Current File : /home/inlingua/public_html/icentex/evaluation/html/fw_feedback.php
  <?php include('include/header.php') ;?>
 
    <!-- content-->
	<section class="breadcrumbs">
        <div class="container">
          <div class="row">
            <div class="col-sm-6"> 
              <h1>Feedback Form</h1>
            </div>
            <div class="col-sm-6 text-right breadcrumbs-item"><a href="<?php echo make_url('home'); ?>">Home</a><i class="fa fa-angle-right"></i><a href="<?php echo make_url('fw_feedback'); ?>">Feedback Form</a></div>
          </div>
        </div>
      </section>
    <section class="page-section1 cws_prlx_section">
    
    <div class="container page1">
      <div class="row text-center">
        <div class="col-md-4"></div>
        <div class="col-md-4 reg mb-40">First Week Feedback Form</div>
        <div class="col-md-4"></div>
      </div>
     
     <div class="tab-content">
        <?php 

isset($_SESSION['coach_data']['name'])?$name=$_SESSION['coach_data']['name']:$name='';
isset($_SESSION['coach_data']['course_level'])?$course_level=$_SESSION['coach_data']['course_level']:$course_level='';
isset($_SESSION['coach_data']['course_id'])?$course_id=$_SESSION['coach_data']['course_id']:$course_id='';
isset($_SESSION['coach_data']['instructor_name'])?$instructor_name=$_SESSION['coach_data']['instructor_name']:$instructor_name='';
isset($_SESSION['coach_data']['start_date'])?$start_date=$_SESSION['coach_data']['start_date']:$start_date='';
isset($_SESSION['coach_data']['recommended_level'])?$recommended_level=$_SESSION['coach_data']['recommended_level']:$recommended_level='';
isset($_SESSION['coach_data']['about_yourself'])?$about_yourself=$_SESSION['coach_data']['about_yourself']:$about_yourself='';
isset($_SESSION['coach_data']['associated_message'])?$associated_message=$_SESSION['coach_data']['associated_message']:$associated_message='';

?>
       <div id="form1" class="tab-pane fade active in">
         <div class="row">
          <div class="col-md-2"></div>
          <div class="col-md-8">
           <? #handle sections here.
display_message(1); ?>
          <div class="widget-contact-form pb-0">
          
           
             <form action="<?php echo make_url('fw_feedback'); ?>" method="POST" class="contact-form2">
              <input type="text" name="name" value="<?=$name; ?>" size="40" placeholder="Name *" aria-invalid="false" aria-required="true" class="form-row form-row-first">
			  <input type="text" name="course_level" value="<?=$course_level; ?>" size="40" placeholder="Course level *" aria-required="true" class="form-row form-row-last">
			  <input type="text" name="course_id" value="<?=$course_id; ?>" size="40" placeholder="Course/Batch ID*" aria-required="true" class="form-row form-row-first">
			  <input type="text" name="instructor_name" value="<?=$instructor; ?>" size="40" placeholder="Instructor Name *" aria-required="true" class="form-row form-row-last">
		<div class="form">
			<div class="well">
				<label>Course start date *</label>
			  <div id="" class="form-row form-row-last">
				<input id="start_date" name="start_date" data-format="dd/MM/yyyy hh:mm:ss" type="text">
			  </div>
			</div>
		</div>
		
		<div class="form">
		
			<div class="well lavel">
			<label>Please select "Yes" or "No"</br></label>
			<label>Did the inlingua Executive give you enough information about your course? *</label>
			  <div class="form-row form-row-first">
				<label>Yes<input value="Yes" name="info_about_your_course" type="radio"></label>
			  </div>
				<div class="form-row form-row-last">
				
			  
				<label>No<input value="No" name="info_about_your_course" type="radio"></label>
			  </div>
			  
			<label class="form-row form-row-all">Is the class the right level for you? *</label>
			  <div class="form-row form-row-first">
				<label>Yes<input value="Yes" name="right_level" type="radio"></label>
			  </div>
				<div class="form-row form-row-last">
				
			  
				<label>No<input value="No" name="right_level" type="radio"></label>
			  </div>
			<label class="form-row form-row-all">Are you enjoying your lessons? *</label>
			  <div class="form-row form-row-first">
				<label>Yes<input value="Yes" name="lessons" type="radio"></label>
			  </div>
				<div class="form-row form-row-last">
				
			  
				<label>No<input value="No" name="lessons" type="radio"></label>
			  </div>
			  
			  <label class="form-row form-row-all">Do you like the method your instructor uses? *</label>
			  <div class="form-row form-row-first">
				<label>Yes<input value="Yes" name="instructor" type="radio"></label>
			  </div>
				<div class="form-row form-row-last">
				
			  
				<label>No<input value="No" name="instructor" type="radio"></label>
			  </div>
			   <label class="form-row form-row-all">Do you get many chances to speak in class? *</label>
			  <div class="form-row form-row-first">
				<label>Yes<input value="Yes" name="many_chances_speak" type="radio"></label>
			  </div>
				<div class="form-row form-row-last">
				
			  
				<label>No<input value="No" name="many_chances_speak" type="radio"></label>
			  </div>
			   <label class="form-row form-row-all">Do you like the materials your instructor uses? *</label>
			  <div class="form-row form-row-first">
				<label>Yes<input value="Yes" name="materials" type="radio"></label>
			  </div>
				<div class="form-row form-row-last">
				
			  
				<label>No<input value="No" name="materials" type="radio"></label>
			  </div>
			  
			</div>
		</div>
		
		<div class="form">
		
			<div class="well">
            <label>If your answer to any of the above question is "No", could you tell us the reasons?</label>
            <textarea name="reasons" cols="40" rows="2" placeholder="" aria-invalid="false" aria-required="true"><?=$about_yourself; ?></textarea>
		</div>
		</div>
		<div class="form">
		
			<div class="well lavel">
		<label>Do you have any other comments about your learning experience at inlingua?</label>
            <textarea name="comments" cols="40" rows="2" placeholder="" aria-invalid="false" aria-required="true"><?=$about_yourself; ?></textarea>
			</div>
		</div>	 
		<div class="row text-center">
         <div class="col-md-4"></div>
         <div class="col-md-4"><input type="submit" name="submit" value="Submit" class="cws-button border-radius "></div>
         <div class="col-md-4"></div>
        </div>            
			<!--<input type="submit" name="submit" value="Register" class="cws-button border-radius pull-right">-->
            </form>

            <!-- /contact-form-->
              </div>
            </div>
          </div>
        </div>
      </div>
     </div>
<script src="//ajax.googleapis.com/ajax/libs/jquery/2.1.1/jquery.min.js"></script>
 <link rel="stylesheet"href="//ajax.googleapis.com/ajax/libs/jqueryui/1.11.2/themes/smoothness/jquery-ui.css" />
 <script src="//ajax.googleapis.com/ajax/libs/jqueryui/1.11.2/jquery-ui.min.js"></script>			
<script>
    $(document).ready(function () {
        var objDate = new Date();
        var Presentyear = objDate.getFullYear();
        $("#start_date").datepicker({
            //yearRange: '1900:' + Presentyear,
            changeMonth: true,
            changeYear: true,
			dateFormat: 'yy-mm-dd'
            //minDate: '0'
        });
    });
	
	
	</script>
    </section>
    <!-- ! content-->
<?php
include ("include/footer.php");
?>