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Name
   
 
 
 
Email Address
   
 
 
 
Example One Choice Question. Comparable to Radio Buttons.
 
yes
 
no
 
maybe
 
 
 
Example Drop Down. Can only select 1 choice
 
 
 
Open text box.
   
 
 
Survey type question (for future use): How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
Contact Information
First Name : 
Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone : 
Email Address : 
 
 
 
Date and time question:
 
 
 
Agilis Product
 
EasyLicenser
 
Self-hosted Orion
 
Acropolis-hosted Orion
 
Redistributed Orion
 
Self-hosted and redistributed Orion
 
Not Sure

 
 
 
Multiple Choice Boxes. Can select more than one.
 
yes
 
no
 
maybe

 
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