CODE
<p><input type="checkbox" name="2a"/><font class="numbers">2a.</font> Text goes here</p>
<ul>
<li><input type="radio" value="Y" name="2a" class="select">YES</input></li>
<li><input type="radio" value="N" name="2a" class="select">NO</input></li>
<li><input type="radio" value="B" name="2a" class="select">BOTH</input></li>
<li><input type="radio" value="O" name="2a" class="select">OMITTED</input></li>
</ul>
<ul>
<li><input type="radio" value="Y" name="2a" class="select">YES</input></li>
<li><input type="radio" value="N" name="2a" class="select">NO</input></li>
<li><input type="radio" value="B" name="2a" class="select">BOTH</input></li>
<li><input type="radio" value="O" name="2a" class="select">OMITTED</input></li>
</ul>


Answers