caffeine use question item

Caffeine use --> [select name="variable_1" value="select one|endorsed|denied"][conditional field="variable_1" condition="(variable_1).is('endorsed')"]
Client stated [select name="variable_2" value="she|he"] currently drinks [select name="variable_3" memo="number" value="1 serving |2 servings|3 servings|4 servings|5 servings|6 servings|7 servings|8 servings|9 servings|10 servings|more than 10 servings"] of [select name="variable_5" memo="beverage" value="coffee|tea|caffeinated energy drink|caffeinated soda"] per [select name="variable_6" memo="time" value="day|week|month"].
[/conditional][conditional field="variable_1" condition="(variable_1).is('denied')"]
Client denied any current caffeine use.[/conditional]
Caffeine use -->

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 1, 7 form elements, 4 boilerplate words, 5 drop downs, 2 conditionals, 5 total clicks
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