Sample Form

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Sample Form

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Name

Your answer

What is your favorite color?

Red

Yellow

Green

Blue

Purple

Pink

Other:

Clear selection

How many students are in your school or district?

Choose

0 - 1,000

1,001 - 3,000

3,001 - 5,000

5,001 +

What pets do you have?

None

Dog

Cat

Fish

Hamster

Other:

How many children do you have?

None

0

1

2

3

4

5

6

7

8

9

10

Whoa!

Clear selection

What year did Google go Public?

1999

2001

2004

2007

Clear selection

Submit

Clear form

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