I have been working on the java script for my website and I need help with the out put variables. I need to know how to add more variable for each row in my survey. I am very lost
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- <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
- <html xmlns="http://www.w3.org/1999/xhtml">
- <head>
- <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
- <title>Untitled Document</title>
- </head>
- <body><script type="text/javascript">
- function calculate(){
- var q1=document.forms[0].q1;
- var txt;
- var i;
- for (i=0;i<q1.length; i++){
- if (q1[i].checked){
- txt=q1[i].value;
- }
- }
- var q2=document.forms[0].q2;
- var txt2;
- for (i=0;i<q2.length; i++){
- if (q2[i].checked){
- txt2=q2[i].value;
- }
- }
- var q3=document.forms[0].q3;
- var txt3;
- for (i=0;i<q3.length; i++){
- if (q3[i].checked){
- txt3=q3[i].value;
- }
- }
- var q4=document.forms[0].q4;
- var txt4;
- for (i=0;i<q4.length; i++){
- if (q4[i].checked){
- txt4=q4[i].value;
- }
- }
- var q5=document.forms[0].q5;
- var txt5;
- for (i=0;i<q5.length; i++){
- if (q5[i].checked){
- txt5=q5[i].value;
- }
- }
- var q6=document.forms[0].q6;
- var txt6;
- for (i=0;i<q6.length; i++){
- if (q6[i].checked){
- txt6=q6[i].value;
- }
- }
- var q7=document.forms[0].q7;
- var txt7;
- for (i=0;i<q7.length; i++){
- if (q7[i].checked){
- txt7=q7[i].value;
- }
- }
- var q8=document.forms[0].q8;
- var txt8;
- for (i=0;i<q8.length; i++){
- if (q8[i].checked){
- txt8=q8[i].value;
- }
- }
- var q9=document.forms[0].q9;
- var txt9;
- for (i=0;i<q9.length; i++){
- if (q9[i].checked){
- txt9=q9[i].value;
- }
- }
- var q10=document.forms[0].q10;
- var txt10;
- for (i=0;i<q10.length; i++){
- if (q10[i].checked){
- txt10=q10[i].value;
- }
- }
- var q11=document.forms[0].q11;
- var txt11;
- for (i=0;i<q11.length; i++){
- if (q11[i].checked){
- txt11=q11[i].value;
- }
- }
- var q12=document.forms[0].q12;
- var txt12;
- for (i=0;i<q12.length; i++){
- if (q12[i].checked){
- txt12=q12[i].value;
- }
- }
- var q13=document.forms[0].q13;
- var txt13;
- for (i=0;i<q13.length; i++){
- if (q13[i].checked){
- txt13=q13[i].value;
- }
- }
- var q14=document.forms[0].q14;
- var txt14;
- for (i=0;i<q14.length; i++){
- if (q14[i].checked){
- txt14=q14[i].value;
- }
- }
- var q15=document.forms[0].q15;
- var txt15;
- for (i=0;i<q15.length; i++){
- if (q15[i].checked){
- txt15=q15[i].value;
- }
- }
- var q16=document.forms[0].q16;
- var txt16;
- for (i=0;i<q16.length; i++){
- if (q16[i].checked){
- txt16=q16[i].value;
- }
- }
- var q17=document.forms[0].q17;
- var txt17;
- for (i=0;i<q17.length; i++){
- if (q17[i].checked){
- txt17=q17[i].value;
- }
- }
- var q18=document.forms[0].q18;
- var txt18;
- for (i=0;i<q18.length; i++){
- if (q18[i].checked){
- txt18=q18[i].value;
- }
- }
- var q19=document.forms[0].q19;
- var txt19;
- for (i=0;i<q19.length; i++){
- if (q19[i].checked){
- txt19=q19[i].value;
- }
- }
- var q20=document.forms[0].q20;
- var txt20;
- for (i=0;i<q20.length; i++){
- if (q20[i].checked){
- txt20=q20[i].value;
- }
- }
- var q21=document.forms[0].q21;
- var txt21;
- for (i=0;i<q21.length; i++){
- if (q21[i].checked){
- txt21=q21[i].value;
- }
- }
- var q22=document.forms[0].q22;
- var txt22;
- for (i=0;i<q22.length; i++){
- if (q22[i].checked){
- txt22=q22[i].value;
- }
- }
- var q23=document.forms[0].q23;
- var txt23;
- for (i=0;i<q23.length; i++){
- if (q23[i].checked){
- txt23=q23[i].value;
- }
- }
- var q24=document.forms[0].q24;
- var txt24;
- for (i=0;i<q24.length; i++){
- if (q24[i].checked){
- txt24=q24[i].value;
- }
- }
- var q25=document.forms[0].q25;
- var txt25;
- for (i=0;i<q25.length; i++){
- if (q25[i].checked){
- txt25=q25[i].value;
- }
- }
- var q26=document.forms[0].q26;
- var txt26;
- for (i=0;i<q26.length; i++){
- if (q26[i].checked){
- txt26=q26[i].value;
- }
- }
- var q27=document.forms[0].q27;
- var txt27;
- for (i=0;i<q27.length; i++){
- if (q27[i].checked){
- txt27=q27[i].value;
- }
- }
- var q28=document.forms[0].q28;
- var txt28;
- for (i=0;i<q28.length; i++){
- if (q28[i].checked){
- txt28=q28[i].value;
- }
- }
- var q29=document.forms[0].q29;
- var txt29;
- for (i=0;i<q29.length; i++){
- if (q29[i].checked){
- txt29=q29[i].value;
- }
- }
- var q30=document.forms[0].q30;
- var txt30;
- for (i=0;i<q30.length; i++){
- if (q30[i].checked){
- txt30=q30[i].value;
- }
- }
- var q31=document.forms[0].q31;
- var txt31;
- for (i=0;i<q31.length; i++){
- if (q31[i].checked){
- txt31=q31[i].value;
- }
- }
- var q32=document.forms[0].q32;
- var txt32;
- for (i=0;i<q32.length; i++){
- if (q32[i].checked){
- txt32=q32[i].value;
- }
- }
- var q33=document.forms[0].q33;
- var txt33;
- for (i=0;i<q33.length; i++){
- if (q33[i].checked){
- txt33=q33[i].value;
- }
- }
- var q34=document.forms[0].q34;
- var txt34;
- for (i=0;i<q34.length; i++){
- if (q34[i].checked){
- txt34=q34[i].value;
- }
- }
- var q35=document.forms[0].q35;
- var txt35;
- for (i=0;i<q35.length; i++){
- if (q35[i].checked){
- txt35=q35[i].value;
- }
- }
- var q36=document.forms[0].q36;
- var txt36;
- for (i=0;i<q36.length; i++){
- if (q36[i].checked){
- txt36=q36[i].value;
- }
- }
- var q37=document.forms[0].q37;
- var txt37;
- for (i=0;i<q37.length; i++){
