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"Non-evoked Outcome Assessment (Neurop_SLR)"
Bootstrap 4.1.1 Snippet by
Daniel3007
4.1.1
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<link href="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.min.js"></script> <script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <!------ Include the above in your HEAD tag ----------> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="selectbasic">0. What behavioural assessment is used?</label> <div class="col-md-4"> <select id="selectbasic" name="selectbasic" class="form-control"> <option value="1">Paw guarding</option> <option value="2">Foot lifting</option> <option value="3">Grimace scale</option> <option value="4">Elevated plus maze</option> <option value="5">Open Field</option> <option value="6">Home Cage</option> <option value="7">Conditioned place preference</option> <option value="8">Novel object test</option> <option value="9">Other</option> </select> <span class="help-block">Provide a label to uniquely identify an outcome assessment procedure within the study </span> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="selectbasic">1. Outcome measure average type </label> <div class="col-md-4"> <select id="selectbasic" name="selectbasic" class="form-control"> <option value="1">Mean</option> <option value="2">Median</option> <option value="">others</option> </select> <span class="help-block">Select the average type for this outcome measure. </span> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="selectbasic">2. Outcome measure error type </label> <div class="col-md-4"> <select id="selectbasic" name="selectbasic" class="form-control"> <option value="1">SD</option> <option value="2">SEM</option> <option value="">95%CI</option> </select> <span class="help-block">Select the error type for this outcome measure. </span> </div> </div> <!-- Appended checkbox --> <div class="form-group"> <label class="col-md-4 control-label" for="appendedcheckbox">3. Greater is worse</label> <div class="col-md-4"> <div class="input-group"> <input id="appendedcheckbox" name="appendedcheckbox" class="form-control" type="text" placeholder="Yes"> <span class="input-group-addon"> <input type="checkbox"> </span> </div> <p class="help-block">Is a greater value worse?</p> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="selectbasic">4. Outcome measure units </label> <div class="col-md-4"> <select id="selectbasic" name="selectbasic" class="form-control"> <option value="1">secound</option> <option value="2">Ratio</option> <option value="3">% of Data set</option> </select> <span class="help-block">Select the units used for this outcome. </span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">0a (others).Specfiy non-evoked pain-related assessment</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder=" " class="form-control input-md"> <span class="help-block">Copy past from study text </span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">6. What was the habituation time prior the test?</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder=" " class="form-control input-md"> <span class="help-block">give in min</span> </div> </div> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">7. What was the dimension of animal test boxes?</label> <div class="col-md-4"> <input id="textinput" name="textinput" type="text" placeholder=" " class="form-control input-md"> <span class="help-block">give in wide x lenght x high (cm)</span> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="radios">8. What sex was the experimenter?</label> <div class="col-md-4"> <div class="radio"> <label for="radios-0"> <input type="radio" name="radios" id="radios-0" value="1" checked="checked"> Female </label> </div> <div class="radio"> <label for="radios-1"> <input type="radio" name="radios" id="radios-1" value="2"> Male </label> </div> <div class="radio"> <label for="radios-2"> <input type="radio" name="radios" id="radios-2" value="3"> Not reported </label> </div> </div> </div>
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