<table border="0" cellpadding="0" cellspacing="0" width="100%">
	<tr>
		<td width="100%"  class="module_detail_inside">
<table width="100%" border="0" cellpadding="0" cellspacing="0">
	<tr>
		<td class="module_head" style="padding-left: 6px;"  height="18">{$lang.title.2}</td>
	</tr>
</table>
<div style="padding-left:2px">
<form action="?plugin={$plugin}&amp;showpage={$pid}" method="post">
<table border="0" width="100%">
  <tr>
    <td width="100%" colspan="2"><h3>1. {$lang.q2.1}</h3>
</td>
  </tr>
  <tr>
<td width="3%"><input type="hidden" name="q1" value="checkbox" /></td>
<td width="97%">
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_1" style="vertical-align:-50%" value="{$lang.q2.r1_1}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_1}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_1}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_2" style="vertical-align:-50%" value="{$lang.q2.r1_2}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_2}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_2}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_3" style="vertical-align:-50%" value="{$lang.q2.r1_3}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_3}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_3}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_4" style="vertical-align:-50%" value="{$lang.q2.r1_4}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_4}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_4}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_5" style="vertical-align:-50%" value="{$lang.q2.r1_5}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_5}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_5}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_6" style="vertical-align:-50%" value="{$lang.q2.r1_6}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_6}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_6}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_7" style="vertical-align:-50%" value="{$lang.q2.r1_7}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_7}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_7}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_8" style="vertical-align:-50%" value="{$lang.q2.r1_8}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_8}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_8}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_9" style="vertical-align:-50%" value="{$lang.q2.r1_9}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_9}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_9}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_10" style="vertical-align:-50%" value="{$lang.q2.r1_10}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_10}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_10}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_11" style="vertical-align:-50%" value="{$lang.q2.r1_11}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_11}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_11}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_12" style="vertical-align:-50%" value="{$lang.q2.r1_12}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_12}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_12}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_13" style="vertical-align:-50%" value="{$lang.q2.r1_13}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_13}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_13}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_14" style="vertical-align:-50%" value="{$lang.q2.r1_14}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_14}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_14}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_15" style="vertical-align:-50%" value="{$lang.q2.r1_15}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_15}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_15}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_16" style="vertical-align:-50%" value="{$lang.q2.r1_16}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_16}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_16}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_17" style="vertical-align:-50%" value="{$lang.q2.r1_17}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_17}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_17}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_18" style="vertical-align:-50%" value="{$lang.q2.r1_18}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_18}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_18}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_19" style="vertical-align:-50%" value="{$lang.q2.r1_19}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_19}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_19}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_20" style="vertical-align:-50%" value="{$lang.q2.r1_20}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_20}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_20}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_21" style="vertical-align:-50%" value="{$lang.q2.r1_21}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_21}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_21}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_22" style="vertical-align:-50%" value="{$lang.q2.r1_22}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_22}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_22}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_23" style="vertical-align:-50%" value="{$lang.q2.r1_23}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_23}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_23}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_24" style="vertical-align:-50%" value="{$lang.q2.r1_24}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_24}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_24}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_25" style="vertical-align:-50%" value="{$lang.q2.r1_25}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_25}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_25}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_26" style="vertical-align:-50%" value="{$lang.q2.r1_26}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_26}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_26}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_27" style="vertical-align:-50%" value="{$lang.q2.r1_27}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_27}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_27}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q1_28" style="vertical-align:-50%" value="{$lang.q2.r1_28}" {foreach item=item key=key from=$data.1}{if $item.answer == $lang.q2.r1_28}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r1_28}</td>
</tr>
</table>

