<html>
<head>
<title>Online Survey</title>
<script type="text/javascript" language="javascript">
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function CheckCheckboxes(){
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for (i=0; i<elLength; i++)
{
var type = MyForm.elements[i].type;
if (type=="checkbox" && MyForm.elements[i].checked){
alert("Form element in position " + i + " is of type checkbox and is checked.");
}
else if (type=="checkbox") {
alert("Form element in position " + i + " is of type checkbox and is not checked.");
}
else {
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}
}
// -->
</script>
</head>
<body>
<form action="http://www.wbex.ru" method="POST" name="MyForm">
<table width="600">
<tr><th colspan="3" align="center">Online Survey<br /><br /></th>
</tr>
<tr>
<td>Your Name:</td>
<td> </td>
<td><input type="text" name="YourName"/></td></tr>
<tr>
<td>Your Gender:</td>
<td> </td>
<td>
<input type="radio" name="Gender" value="Male"/>Male<br />
<input type="radio" name="Gender" value="Female"/>Female<br />
</td>
</tr>
<tr><td>Which of our consultancy <br />services are you interested in?</td>
<td align="right">
</td>
<td>
<input type="checkbox" name="XML"/> XML<br />
<input type="checkbox" name="XSLT"/> XSLT<br />
<input type="checkbox" name="SVG"/> SVG<br />
<input type="checkbox" name="XSL-FO"/> XSL-FO<br />
<input type="checkbox" name="XForms"/> XForms<br />
</td>
</tr>
<tr>
<td>Which free gift would you prefer for filling out this survey?</td>
<td> </td>
<td>
<select name="FreeGift">
<option value="Choice1">Choice 1</option>
<option value="Choice2">Choice 2</option>
<option value="Choice3">Choice 3</option>
</select>
</tr>
<tr>
<td>Enter your comments in<br />the text box
</td>
<td> </td>
<td><textarea name="Comments" rows="5" cols="50"></textarea></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td><br /><input type="submit" value="Send Form" onclick="CheckCheckboxes()"/></td>
</tr>
</table>
</form>
</body>
</html>