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FeedBack Form

This Example is contributed by Anonymous, on 19-Feb-2025. It is responsive. similar terms for this example is Form Component

Form Feedback Survey

Author Anonymous

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<div class="questionnaire-section">
  <h2 class="questionnaire-title">Customer Feedback Survey</h2>
  <form id="questionnaire-form">
    <div class="form-group">
      <label for="name">Name:</label>
      <input type="text" id="name" name="name" required>
    </div>
    <div class="form-group">
      <label for="email">Email:</label>
      <input type="email" id="email" name="email" required>
    </div>
    <div class="form-group">
      <label for="question1">How satisfied are you with our service?</label>
      <select id="question1" name="question1" required>
        <option value="">Select an option</option>
        <option value="very-satisfied">Very Satisfied</option>
        <option value="satisfied">Satisfied</option>
        <option value="neutral">Neutral</option>
        <option value="dissatisfied">Dissatisfied</option>
        <option value="very-dissatisfied">Very Dissatisfied</option>
      </select>
    </div>
    <div class="form-group">
      <label for="question2">Please provide any additional feedback:</label>
      <textarea id="question2" name="question2" rows="4"></textarea>
    </div>
    <button type="submit" class="submit-btn">Submit</button>
  </form>
</div>

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