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| <form action="add_reponse.php" method="post">
<input type="hidden" value="DRIVING" id="typeTrans" class="typeTrans" />
<fieldset>
<label>Vous êtes :</label><br />
<input name="reponses[0]" type="radio" value="1" />
<label>Homme</label><br />
<input name="reponses[0]" type="radio" value="2" />
<label>Femme</label><br />
</fieldset><br />
<fieldset>
<label>Votre tranche d'âge :</label><br />
<input name="reponses[1]" type="radio" value="3" />
<label>Moins de 18 ans</label><br />
<input name="reponses[1]" type="radio" value="4" />
<label>18-24</label><br />
<input name="reponses[1]" type="radio" value="5" />
<label>25-29</label><br />
<input name="reponses[1]" type="radio" value="6" />
<label>30-39</label><br />
<input name="reponses[1]" type="radio" value="7" />
<label>40-49</label><br />
<input name="reponses[1]" type="radio" value="8" />
<label>50-59</label><br />
<input name="reponses[1]" type="radio" value="9" />
<label>60-69</label><br />
<input name="reponses[1]" type="radio" value="10" />
<label>70 ou plus</label><br />
</fieldset><br />
<fieldset>
<label>Le motif de déplacement :</label><br />
<input name="reponses[2]" type="radio" value="11" />
<label>Travail</label><br />
<input name="reponses[2]" type="radio" value="12" />
<label>Etude</label><br />
<input name="reponses[2]" type="radio" value="13" />
<label>Shopping</label><br />
<input name="reponses[2]" type="radio" value="14" />
<label>Sport et Loisirs / Religion</label><br />
<input name="reponses[2]" type="radio" value="15" />
<label>Démarches administratives</label><br />
<input name="reponses[2]" type="radio" value="16" />
<label>Raisons de santé</label><br />
<input name="reponses[2]" type="radio" value="17" />
<label>Visites Amis / Famille</label><br />
<input name="reponses[2]" type="radio" value="18" />
<label>Retour domicile</label><br />
<input name="reponses[2]" type="radio" value="19" />
<label>Autres</label><br /></fieldset><br />
<fieldset>
<label>L'heure du déplacement :</label><br />
<input name="reponses[3]" type="radio" value="20" />
<label>6h_8h</label><br />
<input name="reponses[3]" type="radio" value="21" />
<label>8h_10h</label><br />
<input name="reponses[3]" type="radio" value="22" />
<label>10h_12h</label><br />
<input name="reponses[3]" type="radio" value="23" />
<label>12h_14h</label><br />
<input name="reponses[3]" type="radio" value="24" />
<label>14h_16h</label><br />
<input name="reponses[3]" type="radio" value="25" />
<label>16h_18h</label><br />
<input name="reponses[3]" type="radio" value="26" />
<label>18h_20h</label><br />
</fieldset><br />
<fieldset>
<label>Les moyens de transport utilisé :</label><br />
<input name="reponses[4]" type="radio" value="27" class="drivenMode" id="DRIVING" />
<label>Voiture</label><br />
<input name="reponses[4]" type="radio" value="28" class="drivenMode" id="TRANSIT" />
<label>Transport public</label><br />
<input name="reponses[4]" type="radio" value="30" class="drivenMode" id="BICYCLING" />
<label>Vélo / Moto</label><br />
<input name="reponses[4]" type="radio" value="31" class="drivenMode" id="WALKING" /><label>A pied</label><br />
</fieldset><br />
<fieldset>
<label>Durée approximative de déplacement:</label><br />
<input name="reponses[5]" type="radio" value="32" />
<label>5-15 minutes</label><br />
<input name="reponses[5]" type="radio" value="33" />
<label>20-30 minutes</label><br />
<input name="reponses[5]" type="radio" value="34" />
<label>35-45 minutes</label><br />
<input name="reponses[5]" type="radio" value="35" />
<label>1-2 heures</label><br />
<input name="reponses[5]" type="radio" value="36" />
<label>Plus de 2 heures</label><br />
</fieldset><br />
<div class="directionInputs">
<p><label>A</label><input type="text" value="" id="dirSource" name="dirSource" /></p>
<p><label>B</label><input type="text" value="" id="dirDestination" name="dirDestination" /></p>
<a href="#getDirections" id="getDirections">Obtenir Itinéraire</a>
<a href="#reset" id="paneReset">Réinitialisé</a><br /><br />
<input type="submit" name="valider" value="Envoyer les réponses" />
</form>
</div> |
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