First question
Please Select
Yes
No
Category 1
Category 2
Category 3
Category 4
Category 5
Category 6
Category 7
Category 8
Category 9
Category1
Category2
Category3
Category4
Category5
Category6
Category7
Category8
Category9
Result
{category1}
{category2}
{category3}
{category4}
{category5}
{category6}
{category7}
{category8}
{category9}
Submit
Should be Empty: