[code=php]
<fieldset>
<form name="form2" method="post" action="">
<tr>
<td>id</td>
<td><input type="text" name="id_hasil_kuisioner" required /></td>
</tr>
<tr>
<td>Nama Dosen/Instruktur</td>
<td><input type="text" name="nama_pendidik" required /></td>
</tr>
<tr>
<td>Nama Matkul</td>
<td><input type="text" name="nama_matkul" required /></td>
</tr>
<table width="746" border="1" cellspacing="2" cellpadding="1" style="font-family:Georgia, 'Times New Roman', Times, serif;">
<tr>
<th width="40" scope="col">No</th>
<th width="734" scope="col">Aspek yang Dinilai </th>
<th width="150" scope="col" colspan="5">Skala Penilaian</th>
</tr>
<tr style="height:70;">
<th scope="row">1</th>
<td align="justify">Dosen/Instruktur menyampaikan Silabus dan Kontrak Perkuliahan kepada mahasiswa pada awal perkuliahan</td>
<td width="30"><p align="center">
<label>
1 <br>
<input type="radio" name="nil_5" value="5" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
2 <br>
<input type="radio" name="nil_5" value="4" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
3<br>
<input type="radio" name="nil_5" value="3" onClick="isi_bil1(this)">
</label>
</p></td>
<td width="30"><p align="center">
<label>
4<br>
<input type="radio" name="nil_5" value="2" onClick="isi_bil1(this)">
</label>
</p></td>
<td width="30"><p align="center">
<label>
5<br>
<input type="radio" name="nil_5" value="1" onClick="isi_bil1(this)">
</label>
</p></td>
</tr>
<tr style="height:70;">
<th scope="row">2</th>
<td align="justify">Materi kuliah yang disampaikan Dosen/Instruktur sesuai dengan Silabus </td>
<td width="30"><p align="center">
<label>
1 <br>
<input type="radio" name="nil_4" value="5" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
2 <br>
<input type="radio" name="nil_4" value="4" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
3 <br>
<input type="radio" name="nil_4" value="3" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
4 <br>
<input type="radio" name="nil_4" value="2" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
5 <br>
<input type="radio" name="nil_4" value="1" onClick="isi_bil1(this)" >
</label>
</p></td>
</tr>
<tr style="height:70;">
<th scope="row">3</th>
<td align="justify">Apabila Dosen/Instruktur melakukan perubahan jadwal perkuliahan telah disepakati dengan mahasiswa </td>
<td width="30"><p align="center">
<label>
1 <br>
<input type="radio" name="nil_3" value="5" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
2 <br>
<input type="radio" name="nil_3" value="4" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
3 <br>
<input type="radio" name="nil_3" value="3" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
4 <br>
<input type="radio" name="nil_3" value="2" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
5 <br>
<input type="radio" name="nil_3" value="1" onClick="isi_bil1(this)" >
</label>
</p></td>
</tr>
<tr style="height:70;">
<th scope="row">4</th>
<td align="justify">Dosen/Instruktur menyiapkan dan mengisi absensi perkuliahan setiap kali pertemuan </td>
<td width="30"><p align="center">
<label>
1 <br>
<input type="radio" name="nil_2" value="5" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
2 <br>
<input type="radio" name="nil_2" value="4" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
3 <br>
<input type="radio" name="nil_2" value="3" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
4 <br>
<input type="radio" name="nil_2" value="2" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
5 <br>
<input type="radio" name="nil_2" value="1" onClick="isi_bil1(this)" >
</label>
</p></td>
</tr>
<tr style="height:70;">
<th scope="row">5</th>
<td align="justify">Dosen/Instruktur menyiapkan dan mengisi absensi perkuliahan setiap kali pertemuan </td>
<td width="30"><p align="center">
<label>
1 <br>
<input type="radio" name="nil_1" value="5" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
2 <br>
<input type="radio" name="nil_1" value="4" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
3 <br>
<input type="radio" name="nil_1" value="3" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
4 <br>
<input type="radio" name="nil_1" value="2" onClick="isi_bil1(this)" >
</label>
</p></td>
<td width="30"><p align="center">
<label>
5 <br>
<input type="radio" name="nil_1" value="1" onClick="isi_bil1(this)" >
</label>
</p></td>
</tr>
</table>
<input type="submit" name="SIMPAN" value="SIMPAN" />
</form>
<p> </p>
<div class="clear"></div>
<?php
include "../INCL/koneksi.php";
$id_hasil_kuisioner=@$_POST['id_hasil_kuisioner'];
$nama_pendidik=@$_POST['nama_pendidik'];
$nama_matkul=@$_POST['nama_matkul'];
$nil_5 = @$_POST['nil_5'];
$nil_4 = @$_POST['nil_4'];
$nil_3 = @$_POST['nil_3'];
$nil_2 = @$_POST['nil_2'];
$nil_1 = @$_POST['nil_1'];
$total= $nil_5+$nil_4+$nil_3+$nil_2+$nil_1;
$SIMPAN = @$_POST['SIMPAN'];
if($SIMPAN){
mysql_query("insert into tb_hasil_kuisioner
values('$id_hasil_kuisioner','$nama_pendidik','$nama_matkul','$nil_5','$nil_4',
'$nil_3','$nil_2', '$nil_1', '$total')") or die (mysql_error());
?>
<script type="text/javascript">
alert("DATA BERHASIL DISIMPAN");
window.location.href="?page=kuisioner&action=simpan";
</script>
<?php
}
?>
</fieldset>