{{form_mod_input.location(class_='form-control', value=each_input.location, **{'title':'Host name or IP address'})}}
{{form_mod_input.times_check.label(class_='control-label')}}
{{form_mod_input.times_check(class_='form-control', value=each_input.times_check, **{'title':'Number of times to check'})}}
{{form_mod_input.deadline.label(class_='control-label')}}
{{form_mod_input.deadline(class_='form-control', value=each_input.deadline, **{'title':'Time to wait until failure'})}}