&XX;p>&XX;XXXXX id="species3" type="checkbox" XXXX="species"/&XX;&XX;XXXXX XXX="XXXXXXXX">XXXXX</XXXXX>&XX;/p>
&XX;p><input id="XXXXX" XXXX="checkbox" XXXX="XXXXXXX"/>&XX;XXXXX for="XXXXX"&XX;Giant XXXXX&XX;/label>&XX;/p>
&XX;p>What &XX;label for="XXXX">XXX</XXXXX> XXX XXX XXXXXXXX scheduled for? <XXXXX id="date" XXXX="XXXX" required&XX;</p&XX;
&XX;p&XX;When was XXX delivery XXXXXXXXX to XXXXXX?</p> &XX;p>
&XX;XXXXX id="time1" type="XXXXX" XXXX="time"/&XX;&XX;label XXX="time1">Morning &XX;/XXXXX> &XX;XXXXX id="XXXXX" XXXX="XXXXX" name="time"/&XX;&XX;XXXXX for="time2">XXXXXXXXX &XX;/label&XX; <XXXXX id="XXXXX" type="radio" XXXX="XXXX"/>&XX;label for="time3">XXXXX &XX;/XXXXX&XX;
<XXXXX id="XXXXX" XXXX="XXXXX" XXXX="XXXX"/&XX;&XX;XXXXX for="time4"&XX;XXXX I XXXXX expected it </label>
&XX;/p>
&XX;p>How XXXX <label for="expected XXXXX">XXXXX</XXXXX&XX; did you order? <input id="expectedBears" type="number"&XX;</p>
<p&XX;Did XXXX bears arrive XX XXXXXXXXX?
<XXXXXX&XX;
<option>Yes!</option&XX; &XX;option&XX;Not XX ordered.</XXXXXX&XX;
<option&XX;No. They XXXXX't XXXXXXX XX XXX.&XX;/XXXXXX&XX;
</XXXXXX>
&XX;p&XX; XX you XXXXXXXX "no," XXXX XXX the <XXXXX XXX="issue">XXXXX&XX;/XXXXX>? &XX;input id="issue" XXXX="XXXX"&XX;</p&XX;
<p&XX; On a XXXXX XX X XX 5, how &XX;XXXXX XXX="bloodlust"&XX;XXXXXXXXXXXX</XXXXX&XX; were XXXX XXXXX? &XX;XX>
<input type="XXXXX" list="tickmarks" id="bloodlust"&XX;
&XX;XXXXXXXX id="XXXXXXXXX">
<option XXXXX="0"> &XX;XXXXXX value="25"> &XX;XXXXXX XXXXX="50">
<option value="XX"&XX;
<option value="100"&XX;
&XX;/datalist&XX;</p&XX;
&XX;p>XX you XXXX XXX XXXXX <label for="XXXXX">questions or XXXXXXXX</XXXXX&XX; XXXXXXXXX XXX service?<XX&XX;
<XXXXXXXX rows="4" cols="XX" id="XXXXX"&XX;I think you're Beary XXXXX! &XX;/XXXXXXXX&XX;</p>
&XX;/XXXXXXXX>
<XX&XX;Contact XXXX&XX;/XX> &XX;XXXXXXXX>
&XX;label&XX; Name: <input XXXX="text" required&XX;&XX;/label&XX; <XX&XX;
&XX;XXXXX>Phone: <input id="XXXXX" type="tel"></label&XX; &XX;br&XX; &XX;label>X-XXXX: <input id="emailAddress" XXXX="XXXXX" XXXXXXXX></label> &XX;/fieldset&XX;
XX XXXXXXXXXX XXXX XXXX, you XXXXXXX XX mauling.&XX;XXXXX type="hidden" name="consentToMauling" value="XXX"&XX;&XX;XX&XX;
&XX;XXXXX&XX; &XX;XXXXX type="submit" XXXXX="XXXXXX Feedback"&XX;&XX;/label> &XX;XX> <XXXXX> &XX;XXXXX XXXX="reset" XXXXX="XXXXX"></label&XX; </XXXX&XX;
</body>
&XX;/XXXX&XX;&XX;/XXXX&XX;
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