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HTML 

              
                  <H1 id="title">Survey Form</H1>
<body>
  <div class = "theForm">
  <p id="description">Customer satisfaction survey about your current visit to our store.</p>
  
  <form name="survey-form" method="post" id="survey-form">
<label id="name-label"><strong>Name:</strong> </label> <br>
	<input type="text" name="username" id="name" required="required" tabindex="1" placeholder="Enter your name"  class="input-field" accesskey="N"><br><br>

<label><strong>Address:</strong> </label>
	<input type="text" name="address" id="address" placeholder="Enter your address"tabindex="2" class="input-field" accesskey="D"><br><br>
	
    <label id="number-label"><strong>Age:</strong> </label>
	<input type="number" name="age" id="number" min="1" max="100" placeholder="Enter your age" tabindex="3" class="input-field" accesskey="A"><br><br>
	
    <label id="email-label"><strong>E-mail:</strong> </label>
	<input type="email" name="email" id="email" required="required" placeholder="Enter your email" tabindex="4" class="input-field" accesskey="E">
  <br><br>
    <label for="recommend" class="question">* Will you recommend our store to a friend?</label>
  <li class="radio"><label>Definitely<input name="radio-buttons" value="1"  type="radio" class="recommend" ></label>
      <li class="radio"><label>Possibly<input name="radio-buttons" value="2"  type="radio" class="recommend" ></label>
          <li class="radio"><label>Maybe<input name="radio-buttons" value="3"  type="radio" class="recommend" ></label>
              <li class="radio"><label>NO!<input name="radio-buttons" value="4"  type="radio" class="recommend" ></label></li>
  <div class="items"> 
    <label for="currentPos" class="question">What is your occupation</label><br><br>

        <select id="dropdown" name="currentStatus" class="dropdown">
      <option disabled value>Select an option</option>
      <option value="owner">Business Owner</option>
      <option value="job">Full Time Employee</option>
      <option  value="student">Student</option>
      <option value="mommy">Stay at Home Mom</option>
      <option value="retiree">Retireee</option>
      <option value="other">Other</option>
    </select></div>
         <div class="items">
        <label for="preferences" class="question">What products would you like to see us offer? <smaller>(Check all that apply):</smaller> </label>
      </div>
      <div class="ProductList">
        <ul id="preferences" style="list-style: none;">
          <li class="checkbox"><label><input name="prefer" value="1" type="checkbox" class="recommend">Shoes</label></li>
          <li class="checkbox"><input name="prefer" value="2" type="checkbox" class="recommend">Hand Bags</li>
          <li class="checkbox"><label><input name="prefer" value="3" type="checkbox" class="recommend">Dresses</label></li>
          <li class="checkbox"><label><input name="prefer" value="4" type="checkbox" class="recommend">Tops</label></li>
          <li class="checkbox"><label><input name="prefer" value="5" type="checkbox" class="recommend">Baby Items</label></li>
          <li class="checkbox"><label><input name="prefer" value="6" type="checkbox" class="recommend">Totter Clothing</label></li>
          <li class="checkbox"><label><input name="prefer" value="7" type="checkbox" class="recommend">Infant Products</label></li>
          <li class="checkbox"><label><input name="prefer" value="8" type="checkbox" class="recommend">Mens Clothing</label></li>
        </ul>
      </div>
        <div class="items">
        <label for="comments" class="question">Any Comments or Suggestions?</label>
      </div>
      <div class="items">
        <textarea id="comments" class="input-field" style="height:55px;resize:vertical;" name="comment" placeholder="Enter your comments or Suggestions here..."></textarea>
      </div>
    <br><br></div>
  <div class="button" width="100%">
    <input type="submit" value="Submit" id="submit"></div>
  </form>
    </body>
!

CSS 

              
                html {
  background-color: #cc919a;
   align-items: center;
  min-width: 320px;
}
body {
margin: 0 auto;
  background-color: white;
text-align: center;
  padding: 20px 50px 20px 50px;
  font-size: 18px;
  width: 600px;
  border-radius: 60px;
}
.theForm{
  text-align: left;
}
H1 {
  text-align: center;
  background-color: #cc919a;
  color: white;
  padding: 10px;
  border-radius: 20px;
}
#description, .question {
  text-align: center;
  font-weight: bold;
}
.question{
  background-color: #ffe9ec;
}
input.error {
  border-color: red;
}
#submit {
  border-color: blue;
  background-color: blue;
  color: white;
  width: 200px;
  height: 40px;
  text-align: center;
  font-size: 20px;
}

.button {
  width: 100%;
  align-items: center;
}

.radio, .checkbox {
   list-style-type: none;
   line-height: 25px;
  position: relative;
  left: 43px;
  margin-left: 10px;
  display: block;
}
.recommend,
input[type="checkbox"] {
  float: left;
  margin-right: 5px;
}
smaller {
  font-size: 12px;
}
.items {
  margin-top: 15px;
}
 .input-field {
    width: 100%;
  }
form {
  width: 500px;
}
!

JS
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999px

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