Example form
Name
Address
City
E-mail
Why do you want to learn JavaScript?
Dunno
Because my boss told me to
Generally interested
It might come in useful
How did you get to this site?
--- Select ---
I found it by accident
Through WDF
Through NetlinQ
Through a search engine
I'd like additional information about
oranges
potatoes
tomatoes
blue whales
When you hit 'Submit' the user input will be written to this textarea