<form method="post" enctype="text/plain" action='mailto:your email address'>
<input type="hidden" name="To" value="your subject for email">
Put question # 1 here:<br>
<input type="text" name="question:" size="50" maxlength="100"><br><br>
Put question # 2 here:<br>
<input type="text" name="question:" size="50" maxlength="100"><br><br>
Put question # 3 here:<br>
<input type="text" name="question:" size="50" maxlength="100"><br><br>
Put question # 4 here:<br>
<input type="text" name="question:" size="50" maxlength="100"><br><br>
Put something here that requires a long answer:<br>
<textarea name="Subject of text area" wrap=physical rows=7cols=46></textarea>
<br><br>A yes no question goes here:<br>
<input type="radio" name="your question1"value="Yes">Yes<BR>
<input type="radio" name="your question1"value="No">No<br>
<br><br>A yes no question goes here:<br>
<input type="radio" name="your question2"value="Yes">Yes<BR>
<input type="radio" name="your question2"value="No">No<br><br>
<input type="submit" value="Submit"><img src="spacer.gif" width=5 height=1 alt="spacer">
<input type="reset" value="Try again"></form>