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<form id="form" name="form" method="post" action="">
<p>
<input type="radio" name="radiobutton" value="56k" />
Excellent<br />
<input type="radio" name="radiobutton" value="28k" />
Bien<br />
<input type="radio" name="radiobutton" value="adsl" />
Moyen<br />
<input type="radio" name="radiobutton" value="cable" />
Nul
</p>
<p>
<strong> Quels sont les points à revoir ? </strong><br />
Si vous avez des commentaires (60 car. max) :<br />
<textarea name="commentaire" cols="20" rows="4"></textarea>
</p>
<p><input name="" type="submit" value="Envoyer" /><input name="" type="reset" value="Effacer" /></p>
</form> |