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<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<title>Feedback Form</title>
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<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/5.15.4/css/all.min.css">
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<style>
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@import url('https://fonts.googleapis.com/css2?family=Bungee+Shade&display=swap');
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* {
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margin: 0;
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padding: 0;
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box-sizing: border-box;
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font-family: 'Poppins', 'Segoe UI', Arial, sans-serif;
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}
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body {
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background-color: #333333;
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color: #ffffff;
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padding: 20px;
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}
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.header {
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background-color: #ffed00;
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padding: 30px 20px;
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text-align: center;
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color: #333333;
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}
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.header h1 {
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font-size: 2.5rem;
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font-weight: 800;
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text-transform: uppercase;
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letter-spacing: 1px;
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text-shadow: 3px 3px 0 #333333;
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margin-bottom: 10px;
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font-family: 'Bungee Shade';
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}
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.header p {
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font-size: 1rem;
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margin-top: 15px;
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font-weight: 500;
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text-transform: uppercase;
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letter-spacing: 1px;
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font-family:'Courier New', Courier, monospace;
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font-weight: bolder;
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}
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.header-underline {
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width: 150px;
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height: 5px;
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background-color: #00b7ff;
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margin: 5px auto 15px;
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border-radius: 5px;
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}
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.form-container {
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padding: 30px;
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}
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.form-group {
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margin-bottom: 25px;
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}
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.form-group label {
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display: block;
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margin-bottom: 8px;
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font-weight: 600;
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color: #ffed00;
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}
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.form-control {
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width: 100%;
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padding: 12px 15px;
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background-color: #3a3a3a;
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border: 2px solid #ffed00;
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border-radius: 8px;
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color: #ffffff;
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font-size: 16px;
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}
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.form-control:focus {
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outline: none;
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border-color: #00b7ff;
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box-shadow: 0 0 5px rgba(0, 183, 255, 0.5);
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}
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textarea.form-control {
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min-height: 120px;
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resize: vertical;
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}
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.rating {
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display: flex;
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gap: 5px;
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margin-top: 10px;
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}
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.rating input[type="radio"] {
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display: none;
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}
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.rating label {
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cursor: pointer;
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width: 30px;
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height: 30px;
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background-color: #3a3a3a;
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border: 2px solid #ffed00;
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border-radius: 50%;
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display: flex;
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align-items: center;
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justify-content: center;
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color: #ffed00;
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font-weight: bold;
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transition: all 0.2s ease;
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}
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.rating input[type="radio"]:checked + label {
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background-color: #ffed00;
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color: #333333;
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transform: scale(1.1);
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}
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.submit-btn {
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display: block;
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width: 100%;
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padding: 15px;
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background-color: #ffed00;
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color: #333333;
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border: none;
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border-radius: 8px;
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font-size: 18px;
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font-weight: 700;
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text-transform: uppercase;
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cursor: pointer;
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transition: all 0.3s ease;
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margin-top: 10px;
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}
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.submit-btn:hover {
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background-color: #00b7ff;
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transform: translateY(-3px);
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}
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.form-section-title {
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display: flex;
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align-items: center;
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margin-bottom: 20px;
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}
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.section-number {
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width: 40px;
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height: 40px;
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background-color: #ffed00;
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color: #333333;
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border-radius: 50%;
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display: flex;
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align-items: center;
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justify-content: center;
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font-weight: bold;
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font-size: 18px;
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margin-right: 15px;
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}
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.section-title {
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font-size: 1.3rem;
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color: #ffed00;
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}
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.paper-alert {
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background: #fff;
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border-radius: 2px;
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box-shadow: 0 3px 6px rgba(0,0,0,0.16), 0 3px 6px rgba(0,0,0,0.23),
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0 0 0 1px rgba(0,0,0,0.05);
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min-width: 320px;
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max-width: 400px;
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position: fixed;
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right: 16px;
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top: 16px;
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overflow: hidden;
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opacity: 0;
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pointer-events: none;
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z-index: 10000;
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transform-origin: top right;
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font-family: 'Segoe UI', Tahoma, Geneva, Verdana, sans-serif;
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}
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.paper-alert::before {
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content: '';
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position: absolute;
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left: 0;
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bottom: -2px;
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width: 100%;
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height: 4px;
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background-color: #fff;
