This form should work correctly. This document also exercises a lot of the common input types, so you can see what they look like in the result. You can fill in the “recipient” field so you can get the email.
Recipient (whom to mail the form to):
First Name:
Last Name:
sex: Male or Female
religion: None Windows Macintosh Linux
Network activities (check all that apply):
Check if this was a stupid questionnaire:
Please tell us any additional comments you have: