document.write("<CENTER><TABLE WIDTH=70%><TR><TD VALIGN=top bgcolor=lightsteelblue>")
document.write("<table width=100% ")
document.write("</tr><tr><td><font size=4 color=brown>Because of this review, I will: (check all that apply)<br>")
document.write("<input type=radio value='to see this movie' name='box1'>")
document.write("<font face=Arial size=2 color=black>See this movie")
document.write("<input type=radio value='to skip this movie' name='box1'>Skip this movie")
document.write("<input type=checkbox value='get my local newspaper to hire this reviewer'")
document.write(" name='box8' >Get my local newspaper to hire this reviewer")
document.write("<br><input type=checkbox value='read more by this reviewer' name='box4' >")
document.write("Read more reviews by this reviewer")
document.write("<input type=checkbox value='recommend this reviewer' name='box5' >")
document.write("Recommend this reviewer")
document.write("</td></tr><tr><td>")
document.write("<font size=4 color=brown>I've seen the movie and:<br>")
document.write("<input type=radio value='I agree with the review' name='box1' >")
document.write("<font face='Arial' size=2 color=black>I agree with the review")
document.write("<input type=radio value='I disagree with the review' name='box1' >")
document.write("<font size=2 color=black>I disagree with the review<br>")
document.write("<input type=checkbox value='the review adds meaning to the movie for me'")
document.write(" name='box6'>")
document.write("<font face='Arial' size=2 color=black>The review adds meaning to the movie for me")
document.write("</td></tr><tr><td>")
document.write("<font size=4 color=brown>Only in terms of writing (not opinion), this review was:")
document.write(" <br><font face=Arial color=black size=2>")
document.write("<input type=radio value='Well written' name='box7' >")
document.write("Well written")
document.write("<input type=radio value='Very well written' name=box7 >Very well written")
document.write("<input type=radio value='Poorly written' name=box7 >Poorly written<br>")
document.write("<input type=radio value='Perceptive' name=box2 >Perceptive")
document.write("<input type=radio value='Off base' name=box2 >Completely off base<p>")
document.write("<p><font size=3 color=brown>As a resource for movie reviews, I rate this site: <br><font size=2 color=black>  1<input type=radio value=1 name='SiteRating'>")
document.write(" 2<input type=radio value=2 name='SiteRating'> 3<input type=radio value=3 name='SiteRating'>")
document.write(" 4<input type=radio value=4 name='SiteRating'> 5<input type=radio value=5 name='SiteRating'>")
document.write(" 6<input type=radio value=6 name='SiteRating'> 7<input type=radio value=7 name='SiteRating'>")
document.write(" 8<input type=radio value=8 name='SiteRating'> 9<input type=radio value=9 name='SiteRating'>")
document.write(" 10<input type=radio value=10 name='SiteRating'>")
document.write("</td></tr><tr><td valign='top'>")
document.write("<font size=4 color=brown>My own thoughts about the movie, the review or this site<br>")
document.write("<font size=2>Why I agree or disagree<font size=3><br>")
document.write("<font size=3><TEXTAREA NAME='comments' ROWS=2 COLS=50></TEXTAREA><br>")
document.write("<font color=black>")
document.write("Name:<br><input type=text name=name maxlength=30 size=30><br>")
document.write("Email address:<br><input type=text name=email maxlength=30 size=30>")
document.write("<center><p><font size=6><input type=submit value=  Send  > ")
document.write("<font size=3>  <input type=reset value= Clear ><p><font size=1 color=darkmagenta>(It sometimes takes a moment for our mail server to be connected.  Please don't click Send more than once.)<br>")
document.write("If you'd like to be quoted here, we need your name & email address just to prove we didn't write it ourselves.<br>")
document.write("We want your well thought out comment (no profanity) for others to consider and enjoy.</center>")
document.write("</td></tr></table>")
document.write("</td></tr></table></FORM>")