| 123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566 |
- <%@ page language="java" contentType="text/html; charset=UTF-8" pageEncoding="UTF-8"%>
- <%@ include file="../common/meta.jsp"%>
- <link rel="stylesheet"
- href="${base}/static/web/frame/webuploader/webuploader.css"
- type="text/css">
- <script type="text/javascript"
- src="${base}/static/web/frame/webuploader/webuploader.min.js"></script>
- <title>反馈信息</title>
- </head>
- <body>
- <div class="layui-container foot-mb">
- <form class="layui-form layui-form-horizontal" action id="form-add">
- <div class="layui-form-item layui-row">
- <label class="layui-form-label layui-col-xs3 layui-col-sm2"><span
- class="c-red">*</span>反馈人昵称</label>
- <div class="layui-input-block layui-col-xs8 layui-col-sm9">
- <input type="text" id="nickname" name="nickname"
- lay-verify="required" autocomplete="off" placeholder="请输入会员昵称"
- class="layui-input">
- </div>
- </div>
- <div class="layui-form-item layui-row">
- <label class="layui-form-label layui-col-xs3 layui-col-sm2"><span
- class="c-red">*</span>反馈人姓名</label>
- <div class="layui-input-block layui-col-xs8 layui-col-sm9">
- <input type="text" id="username" name="username"
- lay-verify="required" autocomplete="off" placeholder="请输入会员姓名"
- class="layui-input">
- </div>
- </div>
- <div class="layui-form-item layui-row">
- <label class="layui-form-label layui-col-xs3 layui-col-sm2"><span
- class="c-red">*</span>手机号码</label>
- <div class="layui-input-block layui-col-xs8 layui-col-sm9">
- <input type="text" id="mobile" name="mobile"
- autocomplete="off" placeholder="请输入手机号码"
- class="layui-input">
- </div>
- </div>
- <div class="layui-form-item layui-row">
- <label class="layui-form-label layui-col-xs3 layui-col-sm2"><span
- class="c-red">*</span>反馈内容</label>
- <div class="layui-input-block layui-col-xs8 layui-col-sm9">
- <textarea id="content" name="content"placeholder="请输入内容" class="layui-textarea"></textarea>
- </div>
- </div>
- <div class="layui-form-item">
- <label class="layui-form-label layui-col-xs3 layui-col-sm2"><span
- class="c-red">*</span>反馈图片</label>
- <div class="layui-input-block layui-col-xs8 layui-col-sm9">
- <div id="list" class="uploader-list"></div>
- </div>
- </div>
- <div class="foot">
- <button class="layui-btn layui-btn-small layui-btn-primary"
- id="btn-close">关闭</button>
- </div>
- </form>
- </div>
- <script type="text/javascript">
- layui.config({
- base: '${base}/static/web/js/user/',version: true //你的模块目录
- }).use('userFeedbackForm'); //加载入口
- </script>
- </body>
- </html>
|
