1. <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" 2. "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> 3. <html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"> 4. <head> 5. <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> 6. <title>Feedback Form</title> 7. </head> 8. <body> 9. <!-- Script 3.1 - feedback.html --> 10. <div><p>Please complete this form to submit your feedback:</p> 11. 12. <form action="handle_form.php"> 13. 14. <p>Name: <select name="title"> 15. <option value="Mr.">Mr.</option> 16. <option value="Mrs.">Mrs.</option> 17. <option value="Ms.">Ms.</option> 18. </select> <input type="text" name="name" size="20" /></p> 19. 20. <p>Email Address: <input type="text" name="email" size="20" /></p> 21. 22. <p>Response: This is... 23. <input type="radio" name="response" value="excellent" /> excellent 24. <input type="radio" name="response" value="okay" /> okay 25. <input type="radio" name="response" value="boring" /> boring</p> 26. 27. <p>Comments: <textarea name="comments" rows="3" cols="30"></textarea></p> 28. 29. <input type="submit" name="submit" value="Send My Feedback" /> 30. 31. </form> 32. </div> 33. </body> 34. </html>