function vetAnswers1_(){
var yes = 0;
var no = 0;
	for (var i=1;i<12;i++) {
		if (eval('document.xlaapmform1_.answer' + i + '.value') !='') {
			yes++;
		} 
	}
		if (yes == 11) {
		return true;
		}
		else {
			alert('Please answer all the questions before submitting');
			return false;
		}
	}
function xlaapmsubmit1_(){
		if (vetAnswers1_()){
		xlaapmxe = window.open('','xlaapmxe','toolbar=0,location=0,status=1,menubar=1,scrollbars=1,resizable=1,width=500,height=350');
		document.xlaapmform1_.submit();
		xlaapmxe.focus();
	}
}
	document.write('<form name=xlaapmform1_ method=post target=xlaapmxe action=http:\/\/www.purcellbrackets.com\/survey\/xlaabsolute2.asp?p=1 style=margin:0;><table width=100% cellspacing=1 cellpadding=2><tr align=left><td colspan=2 valign=top><font  style=\"font-family:verdana;font-size:12;color:#000000;\"><b>1) Contact name<\/b><\/font><\/td><\/tr><tr><td colspan=2><input type=\'hidden\' name=\'answer1\' value=\'32\'><input type=\'text\' name=\'tanswer1\' style=\'width:98%\' value=\'\' size=20><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr align=left><td colspan=2 valign=top><font  style=\"font-family:verdana;font-size:12;color:#000000;\"><b>2) Company name<\/b><\/font><\/td><\/tr><tr><td colspan=2><input type=\'hidden\' name=\'answer2\' value=\'33\'><input type=\'text\' name=\'tanswer2\' style=\'width:98%\' value=\'\' size=20><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr align=left><td colspan=2 valign=top><font  style=\"font-family:verdana;font-size:12;color:#000000;\"><b>3) E-mail address<\/b><\/font><\/td><\/tr><tr><td colspan=2><input type=\'hidden\' name=\'answer3\' value=\'34\'><input type=\'text\' name=\'tanswer3\' style=\'width:98%\' value=\'\' size=20><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr align=left><td colspan=2 valign=top><font  style=\"font-family:verdana;font-size:12;color:#000000;\"><b>4) Phone number and extension<\/b><\/font><\/td><\/tr><tr><td colspan=2><input type=\'hidden\' name=\'answer4\' value=\'35\'><input type=\'text\' name=\'tanswer4\' style=\'width:98%\' value=\'\' size=20><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr align=left><td colspan=2 valign=top><font  style=\"font-family:verdana;font-size:12;color:#000000;\"><b>5) Fax number<\/b><\/font><\/td><\/tr><tr><td colspan=2><input type=\'hidden\' name=\'answer5\' value=\'36\'><input type=\'text\' name=\'tanswer5\' style=\'width:98%\' value=\'\' size=20><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr align=left><td colspan=2 valign=top><font  style=\"font-family:verdana;font-size:12;color:#000000;\"><b>6) PBI\'s engineering services?<\/b><\/font><\/td><\/tr><tr><td colspan=2><select name=\'answer6\'><option value=\'6\'>Very Satisfied<\/option><option value=\'7\'>Satisfied<\/option><option value=\'8\'>Neutral<\/option><option value=\'9\'>Dissatisfied<\/option><option value=\'10\'>Very Dissatisfied<\/option><\/select><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr align=left><td colspan=2 valign=top><font  style=\"font-family:verdana;font-size:12;color:#000000;\"><b>7) PBI\'s Delivery Performance?<\/b><\/font><\/td><\/tr><tr><td colspan=2><select name=\'answer7\'><option value=\'11\'>Very Satisfied<\/option><option value=\'12\'>Satisfied<\/option><option value=\'13\'>Neutral<\/option><option value=\'14\'>Dissatisfied<\/option><option value=\'15\'>Very Dissatisfied<\/option><\/select><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr align=left><td colspan=2 valign=top><font  style=\"font-family:verdana;font-size:12;color:#000000;\"><b>8) PBI\'S Pricing?<\/b><\/font><\/td><\/tr><tr><td colspan=2><select name=\'answer8\'><option value=\'26\'>Very competitive<\/option><option value=\'27\'>Competitive<\/option><option value=\'28\'>Somewhat competitive<\/option><option value=\'29\'>Noncompetitve<\/option><option value=\'30\'>Very noncompetitive<\/option><\/select><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr align=left><td colspan=2 valign=top><font  style=\"font-family:verdana;font-size:12;color:#000000;\"><b>9) PBI\'s response time?<\/b><\/font><\/td><\/tr><tr><td colspan=2><select name=\'answer9\'><option value=\'16\'>Very Satisfied<\/option><option value=\'17\'>Satisfied<\/option><option value=\'18\'>Neutral<\/option><option value=\'19\'>Dissatisfied<\/option><option value=\'20\'>Very Dissatisfied<\/option><\/select><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr align=left><td colspan=2 valign=top><font  style=\"font-family:verdana;font-size:12;color:#000000;\"><b>10) PBI\'s overall quality of product supplied?<\/b><\/font><\/td><\/tr><tr><td colspan=2><select name=\'answer10\'><option value=\'21\'>Very Satisfied<\/option><option value=\'22\'>Satisfied<\/option><option value=\'23\'>Neutral<\/option><option value=\'24\'>Dissatisfied<\/option><option value=\'25\'>Very Dissatisfied<\/option><\/select><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr align=left><td colspan=2 valign=top><font  style=\"font-family:verdana;font-size:12;color:#000000;\"><b>11) Overall opinion of PBI Account Manager\'s performance?<\/b><\/font><\/td><\/tr><tr><td colspan=2><select name=\'answer11\'><option value=\'38\'>Very Satisfied<\/option><option value=\'39\'>Satisfied<\/option><option value=\'40\'>Neutral<\/option><option value=\'41\'>Dissatisfied<\/option><option value=\'42\'>Very dissatisfied<\/option><\/select><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td align=center colspan=2><font  style=\"font-family:verdana;font-size:12;color:#000000;\">Please offer any comments or suggestions in the space provided :<\/font><br><textarea name=comment cols=20 rows=4 style=\'width:98%\'><\/textarea><br>&nbsp;<\/td><\/tr><tr><td align=center colspan=2><input type=button onclick=\"javascript:xlaapmsubmit1_()\" name=Submit value=\'Submit Survey\' style=\"font-family:verdana;font-size:12;color:#000000;\"\'><input type=hidden name=totalquestions value=11><\/td><\/tr><\/table><input type=hidden name=dopoll value=1><input type=hidden name=z value=\'\'><\/form>');