What is your favorite number?<br>
<input type="radio" name="question" value="a">5</input><br>
<input type="radio" name="question" value="b">7</input><br>
<input type="radio" name="question" value="c">13</input><br>
<input type="radio" name="question" value="d">Other (please specify:)</input> <input type="text" name="other"><br>