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evalua.html
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<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>EVAL</title>
<link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Source+Sans+Pro:300,400,400i,700&display=fallback">
<!-- Font Awesome Icons -->
<link rel="stylesheet" href="plugins/fontawesome-free/css/all.min.css">
<!-- IonIcons -->
<link rel="stylesheet" href="https://code.ionicframework.com/ionicons/2.0.1/css/ionicons.min.css">
<!-- Theme style -->
<link rel="stylesheet" href="dist/css/adminlte.min.css">
</head>
<body>
<div class="col-lg-12">
<div class="row">
<div class="col-md-3">
<div class="list-group">
<a class="list-group-item list-group-item-action">Mr.x</a>
<a class="list-group-item list-group-item-action">Mr.y</a>
<a class="list-group-item list-group-item-action">Mr.z</a>
</div>
</div>
<div class="col-md-9">
<div class="card card-outline card-info">
<div class="card-header">
<b>Evaluation Questionnaire for Academic: </b>
<div class="card-tools">
<button class="btn btn-sm btn-flat btn-primary bg-gradient-primary mx-1" form="manage-evaluation">Submit Evaluation</button>
</div>
</div>
<div class="card-body">
<fieldset class="border border-info p-2 w-100">
<legend class="w-auto">Rating Legend</legend>
<p>5 = Strongly Agree, 4 = Agree, 3 = Uncertain, 2 = Disagree, 1 = Strongly Disagree</p>
</fieldset>
<form id="manage-evaluation">
<input type="hidden" name="class_id" value="">
<input type="hidden" name="faculty_id" value="">
<input type="hidden" name="restriction_id" value="">
<input type="hidden" name="subject_id" value="">
<input type="hidden" name="academic_id" value="">
<div class="clear-fix mt-2"></div>
<table class="table table-condensed">
<thead>
<tr class="bg-gradient-secondary">
<th class=" p-1"><b>criteria</b></th>
<th class="text-center">1</th>
<th class="text-center">2</th>
<th class="text-center">3</th>
<th class="text-center">4</th>
<th class="text-center">5</th>
</tr>
</thead>
<tbody class="tr-sortable">
<tr class="bg-white">
<td class="p-1" width="40%">
question
<input type="hidden" name="qid[]" value="">
</td>
<td class="text-center">
<div class="icheck-success d-inline">
<input type="radio" name="rate[]" id="qradio" value="">
<label for="qradio">
</label>
</div>
</td>
<td class="text-center">
<div class="icheck-success d-inline">
<input type="radio" name="rate[]" id="qradio" value="">
<label for="qradio">
</label>
</div>
</td>
<td class="text-center">
<div class="icheck-success d-inline">
<input type="radio" name="rate[]" id="qradio" value="">
<label for="qradio">
</label>
</div>
</td>
<td class="text-center">
<div class="icheck-success d-inline">
<input type="radio" name="rate[]" id="qradio" value="">
<label for="qradio">
</label>
</div>
</td>
<td class="text-center">
<div class="icheck-success d-inline">
<input type="radio" name="rate[]" id="qradio" value="">
<label for="qradio">
</label>
</div>
</td>
</tr>
</tbody>
</table>
</form>
</div>
</div>
</div>
</div>
</div>
</body>
</html>