Assignment: Write a Perl CGI script that is a working survey form for your Web visitors.

First Name: Last Name:

Street:

Extra Address:

City: State: ZipCode:

How did you hear about us?
How would you rate our sites content (1 Very Poor, 5 Excellent)?
1 2 3 4 5

Choose the items you are currently involved in:
Web Design
Web Server Administration
Studying Web Design
Looking for a Job in Web Design
Studying Web Server Administration
Looking for a Job in Web Server Administration

Comments and Suggestions: