<p>What &XX;XXXXX XXX="XXXX"&XX;XXX</label> was XXX delivery XXXXXXXXX for? &XX;input id="XXXX" XXXX="XXXX" XXXXXXXX></p>
&XX;p>When XXX the delivery scheduled to XXXXXX?</p> <p> <input id="XXXXX" XXXX="radio" name="XXXX"/&XX;<XXXXX for="XXXXX">Morning &XX;/label> <XXXXX id="XXXXX" XXXX="radio" name="XXXX"/&XX;<label XXX="time2">Afternoon </label&XX; &XX;XXXXX id="XXXXX" type="XXXXX" XXXX="time"/&XX;&XX;label for="time3"&XX;Night &XX;/label> &XX;XXXXX id="XXXXX" XXXX="radio" name="time"/&XX;<label XXX="time4">XXXX I least XXXXXXXX it &XX;/XXXXX> &XX;/p>
&XX;p&XX;XXX many <label for="XXXXXXXX Bears">bears&XX;/label&XX; did you order? <input id="expectedBears" type="XXXXXX">&XX;/p>
<p>Did XXXX XXXXX arrive as specified? &XX;XXXXXX&XX; &XX;XXXXXX&XX;XXX!</XXXXXX> <option>Not XX XXXXXXX.&XX;/XXXXXX> <option>No. They XXXXX't arrived at all.</option> </XXXXXX&XX;
&XX;p&XX; XX you answered "XX," what was XXX &XX;XXXXX for="issue"&XX;issue</label&XX;? &XX;input id="XXXXX" XXXX="XXXX"&XX;&XX;/p>
&XX;p&XX; XX a scale of X XX X, how &XX;label XXX="bloodlust">bloodthirsty</label> XXXX XXXX XXXXX? <br> &XX;XXXXX type="range" list="tickmarks" id="bloodlust"> <XXXXXXXX id="tickmarks"> <XXXXXX XXXXX="0"&XX; <XXXXXX value="25"> <option value="XX"> <option value="75"&XX; &XX;option XXXXX="XXX"&XX; </XXXXXXXX&XX;</p>
<p&XX;Do you XXXX XXX other &XX;XXXXX XXX="other">XXXXXXXXX or XXXXXXXX&XX;/label> XXXXXXXXX XXX XXXXXXX?&XX;br> &XX;textarea rows="4" cols="XX" id="other">I think you'XX Beary XXXXX! &XX;/textarea&XX;&XX;/p&XX; </XXXXXXXX&XX;
&XX;XX&XX;XXXXXXX Info&XX;/XX> <XXXXXXXX> <label> XXXX: <input type="XXXX" XXXXXXXX&XX;</label&XX; <XX> <label&XX;Phone: <input id="telNo" type="XXX"></XXXXX> <XX> <label&XX;E-XXXX: <XXXXX id="emailAddress" type="email" required>&XX;/XXXXX&XX; &XX;/fieldset>
XX XXXXXXXXXX this XXXX, you XXXXXXX to XXXXXXX.&XX;XXXXX XXXX="XXXXXX" name="XXXXXXXXXXXXXXXX" value="XXX"><XX&XX; &XX;label&XX; &XX;input type="submit" XXXXX="XXXXXX XXXXXXXX"&XX;&XX;/XXXXX> <XX> &XX;label> <XXXXX XXXX="reset" value="XXXXX"></XXXXX&XX; </XXXX> </body&XX; </XXXX>&XX;/XXXX>