Link Your Site to the Quiz

By filling out the form below you get.

Quiz2d will talley results from your site separately.
I will periodically send the results to you. (Time period varies.)
JavaScript code to make the quiz pop up in a separate small window. Takers of the quiz will remain at your site.

Note that all statistics are anonymous. I do not associate results with taker in any way. The only association is potentially by date and by referring web site.

The name of the organization with the web site. Technically I don't have to have it, but it satisfies my curiosity. And the name you enter here will go in the reports.

Organization:

I like to see the sites that use the quiz. Humor me.

Web site:

I DO need your email address to send you your data. (I will not publicize your email address!)

E-mail:

And who am I addressing when I send the data.

Name:

Optional, but may prove useful. I will publicize.

Phone:

A database key for your data. This is mandatory! And please, no spaces or punctuation for this key.

One Word Referrer Code:

In the future, I may automate the process for allow viewing of the results from the quiz. If you want to keep your results private, hit "no". If you want to allow anyone to see the statistics of takers from your site, answer "yes".

Let Others See My Web Site's Results: Yes ____OR____ No