Form Update

form format
Radio button
<div class="radio">
     <label class="label label-default">

<input type="radio" name="name" value="start">
      Text Here

</label>
    </div>

text form
<div class="form-group">
      <label class="label label-info"
for="reasonforcaredate">Date:</label>
      <input type="date"
class="form-control input-sm" id="reasonforcaredate" name="date">

</div>

checkbox form
<label class="checkbox">
      <input type="checkbox" name="MedicaidNA"
class="">NA-No Medicaid (M0066)
     </label>