<form name='dickform'>
                                        <p>
                                                                Attempt #<br/>
                                                                <select name="attempt" onChange="javascript:alert(document.dickform.attempt[document.dickform.attempt.selectedIndex].value)" >
                                                                        <option >one</option>
                                                                        <option>two</option>
                                                                        <option>three</option>
                                                                        <option>four</option>
                                                                        <option>five</option>
                                                                </select>


                                <div id="1_follow_up" class="follow_up">
                                    Follow-up in<br/>
                                    <SELECT NAME="follow_up">
                                        <OPTION value=1 >1 days
                                        <OPTION value=2>2 days
                                        <OPTION value=3>3 days
                                        <OPTION value=4>4 days
                                        <OPTION value=5>5 days
                                        <OPTION value=6>6 days
                                        <OPTION value=7>7 days
                                </SELECT>
                                </div>
</form>

                            </p>