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index.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<title>Household builder</title>
<style>
.debug {
font-family: monospace;
border: 1px solid black;
padding: 10px;
display: none;
}
</style>
</head>
<body>
<h1>Household builder</h1>
<div class="builder">
<ol class="household"></ol>
<form>
<div>
<label>Age
<input type="text" name="age">
</label>
</div>
<div>
<label>Relationship
<select name="rel">
<option value="">---</option>
<option value="self">Self</option>
<option value="spouse">Spouse</option>
<option value="child">Child</option>
<option value="parent">Parent</option>
<option value="grandparent">Grandparent</option>
<option value="other">Other</option>
</select>
</label>
</div>
<div>
<label>Smoker?
<input type="checkbox" name="smoker">
</label>
</div>
<div>
<button class="add">add</button>
</div>
<div>
<button type="submit">submit</button>
</div>
</form>
</div>
<pre class="debug"></pre>
<script type="text/javascript" src="./index.js"></script>
</body>
</html>