Copy and paste this into your page and customize the areas in the code to fit how you want your form to work.
This will add a form to your page that users can fill out and it will be sent to your email address.

<form method="post" enctype="text/plain" action='mailto:your email address'> <input type="hidden" name="To" value="your subject for email"> Put question # 1 here:<br> <input type="text" name="question:" size="50" maxlength="100"><br><br> Put question # 2 here:<br> <input type="text" name="question:" size="50" maxlength="100"><br><br> Put question # 3 here:<br> <input type="text" name="question:" size="50" maxlength="100"><br><br> Put question # 4 here:<br> <input type="text" name="question:" size="50" maxlength="100"><br><br> Put something here that requires a long answer:<br> <textarea name="Subject of text area" wrap=physical rows=7cols=46></textarea> <br><br>A yes no question goes here:<br> <input type="radio" name="your question1"value="Yes">Yes<BR> <input type="radio" name="your question1"value="No">No<br> <br><br>A yes no question goes here:<br> <input type="radio" name="your question2"value="Yes">Yes<BR> <input type="radio" name="your question2"value="No">No<br><br> <input type="submit" value="Submit"><img src="spacer.gif" width=5 height=1 alt="spacer"> <input type="reset" value="Try again"></form>