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Undefined data in the email of my contact form

Time:10-24

I should solve a problem with a contact form and I don't know where to put my hands anymore.

I have a form in HTML, then a validation in JS and finally an email sending in PHP.

The form data are: Name, Clinic, Email, Phone, Address and Valutation.

In the email I receive the data are:
Name: name entered in the form
Email: email entered in the form
Clinic: undefined
Phone: undefined
Address: undefined
Valutation: undefined

This is the code (HTML JS):

// JavaScript Document
$(document).ready(function() {

  "use strict";

  $(".contact-form").submit(function(e) {
    e.preventDefault();
    var name = $(".name");
    var email = $(".email");
    var clinic = $(".clinic");
    var phone = $(".phone");
    var address = $(".address");
    var valutation = $(".valutation");
    var subject = $(".subject");
    var msg = $(".message");
    var flag = false;
    if (name.val() == "") {
      name.closest(".form-control").addClass("error");
      name.focus();
      flag = false;
      return false;
    } else {
      name.closest(".form-control").removeClass("error").addClass("success");
    }
    if (email.val() == "") {
      email.closest(".form-control").addClass("error");
      email.focus();
      flag = false;
      return false;
    } else {
      email.closest(".form-control").removeClass("error").addClass("success");
    }
    var dataString = "name="   name.val()   "&email="   email.val()   "&subject="   subject.val()   "&msg="   msg.val()   "&clinic="   clinic.val()   "&phone="   phone.val()   "&address="   address.val()   "&valutation="   valutation.val();
    $(".loading").fadeIn("slow").html("Loading...");
    $.ajax({
      type: "POST",
      data: dataString,
      url: "php/contactForm.php",
      cache: false,
      success: function(d) {
        $(".form-control").removeClass("success");
        if (d == 'success') // Message Sent? Show the 'Thank You' message and hide the form
          $('.loading').fadeIn('slow').html('<font color="#48af4b">Mail sent Successfully.</font>').delay(3000).fadeOut('slow');
        else
          $('.loading').fadeIn('slow').html('<font color="#ff5607">Mail not sent.</font>').delay(3000).fadeOut('slow');
      }
    });
    return false;
  });
  $("#reset").on('click', function() {
    $(".form-control").removeClass("success").removeClass("error");
  });

})
<div class="row justify-content-center">
  <div class="col-lg-10 col-xl-8">
    <div class="form-holder">
      <form class="row contact-form" method="POST" action="php/contactForm.php" id="contactForm">

        <!-- Form Select -->
        <div class="col-md-12 input-subject">
          <p class="p-lg">This question is about: </p>
          <span>How satisfied are you with the service that Lab offers? </span>
          <select class="form-select subject" aria-label="Default select example" name="valutation">
            <option>Very unsatisfied</option>
            <option>Unsatisfied</option>
            <option>Satisfied</option>
            <option>Very satisfied</option>
            <option selected>I don't have an opinion</option>
          </select>
        </div>

        <!-- Contact Form Input -->
        <div class="col-md-12">
          <p class="p-lg">Your Name: </p>
          <span>Please enter your Dentist Name: </span>
          <input type="text" name="name" class="form-control name" placeholder="Your Name*">
        </div>

        <div class="col-md-12">
          <p class="p-lg">Clinic Name: </p>
          <span>Please enter your Clinic Name: </span>
          <input type="text" name="clinic" class="form-control name" placeholder="Clinic Name*">
        </div>

        <div class="col-md-12">
          <p class="p-lg">Your Email Address: </p>
          <span>Please carefully check your email address for accuracy</span>
          <input type="text" name="email" class="form-control email" placeholder="Email Address*">
        </div>

        <div class="col-md-12">
          <p class="p-lg">Phone Number: </p>
          <span>Please enter your/clinic phone number: </span>
          <input type="text" name="phone" class="form-control name" placeholder="Phone Number*">
        </div>

        <div class="col-md-12">
          <p class="p-lg">Address: </p>
          <span>Please enter Clinic Address: </span>
          <input type="text" name="address" class="form-control name" placeholder="Address*">
        </div>

        <!-- Contact Form Button -->
        <div class="col-md-12 mt-15 form-btn text-right">
          <button type="submit" class="btn btn-skyblue tra-grey-hover submit">Submit Request</button>
        </div>

        <!-- Contact Form Message -->
        <div class="col-lg-12 contact-form-msg">
          <span class="loading"></span>
        </div>

      </form>
    </div>
  </div>
</div>
<iframe name="sif1" sandbox="allow-forms allow-modals allow-scripts" frameborder="0"></iframe>

And this is the PHP code:

<?php
$name = $_REQUEST["name"];
$email = $_REQUEST["email"];
$clinic = $_REQUEST["clinic"];
$phone = $_REQUEST["phone"];
$address = $_REQUEST["address"];
$valutation = $_REQUEST["valutation"];
$to = "[email protected]"; 

if (isset($email) && isset($name)) {
  $email_subject = "Request to access to the Price List"; 
  $headers = "MIME-Version: 1.0" . "\r\n";
  $headers .= "Content-type:text/html;charset=iso-8859-1" . "\r\n";
  $headers .= "From: ".$name." <".$email.">\r\n"."Reply-To: ".$email."\r\n" ;
  $msg = "From: $name<br/> Email: $email <br/> Clinic: $clinic <br/> Phone: $phone <br/> Address: $address <br/> Valutation: $valutation";
  $mail =  mail($to, $email_subject, $msg, $headers);

  if ($mail) {
    echo 'success';
  } else {
    echo 'failed';
  }
}
?>

CodePudding user response:

Your issue is your selectors. You only use classes name and email for all your inputs.

<input type="text" name="phone" ...>
should actually be:
<input type="text" name="phone" ...> and so on for all the other inputs. Change your selectors to the appropriate classNames.

Also, never just use i.e: $(".name");, $(".email"); etc. as your selectors. As you know already $(".name"); will get every in your document. Same goes for all the other selectors. Instead, use the second argument (ParentElement) that will limit the search only to the children elements of the provided parent:

var name = $(".name", this);

or rather, use attribute selectors like:

var clinic = $(`[name="clinic"]`, this);

IMPORTANT NOTE about validation:

never trust the client.
JS validation should be used minimally, just as a UX tool to help, inform the user about basic errors/typos. The real validation, as well as all the related error responses, should be handled on the backend side.
Currently your PHP seems quite open to XSS attacks.

You don't need a HTML <form> in order to send data to the server. All it takes to an attacker is to find your route/path (usually exposed via the form's action attribute), take a look at the names in the source and manually construct a HTTP request, and send dangerous arbitrary data to your server. Just so you keep in mind.

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