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	<id>https://wikisphere.org/w/index.php?action=history&amp;feed=atom&amp;title=CIForms_multi-step</id>
	<title>CIForms multi-step - Revision history</title>
	<link rel="self" type="application/atom+xml" href="https://wikisphere.org/w/index.php?action=history&amp;feed=atom&amp;title=CIForms_multi-step"/>
	<link rel="alternate" type="text/html" href="https://wikisphere.org/w/index.php?title=CIForms_multi-step&amp;action=history"/>
	<updated>2026-05-03T10:04:42Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
	<generator>MediaWiki 1.45.1</generator>
	<entry>
		<id>https://wikisphere.org/w/index.php?title=CIForms_multi-step&amp;diff=712&amp;oldid=prev</id>
		<title>Admin at 16:40, 25 July 2022</title>
		<link rel="alternate" type="text/html" href="https://wikisphere.org/w/index.php?title=CIForms_multi-step&amp;diff=712&amp;oldid=prev"/>
		<updated>2022-07-25T16:40:34Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 16:40, 25 July 2022&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l230&quot;&gt;Line 230:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 230:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;}}&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;}}&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;credits: [https://www.mediawiki.org/wiki/Extension:CIForms https://www.mediawiki.org/wiki/Extension:CIForms]&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;

&lt;!-- diff cache key wiki_wikisphere:diff:1.41:old-685:rev-712:php=table --&gt;
&lt;/table&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://wikisphere.org/w/index.php?title=CIForms_multi-step&amp;diff=685&amp;oldid=prev</id>
		<title>Admin: Admin moved page CIForms multistep to CIForms multi-step without leaving a redirect</title>
		<link rel="alternate" type="text/html" href="https://wikisphere.org/w/index.php?title=CIForms_multi-step&amp;diff=685&amp;oldid=prev"/>
		<updated>2022-07-25T06:57:04Z</updated>

		<summary type="html">&lt;p&gt;Admin moved page &lt;a href=&quot;/w/index.php?title=CIForms_multistep&amp;amp;action=edit&amp;amp;redlink=1&quot; class=&quot;new&quot; title=&quot;CIForms multistep (page does not exist)&quot;&gt;CIForms multistep&lt;/a&gt; to &lt;a href=&quot;/wiki/CIForms_multi-step&quot; title=&quot;CIForms multi-step&quot;&gt;CIForms multi-step&lt;/a&gt; without leaving a redirect&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 06:57, 25 July 2022&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;4&quot; class=&quot;diff-notice&quot; lang=&quot;en&quot;&gt;&lt;div class=&quot;mw-diff-empty&quot;&gt;(No difference)&lt;/div&gt;
&lt;/td&gt;&lt;/tr&gt;
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&lt;/table&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://wikisphere.org/w/index.php?title=CIForms_multi-step&amp;diff=684&amp;oldid=prev</id>
		<title>Admin at 06:56, 25 July 2022</title>
		<link rel="alternate" type="text/html" href="https://wikisphere.org/w/index.php?title=CIForms_multi-step&amp;diff=684&amp;oldid=prev"/>
		<updated>2022-07-25T06:56:40Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
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				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 06:56, 25 July 2022&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l2&quot;&gt;Line 2:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 2:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;(css used [[Template:CIForms_examples/styles.css]] using the paramter &amp;lt;code&amp;gt;css-class&amp;lt;/code&amp;gt;)&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;(css used [[Template:CIForms_examples/styles.css]] using the paramter &amp;lt;code&amp;gt;css-class&amp;lt;/code&amp;gt;)&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;(font-awesome icons rendered unsing [https://www.mediawiki.org/wiki/Extension:FontAwesome this extension]&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;templatestyles src=&amp;quot;CIForms_examples/styles.css&amp;quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;templatestyles src=&amp;quot;CIForms_examples/styles.css&amp;quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;

