<link href="//netdna.bootstrapcdn.com/bootstrap/3.1.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.1.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Dotazník MůjKalíšek.cz</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="roky">Kolik je Vám let?</label> <div class="col-md-4"> <input id="roky" name="roky" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="g1">Jak silné měsíčky máte?</label> <div class="col-md-4"> <div class="radio"> <label for="g1-0"> <input type="radio" name="g1" id="g1-0" value="1" checked="checked"> Silné </label> </div> <div class="radio"> <label for="g1-1"> <input type="radio" name="g1" id="g1-1" value="2"> Střední </label> </div> <div class="radio"> <label for="g1-2"> <input type="radio" name="g1" id="g1-2" value="3"> Slabé </label> </div> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="g2">Byla jste někdy těhotná?</label> <div class="col-md-4"> <div class="radio"> <label for="g2-0"> <input type="radio" name="g2" id="g2-0" value="0" checked="checked"> Ne </label> </div> <div class="radio"> <label for="g2-1"> <input type="radio" name="g2" id="g2-1" value="1"> Ano </label> </div> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="g3">Máte za sebou porod?</label> <div class="col-md-4"> <div class="radio"> <label for="g3-0"> <input type="radio" name="g3" id="g3-0" value="0" checked="checked"> Ne </label> </div> <div class="radio"> <label for="g3-1"> <input type="radio" name="g3" id="g3-1" value="1"> Ano, přirozenou cestou </label> </div> <div class="radio"> <label for="g3-2"> <input type="radio" name="g3" id="g3-2" value="2"> Ano, císařským řezem </label> </div> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="g4">Sportujete aktivně?</label> <div class="col-md-4"> <div class="radio"> <label for="g4-0"> <input type="radio" name="g4" id="g4-0" value="0" checked="checked"> Vůbec ne </label> </div> <div class="radio"> <label for="g4-1"> <input type="radio" name="g4" id="g4-1" value="1"> Občas (1x až 2x týdně) </label> </div> <div class="radio"> <label for="g4-2"> <input type="radio" name="g4" id="g4-2" value="2"> Aktivně (více než 3x týdně) </label> </div> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="g5">Používáte běžně tampony?</label> <div class="col-md-4"> <div class="radio"> <label for="g5-0"> <input type="radio" name="g5" id="g5-0" value="0" checked="checked"> Ne </label> </div> <div class="radio"> <label for="g5-1"> <input type="radio" name="g5" id="g5-1" value="1"> Ano </label> </div> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="send"></label> <div class="col-md-4"> <button id="send" name="send" class="btn btn-success">Zpracovat</button> </div> </div> </fieldset> </form>