1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:
13:
14:
15:
16:
17:
18:
19:
20:
21:
22:
23:
24:
25:
26:
27:
28:
29:
30:
31:
32:
33:
34:
35:
36:
37:
38:
39:
40:
41:
42:
43:
44:
45:
46:
47:
48:
49:
50:
51:
52:
53:
54:
55: |
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<HTML><HEAD>
<meta http-equiv="content-type" content="text/html; charset=ISO-8859-1">
<META NAME="KEYWORDS" CONTENT="Fragebogen">
<META http-equiv="Content-Script-Type" content="text/javascript">
</HEAD>
<BODY BGCOLOR="#F0F0F0">
<form action="" method="post">
<input type=hidden name=fgbname value="Verhalten des Tieres">
<table width=740><tr><td>
<h2><font face="Arial">Fragebogen: Verhalten des Tieres</font></h2>
</td></tr>
</table>
<a name="F1"></a>
<table width=740><tr><td bgColor="#F0FFF0"><font face="Arial" size="+1">1. Haben Sie Hunde.
</font></td></tr></table>
<table width=740>
<tr>
<td width=40 align=right><input type=checkbox name="F1[]" value="0"></td><td width=322 align=left bgcolor="#E8FFFF"><font face="Arial">Ja</font></td>
<td width=40 align=right><input type=checkbox name="F1[]" value="2"></td><td width=322 align=left bgcolor="#E8FFFF"><font face="Arial">Nummer</font></td>
</tr>
<tr>
<td width=40 align=right><input type=checkbox name="F1[]" value="1"></td><td width=322 align=left bgcolor="#E8FFFF"><font face="Arial">Nein</font></td>
<td></td><td width=322 align=left bgcolor="#E8FFFF"><input name="S1" size=35 maxlength=254 type="text"></td>
</tr>
</table>
<table width=740><tr><td><hr></td></tr></table>
<a name="F2"></a>
<table width=740><tr><td bgColor="#F0FFF0"><font face="Arial" size="+1">2. steuerlich angemeldet
</font></td></tr></table>
<table width=740>
<tr>
<td width=40 align=right><input type=radio name="F2" value="0"></td><td width=322 align=left bgcolor="#E0FFFF"><font face="Arial">Ja</font></td>
<td width=40 align=right><input type=radio name="F2" value="1"></td><td width=322 align=left bgcolor="#E0FFFF"><font face="Arial">Nein</font></td>
</tr>
</table>
<table width=740><tr><td><hr></td></tr></table>
<input type=submit value="Abschicken"> <input type=reset value="Eingabe loeschen">
</form>
</BODY> </HTML>
|