To use this form, enter the address you want your answers sent to,
type in the answers, and press submit. A mail message with your
answers will be sent to the address you specify. You are the only
person who will see this message; it will not be sent to me.
Enter the email address to send this completed form to:
Pressing the submit button will send a copy of the answers to the
email address you gave and will also take you to a page with your
answers so you can print it out if you like. The page is made
dynamically and the contents are not stored anywhere on this
system. No one will see your answers except you and the person at the
email address you gave above.