<!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <title>申请表</title> </head> <body> <p><h2>申请表</h2></p> <form action="#" method="post"> <p> <label for="xm">姓名:</label> <input type="text"name="xin" id="xm" required /> </p> <p> 教育程度: <input type="checkbox" name="jia" value="master" checked/>硕士 <input type="checkbox" name="jia" value="master"/>博士 </p> <p> <label for="zx">常用邮箱:</label> <input type="email" name="mailbox" id="zx" required/> </p> <p> 性别: <input name="gen" type="radio" value="男"checked/>男 <input name="gen" type="radio" value="女"/>女 </p> <p> <label for="nl">年龄:</label> <input type="text" name="age" id="nl" required/> </p> <p> <label for="yx">月薪:</label> <input type="text" name="salary" id="yx" required/> </p> <p> 附注: <textarea name="fuzhu" cols="40" rows="6">请在这里键入附注</textarea> </p> <p> 国籍 <select name="guoji"> <option value="1" >澳大利亚</option> <option value="2">美国</option> <option value="3">日本</option> <option value="4">新加坡</option> </select> </p> <p> <input type="submit" name="tij" value="提交"/> <input type="reset" name="tij" value="重置"/> </p> </form> </body> </html>
<!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <title>电子产品调查问卷</title> </head> <body> <p> <h1>American Metric 电子产品调查表</h1> </p> <form action="#" method="post"> <p> <label for="xm">姓名:</label> <input type="text" name="xim" id="xm" required placeholder="输入必须是2-6为字符" size="30" maxlength="6"/> </p> <p> <label for="rq">购买日期:</label> <input type="text" name="byear" value="" size="4" maxlength="4"id="rq" required/> <select name="bmon"> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> </select>月 <select name="bday"> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> </select>日 </p> <p> <label for="diy">电子邮件地址:</label> <input type="email" name="email"id="diy" placeholder="www.715780354@qq.com" required size="30"/> </p> <p> <label for="sj">手机号码:</label> <input type="text"name="sjh"id="sj" placeholder="输入必须是以13/15/18开头的11为数字"size="45" required pattern="^1[358]\d{9}"/> </p> <p> 您是否查看过我们的在线产品目录? <input type="radio" name="sf" id="shi" checked/> <label for="shi">是</label> <input type="radio" name="sf" id="fou"/> <label for="fou">否</label> </p> <p> <span>如果查看过,您对那些产品有兴趣购买?(选择提供的产品)</span><br/> <input type="checkbox" name="cp" value="dpdsj"/>大屏幕电视机 <input type="checkbox" name="cp" value="ypsb"/>音频设备 <input type="checkbox" name="cp" value="yssb"/>视频设备 <input type="checkbox" name="cp" value="xj"/>相机 </p> <p> <label for="id"> <span>在填写订单之前。您还有什么问题,意见或建议?</span><br/> <textarea name="text" cols="40" rows="6" required id="id"> 您的输入: </textarea> </label> </p> <p> <input type="submit" name="tij" value="提交"/> <input type="reset" name="tij" value="重置" disabled/> </p> </form> </body> </html>