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Image Survey

This survey form HTML template provides answer choices with different images. You can feel free to modify and use it for your data collection projects or websites. All images used in this page are from Unsplash. You are not allowed to re-post this template on your template sites as a download zip file. You can put a screenshot and a link back to templatemo site. Thank you.

“Your Opinion Matters”

Question 1

Fusce feugiat, est dignissim feugiat dapibus, arcu lacus varius dolor, vel auctor odio lectus sed diam. Ut gravida tristique lacus, sed molestie tellus faucibus non.

A. Pellentesque quis matus

B. Morbi faucibus tellus

C. Ut ullamcorper orci eget

D. Sed nec faucibus ex

E. Maecenas pretium

Collect from

Question 2

Aliquam blandit eros eget sollicitudin venenatis. Maecenas sagittis dui id neque convallis scelerisque. Nullam lobortis ex nibh, id fringilla arcu varius at. Morbi tincidunt dignissim ante id aliquet.

Option 1

Option 2

Option 3

Option 4

Option 5

Question 3

In tincidunt non nisl quis posuere. Praesent justo libero, eleifend at rhoncus a, ultrices non mi. Pellentesque quis metus a nulla commodo consectetur. In ultricies lorem accumsan, euismod tellus egestas.

Image 1

Image 2

Image 3

Image 4

Image 5

Please tell a little bit about yourself

Your Name

Your Email

Male Female

Additional Opinions