<html>
<head>
<title>Take Survey - Hidden Fields</title>
</head>
<body bgcolor=lightyellow>
<h1><center>Take Survey</center></h1>
<h3><center>Using Hidden Fields</center></h3>

<form method=POST name=order action=formChain.cgi>

<br>

<table border=1 width=600 bgcolor=#eeeeee>
<tr><td>
<b>Full Name</b><br>
<input type=text name=fullname size=40>

<tr><td>
<b>Email</b><br>
<input type=text name=email size=40>

<tr><td>
<b>Address</b><br>
<textarea name=addr rows=5 cols=40></textarea>

<tr><td>
<b>Sex:</b><br>
<input type=radio name=sex value=Male>  Male
<input type=radio name=sex value=Female>Female

<tr><td>
<b>Age Category:</b><br>
<input type=radio name=age value=child>         Under 10
<input type=radio name=age value=teen>          10-20
<input type=radio name=age value="young adult"> 20-35
<input type=radio name=age value=adult>         35-50
<input type=radio name=age value="older adult"> 50-65
<input type=radio name=age value=senior>        Over 65

<tr><td>
<b>Education:</b><br>
<input type=radio name=education value=HS>      High School
<input type=radio name=education value=BS>      College Degree
<input type=radio name=education value=MS>      Master Degree
<input type=radio name=education value=Dr/Post> Doctorate/Post Graduate

</table>

<br>

<input type=button value=Previous disabled>
<input type=submit value=Continue>
<input type=reset  value=Clear>

<input type=hidden name=next value='2survey.html'> 

</form>

</body>
</html>