Survey Form
Sign up And Let Us Know Your Interests!
<div class="rowTab">
<div class="labels">
<label id="name-label" for="name">*Name
</label>
</div>
<div id="rightTab">
<input autofocus type="text" name="name" id="name" class="input-field" placeholder="Enter Your Name" required>
</div>
</div>
<div class="rowTab">
<div class="labels">
<label id="email" for="email">*Email</label>
</div>
<div id="rightTab">
<input type="email" id="email" class="input" required placeholder="Enter your email here">
</div>
</div>
<div class="rowTab">
<div class="labels">
<label id="number-label" for="age">*Age
</label>
</div>
<div id="rightTab">
<input autofocus type="number" name="age" id="age" min="1" max="125" placeholder="Enter Your Age" required>
</div>
</div>
<div class="rowTab">
<div class="labels">
<label for="currentPos">Which option best describes your current role?</label>
</div>
<div class="rightTab">
<select id="dropdown" name="currentPos" class="dropdown">
<option disabled value>Select An Option</option>
<option value="student">Student</option>
<option value="job">Full Time Job</option>
<option value="learner">Full Time Learner</option>
<option value="perferno">Perfer Not To Say</option>
<option value="Other">Other</option>
</select>
</div>
<div class="rowTab">
<div class="labels">
<label for="userRating">Which Do You Like Best?</lable>
</div>
</div>
<div class="rightTab">
<ul style="list-style: none;">
<li class="radio"><label>Dogs<input name="radio buttons" value="1" type="radio" class="userRatings"></label></li>
<li class="radio"><label>Cats<input name="radio buttons" value="2" type="radio" class="userRatings"></label></li>
<li class="radio"><label>Reptiles<input name="radio buttons" value="3" type="radio" class="userRatings"></label></li>
</ul>
</div>
<div class="rowTab">
<div ="labels">
<label for="like most">What Hobbie Do You Like More?</label>
</div>
<div class="rightTab">
<select id="most-like" name="mostLike" class="dropdown">
<option disabled selected value>Select an option</option>
<option value="video games">Video Games</option>
<option value="art">Arts & Crafts</option>
<option value="sports">Sports</option>
<option value="music">Music</option>
</select>
<div class="rowTab">
<div class="labels">
<label class="preference">Places You Would Like To Travel (Check All That Apply): </labels>
</div>
<div class="rightTab">
<ul id="preference" style="list-stype: none;">
<li class="checkbox">
<label>
<input name="prefer" value="1" type="checkbox" class="userRatings">
Canada
</label>
</li>
<li class="checkbox">
<label>
<input name="prefer" value="2" type="checkbox" class="userRatings">
France
</label>
</li>
<li class="checkbox">
<label>
<input name="prefer" value="3" type="checkbox" class="userRatings">
Brazil
</label>
</li>
<li class="checkbox">
<label>
<input name="prefer" value="4" type="checkbox" class="userRatings">
Hawaii
</label>
</li>
<li class="checkbox">
<label>
<input name="prefer" value="5" type="checkbox" class="userRatings">
Africa
</label>
</li>
<li class="checkbox">
<label>
<input name="prefer" value="6" type="checkbox" class="userRatings">
India
</label>
</li>
<li class="checkbox">
<label>
<input name="prefer" value="7" type="checkbox" class="userRatings">
Mexico
</label>
</li>
</ul>
</div>
<div class="rowTab">
<div class="labels">
<label for="comments">Any Comments?</labels>
</div>
<div class="rightTab">
<textarea id="comments" class="input-field" style="height:50px;resize:vertical;" name="comment" placeholder="Enter your comment here...">
</textarea>
</div>
</div>
<button id="submit" type="submit">Submit</button>
</div>
</div>
</form>
</div>