Form 1A: User Survey
First Name:
Last Name:
E-mail Address:
Enter a password to be used to retrieve survey results:
What is your gender?
Male
Female
Other
Why do you browse the Web?
Fun
Work
Research
Education
Please select your occupations from the following list
Unemployed
Internet Day Trader
Fast Food Analyst
Y3K Consultant
Rotary Dial Technician
Assembly Language Programmer
Manager/Administrator/ChiefMuckyMuck
K-12 Educator
K-12 Student
College/Technical/University Educator
College/Technical/University Student
Technical Specialist
Physician/Lawyer
Investor/Broker
Professional Researcher
Other
Select your Favorite Foods:
Potato Chips and Beer
Pickled Eggs
Flax Seed and Oatmeal
Oktoberfest Sausage
Boiled Rabbit
Parsnip
Rutabaga
Flatewlent
Yams
None of these
Please enter any additional comments here:
Hey! This page rocks.