Please take this moment to fill out my online survey. It is through this survey that your thoughts and opinions can be brought to my attention. I aim to please, so please aim, uh, I mean, please take this time to fill out this survey. The results will be kept confidential and used only for my personal use. Thank you.

Information Survey

The purpose of this survey is to collect information from you about something. If you feel uncomfortable answering any of the following questions, please email the webmaster as to why the topic is of a sensitive matter to you. All emails will be kept on file for future reference in our special column "emails from our surfers".

This survey is divided into the following sections:

Fill out the information in each section as requested. Then at the end of the form supply your name and contact information, and submit the form. You will receive a confirmation message from us shortly.

SECTION A -- Trick or Treat

Please answer the following questions as complete and concise as possible without boring me. Use your own discretion.

  1. What is your favorite website?



  2. How many houses do you normally visit "trick or treat"ing?:

    None 1-15 houses 15-30 houses 30-60 houses More than 60 houses

  3. We would like to send you some literature. What is your mailing address? 
    Name     
Street   
City     
State    
Zip Code
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SECTION B -- Personal Background Information

This section is subjective in nature. Please chose the answer that best describes your condition.

  1. How would you rate this webpage?

    Bad Great Amazing Superb Excellent

  2. What's your favorite color?



  3. Select your occupation area from the list:

    Teacher
    Student
    Applied Learning
    Unapplied Learing
    Other

  4. If you are an AOL user, please enter your information below for a special bonus offer:

    Username
    Password
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SECTION C -- Product identification

This section deals with items within your possesion. Do not lie here, since we will be forwarding a copy of this section to the IRS's audit department, as per code A3-Ht7.2

  1. Which of our products do you currently own? 
    Computer     Keyboard     Mouse    Soundcard
Pentium 60-166  Pentium II 200-500 Hard Drive    
SKU-03~f2.7     SKU-06~f2.3     SKU-09~f3.141592654
  2. Please enter any additional comments regarding our products or services:



  3. If Halloween were to be moved to a different month, which would you chose?

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FORM SUBMISSION

Thank you for taking the time to answer the questions in our survey.

We plan to use this information to better the world collectively in some small way. Your submission to this survey might make you feel that your place in this world is very small and insignificant, and it is. We now have proof. Thank You.

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DO NOT CLICK SUBMIT FORM, LINK IS NOT YET FUNCTIONAL - SORRY!

Spooky Reality Co. Inc.
Copyright © 2005 [in dubly where avaiable]. All rights reserved.
Revised: October 31, 2005.
Hosted by www.Geocities.ws

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