IMownedByGod's

Web Surfers Survey

Please tell me your name: (Do not hit return)

I want to visit your page.If you have a page what is your URL? (omit http://): (Do not hit return)
What is your Email address?
(Do not hit return)

1) How old are you?

Under 18 years old

Between 19 and 24 years old

Between 25 and 34 years old

Between 35 and 44 years old

Between 45 and 60 years old

Over 60 years old

2) How often do you visit my page?

Every Day

Once per week

Once per month

First Time

3) Rate my page:

Excellent

Good

Average

Poor

How can I improve this page? (Do not hit return)

4) Are you a Christian?

Yes

No

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Thank You for filling this survey out.

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