- Survey -
Questions destined to visitors
limit = 10 questions & 16 answers per question


Type of survey :   Subject :   Language :
Title of this survey :

Your first name :
Your country :
Your e-mail :
warning: Kids under 13 can use a parent's email address, but not a private one.
Your password :

(optional) About your visitors (visitor profile) - e.g.: 'Where do you live', 'How old are you'...
All visitor answers will be distributed by group (region, age or anything you like).
Question :
Group #1 :
Group #2 :
Group #3 :
Group #4 :
Group #5 :
Group #6 :
Group #7 :
Group #8 :
Group #9 :
Group #10 :


  Question 1  
 
Answer #1      
Answer #2      
Answer #3      
Answer #4      
Answer #5      
Answer #6      
Answer #7      
Answer #8      
Answer #9      
Answer #10      
Answer #11      
Answer #12      
Answer #13      
Answer #14      
Answer #15      
Answer #16      

  Question 2  
 
Answer #1      
Answer #2      
Answer #3      
Answer #4      
Answer #5      
Answer #6      
Answer #7      
Answer #8      
Answer #9      
Answer #10      
Answer #11      
Answer #12      
Answer #13      
Answer #14      
Answer #15      
Answer #16      

  Question 3  
 
Answer #1      
Answer #2      
Answer #3      
Answer #4      
Answer #5      
Answer #6      
Answer #7      
Answer #8      
Answer #9      
Answer #10      
Answer #11      
Answer #12      
Answer #13      
Answer #14      
Answer #15      
Answer #16      

  Question 4  
 
Answer #1      
Answer #2      
Answer #3      
Answer #4      
Answer #5      
Answer #6      
Answer #7      
Answer #8      
Answer #9      
Answer #10      
Answer #11      
Answer #12      
Answer #13      
Answer #14      
Answer #15      
Answer #16      

  Question 5  
 
Answer #1      
Answer #2      
Answer #3      
Answer #4      
Answer #5      
Answer #6      
Answer #7      
Answer #8      
Answer #9      
Answer #10      
Answer #11      
Answer #12      
Answer #13      
Answer #14      
Answer #15      
Answer #16      

  Question 6  
 
Answer #1      
Answer #2      
Answer #3      
Answer #4      
Answer #5      
Answer #6      
Answer #7      
Answer #8      
Answer #9      
Answer #10      
Answer #11      
Answer #12      
Answer #13      
Answer #14      
Answer #15      
Answer #16      

  Question 7  
 
Answer #1      
Answer #2      
Answer #3      
Answer #4      
Answer #5      
Answer #6      
Answer #7      
Answer #8      
Answer #9      
Answer #10      
Answer #11      
Answer #12      
Answer #13      
Answer #14      
Answer #15      
Answer #16      

  Question 8  
 
Answer #1      
Answer #2      
Answer #3      
Answer #4      
Answer #5      
Answer #6      
Answer #7      
Answer #8      
Answer #9      
Answer #10      
Answer #11      
Answer #12      
Answer #13      
Answer #14      
Answer #15      
Answer #16      

  Question 9  
 
Answer #1      
Answer #2      
Answer #3      
Answer #4      
Answer #5      
Answer #6      
Answer #7      
Answer #8      
Answer #9      
Answer #10      
Answer #11      
Answer #12      
Answer #13      
Answer #14      
Answer #15      
Answer #16      

  Question 10  
 
Answer #1      
Answer #2      
Answer #3      
Answer #4      
Answer #5      
Answer #6      
Answer #7      
Answer #8      
Answer #9      
Answer #10      
Answer #11      
Answer #12      
Answer #13      
Answer #14      
Answer #15      
Answer #16      



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