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Online Survey Form to Email

This is a sample survey form, we can produce one for you with your given questions. You will get the results in email when once your customer fill it.
 
A SAMPLE ONLINE SURVEY FORM
Participant's Name:
Participant's Email:
1.
Have you used an online survey system before?
a. yes     b. no
2.
What is your age group:
a. Under 20
b. 21 to 29
c. 30 to 39
d. 40 to 49
e. 50 to 59
f. 60 to 69
g. 70 and over
3.
Sex:
a. Male
b. Female
c. Never mind
4.
Where are you located:
a. Europe
b. Central America / Caribbean
c. South America
d. North America
e. Middle East
f. Africa
g. Asia
h. Australia / Oceania
i. Antarctica
5.
How did you locate this web site?
a. Google
b. Yahoo
c. Alta Vista
d. Hotbot
e. Open Directory
f. Another search engine
g. Word of mouth
6.
Do you want to use an Online Survey system?
7.
What was/is your first impression of this survey form?
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