console
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=, initial-scale=">
<meta http-equiv="X-UA-Compatible" content="">
<title>American Metric电子产品调查表</title>
</head>
<body>
<h2>American Metric电子产品调查表</h2>
<form action="#">
<p>
<label for="user">姓名：</label>
<input type="text" id="user" name="Name" size="30" required placeholder="输入必须是2-6位字符"/>
</p>
<p>
<label for="date">购买日期：</label>
<input type="text" id="date" name="Date" size="6">年
<select name="Month" id="month">
<option value="">01</option>
<option value="">02</option>
<option value="">03</option>
<option value="">04</option>
<option value="">05</option>
<option value="">06</option>
<option value="">07</option>
<option value="">08</option>
<option value="">09</option>
<option value="">10</option>
<option value="">11</option>
<option value="">12</option>
</select>月
<select name="Date" id="date">
<option value="">01</option>
<option value="">02</option>
<option value="">03</option>
<option value="">04</option>
<option value="">05</option>
<option value="">06</option>
<option value="">07</option>
<option value="">08</option>
<option value="">09</option>
<option value="">10</option>
<option value="">11</option>
<option value="">12</option>
<option value="">13</option>
<option value="">14</option>
<option value="">15</option>
<option value="">16</option>
<option value="">17</option>
<option value="">18</option>
<option value="">19</option>
<option value="">20</option>
<option value="">21</option>
<option value="">22</option>
<option value="">23</option>
<option value="">24</option>
<option value="">25</option>
<option value="">26</option>
<option value="">27</option>
<option value="">28</option>
<option value="">29</option>
<option value="">30</option>
<option value="">31</option>
</select>日
</p>
<p>
<label for="email">电子邮件地址：</label>
<input type="email" id="email" name="Email" size="30" required placeholder="www.baidu.com"/>
</p>
<p>
<label for="tel">手机号码</label>
<input type="text" id="tel" name="Name" size="40" required placeholder="输入必须是以13/15/18开头的11位数字" />
</p>
<p>
您是否查看过我们的在线产品目录？
<input type="radio" name="Online catalog" value="Yes" checked/>是
<input type="radio" name="Online catalog" value="No"/>否
</p>
<p>
如果查看过，您对哪些产品有兴趣购买？（选择要提供的产品) <br>
<input type="checkbox" name="Product interest" value="Big Screen TV">大屏幕电视机
<input type="checkbox" name="Product interest" value="Audio equipment">音频设备
<input type="checkbox" name="Product interest" value="Camera Equipment">相机
</p>
<p>
在填写订单之前，您还有什么问题、意见或者建议？
<br>
<textarea name="Comments" rows="3" cols="50">您的输入:</textarea>
</p>
<p>
<input type="submit" value="提交">
<input type="reset" value="重置" disabled>
</p>
</form>
</body>
</html>