Health Quote Form

    [radio* smoker id:smoker class:radio-inline use_label_element default:2 "Yes" "No"]
    [radio* good_vision id:good_vision class:radio-inline use_label_element default:2 "Yes" "No"]
    [radio* good_dental id:good_dental class:radio-inline use_label_element default:2 "Yes" "No"]