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&lt;/table&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
	<entry>
		<id>https://wikisphere.org/w/index.php?title=CIForms_multi-step&amp;diff=683&amp;oldid=prev</id>
		<title>Admin: Created page with &quot;Inspired by https://demo.limesurvey.org/index.php?r=survey/index&amp;sid=14272  (css used Template:CIForms_examples/styles.css using the paramter &lt;code&gt;css-class&lt;/code&gt;) &lt;temp...&quot;</title>
		<link rel="alternate" type="text/html" href="https://wikisphere.org/w/index.php?title=CIForms_multi-step&amp;diff=683&amp;oldid=prev"/>
		<updated>2022-07-25T06:55:41Z</updated>

		<summary type="html">&lt;p&gt;Created page with &amp;quot;Inspired by https://demo.limesurvey.org/index.php?r=survey/index&amp;amp;sid=14272  (css used &lt;a href=&quot;/wiki/Template:CIForms_examples/styles.css&quot; title=&quot;Template:CIForms examples/styles.css&quot;&gt;Template:CIForms_examples/styles.css&lt;/a&gt; using the paramter &amp;lt;code&amp;gt;css-class&amp;lt;/code&amp;gt;) &amp;lt;temp...&amp;quot;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;Inspired by https://demo.limesurvey.org/index.php?r=survey/index&amp;amp;sid=14272&lt;br /&gt;
&lt;br /&gt;
(css used [[Template:CIForms_examples/styles.css]] using the paramter &amp;lt;code&amp;gt;css-class&amp;lt;/code&amp;gt;)&lt;br /&gt;
&amp;lt;templatestyles src=&amp;quot;CIForms_examples/styles.css&amp;quot; /&amp;gt;&lt;br /&gt;
&lt;br /&gt;
{{#CI form: title = Survey example &lt;br /&gt;
| email-to = abc@mail.com&lt;br /&gt;
| paging = 4&lt;br /&gt;
| css-class = form-limesurvey&lt;br /&gt;
|&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs responsive&lt;br /&gt;
| first and last name [] *&lt;br /&gt;
| email [email]&lt;br /&gt;
| phone [tel]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = multiple choice  | list-type = none | max answers = 1&lt;br /&gt;
| title = 2. How much do you like CIForms ?&lt;br /&gt;
| 1&lt;br /&gt;
| 2&lt;br /&gt;
| 3&lt;br /&gt;
| 4&lt;br /&gt;
| 5&lt;br /&gt;
| No answer&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = input | title = 3. What is your favorite pastime?&lt;br /&gt;
|[Please chose one=select=Reading,Programming,Navigating the web,All of the above,Other,No answer] *&lt;br /&gt;
| (if you selected &amp;quot;other&amp;quot;) [text]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = multiple choice  | list-type = none | max answers = 1&lt;br /&gt;
| title = 4. What is your favorite color ?&lt;br /&gt;
| Red&lt;br /&gt;
| Orange&lt;br /&gt;
| Yellow&lt;br /&gt;
| Green&lt;br /&gt;
| Blue&lt;br /&gt;
| Indigo&lt;br /&gt;
| Violet&lt;br /&gt;
| Plaid&lt;br /&gt;
| Other []&lt;br /&gt;
| No answer&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = multiple choice&lt;br /&gt;
| title = 5. Who is your favorite relative ?&lt;br /&gt;
| Father&lt;br /&gt;
| Mother&lt;br /&gt;
| Sister&lt;br /&gt;
| Brother&lt;br /&gt;
| Uncle&lt;br /&gt;
| Aunt&lt;br /&gt;
| Grandfather&lt;br /&gt;
| Grandmother&lt;br /&gt;
| No answer&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs | title = Why ?&lt;br /&gt;
| [textarea]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs&lt;br /&gt;
| title = 6. How much do you like these foods ?&lt;br /&gt;
| Broccoli [Chose one=select=Hate,Dislike,Ambivalent,Like,Love,No answer]&lt;br /&gt;
| Ice Cream [Chose one=select=Hate,Dislike,Ambivalent,Like,Love,No answer]&lt;br /&gt;
| Chocolate [Chose one=select=Hate,Dislike,Ambivalent,Like,Love,No answer]&lt;br /&gt;
| Steak [Chose one=select=Hate,Dislike,Ambivalent,Like,Love,No answer]&lt;br /&gt;
| Escargot [Chose one=select=Hate,Dislike,Ambivalent,Like,Love,No answer]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs&lt;br /&gt;
| title = 7. How much pain to you currently feel in the following locations?  1 = none, 10 = extreme&lt;br /&gt;
| Head [Chose one=select=1,2,3,5,6,7,8,9,10,No answer] * Torso [Chose one=select=1,2,3,5,6,7,8,9,10,No answer]&lt;br /&gt;
| Back [Chose one=select=1,2,3,5,6,7,8,9,10,No answer] Seat [Chose one=select=1,2,3,5,6,7,8,9,10,No answer]&lt;br /&gt;
