The All-Chocolate Form

This is a test form to demonstrate some of the characteristics and behaviors of HTML forms. 

NAME:     
ADDRESS:  
CITY:     
STATE:    
ZIP CODE: 

PASSWORD:

Describe what you like about chocolate or a memorable chocolate experience:
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Answer the folowing:

Chocolate chip cookies are a breakfast food.
True
False
Any food can be improved by adding hot fudge.
True
False

Never Sometimes Always
I think about chocolate.
I eat chocolate more than twice a day.
I have chocolate on my person.

Select the one that applies to you:

Choose any of the following:

(Hold the Ctrl key down to select multiple choices.)

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