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<!DOCTYPE html>
<html lang="en" >
<head>
<meta charset="UTF-8">
<link href="https://fonts.googleapis.com/css?family=Lobster|Raleway" rel="stylesheet">
<link rel="stylesheet" href="./support-ticket.css">
<title>Request Support Ticket Form</title>
</head>
<body class="cyan darken-1">
<h1 id='title'>👩🏽💻 Request Support Ticket 👩🏽💻</h1>
<div id='survey-container' >
<div class='description'>
<p id='description'>
Please fill out and submit the form below to request the services of Kathy Lambert, Software Developer & Project Manager Extraordinaire.
<p/>
</div>
<br></br>
<form action="https://formspree.io/tkathleen.lambert@gmail.com" method='POST' id='survey-form'>
<div class='row' >
<div class='rowLeft'>
<label for='name' class='labels' id="name-label" > *Name: </label>
</div>
<div class='rowRight'>
<input type='text' id='name' name='name' placeholder='Kandace Wilkins'/ required>
</div>
</div>
<div class='row' >
<div class='rowLeft'>
<label for='email' id="email-label"> *Email: </label>
</div>
<div class='rowRight'>
<input type='email' id='email' name='email' placeholder='Kandace.Wilkins@gmail.com' required/>
</div>
</div>
<div class='row' >
<div class='rowLeft'>
<label for='number' class='labels' id="number-label" >Phone Number: </label>
</div>
<div class='rowRight'>
<input type='tel' id='number' name='phone-number' placeholder='000.000.0000' required pattern="[0-9]{3}[0-9]{3}[0-9]{4}" min="1" max="9">
<span class="validity"></span>
</div>
</div>
<div class='row' >
<div class='rowLeft'>
<label for='req-task'> Requested Task: </label>
</div>
<div class='rowRight'>
<input type='text' id='req-task' name='requested-task' placeholder="Create a new website." />
</div>
</div>
<div class='row' >
<div class='rowLeft'>
<label for='req-task'>Requested Task Category: </label>
</div>
<div class='rowRight'>
<select id='dropdown'>
<option value='administrative'>Administrative</option>
<option value='technical'>Technical</option>
<option value='household'>Household</option>
</select>
</div>
</div>
<div class='row' >
<div class='rowLeft'>
<label for='req-task'> Task Description: </label>
</div>
<div class='rowRight'>
<textarea type='text' id='task-description' name='task-description' rows='3' cols='33' maxlength='200' wrap='hard' placeholder="A single page website with a contact form." ></textarea>
</div>
</div>
<div class='row' >
<div class='rowLeft'>
<label for='task-priority-level'> Task Priority Level: </label>
</div>
<div class='rowRight'>
<input type='radio' id='radio-priority-level-1' name='high-priority' style="width: 10px" value="1">
<label for='priority-1' id="label-priority-level"> Priority Level 1 </label>
<br>
<input type='radio' id='radio-priority-level' name='medium-priority' style="width: 10px" value="2">
<label for='priority-2' id="label-priority-level"> Priority Level 2 </label>
<br>
<input type='radio' id='radio-priority-level' name='low-priority' style="width: 10px" checked/ value="3">
<label for='priority-3' id="label-priority-level" checked > Priority Level 3 </label>
</div>
</div>
<!-- <div class='row checkbox-row' >
<div class='rowLeft'>
<label for='human-confirmation'> Confirm Humanity: </label>
</div>
<div class='rowRight'>
<input type='checkbox' id='human-confirmation' name='human-confirmation' style="width: 10px" value="1">
<label for="human-confirmation">Robot</label>
<br>
<input type='checkbox' id='human-confirmation' name='human-confirmation' style="width: 10px" value="2" required>
<label for="human-confirmation">Human</label>
<br>
<input type='checkbox' id='human-confirmation' name='human-confirmation' style="width: 10px" value="3">
<label for="human-confirmation">Robot</label>
</div>
</div> -->
<div class='row' >
<div class='rowLeft'>
<label for='add-comments'> Additional Request Details: </label>
</div>
<div class='rowRight'>
<textarea type='text' id='add-comments' name='additional-comments' rows='3' cols='33' maxlength='200' wrap='hard' ></textarea>
</div>
</div>
<div class='row' >
<div class='rowLeft'>
<label for='req-deadline'> Requested Deadline: </label>
</div>
<div class='rowRight'>
<input type='date' id='req-deadline' name='requested-deadline' required pattern="required pattern="[0-9]{4}-[0-9]{2}-[0-9]{2}" />
<span class="validity"></span>
</div>
</div>
<button type="submit" id="submit" value='Send' >Submit Support Ticket</button>
</form>
</div>
<script src="js/index.js">
// Email Validation
var email = document.getElementById('email')
email.addEventListener('input', function(event) {
if (email.validity.typeMismatch) {
email.setCustomValidity('Please provide a vaild email address.')
} else {
email.setCustomValidity('')
}
})
</script>
</body>
</html>