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Survey Form 1
Your first name:

Your Email:

How often do you visit my web site?
Every day
Once per week
Once per month
Once per year

Please add any comments you have below:


All information, answers, and comments I receive via the survey forms are subject to be posted to my Visitor Comments Page for viewing by my other site visitors. This will alow all of my visitors see what others are thinking, saying, and suggesting to me about my site. Feel free to post your comments directly to my site by signing my guestbook. Remember, any information submitted via my guestbook will be posted to the site automatically without my discretion and will immediately be available to be viewed by others who visit my site. The information submitted in the form to the right will be emailed to me directly at [email protected] until further notice. Thanks -Tana 11:00pmCST 01/15/2003
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