#main article {
	padding: 0 5%;
	text-align: center;
}

#main article form {
	background: #fff6cb;
	padding: 15px;
	position: relative;
	margin: 20px 0;
}

#img1 {
	position: absolute;
	width: 62px;
	right: 0;
	top: -30px;
}

#main article form table {
	width: 100%;
}

#main article form th {
	display: block;
	text-align: left !important;
}

#main article form td {
	display: block;
	text-align: left !important;
}

#main article form td input,
#main article form td textarea {
	width: 100%;
}

#zip {
	width: 80px !important;
}

#submit_btn input {
	background: #f95b04;
	color: #fff;
	border: 0;
	border-radius: 5px;
	margin: 0 20px;
	width: 80%;
	margin: 0 auto;
	display: block;
	text-align: center;
	line-height: 40px;
-webkit-appearance: none;
}

#submit_btn {
	padding: 20px 0;
}

input[type="radio"]{
	width: auto !important;
	margin: 10px 5px 10px 0;
}

th{
	padding: 20px 0 0 0;
}

.radio_cell{
	background: #FFF;
	padding: 0 10px;
 border-radius: 6px;
}
.checklist{
list-style:none;
display:flex;
flex-wrap:wrap;
margin:0 0 20px 0;
}
.checklist li{
padding:0 20px 5px 0;
}
.checklist input{
width:20px !important;
}
#age{
width:60px !important;
}