Kristine Jeanne - Webforms and Survey

<form enctype="multipart/form-data" method="post" action="http://www.freedback.com/mail.php" accept-charset="UTF-8">
<div>
  <input type="hidden" name="acctid" id="acctid" value="t8txqp6lo9ilx3co" />
  <input type="hidden" name="formid" id="formid" value="186896" />
  <input type="hidden" name="required_vars" id="required_vars" value="name,email,field-a70d4da7005acd1,field-9e664ceecf7fa68,field-7f7032a1d12c069" />
</div>
<table cellspacing="5" cellpadding="5" border="0">
  <tr>
   <td valign="top">
    <strong>Name:</strong>
   </td>
   <td valign="top">
    <input type="text" name="name" id="name" size="40" value="" />

   </td>
  </tr>
  <tr>
   <td valign="top">
    <strong>Email Address:</strong>
   </td>
   <td valign="top">
    <input type="text" name="email" id="email" size="40" value="" />

   </td>
  </tr>
  <tr>
   <td valign="top">
    <strong>What do you think I should add my site?</strong>
   </td>
   <td valign="top">
    <input type="radio" name="field-a70d4da7005acd1" id="field-a70d4da7005acd1_0" value="Pics
" /> Pics
<br/>
    <input type="radio" name="field-a70d4da7005acd1" id="field-a70d4da7005acd1_1" value="Games and Quizzess
" /> Games and Quizzess
<br/>
    <input type="radio" name="field-a70d4da7005acd1" id="field-a70d4da7005acd1_2" value="Challenging Polls" /> Challenging Polls<br/>

   </td>
  </tr>
  <tr>
   <td valign="top">
    <strong>What should i put to make my site Best?</strong>
   </td>
   <td valign="top">
    <input type="checkbox" name="field-9e664ceecf7fa68[]" id="field-9e664ceecf7fa68_0[]" value="Best Games
" /> Best Games
<br/>
    <input type="checkbox" name="field-9e664ceecf7fa68[]" id="field-9e664ceecf7fa68_1[]" value="Downloads
" /> Downloads
<br/>
    <input type="checkbox" name="field-9e664ceecf7fa68[]" id="field-9e664ceecf7fa68_2[]" value="Chatting Events
" /> Chatting Events
<br/>
    <input type="checkbox" name="field-9e664ceecf7fa68[]" id="field-9e664ceecf7fa68_3[]" value="Forum" /> Forum<br/>

   </td>
  </tr>
  <tr>
   <td valign="top">
    <strong>Where did you find about my site?</strong>
   </td>
   <td valign="top">
    <select name="field-2925d5559ce7bc4" id="field-2925d5559ce7bc4">
     <option value="A Friend
">A Friend
</option>
     <option value="A Directory List
">A Directory List
</option>
     <option value="Another Website
">Another Website
</option>
     <option value="Other">Other</option>
    </select>

   </td>
  </tr>
  <tr>
   <td valign="top">
    <strong>Your comments about my Site</strong>
   </td>
   <td valign="top">
    <textarea name="field-3c24844d6964727" id="field-3c24844d6964727" rows="6" cols="40"></textarea>

   </td>
  </tr>
  <tr>
   <td valign="top">
    <strong>Your suggestions about my site</strong>
   </td>
   <td valign="top">
    <textarea name="field-7f7032a1d12c069" id="field-7f7032a1d12c069" rows="6" cols="40"></textarea>

   </td>
  </tr>
  <tr>
   <td colspan="2" align="center">
    <input type="submit" value=" Submit Form " />
   </td>
  </tr>
</table>
</form>
<br><center><font face="Arial, Helvetica" size="1"><b>
<a href="http://www.freedback.com">web form</a>
</b></font></center>

Thank you for filling up my survey and webform. Hope you had fun and your comments and suggestions will make this site even more fun to play and visit. Please press submit button to submit your answers.