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<form url="ejsesurvey.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="850"
 height="922"
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 outlinecolor="0xFFFFFF"
 fontcolor="0x000000"
 themecolor="0xFFFF99"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="false"
 reqmessage="One or More Fields are Required"
 autoresponse="">

<hidden
 name="thankyoumessage"
 value="Thank you!"
></hidden>

<hidden
 name="mailto"
 value="jcannon@unr.edu"
></hidden>

<hidden
 name="subject"
 value="EJSE Survey"
></hidden>

<image
 image="ejse.jpeg"
 x="50"
 y="16"
></image>

<label
 name="My Text 1"
 x="0"
 y="-8"
 w="8"
 h="16"
 text=""
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 2"
 x="52"
 y="208"
 w="550"
 h="16"
 text="We are trying to learn more about our readers. PLEASE....take a moment to fill out our survey."
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="52"
 y="232"
 w="414"
 h="16"
 text="Your comments are completely anonymous. We appreciate your time. "
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<submitbutton
 name="Submit Button 1"
 x="384"
 y="576"
 w="100"
 h="20"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<label
 name="My Text 4"
 x="52"
 y="260"
 w="226"
 h="16"
 text="John R. Cannon and David T. Crowther"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 5"
 x="52"
 y="276"
 w="234"
 h="16"
 text="Electronic Journal of Science Education"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 6"
 x="52"
 y="324"
 w="306"
 h="16"
 text="From what city/town are you visiting the EJSE from?"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="My Input Box 1"
 x="360"
 y="328"
 w="391"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
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 x="52"
 y="368"
 w="234"
 h="16"
 text="What reason(s) do you have for visiting?"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="My Input Box 2"
 x="288"
 y="376"
 w="451"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 8"
 x="52"
 y="412"
 w="302"
 h="16"
 text="What web browser are you using to view the EJSE?"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="My Input Box 3"
 x="364"
 y="420"
 w="311"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
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 x="48"
 y="452"
 w="143"
 h="16"
 text="I read the EJSE for its..."
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="My Input Box 4"
 x="196"
 y="456"
 w="580"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 10"
 x="52"
 y="484"
 w="475"
 h="16"
 text="Would you ever subscribe to the EJSE, even though we'd never ask you to do so?"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<checkbox
 name="My Check Box 1"
 x="540"
 y="492"
 w="37"
 h="19"
 label="Yes"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="My Check Box 2"
 x="592"
 y="492"
 w="32"
 h="19"
 label="No"
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 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<label
 name="My Text 11"
 x="392"
 y="528"
 w="74"
 h="16"
 text="Thank you!"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

</form>