Survey

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=100 BGCOLOR="#CCCCFF" TEXT="#080000" bgproperties="fixed" background="08400640egdysm.jpg"> <div> <FONT SIZE="5" COLOR="#000066" FACE="Arial" ><B>Mindy's CD Page</B></FONT><FONT SIZE="5" COLOR="#000099" FACE="Arial" ><B> </B></FONT><B>    |     </B><A HREF="index.htm" TARGET="_top" TITLE="Mindys CD Page"><U><B>home</B></U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="My Content"><U>My Content</U></A>   |   <A HREF="id34.htm" TARGET="_top" TITLE="About Me"><U>About Me</U></A>   |   <A HREF="id35.htm" TARGET="_top" TITLE="Survey Updates"><U>Survey Updates</U></A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="Photo Album"><U>Photo Album</U></A>   |   <B>Survey</B>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Favorite Links"><U>Favorite Links</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Contact Me"><U>Contact Me</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Nevada Transgender Expressions"><U>Nevada Transgender Expressions</U></A>   |   <A HREF="id26.htm" TARGET="_top" TITLE="Humor"><U>Humor</U></A>   |   <A HREF="id28.htm" TARGET="_top" TITLE="Tips"><U>Tips</U></A>   |   <A HREF="id29.htm" TARGET="_top" TITLE="Coming To Las Vegas"><U>Coming To Las Vegas</U></A>   |   <A HREF="id38.htm" TARGET="_top" TITLE="Some Special Tips On Day to Day Stuff"><U>Some Special Tips On Day to Day Stuff</U></A>   |   <A HREF="id36.htm" TARGET="_top" TITLE="Tamas Closet"><U>Tama's Closet</U></A>   |   <A HREF="id32.htm" TARGET="_top" TITLE="Diva Las Vegas"><U>Diva Las Vegas</U></A>   |   <A HREF="id31.htm" TARGET="_top" TITLE="Mindy The Entertainer"><U>Mindy The Entertainer</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=200 BGCOLOR="#0000BF" TEXT="#F7F7FF"> <div> <B>This page is a blind page.. none of the information you submit will be shared other then in a demographic regarding cross dressers</B></div> </td> <td valign="top" height=380 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Survey</I></div> <div> This page is an intent to gather information regarding cross dressers in today's  society.  If you choose to fill in the following information it will remain private.   Please do take the time to do this as it will benefit all cross dressers. </div> <div>  <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="age,preferance,relationship,knowledge,public,source,shopping,Comments,Optional"><input type="hidden" name="tlx_FormIndex" value="1"><input type="hidden" name="tlx_OKMessage" value="Thank you for your response to this survey."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A comment form was submitted"><input type="hidden" name="tlx_EmailTo" value="mindy_cd@ineedhits-mail.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Age you 1st remember cross dressing.:<br> <input type="text" name="age" size="2" maxlength="2"></td> </tr> <tr> <td align="left">Do you dress regularly?:<br> <input type="text" name="preferance" size="3" maxlength="3"></td> </tr> <tr> <td align="left">Are you currently in a relationship?:<br> <input type="text" name="relationship" size="3" maxlength="3"></td> </tr> <tr> <td align="left">Does your current SO know you cross dress?:<br> <input type="text" name="knowledge" size="3" maxlength="3"></td> </tr> <tr> <td align="left">Do you ever go out in public dressed in other mode?:<br> <input type="text" name="public" size="3" maxlength="3"></td> </tr> <tr> <td align="left">Where do you buy your alternate clothing? ie chain stores, independent stores, internet:<br> <input type="text" name="source" size="20" maxlength="20"></td> </tr> <tr> <td align="left">Do you shop dressed?:<br> <input type="text" name="shopping" size="3" maxlength="3"></td> </tr> <tr> <td align="left">Short comment regarding your cd experience:<br> <textarea name="Comments" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="left">Your e-mail address if you would like info regarding this survey:<br> <input type="text" name="Optional" size="30" maxlength="100"></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> </td> </tr></table></body>