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index.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Form</title>
<link rel="stylesheet" href="style.css">
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">
</head>
<body>
<form>
<div class="container">
<div class="inbox">
<div class="names">
<div class="name">
<label for="fName lName">Name</label><span class="asterisk">*</span><br>
<div class="exBox">
<input type="text" id="fName" autocomplete="off"><br>
<span class="exclamation">!</span>
</div>
<span>First</span>
</div>
<div class="lname">
<input type="text" id="lName" autocomplete="off"><br>
<span>Last</span>
</div>
</div>
<div class="email">
<label for="Email">Email</label><span class="asterisk">*</span><br>
<input type="email" id="Email" autocomplete="off">
</div>
</div>
<div class="experience">
<label for="stars">Your Experience</label><span class="asterisk">*</span><br>
<div id="stars">
<i class="fa fa-solid fa-star" style="color: #eeac82;"></i>
<i class="fa fa-solid fa-star" style="color: #eeac82;"></i>
<i class="fa fa-solid fa-star" style="color: #eeac82;"></i>
<i class="fa fa-solid fa-star" style="color: #eeac82;"></i>
<i class="fa fa-solid fa-star" style="color: #eeac82;"></i>
</div>
</div>
<div class="satisfied">
<label for="">How satisfied are you with</label><span class="asterisk">*</span><br>
<table>
<tr>
<td></td>
<td>Very Unsatisfied</td>
<td>Unsatisfied</td>
<td>Neutral</td>
<td>Satisfied</td>
<td>Very Satisfied</td>
</tr>
<tr>
<td>Purchase</td>
<td><input type="radio" name="Purchase" id=""></td>
<td><input type="radio" name="Purchase" id=""></td>
<td><input type="radio" name="Purchase" id=""></td>
<td><input type="radio" name="Purchase" id=""></td>
<td><input type="radio" name="Purchase" id=""></td>
</tr>
<tr>
<td>Service</td>
<td><input type="radio" name="Service" id=""></td>
<td><input type="radio" name="Service" id=""></td>
<td><input type="radio" name="Service" id=""></td>
<td><input type="radio" name="Service" id=""></td>
<td><input type="radio" name="Service" id=""></td>
</tr>
<tr>
<td>Company Overall</td>
<td><input type="radio" name="Companys" id=""></td>
<td><input type="radio" name="Companys" id=""></td>
<td><input type="radio" name="Companys" id=""></td>
<td><input type="radio" name="Companys" id=""></td>
<td><input type="radio" name="Companys" id=""></td>
</tr>
</table>
</div>
<div class="likes">
<label for="">How likely are you to</label><span class="asterisk">*</span><br>
<table>
<tr>
<td></td>
<td>Very Unlikely</td>
<td>Unlikely</td>
<td>Neutral</td>
<td>Likely</td>
<td>Very Likely</td>
</tr>
<tr>
<td>Buy from us again</td>
<td><input type="radio" name="buy" id=""></td>
<td><input type="radio" name="buy" id=""></td>
<td><input type="radio" name="buy" id=""></td>
<td><input type="radio" name="buy" id=""></td>
<td><input type="radio" name="buy" id=""></td>
</tr>
<tr>
<td>Recommend our product to others</td>
<td><input type="radio" name="product" id=""></td>
<td><input type="radio" name="product" id=""></td>
<td><input type="radio" name="product" id=""></td>
<td><input type="radio" name="product" id=""></td>
<td><input type="radio" name="product" id=""></td>
</tr>
<tr>
<td>Recommend our company to others</td>
<td><input type="radio" name="company" id=""></td>
<td><input type="radio" name="company" id=""></td>
<td><input type="radio" name="company" id=""></td>
<td><input type="radio" name="company" id=""></td>
<td><input type="radio" name="company" id=""></td>
</tr>
</table>
</div>
<div class="comment">
<label for="comments">Additional comments or suggestions</label><br>
<textarea name="" id="comments" cols="100" rows="6"></textarea>
</div>
<input id="submit" type="submit" value="Submit">
</div>
</form>
</body>
</html>