Write a small html form that a client will fill out and email their responses to a particular email address.
The web form is very small...just 1or 2 question with 5 checkboxes answer, and a comment field. I want a submit button that will email me their responses. This has to be anonymous (dont want to know the client) . I already have a server (Hostrocket) that supports PHP....if it makes it easier, I can supply the web-form (HTML)