<% ' FP_ASP ASP Automatically generated by a FrontPage Component. Do not Edit. On Error Resume Next Session("FP_OldCodePage") = Session.CodePage Session("FP_OldLCID") = Session.LCID Session.CodePage = 1252 Session.LCID = 1033 Err.Clear strErrorUrl = "" If Request.ServerVariables("REQUEST_METHOD") = "POST" Then If Request.Form("VTI-GROUP") = "1" Then Err.Clear Set fp_conn = Server.CreateObject("ADODB.Connection") FP_DumpError strErrorUrl, "Cannot create connection" Set fp_rs = Server.CreateObject("ADODB.Recordset") FP_DumpError strErrorUrl, "Cannot create record set" fp_conn.Open Application("survey2_ConnectionString") FP_DumpError strErrorUrl, "Cannot open database" fp_rs.Open "Results", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable FP_DumpError strErrorUrl, "Cannot open record set" fp_rs.AddNew FP_DumpError strErrorUrl, "Cannot add new record set to the database" Dim arFormFields1(9) Dim arFormDBFields1(9) Dim arFormValues1(9) arFormFields1(0) = "Contact_HomePhone" arFormDBFields1(0) = "Contact_HomePhone" arFormValues1(0) = Request("Contact_HomePhone") arFormFields1(1) = "Contact_Address2" arFormDBFields1(1) = "Contact_Address2" arFormValues1(1) = Request("Contact_Address2") arFormFields1(2) = "Contact_StreetAddress" arFormDBFields1(2) = "Contact_StreetAddress" arFormValues1(2) = Request("Contact_StreetAddress") arFormFields1(3) = "Contact_ZipCode" arFormDBFields1(3) = "Contact_ZipCode" arFormValues1(3) = Request("Contact_ZipCode") arFormFields1(4) = "Contact_Email" arFormDBFields1(4) = "Contact_Email" arFormValues1(4) = Request("Contact_Email") arFormFields1(5) = "Contact_FirstName" arFormDBFields1(5) = "Contact_FirstName" arFormValues1(5) = Request("Contact_FirstName") arFormFields1(6) = "Contact_City" arFormDBFields1(6) = "Contact_City" arFormValues1(6) = Request("Contact_City") arFormFields1(7) = "Contact_LastName" arFormDBFields1(7) = "Contact_LastName" arFormValues1(7) = Request("Contact_LastName") arFormFields1(8) = "Contact_State" arFormDBFields1(8) = "Contact_State" arFormValues1(8) = Request("Contact_State") FP_SaveFormFields fp_rs, arFormFields1, arFormDBFields1 If Request.ServerVariables("REMOTE_HOST") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_HOST"), "Remote_computer_name" End If If Request.ServerVariables("HTTP_USER_AGENT") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("HTTP_USER_AGENT"), "Browser_type" End If FP_SaveFieldToDB fp_rs, Now, "Timestamp" If Request.ServerVariables("REMOTE_USER") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_USER"), "User_name" End If fp_rs.Update FP_DumpError strErrorUrl, "Cannot update the database" fp_rs.Close fp_conn.Close FP_FormConfirmation "text/html; charset=windows-1252",_ "Form Confirmation",_ "Thank you for submitting the following information:",_ "survey2.htm",_ "Return to the form." End If End If Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") %> New Page 2

Would you attend a well plugging workshop?                                                          Yes  No

Would you take advantage of cost share if it was available?                                     Yes  No

Would you attend another event if it were scheduled in the future?                                            Yes  No

Would you like more information on how to properly plug a well?                               Yes  No

Please describe information requested, i.e. brochure, contact, etc. (100 Characters Max)

Would you be interested in attending water quality improvement workshops in the Finley River watershed?                                                                                                                                    

 Yes  No

 

If you are interested in more information, please provide the following contact information:

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