<ul id="age">
<li><span class="required">*</span> How old are you?</li>
<li><input name="age" type="text" maxlength="3" /><span class="age message" style="display:none;"></span></li>
<li><input name="age" type="radio" value="777" />I prefer not to answer</li>
<li><input name="age" type="radio" value="999" />Don't know</li>
</ul>
<div id="p1a">
<ul id="e_part">
<li>During 2012, did you already complete at least part of this survey?</li>
<li><input name="e_part" type="radio" value="0" />No</li>
<li><input name="e_part" type="radio" value="1" />Yes</li>
<li><input name="e_part" type="radio" value="7" />I prefer not to answer</li>
<li><input name="e_part" type="radio" value="9" />Don't know</li>
</ul>
<ul id="hispanic">
<li><span class="required">*</span> Do you consider yourself to be Hispanic or Latino?</li>
<li><input name="hispanic" type="radio" value="0" />No</li>
<li><input name="hispanic" type="radio" value="1" />Yes</li>
<li><input name="hispanic" type="radio" value="7" />I prefer not to answer</li>
<li><input name="hispanic" type="radio" value="9" />Don't know</li>
</ul>
<ul id="race">
<li><span class="required">*</span> Which racial group or groups do you consider yourself to be in? <span class="note">(check all that apply)</span></li>
<li><input name="race" type="checkbox" value="1" />American Indian or Alaska Native</li>
<li><input name="race" type="checkbox" value="2" />Asian</li>
<li><input name="race" type="checkbox" value="3" />Black or African-American</li>
<li><input name="race" type="checkbox" value="4" />Native Hawaiian or other Pacific Islander</li>
<li><input name="race" type="checkbox" value="5" />White</li>
<li><input name="race" type="radio"...