- if (q37[i].checked){
- txt37=q37[i].value;
- }
- }
- var q38=document.forms[0].q38;
- var txt38;
- for (i=0;i<q38.length; i++){
- if (q38[i].checked){
- txt38=q38[i].value;
- }
- }
- var q39=document.forms[0].q39;
- var txt39;
- for (i=0;i<q39.length; i++){
- if (q39[i].checked){
- txt39=q39[i].value;
- }
- }
- var q40=document.forms[0].q40;
- var txt40;
- for (i=0;i<q40.length; i++){
- if (q40[i].checked){
- txt40=q40[i].value;
- }
- }
- var q41=document.forms[0].q41;
- var txt41;
- for (i=0;i<q41.length; i++){
- if (q41[i].checked){
- txt41=q41[i].value;
- }
- }
- var q42=document.forms[0].q42;
- var txt42;
- for (i=0;i<q42.length; i++){
- if (q42[i].checked){
- txt42=q42[i].value;
- }
- }
- var q43=document.forms[0].q43;
- var txt43;
- for (i=0;i<q43.length; i++){
- if (q43[i].checked){
- txt43=q43[i].value;
- }
- }
- var q44=document.forms[0].q44;
- var txt44;
- for (i=0;i<q44.length; i++){
- if (q44[i].checked){
- txt44=q44[i].value;
- }
- }
- var q45=document.forms[0].q45;
- var txt45;
- for (i=0;i<q45.length; i++){
- if (q45[i].checked){
- txt45=q45[i].value;
- }
- }
- var q46=document.forms[0].q46;
- var txt46;
- for (i=0;i<q46.length; i++){
- if (q46[i].checked){
- txt46=q46[i].value;
- }
- }
- var q47=document.forms[0].q47;
- var txt47;
- for (i=0;i<q47.length; i++){
- if (q47[i].checked){
- txt47=q47[i].value;
- }
- }
- var q48=document.forms[0].q48;
- var txt48;
- for (i=0;i<q48.length; i++){
- if (q48[i].checked){
- txt48=q48[i].value;
- }
- }
- var q49=document.forms[0].q49;
- var txt49;
- for (i=0;i<q49.length; i++){
- if (q49[i].checked){
- txt49=q49[i].value;
- }
- }
- var q50=document.forms[0].q50;
- var txt50;
- for (i=0;i<q50.length; i++){
- if (q50[i].checked){
- txt50=q50[i].value;
- }
- }
- var q51=document.forms[0].q51;
- var txt51;
- for (i=0;i<q51.length; i++){
- if (q51[i].checked){
- txt51=q51[i].value;
- }
- }
- var q52=document.forms[0].q52;
- var txt52;
- for (i=0;i<q52.length; i++){
- if (q52[i].checked){
- txt52=q52[i].value;
- }
- }
- var q53=document.forms[0].q53;
- var txt53;
- for (i=0;i<q53.length; i++){
- if (q53[i].checked){
- txt53=q53[i].value;
- }
- }
- var q54=document.forms[0].q54;
- var txt54;
- for (i=0;i<q54.length; i++){
- if (q54[i].checked){
- txt54=q54[i].value;
- }
- }
- var q55=document.forms[0].q55;
- var txt55;
- for (i=0;i<q55.length; i++){
- if (q55[i].checked){
- txt55=q55[i].value;
- }
- }
- var q56=document.forms[0].q56;
- var txt56;
- for (i=0;i<q56.length; i++){
- if (q56[i].checked){
- txt56=q56[i].value;
- }
- }
- var q57=document.forms[0].q57;
- var txt57;
- for (i=0;i<q57.length; i++){
- if (q57[i].checked){
- txt57=q57[i].value;
- }
- }
- var q59=document.forms[0].q59;
- var txt59;
- for (i=0;i<q59.length; i++){
- if (q59[i].checked){
- txt59=q59[i].value;
- }
- }
- var o = 0;
- var s = 0;
- var n = 0;
- var x = 0;
- if (txt == "o"){
- o = o + 1;
- }
- else if (txt == "s"){
- s = s + 1;
- }
- else if (txt == "n"){
- n = n + 1;
- }
- else if (txt == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt2 == "o"){
- o = o + 1;
- }
- else if (txt2 == "s"){
- s = s + 1;
- }
- else if(txt2 == "n"){
- n = n + 1;
- }
- else if(txt2 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt3 == "o"){
- o = o + 1;
- }
- else if (txt3 == "s"){
- s = s + 1;
- }
- else if (txt3 == "n"){
- n = n + 1;
- }
- else if(txt3 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt4 == "o"){
- o = o + 1;
- }
- else if (txt4 == "s"){
- s = s + 1;
- }
- else if(txt4 == "n"){
- n = n + 1;
- }
- else if(txt4 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt5 == "o"){
- o = o + 1;
- }
- else if (txt5 == "s"){
- s = s + 1;
- }
- else if(txt5 == "n"){
- n = n + 1;
- }
- else if(txt5 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt6 == "o"){
- o = o + 1;
- }
- else if (txt6 == "s"){
- s = s + 1;
- }
- else if(txt6 == "n"){
- n = n + 1;
- }
- else if(txt6 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt7 == "o"){
- o = o + 1;
- }
- else if (txt7 == "s"){
- s = s + 1;
- }
- else if(txt7 == "n"){
- n = n + 1;
- }
- else if(txt7 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt8 == "o"){
- o = o + 1;
- }
- else if (txt8 == "s"){
- s = s + 1;
- }
- else if(txt8 == "n"){
- n = n + 1;
- }
- else if(txt8 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt9 == "o"){
- o = o + 1;
- }
- else if (txt9 == "s"){
- s = s + 1;
- }
- else if(txt9 == "n"){
- n = n + 1;
- }
- else if(txt9 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt10 == "o"){
- o = o + 1;
- }
- else if (txt10 == "s"){
- s = s + 1;
- }
- else if(txt10 == "n"){
- n = n + 1;
- }
- else if(txt10 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt11 == "o"){
- o = o + 1;
- }
- else if (txt11 == "s"){
- s = s + 1;
- }
- else if(txt11 == "n"){
- n = n + 1;
- }
- else if(txt11 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt12 == "o"){
- o = o + 1;
- }
- else if (txt12 == "s"){
- s = s + 1;
- }
- else if(txt12 == "n"){
- n = n + 1;
- }
- else if(txt12 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt13 == "o"){
- o = o + 1;
- }
- else if (txt13 == "s"){
- s = s + 1;
- }
- else if(txt13 == "n"){
- n = n + 1;
- }
- else if(txt13 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt14 == "o"){