<table border="0" width="100%">
  <tr>
    <td width="100%" colspan="2"><h3>2. {$lang.q2.2}</h3>
</td>
  </tr>
<tr>
<td width="3%"><input type="hidden" name="q2" value="checkbox" /></td>
<td width="97%">
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_1" value="{$lang.q2.r2_1}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_1}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_1}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_2" value="{$lang.q2.r2_2}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_2}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_2}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_3" value="{$lang.q2.r2_3}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_3}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_3}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_4" value="{$lang.q2.r2_4}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_4}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_4}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_5" value="{$lang.q2.r2_5}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_5}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_5}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_6" value="{$lang.q2.r2_6}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_6}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_6}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_7" value="{$lang.q2.r2_7}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_7}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_7}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_8" value="{$lang.q2.r2_8}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_8}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_8}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_9" value="{$lang.q2.r2_9}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_9}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_9}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_10" value="{$lang.q2.r2_10}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_10}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_10}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_11" value="{$lang.q2.r2_11}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_11}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_11}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_12" value="{$lang.q2.r2_12}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_12}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_12}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_13" value="{$lang.q2.r2_13}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_13}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_13}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_14" value="{$lang.q2.r2_14}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_14}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_14}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_15" value="{$lang.q2.r2_15}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_15}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_15}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_16" value="{$lang.q2.r2_16}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_16}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_16}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_17" value="{$lang.q2.r2_17}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_17}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_17}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_18" value="{$lang.q2.r2_18}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_18}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_18}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_19" value="{$lang.q2.r2_19}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_19}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_19}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_20" value="{$lang.q2.r2_20}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_20}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_20}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_21" value="{$lang.q2.r2_21}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_21}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_21}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_22" value="{$lang.q2.r2_22}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_22}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_22}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_23" value="{$lang.q2.r2_23}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_23}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_23}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_24" value="{$lang.q2.r2_24}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_24}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_24}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_25" value="{$lang.q2.r2_25}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_25}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_25}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_26" value="{$lang.q2.r2_26}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_26}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_26}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_27" value="{$lang.q2.r2_27}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_27}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_27}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_28" value="{$lang.q2.r2_28}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_28}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_28}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q2_29" value="{$lang.q2.r2_29}" style="vertical-align:-50%" {foreach item=item key=key from=$data.2}{if $item.answer == $lang.q2.r2_29}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r2_29}</td>
</tr>
</table>

<h3>3. {$lang.q2.3}</h3>
<textarea name="q3" rows="10" cols="50">{$data.3.1.answer }</textarea>

<table border="0" width="100%">
  <tr>
    <td width="100%" colspan="2"><h3>4. {$lang.q2.4}</h3>
</td>
  </tr>
  <tr>
<td width="3%"><input type="hidden" name="q4" value="checkbox" /></td>
<td width="97%">
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_1" value="{$lang.q2.r4_1}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_1}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_1}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_2" value="{$lang.q2.r4_2}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_2}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_2}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_3" value="{$lang.q2.r4_3}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_3}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_3}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_4" value="{$lang.q2.r4_4}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_4}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_4}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_5" value="{$lang.q2.r4_5}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_5}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_5}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_6" value="{$lang.q2.r4_6}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_6}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_6}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_7" value="{$lang.q2.r4_7}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_7}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_7}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_8" value="{$lang.q2.r4_8}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_8}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_8}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_9" value="{$lang.q2.r4_9}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_9}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_9}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_10" value="{$lang.q2.r4_10}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_10}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_10}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_11" value="{$lang.q2.r4_11}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_11}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_11}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_12" value="{$lang.q2.r4_12}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_12}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_12}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_13" value="{$lang.q2.r4_13}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_13}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_13}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_14" value="{$lang.q2.r4_14}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_14}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_14}
</td>
</tr>
<tr>
<td width="3%"><input type="checkbox" name="q4_15" value="{$lang.q2.r4_15}" style="vertical-align:-50%" {foreach item=item key=key from=$data.4}{if $item.answer == $lang.q2.r4_15}checked{/if}{/foreach} /></td>
<td width="97%">{$lang.q2.r4_15}</td>
</tr>
</table>

