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                        &nbsp;&nbsp;&nbsp;<span style="color:#004660; font-size:17px; font-family:Verdana,Arial,Sans-serif"><b>GPD site Survey</b>&nbsp;&nbsp;</TD>
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for(i = 0; i < frm.field_73.length; i++)
if (frm.field_73[i].checked) break;
if (frm.field_73.length==i) return error(frm.field_73[0]);

var url = document.URL;
if (url.indexOf(BUILDER) == -1 && url.charAt(url.length)!='/') {
 url = url.substring(0, url.lastIndexOf('/')+1);
}
frm.domain.value=url;
return true;

}
function error(field){ alert('You did not fill all required fields!'); field.focus(); return false; }
</SCRIPT>
<form name="questionary" action="http://205.178.132.60:8080/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="domain" value="">
<input type="hidden" name="title" value="GPD site Survey">
<input type="hidden" name="esubj" value="form.subj_value">
<input type="hidden" name="name" value="=GCh0WGxbU1bal4b">
<input type="hidden" name="submit_url" value="onsubmit1.html">
<input type="hidden" name="error_url" value="onerror1.html">

<input type="hidden" name="order" value="70 71 72 73 74 75 76 77 d78 ">

<center><table border="0" cellpadding="0" cellspacing="0" width="90%">
<tr>
    <td width="240" valign="top" bgcolor="#B2D1CF"><img src="widgets/spacer.gif" height=12 width=240 alt="">
        &nbsp;&nbsp;&nbsp;<img border="0" name="gen_573" src="widgets/gen_573.1.gif">&nbsp;&nbsp;<br><br></td>
    <td WIDTH="20"><img src="widgets/spacer.gif" height=1 width=20 alt=""></td>
    <td WIDTH="100%"><img src="widgets/spacer.gif" height=1 width=1 alt=""></td>
</tr>
<input type="hidden" name="name_70" value="Is this your first visit to our webpage">
<tr>
    <td valign="top" bgcolor="#B2D1CF"><div style="border:6px; border-color:#B2D1CF; border-style:solid; text-align:justify">


<font face='Arial' size='+1' color='#000000'>

Is this your first visit to our webpage

</font>


<font color="red" size="-1">*</font><br><br></td>
    <td WIDTH="20"><img src="widgets/spacer.gif" height=1 width=20 alt=""></td>
    <td valign="top"><input type="radio" name="field_70" value="Yes">


<font face='Arial' size='2' color='#000000'>

Yes

</font>


<input type="radio" name="field_70" value="No">


<font face='Arial' size='2' color='#000000'>

No

</font>


    </td>
</tr><input type="hidden" name="name_71" value="Dis you find the site helpful">
<tr>
    <td valign="top" bgcolor="#B2D1CF"><div style="border:6px; border-color:#B2D1CF; border-style:solid; text-align:justify">


<font face='Arial' size='+1' color='#000000'>

Dis you find the site helpful

</font>


<font color="red" size="-1">*</font><br><br></td>
    <td WIDTH="20"><img src="widgets/spacer.gif" height=1 width=20 alt=""></td>
    <td valign="top"><input type="radio" name="field_71" value="Yes">


<font face='Arial' size='2' color='#000000'>

Yes

</font>


<input type="radio" name="field_71" value="No">


<font face='Arial' size='2' color='#000000'>

No

</font>


    </td>
</tr><input type="hidden" name="name_72" value="Are you a Resident of Greenfield">
<tr>
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<font face='Arial' size='+1' color='#000000'>

Are you a Resident of Greenfield

</font>


<font color="red" size="-1">*</font><br><br></td>
    <td WIDTH="20"><img src="widgets/spacer.gif" height=1 width=20 alt=""></td>
    <td valign="top"><input type="radio" name="field_72" value="Yes">


<font face='Arial' size='2' color='#000000'>

Yes

</font>


<input type="radio" name="field_72" value="No">


<font face='Arial' size='2' color='#000000'>

No

</font>


    </td>
</tr><input type="hidden" name="name_73" value="Are you a resident of Massachusetts">
<tr>
    <td valign="top" bgcolor="#B2D1CF"><div style="border:6px; border-color:#B2D1CF; border-style:solid; text-align:justify">


<font face='Arial' size='+1' color='#000000'>

Are you a resident of Massachusetts

</font>


<font color="red" size="-1">*</font><br><br></td>
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    <td valign="top"><input type="radio" name="field_73" value="Yes">


<font face='Arial' size='2' color='#000000'>

Yes

</font>


<input type="radio" name="field_73" value="No">


<font face='Arial' size='2' color='#000000'>

No

</font>


    </td>
</tr><input type="hidden" name="name_74" value="What State/or Country do you reside in ">
<tr>
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<font face='Arial' size='+1' color='#000000'>

What State/or Country do you reside in 

</font>


<br><br></td>
    <td WIDTH="20"><img src="widgets/spacer.gif" height=1 width=20 alt=""></td>
    <td valign="top"><input type="text" name="field_74" size=35>
    
    </td>
</tr><input type="hidden" name="name_75" value="What part of the site did you like the most">
<tr>
    <td valign="top" bgcolor="#B2D1CF"><div style="border:6px; border-color:#B2D1CF; border-style:solid; text-align:justify">


<font face='Arial' size='+1' color='#000000'>

What part of the site did you like the most

</font>


<br><br></td>
    <td WIDTH="20"><img src="widgets/spacer.gif" height=1 width=20 alt=""></td>
    <td valign="top"><input type="text" name="field_75" size=35>
    
