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<!DOCTYPE html>
<html>
<head>
<meta charset=utf-8 />
<title>JS Bin</title>
<!--[if IE]>
  <script src="http://html5shiv.googlecode.com/svn/trunk/html5.js"></script>
<![endif]-->
<style>
  article, aside, figure, footer, header, hgroup, 
  menu, nav, section { display: block; }
</style>
</head>
<body>
  
  
<html>
  <head>
    <title></title>
    <meta http-equiv="Content-Type" content="text/html; charset=unicode"/>
    <meta content="CoffeeCup HTML Editor (www.coffeecup.com)" name="generator"/>
  </head>
  <body>
    
  <script type="text/javascript">
    function validate()
    {
    if(document.getElementById("id_note").value == null || document.getElementById("id_note").value == "")
      
      {
      alert("YOU MUST DESCRIBE THE 'OTHER' ACTIVITY IN THE NOTE FIELD!!!");
      document.getElementById("id_note").focus();
      return false;
      }
    }
    </script>
<form name="frm">
  Activity: <select class="form-control chained" id="id_activity" name="activity"><option value="" selected="selected">---------</option><option value="1">JustLead Program</option><option value="2">Other</option></select>
  Note: <input id="id_note" /> <br />
  <input id="insert" onclick="return IsEmpty();" type="" value="Add Question"/>
</form>
    
</body>
</html>
  
  
  
</body>
</html>
Output

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