jQuery Customer Satisfaction Survey Form Generator
Measure customer satisfaction and collect feedback
Form Preview
jQuery Code
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>jQuery Form</title>
<script src="https://code.jquery.com/jquery-3.6.0.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/jquery-validate/1.19.3/jquery.validate.min.js"></script>
<style>
body {
font-family: Arial, sans-serif;
line-height: 1.6;
margin: 0;
padding: 20px;
color: #333;
}
.form-container {
max-width: 600px;
margin: 0 auto;
background: #f9f9f9;
padding: 20px;
border-radius: 8px;
box-shadow: 0 2px 10px rgba(0, 0, 0, 0.1);
}
.form-group {
margin-bottom: 15px;
}
label {
display: block;
margin-bottom: 5px;
font-weight: bold;
}
input[type="text"],
input[type="email"],
input[type="password"],
input[type="tel"],
input[type="number"],
input[type="date"],
select,
textarea {
width: 100%;
padding: 8px;
border: 1px solid #ddd;
border-radius: 4px;
box-sizing: border-box;
font-size: 16px;
}
textarea {
height: 100px;
}
.checkbox-group, .radio-group {
margin-bottom: 10px;
}
.checkbox-item, .radio-item {
margin-bottom: 5px;
}
button {
background-color: #4CAF50;
color: white;
padding: 10px 15px;
border: none;
border-radius: 4px;
cursor: pointer;
font-size: 16px;
}
button:hover {
background-color: #45a049;
}
.required:after {
content: " *";
color: red;
}
.error {
color: red;
font-size: 14px;
margin-top: 5px;
}
</style>
</head>
<body>
<div class="form-container">
<form id="customer-satisfaction-survey" action="#" method="POST">
<div class="form-group">
<label for="name" class="">Your Name</label>
<input type="text" id="name" name="name">
</div>
<div class="form-group">
<label for="email" class="">Email Address</label>
<input type="email" id="email" name="email">
</div>
<div class="form-group">
<label for="satisfaction" class="required">How satisfied are you with our service?</label>
<div class="radio-group">
<div class="radio-item">
<input type="radio" id="satisfaction-0" name="satisfaction" value="Very Satisfied">
<label for="satisfaction-0">Very Satisfied</label>
</div>
<div class="radio-item">
<input type="radio" id="satisfaction-1" name="satisfaction" value="Satisfied">
<label for="satisfaction-1">Satisfied</label>
</div>
<div class="radio-item">
<input type="radio" id="satisfaction-2" name="satisfaction" value="Neutral">
<label for="satisfaction-2">Neutral</label>
</div>
<div class="radio-item">
<input type="radio" id="satisfaction-3" name="satisfaction" value="Dissatisfied">
<label for="satisfaction-3">Dissatisfied</label>
</div>
<div class="radio-item">
<input type="radio" id="satisfaction-4" name="satisfaction" value="Very Dissatisfied">
<label for="satisfaction-4">Very Dissatisfied</label>
</div>
</div>
</div>
<div class="form-group">
<label for="recommendation" class="required">How likely are you to recommend us to others?</label>
<div class="radio-group">
<div class="radio-item">
<input type="radio" id="recommendation-0" name="recommendation" value="Very Likely">
<label for="recommendation-0">Very Likely</label>
</div>
<div class="radio-item">
<input type="radio" id="recommendation-1" name="recommendation" value="Likely">
<label for="recommendation-1">Likely</label>
</div>
<div class="radio-item">
<input type="radio" id="recommendation-2" name="recommendation" value="Neutral">
<label for="recommendation-2">Neutral</label>
</div>
<div class="radio-item">
<input type="radio" id="recommendation-3" name="recommendation" value="Unlikely">
<label for="recommendation-3">Unlikely</label>
</div>
<div class="radio-item">
<input type="radio" id="recommendation-4" name="recommendation" value="Very Unlikely">
<label for="recommendation-4">Very Unlikely</label>
</div>
</div>
</div>
<div class="form-group">
<label for="feedback" class="">What could we do to improve?</label>
<textarea id="feedback" name="feedback"></textarea>
</div>
<div class="form-group">
<button type="submit">Submit</button>
</div>
</form>
</div>
<script>
$(document).ready(function() {
// Form validation
$("#customer-satisfaction-survey").validate({
// Validation rules
rules: {
email: {
email: true
},
satisfaction: {
required: true
},
recommendation: {
required: true
},
},
// Error messages
messages: {
email: {
email: "Please enter a valid email address"
},
satisfaction: {
required: "This field is required"
},
recommendation: {
required: "This field is required"
},
},
// Submit handler
submitHandler: function(form) {
const formData = $(form).serialize();
console.log('Form data:', formData);
// AJAX submission (commented out)
/*
$.ajax({
type: "POST",
url: "your-server-endpoint",
data: formData,
success: function(response) {
alert('Form submitted successfully!');
},
error: function(error) {
alert('There was an error submitting the form.');
}
});
*/
alert('Form submitted successfully!');
return false; // Prevent actual form submission
}
});
});
</script>
</body>
</html>Installation
How to setup jQuery Customer Satisfaction Survey form
- 1
Sign up to parrotforms.com
Create your first form API endpoint then copy your endpoint.
Screenshot Placeholder - 2
Copy the example code
Use the copy button above to copy the entire code snippet.
Screenshot Placeholder - 3
Paste the code and update the endpoint
Replace the form API endpoint with the one you got in step 1.
Screenshot Placeholder - 4
Collect submissions
View and manage all form submissions in your parrotForms dashboard.
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