Welcome!! To My Survey Form.
  I know its annoying to fill these things out, but I really like to find out more about the people who visit my sight. For one it allows me to see whether you are a potential client , employer or just visiting. I also value your comments and suggestions so I can better my site for you the viewer. So if you can spare the time please fill out this form and let me get your input.

Please Enter Your Name and Address in the Space Provided:
City: State or Country: Zip Code:

Personal Info (OPTIONAL)
21 and Under
22 to 34
35 to 44
45 to 54
55 to 64
65 and Over

Critiquing The SIte
(This Section Is So That I Can Get Objective View Of My Site)

Surfing The Net
U2 Fan
Potential Employer
Seeking Freelancer
Searching For Relatives
Justin's Website was: (Please check all that apply.) Informative
Poorly Designed
Well Designed
Needs Improvement
How Would You Rate The Site Overall?