While at work, have you ever..... (choose all that apply)
<LABEL for=cb_optionnumber_1><INPUT id=cb_optionnumber_1 type=checkbox value=yes name=optionnumber[1]>Drank alcohol? Yep... a lot too.</LABEL>
<LABEL for=cb_optionnumber_2><INPUT id=cb_optionnumber_2 type=checkbox value=yes name=optionnumber[2]>Masturbated? Not at work that I can remember, but I did once in middle school when the science teacher locked me in the back room for being disruptive</LABEL>
<LABEL for=cb_optionnumber_3><INPUT id=cb_optionnumber_3 type=checkbox value=yes name=optionnumber[3]>Had sex? I don't think I have, but it's possible</LABEL>
<LABEL for=cb_optionnumber_4><INPUT id=cb_optionnumber_4 type=checkbox value=yes name=optionnumber[4]>Stolen something of significant value? I used to work for a credit processing company... a lot of idiots send cash payments. That's all I'm saying.</LABEL>
<LABEL for=cb_optionnumber_5><INPUT id=cb_optionnumber_5 type=checkbox value=yes name=optionnumber[5]>Deliberately harmed a co-worker's reputation? Probably</LABEL>
<LABEL for=cb_optionnumber_6><INPUT id=cb_optionnumber_6 type=checkbox value=yes name=optionnumber[6]>Damaged/destroyed company property? Yeah, a bunch of expensive maps that I left in the back of a company truck while it was raining

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<LABEL for=cb_optionnumber_7><INPUT id=cb_optionnumber_7 type=checkbox value=yes name=optionnumber[7]>Hit someone? Nope</LABEL>
<LABEL for=cb_optionnumber_8><INPUT id=cb_optionnumber_8 type=checkbox value=yes name=optionnumber[8]>Slept? Oh yeah!</LABEL>
<LABEL for=cb_optionnumber_9><INPUT id=cb_optionnumber_9 type=checkbox value=yes name=optionnumber[9]>Gotten sick due to a hangover? I don't get sick.</LABEL>
<LABEL for=cb_optionnumber_10><INPUT id=cb_optionnumber_10 type=checkbox value=yes name=optionnumber[10]>Made someone cry? Probably.</LABEL>