experience" id="radio_experience" value="average" >
Average
</label>
<label class="radio-inline">
<input type="radio" name="experience" id="radio_experience" value="good" >
Good
</label>
</p>
</div>
</div>
<div class="row">
<div class="col-sm-12 form-group">
<label for="comments"> Comments:</label>
<textarea class="form-control" type="textarea" name="comments" id="comments" placeholder="Your Comments" maxlength="6000" rows="7"></textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 form-group">
<label for="name"> Your Name:</label>
<input type="text" class="form-control" id="name" name="name" required>
</div>
<div class="col-sm-6 form-group">
<label for="email"> Email:</label>
<input type="email" class="form-control" id="email" name="email" required>
</div>
</div>
<div class="row">
<div class="col-sm-12 form-group">
<input type="submit" class="btn btn-lg btn-warning btn-block" value="SUBMIT"></input>
</div>
</div>
</form>
<div id="success_message" style="width:100%; height:100%; display:none; "> <h3>Posted your feedback successfully!</h3> </div>
<div id="error_message" style="width:100%; height:100%; display:none; "> <h3>Error</h3> Sorry there was an error sending your form. </div>
</div>
</div>
</div>
</body>
</html>