83 lines
4.9 KiB
PHP
83 lines
4.9 KiB
PHP
<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<title>Customer Feedback Survey - Create a survey management system</title>
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<meta name="description" content="Provide your feedback to help us improve our services. Built with Flatlogic Generator.">
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<meta name="keywords" content="survey, feedback, customer satisfaction, product review, service quality, survey management system, Built with Flatlogic Generator">
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<meta property="og:title" content="Customer Feedback Survey - Create a survey management system">
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<meta property="og:description" content="Provide your feedback to help us improve our services. Built with Flatlogic Generator.">
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<meta property="og:image" content="">
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<meta name="twitter:card" content="summary_large_image">
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<meta name="twitter:image" content="">
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<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.2/dist/css/bootstrap.min.css" rel="stylesheet">
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<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap-icons@1.11.3/font/bootstrap-icons.min.css">
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<link rel="preconnect" href="https://fonts.googleapis.com">
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<link rel="preconnect" href="https://fonts.gstatic.com" crossorigin>
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<link href="https://fonts.googleapis.com/css2?family=Inter:wght@400;500;600&display=swap" rel="stylesheet">
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<link rel="stylesheet" href="assets/css/custom.css?v=<?php echo time(); ?>">
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</head>
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<body>
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<div class="container my-5">
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<div class="card">
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<div class="card-header">
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<h1 class="card-title h4">Customer Feedback Survey</h1>
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<p class="text-muted mb-0">Thank you for taking the time to provide your valuable feedback.</p>
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</div>
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<div class="card-body">
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<form action="submit_survey.php" method="POST">
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<input type="hidden" name="survey_id" value="1">
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<div class="mb-4">
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<label for="email" class="form-label">What is your email address?</label>
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<input type="email" class="form-control" id="email" name="respondent_email" required>
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</div>
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<div class="mb-4">
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<label class="form-label">How satisfied are you with our product?</label>
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<div class="form-check">
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<input class="form-check-input" type="radio" name="satisfaction" id="very_satisfied" value="Very Satisfied" required>
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<label class="form-check-label" for="very_satisfied">Very Satisfied</label>
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</div>
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<div class="form-check">
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<input class="form-check-input" type="radio" name="satisfaction" id="satisfied" value="Satisfied">
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<label class="form-check-label" for="satisfied">Satisfied</label>
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</div>
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<div class="form-check">
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<input class="form-check-input" type="radio" name="satisfaction" id="neutral" value="Neutral">
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<label class="form-check-label" for="neutral">Neutral</label>
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</div>
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<div class="form-check">
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<input class="form-check-input" type="radio" name="satisfaction" id="dissatisfied" value="Dissatisfied">
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<label class="form-check-label" for="dissatisfied">Dissatisfied</label>
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</div>
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</div>
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<div class="mb-4">
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<label class="form-label">Which features do you use the most? (Select all that apply)</label>
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<div class="form-check">
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<input class="form-check-input" type="checkbox" name="features[]" value="Feature A" id="feature_a">
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<label class="form-check-label" for="feature_a">Feature A</label>
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</div>
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<div class="form-check">
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<input class="form-check-input" type="checkbox" name="features[]" value="Feature B" id="feature_b">
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<label class="form-check-label" for="feature_b">Feature B</label>
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</div>
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<div class="form-check">
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<input class="form-check-input" type="checkbox" name="features[]" value="Feature C" id="feature_c">
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<label class="form-check-label" for="feature_c">Feature C</label>
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</div>
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</div>
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<button type="submit" class="btn btn-primary w-100">Submit Feedback</button>
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</form>
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</div>
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</div>
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</div>
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<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.3.2/dist/js/bootstrap.bundle.min.js"></script>
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</body>
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</html>
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