- o = o + 1;
- }
- else if (txt14 == "s"){
- s = s + 1;
- }
- else if(txt14 == "n"){
- n = n + 1;
- }
- else if(txt14 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt15 == "o"){
- o = o + 1;
- }
- else if (txt15 == "s"){
- s = s + 1;
- }
- else if(txt15 == "n"){
- n = n + 1;
- }
- else if(txt15 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt16 == "o"){
- o = o + 1;
- }
- else if (txt16 == "s"){
- s = s + 1;
- }
- else if(txt16 == "n"){
- n = n + 1;
- }
- else if(txt16 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt17 == "o"){
- o = o + 1;
- }
- else if (txt17 == "s"){
- s = s + 1;
- }
- else if(txt17 == "n"){
- n = n + 1;
- }
- else if(txt17 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt18 == "o"){
- o = o + 1;
- }
- else if (txt18 == "s"){
- s = s + 1;
- }
- else if(txt18 == "n"){
- n = n + 1;
- }
- else if(txt18 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt19 == "o"){
- o = o + 1;
- }
- else if (txt19 == "s"){
- s = s + 1;
- }
- else if(txt19 == "n"){
- n = n + 1;
- }
- else if(txt19 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt20 == "o"){
- o = o + 1;
- }
- else if (txt20 == "s"){
- s = s + 1;
- }
- else if (txt20 == "n"){
- n = n + 1;
- }
- else if(txt20 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt21 == "o"){
- o = o + 1;
- }
- else if (txt21 == "s"){
- s = s + 1;
- }
- else if(txt21 == "n"){
- n = n + 1;
- }
- else if(txt21 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt22 == "o"){
- o = o + 1;
- }
- else if (txt22 == "s"){
- s = s + 1;
- }
- else if(txt22 == "n"){
- n = n + 1;
- }
- else if(txt22 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt23 == "o"){
- o = o + 1;
- }
- else if (txt23 == "s"){
- s = s + 1;
- }
- else if(txt23 == "n"){
- n = n + 1;
- }
- else if(txt23 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt24 == "o"){
- o = o + 1;
- }
- else if (txt24 == "s"){
- s = s + 1;
- }
- else if(txt24 == "n"){
- n = n + 1;
- }
- else if(txt24 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt25 == "o"){
- o = o + 1;
- }
- else if (txt25 == "s"){
- s = s + 1;
- }
- else if(txt25 == "n"){
- n = n + 1;
- }
- else if(txt25 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt26 == "o"){
- o = o + 1;
- }
- else if (txt26 == "s"){
- s = s + 1;
- }
- else if(txt26 == "n"){
- n = n + 1;
- }
- else if(txt26 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt27 == "o"){
- o = o + 1;
- }
- else if (txt27 == "s"){
- s = s + 1;
- }
- else if(txt27 == "n"){
- n = n + 1;
- }
- else if(txt27 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt28 == "o"){
- o = o + 1;
- }
- else if (txt28 == "s"){
- s = s + 1;
- }
- else if(txt28 == "n"){
- n = n + 1;
- }
- else if(txt28 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt29 == "o"){
- o = o + 1;
- }
- else if (txt29 == "s"){
- s = s + 1;
- }
- else if(txt29 == "n"){
- n = n + 1;
- }
- else if(txt29 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt30 == "o"){
- o = o + 1;
- }
- else if (txt30 == "s"){
- s = s + 1;
- }
- else if(txt30 == "n"){
- n = n + 1;
- }
- else if(txt30 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt31 == "o"){
- o = o + 1;
- }
- else if (txt31 == "s"){
- s = s + 1;
- }
- else if(txt31 == "n"){
- n = n + 1;
- }
- else if(txt31 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt32 == "o"){
- o = o + 1;
- }
- else if (txt32 == "s"){
- s = s + 1;
- }
- else if(txt32 == "n"){
- n = n + 1;
- }
- else if(txt32 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt33 == "o"){
- o = o + 1;
- }
- else if (txt33 == "s"){
- s = s + 1;
- }
- else if(txt33 == "n"){
- n = n + 1;
- }
- else if(txt33 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt34 == "o"){
- o = o + 1;
- }
- else if (txt34 == "s"){
- s = s + 1;
- }
- else if(txt34 == "n"){
- n = n + 1;
- }
- else if(txt34 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt35 == "o"){
- o = o + 1;
- }
- else if (txt35 == "s"){
- s = s + 1;
- }
- else if(txt35 == "n"){
- n = n + 1;
- }
- else if(txt35 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt36 == "o"){
- o = o + 1;
- }
- else if (txt36 == "s"){
- s = s + 1;
- }
- else if(txt36 == "n"){
- n = n + 1;
- }
- else if(txt36 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt37 == "o"){
- o = o + 1;
- }
- else if (txt37 == "s"){
- s = s + 1;
- }
- else if(txt37 == "n"){
- n = n + 1;
- }
- else if(txt37 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt38 == "o"){
- o = o + 1;
- }
- else if (txt38 == "s"){
- s = s + 1;
- }
- else if(txt38 == "n"){
- n = n + 1;
- }
- else if(txt38 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt39 == "o"){
- o = o + 1;
- }
- else if (txt39 == "s"){
- s = s + 1;
- }
- else if(txt39 == "n"){
- n = n + 1;
- }
- else if(txt39 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt40 == "o"){
- o = o + 1;
- }
- else if (txt40 == "s"){
- s = s + 1;
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- else if(txt40 == "n"){
- n = n + 1;
- }
- else if(txt40 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
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- if (txt41 == "o"){
- o = o + 1;
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- else if (txt41 == "s"){
