Accessibility Form Example

Test Form

Personal Information

Do you want your personal information visible to others, which would include address, phone numbers, e-mail address, and website information.

You can change this at a later time.
Required First Name Must enter your first name *
Required Last Name Must enter your last name *
Company
Title

Notes

States

Hide my information from others, cause I'm shy.

Yes
No

Pick all that apply.

Red
Green
Blue
Plaid
Yellow
Black