User:Jeremi/CI Form Test: Difference between revisions
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{{#CI form: title = Survey example | {{#CI form: title = Survey example | ||
| email-to = | | email-to = | ||
| paging = 4 | | paging = 4 | ||
| css-class = form-limesurvey | | css-class = form-limesurvey | ||
Revision as of 17:04, 7 June 2023
{{#CI form: title = Survey example | email-to = | paging = 4 | css-class = form-limesurvey |
{{#CI form section: type = inputs responsive | first and last name [] * | email [email] | phone [tel] }}
{{#CI form section: type = multiple choice | list-type = none | max answers = 1 | title = 2. How much do you like CIForms ? | 1 | 2 | 3 | 4 | 5 | No answer }}
{{#CI form section: type = input | title = 3. What is your favorite pastime?
|[Please chose one=select=Reading,Programming,Navigating the web,All of the above,Other,No answer] *
| (if you selected "other") [text]
}}
{{#CI form section: type = multiple choice | list-type = none | max answers = 1
| title = 4. What is your favorite color ?
| Red
| Orange
| Yellow
| Green
| Blue
| Indigo
| Violet
| Plaid
| Other []
| No answer
}}
{{#CI form section: type = multiple choice | title = 5. Who is your favorite relative ? | Father | Mother | Sister | Brother | Uncle | Aunt | Grandfather | Grandmother | No answer }}
{{#CI form section: type = inputs | title = Why ? | [textarea] }}
{{#CI form section: type = inputs | title = 6. How much do you like these foods ? | Broccoli [Chose one=select=Hate,Dislike,Ambivalent,Like,Love,No answer] | Ice Cream [Chose one=select=Hate,Dislike,Ambivalent,Like,Love,No answer] | Chocolate [Chose one=select=Hate,Dislike,Ambivalent,Like,Love,No answer] | Steak [Chose one=select=Hate,Dislike,Ambivalent,Like,Love,No answer] | Escargot [Chose one=select=Hate,Dislike,Ambivalent,Like,Love,No answer] }}
{{#CI form section: type = inputs | title = 7. How much pain to you currently feel in the following locations? 1 = none, 10 = extreme | Head [Chose one=select=1,2,3,5,6,7,8,9,10,No answer] * Torso [Chose one=select=1,2,3,5,6,7,8,9,10,No answer] | Back [Chose one=select=1,2,3,5,6,7,8,9,10,No answer] Seat [Chose one=select=1,2,3,5,6,7,8,9,10,No answer] | Hands [Chose one=select=1,2,3,5,6,7,8,9,10,No answer] Feet [Chose one=select=1,2,3,5,6,7,8,9,10,No answer] }}
{{#CI form section: type = inputs
| title = 8. How much do you like the following? (1 = not at all, 5 = extremely)
| Ballet [Chose one=select=1,2,3,5,No answer] Jazz [Chose one=select=1,2,3,5,No answer]
| Ballroom [Chose one=select=1,2,3,5,No answer] Tap [Chose one=select=1,2,3,5,No answer]
| Contemporary [Chose one=select=1,2,3,5,No answer] Hip Hop [Chose one=select=1,2,3,5,No answer]
}}
{{#CI form section: type = inputs | title = 9. How should the following change? | Funding for education [Chose one=select=Increase, Same, Decrease,No answer] Funding for security (e.g. police, jails, military) [Chose one=select=Increase, Same, Decrease,No answer] | Availability of high quality health care [Chose one=select=Increase, Same, Decrease,No answer] | Compensation for teachers [Chose one=select=Increase, Same, Decrease,No answer] Compensation for executives [Chose one=select=Increase, Same, Decrease,No answer] | Taxes on the rich [Chose one=select=Increase, Same, Decrease,No answer] Taxes on you [Chose one=select=Increase, Same, Decrease,No answer] }}
{{#CI form section: type = inputs responsive | title = 10. How long should it take to fix the following? | All bugs in LimeSurvey 1.91+ [Chose one=select=1,2,3,4,5,6,7,8,9,10] [Chose one=select=days,weeks,years] | All items on your To Do list [Chose one=select=1,2,3,4,5,6,7,8,9,10] [Chose one=select=days,weeks,years] | All items on your 'honey-do' list [Chose one=select=1,2,3,4,5,6,7,8,9,10] [Chose one=select=days,weeks,years] | The economy [Chose one=select=1,2,3,4,5,6,7,8,9,10] [Chose one=select=days,weeks,years] }}
{{#CI form section: type = cloze test | list-type = none | title = 11. Who are your favorite characters in the following? |
