dinbestehjelper.no/application/views/pages/includes/painting.php

<div class="bookingContainer">
    <div class="bookingTitle" style="color:#19AFCA">Forespørsel om tilbud</div>
    <form method="post" action="<?php echo base_url();?>booking-process">
        <div class="formRow">
            <label class="formTitle">Navn</label>
            <div class="inputSelectorContainer">
                <input type="text" class="formInputBox" name="name" value="" required>
            </div>
        </div>
        <div class="formRow">
            <label class="formTitle">Adresse</label>
            <div class="inputSelectorContainer">
                <input type="text" class="formInputBox" name="address" value="" required>
            </div>
        </div>
        <div class="formRow">
            <label class="formTitle">E-postadresse</label>
            <div class="inputSelectorContainer">
                <input type="text" class="formInputBox" name="email" value="" required>
            </div>
        </div>
        <div class="formRow">
            <label class="formTitle">Telefonnummer</label>
            <div class="inputSelectorContainer">
                <input type="text" class="formInputBox" name="phonenumber" value="" required>
            </div>
        </div>
        <div class="formRow">
            <label class="formTitle" style="color:000000;font-weight:bold;">Bygningstype:</label>
            <div class="inputSelectorContainer">
                <input type="radio" class="" name="type_of_building" value="Enebolig" required><label class="formTitle">Enebolig</label>
            </div>
            <div class="inputSelectorContainer">
                <input type="radio" class="" name="type_of_building" value="Rekkehus" required><label class="formTitle">Rekkehus</label>
            </div>
            <div class="inputSelectorContainer">
                <input type="radio" class="" name="type_of_building" value="Borettslag/Sameie" required><label class="formTitle">Borettslag/Sameie</label>
            </div>
        </div>
        <div class="formRow">
            <label class="formTitle" style="color:000000;font-weight:bold;">Byggeår:</label>
            <div class="inputSelectorContainer">
                <input type="text" class="formInputBox" name="year_of_construction" value="">
            </div>
        </div>
        <div class="formRow">
            <label class="formTitle" style="color:000000;font-weight:bold;">Er boligen bebodd under byggearbeidene?</label>
            <div class="inputSelectorContainer" style="display:inline-block;width: auto;margin-right:30px;">
                <input type="radio" class="" name="home_inhabited" value="" required><label class="formTitle">Ja</label>
            </div>
            <div class="inputSelectorContainer" style="display:inline-block;width: auto;">
                <input type="radio" class="" name="home_inhabited" value="" required><label class="formTitle">Nei</label>
            </div>
        </div>
        <div class="formRow">
            <label class="formTitle" style="color:000000;font-weight:bold;">Maling på pussede overflater?</label>
            <div class="inputSelectorContainer" style="display:inline-block;width: auto;margin-right:30px;">
                <input type="radio" class="" name="painting_on_plastered_surfaces" value="" required><label class="formTitle">Ja</label>
            </div>
            <div class="inputSelectorContainer" style="display:inline-block;width: auto;">
                <input type="radio" class="" name="painting_on_plastered_surfaces" value="" required><label class="formTitle">Nei</label>
            </div>
        </div>
        <div class="formRow">
            <label class="formTitle" style="color:000000;font-weight:bold;">Veggmaling på gipsplateoverflate?</label>
            <div class="inputSelectorContainer" style="display:inline-block;width: auto;margin-right:30px;">
                <input type="radio" class="" name="wall_paint_on_a_plasterboard_surface" value="" required><label class="formTitle">Ja</label>
            </div>
            <div class="inputSelectorContainer" style="display:inline-block;width: auto;">
                <input type="radio" class="" name="wall_paint_on_a_plasterboard_surface" value="" required><label class="formTitle">Nei</label>
            </div>
        </div>

        <div class="formRow">
            <label class="formTitle" style="color:000000;font-weight:bold;width: auto;">Gulvareal i rommet som skal males:</label>
            <div class="inputSelectorContainer">
                <input type="number" class="" name="floor_area" value="1"> <span>m2</span>
            </div>
        </div>
        <div class="formRow">
            <label class="formTitle" style="color:000000;font-weight:bold;width: auto;">Takhøyde:</label>
            <div class="inputSelectorContainer">
                <input type="number" class="" name="ceiling_height" value="1"> <span>m</span>
            </div>
        </div>

        <div class="formRow" style="color:000000;font-weight:bold;">
            <label class="formTitle">Utfyllende kommentarer</label>
            <textarea class="formTextarea" name="user_notes"></textarea>
        </div> 

        <div class="formRow">
            <input type="submit" class="submitButton" name="sendFormPainting" value="Utsendelse">
            <a href="<?php echo base_url();?>booking" class="cancelButton" >Ikke ennå</a>
        </div>    
    </form>
</div>