<div class="form-group gcore-form-row" id="form-row-2"><label for="text5" class="control-label gcore-label-left">Text Label</label>
<div class="gcore-input gcore-display-table" id="fin-text5"><input name="text5" id="text5" value="" placeholder="" maxlength="" size="" class="form-control A" title="" style="" data-inputmask="" type="text" /></div></div><div class="form-group gcore-form-row" id="form-row-3"><div class="gcore-input gcore-display-table" id="fin-button6"><input name="button6" id="button6" type="submit" value="Submit" class="form-control A" style="" /></div></div><!--_CHRONOFORMS_PAGE_BREAK_--><div class="form-group gcore-form-row" id="form-row-4"><label for="dropdown7" class="control-label gcore-label-left">Dropdown Label</label>
<div class="gcore-input gcore-display-table" id="fin-dropdown7"><select name="dropdown7" id="dropdown7" size="" class="form-control A" title="" style="">
<option value="0">No</option>
<option value="1">Yes</option>
</select></div></div><div class="form-group gcore-form-row" id="form-row-5"><div class="gcore-input gcore-display-table" id="fin-button8"><input name="button8" id="button8" type="submit" value="Submit" class="form-control A" style="" /></div></div><!--_CHRONOFORMS_PAGE_BREAK_--><div class="form-group gcore-form-row" id="form-row-11"><label for="checkbox_group9" class="control-label gcore-label-left gcore-label-checkbox">Checkbox Group</label>
<div class="gcore-input gcore-display-table" id="fin-checkbox_group9"><div class="gcore-single-column" id="fclmn10"><div class="gcore-checkbox-item" id="fitem7"><input name="checkbox_group9[]" id="checkbox_group96" class="A" title="" style="" type="checkbox" value="No" />
<label class="control-label gcore-label-checkbox" for="checkbox_group96">No</label></div>
<div class="gcore-checkbox-item" id="fitem9"><input name="checkbox_group9[]" id="checkbox_group98" class="A" title="" style="" type="checkbox" value="Yes" />
<label class="control-label gcore-label-checkbox" for="checkbox_group98">Yes</label></div></div></div></div><div class="form-group gcore-form-row" id="form-row-12"><div class="gcore-input gcore-display-table" id="fin-button10"><input name="button10" id="button10" type="submit" value="Submit" class="form-control A" style="" /></div></div><!--_CHRONOFORMS_PAGE_BREAK_-->