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Question with two (multiple) input fields

Hey guys,

I want to ask a question with multiple input fields.

The exact questions looks like this:

1) ____ times for reason A
2) ____ times for reason B
3) ____ times for reason ____ (user specified)

I have no idea how to set this up. Is there any way I can do it with a Select or Grid type?

help would be appreciated
asked Nov 9, 2013 by lieferant (380 points)
retagged Nov 9, 2013 by Walter Williams

1 Answer

+3 votes
Make a numeric grid with 3rd option as other specify. Set position of row label to right side

use some html/css styling to improve the  aesthetics
answered Nov 10, 2013 by Saurabh Aggarwal Gold (34,795 points)
Great approach! You may not need to use much CSS for styling, use the paintbrush icon to left-justify the row labels.