Thanks if you can just take a few minuted to finish off this form and then store it in my data then it would be very much thanked for I have to try to get my web page better and you are the people that can help me do that

Jonathan Algars Homepage

Information Survey

What do you think could get better on my web page, how do you think the web page can be inmproved and made a whole lot better? Well please could you send your comments by completing the form bellow.

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 -- About You

  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

  3. We would like to send you some literature. What is your mailing address? 
    Name     
Street   
City     
State    
Zip Code
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SECTION B -- What you think

  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. Please select a user name and password for your information and your further comments in the future

    Username
    Password
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FORM SUBMISSION

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

This explains how we plan to use the information you provide to us. We will also explain what benefits you receive from helping us in this way.

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By Jonathan Algar E-mail [email protected]