searxng/searx/templates/search.html

<form method="post" action="">
    <input type="text" class="q" name="q" tabindex="1" autocomplete="off" {% if q %}value="{{ q }}"{% endif %}/>
    <input type="submit" value="search" />
    <p>
    {% for category in categories %}
        <div class="checkbox_container">
            <input type="checkbox" id="checkbox_{{ category }}" name="category_{{ category }}" {% if category in selected_categories %}checked="checked"{% endif %} /><label for="checkbox_{{ category }}" class="cb"></label><label for="checkbox_{{ category }}">{{ category }}</label>
        </div>
    {% endfor %}
    </p>
    <p><div class="checkbox_container"><input type="checkbox" id="checkbox_save" name="save" checked="checked" /><label for="checkbox_save" class="cb"></label><label for="checkbox_save">remember categories</label></div></p>
</form>