rendered paste body<form name="checklist" id="checklist">
<table width="100%" border="0" cellspacing="2" cellpadding="2">
<tbody><tr>
<td colspan="3" class="style17">Q1) When was the last time you drove a car ?</td>
</tr>
<tr>
<td width="33%" height="17" class="text-purple-11px"> </td>
<td colspan="2" class="text-purple-11px"> </td>
</tr>
<tr>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">a)
<input type="radio" name="Q1Check" onclick="qupdate('Q1.1');" value="5">
Never.</font></td>
<td colspan="2" class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">c)
<input type="radio" name="Q1Check" onclick="qupdate('Q1.3');" value="2" id="Q1Check">
Less than six months ago.</font></td>
</tr>
<tr>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">b)
<input type="radio" name="Q1Check" onclick="qupdate('Q1.2');" value="3" id="Q1Check">
Over a year ago.</font></td>
<td width="45%" class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">d)
<input type="radio" name="Q1Check" onclick="qupdate('Q1.4');" value="1" id="Q1Check">
Less than a month ago.</font></td>
<td width="22%" bgcolor="#EBEDEB" class="text-purple-11px">Total : <font size="2" face="Arial, Helvetica, sans-serif">
<input type="TEXT" name="Q1Scr" size="2" value="0" style="background-color:transparent; border-width:0;" readonly="">
</font></td>
</tr>
<tr>
<td class="text-purple-11px"> </td>
<td colspan="2" class="text-purple-11px"> </td>
</tr>
<tr>
<td colspan="3" class="text-purple-11px"><font face="Arial, Helvetica, sans-serif" class="style17">Q2) Roughly
how many hours driving experience do you have ? </font></td>
</tr>
<tr>
<td class="text-purple-11px"> </td>
<td colspan="2" class="text-purple-11px"> </td>
</tr>
<tr>
<td height="25" class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">a)
<input type="radio" name="Q2Check" onclick="qupdate('Q2.1');" value="5">
0 - 5 hours.</font></td>
<td colspan="2" class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">c)
<input type="radio" name="Q2Check" onclick="qupdate('Q2.3');" value="2" id="Q2Check">
15 - 30 hours.</font></td>
</tr>
<tr>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">b)
<input type="radio" name="Q2Check" onclick="qupdate('Q2.2');" value="3" id="Q2Check">
5 - 15 hours.</font></td>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">d)
<input type="radio" name="Q2Check" onclick="qupdate('Q2.4');" value="1" id="Q2Check">
30+ hours.</font></td>
<td bgcolor="#EBEDEB" class="text-purple-11px">Total : <font size="2" face="Arial, Helvetica, sans-serif">
<input type="TEXT" name="Q2Scr" size="2" value="0" style="background-color:transparent; border-width:0;" readonly="" id="Q2Scr">
</font></td>
</tr>
<tr>
<td> </td>
<td colspan="2"> </td>
</tr>
<tr>
<td colspan="3"><font face="Arial, Helvetica, sans-serif" class="style17">Q3) Manouvres - which best describes your skill level ? </font></td>
</tr>
<tr>
<td> </td>
<td colspan="2"> </td>
</tr>
<tr>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">a)
<input type="radio" name="Q3Check" onclick="qupdate('Q3.1');" value="5">
Not done them.</font></td>
<td colspan="2" class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">c)
<input type="radio" name="Q3Check" onclick="qupdate('Q3.3');" value="2" id="Q3Check">
Need to brush up a little. </font></td>
</tr>
<tr>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">b)
<input type="radio" name="Q3Check" onclick="qupdate('Q3.2');" value="3" id="Q3Check">
Need a lot of practice.</font></td>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">d)
<input type="radio" name="Q3Check" onclick="qupdate('Q3.4');" value="1" id="Q3Check">
At our near to test standard.</font></td>
<td bgcolor="#EBEDEB" class="text-purple-11px">Total : <font size="2" face="Arial, Helvetica, sans-serif">
<input type="TEXT" name="Q3Scr" size="2" value="0" style="background-color:transparent; border-width:0;" readonly="" id="Q3Scr">
</font></td>
</tr>
<tr>
<td> </td>
<td colspan="2"> </td>
</tr>
<tr>
<td colspan="3"><font face="Arial, Helvetica, sans-serif" class="style17">Q4) When did you last take a driving test ? </font></td>
</tr>
<tr>
<td> </td>
<td colspan="2"> </td>
</tr>
<tr>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">a)
<input type="radio" name="Q4Check" onclick="qupdate('Q4.1');" value="5">
Never.</font></td>
