Skin exam

Skin:
****

Primary Morphology: [checkbox name="variable_1" value="macule|patch|plaque|papule|nodular|vesiclular|pustular"]
Size:
Demarcation:
[checkbox name="variable_2" value="well-demarcated|not well demarcated"]
Color:
[checkbox name="variable_3" value="white|red|purple|brown|yellow|black|blue"]
Secondary Morphology:
[checkbox name="variable_4" value="crusting|fissure|lichenification|erosion|ulceration|scaling"] 
Distribution:
[checkbox name="variable_5" value="generalized|Photodistributive|Extensor"]
Skin:
****

Primary Morphology:
Size:
Demarcation:

Color:

Secondary Morphology:

Distribution:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 1, 5 form elements, 9 boilerplate words, 5 checkboxes, 25 total clicks
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