| Hands [Chose one=select=1,2,3,5,6,7,8,9,10,No answer] Feet [Chose one=select=1,2,3,5,6,7,8,9,10,No answer]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs&lt;br /&gt;
| title = 8. How much do you like the following?  (1 = not at all, 5 = extremely)&lt;br /&gt;
| Ballet [Chose one=select=1,2,3,5,No answer] Jazz [Chose one=select=1,2,3,5,No answer]&lt;br /&gt;
| Ballroom [Chose one=select=1,2,3,5,No answer] Tap [Chose one=select=1,2,3,5,No answer]&lt;br /&gt;
| Contemporary [Chose one=select=1,2,3,5,No answer] Hip Hop [Chose one=select=1,2,3,5,No answer]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs&lt;br /&gt;
| title = 9. How should the following change?&lt;br /&gt;
| Funding for education [Chose one=select=Increase, Same, Decrease,No answer] Funding for security (e.g. police, jails, military)  [Chose one=select=Increase, Same, Decrease,No answer]&lt;br /&gt;
| Availability of high quality health care  [Chose one=select=Increase, Same, Decrease,No answer] &lt;br /&gt;
| Compensation for teachers  [Chose one=select=Increase, Same, Decrease,No answer] Compensation for executives  [Chose one=select=Increase, Same, Decrease,No answer]&lt;br /&gt;
| Taxes on the rich  [Chose one=select=Increase, Same, Decrease,No answer] Taxes on you  [Chose one=select=Increase, Same, Decrease,No answer]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs responsive&lt;br /&gt;
| title = 10. How long should it take to fix the following?&lt;br /&gt;
| All bugs in LimeSurvey 1.91+ [Chose one=select=1,2,3,4,5,6,7,8,9,10] [Chose one=select=days,weeks,years]&lt;br /&gt;
| All items on your To Do list [Chose one=select=1,2,3,4,5,6,7,8,9,10] [Chose one=select=days,weeks,years]&lt;br /&gt;
| All items on your &amp;#039;honey-do&amp;#039; list [Chose one=select=1,2,3,4,5,6,7,8,9,10] [Chose one=select=days,weeks,years]&lt;br /&gt;
| The economy [Chose one=select=1,2,3,4,5,6,7,8,9,10] [Chose one=select=days,weeks,years]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = cloze test | list-type = none | title = 11. Who are your favorite characters in the following? |&lt;br /&gt;
&amp;lt;html&amp;gt;&amp;lt;table id=&amp;quot;table_test&amp;quot;&amp;gt;&lt;br /&gt;
&amp;lt;tr&amp;gt;&amp;lt;th&amp;gt;&amp;lt;/th&amp;gt;&amp;lt;th&amp;gt;Favorite&amp;lt;/th&amp;gt;&amp;lt;th&amp;gt;Second most&amp;lt;/th&amp;gt;&amp;lt;th&amp;gt;Third most&amp;lt;/th&amp;gt;&amp;lt;/tr&amp;gt;&lt;br /&gt;
&amp;lt;tr&amp;gt;&amp;lt;td&amp;gt;Harry Potter&amp;lt;/td&amp;gt;&amp;lt;td&amp;gt;[]&amp;lt;/td&amp;gt;&amp;lt;td&amp;gt;[]&amp;lt;/td&amp;gt;&amp;lt;td&amp;gt;[]&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&lt;br /&gt;
&amp;lt;tr&amp;gt;&amp;lt;td&amp;gt;Star Trek&amp;lt;/td&amp;gt;&amp;lt;td&amp;gt;[]&amp;lt;/td&amp;gt;&amp;lt;td&amp;gt;[]&amp;lt;/td&amp;gt;&amp;lt;td&amp;gt;[]&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&lt;br /&gt;
&amp;lt;tr&amp;gt;&amp;lt;td&amp;gt;Star Wars&amp;lt;/td&amp;gt;&amp;lt;td&amp;gt;[]&amp;lt;/td&amp;gt;&amp;lt;td&amp;gt;[]&amp;lt;/td&amp;gt;&amp;lt;td&amp;gt;[]&amp;lt;/td&amp;gt;&amp;lt;/tr&amp;gt;&lt;br /&gt;
&amp;lt;/table&amp;gt;&amp;lt;/html&amp;gt;&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs responsive&lt;br /&gt;
| title = 12. Which of the following conditions have you had?&lt;br /&gt;
| cancer [Chose one=select=Yes,Uncertain,No,No answer]&lt;br /&gt;
| heart attack [Chose one=select=Yes,Uncertain,No,No answer]&lt;br /&gt;
| diabetes [Chose one=select=Yes,Uncertain,No,No answer]&lt;br /&gt;
| obesity [Chose one=select=Yes,Uncertain,No,No answer]&lt;br /&gt;
| depression [Chose one=select=Yes,Uncertain,No,No answer]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs responsive&lt;br /&gt;
| title = 13. How tall are the following?&lt;br /&gt;
| Short [Chose one=select=House,Ferris Wheel (not including the London Eye),U.S. Capitol building,Washington Monument,Empire State Building]&lt;br /&gt;
| Medium [Chose one=select=House,Ferris Wheel (not including the London Eye),U.S. Capitol building,Washington Monument,Empire State Building]&lt;br /&gt;
