<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 ----------> <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 ----------> <form class="form-horizontal"> <fieldset> <b>Experimental design</b> <br> <br> <!-- Multiple Checkboxes --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes"><b>1.</b> Which species was used in this study?</label> <div class="col-md-4"> <div class="checkbox"> <label for="checkboxes-0"> <input type="checkbox" name="checkboxes" id="checkboxes-0" value="1"> Mice (mus musculus) </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="2"> Rat (rattus norvegicus forma domestica) </label> </div> <div class="checkbox"> <label for="checkboxes-2"> <input type="checkbox" name="checkboxes" id="checkboxes-2" value="3"> Both </label> </div> </div> </div> <!-- Multiple Checkboxes --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes"><b>2.</b> Which strain(s) was/were used in this study?</label> <div class="col-md-4"> <div class="checkbox"> <label for="checkboxes-0"> <input type="checkbox" name="checkboxes" id="checkboxes-0" value="1"> C57BL6J </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="2"> C57BL6J </label> </div> <div class="checkbox"> <label for="checkboxes-2"> <input type="checkbox" name="checkboxes" id="checkboxes-2" value="3"> C57Bl6N </label> </div> <div class="checkbox"> <label for="checkboxes-3"> <input type="checkbox" name="checkboxes" id="checkboxes-3" value="4"> SD </label> </div> <div class="checkbox"> <label for="checkboxes-4"> <input type="checkbox" name="checkboxes" id="checkboxes-4" value="5"> Swiss </label> </div> <div class="checkbox"> <label for="checkboxes-5"> <input type="checkbox" name="checkboxes" id="checkboxes-5" value="6"> CD-1 </label> </div> <div class="checkbox"> <label for="checkboxes-6"> <input type="checkbox" name="checkboxes" id="checkboxes-6" value="7"> Wistar </label> </div> <div class="checkbox"> <label for="checkboxes-7"> <input type="checkbox" name="checkboxes" id="checkboxes-7" value="8"> IAF hairless </label> </div> <div class="checkbox"> <label for="checkboxes-8"> <input type="checkbox" name="checkboxes" id="checkboxes-8" value="9"> Long evans </label> </div> <div class="checkbox"> <label for="checkboxes-9"> <input type="checkbox" name="checkboxes" id="checkboxes-9" value="10"> Lewis </label> </div> <div class="checkbox"> <label for="checkboxes-10"> <input type="checkbox" name="checkboxes" id="checkboxes-10" value="11"> Sabra </label> </div> </div> </div> <!-- Multiple Checkboxes --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes"><b>3.</b> Was the age of the animals reported?</label> <div class="col-md-4"> <div class="checkbox"> <label for="checkboxes-0"> <input type="checkbox" name="checkboxes" id="checkboxes-0" value="1"> Yes </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="2"> No </label> </div> </div> </div> <!-- Text input--> <ul style="list-style-type:NONE"><li><div class="form-group"><label class="col-md-4 control-label" for="textinput"><b>3a.</b> If yes, please extract the age in days</label> <div class="col-md-4"><input id="textinput" name="textinput" type="text" placeholder=" " class="form-control input-md" /> <em><span class="help-block"></span></em></div> </div></li></ul> <br> <!-- Multiple Checkboxes --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes"><b>4.</b> Which control group was used? <br> <i> Multiple options can apply if more than one control group was chosen</i></label> <div class="col-md-4"> <div class="checkbox"> <label for="checkboxes-0"> <input type="checkbox" name="checkboxes" id="checkboxes-0" value="1"> vehicle control with induced neuropathic pain model </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="2"> vehicle control with sham surgery </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="2"> vehicle control without any surgery </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="2"> induced neuropathic pain model without vehicle </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="2"> sham surgery without vehicle </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="2"> naive control </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="2"> collateral side control </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="2"> other </label> </div> </div> </div> </fieldset> </form> <!-- Multiple Radios (inline) --> <div class="form-group"><label class="col-md-4 control-label" for="radios"><b>5.</b> Was the model duration reported?</label> <div class="col-md-4"><label class="radio-inline" for="radios-0"> <input type="radio" name="radios" id="radios-0" value="1" checked="checked" /> Yes </label> <label class="radio-inline" for="radios-1"> <input type="radio" name="radios" id="radios-1" value="2" /> No </label> <label class="radio-inline" for="radios-2"> <input type="radio" name="radios" id="radios-2" value="3" /> Not reported </label></div> </div> <!-- Text input--> <ul style="list-style-type:NONE"><li><div class="form-group"><label class="col-md-4 control-label" for="textinput"><b>5a.</b> If yes, please specify the duration of the model (from induction to euthanasia)</label> <div class="col-md-4"><input id="textinput" name="textinput" type="text" placeholder=" " class="form-control input-md" /> <em><span class="help-block"></span></em></div> </div></li></ul> <br> <!-- Text input--> <div class="form-group"><label class="col-md-4 control-label" for="textinput"><b>6</b> How many time points were assessed?</label> <div class="col-md-4"><input id="textinput" name="textinput" type="text" placeholder=" " class="form-control input-md" /> <em><span class="help-block"></span></em></div> </div> <br> <!-- Text input--> <div class="form-group"><label class="col-md-4 control-label" for="textinput"><b>7</b> How many time points >= post-operative day 7 were reported?</label> <div class="col-md-4"><input id="textinput" name="textinput" type="text" placeholder=" " class="form-control input-md" /> <em><span class="help-block"></span></em></div> </div> <br> <!-- Multiple Checkboxes --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes"><b>8.</b> Select the pain-associated behaviours assessed</label> <div class="col-md-4"> <div class="checkbox"> <label for="checkboxes-0"> <input type="checkbox" name="checkboxes" id="checkboxes-0" value="1"> evoked: mechanical stimulus </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="2"> evoked: heat stimulus </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-2" value="3"> evoked: cold stimulus </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-3" value="4"> evoked: electric stimulus </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-4" value="5"> non-evoked - nocifensive (e.g. grimacing) </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-5" value="6"> movement-evoked (e.g.gait analysis) </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-6" value="7"> non-evoked - elective (e.g. social behavior, nest building) </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-7" value="8"> non-evoked - survival (e.g. grooming, feeding) </label> </div> </div> </div>