<div class="form-group gcore-form-row" id="form-row-text5"><label for="text5" class="control-label gcore-label-left">Text Label</label>
<div class="gcore-input gcore-display-table" id="fin-text5"><input name="text5" id="text5" value="" placeholder="" class="form-control A" title="" style="" data-inputmask="" data-load-state="" data-tooltip="" type="text" /></div></div><div class="form-group gcore-form-row" id="form-row-button6"><div class="gcore-input gcore-display-table" id="fin-button6"><input name="button6" id="button6" type="submit" value="Submit" class="form-control A" style="" data-load-state="" /></div></div><!--_CHRONOFORMS_PAGE_BREAK_--><div class="form-group gcore-form-row" id="form-row-dropdown7"><label for="dropdown7" class="control-label gcore-label-left">Dropdown Label</label>
<div class="gcore-input gcore-display-table" id="fin-dropdown7"><select name="dropdown7" id="dropdown7" size="" class="form-control A" title="" style="" data-load-state="" data-tooltip="">
<option value="0">No</option>
<option value="1">Yes</option>
</select></div></div><div class="form-group gcore-form-row" id="form-row-button8"><div class="gcore-input gcore-display-table" id="fin-button8"><input name="button8" id="button8" type="submit" value="Submit" class="form-control A" style="" data-load-state="" /></div></div><!--_CHRONOFORMS_PAGE_BREAK_--><div class="form-group gcore-form-row" id="form-row-checkbox_group9"><label for="checkbox_group9" class="control-label gcore-label-left gcore-label-checkbox">Checkbox Group</label>
<div class="gcore-input gcore-display-table" id="fin-checkbox_group9"><div class="gcore-single-column" id="fclmn1"><div class="gcore-checkbox-item" id="fitem4"><input name="checkbox_group9[]" id="checkbox_group9" class="A" title="" style="" data-load-state="" data-tooltip="" type="checkbox" value="No" />
<label class="control-label gcore-label-checkbox" for="checkbox_group9">No</label></div>
<div class="gcore-checkbox-item" id="fitem5"><input name="checkbox_group9[]" id="checkbox_group91" class="A" title="" style="" data-load-state="" data-tooltip="" type="checkbox" value="Yes" />
<label class="control-label gcore-label-checkbox" for="checkbox_group91">Yes</label></div></div></div></div><div class="form-group gcore-form-row" id="form-row-button10"><div class="gcore-input gcore-display-table" id="fin-button10"><input name="button10" id="button10" type="submit" value="Submit" class="form-control A" style="" data-load-state="" /></div></div><!--_CHRONOFORMS_PAGE_BREAK_-->