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background-image:
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radial-gradient(circle at 2px 3px, transparent 2px, #fff 2px, #fff 3px, transparent 3px),
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radial-gradient(circle at 10px 3px, transparent 2px, #fff 2px, #fff 3px, transparent 3px),
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radial-gradient(circle at 18px 3px, transparent 2px, #fff 2px, #fff 3px, transparent 3px),
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radial-gradient(circle at 26px 3px, transparent 2px, #fff 2px, #fff 3px, transparent 3px),
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radial-gradient(circle at 34px 3px, transparent 2px, #fff 2px, #fff 3px, transparent 3px),
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radial-gradient(circle at 42px 3px, transparent 2px, #fff 2px, #fff 3px, transparent 3px);
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background-size: 50px 10px;
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z-index: 2;
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}
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.paper-alert::after {
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content: '';
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position: absolute;
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left: 0;
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top: 0;
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width: 100%;
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height: 100%;
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background-image: url("data:image/svg+xml,%3Csvg width='100' height='100' xmlns='http://www.w3.org/2000/svg'%3E%3Cfilter id='noise' x='0' y='0'%3E%3CfeTurbulence type='fractalNoise' baseFrequency='0.65' numOctaves='3' stitchTiles='stitch'/%3E%3CfeBlend mode='screen'/%3E%3C/filter%3E%3Crect width='100' height='100' filter='url(%23noise)' opacity='0.08'/%3E%3C/svg%3E");
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pointer-events: none;
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z-index: 1;
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}
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.paper-alert.showAlert {
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opacity: 1;
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pointer-events: auto;
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}
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.paper-alert.show {
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animation: paper_enter 0.7s cubic-bezier(0.68, -0.55, 0.27, 1.55) forwards;
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}
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@keyframes paper_enter {
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0% { transform: translateX(100%) rotate(5deg); }
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50% { transform: translateX(-10%) rotate(-2deg); }
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75% { transform: translateX(5%) rotate(1deg); }
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100% { transform: translateX(0) rotate(0); }
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}
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.paper-alert.hide {
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animation: paper_exit 0.5s cubic-bezier(0.68, -0.55, 0.27, 1.55) forwards;
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}
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@keyframes paper_exit {
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0% { transform: translateX(0) rotate(0); }
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30% { transform: translateX(5%) rotate(1deg); }
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100% { transform: translateX(110%) rotate(5deg); }
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}
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.paper-alert-content {
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position: relative;
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padding: 18px 15px;
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z-index: 3;
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}
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.paper-pin {
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position: absolute;
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width: 12px;
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height: 12px;
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background: #f44336;
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border-radius: 50%;
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top: 10px;
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left: 20px;
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box-shadow: inset 0 0 0 2px rgba(0,0,0,0.2), 0 1px 2px rgba(0,0,0,0.2);
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}
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.paper-pin:after {
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content: '';
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position: absolute;
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width: 6px;
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height: 6px;
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background: rgba(255,255,255,0.4);
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border-radius: 50%;
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top: 2px;
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left: 2px;
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}
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.paper-clip {
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position: absolute;
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top: -8px;
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right: 30px;
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width: 30px;
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height: 30px;
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border: 2px solid #5d9cec;
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border-radius: 0 0 0 10px;
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border-top: none;
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border-right: none;
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transform: rotate(45deg);
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z-index: 10;
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}
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.paper-clip:before {
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content: '';
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position: absolute;
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width: 15px;
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height: 10px;
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border: 2px solid #5d9cec;
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border-radius: 0 5px 0 5px;
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border-top: none;
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border-right: none;
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top: 0;
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left: 0;
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transform: rotate(0deg);
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}
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.alert-icon {
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display: flex;
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align-items: center;
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margin-bottom: 10px;
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}
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.alert-icon i {
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font-size: 22px;
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color: #f44336;
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margin-right: 10px;
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}
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.alert-title {
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font-weight: 600;
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font-size: 16px;
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color: #333;
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margin: 0;
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}
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.paper-alert .msg {
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margin-top: 6px;
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margin-left: 32px;
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font-size: 14px;
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color: #555;
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line-height: 1.4;
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}
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.paper-alert .close-btn {
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position: absolute;
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top: 10px;
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right: 10px;
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width: 24px;
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height: 24px;
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display: flex;
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align-items: center;
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justify-content: center;
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cursor: pointer;
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background: rgba(0,0,0,0.05);
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border-radius: 50%;
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color: #666;
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transition: all 0.2s;
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z-index: 5;
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}
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.paper-alert .close-btn:hover {
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background: rgba(0,0,0,0.1);
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color: #333;
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transform: rotate(90deg);
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}
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.alert-btn {
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position: fixed;
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top: 7rem;
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right: 2.5rem;
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z-index: 1201;
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font-size: 0.9rem;
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padding: 0.7rem 1.5rem;
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border-radius: 5px;
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background: linear-gradient(135deg, #ff6b6b, #ff8e8e);
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color: white;
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border: none;
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box-shadow: 0 4px 15px rgba(255, 107, 107, 0.4);
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cursor: pointer;
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font-family: 'Segoe UI', sans-serif;
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font-weight: 600;
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letter-spacing: 0.5px;
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transition: all 0.3s;
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}
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.alert-btn:hover {
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transform: translateY(-3px) scale(1.03);
