Website survey page

This project was awarded to CreativeB24 for $75 USD.

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Project Budget
$30 - $250 USD
Total Bids
Project Description

I am seeking a webpage (1) made similar to the link below. You must be able to set it up for reponses to come to my email address for me to export into excel. I have domain name and hosting already. This must be setup and running live in by September 11, 2008

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