{% extends "global/Page.html" %}
{% load staticfiles otree %}

{% block title %}
{# #}
{% endblock %}

{% block content %}


<table class="table">
    <tr>
      <th> </th>   <th>Not at all concerning</th><th>Slightly concerning</th><th>Somewhat concerning</th><th>Moderately concerning</th><th>Extremely concerning</th>
    </tr>
    {% for field in form %}
    <tr>
        <td>
            {{ field.label_tag }}
            {{ field.errors }}
     </td>
        <td><input type="radio" name="{{ field.html_name}}" value="1" required {% if field.value|stringformat:"s" == 'Not at all concerning' %}checked{% endif %}></td>
        <td><input type="radio" name="{{ field.html_name}}" value="2" required {% if field.value|stringformat:"s" == 'Slightly concerning' %}checked{% endif %}></td>
        <td><input type="radio" name="{{ field.html_name}}" value="3" required {% if field.value|stringformat:"s" == 'Somewhat concerning' %}checked{% endif %}></td>
        <td><input type="radio" name="{{ field.html_name}}" value="4" required {% if field.value|stringformat:"s" == 'Moderately concerning' %}checked{% endif %}></td>
        <td><input type="radio" name="{{ field.html_name}}" value="5" required {% if field.value|stringformat:"s" == 'Extremely  concerning' %}checked{% endif %}></td>

    </tr>
    {% endfor %}
</table>
    <hr>
    {% next_button %}


{% endblock %}