Visitors Survey




Please fill out my Survey

Please tell me your name: (Do not hit return)

Care to add your E-Mail?

What City do you live in?

What Country is that in?

Do you have a HomePage
Yes, I do!
No, not yet!

Does your site have a specific topic?
Such as Official, Personal, Government, Baseball, Mozart, Photography, Raising Chickens, etc...

What is the URL?

1) How old are you?

Under 18 years old
Between 19 and 24 years old
Between 25 and 34 years old
Between 35 and 44 years old
More than 45 years old

2) How often do you visit my page?

The First Time
Every Day
Once per week
Once per month
Once per year

3) What do you think about my statements and views?


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Please give me your opinion!

Please tell me your name: (Do not hit return)

Care to add your E-Mail?

What City do you live in?

What Country is that in?

Do you have a HomePage
Yes, I do!
No, not yet!

Does your site have a specific topic?
Such as Official, Personal, Government, Baseball, Mozart, Photography, Raising Chickens, etc...

What is the URL?

1)Where did you learn about this Home Page?

2) Please provide your comments about my page

3) What Neighborhood do you think I should live in, based on my page content?

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