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edx-platform/lms/templates/dashboard/_entitlement_reason_survey.html
2019-03-15 12:23:03 -04:00

150 lines
7.4 KiB
HTML

<%page expression_filter="h"/>
<%!
from django.utils.translation import ugettext as _
%>
<div class="reasons_survey">
<div class="slide1 hidden">
<h3>${_("We're sorry to see you go! Read the following statements and rate your level of agreement.")}</h3><br>
<h4>${_('Price is too high for me')}</h4>
<div>
<input type="radio" name="priceEntitlementUnenrollment" id="priceEntitlementUnenrollment1" value="1">
<label for="priceEntitlementUnenrollment1">1 (Strongly disagree)</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="priceEntitlementUnenrollment" id="priceEntitlementUnenrollment2" value="2">
<label for="priceEntitlementUnenrollment2">2</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="priceEntitlementUnenrollment" id="priceEntitlementUnenrollment3" value="3" >
<label for="priceEntitlementUnenrollment3">3</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="priceEntitlementUnenrollment" id="priceEntitlementUnenrollment4" value="4" >
<label for="priceEntitlementUnenrollment4">4</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="priceEntitlementUnenrollment" id="priceEntitlementUnenrollment5" value="5" >
<label for="priceEntitlementUnenrollment5">5 (Strongly agree)</label>
</div>
<br>
<h4>${_("I was not satisfied with my experience taking the courses")}</h4>
<div>
<input type="radio" name="dissastisfiedEntitlementUnenrollment" id="dissastisfiedEntitlementUnenrollment1" value="1">
<label for="dissastisfiedEntitlementUnenrollment1">1 (Strongly disagree)</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="dissastisfiedEntitlementUnenrollment" id="dissastisfiedEntitlementUnenrollment2" value="2">
<label for="dissastisfiedEntitlementUnenrollment2">2</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="dissastisfiedEntitlementUnenrollment" id="dissastisfiedEntitlementUnenrollment3" value="3" >
<label for="dissastisfiedEntitlementUnenrollment3">3</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="dissastisfiedEntitlementUnenrollment" id="dissastisfiedEntitlementUnenrollment4" value="4" >
<label for="dissastisfiedEntitlementUnenrollment4">4</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="dissastisfiedEntitlementUnenrollment" id="dissastisfiedEntitlementUnenrollment5" value="5" >
<label for="dissastisfiedEntitlementUnenrollment5">5 (Strongly agree)</label>
</div>
<br>
<h4>${_("Content of the courses was too difficult")}</h4>
<div>
<input type="radio" name="difficultEntitlementUnenrollment" id="difficultEntitlementUnenrollment1" value="1">
<label for="dissastisfiedEntitlementUnenrollment1">1 (Strongly disagree)</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="difficultEntitlementUnenrollment" id="difficultEntitlementUnenrollment2" value="2">
<label for="difficultEntitlementUnenrollment2">2</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="difficultEntitlementUnenrollment" id="difficultEntitlementUnenrollment3" value="3" >
<label for="difficultEntitlementUnenrollment3">3</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="difficultEntitlementUnenrollment" id="difficultEntitlementUnenrollment4" value="4" >
<label for="difficultEntitlementUnenrollment4">4</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="difficultEntitlementUnenrollment" id="difficultEntitlementUnenrollment5" value="5" >
<label for="difficultEntitlementUnenrollment5">5 (Strongly agree)</label>
</div>
<br>
<h4>${_("I did not have enough time to complete the courses")}</h4>
<div>
<input type="radio" name="timeEntitlementUnenrollment" id="timeEntitlementUnenrollment1" value="1">
<label for="timeEntitlementUnenrollment1">1 (Strongly disagree)</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="timeEntitlementUnenrollment" id="timeEntitlementUnenrollment2" value="2">
<label for="timeEntitlementUnenrollment2">2</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="timeEntitlementUnenrollment" id="timeEntitlementUnenrollment3" value="3" >
<label for="timeEntitlementUnenrollment3">3</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="timeEntitlementUnenrollment" id="timeEntitlementUnenrollment4" value="4" >
<label for="timeEntitlementUnenrollment4">4</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="timeEntitlementUnenrollment" id="timeEntitlementUnenrollment5" value="5" >
<label for="timeEntitlementUnenrollment5">5 (Strongly agree)</label>
</div>
<br>
<h4>${_("The content was not available when I wanted to start")}</h4>
<div>
<input type="radio" name="unavailableEntitlementUnenrollment" id="unavailableEntitlementUnenrollment1" value="1">
<label for="unavailableEntitlementUnenrollment1">1 (Strongly disagree)</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="unavailableEntitlementUnenrollment" id="unavailableEntitlementUnenrollment2" value="2">
<label for="unavailableEntitlementUnenrollment2">2</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="unavailableEntitlementUnenrollment" id="unavailableEntitlementUnenrollment3" value="3" >
<label for="unavailableEntitlementUnenrollment3">3</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="unavailableEntitlementUnenrollment" id="unavailableEntitlementUnenrollment4" value="4" >
<label for="unavailableEntitlementUnenrollment4">4</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="unavailableEntitlementUnenrollment" id="unavailableEntitlementUnenrollment5" value="5" >
<label for="unavailableEntitlementUnenrollment5">5 (Strongly agree)</label>
</div>
<br>
<h4>${_("Can we contact you via email for follow up?")}</h4>
<div>
<input type="radio" name="emailEntitlementUnenrollment" id="unavailableEntitlementUnenrollment1" value="yes">
<label for="emailEntitlementUnenrollment1">Yes</label>
</div>
<div class="form-check form-check-inline">
<input type="radio" name="emailEntitlementUnenrollment" id="unavailableEntitlementUnenrollment2" value="no">
<label for="emailEntitlementUnenrollment0">No</label>
</div>
<br>
<button class="submit-reasons">${_('Submit')}</button>
</div>
<div class="slide2 hidden">
${_('Thank you for sharing your reasons for unenrolling.')}<br>
${_('You are unenrolled from')} <span class="survey_course_name"></span>.
<div>
<a href="/dashboard" class="btn button survey_button return_to_dashboard">
${_('Return To Dashboard')}
</a>
<a href="/courses" class="btn button survey_button browse_courses">
${_('Browse Courses')}
</a>
</div>
</div>
</div>