E; 2/01 Luxury hamper of Somerset food and drink

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Win a Somerset Food Hamper

Please take a minute to fill in our questionnaire and tell us what you think of our site. All completed entries go into a prize draw for a luxury hamper of Somerset food and drink, worth �30.
Multiple entires will be disqualified. If you wish to alert us to any problems with the site please contact us.
The next draw will take place on 2nd January 2008. The winners name will be posted here, so don't forget to bookmark this site.
Winner of the last draw : Simon Miller from Bristol Congratulations!
This questionnaire should only take a couple of minutes to complete. There are only 6 questions. Please use Tab or your mouse to move around the questionnaire.
<!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --> <form name="FrontPage_Form1" onsubmit="return FrontPage_Form1_Validator(this)" action="index.php?option=com_staticxt&staticfile=somerset_win_content.php" method="post" webbot-action="--WEBBOT-SELF--"> 1. How did you find out about this site? Please select all that apply

<table border="0" cellpadding="0" cellspacing="0" width="90%"> <tbody> <tr> <td width="45%">Search Engine.</td> <td width="3%"><input value="searchengine" name="find" type="checkbox"> </td> <td width="52%">Please State: <input style="background-color: rgb(255, 255, 160);" name="find_search"> </td></tr> <tr> <td width="45%">Link from another site </td> <td width="3%"><input value="LinkFromAnotherSite" name="find" type="checkbox"> </td> <td width="52%">Please State: <input style="background-color: rgb(255, 255, 160);" name="find_link"> </td></tr> <tr> <td width="45%">Advertising in Newspapers/magazines </td> <td width="3%"><input value="Advertising" name="find" type="checkbox"> </td> <td width="52%">Please State: <input style="background-color: rgb(255, 255, 160);" name="othermag"> </td></tr> <tr> <td width="45%">From a brochure </td> <td width="3%"><input value="Brochure" name="find" type="checkbox"> </td> <td width="52%">
</td></tr> <tr> <td width="45%">Friends/Relatives </td> <td width="3%"><input value="FriendsRelatives" name="find" type="checkbox"> </td> <td width="52%">
</td></tr> <tr> <td width="45%">Other</td> <td width="3%"><input value="Other" name="find" ?="" type="checkbox"> </td> <td width="52%">Please State: <input style="background-color: rgb(255, 255, 160);" name="find_other"> </td></tr></tbody></table>

2. What were you looking for when you entered this site? Please select all that apply

<table border="0" cellpadding="0" cellspacing="0" width="80%"> <tbody> <tr> <td height="21">Just Browsing</td> <td height="21"><input value="JustBrowsing" name="looking" type="checkbox"></td> <td height="21">
</td></tr> <tr> <td height="21">Attractions information</td> <td height="21"><input value="Attractions" name="looking" type="checkbox"></td> <td height="21">
</td></tr> <tr> <td height="20">Accommodation Information</td> <td height="20"><input value="Accommodation" name="looking" type="checkbox"></td> <td height="20">
</td></tr> <tr> <td height="21">Special Events</td> <td height="21"><input value="SpecialEvents" name="looking" type="checkbox"></td> <td height="21">
</td></tr> <tr> <td height="21">General Information</td> <td height="21"><input value="General" name="looking" type="checkbox"></td> <td height="21">
</td></tr> <tr> <td height="25">Other</td> <td height="25"><input value="Other" name="looking" type="checkbox"></td> <td height="25">Please State: <input style="background-color: rgb(255, 255, 160);" name="OtherLookingFor"></td></tr></tbody></table>

3. Please take a few moments to tell us what you like and dislike about our site.

<table border="0" cellpadding="2" cellspacing="0" width="80%"> <tbody> <tr> <td height="20">
</td> <td height="20">Excellent</td> <td height="20">Good</td> <td height="20">Average</td> <td height="20">Poor</td> <td height="20">Very Poor</td></tr> <tr> <td height="20">Design/Layout</td> <td align="center" height="20"><input value="DesignExcellent" name="design" type="checkbox"></td> <td align="center" height="20"><input value="DesignGood" name="design" type="checkbox"></td> <td align="center" height="20"><input value="DesignAverag" name="design" type="checkbox"></td> <td align="center" height="20"><input value="DesignPoor" name="design" type="checkbox"></td> <td align="center" height="20"><input value="DesignVeryPoor" name="design" type="checkbox"></td></tr> <tr> <td height="20">Content/Information</td> <td align="center" height="20"><input value="ContentExcellent" name="content" type="checkbox"></td> <td align="center" height="20"><input value="ContentGood" name="content" type="checkbox"></td> <td align="center" height="20"><input value="ContentAverage" name="content" type="checkbox"></td> <td align="center" height="20"><input value="ContentPoor" name="content" type="checkbox"></td> <td align="center" height="20"><input value="ContentVeryPoor" name="content" type="checkbox"></td></tr> <tr> <td height="20">Time Taken to Download</td> <td align="center" height="20"><input value="DownloadExcellent" name="download" type="checkbox"></td> <td align="center" height="20"><input value="DownloadGood" name="download" type="checkbox"></td> <td align="center" height="20"><input value="DownloadAverage" name="download" type="checkbox"></td> <td align="center" height="20"><input value="DownloadPoor" name="download" type="checkbox"></td> <td align="center" height="20"><input value="DownloadVeryPoor" name="download" type="checkbox"></td></tr></tbody></table>

4. We would appreciate any suggestions for improving the site.
Please place your comments here:
<textarea name="comments" rows="3" cols="40"></textarea>
5. How many people within your household are in the following age groups?
Please complete all that apply.

