<div class="ccms_form_element cfdiv_checkbox" id="input_checkbox_11_container_div" style=""><input type="hidden" name="input_checkbox_1" value="" alt="ghost" />
<input value="1" title="" type="checkbox" name="input_checkbox_1" id="input_checkbox_1" class="label_left" />
<label for="input_checkbox_1">Label Text</label><div class="clear"></div><div id="error-message-input_checkbox_1"></div></div><div class="ccms_form_element cfdiv_checkbox" id="input_checkbox_21_container_div" style=""><input type="hidden" name="input_checkbox_2" value="" alt="ghost" />
<input value="1" title="" type="checkbox" name="input_checkbox_2" id="input_checkbox_2" class="label_left" />
<label for="input_checkbox_2">Label Text</label><div class="clear"></div><div id="error-message-input_checkbox_2"></div></div><div class="ccms_form_element cfdiv_checkboxgroup" id="input_select_31_container_div" style=""><label>Label Text</label><select multiple="multiple" size="1" class="" title="" name="input_select_3[]">
<option value="No">No</option>
<option value="Yes">Yes</option>
</select>
<div class="clear"></div><div id="error-message-input_select_3"></div></div><div class="ccms_form_element cfdiv_submit" id="input_submit_41_container_div" style="text-align:left"><input name="input_submit_4" class="" value="Submit" type="submit" />
<div class="clear"></div><div id="error-message-input_submit_4"></div></div>