function validateForm() {
	var date = document.getElementById('date').value;
	var incdatena = document.getElementById('incdatena');
	var fname = document.getElementById('fname').value;
	var lname = document.getElementById('lname').value;
	var address = document.getElementById('address').value;
	var city = document.getElementById('city').value;
	var state = document.getElementById('state')[document.getElementById('state').selectedIndex].value;
	var zip = document.getElementById('zip').value;
	var improve = document.getElementById('improve').value;
	var message = '';
	
	if (date.length == 0 && incdatena.checked == false) {
		message += '* Date is required \r\n';
	}
	if (fname.length == 0) {
		message += '* First Name is required \r\n';
	}
	if (lname.length == 0) {
		message += '* Last Name is required \r\n';
	}
	if (address.length == 0) {
		message += '* Address is required \r\n';
	}
	if (city.length == 0) {
		message += '* City is required \r\n';
	}
	if (state.length == 0) {
		message += '* State/Province is required \r\n';
	}
	if (zip.length == 0) {
		message += '* Zip/Postal is required \r\n';
	}
	if (improve.length == 0) {
		message += '* Comments are required \r\n';
	}
	
	if (message.length > 0) {
		alert(message);
		return false;
	}
	else {
		return true;
	}
}