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  Sample web forms. Interactive

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Web Survey

Web SurveyThe results of this web survey, which takes approximately 3 - 4 minutes to fill out, will help us improve this site. Please suggest any additional content and features you would like to see added.

Enter your e-mail address to be included in our drawing for School  sweatshirts. We appreciate your interest and input, and many changes to this site will be based on your suggestions.
 
Your Internet profile:
Age:
Gender:
Marital status:
Highest level of education completed:
Occupation:
Household income:
Number of persons in your household:
Number of persons in your household with Internet access:
Reasons for access:

(Check all that apply.)
Work/Business
Education
Research
News
Entertainment
Shopping

Other:
Are you affiliated with the school?:
(Check all that apply.)
Alumni
Undergraduate student
Graduate student
Research
Faculty/staff/administrator
Emeritus professor

Other:
Web structure:
Aesthetically pleasing:
Ease of navigation:
Download time:
Structure overall:
Web content:
Appropriateness:
Completeness:
Relevance:
Content overall:
Improvements to this site:
Overall rating:
How can we improve this site?
Optional personal information:
First name:
Last name:
E-mail:
(Required if we need to contact
you regarding a drawing.)
Internet address:
Degree(s):
Your preferred class year:
 
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