Simple Feedback/Suggestion Page

Abhisek
Posted by Abhisek under Others category on | Views : 1745
Simple Feedback/Suggestion Page


The following HTML code will create a simple page for feedback or suggestion. In the form we have textboxes, checkboxes, radiobuttons, labels, textarea and buttons. There are two buttons, Submit and Reset.

Submit will sent the feedback as mail to the specified mail id if you have mail server configured in your system and the Reset will clear all the fields.

<html>
<head>
<title>
Some Suggestions Please
</title>
</head>
<form metrhod="post" action="mailto:abhisek_liku@in.com">
<p>Name <input type="text"name="info1"size="20"maxlength="30">
<p>Place<input type="text"name="info2"size="20"maxlength="30">
<p>State <input type="text"name="info3"size="20"maxlength="30">
<p>City <input type="text"name="info4"size="20"maxlength="30">
<p>Country <input type="text"name="info5"size="20"maxlength="30">
<p>E-mail <input type="text"name="info6"size="20"maxlength="30">
<p><b><font color="green">Marital Status</font></b><br>
<input type="radio"name="marital1"value="Married">Married
<input type="radio"name="marital2"value="Unmarried">Unmarried
<p><b><font color="green">Hobbies</font></b><br>
<input type="checkbox"name="hob1"value="Cricket">Cricket
<input type="checkbox"name="hob2"value="Reading">Reading
<br>
<br>
<input type="checkbox"name="hob3"value="Swimming">Sweeming
<input type="checkbox"name="hob4"value="Other">Other
<p><b><font color="green">Comments/Suggestion</font></b><br>
<textarea name="Suggestion"row="7"cols="40"wrap>
</textarea>
<br>
<br>
<br>
<input type="Submit" value="Accept">
<input type="Reset" value="Refresh">
</form>
</html>

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