try this, it is asp:
<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%>
<%
Option Explicit
%>
<%
dim answer1, answer2, answer3
'-- Request for the answers
answer1 = Request.Form("QAnswers1")
answer2 = Request.Form("QAnswers2")
answer3 = Request.Form("QAnswers3")
dim objMail
Set objMail = CreateObject("CDONTS.NewMail")
objMail.To = "survey@mysurvey.com"
objMail.From = "asppage@mysurvey.com"
objMail.Subject = "Answer my survey"
' 0 for HTML Format
objMail.BodyFormat = "0"
objMail.Body = "Q1 = " & answer1 & VBCrLf & "Q2 = " & answer2 & VBCrLf & "Q3 = " & answer3 & VBCrLf
ObjMail.Send
'cleaning
Set ObjMail = Nothing
Response.Write("email send")
%>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<title>Survey asp 3.0</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
</head>
<body>
<form id="form1" method="post">
<div>question 1?</div>
<p>
<label><input type="radio" name="QAnswers1" value="Answer1-1">Answer1</label>
<br>
<label><input type="radio" name="QAnswers1" value="Answer1-2">Answer2</label>
<br>
<label><input type="radio" name="QAnswers1" value="Answer1-3">Answer3</label>
<br>
</p>
<div>question 2?</div>
<p>
<label><input type="radio" name="QAnswers2" value="Answer2-1">Answer1</label>
<br>
<label><input type="radio" name="QAnswers2" value="Answer2-2">Answer2</label>
<br>
<label><input type="radio" name="QAnswers2" value="Answer2-3">Answer3</label>
<br>
</p>
<div>question 3?</div>
<p>
<label><input type="radio" name="QAnswers3" value="Answer3-1">Answer1</label>
<br>
<label><input type="radio" name="QAnswers3" value="Answer3-2">Answer2</label>
<br>
<label><input type="radio" name="QAnswers3" value="Answer3-3">Answer3</label>
<br>
</p>
<input type="submit" id="submit" value="Send it!">
</form>
</body>
</html>