Create

Title :
(required)
Description :
(optional)
Your e-mail :
(required to receive the results)

The different choices :
(required)
(required)
(optional)
(optional)
(optional)
(optional)
(optional)
(optional)





Example...

Title : The color of our new product
Description : We launch a new bike, help us to choose the color
Email : xxxx@xxx.xx
Choice 1 : blue
Choice 2 : green
etc.