<!DOCTYPE html>
<html lang="en">    
<head>
<meta charset="utf-8" />
<title> Add Survey - Mquad Data Survey</title>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta content="" />
<meta content="Indev Consultancy Pvt. Ltd." name="author" />
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<link rel="shortcut icon" href="assets/images/fav.png">
<link href="assets/css/app.min.css" id="app-stylesheet" rel="stylesheet" type="text/css" />
</head>
<body data-topbar="light">
<div id="wrapper">
<?php include("include/header.php");?>
<div class="content-page">
<div class="content">
<div class="page-title-box">
<div class="container-fluid">
<div class="row">
<div class="col-lg-12">
<div class="d-flex d-title-box-block align-items-center justify-content-between">
<h4 class="page-title">Add Survey </h4>
<div class="page-title-right">
<ol class="breadcrumb m-0">
<li class="breadcrumb-item"><a href="dashboard.php">Home</a></li>
<li class="breadcrumb-item active">Add Survey</li>
</ol>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="container-fluid">
<div class="row">
<div class="col-xl-12">

<div class="card-box form-boxi">
    <fieldset>
        <legend class="px-2">Add Survey</legend>
        <div class="profile-inner-bg mt-0 mb-3">                                    
               <form action="" method="post">
                <div class="row">
                
                <div class="col-lg-6">
                <div class="form-group">
                <label class="col-form-label">Survey Name</label>
                <input type="text" class="form-control" required="" placeholder="" name="survey-name">
                </div>
                </div>
                <div class="col-lg-6">
                <div class="form-group">
                <label class="col-form-label">Survey Agency</label>
                <input type="text" class="form-control" required="" placeholder="Odisha Livelihood Mission" readonly name="survey-agency">
                </div>
                </div>
                <div class="col-lg-3">
                <div class="form-group">
                <label class="col-form-label">Estimated Duration(Start)</label>
                <input type="date" class="form-control" required="" placeholder="" name="start-date">
                </div>
                </div>
                <div class="col-lg-3">
                <div class="form-group">
                <label class="col-form-label">Estimated Duration(End)</label>
                <input type="date" class="form-control" required="" placeholder="" name="start-date">
                </div>
                </div>
                <div class="col-lg-3">
                <div class="form-group">
                <label class="col-form-label">Sample Size</label>
                    <input type="number" class="form-control" placeholder="" name="sample-size">
                </div>
                </div>
                <div class="col-lg-12">
                <div class="form-group">
                <label class="col-form-label">Description</label>
                <textarea class="form-control" required="" placeholder="" rows="5"></textarea> 
                </div>
                </div>

                <div class="col-lg-4">
                <div class="form-group">
                <label class="col-form-label">Contact Person</label>
                <input type="text" class="form-control" required="" placeholder="" name="contact-person">
                </div>
                </div>

                <div class="col-lg-4">
                <div class="form-group">
                <label class="col-form-label">Form (XLS Form)</label>
                <div class="input-group">
                <input type="file" value="" name="form-xls" class="form-control">
                <span class="input-group-btn input-group-append">
                <button class="btn btn-primary" type="button"><i class=" mdi mdi-file-document-outline"></i></button>
                </span>
                </div>
                </div>
                </div>
                

                <div class="col-lg-4">
                <div class="form-group">
                <label class="col-form-label">Partner(If Any)</label>
                <input type="text" class="form-control" required="" placeholder="" name="partner">
                </div>
                </div>

                <div class="col-md-12 text-right">
            <div class="form-group">
            <input type="submit" class="btn btn-primary btn-rounded w-md waves-effect waves-light" name="submit-form" value="Create Survey">
            </div>
            </div>
                
                
                
                
                
               
                
                
                
                </div>
                </form>                              
        </div>
        <!-- <fieldset class="mb-20">
            <legend class="px-2">Address</legend>
            
            	<div class="row">
                    <div class="col-lg-12">
                    <div class="form-group">
                    <label class="col-form-label">Permanent Address</label>
                    <textarea class="form-control" required="" placeholder="" rows="5"></textarea>                    
                    </div>
                    </div> 
                    <div class="col-lg-4">
                    <div class="form-group">
                    <label class="col-form-label">Pincode</label>
                    <input type="text" class="form-control pincode" required="" placeholder="">                   
                    </div>
                    </div>
                    
