<HTML>
<HEAD>
<SCRIPT LANGUAGE=JavaScript>
<!--
	function DoctorElements()
	{
		var i,j;
		for (i=0; i < document.forms[0].elements.length-1; i++)
			switch (String(document.forms[0].elements[i].name).substring(0,3))
			{
				case "chk":
					if (document.forms[0].elements[i].checked)
						document.forms[0].elements[i].value = "Yes";
					else {
						document.forms[0].elements[i].checked = true;
						document.forms[0].elements[i].value = "No";
					}
					break;
			}
	}
// -->
</SCRIPT>
</HEAD>
<BODY>

<FORM METHOD=POST ACTION="mailForm.asp" ONSUBMIT="DoctorElements();">
	<INPUT TYPE=HIDDEN NAME="urlSendTo" VALUE="/mailform/thankyou.htm">
	<INPUT TYPE=HIDDEN NAME="urlFromPath" VALUE="/mailform/default.htm">
	
	Name: <INPUT TYPE=TEXT NAME="txtUser.Name"><BR>
	Age:
	<SELECT NAME=selUser.Age SIZE=1>
		<OPTION VALUE="Under 18">Under 18</OPTION>
		<OPTION VALUE="18 - 24">18 - 24</OPTION>
		<OPTION VALUE="25 - 40">25 - 40</OPTION>
		<OPTION VALUE="Over 40">Over 40</OPTION>
	</SELECT><BR>

	Sex:
	<BR>
	<INPUT TYPE=RADIO NAME=radSex VALUE="Male" CHECKED>Male<BR>
	<INPUT TYPE=RADIO NAME=radSex VALUE="Female">Female
	<P>
	I like cheese: <INPUT TYPE=CHECKBOX NAME=chkI.Like.Cheese>

<P><INPUT TYPE=SUBMIT>
</FORM>
</BODY>
</HTML>