<H1>Sample Questionaire</H1>

<P>Please fill out this questionaire:

<FORM METHOD=post ACTION="http://www.ibmoto.com/projects/mach5/ver/">
<P>Your name: <input name="name" size="48">
<P><input name="male" type=radio> Male
<input name="female" type=radio>Female 
<P>Number in family: <input name="family" type=int>
  
<P>Cities in which you maintain a residence:

<UL PLAIN>
<LI><input name="city" type=checkbox value="austin"> Austin
<LI><input name="city" type=checkbox value="sandiego"> San Diego
<LI>Others <textarea name="other" cols=48 rows=2></textarea>
</UL>

<P>Nickname: <INPUT NAME="nickname" size ="42">

<P>Thank you for responding to this questionaire.
<P><INPUT TYPE=SUBMIT VALUE="Send the Completed Questionar">
<INPUT TYPE=RESET VALUE="No! Don't Send - Start Over (i.e. Clear)">
</FORM>

Sample Questionaire

Please fill out this questionaire:

Your name:

Male Female

Number in family:

Cities in which you maintain a residence:

Nickname:

Thank you for responding to this questionaire.