                    
                </div>                                
        </fieldset>
        	<div class="row">
                <div class="col-lg-4">
                <div class="form-group">
                <label class="col-form-label">Have You an Aadhar Card ?</label>
                <div class="inline-radio">
                <div class="radio-box">
                <div class="radio">
                <input type="radio" class="" name="aadhar" id="yes" value="1" checked="">
                <label for="yes" class="radio-label">Yes, I have</label>
                </div>
                </div>
                <div class="radio-box">
                <div class="radio">
                <input type="radio" class="" name="aadhar" id="other" value="2">
                <label for="other" class="radio-label">No</label>
                </div>
                </div>
                </div>
                </div>
                </div>
                <div class="col-lg-4" id="national-id">
                <div class="form-group">
                <label class="col-form-label">Id Proof:</label>
                <select class="form-control select2" name="id-card" id="id-card">
                <option>Select Id Proof</option>
                <option value="Driving Licence">Driving Licence</option>
                <option value="Voter Id Card">Voter Id Card</option>
                <option value="Ration Card">Ration Card</option>
                <option value="Electricity Bill">Electricity Bill</option>
                </select>
                </div>
                </div>
                <div class="col-lg-3" id="national-id-num">
                <div class="form-group">
                <label class="col-form-label">Nationalised ID Number:</label>
                <input id="nationalised-id-number" type="text" value="" name="nationalised-id-number" class="form-control">
                </div>
                </div>
                <div class="col-lg-4" id="adhar-input">
                <div class="form-group">
                <label class="col-form-label">Aadhar No:</label>
                <div class="input-group">
                <input id="adhar-no" type="text" value="" name="adhar-no" class="form-control aadhar-no">
                <span class="input-group-btn input-group-append">
                <button class="btn btn-primary" type="button"><i class="fas fa-qrcode"></i></button>
                </span>
                </div>
                </div>
                </div>
                <div class="col-lg-4">
                <div class="form-group">
                <label class="col-form-label">Browse ID Proof:</label>
                <div class="input-group">
                <input type="file" value="" name="adhar-no" class="form-control">
                <span class="input-group-btn input-group-append">
                <button class="btn btn-primary" type="button"><i class=" mdi mdi-file-document-outline"></i></button>
                </span>
                </div>
                </div>
                </div>
          </div>
          
          <div class="row">
          
          		
            <div class="col-md-4">
            <div class="form-group">
            <label class="col-form-label">Candidate's Image:</label>
            <input type="file" class="dropify" data-default-file="assets/images/users/user-1.jpg"  />
            </div>
            </div>
            
            
            <div class="col-md-12">
            	<hr>
            </div>
            
            <div class="col-md-12">
            	<div class="card-box heading-design bg-transparent p-0 shadow-none ">
                    <h4 class="header-title mt-0 design-1 full-width">Masthed</h4>
                </div>
            </div>
            
            <div class="col-lg-4">
            <div class="form-group">
            <label class="col-form-label">Country</label>            
            <input type="text" class="form-control" required="" placeholder="" value="India" disabled>
            </div>
            </div>
            <div class="col-lg-4">
            <div class="form-group">
            <label class="col-form-label">State</label>            
            <input type="text" class="form-control" required="" placeholder="" value="New Delhi" disabled>
            </div>
            </div>
            
            <div class="col-lg-4">
            <div class="form-group">
            <label class="col-form-label">Mobile No</label>
            <div class="input-group">
            <input type="text" class="form-control mobile-no" required="" placeholder="" value="1234567890" disabled>
            <div class="input-group-append">
            <div class="input-group-text"><i class="fa fa-phone-alt"></i></div>
            </div>
            </div>
            </div>
            </div>
            
            <div class="col-lg-4">
            <div class="form-group">
            <label class="col-form-label">Email</label>
            <div class="input-group">
            <input type="text" class="form-control" required="" placeholder="" value="info@mquad.example.com" disabled>
            <div class="input-group-append">
            <div class="input-group-text"><i class="fa fa-envelope"></i></div>
            </div>
            </div>
            </div>
            </div>
            
            <div class="col-md-12 text-right">
            <div class="form-group">
            <input type="submit" class="btn btn-primary btn-rounded w-md waves-effect waves-light" name="submit-form" value="Submit Data">
            </div>
            </div>
          </div>
        
    </fieldset> -->
    </div>




</div>
</div>
</div> 
</div> 
<?php include("include/footer.php");?>
</div>
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