%= form_for surv => (method => 'POST') => begin
<ul class='form-style-1'>
<li>
%= label_for name => 'Full name:'
%= text_field 'firstname',  class=> 'field-divided', placeholder=>'First'
%= text_field 'name',  class=> 'field-divided', placeholder=>'Last'
.....
%= label_for lang2 => 'Skill in a second national language:'
%= select_field lang2 => [[Small => 'small'], [Standard => 'standard'], [Good => 'good', selected => 'selected']], class => 'field-select'
</li>
<li>
<%= $captcha %>
</li>
<li>
%= input_tag Send => 'Send', type => 'submit'
</li>
</ul>
%end