Please fill out my Survey

Please tell me your name: (Do not hit return)

1) How old are you?

Under 18 years old
Between 19 and 24 years old
Between 25 and 34 years old
Between 35 and 44 years old
More than 45 years old

2) How often do you visit my page?

Every Day
Once per week
Once per month
Once per year

NOTE: Hitting "Submit" will take you to a screen called "next_page.html". When you set up your own form, you can call it whatever you'd like to, and include any message that you want. This will also generate an E-mail to the creator of this page whose member name is in the "action" portion of the form.

This basic example of a form will send the member an E-mail with the following format: 


Subject: Survey Results

Sent from Mail Form posted at:   
http://www.geocities.com/homestead/sampleform1.html

(NAME)  Yahoo! GeoCities User
(age)  35-44
(visit)  monthly
(subject)  Survey Results
(next-url)  /homestead/next_page.html
where the values change according to what the users choose as their answers.

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