Sidemenu
Date:
2018/12/15
Your IP Address: 54.221.147.93
Hosted by
One account:
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This is an example SurveyForm. However, number and type of fields, layout, as well as the form background,  is absolutely customizable, to better suit your own requirements. Feel free to submit in order to check Error Reporting, Thank you page and Autoresponder message. No field is required except for the name and the email address, however all fields can be made required.
Email *
Last Name
First Name *
Age
Sex
Male
Female
Marital Status
Single
Married
Education Level
People in household
Favourite Browser
Internet Explorer
Opera
FireFox
Other
Monitor Size
Other
19"
17"
15"
Monitor Resolution
Other
1280 X 1024
1024 X 768
600 X 800
Hobbies
Internet Communication
MSN Messenger
Yahoo Messenger
Skype
Other
Which part of a site is more important to you ?
Visual Part
Content
Dynamic features
Navigation features
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Survey Form Example