Dati personali
Name
Address
City
E-mail
How old are you?
less than 23
I'm 24 year old
I'm 25 year old
more than 25
Why did you join the Polytechnic?
--- Select ---
I'm interested in the courses
For the possibility of finding a job
I tried, I did not know in which university to register
Other
Your favourite color is
Blue
Red
Yellow
Green
When you hit 'Submit' the user input will be written to this textarea