- s = s + 1;
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- else if(txt41 == "n"){
- n = n + 1;
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- x = x + 1;
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- else{
- alert("error");
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- if (txt42 == "o"){
- o = o + 1;
- }
- else if (txt42 == "s"){
- s = s + 1;
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- else if(txt42 == "n"){
- n = n + 1;
- }
- else if(txt42 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
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- if (txt43 == "o"){
- o = o + 1;
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- s = s + 1;
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- else if (txt43 == "n"){
- n = n + 1;
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- else if(txt43 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
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- if (txt44 == "o"){
- o = o + 1;
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- s = s + 1;
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- n = n + 1;
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- x = x + 1;
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- else{
- alert("error");
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- if (txt45 == "o"){
- o = o + 1;
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- s = s + 1;
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- n = n + 1;
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- else if(txt45 == "x"){
- x = x + 1;
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- else{
- alert("error");
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- if (txt46 == "o"){
- o = o + 1;
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- s = s + 1;
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- n = n + 1;
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- x = x + 1;
- }
- else{
- alert("error");
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- if (txt47 == "o"){
- o = o + 1;
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- else if (txt47 == "s"){
- s = s + 1;
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- n = n + 1;
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- else if(txt47 == "x"){
- x = x + 1;
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- alert("error");
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- if (txt48 == "o"){
- o = o + 1;
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- s = s + 1;
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- x = x + 1;
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- alert("error");
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- if (txt49 == "o"){
- o = o + 1;
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- s = s + 1;
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- n = n + 1;
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- x = x + 1;
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- alert("error");
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- if (txt50 == "o"){
- o = o + 1;
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- s = s + 1;
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- else if(txt50 == "n"){
- n = n + 1;
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- x = x + 1;
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- else{
- alert("error");
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- if (txt51 == "o"){
- o = o + 1;
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- s = s + 1;
- }
- else if(txt51 == "n"){
- n = n + 1;
- }
- else if(txt51 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt52 == "o"){
- o = o + 1;
- }
- else if (txt52 == "s"){
- s = s + 1;
- }
- else if(txt52 == "n"){
- n = n + 1;
- }
- else if(txt52 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt53 == "o"){
- o = o + 1;
- }
- else if (txt53 == "s"){
- s = s + 1;
- }
- else if(txt53 == "n"){
- n = n + 1;
- }
- else if(txt53 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt54 == "o"){
- o = o + 1;
- }
- else if (txt54 == "s"){
- s = s + 1;
- }
- else if(txt54 == "n"){
- n = n + 1;
- }
- else if(txt54 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt55 == "o"){
- o = o + 1;
- }
- else if (txt55 == "s"){
- s = s + 1;
- }
- else if(txt55 == "n"){
- n = n + 1;
- }
- else if(txt55 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt56 == "o"){
- o = o + 1;
- }
- else if (txt56 == "s"){
- s = s + 1;
- }
- else if(txt56 == "n"){
- n = n + 1;
- }
- else if(txt56 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt57 == "o"){
- o = o + 1;
- }
- else if (txt57 == "s"){
- s = s + 1;
- }
- else if(txt57 == "n"){
- n = n + 1;
- }
- else if(txt57 == "x"){
- x = x + 1;
- }
- else{
- alert("error");
- }
- if (txt59 == "o"){
- o = o + 1;
- }
- else if (txt59 == "s"){
- s = s + 1;
- }
- else if(txt59 == "n"){
- n = n + 1;
- }
- else if(txt59 == "x"){
- x = x + 1;
- }
- else{
- alert("Please Enter Your Sex");
- }
- <!--greater than" symbol (>) is used to express a larger value. For example, if (x > 10) means "if X is more than 10-->
- <!--less than" symbol (<) is used to express a lower value. For example, if (x < 10) means "if X is less than 10-->
