[checkbox name="variable_1" value="inflated self-esteem or grandiosity|decreased need for sleep|increased talkativeness|racing thoughts|distracted easily|Increase in goal-directed activity|engaging in activities that hold the potential for painful consequences such as"] [text name="variable_1" default=""]

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Sandbox Metrics: Structured Data Index 0.5, 2 form elements, 1 text boxes, 1 checkboxes, 8 total clicks
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