rate-submission.html

---
layout: default
title : Feedback Form

---
<title>Feedback-NiaApps</title>
<div class="page-title col-4">
    <!-- put a lock on this page somehow -->
    <p>
    <h2>{{page.title}}</h2>
    </p>

</div>

<div class="wrapper col-2">
    <div class="wps col-7 wp-text">
        <div class="r-txt">
            <p>
                Thank you so much for working with me! I hope that here at NiaApps your expectations were exceeded in
                providing innovative solutions to your website and app development needs. It would greatly help if you
                could
                provide feedback on your experience with me so that I can serve you & other clients better in the
                future. To
                see past examples of feedback click here. Have a wonderful day and feel free to reach out if you need my
                services again!
                <br /> <br />
                May we meet again soon,
                <br /><br />
            <h3>Nia W. of NiaApps</h3>
            </p>



        </div>


        <form action="https://formkeep.com/f/38fa16dcdcc5" accept-charset="UTF-8" enctype="multipart/form-data"
            method="POST">
            <div class="stars">
                <input type="radio" id="five" name="rate" value="5">
                <label for="five"></label>
                <input type="radio" id="four" name="rate" value="4">
                <label for="four"></label>
                <input type="radio" id="three" name="rate" value="3">
                <label for="three"></label>
                <input type="radio" id="two" name="rate" value="2">
                <label for="two"></label>
                <input type="radio" id="one" name="rate" value="1">
                <label for="one"></label>


            </div>
            <label for="fname">First Name:</label><br /><br />
            <input type="text" id="fname" name="fname" required placeholder="Ex: Yessenia"><br /><br />
            <label for="lname">Last Name:</label><br /><br />
            <input type="text" id="lname" name="lname" required placeholder="Ex: Sueño "><br /><br />
            <label for="feedback">Please provide some feedback or suggestions:</label><br /><br />
            <textarea type="text" id="feedback" name="feedback" maxlength="1000" cols="75" rows="15" required
                placeholder="Minimum one sentence"></textarea><br /><br />
            <input type="submit" value="Submit">
        </form>


    </div>
</div>

<div class="thumbnail">
    <p>Credit for stars SVGs <a href="https://fontawesome.com/license">Font Awesome</a></p>
</div>