<html>
| Favorite | Second most | Third most | |
|---|---|---|---|
| Harry Potter | [] | [] | [] |
| Star Trek | [] | [] | [] |
| Star Wars | [] | [] | [] |
</html>
}}
{{#CI form section: type = inputs responsive | title = 12. Which of the following conditions have you had? | cancer [Chose one=select=Yes,Uncertain,No,No answer] | heart attack [Chose one=select=Yes,Uncertain,No,No answer] | diabetes [Chose one=select=Yes,Uncertain,No,No answer] | obesity [Chose one=select=Yes,Uncertain,No,No answer] | depression [Chose one=select=Yes,Uncertain,No,No answer] }}
{{#CI form section: type = inputs responsive | title = 13. How tall are the following? | Short [Chose one=select=House,Ferris Wheel (not including the London Eye),U.S. Capitol building,Washington Monument,Empire State Building] | Medium [Chose one=select=House,Ferris Wheel (not including the London Eye),U.S. Capitol building,Washington Monument,Empire State Building] | Tall [Chose one=select=House,Ferris Wheel (not including the London Eye),U.S. Capitol building,Washington Monument,Empire State Building] | No answer [Chose one=select=House,Ferris Wheel (not including the London Eye),U.S. Capitol building,Washington Monument,Empire State Building] }}
{{#CI form section: type = inputs responsive | title = 14. For each of these issues, how severe and bothersome are they? | Financial woes [Chose one=select=Mild Severity,Moderate Severity,Extreme Severity,Mild Bothersomeness,Moderate Bothersomeness,Extreme Bothersomeness,No answer] | Health concerns [Chose one=select=Mild Severity,Moderate Severity,Extreme Severity,Mild Bothersomeness,Moderate Bothersomeness,Extreme Bothersomeness,No answer] | Ability to get your doctors to listen [Chose one=select=Mild Severity,Moderate Severity,Extreme Severity,Mild Bothersomeness,Moderate Bothersomeness,Extreme Bothersomeness,No answer] }}
{{#CI form section: type = inputs | title = 15. When was your most recent birthday? | [date] }}
{{#CI form section: type = inputs | title = 16. Please upload a picture (not supported) }}
{{#CI form section: type = multiple choice | title = 17. What gender are you? | female {{#fas:venus}} | male {{#fas:mars}} | no answer {{#fas:genderless}} }}
{{#CI form section: type = inputs
| title = 18. Pick a new language
| [Choose your language=select=Template:Languages]
}}
{{#CI form section: type = inputs responsive | title = 19. How old are the following people (or how old were they when they died)? | Yourself [number] | Your mother [number] | Your father [number] }}
{{#CI form section: type = inputs responsive | title = 20. How old are you? | [number] }}
{{#CI form section: type = cloze test | css-class= ciform-favorite-activities | title = 21. Please rate your favorite activities: | [] Sleeping | [] Programming | [] Watching television | [] Time with family }}
{{#CI form section: type = inputs | title = 22. This is just a text display. Is the rendered value saved anywhere? Is there a database field for it (e.g. to emulate the Equation question type)? }}
{{#CI form section: type = multiple choice | title = 23. Do you love CIForms ? | yes {{#fas:check}} | no {{#fas:ban}} | no answer {{#far:circle}} }}
{{#CI form section: type = inputs | title = 24. Please paste your resume | [textarea] }}
{{#CI form section: type = inputs | title = 25. (let's skip this) }}
{{#CI form section: type = cloze test | list-type = none | title = 26. What are the names of your best friends? | Favorite Friend [] | Favorite Family Member [] | Favorite Co-Worker [] }}
{{#CI form section: type = inputs | title = 27. What is your favorite food ? | [] }}
{{#CI form section: type = multiple choice | title = 28. Where would you like to vacation this year? | Hawaii | Bahamas | Europe | New Zealand }}
{{#CI form section: type = multiple choice | max answers = 3 | title = 29. Which of the following do you like? Please comment why or why not for each. | Junk Food [] | Reality TV [] | Excercise [] }}
}}