- if (o >56){
- alert ("You Have A Very Low Point Score, it is possible that you DO NOT have Candida");
- //document.write(o);
- }
- else if (s < 9 || o > 48 ){
- alert("2 test ");
- //alert(s);
- }
- else if ((o > 5)&& (s < 5)){
- alert("6");
- }
- else if (s > 10){
- alert("3");
- }
- else if (s > 10){
- alert("4");
- }
- else if ((o > 5)&& (s < 5)){
- alert("5");
- }
- else if ((o > 5)&& (x < 5)){
- alert("7");
- }
- else if ((x > 5)&& (s < 5)){
- alert("8");
- }
- else if ((x > 5)&& (n < 5)){
- alert("10");
- }
- else if ((o > 5)&& (s < 5)&& (x < 5)){
- alert("11");
- }
- else if ((o > 5)&& (s < 5)&& (n < 5)){
- alert("12");
- }
- else if ((n > 5)&& (s < 5)&& (x < 5)){
- alert("13");
- }
- else if ((n > 5)&& (o < 5)&& (x < 5)){
- alert("14");
- }
- else {
- alert("15");
- }
- }
- </script>
- </head>
- <body>
- <form name="myform" onsubmit="return calculate();">
- <table width="73%" border="0" cellspacing="0" cellpadding="0">
- <tr>
- <td width="64%" align="right"><strong>Choose Male or Female :</strong></td>
- <td width="13%" align="right"><span style="text-align: center">
- <input name="q59" type="radio" value="s" checked="checked"/>
- </span>Male:</td>
- <td width="12%" align="right"><span style="text-align: center">
- <input name="q59" type="radio" value="x"/>
- </span>Female:</td>
- <td width="11%" align="right"> </td>
- </tr>
- </table>
- <p> </p>
- <table border="1">
- <tr>
- <th colspan="2" style="text-align: center"><strong>Mental, Emotional, & Physical Symptoms</strong></th>
- <th width="56" style="text-align: center">None </th>
- <th width="61" style="text-align: center">Mild</th>
- <th width="67" style="text-align: center">Moderate</th>
- <th width="110" style="text-align: center">Severe</th>
- </tr>
- <tr>
- <td width="33"> 1. </td>
- <td width="792">Mood Swings, Emotional Outbursts, Irritable</td>
- <td style="text-align: center"><input name="q1" type="radio" checked="CHECKED" unselectable="on" value="o" /></td>
- <td style="text-align: center"><input name="q1" type="radio" unselectable="off" value="s"/></td>
- <td style="text-align: center"><input name="q1" type="radio" unselectable="off" value="n"/></td>
- <td style="text-align: center"><input name="q1" type="radio" unselectable="off" value="x"/></td>
- </tr>
- <tr>
- <td> 2. </td>
- <td>Chronic Fatigue, Extreme Fatigue, Feel Drained</td>
- <td style="text-align: center"><input name="q2" type="radio" checked="CHECKED" value="o"/></td>
- <td style="text-align: center"><input name="q2" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q2" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q2" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 3. </td>
- <td>Poor Concentration and Memory, Spaced out Feeling</td>
- <td style="text-align: center"><input name="q3" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q3" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q3" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q3" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 4. </td>
- <td>Insomnia, Chronic Sleeping Trouble</td>
- <td style="text-align: center"><input name="q4" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q4" type="radio" value="s" /></td>
- <td style="text-align: center"><input name="q4" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q4" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 5. </td>
- <td>Muscle Aches, Weakness or Paralysis</td>
- <td style="text-align: center"><input name="q5" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q5" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q5" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q5" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 6. </td>
- <td>Pain or Swelling in Joints</td>
- <td style="text-align: center"><input name="q6" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q6" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q6" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q6" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 7. </td>
- <td>Abdominal Pain, Bloating, Belching and Gas</td>
- <td style="text-align: center"><input name="q7" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q7" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q7" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q7" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 8. </td>
- <td>Constipation or Diarrhea</td>
- <td style="text-align: center"><input name="q8" type="radio" checked="CHECKED" value="o"/></td>
- <td style="text-align: center"><input name="q8" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q8" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q8" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 9. </td>
- <td>Chronic Indigestion, Frequent use of Antacids</td>
- <td style="text-align: center"><input name="q9" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q9" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q9" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q9" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 10. </td>
- <td>Vaginal Burning, Itching, Discharge</td>
- <td style="text-align: center"><input name="q10" type="radio" checked="CHECKED" value="o"/></td>
