{{ block title }} {{ endblock }} {{ block content }}
Please indicate the degree to which you personally agree or disagree with each of the following statements by choosing a number from the scale below that reflects your opinion (1 = Strongly Disagree, 7 = Strongly Agree):
{% for field in form %} {% for i in range(1, 8) %} {% endfor %} {% endfor %}
Strongly Disagree1 Disagree2 Somewhat Disagree3 Neither Agree
Nor Disagree
4
Somewhat Agree5 Agree6 Strongly Agree7
{{ field.label }}
{{ next_button }} {{ endblock }}