roll20-character-sheets/psirun/psirun.html

<script type="text/worker">

on("sheet:opened", function(eventInfo){
    setAttrs({
        psiprompt: getTranslationByKey("ask-using-psi-power"),
        harmprompt: getTranslationByKey("ask-risking-harm"),
        yesanswer: getTranslationByKey("yes"),
        noanswer: getTranslationByKey("no"),
        rollquery: "(([[@{baseroll}]])+?{@{psiprompt}|@{yesanswer},1|@{noanswer},0}+?{@{harmprompt}|@{yesanswer},1|@{noanswer},0})d6kl[[([[@{baseroll}]])+?{@{psiprompt}}+?{@{harmprompt}}+(@{drophigh})]]dl[[@{droplow}]]sd"
    });
});

</script>
<div class="sheet-runner">
    <div class="sheet-block sheet-name">
        <label>
            <span data-i18n="runner-name">Runner's Name</span>
            <input type="text" name="attr_character_name"
                placeholder="Your character's name"
                data-i18n-placeholder="runner-name-placeholder"/>
        </label>
    </div>
    <div class="sheet-block sheet-age">
        <label>
            <span data-i18n="apparent-age">Apparent Age</span>
            <input type="number" name="attr_age" min="0"/>
        </label>
    </div>
    <div class="sheet-block sheet-power">
        <label>
            <span data-i18n="psi-power">Psi Power</span>
            <input type="text" name="attr_psi_power"
                placeholder="Your character's psi power"
                data-i18n-placeholder="psi-power-placeholder"/>
        </label>
    </div>
    <div class="sheet-block sheet-appearance">
        <label>
            <span><span data-i18n="in-the-mirror...">When I look in the mirror, I see...</span></span>
            <textarea name="attr_appearance"></textarea>
        </label>
    </div>
    <div class="sheet-block sheet-roll">
        <div>
            <input type="hidden" name="attr_baseroll" value="4 - {@{harm},0}kh1" disabled="true"/>
            <input type="hidden" name="attr_droplow" value="1 - {(@{harm}*@{harm}),0}kh1" disabled="true"/>
            <input type="hidden" name="attr_drophigh" value="{@{harm},0}kl1" disabled="true"/>
            <span style="display: none" data-i18n="ask-using-psi-power">Are you using your psi power?</span>
            <span style="display: none" data-i18n="ask-risking-harm">Are you risking harm to anyone?</span>
            <span style="display: none" data-i18n="yes">Yes</span>
            <span style="display: none" data-i18n="no">No</span>
            <button type="roll" name="roll_risk" value="/roll @{rollquery}" data-i18n="take-a-risk">Take a Risk</button>
        </div>
    </div>
    <div class="sheet-block sheet-harm">
        <strong><span data-i18n="harm">Harm</span></strong>
        <label>
            <input type="radio" name="attr_harm" value="0" checked />
            <span data-i18n="unimpaired">I'm unimpaired</span>
        </label>
        <label>
            <input type="radio" name="attr_harm" value="1"/>
            <span data-i18n="impaired">I'm impaired!</span>
        </label>
        <label>
            <input type="radio" name="attr_harm" value="-1" />
            <span data-i18n="doubly-impaired">I'm doubly impaired!</span>
        </label>
    </div>
    <div class="sheet-block sheet-questions">
        <strong><span data-i18n="i-have-questions...">I Have Questions...</span></strong>
        <fieldset class="repeating_question">
            <label>
                <span data-i18n="question">Question</span>
                <input type="text"  name="attr_question"
                    placeholder="your question"
                    data-i18n-placeholder="question-placeholder"/>
            </label>
            <label>
                <span data-i18n="answer">Answer</span>
                <textarea name="attr_answer"
                    placeholder="the question's answer"
                    data-i18n-placeholder="answer-placeholder"></textarea>
            </label>
        </fieldset>
    </div>
    <div class="sheet-block sheet-endgame">
        <label>
            <span data-i18n="endgame">Endgame</span>
            <select name="attr_endgame">
                <option selected data-i18n="your-character-endgame">What is your character's endgame?</option>
                <option data-i18n="trapped">Trapped</option>
                <option data-i18n="home">Home</option>
                <option data-i18n="hidden">Hidden</option>
                <option data-i18n="on-a-quest">On a quest</option>
                <option data-i18n="lost">Lost</option>
                <option data-i18n="turning-the-tables">Turning the tables</option>
                <option data-i18n="making-a-discovery">Making a discovery</option>
            </select>
        </label>
    </div>
</div>