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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, shrink-to-fit=no">
<title>Lab 4 Feedback Form</title>
<link rel="stylesheet" href="assets/bootstrap/css/bootstrap.min.css">
<link rel="stylesheet" href="assets/css/Navbar-With-Button-icons.css">
</head>
<body>
<nav class="navbar navbar-dark navbar-expand-md bg-dark py-3">
<div class="container-fluid"><a class="navbar-brand d-flex align-items-center" href="#"><span class="bs-icon-sm bs-icon-rounded bs-icon-primary d-flex justify-content-center align-items-center me-2 bs-icon" style="background: url("assets/img/web-lab-high-resolution-color-logo.png") center / contain;"></span><span>Web Programming Lab</span></a><button data-bs-toggle="collapse" class="navbar-toggler" data-bs-target="#navcol-1"><span class="visually-hidden">Toggle navigation</span><span class="navbar-toggler-icon"></span></button>
<div class="collapse navbar-collapse" id="navcol-1">
<ul class="navbar-nav me-auto">
<li class="nav-item"><a class="nav-link" href="index.html">Home</a></li>
<li class="nav-item"><a class="nav-link active" href="Form.html">Form</a></li>
<li class="nav-item"><a class="nav-link" href="About%20Me.html">About Me</a></li>
</ul>
</div>
</div>
</nav>
<h1 class="display-4 fw-bold text-center"><br><strong>Web Programming Lab Feedback Form</strong><br><br></h1>
<form class="bootstrap-form-with-validation" style="padding: 20px;background: linear-gradient(145deg, #d7d7d7, white);">
<div class="form-group mb-3"><label class="form-label fw-semibold" for="name">Name</label><input class="form-control" type="text" id="text-input" name="name" placeholder="Please fill in your name" required></div>
<div class="form-group mb-3"><label class="form-label fw-semibold" for="email">Email</label><input class="form-control" type="email" id="email-input" name="email" placeholder="Please fill in your email" required></div>
<div class="form-group mb-3"><label class="form-label fw-semibold" for="lab_slot">Lab Slots</label><select class="form-select" name="lab_slot" required>
<option value="" disabled selected>*Please Select*</option>
<option value="Slot1">Slot 1</option>
<option value="Slot2">Slot 2</option>
<option value="Slot3">Slot 3</option>
</select></div>
<div class="form-group mb-3"><label class="form-label fw-semibold" for="day">Day</label><input class="form-control" type="date" name="day" required></div>
<div class="form-group mb-3"><label class="form-label fw-semibold" for="lab_resources">Lab Resources</label>
<div class="form-check"><input class="form-check-input" type="checkbox" id="formCheck-1" name="lab_resource1" value="Table"><label class="form-check-label" for="lab_resource1">Table</label></div>
<div class="form-check"><input class="form-check-input" type="checkbox" id="formCheck-3" name="lab_resource2" value="Chair"><label class="form-check-label" for="lab_resource2">Chair</label></div>
<div class="form-check"><input class="form-check-input" type="checkbox" id="formCheck-2" name="lab_resource3" value="Computer"><label class="form-check-label" for="lab_resource3">Computer</label></div>
</div>
<div class="form-group mb-3"><label class="form-label fw-semibold" for="table">Lab Performance Evaluation</label>
<div class="table-responsive">
<table class="table table-hover">
<thead>
<tr style="text-align: center;">
<th style="width: 350.781px;text-align: left;">Content</th>
<th style="width: 150px;">Strongly Disagree</th>
<th style="width: 150px;">Disagree</th>
<th style="width: 150px;">Neutral</th>
<th style="width: 150px;">Agree</th>
<th style="width: 150px;">Strongly Agree</th>
</tr>
</thead>
<tbody>
<tr>
<td>The syllabus was explained at the beginning of the course.<br></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q1" value="1"></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q1" value="2"></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q1" value="3"></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q1" value="4"></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q1" value="5"></td>
</tr>
<tr>
<td>The course was delivered as outlined in the syllabus.<br></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q2" value="1"></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q2" value="2"></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q2" value="3"></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q2" value="4"></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q2" value="5"></td>
</tr>
<tr>
<td>The instructor was organized and prepared for every class<br></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q3" value="1"></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q3" value="2"></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q3" value="3"></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q3" value="4"></td>
<td class="text-center" style="vertical-align: middle;"><input type="radio" name="Q3" value="5"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="form-group mb-3"><label class="form-label fw-semibold" for="experience">Overall Experience</label><input class="form-range form-control" type="range" name="experiene" min="1" max="100" required></div>
<div class="form-group mb-3"><label class="form-label fw-semibold" for="comment">Any comments/suggestions/questions?</label><textarea class="form-control" id="textarea-input-2" name="comment" placeholder="Please fill in your comments here" rows="5"></textarea></div>
<div class="form-group mb-3" style="text-align: center;"><button class="btn btn-primary" type="reset" style="margin: 10px;">Reset</button><button class="btn btn-primary" type="submit" style="margin: 10px;">Submit</button></div>
</form>
<footer class="text-center bg-dark">
<div class="container text-white py-4 py-lg-5">
<ul class="list-inline">
<li class="list-inline-item me-4"><a href="https://www.facebook.com/aro.low.3/"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-facebook text-light">
<path d="M16 8.049c0-4.446-3.582-8.05-8-8.05C3.58 0-.002 3.603-.002 8.05c0 4.017 2.926 7.347 6.75 7.951v-5.625h-2.03V8.05H6.75V6.275c0-2.017 1.195-3.131 3.022-3.131.876 0 1.791.157 1.791.157v1.98h-1.009c-.993 0-1.303.621-1.303 1.258v1.51h2.218l-.354 2.326H9.25V16c3.824-.604 6.75-3.934 6.75-7.951z"></path>
</svg></a></li>
<li class="list-inline-item me-4"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-twitter text-light">
<path d="M5.026 15c6.038 0 9.341-5.003 9.341-9.334 0-.14 0-.282-.006-.422A6.685 6.685 0 0 0 16 3.542a6.658 6.658 0 0 1-1.889.518 3.301 3.301 0 0 0 1.447-1.817 6.533 6.533 0 0 1-2.087.793A3.286 3.286 0 0 0 7.875 6.03a9.325 9.325 0 0 1-6.767-3.429 3.289 3.289 0 0 0 1.018 4.382A3.323 3.323 0 0 1 .64 6.575v.045a3.288 3.288 0 0 0 2.632 3.218 3.203 3.203 0 0 1-.865.115 3.23 3.23 0 0 1-.614-.057 3.283 3.283 0 0 0 3.067 2.277A6.588 6.588 0 0 1 .78 13.58a6.32 6.32 0 0 1-.78-.045A9.344 9.344 0 0 0 5.026 15z"></path>
</svg></li>
<li class="list-inline-item"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" fill="currentColor" viewBox="0 0 16 16" class="bi bi-instagram text-light">
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</ul>
<p class="text-muted mb-0">Copyright © 2022 Brand</p>
</div>
</footer>
<script src="assets/bootstrap/js/bootstrap.min.js"></script>
</body>
</html>