01.<form action="rating.php" method="post" name="form" >
02.
03.อายุ <input name="sex1" type="text" value=" <?php echo $sex1 ;?> "><br>
04.เพศ <input name="age1" type="text" value=" <?php echo $age1 ;?> "><br>
05.บริษัท <input name="org" type="text" value=" <?php echo $org ;?> "><br>
06.
07.
08.
09. <fieldset class="rating">
10. <input class="stars" type="radio" id="star5" name="rating" value="5" />
11. <label class = "full" for="star5" title="Awesome - 5 stars"></label>
12.<input class="stars" type="radio" id="star4" name="rating" value="4" />
13.<label class = "full" for="star4" title="Pretty good - 4 stars"></label>
14.<input class="stars" type="radio" id="star3" name="rating" value="3" />
15.<label class = "full" for="star3" title="Meh - 3 stars"></label>
16.<input class="stars" type="radio" id="star2" name="rating" value="2" />
17.<label class = "full" for="star2" title="Kinda bad - 2 stars"></label>
18.<input class="stars" type="radio" id="star1" name="rating" value="1" />
19.<label class = "full" for="star1" title="Sucks big time - 1 star"></label>
20.
21.</fieldset>
Load balance : Server 01
