* Indicates required fields
1. An answer to this question is required - try pressing the submit button before making a choice. * {} Answer 1 {} Answer 2 2. For this question, responses must be entered in the "Name" and "Email" fields * Name: ________________________ City: ________________________ * Email: ________________________ Phone: ________________________ H: Responses to enable/disable other questions plus "Skip to" hyperlink and messages M: Message boxes can be use to provide additional instructions. For Question 3, selecting the first or second radio causes a message to be displayed 3. Responses to this question enable and disable other questions (note that Question 4 was initially disabled) {} Disable Questions 4 and 5, Enable Question 6 (Please skip to Question 6) {} Disable Questions 4, 5, and 6 (Please skip to Question 7) {} Enable Questions 4, 5 and 6 H: Questions Enabled or Disabled M: This question is required if the user selects the third radio button for Question 3. Note that it is initially "disabled". 4. Question with radio buttons {} Answer 1 {} Answer 2 {} Answer 3 5. Question with check boxes [] Check box 1 [] Check box 2 [] Check box 3 [] Check box 4 [] Other (Please specify) Text Entry Box 6. Question with text boxes Response1: __________________ Response2: __________________ Response3: __________________ Response4: __________________ H: Calculations 7. The "Total" field is calculated as entries are made for this question. Note that the default maximum value is 500, but for "Hours" it is 120 and for "Time" it is 300. Add this number (Hours): $__________ Add this number (Time): $__________ Add this number: $__________ Subtract this number: $__________ Add this number: $__________ Subtract this number: $__________ Total: $__________ H: Other Features 8. Questions can have multi-line response fields __________4;80 9. For questions with multiple sets of radio buttons, the user can specify that at most one response have a specific value (e.g., Please select at most one Preferred alternative) A) Sub-question 1 {} Preferred {} Acceptable {} Not Acceptable B) Sub-question 2 {} Preferred {} Acceptable {} Not Acceptable C) Sub-question 3 {} Preferred {} Acceptable {} Not Acceptable H: Comments Thank you for looking at this example survey. What additional features would you like to have in your surveys?