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feedback-form.php
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87 lines (69 loc) · 3.28 KB
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<?php include './components/header.php'; ?>
<div class="ui container">
<!-- Top Navigation Bar -->
<?php include './components/top-menu.php'; ?>
<!-- BODY Content -->
<div class="ui grid">
<!-- Left menu -->
<?php include './components/side-menu.php'; ?>
<!-- right content -->
<div class="twelve wide column">
<h1>Feed Back</h1>
<?php
if(isset($_POST['submit_feedback'])) {
$name = $_POST['full_name'];
$address = $_POST['full_address'];
$phone = $_POST['phone'];
$email = $_POST['email'];
$comment = $_POST['comment'];
$sql = "INSERT INTO feedback (full_name, full_address, phone, email, comment)
VALUES ('$name', '$address', '$phone', '$email', '$comment')";
if ($conn->query($sql) === TRUE) {
echo "<script> alert('Feedback successfully sent'); </script>";
} else {
echo "<script> alert('Error in Insertion'); </script>";
}
$conn->close();
}
?>
<form action="<?php $_PHP_SELF ?>" method="post" class="ui form">
<div class="field">
<label>Name</label>
<input type="text" name="full_name" placeholder="Full Name" required>
</div>
<div class="field">
<label>Address</label>
<div class="field">
<div class="sixteen wide field">
<input type="text" name="full_address" placeholder="Address" required>
</div>
</div>
</div>
<div class="field">
<label>Phone No.</label>
<div class="field">
<div class="eight wide field">
<input type="tel" name="phone" placeholder="Phone / Mobile" required>
</div>
</div>
</div>
<div class="field">
<label>Email Address</label>
<div class="field">
<div class="eight wide field">
<input type="email" name="email" placeholder="Email ID" required>
</div>
</div>
</div>
<div class="field">
<label>Comments</label>
<textarea rows="2" name="comment" required></textarea>
</div>
<button name="submit_feedback" class="ui primary button" type="submit">Submit</button>
<button class="ui button" type="reset">Reset</button>
</form>
<span class="p-20"></span>
</div>
</div>
</div>
<?php include './components/footer.php'; ?>