<TITLE>Sample Questionaire</TITLE>
<H1>Sample Questionaire</H1>

<P>Please fill out this questionaire:

<FORM METHOD=post ACTION="http://www.hal.com/sample">
<P>Your name: <input name="name" size="48">
<P><input name="male" type=radio> Male
<P><input name="female" type=radio>Female 
  Number in family: <input name="family" type=int>
  
<P>Cities in which you maintain a residence:

<UL PLAIN>
<LI><input name="city" type=checkbox value="kent"> Kent
<LI><input name="city" type=checkbox value="miami"> Miami
<LI>Others <textarea name="other" cols=48 rows=4></textarea>
</UL>

<P>Nickname: <INPUT NAME="nickname" size ="42">

<P>Thank you for responding to this questionaire.
<P><INPUT TYPE=SUBMIT> <INPUT TYPE=RESET>
</FORM>