_template

%%form_data{x00}%% %%form_data{t00}%% %%form_data{d00}%%	%%form_data{x01}%% %%form_data{t01}%% %%form_data{d01}%%	%%form_data{x02}%% %%form_data{t02}%% %%form_data{d02}%%	%%form_data{x03}%% %%form_data{t03}%% %%form_data{d03}%%	%%form_data{x04}%% %%form_data{t04}%% %%form_data{d04}%%
%%form_data{x10}%% %%form_data{t10}%% %%form_data{d10}%%	%%form_data{x11}%% %%form_data{t11}%% %%form_data{d11}%%	LAIR	%%form_data{x13}%% %%form_data{t13}%% %%form_data{d13}%%	%%form_data{x14}%% %%form_data{t14}%% %%form_data{d14}%%
%%form_data{x20}%% %%form_data{t20}%% %%form_data{d20}%%	%%form_data{x21}%% %%form_data{t21}%% %%form_data{d21}%%	%%form_data{x22}%% %%form_data{t22}%% %%form_data{d22}%%	%%form_data{x23}%% %%form_data{t23}%% %%form_data{d23}%%	%%form_data{x24}%% %%form_data{t24}%% %%form_data{d24}%%

====

[[form]]
fields:
  r00:
    label: Box 1
    type: static
    value: Row 1, Column 1
  x00:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t00:
    label: Claim
    type: text
  d00:
    label: Description
    type: text

  r01:
    label: Box 2
    type: static
    value: Row 1, Column 2
  x01:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t01:
    label: Claim
    type: text
  d01:
    label: Description
    type: text

  r02:
    label: Box 3
    type: static
    value: Row 1, Column 3
  x02:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t02:
    label: Claim
    type: text
  d02:
    label: Description
    type: text

  r03:
    label: Box 4
    type: static
    value: Row 1, Column 5
  x03:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t03:
    label: Claim
    type: text
  d03:
    label: Description
    type: text

  r04:
    label: Box 5
    type: static
    value: Row 1, Column 5
  x04:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t04:
    label: Claim
    type: text
  d04:
    label: Description
    type: text

  r10:
    label: Box 6
    type: static
    value: Row 2, Column 1
  x10:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t10:
    label: Claim
    type: text
  d10:
    label: Description
    type: text

  r11:
    label: Box 7
    type: static
    value: Row 2, Column 2
  x11:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t11:
    label: Claim
    type: text
  d11:
    label: Description
    type: text

  r12:
    label: Box 8
    type: static
    value: Row 2, Column 3
  t12:
    label: Lair
    type: static
    value: Prefilled

  r13:
    label: Box 9
    type: static
    value: Row 2, Column 4
  x13:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t13:
    label: Claim
    type: text
  d13:
    label: Description
    type: text

  r14:
    label: Box 10
    type: static
    value: Row 2, Column 5
  x14:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t14:
    label: Claim
    type: text
  d14:
    label: Description
    type: text

  r20:
    label: Box 11
    type: static
    value: Row 3, Column 1
  x20:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t20:
    label: Claim
    type: text
  d20:
    label: Description
    type: text

  r21:
    label: Box 12
    type: static
    value: Row 3, Column 2
  x21:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t21:
    label: Claim
    type: text
  d21:
    label: Description
    type: text

  r22:
    label: Box 13
    type: static
    value: Row 3, Column 3
  x22:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t22:
    label: Claim
    type: text
  d22:
    label: Description
    type: text

  r23:
    label: Box 14
    type: static
    value: Row 3, Column 4
  x23:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t23:
    label: Claim
    type: text
  d23:
    label: Description
    type: text

  r24:
    label: Box 15
    type: static
    value: Row 3, Column 5
  x24:
    label: Selected?
    type: select
    values:
      0: ▯
      1: ▮
  t24:
    label: Claim
    type: text
  d24:
    label: Description
    type: text
[[/form]]