<h1><B><em>WELCOME TO THE SHORT SURVEY</em> </B></h1>
<div>
<h2>About yourself</h2>
<label for="uname">Enter your name:</label>
<input type="text" name="uname" placeholder="Enter your name"><br><br>
<label>Gender</label>
<input type="radio" name="gender" >Male
<input type="radio" name="gender" >Female <br><br>
<label >Locality</label>
<input type="text" placeholder="enter the name of your locality" ><br><br>
<label>Qualification</label>
<select name="qual">
<option>select your qualification</option>
<option>B.E</option>
<option>B.Tech</option>
<option>B.Sc</option>
<option>B.Com</option>
<option>BCA</option>
<option>MBA</option>
</select> <br><br>
Occupation
select your Occupation
Student
Faculty
Other
<textarea name="questions" cols="15" rows="2"></textarea>
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Any comments <textarea name="comments" id="" cols="60" rows="10"></textarea>
SUBMIT