Hi, thanks for your wise selection (selected to fill up this form). The purpose of having this form is let me to further understand your attributes and opinions. In order to improve the current available pages plus construct some new page if the demand is high, feel free to speak out you comments or wishes and I might grant it.


Personal Information Form


     Name :

     Sex : male female

     Age : under 10
              between 10-14
              between 15-19
              between 20-29
              above 30

    Eddress :

    Netress :
    (if available)

    Designation :

    Country :
    

    Do you have your own PC? yes no

    How fast is your modem?
    9.6 kbps 14.4 kbps 28.8 kbps 33.6 kbps 55.6 kbps

    Where do you surf the internet?
    Home     School/ College/ University     Office

    How long do you spend you time on the Internet daily?
    less than 10 min.
    betwwen 11-30 min.
    between 31-60 min.
    more than 1 hour.

    How often you surf my pages?
    this is my first visit
    once a while
    monthly
    weekly
    daily
    more than once a day

    What is your favourite site? (you may select more than one)

         
Sports News Games Music Movies
People Science Education Technology Automobile
    Provide the netress if possible :
    

    Comments :
    

  
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