html-feedback-survey-form.html

<div class="main-container">
    <!-- Author: FormBold Team -->
    <!-- Learn More: https://formbold.com -->
    <div class="form-wrapper">
        <img
            src="https://ucarecdn.com/dd89656c-de92-494e-9e4d-2cc0fac0ecf6/surveyform.png"
            alt="Survey Form Illustration"
            class="form-image"
        />

        <form action="https://formbold.com/s/FORM_ID" method="POST">
            <!-- Title and Description -->
            <div class="form-header">
                <h2 class="form-title">Customer Feedback Survey</h2>
                <p class="form-description">
                    Please provide your feedback to help us improve. All
                    required fields are marked with *.
                </p>
            </div>

            <!-- Basic Information -->
            <div class="form-group">
                <label for="fullname" class="form-label">Full Name</label>
                <input
                    type="text"
                    name="fullname"
                    id="fullname"
                    class="form-input"
                />
            </div>

            <div class="form-group">
                <label for="email" class="form-label">Email Address*</label>
                <input
                    type="email"
                    name="email"
                    id="email"
                    class="form-input"
                    required
                />
            </div>

            <div class="form-group">
                <label for="phone" class="form-label"
                    >Phone Number (Optional)</label
                >
                <input type="text" name="phone" id="phone" class="form-input" />
            </div>

            <div class="form-group">
                <label for="company" class="form-label"
                    >Company Name (for B2B)</label
                >
                <input
                    type="text"
                    name="company"
                    id="company"
                    class="form-input"
                />
            </div>

            <div class="form-group">
                <label for="experience-date" class="form-label"
                    >Date of Experience*</label
                >
                <input
                    type="date"
                    name="experience-date"
                    id="experience-date"
                    class="form-input"
                    required
                />
            </div>

            <!-- Rating Fields -->
            <div class="form-group">
                <label class="form-label">Overall Satisfaction*</label>
                <div class="star-rating-group">
                    <input
                        type="radio"
                        id="star5"
                        name="overall-satisfaction"
                        value="5"
                        required
                    /><label for="star5" title="5 stars">★</label>
                    <input
                        type="radio"
                        id="star4"
                        name="overall-satisfaction"
                        value="4"
                    /><label for="star4" title="4 stars">★</label>
                    <input
                        type="radio"
                        id="star3"
                        name="overall-satisfaction"
                        value="3"
                    /><label for="star3" title="3 stars">★</label>
                    <input
                        type="radio"
                        id="star2"
                        name="overall-satisfaction"
                        value="2"
                    /><label for="star2" title="2 stars">★</label>
                    <input
                        type="radio"
                        id="star1"
                        name="overall-satisfaction"
                        value="1"
                    /><label for="star1" title="1 star">★</label>
                </div>
            </div>

            <div class="form-group">
                <label class="form-label"
                    >Rate the Quality of Service/Product</label
                >
                <div class="options-group">
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="service-quality"
                            value="excellent"
                            class="form-radio"
                        />
                        Excellent</label
                    >
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="service-quality"
                            value="good"
                            class="form-radio"
                        />
                        Good</label
                    >
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="service-quality"
                            value="average"
                            class="form-radio"
                        />
                        Average</label
                    >
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="service-quality"
                            value="poor"
                            class="form-radio"
                        />
                        Poor</label
                    >
                </div>
            </div>

            <div class="form-group">
                <label class="form-label"
                    >Rate the Communication / Support</label
                >
                <div class="options-group">
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="support-rating"
                            value="excellent"
                            class="form-radio"
                        />
                        Excellent</label
                    >
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="support-rating"
                            value="good"
                            class="form-radio"
                        />
                        Good</label
                    >
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="support-rating"
                            value="average"
                            class="form-radio"
                        />
                        Average</label
                    >
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="support-rating"
                            value="poor"
                            class="form-radio"
                        />
                        Poor</label
                    >
                </div>
            </div>

            <div class="form-group">
                <label class="form-label">Would You Recommend Us?</label>
                <div class="options-group">
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="recommendation"
                            value="yes"
                            class="form-radio"
                        />
                        Yes</label
                    >
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="recommendation"
                            value="no"
                            class="form-radio"
                        />
                        No</label
                    >
                </div>
            </div>

            <!-- Open-Ended Feedback -->
            <div class="form-group">
                <label for="liked-most" class="form-label"
                    >What did you like most?</label
                >
                <textarea
                    name="liked-most"
                    id="liked-most"
                    rows="3"
                    class="form-textarea"
                ></textarea>
            </div>

