function vetAnswers1_(){
var yes = 0;
var no = 0;
	for (var i=1;i<8;i++) {
		if (eval('document.xlaapmform1_.answer' + i + '.value') !='') {
			yes++;
		} 
	}
		if (yes == 7) {
		return true;
		}
		else {
			alert('Please answer all the questions before submitting');
			return false;
		}
	}
function xlaapmsubmit1_(){
		if (vetAnswers1_()){
		xlaapmxe = window.open('','xlaapmxe','toolbar=0,location=0,status=1,menubar=1,scrollbars=1,resizable=1,width=455,height=660');
		document.xlaapmform1_.submit();
		xlaapmxe.focus();
	}
}
	document.write('<form name=xlaapmform1_ method=post target=xlaapmxe action=http:\/\/www.celiacplus.com\/absolutepm\/xlaabsolute2.asp?p=1 style=margin:0;><table width=100% cellspacing=1 cellpadding=2><tr align=left><td colspan=2 valign=top><font  style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">1. What prompted you to visit this site today?<\/font><\/td><\/tr><tr><td><\/td><td><input type=hidden name=answer1 value=\'\'><\/td><\/tr><tr><td width=0 valign=top align=left><input type=\'radio\' name=\'ans1\' onclick=\'javascript:xlaapmform1_.answer1.value=1\'><\/td><td width=100%><font  style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">Found information on Google during a search about the disease<\/font><\/td><\/tr><tr><td width=0 valign=top align=left><input type=\'radio\' name=\'ans1\' onclick=\'javascript:xlaapmform1_.answer1.value=2\'><\/td><td width=100%><font  style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">Found information on Yahoo during a search about the disease<\/font><\/td><\/tr><tr><td width=0 valign=top align=left><input type=\'radio\' name=\'ans1\' onclick=\'javascript:xlaapmform1_.answer1.value=3\'><\/td><td width=100%><font  style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">Learned about the site from another search engine <\/font><\/td><\/tr><tr><td width=0 valign=top align=left><input type=\'radio\' name=\'ans1\' onclick=\'javascript:xlaapmform1_.answer1.value=4\'><\/td><td width=100%><font  style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">Learned about the site from a friend or family member<\/font><\/td><\/tr><tr><td width=0 valign=top align=left><input type=\'radio\' name=\'ans1\' onclick=\'javascript:xlaapmform1_.answer1.value=5\'><\/td><td width=100%><font  style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">Learned about the site from a doctor or nurse<\/font><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr align=left><td colspan=2 valign=top><font  style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">2. What kinds of information would make you want to come back to this site?<\/font><\/td><\/tr><tr><td width=0 valign=top align=left><input type=\'checkbox\' value=\'7\' name=\'answer2\'><\/td><td width=100%><font style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">Additional educational information about celiac disease<\/font><\/td><\/tr><tr><td width=0 valign=top align=left><input type=\'checkbox\' value=\'8\' name=\'answer3\'><\/td><td width=100%><font style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">More information on diet, healthy recipes and good\/bad foods to eat<\/font><\/td><\/tr><tr><td width=0 valign=top align=left><input type=\'checkbox\' value=\'9\' name=\'answer4\'><\/td><td width=100%><font style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">More links to resources and related news articles<\/font><\/td><\/tr><tr><td width=0 valign=top align=left><input type=\'checkbox\' value=\'10\' name=\'answer5\'><\/td><td width=100%><font style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">Engaging tools, such as an interactive quiz to understand the nature of your disease<\/font><\/td><\/tr><tr><td width=0 valign=top align=left><input type=\'checkbox\' value=\'11\' name=\'answer6\'><\/td><td width=100%><font style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">An online symptom tracker to track symptoms over time to share with your doctor<\/font><\/td><\/tr><tr><td width=0 valign=top align=left><input type=\'checkbox\' value=\'12\' name=\'answer7\'><\/td><td width=100%><font style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\">Reading stories about other patients living with this disease<\/font><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><\/tr><tr><td align=center colspan=2><input type=button onclick=\"javascript:xlaapmsubmit1_()\" name=Submit value=\'Submit\' style=\"font-weight:normal;font-family:Arial;font-size:12;color:#000000;\"\'><input type=hidden name=totalquestions value=7><\/td><\/tr><\/table><input type=hidden name=dopoll value=1><input type=hidden name=z value=\'\'><\/form>');