tweaked a few things to make it work.
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<html xmlns="https://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<title>Big Blue Test Form</title>
<script src="//cdn.optimizely.com/js/339458361.js"></script>
<meta charset="<?php bloginfo( 'charset' ); ?>" />
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
<title> </title>
<meta property="og:image" content="https://bigbluetest.org/wp-content/uploads/2013/10/SQUAREtag.jpg" />
<link rel="pingback" href="<?php bloginfo( 'pingback_url' ); ?>" />
<link rel="shortcut icon" type="image/png" href="<?php echo get_stylesheet_directory_uri(); ?>/favicon.png">
<link rel="apple-touch-icon" sizes="57x57" href="<?php echo get_stylesheet_directory_uri(); ?>/images/devices/apple-touch-icon-iphone.png" />
<link rel="apple-touch-icon" sizes="114x114" href="<?php echo get_stylesheet_directory_uri(); ?>/images/devices/apple-touch-icon-iphone.png" />
<link rel="apple-touch-icon" sizes="72x72" href="<?php echo get_stylesheet_directory_uri(); ?>/images/devices/apple-touch-icon-ipad.png" />
<link rel="apple-touch-icon" sizes="144x144" href="<?php echo get_stylesheet_directory_uri(); ?>/images/devices/apple-touch-icon-ipad.png" />
<script type="text/javascript" src="https://www.bigbluetest.org/bbt_scripts/bbtform.js"></script>
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<script src="https://html5shiv.googlecode.com/svn/trunk/html5.js"></script>
<![endif]-->
<script src="https://ajax.googleapis.com/ajax/libs/jquery/1.10.2/jquery.min.js"></script>
<link rel="stylesheet" type="text/css" href="https://bigbluetest.org/newstyle.css" />
<link rel="stylesheet" type="text/css" href="https://bigbluetest.org/animate-custom.css" />
</head>
<body>
<!--:en-->
<div id="bbtForm">
<form action="/bbt_scripts/postresult.php" method="POST">
1) Are you a T2 Dance Crew™ participant? <br />
<input type="radio" name="dancecrew" value="1" id="dancecrew_yes">Yes <br />
<input type="radio" name="dancecrew" value="0" id="dancecrew_no">No <br />
<br /><br />
2) Do you have diabetes? <br />
<input type="radio" name="diabetes" value="1" id="diab_yes">Yes <br />
<input type="radio" name="diabetes" value="0" id="diab_no">No <br />
<br /><br />
3) What kind of exercise did you do for the Big Blue Test? <br />
<select name="exercise">
<option value="0" selected>Select one:</option>
<option value="1">Walking</option>
<option value="2">Running/jogging</option>
<option value="3">Cycling</option>
<option value="4">Dancing</option>
<option value="5">Conditioning machines</option>
<option value="6">Other</option>
</select>
<br /><br />
4) Intensity level: <br />
<input type="radio" name="intensity" value="1">Moderate ("I can talk while I do them, but I can't sing.") <br />
<input type="radio" name="intensity" value="2">Vigorous ("I can only say a few words without stopping to catch my breath.") <br />
<br /><br />
5) How many minutes did you exercise:<br />
<select name="time">
<option value="0" selected>Select one:</option>
<option value="10">10 or less</option>
<option value="11">11 to 19</option>
<option value="20">20 to 29</option>
<option value="30">30 or more</option>
</select>
<br /><br />
6) When was your most recent meal? (before the exercise):<br />
<select name="meal">
<option value="0" selected>Select one:</option>
<option value="30">30 minutes ago</option>
<option value="60">1 hour ago</option>
<option value="120">2 hours ago</option>
<option value="180">3 (or more) hours ago</option>
</select>
<br /><br />
<div id="bbtDiabOnly">
7) Blood Sugar Before Exercise: <br />
<input type="text" id="before" name="bgbefore" value="" size="3" onKeyPress="return numbersonly(event, false)">
<br /><br />
8) Blood Sugar After Exercise: <br />
<input type="text" id="after" name="bgafter" value="" size="3" onKeyPress="return numbersonly(event, false)" onchange="isHypo();">
<br /><br />
9) What unit of measure does your glucose meter use? <br />
<input type="radio" id="mg" name="units" value="1" onchange="isHypo();">mg/dL<br />
<input type="radio" id="mmol" name="units" value="2" onchange="isHypo();">mmol/L<br />
<br /><br />
10) Do you use insulin? <br />
<input type="radio" name="insulin" value="1" onchange="">Yes<br />
<input type="radio" name="insulin" value="0" onchange="">No<br />
<br /><br />
</div> <!-- bbtDiabOnly -->
<input type="hidden" name="lang" id="lang" value="en">
<input type="submit" name="submit" id="submit_btn" value="Submit">
</form>
<br />
<script type="text/javascript" src="./bbtform.js" onload="hideOptionals();">
</script>
<script type="text/javascript">
checkSubmit( );
$(window).ready(function (ev) {
var config = {
workflow: '#bbtForm'
};
bbt_init(config);
});
</script>
</div>
<!-- bbtForm -->
<!--:-->
</body>
</html>
Modified http://www.bigbluetest.org/bbt_scripts/bbtform.js to a secure url
Modified http://html5shiv.googlecode.com/svn/trunk/html5.js to a secure url
Modified http://ajax.googleapis.com/ajax/libs/jquery/1.10.2/jquery.min.js to a secure url
https://cdn.optimizely.com/js/339458361.js
https://www.bigbluetest.org/bbt_scripts/bbtform.js
https://html5shiv.googlecode.com/svn/trunk/html5.js
https://ajax.googleapis.com/ajax/libs/jquery/1.10.2/jquery.min.js