here's an example from a free format question that I have:
javascript:
<script type="text/javascript">
var myPrices = new Array();
myPrices[[%CBCDesignConceptValue(XXX_Random1,1 )%]] = [%CBCDesignLevelText (XXX_Random1, 1, 3) %];
myPrices[[%CBCDesignConceptValue(XXX_Random1,2 )%]] = [%CBCDesignLevelText (XXX_Random1, 2, 3) %];
</script>
html:
<div id="sku1" style="display:none;float:left;" dandik="[%CBCDesignLevelText (XXX_Random1, 1 , 2) %]">
<table><!-- SKU table-->
<tr><!-- SKU picture / tooltip div -->
<td id="td1" title="[%CBCDesignLevelText (XXX_Random1, 1 , 2) %]" style="margin:0px;padding:0px;height:200px;border: none;">[%CBCDesignLevelText (XXX_Random1, 1 , 1) %]
</td>
</tr>
<tr><!-- price -->
<td class="raf">
<center>[%CBCDesignLevelText (XXX_Random1, 1 , 3) %] TL</center>
</td>
</tr>
<tr><!-- adet / input text -->
<td class="fiyat" style="border-bottom:2px solid black">
<center><input id="FFTASKRandom1_response[%CBCDesignConceptValue(XXX_Random1,1 )%]" name="FFTASKRandom1_response[%CBCDesignConceptValue(XXX_Random1,1 )%]" type="text" size="3"></center>
</td>
</tr>
</table>
</div>