ag14spirit

.sqs-block-map {pointer-events: none;}

ag14spirit

<fieldset>
  <legend>State</legend>
  <select name="state" size="1">
    <option value="AK">AK</option>
    <option value="AL">AL</option>
    <option value="AR">AR</option>
    <option value="AZ">AZ</option>
    <option value="CA">CA</option>
    <option value="CO">CO</option>
    <option value="CT">CT</option>

ag14spirit

<fieldset>
  <legend>Nationality</legend>
  <select class="form-control dropdown" id="nationality" name="nationality">
    <option value="" selected="selected" disabled="disabled">-- select one --</option>
    <option value="afghan">Afghan</option>
    <option value="albanian">Albanian</option>
    <option value="algerian">Algerian</option>
    <option value="american">American</option>
    <option value="andorran">Andorran</option>
    <option value="angolan">Angolan</option>

ag14spirit

<fieldset>
  <legend>Religion</legend>
  <select class="form-control dropdown" id="religion" name="religion">
    <option value="" selected="selected" disabled="disabled">-- select one --</option>
    <option value="African Traditional &amp; Diasporic">African Traditional &amp; Diasporic</option>
    <option value="Agnostic">Agnostic</option>
    <option value="Atheist">Atheist</option>
    <option value="Baha'i">Baha'i</option>
    <option value="Buddhism">Buddhism</option>
    <option value="Cao Dai">Cao Dai</option>

ag14spirit

<fieldset>
  <legend>Education</legend>
  <select class="form-control dropdown" id="education" name="education">
    <option value="" selected="selected" disabled="disabled">-- select one --</option>
    <option value="No formal education">No formal education</option>
    <option value="Primary education">Primary education</option>
    <option value="Secondary education">Secondary education or high school</option>
    <option value="GED">GED</option>
    <option value="Vocational qualification">Vocational qualification</option>
    <option value="Bachelor's degree">Bachelor's degree</option>

ag14spirit

<fieldset>
  <legend>Ethnicity</legend>
  <select class="form-control dropdown" id="ethnicity" name="ethnicity">
    <option value="" selected="selected" disabled="disabled">-- select one --</option>
    <optgroup label="White">
      <option value="White English">English</option>
      <option value="White Welsh">Welsh</option>
      <option value="White Scottish">Scottish</option>
      <option value="White Northern Irish">Northern Irish</option>
      <option value="White Irish">Irish</option>

ag14spirit

<fieldset>
  <legend>Employment status</legend>
  <select class="form-control dropdown" id="employment" name="employment">
    <option value="" selected="selected" disabled="disabled">-- select one --</option>
    <option value="Employed">Employed</option>
    <option value="Self-employed">Self-employed</option>
    <option value="Out of work">Out of work</option>
    <option value="Homemaker">Homemaker</option>
    <option value="Student">Student</option>
    <option value="Retired">Retired</option>

ag14spirit

<fieldset>
  <legend>Occupation</legend>
  <select class="form-control dropdown" id="occupation" name="occupation">
    <option value="" selected="selected" disabled="disabled">-- select one --</option>
    <optgroup label="Healthcare Practitioners and Technical Occupations:">
      <option value="1">-  Chiropractor</option>
      <option value="2">-  Dentist</option>
      <option value="3">-  Dietitian or Nutritionist</option>
      <option value="4">-  Optometrist</option>
      <option value="5">-  Pharmacist</option>