nput type="hidden" value="${index}" class="js-index"/>
    
    <div class="w3-col l6 m12 s12">															
            <div class="w3-row-padding">                                                    
                <div class="w3-col m3 s6">                                                  
                    <input type="text" placeholder="comment" name="comment${index}" id="comment${index}" class="fullWidth" oninput="markDirty()"/>
                </div>
                <div class="w3-col m2 s6">  
