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Home About Projects Calendar Sponsors Links Site Index Contact	User Survey Form This is a sample survey form that you may want to include in your site. Open this page into an HTML editor and modify it to suit your needs. Please see the Comments below for information on how to set this form up for use on your site. This form is completely functional for this site. That is, you may use it to send me comments about this site or the templates that I've provided here for your use. Please note that this form will not work unless the required fields are filled in. Required fields are marked with an asterisk. Your Name*: Your Phone Number*:   Your Comments: Survey Please check the boxes you want: Sunday Monday Tuesday Wednesday Thursday Friday Saturday Please answer the question:   yes   no   maybe Please select one of the statements: Statement 1Statement 2Statement 3  Please select one of the statements:I have my own computer. I have access to a computer. I do not have access to a computer.  Please select as many options as you want: If I had millions of dollars I'd buy: (Note: hold down the control key to make more than one selection) a new house. another car. Rhode Island. a new computer. lots of toys for my cat.  Please select as many options as you want: If I had millions of dollars I'd buy: (Note: hold down the control key to make more than one selection) a new house. another car. Rhode Island. a new computer. lots of toys for my cat.  "Here's the Survey!" "Reset - Start Over"

Comments on How to Adapt this Form for Use on Your Site

Open this page in an HTML editor, such as Netscape's Composer.

In order to use this comment form on your KORRnet website, you need to modify a couple of the tags. If you are using Composer, the form tags will look like little yellow "tags." If you are using a word processor or some other editor that shows the code for the tags, you'll see the tags as text. Either way you can edit the tags so that the form will work on your site. Please refer to my forms page for more information on using forms on KORRnet. Also, I made a simpler form with ferwer elements on it that you may use.

You will need to edit the second and eighth tags, that is, the "recipient" tag and the "return_link_url" tag.

So, if you are using Composer (if not, see the rest of the notes below), right click on the second tag and select HTML Tag Properties from the pop up menu (Mac, hold down the mouse button on the tag to display the menu). Change the email address to your email address.

Now, right click on the eighth tag and select HTML Tag Properties from the pop up menu. Replace the URL with the page you want users to return to after they submit their comments.

You can modify some of the other tags in the same way, but the form should work once you put it up on your site.

More Notes

Modify the HTML "code" if you are using a word processor. I put the changes that must be made in bold below.

The code for the form above looks like this:

(these tags are all hidden from the user)

<form action="/cgi-bin/public/formmail/FormMail.pl" method="POST">

<input

         & nbsp;      TYPE="hidden"
         & nbsp;      NAME="recipient"
         & nbsp;      VALUE="ssharp@korrnet.org"> (change the value of this tag to your email address)

<input

         & nbsp;      TYPE="hidden"
         & nbsp;      NAME="subject"
         & nbsp;      VALUE="Generic NPO Template Comment Form (this will be the subject of the email this comment form generates . . . change it if you want a different subject)

<input

         & nbsp;      TYPE="hidden"
         & nbsp;      NAME="required"
         & nbsp;      VALUE="name,phone"> (this makes the "name" and "phone" blanks on the form required informtion . . . that is, the form will not work unless these two blanks are filled in)

<input

         & nbsp;      TYPE="hidden"
         & nbsp;      NAME="env_report"
         & nbsp;      VALUE="REMOTE_HOST, HTTP_USER_AGENT (don't change this one!)

<input

         & nbsp;      TYPE="hidden"
         & nbsp;      NAME="print_config"
         & nbsp;      VALUE="organization,subject"> (don't change this one!)

<input

         & nbsp;      TYPE="hidden"
         & nbsp;      NAME="title"
         & nbsp;      VALUE="Generic NPO Template Comments"> (this will be the title of the confirmation page that the form generates . . . change it if you want a different title)

<input

         & nbsp;      TYPE="hidden"
         & nbsp;      NAME="return_link_url"
         & nbsp;      VALUE="http://www.korrnet.org/chic/templates/generic (change the value of this tag to the URL you want the user to return to after they have submitted their comments)

<input

         & nbsp;     <input

         & nbsp;      TYPE="hidden"
         & nbsp;      NAME="return_link_title"
         & nbsp;      VALUE="Back to the Generic Templates (this is the title of the link that returns the user to the URL in the previous tag)

<input

         & nbsp;      TYPE="hidden"
         & nbsp;      NAME="bgcolor"
         & nbsp;      VALUE="#FFFFFF"> (background color of the generated page)

<input

         & nbsp;      TYPE="hidden"
         & nbsp;      NAME="link_color"
         & nbsp;      VALUE="#CC0000"> (link color of the generated page)

<input

         & nbsp;      TYPE="hidden"
         & nbsp;      NAME="vlink_color"
         & nbsp;      VALUE="#CC0000"> (visited link color of the generated page)

<input

         & nbsp;      TYPE="hidden"
         & nbsp;      NAME="alink_color"
         & nbsp;      VALUE="#FF9900"> (active link color of the generated page)
<p>

(this is where the form the user sees begins)

Your Name:

<p>

<input

         & nbsp;           &nb sp;  TYPE="text"
         & nbsp;           &nb sp;  NAME="name"
         & nbsp;           &nb sp;  VALUE=""
<input

         & nbsp;           &nb sp;  TYPE="text"

<p>Your Phone Number:
<p>

<input

         & nbsp;           &nb sp;  TYPE="text"
         & nbsp;           &nb sp;  NAME="phone"
         & nbsp;           &nb sp;  VALUE=""
<input

         & nbsp;           &nb sp;  TYPE="text"

<br>&nbsp;
<p>Your Comments:
<p>

<textarea

         & nbsp;           &nb sp;  NAME=" comments"
         & nbsp;           &nb sp;  ROWS=10
         & nbsp;           &nb sp;  COLS=55

 </textarea>
<br>

<input

         & nbsp;           &nb sp;  TYPE="submit"
         & nbsp;           &nb sp;  NAME="Submit"
         & nbsp;           &nb sp;  VALUE="Send My Comments

<input

         & nbsp;           &nb sp;  TYPE="reset"
         & nbsp;           &nb sp;  VALUE="Reset This Form">

</form>