4 <form action="{actionurl}" method="POST">
5 <input type=hidden name=interviewer value={interviewer}>
6 <input type=hidden name=individual value={individual}>
7 <input type=hidden name=companionship value={companionship}>
8 <table border="0" width="60%" cellspacing="2" cellpadding="2">
10 <td align="center" bgcolor="#c9c9c9"><font face="{font}"><b>{lang_action}: {name}</b></font></td>
13 <td align="left"><font face="{font}"><b>Name:</b>
14 <input type=text size="30" name="name" value="{name}" READONLY></td>
17 <td align="left"><font face="{font}"><b>Interviewer:</b>
18 <select name="interviewer" {disabled}>
19 <!-- BEGIN interviewer_list -->
20 <option value={interviewer}>{interviewer_name}</option>
21 <!-- END interviewer_list -->
23 <input type="checkbox" name="eqpresppi" value="1" {eqpresppi_checked} {disabled}>
27 <td align="left"><font face="{font}"><b>Date:</b>
32 <td align="left"><font face="{font}"><b>Notes:</b></font></td>
35 <td align="left"><font face="{font}" size="{font_size}">
36 <textarea cols="100" rows="10" name="notes" wrap="virtual" {readonly}>{notes}</textarea></font></td>
41 <table width="70%" border="0" cellspacing="2" cellpadding="2" align=left>
43 <td height="50" align="right">
44 <font face="{font}"><input type="submit" name="addnote" value="{lang_save}"></font></td>
45 <td height="50" align="center">
46 <font face="{font}"><input type="reset" name="reset" value="{lang_reset}"></font></form></td>
47 <td height="50" align="center">
48 <form action="{done_action}" method="POST">
49 <font face="{font}"><input type="submit" name="done" value="{lang_done}"></font></form></td>
56 <table width="50%" border="0" cellspacing="2" cellpadding="2" align=left>
57 <tr valign="bottom" align="left">
58 <td height="50" align="right" valign="middle">
59 <font face="{font}"><input type="submit" name="editnote" value="{lang_save}"></font>
61 <td height="50" align="center" valign="middle">
62 <form action="{done_action}" method="POST">
63 <font face="{font}"><input type="submit" name="done" value="{lang_done}"></font></form></td>