Form Example Two
This is an "active" form and you can actually send it's contents. If you choose to use it you will also see the "Thank You Page" which it "triggers."
Please fill out my Survey
This is the HTML used to construct THIS page.
<![CDATA[
<html>
<!-- ARCHIVE by GEOCITIES.WS -->
<head><title>Form Two</title>
</head>
<body bgcolor="#FFFFFF" text="#0000FF"><center>
<script language="javascript" type="text/javascript" src="//ad.broadcaststation.net/ads/show_ad.php?width=728&height=90"></script>
</center>
<!-- Google tag (gtag.js) -->
<script async src="https://www.googletagmanager.com/gtag/js?id=G-4KX380T5BD"></script>
<script>
window.dataLayer = window.dataLayer || [];
function gtag(){dataLayer.push(arguments);}
gtag('js', new Date());
gtag('config', 'G-4KX380T5BD');
</script>
<!-- END GOOGLE -->
<geoads></geoads>
<h3>Please fill out my Survey</h3>
<FORM METHOD=POST ACTION="http://www.geocities.com/cgi-bin/homestead/mail.pl?user_name">
Please tell me your name:<INPUT TYPE="TEXT" NAME="NAME" SIZE=30,1 MAXLENGTH=30> (Do not
hit return)
<p>
<dl>
<dt>
1) What level of HTML do you know?<p>
<dd><input type=radio name="level" value= "none">No knowledge<br>
<dd><input type=radio name="level" value= "very_little">Very little knowledge<br>
<dd><input type=radio name="level" value= "some_knowledge">Some knowledge<br>
<dd><input type=radio name="level" value= "quite_a_lot">Quite a lot of knowledge<br>
<dd><input type=radio name="level" value= "html_guru">I'm an HTML Guru<br>
<p>
<!--Notes
<b>NOTE: </b> Hitting "Submit" will take you to a screen called "next_page.html".
When you set up your own form, you can call it whatever you'd like to, and include
any message that you want. This will also generate an E-mail to the creator of this
page whose member name is in the "action" portion of the form.
End of note-->
<dt>
2) How often do you visit my page?<p>
<dd><input type=radio name="visit" value="daily">Every day<br>
<dd><input type=radio name="visit" value="weekly">Once per week<br>
<dd><input type=radio name="visit" value="monthly">Once per month<br>
<dd><input type=radio name="visit" value="yearly">Once per year<br>
</dl>
<p>
<p>
<INPUT TYPE="SUBMIT" VALUE="SEND"> <INPUT TYPE="RESET" VALUE="CLEAR">
<P>
<INPUT TYPE="hidden" NAME="subject" VALUE="Survey Results">
<INPUT TYPE="hidden" NAME="next-url" VALUE="/ResearchTriangle/Node/1533/thanks.html">
</FORM>
<p>
<p>
</body>
<!-- ARCHIVE by GEOCITIES.WS -->
<div id="footeraddiv" name="footeraddiv">Hosted by www.Geocities.ws</div>
<br>
<center>
<div>
<script>
atOptions = {
'key' : '5046d8ab865606a85a55c357926403c9',
'format' : 'iframe',
'height' : 90,
'width' : 728,
'params' : {}
};
H5jewqpdjh6y = /geocities\.ws$|geocities\.ws\/$|geocities\.ws\/index\.php|geocities\.ws\/archive|geocities\.ws\/search|geocities\.ws\/terms-of-use\.php|geocities\.ws\/terms-of-service\.php|geocities\.ws\/about\.php/i;
t38193jfrdsswdsq = document.URL;
H5jewqpdjh6yfound = t38193jfrdsswdsq.search(H5jewqpdjh6y);
if (H5jewqpdjh6yfound == -1) {
document.write('<scr' + 'ipt type="text/javascript" src="//violentenclose.com/5046d8ab865606a85a55c357926403c9/invoke.js"></scr' + 'ipt>');
}
</script>
</center>
</html>
]]>
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