Information Survey

The purpose of this survey is to collect information from you about something. The purpose of this survey is to collect information from you about something. The purpose of this survey is to collect information from you about something. The purpose of this survey is to collect information from you about something. The purpose of this survey is to collect information from you about something. The purpose of this survey is to collect information from you about something.

This survey is divided into the following sections:

Fill out the information in each section as requested. Then at the end of the form supply your name and contact information, and submit the form. You will receive a confirmation message from us shortly.

SECTION A -- Some info. about you.

These are the instructions for filling out this section. These are the instructions for filling out this section.These are the instructions for filling out this section.

  1. What is your name?



  2. What is your age

    15-20 21-2526-30 31-40 No Answer

  3. If We would like to send you some E-mail . What is your mailing address?
  4. What is your E-mail Address?
Back to Top

SECTION B -- Title page rating.

These are the instructions for filling out this section. These are the instructions for filling out this section. These are the instructions for filling out this section.

  1. How would you rate this Home page?

    Bad Poor Fair Good Excellent

  2. What is your favorite color?



  3. Select the subject areas you are most interested in:

    History
    Geography
    Mathematics
    Economics
    Literature
Back to Top

SECTION C -- Comments

 

  1. Please enter any additional comments regarding our web page.



  2. What month were you born in?

Back to Top
This page was last updated on 04/11/98

FORM SUBMISSION

Thank you for taking the time to answer the questions in our survey.

Back to Top
Revised: April 11, 1998.