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HTML problems

this is the coding i have but it does not work properly.



 

Online Contact Form
What is your name?

Where are you from?

E-mail address?
Sex?
male Female >
Are you married?
yes No >
How long?
5 6-10 10-20 Longer >
Are you happy?
Yes Satisfactory Could be better No >
How often do you have intercourse a week?
1 2-3 4-7 7-10 >
Have you had an affair during your marriage?
Yes No >
If No have you thought of it?
Yes No >
If yes why?
Unhappy Sexual attraction Becuase I wanted to No reason >
If yes how often?
1 2-3 4-7 7 or more >
Would you tell your partner?
Yes No
Free Email Forms from Bravenet.com


can anyone send me the proper code so this will work?

take a look at the site so you can see what is going on http://UniversityofWaterloo.bravehost.com