<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN"
"http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" lang="en" xml:lang="en">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" />
<title><%= title %><</title>
<link rel='stylesheet' href='./stylesheets/researchForm.css' />
</head>
<body>
<h3>Information Provided:</h3>
<p>
<em>FirstName: <%= firstName %></em><br />
<em>LastName: <%= lastName %></em> <br />
<em>Phone Number:</em><%= phoneFirstPart %>-<%= phoneSecondPart %>-<%= phoneThirdPart %><br />
<em>Email:</em> <%= email %><br />
<em>Age:</em> <%= age %><br />
<em>Height:</em> <%= heightFeet %>' <%= heightInches %>"<br />
<em>Weight:</em> <%= weight %><br />
<em>Conditions:</em> <br />
<% if (highBloodPressure) { %>
<%= highBloodPressure %><br />
<% } %>
<% if (diabetes) { %>
<%= diabetes %><br />
<% } %>
<% if (glaucoma) { %>
<%= glaucoma %><br />
<% } %>
<% if (asthma) { %>
<%= asthma %><br />
<% } %>
<% if (none) { %>
<%= none %><br />
<% } %>
<em>Time Period:</em> <%= period %><br />
<em>Study Type:</em> <%= studyType %><br />
<em>Study Id:</em> <%= firstFourDigits %>-<%= secondFourDigits %><br />
<em>Comments:</em> <%= comments %><br />
</p>
<p>
Data has been entered in the database.
</p>
</body>
</html>