Response-O-Matic Form

WELCOME TO KUMARS SURVEY


THE PURPOSE OF THIS SURVEY IS ,I CAN NOW MORE ABOUT MY HOMEPAGE VISITORS.

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 me shortly.


SECTION A

These are the instructions for filling out this section. .

  1. What is your favorite TV show?



  2. How many hours of television do you watch per week:

    None 1-5 hours 5-10 hours 10-20 hours More than 20 hours

 

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SECTION B

These are the instructions for filling out this section.

  1. How would you rate this survey?

    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

  4. Tell me a friend:

    Name
    E-mail
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SECTION C

Select a website which you like the most?

yahoo      zdnet         netscape   my homepage
msn        geocities     mirc       others
catcha     altavista     xoom       nothing
  1. Please enter any additional comments on my homepage



  2. Select a month from the following list, when you visited thi site:

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FORM SUBMISSION

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

 

 

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