<html>
<head>
<title> Enquete</title>
<BODY bgcolor="#8B0000">
<P><IMG src="logo.jpg" align=left width="260" height="60">
<P><IMG src="organisatornaam.jpg" align=right width="460" height="380"> </P>
<script language="JavaScript" src="http://www.cgi2you.com/counter/f-counter.php?user=marco1978"></script>
<p>
<FONT color=#FFF8DC size=5>
<H1>Welkom</H1>
<HR> </font>
<FONT color=cornsilk size=5>
<p><font size="2" face="Arial"><strong>Wat is het doel van
deze enquete?<br>
</strong>De organisatoren van organisatornaam zijn altijd bezig om betere feesten te organiseren.
De enquete is een hulpmiddel om inzage te krijgen in de behoeften van de bezoekers.</font></p>
<p><font size="2" face="Arial"><strong>Wat gebeurt er met je gegevens?</strong><br>
******* noch de organisatoren van organisatornaam zal je e-mailadres en/of je IP-gegevens publiceren of op
enige andere wijze aan derden ter beschikking stellen tenzij ****** en/of de organisatoren van organisatornaam daartoe op wettelijke grond
worden verplicht.</font></p>
<p><font size="2" face="Arial"><strong>De enquete:</strong></font></p>
<table border="0" width="600">
<FORM ACTION="http://www.xs4all.nl/cgi-bin/mail-a-form" METHOD="POST">
<input type="hidden" size="0" name="to" value="mijnemail@hotmail.com">
<input type="hidden" name="subject" value="enquete organisatornaam">
<input type="hidden" name="nextpage" value="thanks.html">
<tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 1.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Wat is je indruk van naam feest?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<input type="radio" name="q1" value="geweldig"> <font
face="arial" size="2" color="#FFF8DC">geweldig</font><br>
<input type="radio" name="q1" value="goed"> <font
face="arial" size="2" color="#FFF8DC">goed</font><br>
<input type="radio" name="q1" value="ok"> <font
face="arial" size="2" color="#FFF8DC">ok</font><br>
<input type="radio" name="q1" value="slecht"> <font
face="arial" size="2" color="#FFF8DC">slecht</font><br>
<input type="radio" name="q1" value="waardeloos"> <font
face="arial" size="2" color="#FFF8DC">waardeloos</font><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr> <tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 2.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Wat vind je van de flyers?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<input type="radio" name="q2" value="super"> <font
face="arial" size="2" color="#FFF8DC">super</font><br>
<input type="radio" name="q2" value="mooi"> <font
face="arial" size="2" color="#FFF8DC">mooi</font><br>
<input type="radio" name="q2" value="niet mooi"> <font
face="arial" size="2" color="#FFF8DC">niet mooi</font><br>
<input type="radio" name="q2" value="lelijk"> <font
face="arial" size="2" color="#FFF8DC">lelijk</font><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr> <tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 3.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Hoe vindt je de promotie?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<input type="radio" name="q3" value="goed"> <font
face="arial" size="2" color="#FFF8DC">goed</font><br>
<input type="radio" name="q3" value="redelijk"> <font
face="arial" size="2" color="#FFF8DC">redelijk</font><br>
<input type="radio" name="q3" value="slecht"> <font
face="arial" size="2" color="#FFF8DC">slecht</font><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr> <tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 4.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Vind je dat genoeg promotie is gemaakt ten behoeve van het feest?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<input type="radio" name="q4" value="ja"> <font
face="arial" size="2" color="#FFF8DC">ja</font><br>
<input type="radio" name="q4" value="nee"> <font
face="arial" size="2" color="#FFF8DC">nee</font><br>
<input type="radio" name="q4" value="geen mening"> <font
face="arial" size="2" color="#FFF8DC">geen mening</font><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 5.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Vond je het feest goed genoeg om er in de toekomst nog een keer heen te gaan?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<input type="radio" name="q5" value="ja"> <font
face="arial" size="2" color="#FFF8DC">ja</font><br>
<input type="radio" name="q5" value="nee"> <font
face="arial" size="2" color="#FFF8DC">nee</font><br>
<input type="radio" name="q5" value="weet ik niet"> <font
face="arial" size="2" color="#FFF8DC">weet ik niet</font><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 6.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Heb je je goed vermaakt?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<input type="radio" name="q6" value="ja"> <font
face="arial" size="2" color="#FFF8DC">ja</font><br>
<input type="radio" name="q6" value="nee"> <font
