Radio Buttons & Check Boxes Replaced w/ Rectangles, when printing Form w/ Adobe Reader XI (11.0.03)

Hello.  I need to be able to print a .pdf copy of a completed web page form.  The form is completed by entering data into text boxes and text areas, and selecting various radio buttons and check boxes.  When the form is complete, it is saved, which converts the form into a .pdf file.
When I open the saved .pdf file, it looks completely normal.  I will then select the print button, which is built into the display window for the form.  The printed form will appear, but the radio buttons and check boxes will have been replaced with the outline of rectangles.
This is what the source form looks like, before printing:
This is what the printed image looks like, after printing.  NOTE: All check boxes and radio buttons (and the data that they contained) are gone:
I am not sure if this is a setting that needs to be changed in Adobe REader XI, or something else.
Please let me know what you think it might be.
Thanks,
Rick

Michael,
It is a web/html form.
The forms are built and used inside of a software program called WebEOC.
WebEOC is used to allow for sharing information between different
emergency response entities (like a State, and the counties within the
State).
The form I am working with was built with a web page editing program.  The
form uses html, xhtml, xml, CSS and javascript.
A for user would launch the WebEOC form (after logging into WebEOC), and
they would fill out the form.  Text goes into text boxes and text areas,
dropdown menu selections are made, and some information is entered using
radio buttons and check boxes.
When the form is complete, it is saved within the WebEOC database, as a
.pdf file.
You can then open the .pdf file in order to see the form, in it's
completed state, as a pdf.
When I try to pint this pdf file of the completed form, the check boxes
and radio buttons are replaced with rectangles.  Any selections made in
the radio buttons or checkboxes is lost.
Thanks,
Rick
[signature removed]

