P:
I downloaded the form to complete it (that's what my Saturday nights are reduced to!)
However security settings in Microsoft Word 2007 blocked the Check Boxes from operating: I changed my options to enable the code to run and therefore completed the questionnaire and sent it off. However some people may not know how to do that, or might be nervous about changing security settings, so your buddy may not get as many responses as he should.
It might be worthwhile to check out the follwing site, it is very easy to set up a survey and simple for people to respond to.
http://www.surveymonkey.com/Hope this helps...
Chris