Please tell me your name: (Do not hit return - this will send the form.)

Please enter your e-mail address:

2) Marital Status

Single

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It's Complicated

3) How often do you visit my page?

Every Day

Every Week

Once per month

Once per year

3.1) Would you want to receive e-mail from us? What kind?

You may select more than one.

Health

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technology

Banana - Just following instructions

4) Please provide your comments about my page

5) What do you think of this Forms Class?

Do you really want to know? It was hard! Easy as falling off a log. I'm lost! I want to go home. I want more! Please! I don't really care. I don't have an opinion, sorry. Teacher may I go out? I'm lazy can I cut class?