ue="Gelisah" {if: $penilaian_igd.psikologis == 'Gelisah'}selected{/if}>Gelisah</option>
                <option value="Lain-lain" {if: $penilaian_igd.psikologis == 'Lain-lain'}selected{/if}>Lain-lain</option>
              </select>
            </div>
          </div>
          <div class="col-md-4">
            <div class="form-group">
              <label>Gangguan Jiwa</label>
              <select name="jiwa" class="form-control" required>
                <option value="Tidak" {if: $penilaian_igd.jiwa ==