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									<p>How many times have you visited this website this year?</p>
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								<td><input name="visits" type="text" size="10"></td>
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								<td align="right"><p>How did you find this site?</p></td>
								<td><select name="find site">
										<option value="link" selected>links from other sites</option>
										<option value="newsletter">newsletter</option>
										<option value="search">search engine</option>
										<option value="referral">referral</option>
										<option value="publication">CIELAP publication</option>
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								<td align="right"><p>How many  publications have you downloaded from this website?</p></td>
								<td><input type="radio" value="several" name="severalreports" checked="1">Several <input type="radio" value="one" name="justonereport">Just one <input type="radio" value="none" name="noreports">None</td>
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								<td align="right" valign="top"><p>What areas are you most interested in? (use the shift or control keys to select more than one).</p></td>
								<td><select name="interests" size="8" multiple>
										<option value="SD">sustainable development</option>
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										<option value="policy">environmental policy</option>
										<option value="community">community outreach</option>
										<option value="youth">youth leadership</option>
										<option value="biotechnology">biotechnology</option>
										<option value="hazardous">hazardous wastes</option>
										<option value="water">water pollution</option>
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								<td align="right"><p>What do you like about this website?</p></td>
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