moodle/mod/survey/mod.html

<?php
    if (!isset($form->name)) {
        $form->name = "";
    }
    if (!isset($form->template)) {
        $form->template = "";
    }
    if (!isset($form->intro)) {
        $form->intro = "";
    }
?>

<form name="form" method="post" action="../mod/survey/details.php">
<table cellpadding=5>
<tr valign=top>
    <td align=right><P><B><? print_string("surveyname", "survey") ?>:</B></P></TD>
    <td>
        <input type="text" name="name" size=30 value="<?php p($form->name) ?>">
    </td>
</tr>
<tr>
    <td align=right><P><B><?php print_string("surveytype", "survey") ?>:</B></P></TD>
    <td>
    <?php
        if ($options = get_records_menu("survey", "template", 0, "name", "id, name")) {
            foreach ($options as $id => $name) {
                $options[$id] = get_string($name, "survey");
            }
            choose_from_menu($options, "template", $form->template);
            helpbutton("surveys", get_string("helpsurveys", "survey"));
        } else {
            echo "No surveys to choose from!";
        }
    ?>
    </td>
</tr>
</table>
<CENTER>
<input type="hidden" name=intro   value="<?php p($form->intro) ?>">
<input type="hidden" name=destination   value="<?php echo "$CFG->wwwroot/course/mod.php" ?>">

<input type="hidden" name=course     value="<?php p($form->course) ?>">
<input type="hidden" name=coursemodule  value="<?php p($form->coursemodule) ?>">
<input type="hidden" name=section       value="<?php p($form->section) ?>">
<input type="hidden" name=module     value="<?php p($form->module) ?>">
<input type="hidden" name=modulename value="<?php p($form->modulename) ?>">
<input type="hidden" name=instance   value="<?php p($form->instance) ?>">
<input type="hidden" name=mode       value="<?php p($form->mode) ?>">
<input type="submit" value="<?php print_string("savechanges") ?>">
<input type="submit" name=cancel value="<?php print_string("cancel") ?>">
</CENTER>
</FORM>