Survey Example

This page shows you an example of a custom visitor survey that can be added to your website.   The result of the survey can be emailed directly to you once the visitor clicks the Submit button.   The questions and format are completely customizable.  Note: the Submit button does not do anything on this example.


Thanks for visiting! We hope you found what you were looking for on this site. To help insure that we are providing the best possible service, we do appreciate you taking the time to answer the survey shown below. Note - the only required information is your name and email so we have a means of contacting you to thank you for your visit.

Name:  
Email:  


Have you recommended this website to others?
   

How did you hear about this website?


      Other:

What is your impression of the website?
How can we make the website better?

Which aspects of the website do you find the most useful?

Do you have any questions about the website?