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<form class="form-horizontal">
<fieldset>
<legend>Outcome Assessment (evoked pain-related behavior)</legend>
<div class="form-group">
<label class="col-md-4 control-label" for="selectbasic">What behavioural assessment(s) are used?</label>
<div class="col-md-4">
<select id="selectbasic" name="selectbasic" class="form-control">
<option value="1">von Frey filament (manuel)</option>
<option value="2">von Frey filament (electronic)</option>
<option value="">Randall-Seiltto (pressur)</option>
<option value="">PinPrick</option>
<option value="">Hargreave´s test</option>
<option value="">Hot plate</option>
<option value="">Tail flick test (Radiant heat)</option>
<option value="">Cold plate</option>
<option value="">Acetone evaporation test</option>
<option value="">Catwalk</option>
<option value="">Digigait</option>
<option value="">Other</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="textarea">Optional Comments</label>
<div class="col-md-4">
<textarea class="form-control" id="textarea" name="textarea">Paste the exact device description from the pdf</textarea>
