Please fill out my Survey

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

Please enter your e-mail address:

1) How old are you?
Under 18 years old
Between 18 and 24 years old
Between 25 and 34 years old
Between 35 and 44 years old
More than 44 years old


2) How often do you visit my page?
Every Day
Once per week
Once per month
Once per year


3) What are your favorite ice cream flavors?
You may select more than one.
Chocolate
Strawberry
Vanilla
Banana


4) Please provide your comments about my page


5) What do you think of this Forms Class?

You should visit my Thank You page.