Example Survey
Page 1 of Example Survey
Name *
Email *
A Number
Date
Page 2 of Example Survey
Pick one Radio Button: *
Pick one selection:
If other, precise:
Select all that apply
Evaluate:
| Choice 1 | Choice 2 | Choice 3 | Choice 4 | |
|---|---|---|---|---|
| Category 1 | ||||
| Category 2 | ||||
| Category 3 |
If other, precise: