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Web User Survey

Home

 

Name

 

Address

 

City

State

Zip

 

Email

 

Marital Status

Age

 

Occupation

 
 

How many days a week are you on the Internet?

 

Do you currently have a web site?

 

If No-I am interested in

 

If Yes-

 

How did you find this site?

 

Did you find this site easy to navigate?

 

Will you visit this site again?

 
 

Comments (What would you do to improve this site?)

 

 
 
Thank you for filling out this survey form and sharing your ideas with me.