    </td>
</tr><input type="hidden" name="name_76" value="What part did you like the least">
<tr>
    <td valign="top" bgcolor="#B2D1CF"><div style="border:6px; border-color:#B2D1CF; border-style:solid; text-align:justify">


<font face='Arial' size='+1' color='#000000'>

What part did you like the least

</font>


<br><br></td>
    <td WIDTH="20"><img src="widgets/spacer.gif" height=1 width=20 alt=""></td>
    <td valign="top"><input type="text" name="field_76" size=35>
    
    </td>
</tr><input type="hidden" name="name_77" value="What information would you like to see on the site">
<tr>
    <td valign="top" bgcolor="#B2D1CF"><div style="border:6px; border-color:#B2D1CF; border-style:solid; text-align:justify">


<font face='Arial' size='+1' color='#000000'>

What information would you like to see on the site

</font>


<br><br></td>
    <td WIDTH="20"><img src="widgets/spacer.gif" height=1 width=20 alt=""></td>
    <td valign="top"><textarea name="field_77" rows="5" cols="30"></textarea>
    
    </td>
</tr><input type="hidden" name="name_78" value="Please enter the date of your visit">
<tr>
    <td valign="top" bgcolor="#B2D1CF"><div style="border:6px; border-color:#B2D1CF; border-style:solid; text-align:justify">


<font face='Arial' size='+1' color='#000000'>

Please enter the date of your visit

</font>


<br><br></td>
    <td WIDTH="20"><img src="widgets/spacer.gif" height=1 width=20 alt=""></td>
    <td valign="top"><select name="field_m_78" size="1">
    <option>Jan<option>Feb<option>Mar
    <option>Apr<option>May<option>Jun
    <option>Jul<option>Aug<option>Sep
    <option>Oct<option>Nov<option>Dec
    </select>
    <select name="field_d_78" size="1">
    <option>1<option>2<option>3<option>4<option>5<option>6<option>7<option>8<option>9<option>10<option>11<option>12<option>13<option>14<option>15<option>16<option>17<option>18<option>19<option>20<option>21<option>22<option>23<option>24<option>25<option>26<option>27<option>28<option>29<option>30<option>31
    </select>
    <input type="text" name="field_y_78" size="4" maxsize="4">
    
    </td>
</tr>
<tr>
    <td bgcolor="#B2D1CF">&nbsp;</td>
    <td WIDTH="20"><img src="widgets/spacer.gif" height=1 width=20 alt=""></td>
    <td><br><input onClick="return validate(form)" type="submit" value="Submit">
        <input type="reset"  value="Reset">
    </td>
</tr>
</table>
</center>
</form>
<!-- Template Error: Function end_pagel7 has not been defined. -->

<!-- EOF: ./personal-templates/simple/businessnew/form/style_l7.html -->

                
                                        <br>

<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Home</A>|</nobr>

<nobr>|<a href="News 2008.html">News</A>|</nobr>

<nobr>|<a href="about.html">Mission</A>|</nobr>

<nobr>|<a href="profile.html">Organization</A>|</nobr>

<nobr>|<a href="external.html">Crime Map </A>|</nobr>

<nobr>|<a href="Download.html">Daily Log</A>|</nobr>

<nobr>|<a href="Download.html2.html">Forms</A>|</nobr>

<nobr>|<a href="Download.html1.html">Statistics</A>|</nobr>

<nobr>|<a href="gpage1.html">Help for Victims</A>|</nobr>

<nobr>|<a href="job.html">Jobs</A>|</nobr>

<nobr>|<a href="Download1.html">DISPATCH</A>|</nobr>

<nobr>|<a href="gpage.html">Special Units</A>|</nobr>

<nobr>|<a href="directions.html">Directions</A>|</nobr>

<nobr>|<a href="catalog.html">Sex Offenders</A>|</nobr>

<nobr>|<a href="catalog1.html">Animal Control</A>|</nobr>

<nobr>|<a href="about.html1.html">Memoriam</A>|</nobr>

<nobr>|Survey|</nobr>

<nobr>|<a href="slideshow_flash.html">Photos</A>|</nobr>

<nobr>|<a href="contact.html">Contact Us</A>|</nobr>
</center>
</font>


                                        <br>
                                        
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<br><font face="helvetica,verdana, arial" size="1">&nbsp;</font>

</td></tr></table></center>

                </TD>
                <TD WIDTH=12 HEIGHT=100% BGCOLOR="#B2D1CF">
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                <TD WIDTH=3 HEIGHT=100% BGCOLOR="#E3FFFF">
                        <IMG SRC="widgets/spacer.gif" WIDTH=3 HEIGHT=1></TD>
                <TD WIDTH=34 HEIGHT=100% BGCOLOR="#004660">
                <IMG SRC="widgets/spacer.gif" WIDTH=34 HEIGHT=1></TD>
        </TR>
</TABLE>
<!-- EOF: ./personal-templates/simple/businessnew/layout/l7.layout -->

    
<!-- BOF: ./personal-templates/simple/themes.show.body -->


<script language="javascript">
	if (document.images)
	var staticlogo=new Image()
	staticlogo.src="";
	var logolink = "index.html"
	var alttext="Department patch"
	
	var dist_vert=5;


	var dist_hor=0


	var fadeintoview=0;
	var fade_dur=0;
;

	var visibleduration=10; 

	var placement=1;  
</script>
<script language="javascript1.2" src="widgets/staticlogo1.js"></script>

<!-- EOF: ./personal-templates/simple/themes.show.body -->

</body>
<!-- BOF: ./personal-templates/simple/themes.show.end -->


<!-- EOF: ./personal-templates/simple/themes.show.end -->


</html>


<!-- EOF: ./personal-templates/show.body -->