<table border="0" width="100%">
  <tr>
    <td width="100%" colspan="2"><h3>5. {$lang.q2.5}</h3>
</td>
  </tr>
  <tr>
<td width="3%"><input type="radio" name="q5" value="{$lang.q2.r5_1}" {if $lang.q2.r5_1 == $data.5.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r5_1}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q5" value="{$lang.q2.r5_2}" {if $lang.q2.r5_2 == $data.5.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r5_2}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q5" value="{$lang.q2.r5_3}" {if $lang.q2.r5_3 == $data.5.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r5_3}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q5" value="{$lang.q2.r5_4}" {if $lang.q2.r5_4 == $data.5.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r5_4}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q5" value="{$lang.q2.r5_5}" {if $lang.q2.r5_5 == $data.5.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r5_5}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q5" value="{$lang.q2.r5_6}" {if $lang.q2.r5_6 == $data.5.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r5_6}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q5" value="{$lang.q2.r5_7}" {if $lang.q2.r5_7 == $data.5.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r5_7}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q5" value="{$lang.q2.r5_8}" {if $lang.q2.r5_8 == $data.5.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r5_8}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q5" value="{$lang.q2.r5_9}" {if $lang.q2.r5_9 == $data.5.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r5_9}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q5" value="{$lang.q2.r5_10}" {if $lang.q2.r5_10 == $data.5.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r5_10}</td>
</tr>
</table>

<table border="0" width="100%">
  <tr>
    <td width="100%" colspan="2"><h3>6. {$lang.q2.6}</h3>
</td>
  </tr>
  <tr>
<td width="3%"><input type="radio" name="q6" value="{$lang.q2.r6_1}" {if $lang.q2.r6_1 == $data.6.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r6_1}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q6" value="{$lang.q2.r6_2}" {if $lang.q2.r6_2 == $data.6.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r6_2}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q6" value="{$lang.q2.r6_3}" {if $lang.q2.r6_3 == $data.6.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r6_3}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q6" value="{$lang.q2.r6_4}" {if $lang.q2.r6_4 == $data.6.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r6_4}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q6" value="{$lang.q2.r6_5}" {if $lang.q2.r6_5 == $data.6.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r6_5}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q6" value="{$lang.q2.r6_6}" {if $lang.q2.r6_6 == $data.6.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r6_6}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q6" value="{$lang.q2.r6_7}" {if $lang.q2.r6_7 == $data.6.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r6_7}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q6" value="{$lang.q2.r6_8}" {if $lang.q2.r6_8 == $data.6.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r6_8}</td>
</tr>
</table>

<table border="0" width="100%">
  <tr>
    <td width="100%" colspan="2"><h3>7. {$lang.q2.7}</h3>
</td>
  </tr>
  <tr>
<td width="3%"><input type="radio" name="q7" value="{$lang.q2.r7_1}" {if $lang.q2.r7_1 == $data.7.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r7_1}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q7" value="{$lang.q2.r7_2}" {if $lang.q2.r7_2 == $data.7.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r7_2}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q7" value="{$lang.q2.r7_3}" {if $lang.q2.r7_3 == $data.7.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r7_3}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q7" value="{$lang.q2.r7_4}" {if $lang.q2.r7_4 == $data.7.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r7_4}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q7" value="{$lang.q2.r7_5}" {if $lang.q2.r7_5 == $data.7.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r7_5}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q7" value="{$lang.q2.r7_6}" {if $lang.q2.r7_6 == $data.7.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r7_6}
</td>
</tr>
<tr>
<td width="3%"><input type="radio" name="q7" value="{$lang.q2.r7_7}" {if $lang.q2.r7_7 == $data.7.1.answer}checked{/if} /></td>
<td width="97%">{$lang.q2.r7_7}
</td>
</tr>
</table>

<br/>
<input type="submit" value="{$lang.save}" class="formbutton" name="edit"/>
</form>
</div>
	</td>
</tr>
</table>