{assign var="pgLayout" value="file:./layouts/lite.tpl"}
<h2 class="withBG">Survey #10203 - Week 7 - Day 3</h2>
<ol>
	<li>Please choose one of the following:
	<ul>
		<li><input type="radio" name="q1" value=""> Option 1</li>
		<li><input type="radio" name="q1" value=""> Option 2</li>
		<li><input type="radio" name="q1" value=""> Option 3</li>
		<li><input type="radio" name="q1" value=""> Option 4</li>
	</ul></li>
	<li>Please choose one of the following:
	<ul>
		<li><input type="radio" name="q1" value=""> Option 1</li>
		<li><input type="radio" name="q1" value=""> Option 2</li>
		<li><input type="radio" name="q1" value=""> Option 3</li>
		<li><input type="radio" name="q1" value=""> Option 4</li>
	</ul></li>
	<li>Please choose one of the following:
	<ul>
		<li><input type="radio" name="q1" value=""> Option 1</li>
		<li><input type="radio" name="q1" value=""> Option 2</li>
		<li><input type="radio" name="q1" value=""> Option 3</li>
		<li><input type="radio" name="q1" value=""> Option 4</li>
	</ul></li>
	<li>Please choose one of the following:
	<ul>
		<li><input type="radio" name="q1" value=""> Option 1</li>
		<li><input type="radio" name="q1" value=""> Option 2</li>
		<li><input type="radio" name="q1" value=""> Option 3</li>
		<li><input type="radio" name="q1" value=""> Option 4</li>
	</ul></li>
</ol>
