<form name="test_output" method="post" action="{FORMACTION}">
<a class="submit" href="{BACK_URL}">{BACK_TEXT}</a> <a class="submit" href="{PRINT_URL}">{PRINT_TEXT}</a>
</form>
<br />
<h1>{TEXT_OVERVIEW}</h1>
{USER_DATA}
<h2>{TEXT_RESULTS}</h2>
{PASS_OVERVIEW}
<p>
	<strong>{USER_FEEDBACK}</strong>
</p>
