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<TITLE> Mood Questionnaire | HTML Demonstration </TITLE>
<FORM ACTION = 'mailto:fraley@uic.edu' METHOD = 'post' ENCTYPE = 'text/plain'>
<INPUT TYPE = 'hidden' NAME = 'v0' VALUE = 'MoodSurvey'>
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<TD><FONT FACE = 'arial' SIZE = '5'> Mood Questionnaire </TD>
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<TD><FONT FACE = 'arial' SIZE = '2'>Please indicate whether you are <I>currently</I> experiencing the following mood states.<BR><BR>
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<TD><FONT FACE = 'arial' SIZE = '2'><B>happy </B> &nbsp &nbsp </TD>
<TD><FONT FACE = 'arial' SIZE = '2'><I>no</I> <INPUT TYPE = 'radio' NAME = 'v1' value = '0'> </TD>
<TD><INPUT TYPE = 'radio' NAME = 'v1' value = '1'><FONT FACE = 'arial' SIZE = '2'><I>yes</I></TD>
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<TD><FONT FACE = 'arial' SIZE = '2'><B>anxious</B> &nbsp &nbsp </TD>
<TD><FONT FACE = 'arial' SIZE = '2'><I>no</I> <INPUT TYPE = 'radio' NAME = 'v2' value = '0'> </TD>
<TD><INPUT TYPE = 'radio' NAME = 'v2' value = '1'><FONT FACE = 'arial' SIZE = '2'><I>yes</I></TD>
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<TD><FONT FACE = 'arial' SIZE = '2'><B>curious</B> &nbsp &nbsp </TD>
<TD><FONT FACE = 'arial' SIZE = '2'><I>no</I> <INPUT TYPE = 'radio' NAME = 'v3' value = '0'> </TD>
<TD><FONT FACE = 'arial' SIZE = 2><INPUT TYPE = 'radio' NAME = 'v3' value = '1'><I>yes</I></TD>
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<TD><FONT FACE = 'arial' SIZE = '2'><B>sorrowful </B>&nbsp &nbsp </TD>
<TD><FONT FACE = 'arial' SIZE = '2'><I>no</I> <INPUT TYPE = 'radio' NAME = 'v4' value = '0'> </TD>
<TD><INPUT TYPE = radio NAME = 'v4' value='1'><FONT FACE = 'arial' SIZE = '2'><I>yes</I></TD>
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<BR><BR><FONT FACE = 'arial' SIZE = '2'><INPUT TYPE = 'submit' VALUE = 'Click here when finished'><BR><BR>
<I>Thank you for your participation!</I>
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