Question Form / Survey Template Only

How often do you visit the site

 
Once a day
Once a week
Once a month
Occasionally but not regularly

Do you subscribe?

 
Yes im a current subscriber
Never
I used to be but not currently
No, but id be interested

Is support a requirement?

 
Yes - its very important
Yes - occasionally
No - I can manage myself
No - but it will be in the future