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Using Dreamweaver
by Vivienne Trulock
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Food Survey
Name
Address
Email
Phone
Please select favourite ice-cream
vanilla
strawberry
pistachio
banana
other
Please select favourite cuisine
Chinese
Indian
Italian
Mexican
other
Please describe favourite type of restaurant:
restaurant description here
Please select age
0-10
10-20
20-30
30-40
40-50
50-60
60+
Please contact me regarding further surveys
Thank you for participating in this survey
