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<!DOCTYPE html>
<html>
<head>
<title>Appointment Booking</title>
<style>
/* CSS styling for the webpage */
body {
font-family: Arial, sans-serif;
margin: 20px;
}
label {
display: block;
margin-top: 10px;
}
input[type="text"],
input[type="email"],
input[type="datetime-local"],
textarea {
width: 100%;
padding: 5px;
margin-top: 5px;
}
button {
margin-top: 10px;
}
</style>
</head>
<body>
<h1>Appointment Booking</h1>
<form id="bookingForm">
<label for="name">Name:</label>
<input type="text" id="name" required>
<label for="email">Email:</label>
<input type="email" id="email" required>
<label for="dateTime">Date and Time:</label>
<input type="datetime-local" id="dateTime" required>
<label for="message">Message:</label>
<textarea id="message"></textarea>
<button type="submit">Book Appointment</button>
</form>
<script>
// JavaScript code to handle form submission
document.getElementById('bookingForm').addEventListener('submit', function(e) {
e.preventDefault(); // Prevent form submission
// Fetch input values
var name = document.getElementById('name').value;
var email = document.getElementById('email').value;
var dateTime = document.getElementById('dateTime').value;
var message = document.getElementById('message').value;
// You can perform additional validation here if needed
// Display a confirmation message
alert('Thank you, ' + name + '! Your appointment is booked for ' + dateTime);
// Clear the form
document.getElementById('bookingForm').reset();
});
</script>
</body>
</html>
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