the input for descr cash is  <br/>the input qty cashews is  <br/>the input excema cashews  <br/>the input for anao=ph. cashews is  <br/>the input for other cashews  <br/>the input for q4.3b is  <br/>numrow  = 21 record addedArray
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<html>
<head>
<title>Food Allergy Survey</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">


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    <td colspan="2" bgcolor="#CCCCCC">Food Allergy Survey - Continued
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    <td>	
	 <br/>	</td>
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<br>

 

 
<form name="section5" method="post" action="insert5.php">
  <table width="90%" border="0" cellspacing="25" cellpadding="2" >
    <tr valign="top"> 
		<td colspan="2" bgcolor="#CCCCCC">Section 5. Preganacy and Birth Background
		</td> 
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		<td>    
	  		<p>5.1 What was the term of the pregnancy?	</p>        
	  		<p> 
        		<select name="q501">
				<option value=1>less than 30 weeks</n/option><option value=2>31-35 weeks</n/option><option value=3>35-38 weeks</n/option><option value=4>39-41 weeks</n/option><option value=5>41+ weeks</n/option><option value=6>Don't know</n/option>			</p> 
	  </td> 
	  <td>
		  <p>5.2 Was the birth (tick all that apply)</p>        
	  	  <p> 
		  	<input type="checkbox" name="q502a" value="1"> Vaginal<br/><input type="checkbox" name="q502b" value="1"> Enduced<br/><input type="checkbox" name="q502c" value="1"> Epidural<br/><input type="checkbox" name="q502d" value="1"> Caesarian<br/><input type="checkbox" name="q502e" value="1"> Pethadiene/pain relief<br/><input type="checkbox" name="q502f" value="1"> Gas<br/><input type="checkbox" name="q502g" value="1"> Water Birth<br/><input type="checkbox" name="q502h" value="1"> Hospital<br/><input type="checkbox" name="q502i" value="1"> Don't know<br/><input type="checkbox" name="q502j" value="1"> Other, please enter <input type="text" name="q502descr" value="0"> <br/>      	</p> 
	  </td>
	</tr>
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		<td>
		   <p>5.3 Did you have any unusual food cravings during pregnancy?  </p>        
	  	   <p> 
          	<input type="radio" name="q503" value="1"> Yes<br>
          	<input type="radio" name="q503" value="0"> No<br>
			please enter foods <input type="text" name="q503descr" value"0"> <br>
		    </p> 
		</td>
		<td>
		   <p>5.4 Was there food you normally ate that you could not tolerate during pregnancy?   </p>        
	  	   <p> 
          	<input type="radio" name="q504" value="1"> Yes<br>
          	<input type="radio" name="q504" value="0"> No<br>
			please enter foods <input type="text" name="q504descr" value"0"> <br>
		    </p> 
		 </td>
	 </tr>
	<tr valign="top">
		<td>
		   <p>5.5 Was the person breastfeed?  </p>        
	  	   <p> 
 			<input type="radio" name= "q505" value="1" > Yes, exclusively  <br/><input type="radio" name= "q505" value="2" > Mostly, however some formula sups in first few weeks  <br/><input type="radio" name= "q505" value="3" > Mostly, however some formula sups throughout breastfeeding  <br/><input type="radio" name= "q505" value="4" > No <br/><input type="radio" name= "q505" value="5" > Don't know <br/>          </p> 
		</td>
		<td>
			<p>5.6 If breastfed, at what did age did the person wean?    </p>        
	  	  	<p> 
          	<input type="radio" name= "q506" value="1" > 0-2 months <br/><input type="radio" name= "q506" value="2" > 3-6 months <br/><input type="radio" name= "q506" value="3" > 7-12 months <br/><input type="radio" name= "q506" value="4" > 13-18 months <br/><input type="radio" name= "q506" value="5" > 19+ months <br/><input type="radio" name= "q506" value="6" > Child is still breastfeeding <br/><input type="radio" name= "q506" value="7" > Child not breastfed <br/><input type="radio" name= "q506" value="8" > Don't know <br/>         	</p>
		 </td>
	 </tr>
	<tr valign="top">
		<td>
		   <p>5.7 Did what the mother eat whilst breastfeeding affect the child?  </p> 
	  	   <p> 
          	<input type="radio" name="q507" value="1"> Yes<br>
          	<input type="radio" name="q507" value="0"> No<br>
			please enter foods <input type="text" name="q507descr" value"0"> <br>
		    </p> 
		</td>
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