ccah-assessment/forms/questionnaire.html

35 lines
1.3 KiB
HTML

<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>CCAH IT Assessment Questionnaire</title>
<!-- Bootstrap CDN -->
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.2/dist/css/bootstrap.min.css">
<link rel="stylesheet" href="../assets/css/styles.css">
</head>
<body>
<div class="container mt-4">
<div class="text-center mb-4">
<img src="../assets/img/ccah-logo.png" alt="CCAH Logo" style="max-height:100px;">
</div>
<h3 class="text-center">CCAH IT Assessment Questionnaire</h3>
<form id="assessment-form">
<!-- Sample question block -->
<div class="mb-3">
<label class="form-label">Role/Title at CCAH</label>
<input type="text" class="form-control" name="role" required>
</div>
<!-- Add more questions similarly -->
<button type="submit" class="btn btn-primary">Submit</button>
</form>
</div>
<!-- Bootstrap JS -->
<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.3.2/dist/js/bootstrap.bundle.min.js"></script>
<script src="../assets/js/main.js"></script>
</body>
</html>