dev.metalisp.sbt/docs/pattern/survey-examples/geographics-survey.html

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HTML

<!DOCTYPE html>
<html lang=en data-bs-theme=dark>
<head>
<meta charset=utf-8>
<meta name=viewport content="width=device-width, initial-scale=1">
<title>Product Experience Survey</title>
<link rel=stylesheet type=text/css
href=https://cdn.jsdelivr.net/npm/bootstrap@5.3.2/dist/css/bootstrap.min.css>
</head>
<body>
<h1 class=visually-hidden>Product Experience Survey</h1>
<main class=container>
<form class=py-5 action=/submit method=post>
<fieldset>
<legend>Where are you located?</legend>
<ol>
<li>
<!-- FORM/CTRL -->
<div class=mb-3>
<label class="form-label group-geo-loca" for=group-geo-loca-country>Country</label>
<input class=form-control id=group-geo-loca-country type=text
name=group-geo-loca>
</div>
</ol>
<hr class=my-4>
</fieldset>
<fieldset>
<legend>Which timezone do you operate in?</legend>
<ol>
<li>
<!-- FORM/CTRL -->
<div class=mb-3>
<label class="form-label group-geo-timezone"
for=group-geo-timezone-timezone>Timezone</label>
<input class=form-control id=group-geo-timezone-timezone type=text
name=group-geo-timezone>
</div>
</ol>
<hr class=my-4>
</fieldset>
<button class="btn btn-primary" type=submit>Submit</button>
</form>
</main>
<script
src=https://cdn.jsdelivr.net/npm/bootstrap@5.3.2/dist/js/bootstrap.bundle.min.js></script>
</body>
</html>