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questions.html
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<!doctype html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>CJMinistry</title>
<link href="https://cdn.jsdelivr.net/npm/[email protected]/dist/css/bootstrap.min.css" rel="stylesheet"
integrity="sha384-T3c6CoIi6uLrA9TneNEoa7RxnatzjcDSCmG1MXxSR1GAsXEV/Dwwykc2MPK8M2HN" crossorigin="anonymous">
<link rel="stylesheet" href="styles/styles.css">
<!-- footer icons -->
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">
<script src="scripts/submit_form.js" async></script>
</head>
<body>
<div class="content">
<nav class="navbar navbar-expand-lg navbar-dark navbar-custom">
<div class="container-fluid side-margins">
<a class="navbar-brand" href="index.html">
<img src="images/Cj_Logo.png" alt="Logo" width="180px">
</a>
<button class="navbar-toggler" type="button" data-bs-toggle="collapse"
data-bs-target="#navbarNavAltMarkup" aria-controls="navbarNavAltMarkup" aria-expanded="false"
aria-label="Toggle navigation">
<span class="navbar-toggler-icon"></span>
</button>
<div class="collapse navbar-collapse" id="navbarNavAltMarkup">
<ul class="navbar-nav ms-auto">
<li class="nav-item">
<a class="nav-link" href="index.html">Home</a>
</li>
<li class="nav-item dropdown">
<a class="nav-link dropdown-toggle" href="#" role="button" data-bs-toggle="dropdown"
aria-expanded="false">
What We Do
</a>
<ul class="dropdown-menu">
<li><a class="dropdown-item" href="/what_we_do.html">What We Do</a></li>
<li><a class="dropdown-item" href="/support_for_the_elderly.html">Support for the
Elderly</a></li>
<li><a class="dropdown-item" href="/aid_for_the_homeless.html">Aid for the Homeless</a>
</li>
<li><a class="dropdown-item" href="/mental_health_support.html">Mental Health
Support</a></li>
<li><a class="dropdown-item" href="/substance_abuse_help.html">Substance Abuse Help</a>
</li>
</ul>
</li>
<li class="nav-item">
<a class="nav-link" href="/how_to_help.html">How to Help</a>
</li>
<li class="nav-item">
<a class="nav-link active" href="/questions.html">Questions?</a>
</li>
<li class="nav-item">
<a class="nav-link" href="/news_and_events.html">News and Events</a>
</li>
<li class="nav-item">
<a class="btn btn-primary btn-custom" href="#">Donate</a>
</li>
</ul>
</div>
</div>
</nav>
<br>
<nav aria-label="breadcrumb" class="side-margins">
<ol class="breadcrumb">
<li class="breadcrumb-item"><a href="index.html">Home</a></li>
<li class="breadcrumb-item active" aria-current="page">Questions</li>
</ol>
</nav>
<img src="images/questions.jpg" alt="" class="banner-img">
<br><br>
<div class="side-margins">
<form class="side-margins-plus" onsubmit="submitForm()">
<div class="row my-3">
<fieldset>
<legend>Tell Us a Bit About Yourself</legend>
<div class="my-3">
<label for="name" class="col-md-1">Name:</label>
<input type="text" id="name" class="col-4" name="name">
</div>
<div class="my-3">
<label for="phone" class="col-md-1">Phone:</label>
<input type="text" id="phone" class="col-4" name="phone">
</div>
<div class="my-3">
<label for="email" class="col-md-1">Email:</label>
<input type="text" class="col-4" id="email" name="email">
</div>
</fieldset>
</div>
<div class="row my-3">
<fieldset>
<legend>Questions for Us</legend>
<div class="my-3">
How did you learn about us?<br>
<ul id="learn-about" name="learn-about">
<li>
<input type="radio" value="words-of-mouth" id="words-of-mouth" name="about">
<label for="words-of-mouth">Words of Mouth</label>
</li>
<li>
<input type="radio" value="online-search" id="online-search" name="about">
<label for="online-search">Online Search</label>
</li>
<li>
<input type="radio" value="other-organizations" id="other-organizations"
name="about">
<label for="other-organizations">Other Organizations</label>
</li>
<li>
<input type="radio" value="other-ways" id="other-ways" name="about">
<label for="other-ways">Other</label>
</li>
</ul>
</div>
<div class="my-3">
<label for="phone">What kind of help do you need / provide?</label><br>
<ul id="help-needed" name="help-needed">
<li>
<input type="radio" value="elderly-care" id="elderly-care" name="helping">
<label for="elderly-care">Elderly Care</label>
</li>
<li>
<input type="radio" value="homeless-support" id="homeless-support" name="helping">
<label for="homeless-support">Homeless Support</label>
</li>
<li>
<input type="radio" value="mental-health" id="mental-health" name="helping">
<label for="mental-health">Mental Health</label>
</li>
<li>
<input type="radio" value="drug-abuse" id="drug-abuse" name="helping">
<label for="drug-abuse">Drug Abuse</label>
</li>
<li>
<input type="radio" value="other-helps" id="other-helps" name="helping">
<label for="other-helps">Other</label>
</li>
</ul>
</div>
<div id="more-comments" class="my-3">
<label for="comments">Any Comments?</label><br>
<textarea id="comments" name="comments" maxlength="1000" class="w-100 my-2 h-75"></textarea>
</div>
</fieldset>
</div>
<br>
<div class="row">
<!-- Button trigger modal -->
<button type="button" id="btn-submit" class="btn btn-lg btn-primary w-25 mx-auto" data-bs-toggle="modal" data-bs-target="#exampleModal">
Submit
</button>
<!-- Modal -->
<div class="modal fade" id="exampleModal" tabindex="-1" aria-labelledby="exampleModalLabel" aria-hidden="true">
<div class="modal-dialog">
<div class="modal-content">
<div class="modal-header">
<h1 class="modal-title fs-5" id="exampleModalLabel">Confirmation</h1>
<button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
</div>
<div class="modal-body">
Are you sure you want to submit these responses?
</div>
<div class="modal-footer">
<button type="button" class="btn btn-secondary" data-bs-dismiss="modal">Cancel</button>
<button type="submit" class="btn btn-primary">Submit</button>
</div>
</div>
</div>
</div>
</div>
<br>
</form>
<br>
</div>
</div>
<footer class="footer">
<h5>Contact Us</h5>
<a href="#" class="fa fa-facebook"></a>
<a href="#" class="fa fa-instagram"></a>
<a href="#" class="fa fa-twitter"></a>
<a href="#" class="fa fa-google"></a>
</footer>
<script src="https://cdn.jsdelivr.net/npm/[email protected]/dist/js/bootstrap.bundle.min.js"
integrity="sha384-C6RzsynM9kWDrMNeT87bh95OGNyZPhcTNXj1NW7RuBCsyN/o0jlpcV8Qyq46cDfL"
crossorigin="anonymous"></script>
</body>
</html>