Source Code: (back to article)
<!DOCTYPE html>
<html>
<head>
<title>Hotel Feedback Form</title>
<link href="https://fonts.googleapis.com/css?family=Roboto:300,400,500,700" rel="stylesheet">
<link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.5.0/css/all.css" integrity="sha384-B4dIYHKNBt8Bc12p+WXckhzcICo0wtJAoU8YZTY5qE0Id1GSseTk6S+L3BlXeVIU" crossorigin="anonymous">
<style>
html, body {
min-height: 100%;
}
body, div, form {
padding: 0;
margin: 0;
outline: none;
font-family: Roboto, Arial, sans-serif;
font-size: 14px;
color: #666;
line-height: 22px;
}
h1, h4 {
margin: 15px 0 4px;
}
h1 {
font-weight: 400;
}
.testbox {
display: flex;
justify-content: center;
align-items: center;
height: inherit;
padding: 3px;
}
form {
width: 100%;
padding: 20px;
background: #fff;
box-shadow: 0 2px 5px #ccc;
}
input {
width: calc(100% - 10px);
padding: 5px;
border: 1px solid #ccc;
border-radius: 3px;
vertical-align: middle;
}
input:hover {
border: 1px solid #1c87c9;
}
table {
width: 100%;
}
h4 {
padding: 15px 0 5px;
}
.question-answer label {
display: inline-block;
padding: 0 20px 15px 0;
}
.question-answer input {
width: auto;
}
th, td {
width: 17%;
padding: 15px 0;
text-align: center;
vertical-align: unset;
line-height: 18px;
font-weight: 400;
word-break: break-all;
border-bottom: 1px solid #095484;
color: #095484;
}
.first-col {
width: 26%;
text-align: left;
}
.btn-block {
margin-top: 20px;
text-align: center;
}
button {
width: 150px;
padding: 10px;
border: none;
-webkit-border-radius: 5px;
-moz-border-radius: 5px;
border-radius: 5px;
background-color: #095484;
font-size: 16px;
color: #fff;
cursor: pointer;
}
button:hover {
background-color: #0666a3;
}
@media (min-width: 568px) {
th, td {
word-break: keep-all;
}
}
</style>
</head>
<body>
<div class="testbox">
<form action="/">
<h1>Hotel Feedback Form</h1>
<p class="">How was your stay at our hotel? Were the accommodations suited? Help us improve the quality of our hotel by giving us your feedback. Thank you!</p>
<table>
<tr>
<th class="first-col"></th>
<th>Excellent</th>
<th>Good</th>
<th>Fair</th>
<th>Poor</th>
</tr>
<tr>
<td class="first-col">How did our front office staff behave during your stay?</td>
<td><input type="radio" value="none" name="front" /></td>
<td><input type="radio" value="none" name="front" /></td>
<td><input type="radio" value="none" name="front" /></td>
<td><input type="radio" value="none" name="front" /></td>
</tr>
<tr>
<td class="first-col">How did you find the overall cleanliness of our hotel?</td>
<td><input type="radio" value="none" name="name" /></td>
<td><input type="radio" value="none" name="name" /></td>
<td><input type="radio" value="none" name="name" /></td>
<td><input type="radio" value="none" name="name" /></td>
</tr>
<tr>
<td class="first-col">How did you find the cleanliness of your room?</td>
<td><input type="radio" value="none" name="find" /></td>
<td><input type="radio" value="none" name="find" /></td>
<td><input type="radio" value="none" name="find" /></td>
<td><input type="radio" value="none" name="find" /></td>
</tr>
<tr>
<td class="first-col">How was house keeping behaving during your stay?</td>
<td><input type="radio" value="none" name="keeping" /></td>
<td><input type="radio" value="none" name="keeping" /></td>
<td><input type="radio" value="none" name="keeping" /></td>
<td><input type="radio" value="none" name="keeping" /></td>
</tr>•
<tr>
<td class="first-col">How was the ambiance of the hotel's restaurant?</td>
<td><input type="radio" value="none" name="ambiance" /></td>
<td><input type="radio" value="none" name="ambiance" /></td>
<td><input type="radio" value="none" name="ambiance" /></td>
<td><input type="radio" value="none" name="ambiance" /></td>
</tr>
<tr>
<td class="first-col">How was the restaurant's food from our hotel?</td>
<td><input type="radio" value="none" name="restaurant's" /></td>
<td><input type="radio" value="none" name="restaurant's" /></td>
<td><input type="radio" value="none" name="restaurant's" /></td>
<td><input type="radio" value="none" name="restaurant's" /></td>
</tr>
<tr>
<td class="first-col">How would you rate our Travel Desk's staff?</td>
<td><input type="radio" value="none" name="rate" /></td>
<td><input type="radio" value="none" name="rate" /></td>
<td><input type="radio" value="none" name="rate" /></td>
<td><input type="radio" value="none" name="rate" /></td>
</tr>
<tr>
<td class="first-col">How would you rate our Spa services?</td>
<td><input type="radio" value="none" name="Spa" /></td>
<td><input type="radio" value="none" name="Spa" /></td>
<td><input type="radio" value="none" name="Spa" /></td>
<td><input type="radio" value="none" name="Spa" /></td>
</tr>
<tr>
<td class="first-col">How would you rate our hotel, overall?</td>
<td><input type="radio" value="none" name="hotel" /></td>
<td><input type="radio" value="none" name="hotel" /></td>
<td><input type="radio" value="none" name="hotel" /></td>
<td><input type="radio" value="none" name="hotel" /></td>
</tr>
</table>
<h4>Would you recommend our hotel to other people?</h4>
<div class="question-answer">
<label><input type="radio" value="none" name="recommend" /> yes</label>
<label><input type="radio" value="none" name="recommend" /> no</label>
</div>
<div class="btn-block">
<button type="submit" href="/">Send Feedback</button>
</div>
</form>
</div>
</body>
</html>