User questionnaire.
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Your name*
Your email*
Your gender
How did you find my homepage
Please select
Link from other homepage
Google
MSN Search
Other search-engine
Recommandation from friend
I know the homepage
At random
Other...
Your age
Please select
0-14 yr
15-18 yr
19-25 yr
26-35 yr
36-45 yr
46-60 yr
over 60 yr
Please select
Male
Female
Hermaphrodite
Your 'role'
Please select
Masochist
Sadist
Switch
Dominant
Submissive
S-curious
M-curious
Something else...
Did my homepage meet your wishes
Please select
Absolutely not
Not
Not very good
Neither-nor
Barely OK
OK
ery good
I'm exhilarated...
* denotes a demanded field
I'll be looking forward to be hearing from you !
I'd like to improve my homepage, and that's why I'd like to know a little about you
and your opinion of my homepage.
(in the sexual 'game').
Bondage (blid)
Bondage (medium)
Bondage (hard)
Bondage (longtime)
Selfbondage
Spanking
Dominance
Fetish
Roleplay
Vacuum
Electro-sex
Vampyrism
Toilet-sex
Expansion
Exebithionism
Outdoor sex
Piercing
Food-games
Forced stimulation
Dildo(s)
Buttplug(s)
Cockring(s)
What 'turns you on'
-multiple selections possible.
-if you're 'turned on' by something else
-max 200 characters...
What did you look for
Please describe
-and did you find it
Yes
Yes-and-no
No
Do you have ideas or suggestions
which might improve your experience
of my homepage?
Please describe
Would you recommend my homepage?
Most definately
Yeah, maybe
Neither-nor
Hardly
No way...
Would you like to recieve an email, when I update the homepage? (Tick the box)
See the terms and conditions here
Write as much or as little, as you like (apart from name and email) and I'll set the responses into work
in order to improve my homepage. Thankyou in advance.
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WebFormDesigner