This is the HTML for a sample survey form:

<html>
  <head>
    <title>Testing the Survey Application</title>
  </head>
  <body background="http://www.csubak.edu/Graphics/backgrnd.gif">
    <font color=#1346AD size=+3>Survey Application Test Form</font>
    <hr>
    <form name=Temp method=POST action=http://www.csubak.edu/Survey/>
      <input type=hidden name=AUTONUMBER>
      <input type=hidden name=FILETYPE value=TEXT>
      <input type=hidden name=FIELDDELIM value=TAB>
      <input type=hidden name=FILELOCATION value="/temp/survey.txt">
      <input type=hidden name=REDIRECT
             value="http://www.cs.csubak.edu/~bkelley/testsurvey.html">
      <input type=hidden name=REDIRECTTIME value=4>
      <input type=hidden name=FORMVARSTOFILE
       value="/temp/b12.txt, textBox1, textBox2:/temp/b34.txt, textBox3, textBox4">

      Gender:<br>
      <li><input type=radio name=Gender value=Male>Male<br>
      <li><input type=radio name=Gender value=Female>Female<br>
      <p>
      Age Group:<br>
      <li><input type=radio name=AgeGroup value=12to17>12 - 17<br>
      <li><input type=radio name=AgeGroup value=18to25>18 - 25<br>
      <li><input type=radio name=AgeGroup value=26to30>26 - 30<br>
      <p>
      Age Comments:<br>
      <textarea cols=40 rows=3 name=textBox1></textarea>
      <p>
      Gender Comments:<br>
      <textarea cols=40 rows=3 name=textBox2></textarea>
      <p>
      Survey Comments:<br>
      <textarea cols=40 rows=3 name=textBox3></textarea>
      <p>
      Personal Comments:<br>
      <textarea cols=40 rows=3 name=textBox4></textarea>
      <hr>
      <input type=submit value=Submit> <input type=reset value=Clear><br>
    </form>
  </body>
</html>

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