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<!doctype html>
<html lang="en">
<head>
    <meta charset="utf-8">
    <title>Zedland Health Authority's Diabetes health assessment tool</title>
    <link rel="stylesheet" type="text/css" href="fma.css">
    <script src="fma.js"></script>
</head>
<body>
    <h1 id="pageheading">Zedland Health Authority's Diabetes health assessment tool</h1>
    <form id="register">
    <fieldset id="controls">
        <div>
        <label class="button" for="Age">How old are you?</label>
            <input type="radio" id="agerange" name="age" value="0" checked="checked">
            <label for="agerange1">1-25</label>
            <input type="radio" id="agerange" name="age" value="5">
            <label for="agerange2">26-40</label>
            <input type="radio" id="agerange" name="age" value="8">
            <label for="agerange3">40-60</label>
            <input type="radio" id="agerange" name="age" value="10">
            <label for="agerange4">60+</label>
        </div>
        <div>
            <label class="button" for="bmi">What is your BMI?</label>
            <input type="radio" id="bmi" name="bmi" value="0" checked="checked">
            <label for="bmi1">0-25</label>
            <input type="radio" id="bmi" name="bmi"  value="0">
            <label for="bmi2">26-30</label>
            <input type="radio" id="bmi" name="bmi" value="9">
            <label for="bmi3">31-35</label>
            <input type="radio" id="bmi" name="bmi"  value="10">
            <label for="bmi4">35+</label>
        </div>
        <div>
            <label class="button" for="famhistory">Does anybody in your family have diabetes?</label>
            <input type="radio" id="famhistory" name="famhistory" value="0" checked="checked">
            <label for="famhistory1">No</label>
            <input type="radio" id="famhistory" name="famhistory" value="7">
            <label for="famhistory2">Grandparent</label>
            <input type="radio" id="famhistory" name="famhistory"
            <label for="famhistory3">Sibling</label>
            <input type="radio" id="famhistory" name="famhistory" value="15">
            <label for="famhistory4">Parent</label>
        </div>
        <div>
            <label class="button" for="diet">How would you describe your diet?</label>
            <input type="radio" id="diet" name="diet"  value="0" checked="checked">
            <label for="diet1">Low sugar</label>
            <input type="radio" id="diet" name="diet"  value="7">
            <label for="diet2">Normal sugar</label>
            <input type="radio" id="diet" name="diet" value="15">
            <label for="diet3">Quite high sugar</label>
            <input type="radio" id="diet" name="diet" value="15">
            <label for="diet4">High sugar</label>
        </div>
    </fieldset>
  <div>
      <input type="submit" value="submit">
  </div>
</form>

</body>
</html>