<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.0.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="container"> <div class="row"> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Configure Assessment</legend> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="programmeSelector">Programme</label> <div class="col-md-5"> <select id="programmeSelector" name="programmeSelector" class="form-control"> <option value="0">Not Selected</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="moduoleSelector">Module</label> <div class="col-md-5"> <select id="moduoleSelector" name="moduoleSelector" class="form-control"> <option value="0">Not Selected</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="componentSelector">Component</label> <div class="col-md-5"> <select id="componentSelector" name="componentSelector" class="form-control"> <option value="0">Not Selected</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="subComponentSelector">Sub-Component</label> <div class="col-md-5"> <select id="subComponentSelector" name="subComponentSelector" class="form-control"> <option value="0">Not Selected</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="assessor1Selector">Assessor 1</label> <div class="col-md-5"> <select id="assessor1Selector" name="assessor1Selector" class="form-control"> <option value="0">Not Selected</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="assessor2Selector">Assessor 2</label> <div class="col-md-5"> <select id="assessor2Selector" name="assessor2Selector" class="form-control"> <option value="0">Not Selected</option> </select> </div> </div> <!-- Multiple Checkboxes (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes">Sighted 2nd Assessment</label> <div class="col-md-4"> <label class="checkbox-inline" for="checkboxes-0"> <input type="checkbox" name="checkboxes" id="checkboxes-0" value="checked"> (Sighted if checked) </label> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="txtAssessmentDate">Assessment Date</label> <div class="col-md-5"> <input id="txtAssessmentDate" name="txtAssessmentDate" type="text" placeholder="Pick Assessment Date" class="form-control input-md"> </div> </div> </fieldset> </form> </div> </div>