face="arial" size="2" color="#FFF8DC">nee</font><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr> <tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 7.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Hoe vondt je de line-up?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<input type="radio" name="q7" value="geweldig"> <font
face="arial" size="2" color="#FFF8DC">geweldig</font><br>
<input type="radio" name="q7" value="goed"> <font
face="arial" size="2" color="#FFF8DC">goed</font><br>
<input type="radio" name="q7" value="ok"> <font
face="arial" size="2" color="#FFF8DC">ok</font><br>
<input type="radio" name="q7" value="slecht"> <font
face="arial" size="2" color="#FFF8DC">slecht</font><br>
<input type="radio" name="q7" value="waardeloos"> <font
face="arial" size="2" color="#FFF8DC">waardeloos</font><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 8.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Welke dj miste je?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<input type="text" size="50" name="q8"><br>
</td>
</tr>
<tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 9.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Waarom juist deze dj?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<input type="text" size="50" name="q9"><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 10.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Wat vond je van het licht?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<input type="radio" name="q10" value="goed"> <font
face="arial" size="2" color="#FFF8DC">goed</font><br>
<input type="radio" name="q10" value="slecht"> <font
face="arial" size="2" color="#FFF8DC">slecht</font><br>
<input type="radio" name="q10" value="geen mening"> <font
face="arial" size="2" color="#FFF8DC">geen mening</font><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 11.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Wat vond je van het geluid?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<input type="radio" name="q11" value="goed"> <font
face="arial" size="2" color="#FFF8DC">goed</font><br>
<input type="radio" name="q11" value="slecht"> <font
face="arial" size="2" color="#FFF8DC">slecht</font><br>
<input type="radio" name="q11" value="geen mening"> <font
face="arial" size="2" color="#FFF8DC">geen mening</font><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 12.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Wat zou je graag anders zien bij een volgend feest?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<textarea name="q12" rows="15" cols="45"></textarea><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr> <tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 13.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Welk cijfer geef je dit feest?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<input type="radio" name="q13" value="1"> <font
face="arial" size="2" color="#FFF8DC">1</font><br>
<input type="radio" name="q13" value="2"> <font
face="arial" size="2" color="#FFF8DC">2</font><br>
<input type="radio" name="q13" value="3"> <font
face="arial" size="2" color="#FFF8DC">3</font><br>
<input type="radio" name="q13" value="4"> <font
face="arial" size="2" color="#FFF8DC">4</font><br>
<input type="radio" name="q13" value="5"> <font
face="arial" size="2" color="#FFF8DC">5</font><br>
<input type="radio" name="q13" value="6"> <font
face="arial" size="2" color="#FFF8DC">6</font><br>
<input type="radio" name="q13" value="7"> <font
face="arial" size="2" color="#FFF8DC">7</font><br>
<input type="radio" name="q13" value="8"> <font
face="arial" size="2" color="#FFF8DC">8</font><br>
<input type="radio" name="q13" value="9"> <font
face="arial" size="2" color="#FFF8DC">9</font><br>
<input type="radio" name="q13" value="10"> <font
face="arial" size="2" color="#FFF8DC">10</font><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr> <tr>
<td width="75"><font face="arial" size="2" color="#FFF8DC">Vraag 14.</font></td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Heb je nog suggesties?</b></font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td>
<textarea name="q14" rows="15" cols="45"></textarea><br>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr> <tr>
<td> </td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Uw naam:</b></font> <font face="arial" size="1"
color="#FFF8DC"

niet verplicht)</font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td><input type="text" size="35" name="naam"><br></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td> </td>
<td> </td>
<td><font face="arial" size="2" color="#FFF8DC"><b>Uw e-mailadres:</b></font> <font face="arial"
size="1" color="#FFF8DC"

niet verplicht)</font></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td><input type="text" size="35" name="email"><br></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr>
</table>
<table border="0" width="425">
<tr>
<td align="right"><input type="submit" name="submit" value="Verzenden >>"></td>
</tr>
</form>
</table>
</body>
</html>