Please take the time to fill out these forms so that I can learn more about the people that visit my site. Please also leave your comments so that I can make my page better, thank you.

Name


E-mail Address


Date
- -

State

Age

Sex

About how many hours do you spend online a month?
10-
10
15
20
25
30
35
40
45
50
50+

What type of sites do you visit?

Educational
Sports
Entertainment (Movies TV etc.)
Personal Home Pages
Science
Art
Other
News
 Chat

If other please specify


What are your 2 most favorite sites? (be honest)
Site Name #1

Site #1 Address


Site Name #2

Site #2 Address


Do you have a web page?
Yes
No

If so what is the address


Other Comments Suggestions?


You are visieter # since April 3,1998

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