- <td style="text-align: center"><input name="q10" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q10" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q10" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 11. </td>
- <td>Rectal Itching</td>
- <td style="text-align: center"><input name="q11" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q11" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q11" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q11" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 12. </td>
- <td>Prostatitis or Inflamed Prostate</td>
- <td style="text-align: center"><input name="q12" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q12" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q12" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q12" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 13.</td>
- <td>Impotence or Loss of Sexual Desire and Feeling</td>
- <td style="text-align: center"><input name="q13" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q13" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q13" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q13" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 14.</td>
- <td>Endometriosis or Infertility</td>
- <td style="text-align: center"><input name="q14" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q14" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q14" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q14" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 15.</td>
- <td>PMS, Cramps and Menstrual Irregularities</td>
- <td style="text-align: center"><input name="q15" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q15" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q15" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q15" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 16.</td>
- <td>Anxiety Attacks, Panic Attacks, Chronic High Stress Levels</td>
- <td style="text-align: center"><input name="q16" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q16" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q16" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q16" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 17.</td>
- <td>Cold Hands or Feet and/or Chilliness</td>
- <td style="text-align: center"><input name="q17" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q17" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q17" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q17" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td>18.</td>
- <td>Shaking or Irritability when Hungry</td>
- <td style="text-align: center"><input name="q18" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q18" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q18" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q18" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 19.</td>
- <td>Headaches or Migraines</td>
- <td style="text-align: center"><input name="q19" type="radio" checked="CHECKED" value="o"/></td>
- <td style="text-align: center"><input name="q19" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q19" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q19" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 20.</td>
- <td>Food Sensitivities and Intolerances</td>
- <td style="text-align: center"><input name="q20" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q20" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q20" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q20" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 21.</td>
- <td>Mucus or White Spots in Stool</td>
- <td style="text-align: center"><input name="q21" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q21" type="radio" value="s" /></td>
- <td style="text-align: center"><input name="q21" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q21" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 22.</td>
- <td>Chronic Rashes, Itching, Psoriasis, Hives, Chronic Skin Problems</td>
- <td style="text-align: center"><input name="q22" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q22" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q22" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q22" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 23.</td>
- <td>Dry Mouth, Rash or Blisters in Mouth</td>
- <td style="text-align: center"><input name="q23" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q23" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q23" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q23" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 24.</td>
- <td>White Coating on Tongue, Oral Thrush</td>
- <td style="text-align: center"><input name="q24" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q24" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q24" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q24" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 25.</td>
- <td>Bad Breath, Body Odor</td>
- <td style="text-align: center"><input name="q25" type="radio" checked="CHECKED" value="o"/></td>
