<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<form class="form-horizontal">
<fieldset>
<legend>Member Survey</legend>
<div class="form-group">
<label class="col-md-4 control-label" for="memberID">Member ID</label>
<div class="col-md-1">
<input id="memberID" name="memberID" type="text" placeholder="ID" class="form-control input-md">
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="first_name">Full Name</label>
<div class="col-md-4">
<input id="first_name" name="first_name" type="text" placeholder="first" class="form-control input-md">
<span class="help-block">first name</span>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="last_name">Last Name</label>
<div class="col-md-4">
<input id="last_name" name="last_name" type="text" placeholder="last" class="form-control input-md">
<span class="help-block">last name</span>
</div>
</div>
