{{ block content }} {{ load static otree }}

• What is your year of birth? [YYYY]

{{ formfield 'Q1' label="" }}

• What is your month of birth?

{{ formfield 'Q2' label="" }}

• What is your sex?

{{ formfield 'Q3' label="" }}

• What is your current gender identity?

{{ formfield 'Q4' label="" }}
{{ endblock }}