            <div class="form-group">
                <label for="improvement" class="form-label"
                    >What could we improve?</label
                >
                <textarea
                    name="improvement"
                    id="improvement"
                    rows="3"
                    class="form-textarea"
                ></textarea>
            </div>

            <div class="form-group">
                <label for="additional-comments" class="form-label"
                    >Additional Comments or Suggestions</label
                >
                <textarea
                    name="additional-comments"
                    id="additional-comments"
                    rows="3"
                    class="form-textarea"
                ></textarea>
            </div>

            <!-- Client-Specific or Context-Based Fields -->
            <div class="form-group">
                <label for="service-team" class="form-label"
                    >Service/Team You Interacted With</label
                >
                <select
                    name="service-team"
                    id="service-team"
                    class="form-select"
                >
                    <option value="team-1">Team 1 - Consultation</option>
                    <option value="team-2">Team 2 - Purchase</option>
                    <option value="team-3">Team 3 - Support</option>
                </select>
            </div>

            <div class="form-group">
                <label for="service-type" class="form-label"
                    >Type of Service Used</label
                >
                <select
                    name="service-type"
                    id="service-type"
                    class="form-select"
                >
                    <option value="consultation">Consultation</option>
                    <option value="purchase">Purchase</option>
                    <option value="support">Support</option>
                </select>
            </div>

            <div class="form-group">
                <label for="project-id" class="form-label"
                    >Project Name / ID (Optional)</label
                >
                <input
                    type="text"
                    name="project-id"
                    id="project-id"
                    class="form-input"
                />
            </div>

            <!-- Survey-Specific Inputs -->
            <div class="form-group">
                <label class="form-label">Please rate the following:</label>
                <div class="options-group">
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="likert-scale"
                            value="strongly-agree"
                            class="form-radio"
                        />
                        Strongly Agree</label
                    >
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="likert-scale"
                            value="agree"
                            class="form-radio"
                        />
                        Agree</label
                    >
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="likert-scale"
                            value="neutral"
                            class="form-radio"
                        />
                        Neutral</label
                    >
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="likert-scale"
                            value="disagree"
                            class="form-radio"
                        />
                        Disagree</label
                    >
                    <label class="option-item"
                        ><input
                            type="radio"
                            name="likert-scale"
                            value="strongly-disagree"
                            class="form-radio"
                        />
                        Strongly Disagree</label
                    >
                </div>
            </div>

            <div class="form-group">
                <label class="form-label"
                    >Which features do you use most?</label
                >
                <div class="options-group-vertical">
                    <label class="option-item"
                        ><input
                            type="checkbox"
                            name="features-used"
                            value="feature-1"
                            class="form-checkbox"
                        />
                        Feature 1</label
                    >
                    <label class="option-item"
                        ><input
                            type="checkbox"
                            name="features-used"
                            value="feature-2"
                            class="form-checkbox"
                        />
                        Feature 2</label
                    >
                    <label class="option-item"
                        ><input
                            type="checkbox"
                            name="features-used"
                            value="feature-3"
                            class="form-checkbox"
                        />
                        Feature 3</label
                    >
                    <label class="option-item"
                        ><input
                            type="checkbox"
                            name="features-used"
                            value="feature-4"
                            class="form-checkbox"
                        />
                        Feature 4</label
                    >
                </div>
            </div>

            <!-- Consent & Follow-up -->
            <div class="consent-group">
                <input type="checkbox" id="follow-up" class="form-checkbox" />
                <label for="follow-up" class="consent-label"
                    >I allow you to contact me for follow-up.</label
                >
            </div>

            <div class="consent-group">
                <input
                    type="checkbox"
                    id="testimonial-consent"
                    class="form-checkbox"
                />
                <label for="testimonial-consent" class="consent-label"
                    >I agree to share this feedback publicly (for
                    testimonial/marketing use).</label
                >
            </div>

            <!-- Submit Button -->
            <button type="submit" class="submit-btn">Submit Feedback</button>
        </form>
    </div>
</div>
<style>
    /* General Body and Font Styles */
    body {
        font-family: "Inter", sans-serif;
        background-color: #f3f4f6;
        margin: 0;
    }

    /* Main container for centering the form */
    .main-container {
        display: flex;
        align-items: center;
        justify-content: center;
        padding: 3rem 1rem;
        min-height: 100vh;
        box-sizing: border-box;
    }

    /* Form wrapper/card */
    .form-wrapper {
        width: 100%;
        max-width: 42rem; /* max-w-2xl */
        border-radius: 0.5rem; /* rounded-lg */
        background-color: white;
        padding: 2.5rem; /* p-10 */
        box-shadow: 0 10px 15px -3px rgba(0, 0, 0, 0.1),
            0 4px 6px -4px rgba(0, 0, 0, 0.1);
        box-sizing: border-box;
    }

