Your First and Last Name:
Your Department:
Your E-Mail Address:

An example of checkboxes--you can choose more than one:

I use the following computers:

1. Windows 95.
2. Macintosh.
3. UNIX.

My favorite program is:

1. Netscape
2. Internet Explorer
3. Lynx

An example of a selection menu:

What would you like to do next?

Play Doom Surf the Net Read My Email Create Web Pages Develop a web course

An example of a text area for collecting large blocks of text:

Thanks for stopping by!