ROS: Constitutional

CONSTITUTIONAL: [checkbox name="variable_23" value="Deferred"]
Fevers? [checkbox name="variable_24" value="Yes|No"]
Chills? [checkbox name="variable_25" value="Yes|No"]
Rigors? [checkbox name="variable_26" value="Yes|No"]
Diaphoresis? [checkbox name="variable_27" value="Yes|No"]
     If yes, is it nocturnal?[checkbox name="variable_28" value="Yes|No"]
     If yes, is it drenching?[checkbox name="variable_29" value="Yes|No"] 
Fatigue? [checkbox name="variable_1" value="Yes|No"]
Unintentional weight loss? [checkbox name="variable_30" value="Yes|No"]
Anorexia? [checkbox name="variable_31" value="Yes|No"]
CONSTITUTIONAL:
Fevers?
Chills?
Rigors?
Diaphoresis?
If yes, is it nocturnal?
If yes, is it drenching?
Fatigue?
Unintentional weight loss?
Anorexia?

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 1, 10 form elements, 20 boilerplate words, 10 checkboxes, 19 total clicks
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