A form you can fill in

I have developed a form, so that you can send me feedback right from here. Please take the time to fill it (it is not mandatory to fill all fields). When completing the form, do NOT key in ENTER or RETURN. Please advance through the fields with TAB or the mouse. Here it is:

Type your name in here:

If you want, put here your email address:

Key in your comments, recommendations, suggestions, questions, anything:

How old are you?

How did you come here?

NOTE: Hitting "Send it!" will load a document confirming that the form was sent. This will generate an e-mail to me. If you want to come back, just press the "Back" button on your browser.

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