{"id":2420,"date":"2022-08-18T16:13:09","date_gmt":"2022-08-18T16:13:09","guid":{"rendered":"https:\/\/innsightful.com\/staging2\/?page_id=2420"},"modified":"2022-08-21T11:12:35","modified_gmt":"2022-08-21T11:12:35","slug":"enroll-form","status":"publish","type":"page","link":"https:\/\/innsightful.com\/staging2\/enroll-form\/","title":{"rendered":"enroll-form"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Header&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_stops=&#8221;#edfeff 0%|#ffffff 100%&#8221; background_color_gradient_start=&#8221;#edfeff&#8221; background_color_gradient_end=&#8221;#ffffff&#8221; min_height=&#8221;379.6px&#8221; custom_margin=&#8221;||158px|||&#8221; custom_padding=&#8221;12vw||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_5,3_5,1_5&#8243; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-87px|auto||auto||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;6%||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;6%||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Poppins|600|||||||&#8221; header_font=&#8221;Rozha One||||||||&#8221; header_text_color=&#8221;#003E51&#8243; header_font_size=&#8221;32px&#8221; header_line_height=&#8221;1.1em&#8221; header_2_font=&#8221;Roboto|700||on|||||&#8221; header_2_text_color=&#8221;rgba(44,44,44,0.5)&#8221; header_2_font_size=&#8221;12px&#8221; header_2_letter_spacing=&#8221;1px&#8221; header_2_line_height=&#8221;1.3em&#8221; custom_margin=&#8221;-109px|||||&#8221; custom_padding=&#8221;||0px|||&#8221; text_font_size_tablet=&#8221;&#8221; text_font_size_phone=&#8221;&#8221; text_font_size_last_edited=&#8221;on|desktop&#8221; header_font_size_tablet=&#8221;44px&#8221; header_font_size_phone=&#8221;32px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1 style=\"text-align: center;\"><span>Innsightful Emotional Wellness Program<\/span><\/h1>\n<p><span><\/span><\/p>\n<p><span><\/span><\/p>\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-1527 forminator-design--material  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-1527\" data-uid=\"6a1b17b717f8d\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-1527\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-1527 forminator-design--material  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"1527\"\n\t\t\t\t data-color-option=\"default\" data-design=\"material\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a1b17b717f8d\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-pagination-progress\" aria-hidden=\"true\"><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-0\"\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-0-label\"\n\t\t\t\tdata-step=\"0\"\n\t\t\t\tdata-label=\"Finish\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-1\"\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-15\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-15\"><p style=\"text-align: center\">Please set aside 7-10 minutes to complete the registration.<\/p>\n<p style=\"text-align: center;font-size: 25px\"><strong>Create Account<\/strong><\/p>\n<p style=\"text-align: center\">You must use your university email to sign up to our program. You will need this account to register and view the program resources.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a1b17b717f8d\" id=\"forminator-field-email-1_6a1b17b717f8d-label\" class=\"forminator-label\">University Email <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. jdoe@nd.edu\" id=\"forminator-field-email-1_6a1b17b717f8d\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"password-1\" class=\"forminator-field-password forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-password-1_6a1b17b717f8d\" id=\"forminator-field-password-1_6a1b17b717f8d-label\" class=\"forminator-label\">Password <span class=\"forminator-required\">*<\/span><\/label><input name=\"password-1\" value=\"\" placeholder=\"Enter your password\" id=\"forminator-field-password-1_6a1b17b717f8d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" type=\"password\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"gdprcheckbox-1\" class=\"forminator-field-gdprcheckbox forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-gdprcheckbox-1_6a1b17b717f8d\" class=\"forminator-checkbox\"><input type=\"checkbox\" name=\"gdprcheckbox-1\" value=\"true\" id=\"forminator-field-gdprcheckbox-1_6a1b17b717f8d\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I hereby confirm that I have read, consent, and agree to Innsightful\u2019s Terms &amp; Conditions and Privacy Policy.<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-1\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-1-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"1\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-8\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a1b17b717f8d\" id=\"forminator-field-name-1_6a1b17b717f8d-label\" class=\"forminator-label\">What is your first name? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"E.g. John\" id=\"forminator-field-name-1_6a1b17b717f8d\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6a1b17b717f8d\" id=\"forminator-field-name-2_6a1b17b717f8d-label\" class=\"forminator-label\">What is your last name? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"E.g. Doe\" id=\"forminator-field-name-2_6a1b17b717f8d\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a1b17b717f8d\" id=\"forminator-field-phone-1_6a1b17b717f8d-label\" class=\"forminator-label\">What\u2019s your phone number? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +1 300 400 5000\" id=\"forminator-field-phone-1_6a1b17b717f8d\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-33\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-33-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-33-6a1b17b717f8d-label\" class=\"forminator-label\">How do you describe yourself? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-33-label-1\" for=\"forminator-field-radio-33-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Male\"><input type=\"radio\" name=\"radio-33\" value=\"male\" id=\"forminator-field-radio-33-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-33-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Male<\/span><\/label><label id=\"forminator-field-radio-33-label-2\" for=\"forminator-field-radio-33-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Female\"><input type=\"radio\" name=\"radio-33\" value=\"female\" id=\"forminator-field-radio-33-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-33-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Female<\/span><\/label><label id=\"forminator-field-radio-33-label-3\" for=\"forminator-field-radio-33-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Transgender Male\"><input type=\"radio\" name=\"radio-33\" value=\"transgender-male\" id=\"forminator-field-radio-33-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-33-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Transgender