<form action='/survey/checkout' method='post' enctype="multipart/form-data">
<div>
<label>Pronouns</label>
<select name='gender' required>
<option value='female'>She/Her</option>
<option value='male'>He/Him</option>
<option value='neutral'>They/Them</option>
<option value='prefer not to say'>Prefer Not To Say</option>
</select>
</div>
<div>
<label>How have you been during the pandemic?</label>
<select name='feel??!?' required>
<option value='happy'>😀</option>
<option value='sad'>😭</option>
<option value='confound'>😖</option>
<option value='slepy'>😴</option>
</select>
</div>
<div>
<label>How comfortable are you going out in public?</label>
<input type='number' name='num' placeholder='1 - 10' min='1' max='10' required>
</div>
<div>
<label>During the pandemic, which days of the week have you been regularly exercising?</label>
</div>
<div>
<input type='checkbox' name='mon' value='Yes'>
<input type='checkbox' name='tue' value='Yes'>
<input type='checkbox' name='wed' value='Yes'>
<input type='checkbox' name='thu' value='Yes'>
<input type='checkbox' name='fri' value='Yes'>
<input type='checkbox' name='sat' value='Yes'>
<input type='checkbox' name='sun' value='Yes'>
</div>
<div>
<label>MO TU W TH FR ST SU</label>
</div>
<div>
<label>Birthday</label>
<input name='bday' type='date' required>
</div>
<div>
<label>TV show you binged?</label>
<input type="text" name="show" list="shows" required>
<datalist id="shows">
<option>The Office</option>
<option>Family Guy</option>
<option>The Simpsons</option>
<option>The Super Mario Brothers Super Show</option>
<option>Youtube</option>
<option>Breaking Bad</option>
<option>The Good Place</option>
</datalist>
</div>
<div>
<input type='submit' value='Submit Survey'>
<input type='hidden' value = 'console.clear()'>
</div>
<div>
<img src="https://bit.ly/fcc-relaxing-cat" alt="cat">
</div>
<div>
<label>Enjoy this cat :)</label>
</div>
</form>