Literal question
<svar a="all" v="JM91A404 JM91A405 JM91A406">3.3.<br />a. What is your / [the respondent's] date of birth?<br /><div class="i1">Month</div><br /><div class="i2">[] Jan<br />[] Feb<br />[] Mar<br />[] Apr<br />[] May<br />[] Jun<br />[] Jul<br />[] Aug<br />[] Sep<br />[] Oct<br />[] Nov<br />[] Dec</div><br /><div class="i1">Day _ _<br /><br />Year _ _</div><br /></svar>