<table border="0" cellpadding="2" cellspacing="0" width="70%"> <tbody> <tr> <td align="right">0 - 4 </td> <td align="left"><input size="5" name="0_4"></td> <td align="right">5 - 10</td> <td align="left"><input size="5" name="5_10"></td> <td align="right">11 - 15</td> <td align="left"><input size="5" name="11_15"></td></tr> <tr> <td align="right">16 - 24</td> <td align="left"><input size="5" name="16_24"></td> <td align="right">25 - 34</td> <td align="left"><input size="5" name="25_34"></td> <td align="right">35 - 44</td> <td align="left"><input size="5" name="35_44"></td></tr> <tr> <td align="right">45 - 54</td> <td align="left"><input size="5" name="45_54"></td> <td align="right">55 - 64</td> <td align="left"><input size="5" name="55_64"></td> <td align="right">65+</td> <td align="left"><input size="5" name="plus65"></td></tr></tbody></table>

6. What is your occupation? Please select one

<table border="0" cellpadding="0" cellspacing="0" width="80%"> <tbody> <tr> <td height="21">Managerial/Professional</td> <td height="21"><input value="Managerial" name="occupation" type="checkbox"> </td> <td height="21">
</td></tr> <tr> <td height="21">IT Based</td> <td height="21"><input value="ITBased" name="occupation" type="checkbox"></td> <td height="21">
</td></tr> <tr> <td height="20">Manual Worker</td> <td height="20"><input value="Manual" name="occupation" type="checkbox"></td> <td height="20">
</td></tr> <tr> <td height="21">Clerical Worker</td> <td height="21"><input value="Clerical" name="occupation" type="checkbox"></td> <td height="21">
</td></tr> <tr> <td height="21">Self-Employed</td> <td height="21"><input value="SelfEmployed" name="occupation" type="checkbox"></td> <td height="21">
</td></tr> <tr> <td height="25">Unemployed</td> <td height="25"><input value="Unemployed" name="occupation" type="checkbox"></td> <td height="25">
</td></tr> <tr> <td height="25">Retired</td> <td height="25"><input value="Retired" name="occupation" type="checkbox"></td> <td height="25">
</td></tr> <tr> <td height="25">Student</td> <td height="25"><input value="Student" name="occupation" type="checkbox"></td> <td height="25">
</td></tr> <tr> <td height="25">Other</td> <td height="25"><input value="Other" name="occupation" type="checkbox"> </td> <td height="25">Please State: <input style="background-color: rgb(255, 255, 160);" name="occupation_other"></td></tr></tbody></table>

Please complete your name and address details in order to be entered into the prize draw for a Somerset Food Hamper. Fields marked with a * must be completed before the form can be sent.

<table border="0" cellpadding="2" cellspacing="0" width="60%"> <tbody> <tr> <td align="right">Name* </td> <td><!--webbot bot="Validation" B-Value-Required="TRUE" --><input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" name="name"></td></tr> <tr> <td align="right">Address 1* </td> <td><!--webbot bot="Validation" B-Value-Required="TRUE" --><input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" name="address1"></td></tr> <tr> <td align="right">Address 2 </td> <td><input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" name="address2"></td></tr> <tr> <td align="right">Town* </td> <td><!--webbot bot="Validation" B-Value-Required="TRUE" --><input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" name="town"></td></tr> <tr> <td align="right">County / State* </td> <td><!--webbot bot="Validation" B-Value-Required="TRUE" --><input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" name="county"></td></tr> <tr> <td align="right">Post / Zip Code* </td> <td><!--webbot bot="Validation" B-Value-Required="TRUE" --><input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" name="postcode"></td></tr> <tr> <td align="right">Country* </td> <td><!--webbot bot="Validation" B-Value-Required="TRUE" --><input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" name="country"></td></tr> <tr> <td align="right">Email Address</td> <td><input title="Your Google Toolbar can fill this in for you. Select AutoFill" style="background-color: rgb(255, 255, 160);" size="30" name="email"></td></tr></tbody></table>

Please tick this box <input value="no" name="information" type="checkbox">if you do not wish to receive further holiday information in the future.
<input value="Send Info" name="Submit" type="submit">
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