anchor.diff:        <legend id="marital-status-label">Marital status</legend>
         <div class="field field-radio-input">
           <label for="marital_status_single">
  +          <input type="radio" name="marital_status" id="marital_status_single" required />
             Single
  -          <input type="radio" name="marital_status" id="marital_status_single" required></input>
           </label>
         </div>
         <div class="field field-radio-input">
           <label for="marital_status_married" required>
  +         <input type="radio" name="marital_status" id="marital_status_married" />
             Married
  -         <input type="radio" name="marital_status" id="marital_status_married"></input>
           </label>
         </div>
         <div class="field field-radio-input">
           <label for="marital_status_divorced" required>
  +         <input type="radio" name="marital_status" id="marital_status_divorced" />
             Divorced
  -         <input type="radio" name="marital_status" id="marital_status_divorced"></input>
           </label>
         </div>
         <div class="field field-radio-input">
           <label for="marital_status_separated" required>
  +         <input type="radio" name="marital_status" id="marital_status_separated" />
             Separated
  -         <input type="radio" name="marital_status" id="marital_status_separated"></input>
           </label>
         </div>
         <div class="field field-radio-input">
           <label for="marital_status_widowed" required>
  +         <input type="radio" name="marital_status" id="marital_status_widowed" />
             Widowed
  -         <input type="radio" name="marital_status" id="marital_status_widowed"></input>
           </label>
         </div>
       </fieldset>
  
positive.code:   <div class="form-group">
        <fieldset id="dob">
          <legend id="dob-label">Date of birth</legend>
          <label for="dob_month">Month</label>
            <input id="dob_month" name="dob_month" type="month" required></input>
          <label for="dob_day">Day</label>
            <input id="dob_day" name="dob_day" type="day" required></input>
          <label for="dob_year">Year</label>
            <input id="dob_year" name="dob_year" type="year" required></input>
        </fieldset>
    </div>
  
    <div class="form-group">
        <label for="ssn">Social Security Number</label>
        <input for="ssn" name="ssn" type="text" placeholder="000-33-0000"></input>
        <span class="help-block">You may be able to receive Medi-Cal even if you do not have a Social Security Number.</span>
    </div>
  
  
negative.code:   <div class="form-group">
      <fieldset id="gender-field">
        <legend id="gender-label">Gender</legend>
        <label for="gender_male" required>
         <input type="radio" name="gender" id="gender_male" required />
          Male
        </label>
        <label for="gender_female">
          <input type="radio" name="gender" id="gender_female" required />
          Female
        </label>
        <span class="help-block">Your gender as recorded on your Social Security card.</span>
      </fieldset>
    </div>
  