- <td style="text-align: center"><input name="q25" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q25" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q25" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 26.</td>
- <td>Nasal Congestion or Post-Nasal Drip</td>
- <td style="text-align: center"><input name="q26" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q26" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q26" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q26" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 27.</td>
- <td>Nasal Itching</td>
- <td style="text-align: center"><input name="q27" type="radio" checked="CHECKED" value="o"/></td>
- <td style="text-align: center"><input name="q27" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q27" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q27" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 28. </td>
- <td>Sore Throat or Laryngitis</td>
- <td style="text-align: center"><input name="q28" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q28" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q28" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q28" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 29.</td>
- <td>Chronic Cough or Bronchitis</td>
- <td style="text-align: center"><input name="q29" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q29" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q29" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q29" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 30.</td>
- <td>Pain or Tightness in Chest</td>
- <td style="text-align: center"><input name="q30" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q30" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q30" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q30" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 31.</td>
- <td>Wheezing or Shortness of Breath</td>
- <td style="text-align: center"><input name="q31" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q31" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q31" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q31" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td>32.</td>
- <td>Urinary Frequency, Urgency or Incontinence</td>
- <td style="text-align: center"><input name="q32" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q32" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q32" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q32" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 33.</td>
- <td>Burning Urination</td>
- <td style="text-align: center"><input name="q33" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q33" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q33" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q33" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 34.</td>
- <td>Floaters or Dark Spots in Front of Vision</td>
- <td style="text-align: center"><input name="q34" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q34" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q34" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q34" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 35.</td>
- <td>Recurrent Ear Infections, Ear Pain or Deafness</td>
- <td style="text-align: center"><input name="q35" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q35" type="radio" value="s"/></td>
- <td style="text-align: center"><input name="q35" type="radio" value="n"/></td>
- <td style="text-align: center"><input name="q35" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td colspan="2"><div align="center"><strong><font face="Georgia" size="2">Medical History</font></strong></div></td>
- <td style="text-align: center"><strong>No</strong></td>
- <td style="text-align: center"><strong>Yes</strong></td>
- <td colspan="2" rowspan="24" style="text-align: center"> </td>
- </tr>
- <tr>
- <td>36.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Have you at any time in
- your life taken an
- antibiotic?</font></td>
- <td style="text-align: center"><input name="q36" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q36" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 37.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Have you ever taken an antibiotic for 2 months or more. Or have you taken 4 or more antibiotics in the same year?</font></td>
- <td style="text-align: center"><input name="q37" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q37" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 38.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Have you ever taken
- tetracycline or other
- antibiotics for acne?</font></td>
- <td style="text-align: center"><input name="q38" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q38" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 39.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Have you ever suffered
- persistent prostatis,
- vaginitis or other
- infection related issues
- with your genital area?</font></td>
- <td style="text-align: center"><input name="q39" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q39" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 40.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Do your symptoms become
- worse in damp, muggy or
