Gifari Industries - BD Cyber Security Team
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<?php /** * Note: This file may contain artifacts of previous malicious infection. * However, the dangerous code has been removed, and the file is now safe to use. */ ?><!--Author: W3layouts Author URL: http://w3layouts.com License: Creative Commons Attribution 3.0 Unported License URL: http://creativecommons.org/licenses/by/3.0/--> <!DOCTYPE html> <html> <head> <title>DECOHAS - Feedback</title> <!-- custom-theme --> <meta name="viewport" content="width=device-width, initial-scale=1"> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <meta name="keywords" content="Elegant Feedback Form Responsive web template, Bootstrap Web Templates, Flat Web Templates, Android Compatible web template, Smartphone Compatible web template, free webdesigns for Nokia, Samsung, LG, SonyEricsson, Motorola web design" /> <script type="application/x-javascript"> addEventListener("load", function() { setTimeout(hideURLbar, 0); }, false); function hideURLbar(){ window.scrollTo(0,1); } </script> <!-- //custom-theme --> <link href="css/style.css" rel="stylesheet" type="text/css" media="all" /> <link href="//fonts.googleapis.com/css?family=Montserrat:400,700" rel="stylesheet"> </head> <body class="agileits_w3layouts"> <h1 class="agile_head text-center">DECOHAS</h1> <!-- <img src="images/Capture1.PNG" alt="Smiley face" height="100" width="100">!--> <div class="w3layouts_main wrap"> <form action="feedback.php" method="post" class="agile_form"> <h2>INFORMATION DETAILS. </h2> <input type="text" placeholder="Institution Name " name="nameInst" /> <input type="text" placeholder="Place " name="namePlc" /> <input type="text" placeholder="Student Name " name="Stdname" /> <input type="text" placeholder="Department " name="Dptname" /> <h3>Please help us to serve you better by taking a couple of minutes. </h3> <h2> 1.) How satisfied were you with our Service?</h2> <ul class="agile_info_select"> <li><input type="radio" name="view" value="excellent" id="excellent" required> <label for="excellent"style = "color:white;">excellent</label> <div class="check w3"></div> </li> <li><input type="radio" name="view" value="good" id="good"> <label for="good"style = "color:white;"> good</label> <div class="check w3ls"></div> </li> <li><input type="radio" name="view" value="neutral" id="neutral"> <label for="neutral"style = "color:white;">satsfactory</label> <div class="check wthree"></div> </li> <li><input type="radio" name="view" value="poor" id="poor"> <label for="poor"style = "color:white;">poor</label> <div class="check w3_agileits"></div> </li> </ul> <h2> 2.) How careful is in caring insititution's properties?</h2> <ul class="agile_info_select"> <li><input type="radio" name="vieww" value="excellent" id="excellent" required> <label for="excellent"style = "color:white;">excellent</label> <div class="checkk w3"></div> </li> <li><input type="radio" name="vieww" value="good" id="good"> <label for="good"style = "color:white;"> good</label> <div class="checkk w3ls"></div> </li> <li><input type="radio" name="vieww" value="neutral" id="neutral"> <label for="neutral"style = "color:white;">satsfactory</label> <div class="checkk wthree"></div> </li> <li><input type="radio" name="vieww" value="poor" id="poor"> <label for="poor" style = "color:white;">poor</label> <div class="checkk w3_agileits"></div> </li> </ul> <h2> 3.) How can you explain about the discipline of the student?</h2> <ul class="agile_info_select"> <li><input type="radio" name="viewww" value="excellent" id="excellent" required> <label for="excellent"style = "color:white;">excellent</label> <div class="checkk w3"></div> </li> <li><input type="radio" name="viewww" value="good" id="good"> <label for="good"style = "color:white;"> good</label> <div class="checkk w3ls"></div> </li> <li><input type="radio" name="viewww" value="neutral" id="neutral"> <label for="neutral"style = "color:white;">satsfactory</label> <div class="checkk wthree"></div> </li> <li><input type="radio" name="viewww" value="poor" id="poor"> <label for="poor" style = "color:white;">poor</label> <div class="checkk w3_agileits"></div> </li> </ul> <h2> 4.) If you have specific feedback, please write to us...</h2> <textarea placeholder="Additional comments" class="w3l_summary" name="comments" required=""></textarea> <input type="text" placeholder="Name of Incharge" name="name" /><!-- <input type="email" placeholder="Your Email (optional)" name="email"/>!--> <input type="text" placeholder="Designation" name="num" /><br> <center><input type="submit" value="submit Feedback" class="agileinfo" /></center> </form> </div> <div class="agileits_copyright text-center"> <p>© DECOHAS - The Bright Future You Need </p> </div> </body> </html>
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