-
Notifications
You must be signed in to change notification settings - Fork 2
/
Copy pathindex.php
54 lines (52 loc) · 2.22 KB
/
index.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
<!DOCTYPE html>
<!--
Feedback System
Author : Devesh Kumar Singh
GitHub : https://github.com/devesh7272
https://github.com/drlabpro
-->
<html lang="en">
<head>
<title> Feedback System </title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.1.1/jquery.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
</head>
<body>
<div class="container">
<h1>Send Feedback for YOUR NAME </h1>
<p> We value your precious feedback for improving us <code> Yourname </code> </p>
</div>
<div class="panel panel-info">
<div class="panel-heading">Feedback Form </div>
<div class="panel-body">
<form method="post" action="status.php" >
<div class="form-group">
<label for="name">Full Name: <font color="red">*</font></label>
<input type="name" class="form-control" id="name" name="name" required>
</div>
<div class="form-group">
<label for="social">Social Touch : <font color="red">*</font></label>
<input type="url" class="form-control" id="social" name="social" value="http://" required>
<span class="help-block">Instagram , Facebook , Twitter, LinkedIn, GitHub ,etc ,other
</div>
<div class="form-group">
<label for="email">Email address :</label><span class="help-block">must provide your email for reply...</span>
<input type="email" class="form-control" id="email" name="email" required>
</div>
<div class="form-group">
<label for="phone" >Phone Number (optional) :</label>
<input type="tel" class="form-control" name="phone" id="phone" value="+91"required>
</div>
<div class="form-group">
<label for="msg">Message : <font color="red">*</font></label>
<textarea class="form-control" rows="5" id="msg" name="msg" required></textarea>
</div>
<center> <button type="reset" class="btn btn-default">Reset</button>            <button type="submit" class="btn btn-default">Submit</button> </center>
</form>
</div>
</div>
</body>
</html>