Registration Form
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This information will be used for descriptive purposes only.
Gender
Male
Female
Year of birth
YYYY
Race
Black
Coloured
Asian
White
Job Position
Industry in which you work
How many years have you been using the Internet
Rate your level of expertise with the WWW
Web developer
Familiar with the terms html/css/asp
Can pretty much find my own way around the Internet
Can use a browser and search engine
Have heard of the Internet
Click on all the purposes for which you use the Internet mostly:
Updating information (e.g.. cricket scores, news, current affairs)
Accessing remote email, newsgroups, IRC/Instant Messaging
Banking
Shopping, & other purchases or transactions
Education
Data gathering (i.e. competitor analysis, data mining etc)
Web authoring
Searching for new information (i.e. company, product or service information, travel destinations etc.)
Software/video or music downloads
Entertainment, time-passing
Government Services
Other
Your attitude towards the Internet: 1= Strongly Disagree and 5 = Strongly Agree
Statement
1
2
3
4
5
The Internet has had a very positive impact on my life/work
I do not feel comfortable doing business with a company that can only be reached online
Your Email Address:
For the purposes of contacting you regarding prizes and the complimentary FM Website Guide