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HTML 

              
                <h1 id="title">Survey Form</h1>
<div id="form-outer">
  <p id="description">
    Let Ninjacat know how it can improve its skills
  </p>
  <form id="survey-form" method="GET" action="https://crossorigin.me/https://freecodecamp.com">
    <div class="rowTab">
      <div class="labels">
        <label id="name-label" for="name">Name: </label>
      </div>
      <div class="rightTab">
        <input autofocus type="text" name="name" id="name" class="input-field" placeholder="your name" required>
      </div>
    </div>
    <div class="rowTab">
      <div class="labels">
        <label id="email-label" for="email">E-mail: </label>
      </div>
      <div class="rightTab">
        <input type="email" name="email" id="email" class="input-field" required placeholder="your e-mail">
      </div>
    </div>
    <div class="rowTab">
      <div class="labels">
        <label id="number-label" for="age">Age: </label>
      </div>
      <div class="rightTab">
        <input type="number" name="age" id="number" min="1" max="125" class="input-field" placeholder="age">
      </div>
    </div>
    <div class="rowTab">
      <div class="labels">
        <label for="currentPos">Which option best describes your current role?</label>
      </div>
      <div class="rightTab">
        <select id="dropdown" name="currentPos" class="dropdown">
      <option disabled value>Select an option</option>
      <option value="learner">Padawan</option>
      <option value="preferNo">Jedi</option>
      <option value="preferNo">Sith Lord</option>
      <option value="preferNo">Sensei</option>
      <option value="preferNo">Sellsword</option>
      <option value="preferNo">Elite Tauren Chieftain</option>
      <option value="other">Other</option>
    </select>
      </div>
    </div>
    <div class="rowTab">
      <div class="labels">
        <label for="userRating">How likely is it that Ninjacat would defeat Chuck Norris in a duel to the death?</label>
      </div>
      <div class="rightTab">
        <ul style="list-style: none;">
          <li class="radio"><label>Definitely<input name="radio-buttons" value="1"  type="radio" class="userRatings" ></label></li>
          <li class="radio"><label>Maybe<input name="radio-buttons" value="2"  type="radio" class="userRatings" ></label></li>
          <li class="radio"><label>Not sure<input name="radio-buttons" value="3"  type="radio" class="userRatings" ></label></li>
        </ul>
      </div>
    </div>
    <div class="rowTab">
      <div class="labels">
        <label for="most-like">What do you like most about Ninjacat: </label>
      </div>
      <div class="rightTab">
        <select id="most-like" name="mostLike" class="dropdown">
      <option disabled selected value>Select an option</option>
      <option value="challenges">One-lick-knockout</option>
      <option value="projects">Death-purr</option>
      <option value="community">Petrifying Gaze of the Black Lotus</option>
      <option value="openSource">Hunger of the Thousand Claws</option>
    </select>
      </div>
    </div>
    <div class="rowTab">
      <div class="labels">
        <label for="preferences">Things that Ninjacat must improve in order to stay on top of its game:<br>(Check all that apply): </label>
      </div>
      <div class="rightTab">
        <ul id="preferences" style="list-style: none;">
          <li class="checkbox"><label><input name="prefer" value="1" type="checkbox" class="userRatings">One-paw pushups</label></li>
          <li class="checkbox"><input name="prefer" value="2" type="checkbox" class="userRatings">Mountain hopping by night</li>
          <li class="checkbox"><label><input name="prefer" value="3" type="checkbox" class="userRatings">Cybernetic prosthetics</label></li>
          <li class="checkbox"><label><input name="prefer" value="4" type="checkbox" class="userRatings">Nanowarfare research</label></li>
          <li class="checkbox"><label><input name="prefer" value="5" type="checkbox" class="userRatings">Morning milk scrying</label></li>
          <li class="checkbox"><label><input name="prefer" value="6" type="checkbox" class="userRatings">Chasing hulk-rats while blindfolded</label></li>
          <li class="checkbox"><label><input name="prefer" value="7" type="checkbox" class="userRatings">Sofa-scratching routine</label></li>
          <li class="checkbox"><label><input name="prefer" value="8" type="checkbox" class="userRatings">Mastering the Th'um of M'Eow</label></li>
          <li class="checkbox"><label><input name="prefer" value="9" type="checkbox" class="userRatings">Elor bindel felallan morin'aminor</label></li>
          <li class="checkbox"><label><input name="prefer" value="10" type="checkbox" class="userRatings">One cannot improve what has been made perfect already</label></li>
         
        </ul>
      </div>
    </div>
    <div class="rowTab">
      <div class="labels">
        <label for="comments">Any comments or suggestions?</label>
      </div>
      <div class="rightTab">
        <textarea id="comments" class="input-field" style="height:50px;resize:vertical;" name="comment" placeholder="Enter your comment here..."></textarea>
      </div>
    </div>
    <button id="submit" type="submit">Submit</button>
  </form>
</div>
!

CSS 

              
                @import url(https://fonts.googleapis.com/css?family=Raleway:400,500);

html,
body {
  background-color: #88A5BD;
  color: #002626;
  text-align: center;
  font-family: "Raleway", Helvetica, sans-serif;
  min-width: 320px;
}

header {
  font-size: 2em;
  font-weight: bold;
  margin: 20px;
}

#title {
  color: #FC4949;
  background-color: #F7CB5C;
  margin: 0 auto;
  border-radius: 4px;
  width: 75%;
  max-width: 900px;
  padding: 10px;
  padding-top: 20px;
  font-size: 3em;
  font-weight: bold;
}

#description {
  color: #002626;
  font-weight: bold;
  
}
#form-outer {
  background-color: #FFF4E0;
  margin: 5px auto;
  border-radius: 4px;
  width: 75%;
  max-width: 900px;
  padding: 10px;
  padding-top: 20px;
}

.labels {
  display: inline-block;
  text-align: right;
  width: 40%;
  padding: 5px;
  vertical-align: top;
  margin-top: 10px;
}

.rightTab {
  display: inline-block;
  text-align: left;
  width: 48%;
  vertical-align: middle;
}

.input-field {
  height: 20px;
  width: 280px;
  padding: 5px;
  margin: 10px;
  border: 2px solid #88A5BD;
  border-radius: 5px;
}

#userAge {
  width: 40px;
}

.userRatings,
input[type="checkbox"] {
  float: left;
  margin-right: 5px;
}

#submit {
  background-color: #00ADB5;
  border-radius: 4px;
  color: white;
  font-size: 1em;
  height: 40px;
  width: 96px;
  margin: 10px;
  border: 0px solid;
}

.dropdown {
  background-color: #fff;
  height: 35px;
  width: 140px;
  padding: 5px;
  margin: 10px;
  margin-top: 15px;
  border: 2px solid #88A5BD;
  border-radius: 5px;
}

.radio,
.checkbox {
  position: relative;
  left: -43px;
  margin-left: 10px;
  display: block;
  padding-bottom: 10px;
}

@media screen and (max-width: 833px) {
  .input-field {
    width: 80%;
  }
  select {
    width: 90%;
  }
}

@media screen and (max-width: 520px) {
  .labels {
    width: 100%;
    text-align: left;
  }
  .rightTab {
    width: 80%;
    float: left;
  }
  .input-field {
    width: 100%;
  }
  select {
    width: 100%;
  }
}
!

JS 

              
                // coded by @SamAI-Software
const projectName = 'survey-form';
localStorage.setItem('example_project', 'Survey Form');
!
999px

Console