-
Notifications
You must be signed in to change notification settings - Fork 0
/
feedback.html
52 lines (50 loc) · 1.28 KB
/
feedback.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
<!doctype html>
<html>
<head>
<title>Feedback Forms Creation</title>
<h1>FEEDBACK FORM</h1>
<br>
<br>
<h2>Please Enter your details into the following fields as per instructions</h2>
<br>
<br>
</head>
<body>
<form action="" method="">
<fieldset>
<legend><b>DETAILS</b></legend>
<label for="firstname">First Name:</label>
<input type="text" id="firstname" name="">
<br>
<br>
<label for="sec">Last Name:</label>
<input type="text" id="sec" name="">
<br><br>
Select your Gender :
<select>
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Others">Others</option><br>
</select>
<br>
<br><form >
Date of Birth:
<input type="date" name="D.O.B">
</fieldset>
</form><br><br>
<fieldset>
<legend><b>PREFERENCES</b></legend>
<br> WHAT ARE THE SPORTS YOU WANT TO PLAY?<br><br>
<input type="checkbox" name="">FOOTBALL<br><br>
<input type="checkbox" name="">CRICKET<br><br>
<input type="checkbox" name="">KABADDI<br><br>
<input type="checkbox" name="">ANY OTHER(Please mention in the box below)<br><br>
<label for="thr">Other Sports:</label>
<input type="text" id="thr" size="20" name="">
<br>
</fieldset><br>
<em>THANK YOU FOR FILLING THE FORM!</em><br><br>
<input type="submit" value="Press to Submit">
</form>
</body>
</html>