    /* Top image styling */
    .form-image {
        margin-bottom: 3rem; /* mb-12 */
        width: 100%;
        border-radius: 0.5rem;
    }

    /* Header section for title and description */
    .form-header {
        margin-bottom: 2rem; /* mb-8 */
        text-align: center;
    }

    .form-title {
        font-size: 1.875rem; /* text-2xl */
        font-weight: 600; /* font-semibold */
        color: #1f2937; /* text-gray-800 */
    }

    .form-description {
        margin-top: 0.5rem; /* mt-2 */
        font-size: 0.875rem; /* text-sm */
        color: #4b5563; /* text-gray-600 */
        line-height: 1.5;
    }

    /* Container for each form field group */
    .form-group {
        margin-bottom: 1.5rem; /* mb-6 */
    }

    /* Form labels */
    .form-label {
        display: block;
        margin-bottom: 0.5rem; /* mb-2 */
        font-size: 0.875rem; /* text-sm */
        font-weight: 500; /* font-medium */
        color: #4b5563; /* text-gray-600 */
    }

    /* Common styles for input, select, and textarea */
    .form-input,
    .form-select,
    .form-textarea {
        width: 100%;
        border-radius: 0.375rem; /* rounded-md */
        border: 1px solid #d1d5db; /* border-gray-300 */
        padding: 0.75rem; /* p-3 */
        font-size: 0.875rem; /* text-sm */
        color: #1f2937; /* text-gray-800 */
        box-sizing: border-box;
        transition: border-color 0.2s, box-shadow 0.2s;
    }

    .form-input:focus,
    .form-select:focus,
    .form-textarea:focus {
        border-color: #6366f1; /* focus:border-indigo-500 */
        box-shadow: 0 0 0 1px #6366f1; /* focus:ring-1 focus:ring-indigo-500 */
        outline: none;
    }

    /* Interactive Star Rating */
    .star-rating-group {
        display: flex;
        flex-direction: row-reverse; /* Reverse the order of stars to make the CSS work */
        justify-content: flex-end; /* Aligns the reversed stars to the left */
    }

    .star-rating-group input[type="radio"] {
        display: none; /* Hide the actual radio buttons */
    }

    .star-rating-group label {
        font-size: 2rem; /* Size of the star characters */
        color: #d1d5db; /* Default, unselected star color */
        cursor: pointer;
        transition: color 0.2s ease-in-out;
        padding: 0 0.1em;
    }

    /* Change color on hover */
    .star-rating-group label:hover,
    .star-rating-group label:hover ~ label {
        color: #f59e0b; /* Gold color for hovered stars */
    }

    /* Keep stars colored when a radio button is checked */
    .star-rating-group input[type="radio"]:checked ~ label {
        color: #f59e0b; /* Gold color for selected stars */
    }

    /* Radio and Checkbox Groups */
    .options-group {
        display: flex;
        flex-wrap: wrap; /* Allow wrapping on small screens */
        gap: 1rem;
    }

    .option-item {
        display: flex;
        align-items: center;
    }

    .form-radio,
    .form-checkbox {
        height: 1rem;
        width: 1rem;
        color: #4f46e5;
        margin-right: 0.5rem;
    }

    .options-group-vertical {
        display: flex;
        flex-direction: column;
        gap: 0.5rem;
    }

    /* Consent Checkbox Group */
    .consent-group {
        display: flex;
        align-items: center;
        margin-bottom: 1.5rem;
    }

    .consent-label {
        margin-left: 0.5rem;
        font-size: 0.875rem;
        color: #4b5563;
    }

    /* Submit Button */
    .submit-btn {
        width: 100%;
        border-radius: 0.375rem;
        background-color: #4f46e5;
        padding: 0.75rem 1.5rem;
        font-weight: 500;
        color: white;
        border: none;
        cursor: pointer;
        transition: background-color 0.3s, box-shadow 0.3s;
    }

    .submit-btn:hover {
        background-color: #4338ca;
    }

    .submit-btn:focus {
        outline: none;
        box-shadow: 0 0 0 3px rgba(99, 102, 241, 0.5);
    }

    /* Mobile Responsive Styles */
    @media (max-width: 640px) {
        .main-container {
            padding: 1rem;
        }
        .form-wrapper {
            padding: 1.5rem;
        }
        .form-title {
            font-size: 1.5rem;
        }
        .options-group {
            flex-direction: column;
            align-items: flex-start;
            gap: 0.75rem;
        }
    }
</style>