Internet Business
Visitor Feedback Form

Postal Address
Internet Business, 000 Street,
City, ZIP 0000,
Fax Number
+1 0 0000 0000


Visitor Details

How did you find us?

Please specify, if not in list.

Did you find the information you were looking for? -- Yes | No
Specific information not found :

I want more information on the following (select one or more from list below):

How often do you browse the Internet?
Very Frequently | Occassionally | Very Rarely

If yes, what type of information do you look for?
Intellectual Info | Entertainment | Products and services

Your preferred method of online interaction
WWW Browsers
WWW download of software and data
FTP download of software and data
E_Mail support

Comments :