[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=""]

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.5, 2 form elements, 1 text boxes, 1 checkboxes, 8 total clicks
Questions/General site feedback

Send Feedback for this SOAPnote

This site uses Akismet to reduce spam. Learn how your comment data is processed.

More SOAPnotes by this Author: