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Questionnaire design for single question with multiple answer selection

HI All,

I would like to design questionnaire as per below design format:

1. Please Supply the information asked for :

Age : ______

Sex : ________

Date of Birth : ________

Place if Birth : _________

2. Why do you use toothpaste in brushing your teeth? Place check marks with multiple selection allowed.

___It prevent tooth decay

___It freshens breath

___It is soothing to the mount

___It is cheap

___It is imported

Based on my understanding, the requested design is not support by current system as current design is save single answer type per question and an answer per row.

How should I customize in order to archive this requirement.


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