I'm hoping someone can point me in the right direction. I want to create a form with PHP so I can then insert the data into a table.
The page of the form is a checklist of behaviors for current and prior.
The form consists of all checkboxes.
The first checkbox identifies the behavior. For example: Abuse
Next to the behavior checkbox, you the current type of behavior. For example: physical, sexual, emotional, etc.
Next to the current type is a set of identical checkboxes which represent the prior behavior.
The form looks something like this. I placed checkmarks so you can see what the form should look like when completed.
Behavior | Current | Prior
[X ] Abuse | [ X] Emotional | [ ] Emotional
| [ ] Physical | [ X] Emotional