Appendix B: Example Form

The following form, when the Submit button is selected, will return a Web page which displays the user's input (this is the function of the script appb.pl). The markup below is followed by the working form.

<FORM method="post" action="http://www.cwru.edu/cgi-bin/tutorial/appb.pl">
<P>
Your name:<INPUT type=text name="name">
<BR>
Your age: <INPUT type=text name="age" size=3>
<BR>
Your Social Security Number: <INPUT type=text name="ssn" size=9 maxlength=11>
<BR>
Your password: <INPUT type=password name="pwd" size=15 maxlength=15>
</P>
<P>
You are
<INPUT type=radio name="gender" value="M">Male
<INPUT type=radio name="gender" value="F">Female
</P>

<P>
Your favorite computer operating system:<BR>
<INPUT type=radio name="fav_os" value="mac">Macintosh<BR>
<INPUT type=radio name="fav_os" value="dos">DOS<BR>
<INPUT type=radio name="fav_os" value="win">Windows<BR>
<INPUT type=radio name="fav_os" value="win95">Windows95<BR>
<INPUT type=radio name="fav_os" value="os2">OS/2<BR>
<INPUT type=radio name="fav_os" value="unix">UNIX<BR>
</P>

<P>
What operating systems have you used?<BR>
<INPUT type=checkbox name="used" value="mac">Macintosh<BR>
<INPUT type=checkbox name="used" value="dos">DOS<BR>
<INPUT type=checkbox name="used" value="win">Windows<BR>
<INPUT type=checkbox name="used" value="win95">Windows95<BR>
<INPUT type=checkbox name="used" value="os2">OS/2<BR>
<INPUT type=checkbox name="used" value="unix">UNIX<BR>
</P>

<P>
Are you breathing at the moment?
<INPUT type=radio name="breathing" value="Y" checked>Yes
<INPUT type=radio name="breathing" value="N">No
</P>

<P>
How are you reaching this page?
<SELECT name="access">
<OPTION>No response
<OPTION>Compuserve
<OPTION>America On-Line
<OPTION>Independent ISP
<OPTION>Straight Internet connection
<OPTION>Other
</SELECT>
</P>

<P>
With which flavors of HTML are you familiar?
<SELECT multiple name="html">
<OPTION selected>Basic HTML 2.0
<OPTION>Intermediate HTML 2.0 (forms, etc.)
<OPTION>Netscape HTML
<OPTION>Microsoft HTML
<OPTION>ex-HTML 3.0
</SELECT>
</P>

<P>
Any other comments?<BR>
<TEXTAREA wrap name="comments" rows=5 cols=65></TEXTAREA>
</P>

<P>
<INPUT type=submit value="That's All!">
<INPUT type=reset>
</P>
</FORM>

Next -- Appendix C: References
Previous -- Appendix A: Tag Summary
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