<form type="cms" label="Nouveau%20formulaire%201" id="form-ametys-07035897732549953" layout="table-2col">
<table style="width: 100%;" class="invisible" marker="marker">
<tbody>
<tr>
<td style="vertical-align: middle;" colspan="2">
<p style="text-align: center;"> </p>
<fieldset><legend>ça va ?</legend> 
<table style="width: 100%;" class="invisible" marker="marker">
<tbody>
<tr>
<td style="vertical-align: top;">
<p style="text-align: right;"><label for="ametys-gen-2">Oui :</label></p>
</td>
<td>
<p><input type="radio" name="radio1" id="ametys-gen-2" mandatory="false" value="" checked="true"/></p>
</td>
</tr>
<tr>
<td style="vertical-align: top;">
<p style="text-align: right;"><label for="ametys-gen-3">Non :</label></p>
</td>
<td>
<p><input type="radio" name="radio1" id="ametys-gen-3" mandatory="false" value="" checked="false"/></p>
</td>
</tr>
<tr>
<td style="vertical-align: middle;" colspan="2">
<p style="text-align: center;"><input type="submit" name="submit1" id="ametys-gen-4" width="100" value="Valider"/></p>
</td>
</tr>
</tbody>
</table>
</fieldset></td>
</tr>
</tbody>
</table>
</form>