<p> <a href="/notes/add">Add a Note</a> </p>

[% USE FillInForm %]
[% UNLESS fif.keys %]
[% fif = c.req.params.as_hash || { level => 66 } %]
[% END %]

[% FILTER fillinform fdat => fif %]

<form method='POST'>


<p>Level: <select name='level'>
[% FOREACH key IN levels.keys.sort.reverse %]
<option value='[% key %]'>[% levels.$key %]</option>
[% END %]
</select></p>

<p>Notes:<br /><textarea name="notes" cols="40" rows="7"></textarea></p>

<p><input type='submit' /></p>

</form>

[% END %]