{% extends "global/Page.html" %}

{% block title %}
Vaccination
{% endblock %}
{% block content %}

<div class="card bg-light instructions">
  <div class="card-body">
    <p>Please tell us how much you disagree or agree with the following statements about getting yourself vaccinated.</p>

    <table class="table table-striped" style="width: 100%">
      <colgroup>
        <col span="1" style="width: 44%;">
        <col span="1" style="width: 8%;">
        <col span="1" style="width: 8%;">
        <col span="1" style="width: 8%;">
        <col span="1" style="width: 8%;">
        <col span="1" style="width: 8%;">
        <col span="1" style="width: 8%;">
        <col span="1" style="width: 8%;">
      </colgroup>
      <tr>
        <th></th>
        <th>1. Strongly disagree</th>
        <th>2. Rather disagree</th>
        <th>3. Neutral</th>
        <th>4. Rather agree</th>
        <th>5. Strongly agree</th>
        <th>8. Don't know</th>
        <th>9. Prefer not to say</th>

      </tr>
      {% for field in form %}
      <tr>
        <td>{{ field.label }}</td>
        {% for choice in field %}
        <td>{{ choice }}</td>
        {% endfor %}
      </tr>
      {% endfor %}
    </table>

  </div>

</div>

<div align="right">{% next_button %}</div>

{% endblock %}