The Time Trip Survey

Thank you for taking our survey! Please fill in the boxes below, and be sure to let me know whether or not I can post your response at the site. I hope you'll also take the time to answer the optional questions, as well. When you're through, please click the submit button.

The Basic Questions

What name would you like to appear with your response here at this site?

Approximately what date would you go back to?

How will you spend your two weeks?

May I post your response here at the site? Yes  No

Thank you! You can scroll down to the submit button at the bottom of the page, or answer any or all of...

The Optional Questions

What, if anything, would you bring with you from the future, and for what purpose?

Would you tell anyone you're from the future?

Yes  No
Here's why:

Would you try to change history?

Yes  No
Here's why:

Uncle Harry would like to know what other improvements he could make to TempTer to make your journey to the past go more smoothly?

Thank you for filling in the optional section! I appreciate your time.

I'll be letting subscribers to our free email newsletter know whenever more responses are added. Would you like to subscribe? Your email address will not be seen by anyone but your Guide, and it will not be sold or given to any mailing lists.

No, thank you.
Yes, please! My email address is:

Please enter any additional comments you'd like to share about the survey or about this site in general.

If you prefer to take the survey by email, please click the reset button to clear the form, then click here. If your email program does not interface with your browser, please email me at historymedren.guide@about.com and put "Time Trip" in the subject line.