How can I add textboxes next to the checkboxes option text?

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    Asked on October 09, 2013 at 03:38 PM

    How can I make the section of the attached form, that says: 'My current rate for ___ coverage is:'  have a filllable field where the blank lines are (next to the words: single, husband and wife, single parent and child, full family, other) that our clients can type in the dollar amount of their amount of coverage?

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    Answered on October 09, 2013 at 04:47 PM

    Thanks for contacting us.

    Is this what you want to accomplish? 

    Also please take a look at this form:

    If so, let me inform you that cannot be done from our form builder, however it can be accomplished by getting the Full source Code of your form and adding some HTML code. Please use this guide to know how to get the source code of the form: How to get your form source code.

    However, if you prefer I can proceed to make that change to your form in that way you will save all that work. It will be a pleasure to do this work for you. I'll get the source code of your form, will make the changes and will get back to you with the right code once I get it ready.

    Thanks for using Jotform

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    Answered on October 09, 2013 at 05:07 PM

    Hi again,

    I finished working on your form and you can find the code here:

    The only thing you need to do is to create an HTML document and paste the code of the link between the tags <body> and </body>

    Feel free to contact us if you need further assistance with this.


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    Answered on October 10, 2013 at 01:18 PM

    I do need help.  I am new to all of this, so I dont' know how to create an HTML document.


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    Answered on October 10, 2013 at 01:58 PM


    If you are going to embed your form on your website, you can use the modified script with the changes made by Eliezer:

    Or, if you want to use your form URL, you have to copy that source code, paste it to notepad and save it as .html file e.g. myform.html then upload it to your server.

    If you need further assistance, let us know here.