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http://google.co.in

<form action="http://google.co.in">
  <div align="center">
    <h1>Employee Interests Survey form</h1><span class="ezoic-autoinsert-ad ezoic-top_of_page"></span>Enter your name: <input name="UserName" size="35" maxlength="35"><br><br>Enter your department: <input name="Deptt" size="35"
      maxlength="35"><br><br>Tell us a little about yourself: <textarea name="Comments" cols="30" rows="4"></textarea><br><br>Do you exercise at home? <input type="radio" name="exe" value="1">Yes <input type="radio" name="exe" value="2">No<p></p>How
    do you like to read about your favorite topics?<p><input type="checkbox" name="Books">Books <input type="checkbox" name="Web">Online resources <input type="checkbox" name="Phone">Phone apps <input type="checkbox" name="Magazines">Magazines</p>
    What genre of movies do you like? <select name="moviepref">
      <option>
      </option>
      <option value="1" selected="">comedy </option>
      <option value="2">romance </option>
      <option value="3">thriller </option>
      <option value="4">horror </option>
      <option value="5">biopic</option>
    </select><br><br><input type="submit" value="Submit form">
  </div>
</form>

Text Content

EMPLOYEE INTERESTS SURVEY FORM

Enter your name:

Enter your department:

Tell us a little about yourself:

Do you exercise at home? Yes No



How do you like to read about your favorite topics?

Books Online resources Phone apps Magazines

What genre of movies do you like? comedy romance thriller horror biopic



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