<FIELDSET>
<LEGENDALIGN=CENTER>Survey</LEGEND><P>
favorite color: <INPUT NAME="favecolor"><BR>
<INPUT TYPE=CHECKBOX NAME="favecolor"> like green onions<BR>
<INPUT TYPE=CHECKBOX NAME="onions"> like cookies<BR>
<INPUT TYPE=CHECKBOX NAME="kimchee"> like kim chee<BR>
</FIELDSET><P>
<FIELDSET>
<LEGENDALIGN=RIGHT>Misc</LEGEND><P>
other comments:<BR>
<TEXTAREA NAME="comments" ROWS=5 COLS=25></TEXTAREA>
</FIELDSET>