test filedset001.html

fieldset and legend, sample from
http://www.w3.org/TR/WD-html40/interact/forms.html#edef-FIELDSET
Text after form
Personal Information Last Name: First Name: Address: ...more personal information...
Medical History Smallpox Mumps Dizziness Sneezing ...more medical history...
Current Medication Are you currently taking any medication? Yes No If you are currently taking medication, please indicate it in the space below:
Text after form