Well I am assuming that you will be inserting a lot of PHP into that chunk of HTML, that's why I just posted it as-is.
I usually use heredoc notation so I can do:
$html=<<<QQQ
<form action="{$php_self}"...
.
<option name="{$option[1]['id']}">{$option[1]['name']}</option>
</form>
QQQ;
and then just
echo $html;