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WEB SERVICES > SERVICES > SITE UTILITIES > FEEDBACK FORM > HTML FOR SAMPLE FEEDBACK FORM (SIMPLE)

HTML for Sample Feedback Form (Simple)
View Form
 

Paste this HTML into your page and change the fields as directed in the comments.

<div><!--The Form statement should be entered exactly as given here -->

<FORM ACTION="http://coldfusion.mcps.k12.md.us/cfms/webteam/mailer/mailer.cfm" METHOD=POST onSubmit="return emailCheck(senderemail.value)">

<!-- Here are the four required form fields. You MUST change the recipient value. You may substitute your own values for returnpage, subject, and listtype or leave as is and a default value will be used. -->

<!-- FIRST REQUIRED FORM FIELD: The Email address to receive the completed form data. You may enter more than one address by separating the addresses with semi-colons. Do not change the type or name of the field, only the value. -->
<INPUT TYPE=hidden NAME=recipient VALUE="webmaster_email@example.org">

<!--SECOND REQUIRED FORM FIELD: The URL link to a Web page to return to after the user completes the form. By default, the MCPS home page is used. Do not change the type or name of the field, only the value. -->
<INPUT TYPE=hidden NAME=returnpage VALUE="http://www.montgomeryschoolsmd.org/">

<!--THIRD REQUIRED FORM FIELD: Subject which will appear on the Email. By default a subject of "No Subject Specified" is used. Do not change the type or name of the field, only the value. -->
<INPUT TYPE=hidden NAME=subject VALUE="No Subject Specified">

<!-- FOURTH REQUIRED FORM FIELD: Type of list which will be mailed. By default a listtype of "default" is used. This will produce a labelled list. The other options are: tablist (will produce a tab-delimited list), commalist (will produce a comma-delimited list), crlist (will produce a list with a value on each line). Do not change the type or name of the field, only the value. -->
<INPUT TYPE=hidden NAME=listtype VALUE="default">

<!--OPTIONAL FORM FIELD: If present, it ensures that any checkboxes/radio buttons will appear in the mailed output, even if they are left unchecked by the user. The value of this should be a comma- separated list of the names of any checkboxes and/or radio buttons on the form. Do not change the type or name of the field, only the value. -->
<INPUT TYPE=hidden NAME=lstcheck VALUE="Employee">

<!-- CUSTOMIZABLE FORM ELEMENTS: Now the fun begins. You may put any form element you like here. Cautions: The field names may contain numbers, any letter of the alphabet, or the underscore character. Field names MUST NOT begin with a number, contain spaces, or contain special characters (such as ', ", -, #, &, /, $ etc.). -->

<CENTER>Your Name:  <INPUT TYPE=text NAME=name VALUE="" SIZE=30>

<P>Your E-Mail address:  <INPUT TYPE=text NAME="senderemail" VALUE="" SIZE=30></P>

<P>Check here if you are an MCPS Employee: 
<INPUT TYPE=checkbox NAME=Employee VALUE=yes></P>

<P>Please leave a comment:<BR>
<TEXTAREA NAME=comments ROWS=10 COLS=75 WRAP=virtual></TEXTAREA><BR>
</P></CENTER>

<P><!-- Your form elements should end here. -->

<!-- The remaining HTML statements should be left unchanged. --></P>

<CENTER><INPUT TYPE=submit NAME=Submit VALUE="Send this message"> <INPUT TYPE=reset VALUE="Clear this form"></CENTER>

</FORM>

<!-- Feedback form written and maintained in ColdFusion by Elaine Keagle -->

</div>

 

 

Updated December 26, 2006 | Contact Webmaster

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