Sample of E-mail Survey Form

This form is for the purpose of demonstration only. To see the underlying HTML code, choose Source from the Web Browser's View menu.

Text input boxes

Please enter your name:

Radio buttons (with default answer)

- Where did you obtain WebPen?

Informatik web page
Other Internet
Other Online

Check boxes:

- Are you using Windows 95?


Scrolling lists (single selection with default answer)

- How do you rate WebPen?

Pull-down lists (multiple selection)

- Are you interested in other Informatik Inc. products?

Text areas

- Your comments, please.

Send and reset buttons