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    0 libSystem.B.dylib 0x900078b8 machmsgtrap + 0x8
    1 libSystem.B.dylib 0x90007438 mach_msg + 0x38
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    6 com.apple.Foundation 0x90a98594 +[NSURLCache _diskCacheSyncLoop:] + 0xa8
    7 com.apple.Foundation 0x90a6a510 forkThreadForFunction + 0x6c
    8 libSystem.B.dylib 0x90024990 pthreadbody + 0x28
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    0 libSystem.B.dylib 0x9000b46c select + 0xc
    1 com.apple.CoreFoundation 0x901c69f8 __CFSocketManager + 0x1fc
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    0 libSystem.B.dylib 0x9001a72c syscall + 0xc
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    1 libSystem.B.dylib 0x9000ea1c pthread_condwait + 0x270
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    3 libSystem.B.dylib 0x90024990 pthreadbody + 0x28
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    0 libSystem.B.dylib 0x900078b8 machmsgtrap + 0x8
    1 libSystem.B.dylib 0x90007438 mach_msg + 0x38
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    7 com.adobe.AcrobatPlugin.eBook 0x2bac49ec main + 0x15c4
    8 com.adobe.AcrobatPlugin.eBook 0x2bac4954 main + 0x152c
    9 com.adobe.AcrobatPlugin.eBook 0x2bac48e8 main + 0x14c0
    10 com.adobe.AcrobatPlugin.eBook 0x2bac486c main + 0x1444
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    0 libSystem.B.dylib 0x90017238 semaphorewait_signaltrap + 0x8
    1 libSystem.B.dylib 0x90001d90 pthreadmutexlock + 0x1c0
    2 com.apple.Foundation 0x90a223b4 -[NSLock lock] + 0x1c
    3 com.adobe.acrobat.pdfviewer 0x0462ab9c dyldstub* + 0x4604df8
    4 com.adobe.acrobat.pdfviewer 0x0462c354 dyldstub* + 0x46065b0
    5 com.apple.Foundation 0x90a6a510 forkThreadForFunction + 0x6c
    6 libSystem.B.dylib 0x90024990 pthreadbody + 0x28
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    0 libSystem.B.dylib 0x90017238 semaphorewait_signaltrap + 0x8
    1 libSystem.B.dylib 0x90001d90 pthreadmutexlock + 0x1c0
    2 com.apple.Foundation 0x90a223b4 -[NSLock lock] + 0x1c
    3 com.adobe.acrobat.pdfviewer 0x0462ab9c dyldstub* + 0x4604df8
    4 com.adobe.acrobat.pdfviewer 0x0462c354 dyldstub* + 0x46065b0
    5 com.apple.Foundation 0x90a6a510 forkThreadForFunction + 0x6c
    6 libSystem.B.dylib 0x90024990 pthreadbody + 0x28
    Thread 10:
    0 libSystem.B.dylib 0x90017238 semaphorewait_signaltrap + 0x8
    1 libSystem.B.dylib 0x90001d90 pthreadmutexlock + 0x1c0
    2 com.apple.Foundation 0x90a223b4 -[NSLock lock] + 0x1c
    3 com.adobe.acrobat.pdfviewer 0x0462ad24 dyldstub* + 0x4604f80
    4 com.adobe.acrobat.pdfviewer 0x0462c440 dyldstub* + 0x460669c
    5 com.apple.Foundation 0x90a6a510 forkThreadForFunction + 0x6c
    6 libSystem.B.dylib 0x90024990 pthreadbody + 0x28
    Thread 11:
    0 libSystem.B.dylib 0x90017238 semaphorewait_signaltrap + 0x8
    1 libSystem.B.dylib 0x90001d90 pthreadmutexlock + 0x1c0
    2 com.apple.Foundation 0x90a223b4 -[NSLock lock] + 0x1c
    3 com.adobe.acrobat.pdfviewer 0x0462ac70 dyldstub* + 0x4604ecc
    4 com.adobe.acrobat.pdfviewer 0x0462c354 dyldstub* + 0x46065b0
    5 com.apple.Foundation 0x90a6a510 forkThreadForFunction + 0x6c
    6 libSystem.B.dylib 0x90024990 pthreadbody + 0x28
    Thread 12:
    0 libSystem.B.dylib 0x90017238 semaphorewait_signaltrap + 0x8
    1 libSystem.B.dylib 0x90001d90 pthreadmutexlock + 0x1c0
    2 com.apple.Foundation 0x90a223b4 -[NSLock lock] + 0x1c
    3 com.adobe.acrobat.pdfviewer 0x0462ab9c dyldstub* + 0x4604df8
    4 com.adobe.acrobat.pdfviewer 0x0462c354 dyldstub* + 0x46065b0
    5 com.apple.Foundation 0x90a6a510 forkThreadForFunction + 0x6c
    6 libSystem.B.dylib 0x90024990 pthreadbody + 0x28
    Thread 13:
    0 libSystem.B.dylib 0x90017238 semaphorewait_signaltrap + 0x8
    1 libSystem.B.dylib 0x90001d90 pthreadmutexlock + 0x1c0
    2 com.apple.Foundation 0x90a223b4 -[NSLock lock] + 0x1c
    3 com.adobe.acrobat.pdfviewer 0x0462ad24 dyldstub* + 0x4604f80
    4 com.adobe.acrobat.pdfviewer 0x0462c440 dyldstub* + 0x460669c
    5 com.apple.Foundation 0x90a6a510 forkThreadForFunction + 0x6c
    6 libSystem.B.dylib 0x90024990 pthreadbody + 0x28
    Thread 14:
    0 libSystem.B.dylib 0x900078b8 machmsgtrap + 0x8
    1 libSystem.B.dylib 0x90007438 mach_msg + 0x38
    2 com.apple.CoreFoundation 0x901c15e8 __CFRunLoopRun + 0x350
    3 com.apple.CoreFoundation 0x901c5d74 CFRunLoopRunSpecific + 0x148
    4 com.apple.CoreFoundation 0x9022f32c CFRunLoopRun + 0x34
    5 ...dobe.AcrobatPlugin.Comments 0x2b52617c main + 0x1543d8
    6 ...dobe.AcrobatPlugin.Comments 0x2b526aa0 main + 0x154cfc
    7 ...ple.CoreServices.CarbonCore 0x902f6b90 PrivateMPEntryPoint + 0x4c
    8 libSystem.B.dylib 0x90024990 pthreadbody + 0x28
    Thread 15:
    0 libSystem.B.dylib 0x90017238 semaphorewait_signaltrap + 0x8
    1 libSystem.B.dylib 0x9000ea1c pthread_condwait + 0x270
    2 ...ple.CoreServices.OSServices 0x90662a50 CarbonInetOperThreadFunc + 0x50
    3 libSystem.B.dylib 0x90024990 pthreadbody + 0x28
    Thread 16:
    0 libSystem.B.dylib 0x900078b8 machmsgtrap + 0x8
    1 libSystem.B.dylib 0x90007438 mach_msg + 0x38
    2 com.apple.CoreFoundation 0x901c15e8 __CFRunLoopRun + 0x350
    3 com.apple.CoreFoundation 0x901c5d74 CFRunLoopRunSpecific + 0x148
    4 ...apple.print.framework.Print 0x91978eec _ZN12LookupThread3runEv + 0x84
    5 ...apple.print.framework.Print 0x9197f12c _ZN12LookupThread3RunEPv + 0x10
    6 libSystem.B.dylib 0x90024990 pthreadbody + 0x28
    PPC Thread State:
    srr0: 0x901c2b10 srr1: 0x0200f030 vrsave: 0x00000000
    cr: 0x44022284 xer: 0x00000000 lr: 0x901c2ae4 ctr: 0x901c2adc
    r0: 0x00300f80 r1: 0xbfffb4c0 r2: 0xa01c01f4 r3: 0x00000000
    r4: 0x05fa4270 r5: 0x06165b30 r6: 0x00000000 r7: 0x6f646500
    r8: 0x6f646500 r9: 0x00000010 r10: 0x6e6363ff r11: 0x04ea932c
    r12: 0x901c2adc r13: 0x00000000 r14: 0x00000000 r15: 0x00000000
    r16: 0x00000000 r17: 0x00000000 r18: 0x00000000 r19: 0x00000000
    r20: 0x00000002 r21: 0x00000000 r22: 0x055d4430 r23: 0x00000000
    r24: 0xffffffff r25: 0x06165b30 r26: 0x00000000 r27: 0x05fa4270
    r28: 0x06178d80 r29: 0x00000000 r30: 0x00000001 r31: 0x901c2ae4
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    0x1000 - 0xcdfff com.apple.Safari 1.3.2 (312.5) /Applications/Safari.app/Contents/MacOS/Safari
    0x46e000 - 0x4a8fff com.adobe.ESD.AUM3framework 3.0.0.40 /Applications/Adobe Reader 7.0/Adobe Reader 7.0.app/Contents/Plug-ins/Updater.acroplugin/Frameworks/ESDUpdate.framework/ESD Update
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    0x96aa0000 - 0x96acefff libssl.0.9.7.dylib /usr/lib/libssl.0.9.7.dylib
    0x96b50000 - 0x96bdffff ATS /System/Library/Frameworks/ApplicationServices.framework/Versions/A/Frameworks/ ATS.framework/Versions/A/ATS
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