Gwen Fowler Real Estate, Inc.®

Search For Me Form

What Is Your Name?

What are you looking for?



<form action="demo_form.asp">
<p>What Is Your Name? <input type="text" name="country_code"  pattern="[A-Za-z]{3}" title="Three letter country code"></p>
<p>What are you looking for?
    <ul>      <li><label for="angry">Mountains</label> <input type="checkbox" name="angry" id="angry" value="angry"></li>      <li><label for="sad">Lake</label> <input type="checkbox" name="sad" id="sad" value="sad"></li>      <li><label for="happy">Rural</label> <input type="checkbox" name="happy" id="happy" value="happy"></li>      <li><label for="ambivalent">Subdivision</label> <input type="checkbox" name="ambivalent" id="ambivalent" value="ambivalent"></li>    </ul>            <ul>    <li><label for="vsat">Property Only</label> <input type="radio" name="satisfaction" id="vsat" value="vsat" checked="checked"></li>    <li><label for="sat">House and Property</label> <input type="radio" name="satisfaction" id="sat" value="sat"></li>    <li><label for="dcare"></label> <input type="radio" name="satisfaction" id="dcare" value="dcare"></li>    <li><label for="disat">Dissatisfied</label> <input type="radio" name="satisfaction" id="disat" value="disat"></li>    <li><label for="vdisat">Very dissatisfied</label> <input type="radio" name="satisfaction" id="vdisat" value="vdisat"></li> </ul>    
<input type="submit">
</form>