BolderImage Survey Sample

This survey is intended to show the features of our survey tool and is intended for educational purposes only.

1.)
 What browser do you use most often? *
  Internet Explorer
Firefox
Safari
Opera
Chrome
Other
  
2.)
 On a scale of 1 to 10, with 10 indicating you strongly agree, and 1 indicating you strongly disagree, rate this statement:

I use the internet almost every day, and could not imagine my life now without it. *
  1 2 3 4 5 6 7 8 9 10
  
3.)
 I use the internet to (check all that apply): *
  Read/write email
Work
Shop
Pay bills
Visit personal social networking sites (Facebook, eHarmony, etc)
Visit professional networking sites (LinkedIn, etc)
Find a job
Play games
Watch videos/listen to music
Other (not listed here)
  
4.)
 If you chose "Other" in the last question, please indicate what other activities you use the internet for:
 
  
Your full name:
Email address:
 
Verification:
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Please enter these characters in the box below.
*
 
 
* - Denotes a required answer