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<?php
$passwd = $_POST['passwd'];
if($passwd==CS480)
{
?>
<BODY
background="http://www.wallsave.com/wallpapers/1920x1080/zen-garden/212876/zen-garden-p-hd-taringa-x-picture-212876.jpg">
<FONT face=Helvetica>
<CENTER><H2>Insert a Record into the Database</H2></center>
<FORM action="projinsertaction.php" method=POST>
<hr>
<b>What is the name of the pressure point?</b><br>
<INPUT type=text name=Pname><p>
<b>What is the chinese name of the pressure point?</b><br>
<INPUT type=text name=Cname><p>
<b>What is the link to the acupressure point?</b><br>
<INPUT type=text name=Link><p>
<b>What is the priority for this pressure point (1 or 0)?</b><br>
<INPUT type=radio name=priority value=0>0<br>
<INPUT type=radio name=priority value=1>1<p>
<b>Please select the symptoms associated with this point:</b> <p>
<b>Headache and Migraine:</b> <BR>
<INPUT type=checkbox name=S1 value=1> Frontal Headache<BR>
<INPUT type=checkbox name=S2 value=1> Back of the Head<BR>
<INPUT type=checkbox name=S3 value=1> Side of the Head<BR>
<INPUT type=checkbox name=S4 value=1> Top of the Head<BR>
<INPUT type=checkbox name=S5 value=1> Pain in the Eye (Migraine behind the
eye)<p>
<b>Local Pain:</b><p>
<INPUT type=checkbox name=S6 value=1> Jaw<BR>
<INPUT type=checkbox name=S7 value=1> Toothache<BR>
<INPUT type=checkbox name=S8 value=1> Ear<BR>
<INPUT type=checkbox name=S9 value=1> Neck<BR>
<INPUT type=checkbox name=S10 value=1> Shoulder<BR>
<INPUT type=checkbox name=S11 value=1> Wrist<BR>
<INPUT type=checkbox name=S12 value=1> Hand<BR>
<INPUT type=checkbox name=S13 value=1> Backache<BR>
<INPUT type=checkbox name=S14 value=1> Hip<BR>
<INPUT type=checkbox name=S15 value=1> Knee<BR>
<INPUT type=checkbox name=S16 value=1> Ankle<BR>
<INPUT type=checkbox name=S17 value=1> Foot<P>
<b>Cold and Flu:</b><P>
<INPUT type=checkbox name=S18 value=1> Sore Throat<BR>
<INPUT type=checkbox name=S19 value=1> Sinusitis<BR>
<INPUT type=checkbox name=S20 value=1> Loss of Voice<BR>
<INPUT type=checkbox name=S21 value=1> Earaches<BR>
<INPUT type=checkbox name=S22 value=1> Allergy<P>
<b>Nervous System:</b><P>
<INPUT type=checkbox name=S23 value=1> Anxiety Attacks and Nervousness<BR>
<INPUT type=checkbox name=S24 value=1> Depression<BR>
<INPUT type=checkbox name=S25 value=1> Insomnia<BR>
<INPUT type=checkbox name=S26 value=1> Fainting<BR>
<INPUT type=checkbox name=S27 value=1> Hiccoughs<BR>
<INPUT type=checkbox name=S28 value=1> Memory and Concentration
Improvement<P>
<b>Cardiovascular:</b> <P>
<INPUT type=checkbox name=S29 value=1> Angina<BR>
<INPUT type=checkbox name=S30 value=1> Palpitations<BR>
<INPUT type=checkbox name=S31 value=1> High Blood Pressure Treatment<P>
<b>Abdominal Discomfort:</b><P>
<INPUT type=checkbox name=S32 value=1> Constipation<BR>
<INPUT type=checkbox name=S33 value=1> Diarrhea<BR>
<INPUT type=checkbox name=S34 value=1> Heartburn<BR>
<INPUT type=checkbox name=S35 value=1> Stomachache<P>
<b>Women Only:</b><P>
<INPUT type=checkbox name=S36 value=1> PMS and Painful Periods<BR>
<INPUT type=checkbox name=S37 value=1> Hot Flashes<BR>
<INPUT type=checkbox name=S38 value=1> Acupressure During Pregnancy<P>
<b>Urinary Problems:</b><P>
<INPUT type=checkbox name=S39 value=1> Bed-wetting<BR>
<INPUT type=checkbox name=S40 value=1> Incontinence<BR>
<INPUT type=checkbox name=S41 value=1> Urinary Retention<P>
<b>Other:</b> <P>
<INPUT type=checkbox name=S42 value=1> Weight Loss<BR>
<INPUT type=checkbox name=S43 value=1> Nose Bleeding<BR>
<INPUT type=checkbox name=S44 value=1> Allergy<BR>
<INPUT type=checkbox name=S45 value=1> Itching<BR>
<INPUT type=checkbox name=S46 value=1> Asthma<BR>
<INPUT type=checkbox name=S47 value=1> Decreased Libido<BR>
<INPUT type=checkbox name=S48 value=1> Hangover Treatment<P>
<P>
<INPUT type=submit name=submit>
<INPUT type=reset name=reset>
<?php
}
else
{ echo "Wrong Password. <A HREF=projindex.html>Back
to the Homepage?</A>"; }
?>
</FONT>
</BODY>