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co2.html
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<!DOCTYPE html>
<html lang="en">
<head>
<style>
body{
background-image: url('covbg.webp');
/* background-color:rgb(124, 194, 191); */
background-repeat: no-repeat;
background-attachment: fixed;
background-size: 100% 100%;
background-position: right;
}</style>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Document</title>
</head>
<body><font size="5px" family="comic sans MS" color="">
<center><h1>COVID-19 Test</h1></center>
<form>
<label for="name">Name: </label>
<input type="text" id="name" name="name" required><br><br>
<label for="contact">Contact Number:</label>
<input type="tel" id="contact" name="contact" required><br><br>
<label for="symptoms">Symptoms:</label><br>
<input type="checkbox" id="cough" name="symptoms" value="cough">
<label for="cough">Cough</label><br>
<input type="checkbox" id="fever" name="symptoms" value="fever">
<label for="fever">Fever</label><br>
<input type="checkbox" id="breathing" name="symptoms" value="breathing">
<label for="breathing">Difficulty Breathing</label><br><br>
<label for="travel">Have you recently traveled?</label><br>
<input type="radio" id="travel-yes" name="travel" value="yes">
<label for="travel-yes">Yes</label><br>
<input type="radio" id="travel-no" name="travel" value="no">
<label for="travel-no">No</label><br><br>
<input type="submit" value="Submit">
</form>
</font>
</body>
</html>