<!DOCTYPE html> 
<html> 
<head> 
<title>Teacher Feedback Form</title> 
<style> 
body { 
font-family: Arial, sans-serif; 
margin: 20px; 
} 

h1 { 
text-align: center; 
} 

table { 
margin: 0 auto; 
} 

td { 
padding: 5px; 
} 

input[type="text"], 
textarea { 
width: 300px; 
} 

select { 
width: 320px; 
} 

.submit-btn { 
margin-top: 10px; 
text-align: center; 
} 
</style> 
</head> 
<body> 
<h1>Teacher Feedback Form</h1> 

<form> 
<table> 
<tr> 
<td>Name:</td> 
<td><input type="text" name="name"></td> 
</tr> 
<tr> 
<td>Email:</td> 
<td><input type="text" name="email"></td> 
</tr> 
<tr> 
<td>Subject:</td> 
<td><input type="text" name="subject"></td> 
</tr> 
<tr> 
<td>Message:</td> 
<td><textarea name="message" rows="5"></textarea></td> 
</tr> 
<tr> 
<td>Rating:</td> 
<td> 
<select name="rating"> 
<option value="5">Excellent</option> 
<option value="4">Very Good</option> 
<option value="3">Good</option> 
<option value="2">Fair</option> 
<option value="1">Poor</option> 
</select> 
</td> 
</tr> 
<tr> 
<td>Recommend:</td> 
<td> 
<input type="checkbox" name="recommend" value="yes"> Yes 
</td> 
</tr> 
</table> 

<div class="submit-btn"> 
<input type="submit" value="Submit"> 
</div> 
</form> 
</body> 
</html>