<div class=
"layui-form-item"
>
<label class=
"layui-form-label"
>反馈主题</label>
<div class=
"layui-input-block"
>
<input name=
"title"
class=
"layui-input"
type=
"text"
placeholder=
"请输入标题"
autocomplete=
"off"
lay-verify=
"title"
>
</div>
</div>
<div class=
"layui-form-item"
>
<label class=
"layui-form-label"
>姓名</label>
<div class=
"layui-input-block"
>
<input name=
"fname"
class=
"layui-input"
type=
"text"
placeholder=
"请输入姓名"
autocomplete=
"off"
lay-verify=
"fname"
>
</div>
</div>
<div class=
"layui-form-item"
>
<label class=
"layui-form-label"
>手机</label>
<div class=
"layui-input-block"
>
<input name=
"phone"
class=
"layui-input"
type=
"tel"
autocomplete=
"off"
placeholder=
"请输入手机"
lay-verify=
"phone"
>
</div>
</div>
<div class=
"layui-form-item"
>
<label class=
"layui-form-label"
>邮箱</label>
<div class=
"layui-input-block"
>
<input name=
"email"
class=
"layui-input"
type=
"text"
autocomplete=
"off"
placeholder=
"请输入邮箱"
lay-verify=
"email"
>
</div>
</div>
<div class=
"layui-form-item"
>
<label class=
"layui-form-label"
>单选框</label>
<div class=
"layui-input-block"
>
<input name=
"sex"
title=
"男"
type=
"radio"
checked=
""
value=
"男"
>
<input name=
"sex"
title=
"女"
type=
"radio"
value=
"女"
>
<input name=
"sex"
title=
"保密"
type=
"radio"
value=
"密"
>
</div>
</div>
<div class=
"layui-form-item layui-form-text"
>
<label class=
"layui-form-label"
>内容</label>
<div class=
"layui-input-block"
>
<textarea class=
"layui-textarea layui-hide"
name=
"contact"
id=
"LAY_demo_editor"
lay-verify=
"contact"
></textarea>
</div>
</div>
<div class=
"layui-form-item"
>
<div class=
"layui-input-block"
>
<button class=
"layui-btn"
lay-filter=
"demo2"
lay-submit=
""
>跳转式提交</button>
<button class=
"layui-btn"
lay-filter=
"demo1"
lay-submit=
""
>立即提交</button>
<button class=
"layui-btn layui-btn-primary"
type=
"reset"
>重置</button>
</div>
</div>