<FORM ACTION="http://intranet/survey" METHOD=POST>
<P>Name</P>
<BR><INPUT NAME="CONTROL1" TYPE=TEXT VALUE="Your Name">
<P>Password</P>
<BR><INPUT TYPE="PASSWORD" NAME="CONTROL2">
<P>Color</P>
<BR><INPUT TYPE="RADIO" NAME="CONTROL3" VALUE="0" CHECKED>Red
<INPUT TYPE="RADIO" NAME="CONTROL3" VALUE="1">Green
<INPUT TYPE="RADIO" NAME="CONTROL3" VALUE="2">Blue
<P>Comments</P>
<BR><INPUT TYPE="TEXT" NAME="CONTROL4" SIZE="20,5" MAXLENGTH="250">
<P><INPUT NAME="CONTROL5" TYPE=CHECKBOX CHECKED>Send receipt</P>
<P><INPUT TYPE="SUBMIT" VALUE="OK"><INPUT TYPE="RESET" VALUE="Reset"></P>
</FORM>