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box-shadow: 0 6px 20px rgba(255, 107, 107, 0.5);
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}
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.paper-lines {
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position: absolute;
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left: 0;
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top: 0;
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width: 100%;
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height: 100%;
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background-image:
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linear-gradient(to bottom, transparent 0%, transparent 98%, #e0e0e0 99%, transparent 100%);
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background-size: 100% 24px;
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z-index: 0;
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pointer-events: none;
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}
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.handwritten {
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font-family: 'Segoe Script', 'Bradley Hand', cursive;
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transform: rotate(-1deg);
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color: #2c3e50;
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}
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</style>
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</head>
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<body>
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<div class="paper-alert hide" id="paperAlert">
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<div class="paper-pin"></div>
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<div class="paper-clip"></div>
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<div class="paper-lines"></div>
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<div class="paper-alert-content">
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<div class="alert-icon">
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<i class="fas fa-exclamation-circle" id="alertIcon"></i>
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<h4 class="alert-title" id="alertTitle">Authentication Required</h4>
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</div>
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<div class="msg handwritten" id="alertMessage">You must be Logged In to continue!</div>
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<div class="close-btn">
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<i class="fas fa-times"></i>
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</div>
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</div>
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</div>
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<div class="header">
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<h1>Customer Feedback</h1>
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<div class="header-underline"></div>
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<p>Help us improve our service by sharing your experience</p>
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</div>
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<form class="form-container" id="feedbackForm">
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<div class="form-section-title">
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<div class="section-number">01</div>
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<h2 class="section-title">Your Information</h2>
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</div>
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<div class="form-group">
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<label for="name">Full Name</label>
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<input type="text" id="name" class="form-control" placeholder="Enter your name" required>
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</div>
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<div class="form-group">
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<label for="email">Email Address</label>
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<input type="email" id="email" class="form-control" placeholder="Enter your email" required>
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</div>
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<div class="form-group">
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<label for="phone">Phone Number</label>
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<input type="tel" id="phone" class="form-control" placeholder="Enter your phone number">
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</div>
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<div class="form-section-title">
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<div class="section-number">02</div>
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<h2 class="section-title">Your Experience</h2>
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</div>
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<div class="form-group">
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<label>How would you rate your overall experience?</label>
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<div class="rating">
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<input type="radio" name="rating" id="star1" value="1">
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<label for="star1">1</label>
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<input type="radio" name="rating" id="star2" value="2">
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<label for="star2">2</label>
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<input type="radio" name="rating" id="star3" value="3">
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<label for="star3">3</label>
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<input type="radio" name="rating" id="star4" value="4">
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<label for="star4">4</label>
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<input type="radio" name="rating" id="star5" value="5">
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<label for="star5">5</label>
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</div>
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</div>
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<div class="form-section-title">
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<div class="section-number">03</div>
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<h2 class="section-title">Your Feedback</h2>
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</div>
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<div class="form-group">
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<label for="comments">Please share your thoughts or suggestions</label>
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<textarea id="comments" class="form-control" placeholder="Your feedback is valuable to us..." required></textarea>
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</div>
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<div class="form-group">
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<label for="improvements">How can we improve our service?</label>
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<textarea id="improvements" class="form-control" placeholder="Any suggestions for improvement..."></textarea>
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</div>
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<button type="submit" class="submit-btn" id="submitBtn">Submit Feedback</button>
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</form>
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<script>
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document.addEventListener('DOMContentLoaded', function() {
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console.log("DOM fully loaded");
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const form = document.getElementById('feedbackForm');
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console.log("Form element:", form);
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function showPaperAlert(message, title = "Alert", icon = "fa-exclamation-circle", duration = 7000) {
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console.log("Showing alert:", message);
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const paperAlert = document.getElementById('paperAlert');
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const alertMessage = document.getElementById('alertMessage');
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const alertTitle = document.getElementById('alertTitle');
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const alertIcon = document.getElementById('alertIcon');
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alertMessage.textContent = message;
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alertTitle.textContent = title;
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alertIcon.className = '';
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alertIcon.classList.add('fas', icon);
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paperAlert.classList.remove("hide");
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paperAlert.classList.add("show", "showAlert");
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setTimeout(() => {
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hideAlert();
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}, duration);
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}
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function hideAlert() {
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console.log("Hiding alert");
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const paperAlert = document.getElementById('paperAlert');
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paperAlert.classList.remove("show");
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paperAlert.classList.add("hide");
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setTimeout(() => {
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paperAlert.classList.remove("showAlert");
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}, 500);
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}
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document.querySelector('#paperAlert .close-btn').addEventListener('click', function() {
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hideAlert();
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});
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if (form) {
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form.addEventListener('submit', function(event) {
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event.preventDefault();
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console.log("Form submitted");
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showPaperAlert(
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"Thank you for your feedback!",
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"Submission Successful",
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"fa-check-circle",
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7000
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);
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});
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} else {
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console.error("Form element not found!");
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}
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});
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</script>
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</body>
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</html> |