MHE Summary Template

[text name="variable_1" default="Name"] a [select name="variable_1" value="16|17|18|19|20|21|22|23|24|25|26"] year old [select name="variable_2" value="white|black|mixed race|African American|Asian American|Latina|Latino|Native American|Native Hawaiian|Pacific Islander|Alaska Native"] [select name="variable_3" value="male|female|non-binary individual|genderqueer individual|transgender individual|trans man|trans woman"] presented for assessment independently. [text name="variable_1"] reported that 
[select name="variable_4" value="he was|she was|they were"] seeking assessment for 
[textarea name="variable_1" default="Reason for seeking assesment"].