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|colspan=3 class="q4"|''{{{text|}}}
|colspan=3 class="q4"|''{{{text|}}}
|colspan=4 rowspan=3|{{{other|}}}<br>{{{#if:Choice1||'''Choose between:'''<br>}}}{{{#if:Choice1|}}}<br>{{{#if:Choice2||'''Then choose between:'''<br>}}}{{{#if:Choice2|}}}
|colspan=4 rowspan=3|{{{other|}}}<br>{{{#if:{{{Choice1|}}}|'''Choose between:'''<br>}}}{{{Choice1}}}<br>{{{#if:{{{Choice2|}}}|'''Then choose between:'''<br>}}}{{{Choice2}}}
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|colspan=3 class="q4"|{{{req|}}}
|colspan=3 class="q4"|{{{req|}}}