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<!DOCTYPE html>
<html>
<script language="javascript">	
		function doSubmit()
{
	if( document.form1.q1.value == "" )
	{
		alert("��س����͡�ӵͺ��ͷ�� 1")
		document.form1.q1.focus()
			return false;
	}
	 if( document.form1.q2.value == "" )
	{
		alert("��س����͡�ӵͺ��ͷ��2")
		document.form1.q2.focus()
			return false;
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	if( document.form1.q3.value == "" )
	{
		alert("��س����͡�ӵͺ��ͷ��3")
		document.form1.q3.focus()
			return false;
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	if( document.form1.q4.value == "" )
	{
		alert("��س����͡�ӵͺ��ͷ��4")
		document.form1.q4.focus()
			return false;
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		</script>
  <head>
    <title>Ẻ�ͺ��������آ�Ҿ�Ե Depression Anxiety Stress Scales (DASS-21)</title>
	<link href="https://fonts.googleapis.com/css2?family=Trirong:wght@500&display=swap" rel="stylesheet">
    
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    <style>
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      padding: 0;
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      outline: none;
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      font-size: 16px;
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      h1, h3, h2 {
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      h1 {
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	  h2 {
      font-size: 16px;
	  margin: 25;
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      background: url("/uploads/media/default/0001/01/49bff73f282c2c21f3341f1fe457fe35337b1792.jpeg") no-repeat center;
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      form {
      width: 86%; 
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      border: solid 1px #ccc;
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    </style>
  </head>
  <body>
    <div class="main-block">
      <h1>Ẻ�ͺ��������آ�Ҿ�Ե Depression <br>Anxiety Stress Scales (DASS-21)</h1>
	  <h2>��س���ҹ��ͤ�������Т�ʹ�ҹ��ҧ��� ����к���Ң�ͤ����ѧ����ǵç�Ѻ��Ƿ�ҹ�ҡ������§� 㹪�ǧ�ѻ�������ҹ�� <br>��駹��ӵͺ����ն١�Դ��С�س��������������Т�͹ҹ�Թ� <br>
ࡳ���û����Թ�մѧ���<br>
0	���ç�Ѻ�ѹ���<br>
1	�ç�Ѻ�ѹ��ҧ �����Դ����繺ҧ����<br>
2	�ç�Ѻ�ѹ �����Դ��鹺���<br>
3	�ç�Ѻ�ѹ�� �����Դ��鹺����ҡ����ش
</h2>
      <form action="save.asp" name="form1" method="post">
        <div class="info">
          <div class="info-item">
            <label class="icon" for="name"><i class="fas fa-user"></i></label>
            <input type="text" name="name" id="name" placeholder="��سҡ�͡�������" required/>
          </div>
         
        </div>
        
          <h3>1. �ѹ����֡�ҡ����ʧ��Ե�ŧ  </h3>
          <div> 
            
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          <div>
            <input type="radio" value="1" id="radioTwo" name="q1"/>
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          </div>
          <div>
            <input type="radio" value="2" id="radioThree" name="q1" required/>
            <label for="radioThree" class="radio">�ç�Ѻ�ѹ �����Դ��鹺���</label>
          </div>
          <div>
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          </div>
          <div>
            <input type="radio" value="2" id="radioThree" name="q2" required/>
            <label for="radioThree" class="radio">�ç�Ѻ�ѹ �����Դ��鹺���</label>
          </div>
          <div>
            <input type="radio" value="3" id="radioFour" name="q2"/>
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          </div>  
       
       
		<div>
    <label for="name">Name</label>
    <input type="text" name="name" id="name" />
  </div>
  
  <div>
    <label for="email">Email</label>
    <input type="email" name="email" id="email" required />
  </div>

<div>
    <input type="radio" name="radio-choice" id="radio-choice-1" value="choice-1" required />
	<label for="radio-choice-1">Choice 1</label>
    
    <input type="radio" name="radio-choice" id="radio-choice-2" value="choice-2" required />
        <button type="submit" href="save.asp">�ټš�û����Թ</button>
      </form>
    </div>
  </body>
</html>

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