- moldy environments?</font></td>
- <td style="text-align: center"><input name="q40" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q40" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td>41.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Do you crave sugar?</font></td>
- <td style="text-align: center"><input name="q41" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q41" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 42.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Do you crave breads?</font></td>
- <td style="text-align: center"><input name="q42" type="radio" checked="CHECKED" value="o"/></td>
- <td style="text-align: center"><input name="q42" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 43.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Do you crave alcohol?</font></td>
- <td style="text-align: center"><input name="q43" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q43" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 44.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Have you ever been
- pregnant?</font></td>
- <td style="text-align: center"><input name="q44" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q44" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 45.</td>
- <td><font style="font-size: 12pt;" face="Georgia"><i>2+ times?</i></font></td>
- <td style="text-align: center"><input name="q45" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q45" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 46.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Have you ever taken
- birth control pills? </font></td>
- <td style="text-align: center"><input name="q46" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q46" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 47.</td>
- <td><i><font style="font-size: 12pt;" face="Georgia">For more than 2 years?</font></i></td>
- <td style="text-align: center"><input name="q47" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q47" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 48.</td>
- <td><i><font style="font-size: 12pt;" face="Georgia">Between 6 months and 2
- years?</font></i></td>
- <td style="text-align: center"><input name="q48" type="radio" checked="CHECKED" value="o"/></td>
- <td style="text-align: center"><input name="q48" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 49.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Do you suffer symptoms
- in reaction to perfumes,
- insecticides, smoke or
- any other chemicals?</font></td>
- <td style="text-align: center"><input name="q49" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q49" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td>50.</td>
- <td><i><font style="font-size: 12pt;" face="Georgia">Moderate to Severe
- Symptoms?</font></i></td>
- <td style="text-align: center"><input name="q50" type="radio" checked="CHECKED" value="o"/></td>
- <td style="text-align: center"><input name="q50" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 51. </td>
- <td><i><font style="font-size: 12pt;" face="Georgia">Mild Symptoms?</font></i></td>
- <td style="text-align: center"><input name="q51" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q51" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 52.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Have you ever used
- prednisone or any other
- cortisone-type drugs by
- mouth or inhalation?</font></td>
- <td style="text-align: center"><input name="q52" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q52" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 53.</td>
- <td><i><font style="font-size: 12pt;" face="Georgia">For more than 2 weeks?</font></i></td>
- <td style="text-align: center"><input name="q53" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q53" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 54.</td>
- <td><i><font style="font-size: 12pt;" face="Georgia">For 2 weeks or less?</font></i></td>
- <td style="text-align: center"><input name="q54" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q54" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 55.</td>
- <td><font style="font-size: 12pt;" face="Georgia">Have you ever had
- athlete’s foot,
- ringworm, jock itch or
- other chronic fungus
- infections of the skin,
- nails?</font></td>
- <td style="text-align: center"><input name="q55" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q55" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 56.</td>
- <td><i><font style="font-size: 12pt;" face="Georgia">Were the symptoms Severe
- or Persistent?</font></i></td>
- <td style="text-align: center"><input name="q56" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q56" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td> 57.</td>
- <td><i><font style="font-size: 12pt;" face="Georgia">Mild or Moderate?</font></i></td>
- <td style="text-align: center"><input name="q57" type="radio" checked="CHECKED" value="o" /></td>
- <td style="text-align: center"><input name="q57" type="radio" value="x"/></td>
- </tr>
- <tr>
- <td colspan="6" align="right">
- <input id="Submit1" type="submit" value="Take Survey" onclick="return calculate();" /></td>
- </tr>
- </table>
- </form>
- </body>
- </html>