<td colspan="2" class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">c)
<input type="radio" name="Q4Check" onclick="qupdate('Q4.3');" value="2" id="Q4Check">
Less than six months ago.</font></td>
</tr>
<tr>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">b)
<input type="radio" name="Q4Check" onclick="qupdate('Q4.2');" value="3" id="Q4Check">
Over a year ago.</font></td>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">d)
<input type="radio" name="Q4Check" onclick="qupdate('Q4.4');" value="1" id="Q4Check">
Less than a month ago.</font></td>
<td bgcolor="#EBEDEB" class="text-purple-11px">Total : <font size="2" face="Arial, Helvetica, sans-serif">
<input type="TEXT" name="Q4Scr" size="2" value="0" style="background-color:transparent; border-width:0;" readonly="" id="Q4Scr">
</font></td>
</tr>
<tr>
<td> </td>
<td colspan="2"> </td>
</tr>
<tr>
<td colspan="3" class="style17">Q5) Roundabouts - what best describes your skill level ?</td>
</tr>
<tr>
<td class="text-purple-11px"> </td>
<td colspan="2" class="text-purple-11px"> </td>
</tr>
<tr>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">a)
<input type="radio" name="Q5Check" onclick="qupdate('Q5.1');" value="5">
Not done them.</font></td>
<td colspan="2" class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">c)
<input type="radio" name="Q5Check" onclick="qupdate('Q5.3');" value="2" id="Q5Check">
Need to brush up a little.</font></td>
</tr>
<tr>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">b)
<input type="radio" name="Q5Check" onclick="qupdate('Q5.2');" value="3" id="Q5Check">
Need a lot of practice.</font></td>
<td class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">d)
<input type="radio" name="Q5Check" onclick="qupdate('Q5.4');" value="1" id="Q5Check">
At our near to test standard.</font></td>
<td bgcolor="#EBEDEB" class="text-purple-11px">Total : <font size="2" face="Arial, Helvetica, sans-serif">
<input type="TEXT" name="Q5Scr" size="2" value="0" style="background-color:transparent; border-width:0;" readonly="" id="Q5Scr">
</font></td>
</tr>
<tr>
<td class="text-purple-11px"> </td>
<td colspan="2" class="text-purple-11px"> </td>
</tr>
<tr>
<td colspan="3" class="style17">Q6) <font face="Arial, Helvetica, sans-serif">The
Age Factor (age affects your ability to learn ) How
old are you ? </font></td>
</tr>
<tr>
<td> </td>
<td colspan="2"> </td>
</tr>
<tr>
<td class="text-purple-11px"><span class="style20"><font face="Arial, Helvetica, sans-serif">a)
<input type="radio" name="Q6Check" onclick="qupdate('Q6.1');" value="5">
60 - 75.</font></span></td>
<td colspan="2" class="text-purple-11px"><span class="style20"><font face="Arial, Helvetica, sans-serif">c)
<input type="radio" name="Q6Check" onclick="qupdate('Q6.3');" value="2" id="Q6Check">
26 - 39.</font></span></td>
</tr>
<tr>
<td class="text-purple-11px"><span class="style20"><font face="Arial, Helvetica, sans-serif">b)
<input type="radio" name="Q6Check" onclick="qupdate('Q6.2');" value="3" id="Q6Check">
40 - 59.</font></span></td>
<td class="text-purple-11px"><span class="style20"><font face="Arial, Helvetica, sans-serif">d)
<input type="radio" name="Q6Check" onclick="qupdate('Q6.4');" value="1">
17 - 25.</font></span></td>
<td bgcolor="#EBEDEB" class="text-purple-11px">Total : <font size="2" face="Arial, Helvetica, sans-serif">
<input type="TEXT" name="Q6Scr" size="2" value="0" style="background-color:transparent; border-width:0;" readonly="" id="Q6Scr">
</font></td>
</tr>
<tr>
<td> </td>
<td colspan="2"> </td>
</tr>
<tr>
<td bgcolor="#D7E1D9"><span class="text-purple-11px"><font face="Arial, Helvetica, sans-serif">Total Points Scored :</font><font size="2" face="Arial, Helvetica, sans-serif"> </font></span><font size="2" face="Arial, Helvetica, sans-serif"><strong>
<input type="TEXT" name="total" size="3" value="0" style="background-color:transparent; border-width:0;" readonly="">
</strong></font></td>
<td colspan="2" bgcolor="#D7E1D9"><span class="text-purple-11px">Recommended Course Length</span> <font size="2" face="Arial, Helvetica, sans-serif"><strong>
<input name="days" type="TEXT" class="textInput" id="days" style="background-color:transparent; border-width:0;" size="10" maxlength="10" readonly="">
</strong></font></td>
</tr>
<tr>
<td><br>
<br>
<br></td>
<td colspan="2"> </td>
</tr>
</tbody></table>
</form>