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Display a duplicate of certain form fields

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I have a form with several pages of questions. Each question has an item number and a letter assigned to it. In answer to each question, the user can either select "Satisfactory" or "Action Required".

On the last page of the form, I would like to have a list of all the item numbers for questions that have been marked "Action Required". (The questions marked "Satisfactory" should not be included in the list on the last page.)

Is it possible to do this using AcroForms created in Acrobat XI Pro? If so, any tips that would help me to implement this?

Below is a short example. (cross posting in Acrobat Forms forum) Thanks in advance.

 

Questions

Item Number   Satisfactory   Action Required

1a) Hats                                 Action Required

1b) Shoes         Satisfactory

 

2a) Tools           Satisfactory

2b) Pipes                               Action Required

 

On the last page

Item Number

1a)

2b)


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