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index.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" href="style.css">
<title>Survey Form</title>
</head>
<body>
<div class="main-container">
<h1 class="form-heading">Survey Form</h1>
<p class="form-description">Feel free to answer the questions below based on your own experience and opinion. If you are not comfortable answering a particular question, please skip it by answering "No". Every answer would be very appreciated. Thank you for your time.</p>
<form class="form-container">
<div class="left-section">
<div class="name-container mb-20">
<label for="name" class="mb-20"><strong>Your Name</strong></label> <br>
<input class="mt-8 green input-field" type="text" name="name" id="name" placeholder="Enter your name" required>
</div>
<div class="email-container mb-20">
<label for="email">Your Email Address</label> <br>
<input class="mt-8 green input-field" type="email" name="email" id="email" placeholder="[email protected]" required>
</div>
<div class="mb-20">
<label for="phone-number">Your Phone Number</label> <br>
<input class="green mt-8 input-field" type="tel" name="phone-number" id="phone-number" placeholder="9999999999" required>
</div>
<div class="city-container mb-20">
<label for="city">Where do you live?</label> <br>
<select name="city" class="mt-8">
<option value="Hyderabad">Hyderabad</option>
<option value="Mumbai">Mumbai</option>
<option value="Chennai">Chennai</option>
<option value="Other">Other</option>
</select>
</div>
<div>
<fieldset class="age-container mb-20">
<legend>Age</legend>
<div>
<input type="radio" name="age" value="15-20"> 15-20 <br>
<input type="radio" name="age" value="20-30"> 20-30 <br>
<input type="radio" name="age" value="30-40"> 30-40
</div>
<div>
<input type="radio" name="age" value="40-50"> 40-50 <br>
<input type="radio" name="age" value="prefer not to say"> Prefer not to say
</div>
</fieldset>
</div>
<div>
<label for="proficiency">How do you rate your proficiency in coding?</label> <br>
<input type="radio" name="proficiency" value="beginner"> <strong>Beginner</strong> <br>
<input type="radio" name="proficiency" value="Intermediate" checked> <strong>Intermediate</strong> <br>
<input type="radio" name="proficiency" value="Advanced"> <strong>Advanced</strong>
</div>
</div>
<div class="right-section">
<div class="mb-20">
<label for="coding-contest">Have you ever applied to any coding contest?</label> <br>
<input type="radio" name="coding-contest" class="mt-8" value="Yes"> Yes <br>
<input type="radio" name="coding-contest" class="mt-8" value="No" checked> No
</div>
<div class="mb-20">
<label for="passion">Discuss what drives your passion for coding and outline your aspirations in the field.</label> <br>
<textarea class="text-area mt-8" id="passion" required></textarea>
</div>
<div class="mb-20">
<label for="challenges">What are some of the challenges you face while coding?</label> <br>
<textarea class="text-area mt-8" id="challenges" required></textarea>
</div>
<div class="mb-20">
<label for="data-structures">Please list the data structures you have a strong understanding of.</label> <br>
<textarea class="text-area mt-8" id="data-structures" required></textarea>
</div>
<button type="submit" class="submit-btn">Submit Form</button>
</div>
</form>
</div>
</body>
</html>