| Tall [Chose one=select=House,Ferris Wheel (not including the London Eye),U.S. Capitol building,Washington Monument,Empire State Building]&lt;br /&gt;
| No answer [Chose one=select=House,Ferris Wheel (not including the London Eye),U.S. Capitol building,Washington Monument,Empire State Building]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs responsive&lt;br /&gt;
| title = 14. For each of these issues, how severe and bothersome are they?&lt;br /&gt;
| Financial woes [Chose one=select=Mild Severity,Moderate Severity,Extreme Severity,Mild Bothersomeness,Moderate Bothersomeness,Extreme Bothersomeness,No answer]&lt;br /&gt;
| Health concerns [Chose one=select=Mild Severity,Moderate Severity,Extreme Severity,Mild Bothersomeness,Moderate Bothersomeness,Extreme Bothersomeness,No answer]&lt;br /&gt;
| Ability to get your doctors to listen [Chose one=select=Mild Severity,Moderate Severity,Extreme Severity,Mild Bothersomeness,Moderate Bothersomeness,Extreme Bothersomeness,No answer]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs&lt;br /&gt;
| title = 15. When was your most recent birthday?&lt;br /&gt;
| [date]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs&lt;br /&gt;
| title = 16. Please upload a picture (&amp;lt;b&amp;gt;not supported&amp;lt;/b&amp;gt;)&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = multiple choice&lt;br /&gt;
| title = 17. What gender are you?&lt;br /&gt;
| female {{#fas:venus}} &lt;br /&gt;
| male {{#fas:mars}} &lt;br /&gt;
| no answer {{#fas:genderless}}&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs &lt;br /&gt;
| title = 18. Pick a new language&lt;br /&gt;
| [Choose your language=select={{#replace:{{Template:Languages}}|*|,}}]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs responsive&lt;br /&gt;
| title = 19. How old are the following people (or how old were they when they died)?&lt;br /&gt;
| Yourself [number]&lt;br /&gt;
| Your mother [number]&lt;br /&gt;
| Your father [number]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs responsive&lt;br /&gt;
| title = 20. How old are you?&lt;br /&gt;
| [number]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = cloze test | css-class= ciform-favorite-activities&lt;br /&gt;
| title = 21. Please rate your  favorite activities:&lt;br /&gt;
| [] Sleeping&lt;br /&gt;
| [] Programming&lt;br /&gt;
| [] Watching television&lt;br /&gt;
| [] Time with family&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs&lt;br /&gt;
| title = 22. This is just a text display.  Is the rendered value saved anywhere?  Is there a database field for it (e.g. to emulate the Equation question type)?&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = multiple choice&lt;br /&gt;
| title = 23. Do you love CIForms ?&lt;br /&gt;
| yes {{#fas:check}} &lt;br /&gt;
| no {{#fas:ban}} &lt;br /&gt;
| no answer {{#far:circle}}&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs&lt;br /&gt;
| title = 24. Please paste your resume&lt;br /&gt;
| [textarea]&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs&lt;br /&gt;
| title = 25. (let&amp;#039;s skip this)&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = cloze test  | list-type = none&lt;br /&gt;
| title = 26. What are the names of your best friends?&lt;br /&gt;
| Favorite Friend []&lt;br /&gt;
| Favorite Family Member []&lt;br /&gt;
| Favorite Co-Worker []&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = inputs&lt;br /&gt;
| title = 27. What is your favorite food ?&lt;br /&gt;
| []&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = multiple choice&lt;br /&gt;
| title = 28. Where would you like to vacation this year?&lt;br /&gt;
| Hawaii&lt;br /&gt;
| Bahamas&lt;br /&gt;
| Europe&lt;br /&gt;
| New Zealand&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{#CI form section: type = multiple choice | max answers = 3&lt;br /&gt;
| title = 29. Which of the following  do you like?   Please comment why or why not for each.&lt;br /&gt;
| Junk Food []&lt;br /&gt;
| Reality TV []&lt;br /&gt;
| Excercise []&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
}}&lt;/div&gt;</summary>
		<author><name>Admin</name></author>
	</entry>
</feed>