Male<\/span><\/label><label id=\"forminator-field-radio-33-label-4\" for=\"forminator-field-radio-33-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Transgender Female\"><input type=\"radio\" name=\"radio-33\" value=\"transgender-female\" id=\"forminator-field-radio-33-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-33-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Transgender Female<\/span><\/label><label id=\"forminator-field-radio-33-label-5\" for=\"forminator-field-radio-33-5-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Other\"><input type=\"radio\" name=\"radio-33\" value=\"other\" id=\"forminator-field-radio-33-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-33-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Other<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-2-6a1b17b717f8d-label\" class=\"forminator-label\">Do you consider yourself to be: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Heterosexual or straight\"><input type=\"radio\" name=\"radio-2\" value=\"heterosexual-or-straight\" id=\"forminator-field-radio-2-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Heterosexual or straight<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Gay\"><input type=\"radio\" name=\"radio-2\" value=\"gay\" id=\"forminator-field-radio-2-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Gay<\/span><\/label><label id=\"forminator-field-radio-2-label-3\" for=\"forminator-field-radio-2-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Lesbian\"><input type=\"radio\" name=\"radio-2\" value=\"lesbian\" id=\"forminator-field-radio-2-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-2-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Lesbian<\/span><\/label><label id=\"forminator-field-radio-2-label-4\" for=\"forminator-field-radio-2-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Bisexual\"><input type=\"radio\" name=\"radio-2\" value=\"bisexual\" id=\"forminator-field-radio-2-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-2-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Bisexual<\/span><\/label><label id=\"forminator-field-radio-2-label-5\" for=\"forminator-field-radio-2-5-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not listed above\"><input type=\"radio\" name=\"radio-2\" value=\"not-listed-above\" id=\"forminator-field-radio-2-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-2-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not listed above<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Please specify\" id=\"forminator-field-textarea-2_6a1b17b717f8d\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:20px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-8-6a1b17b717f8d-label\" class=\"forminator-label\">What is your age? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"16 or below\"><input type=\"radio\" name=\"radio-8\" value=\"16-or-below\" id=\"forminator-field-radio-8-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">16 or below<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"17\"><input type=\"radio\" name=\"radio-8\" value=\"17\" id=\"forminator-field-radio-8-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">17<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"18\"><input type=\"radio\" name=\"radio-8\" value=\"18\" id=\"forminator-field-radio-8-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">18<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"19\"><input type=\"radio\" name=\"radio-8\" value=\"19\" id=\"forminator-field-radio-8-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">19<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-6a1b17b717f8d\" class=\"forminator-radio\" title=\"20\"><input type=\"radio\" name=\"radio-8\" value=\"20\" id=\"forminator-field-radio-8-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">20<\/span><\/label><label id=\"forminator-field-radio-8-label-6\" for=\"forminator-field-radio-8-6-6a1b17b717f8d\" class=\"forminator-radio\" title=\"21\"><input type=\"radio\" name=\"radio-8\" value=\"21\" id=\"forminator-field-radio-8-6-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">21<\/span><\/label><label id=\"forminator-field-radio-8-label-7\" for=\"forminator-field-radio-8-7-6a1b17b717f8d\" class=\"forminator-radio\" title=\"22\"><input type=\"radio\" name=\"radio-8\" value=\"22\" id=\"forminator-field-radio-8-7-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">22<\/span><\/label><label id=\"forminator-field-radio-8-label-8\" for=\"forminator-field-radio-8-8-6a1b17b717f8d\" class=\"forminator-radio\" title=\"23\"><input type=\"radio\" name=\"radio-8\" value=\"23\" id=\"forminator-field-radio-8-8-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">23<\/span><\/label><label id=\"forminator-field-radio-8-label-9\" for=\"forminator-field-radio-8-9-6a1b17b717f8d\" class=\"forminator-radio\" title=\"24\"><input type=\"radio\" name=\"radio-8\" value=\"24\" id=\"forminator-field-radio-8-9-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-9\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">24<\/span><\/label><label id=\"forminator-field-radio-8-label-10\" for=\"forminator-field-radio-8-10-6a1b17b717f8d\" class=\"forminator-radio\" title=\"25\"><input type=\"radio\" name=\"radio-8\" value=\"25\" id=\"forminator-field-radio-8-10-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-10\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">25<\/span><\/label><label id=\"forminator-field-radio-8-label-11\" for=\"forminator-field-radio-8-11-6a1b17b717f8d\" class=\"forminator-radio\" title=\"26\"><input type=\"radio\" name=\"radio-8\" value=\"26\" id=\"forminator-field-radio-8-11-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-11\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">26<\/span><\/label><label id=\"forminator-field-radio-8-label-12\" for=\"forminator-field-radio-8-12-6a1b17b717f8d\" class=\"forminator-radio\" title=\"27\"><input type=\"radio\" name=\"radio-8\" value=\"27\" id=\"forminator-field-radio-8-12-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-12\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">27<\/span><\/label><label id=\"forminator-field-radio-8-label-13\" for=\"forminator-field-radio-8-13-6a1b17b717f8d\" class=\"forminator-radio\" title=\"28\"><input type=\"radio\" name=\"radio-8\" value=\"28\" id=\"forminator-field-radio-8-13-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-13\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">28<\/span><\/label><label id=\"forminator-field-radio-8-label-14\" for=\"forminator-field-radio-8-14-6a1b17b717f8d\" class=\"forminator-radio\" title=\"29\"><input type=\"radio\" name=\"radio-8\" value=\"29\" id=\"forminator-field-radio-8-14-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-14\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">29<\/span><\/label><label id=\"forminator-field-radio-8-label-15\" for=\"forminator-field-radio-8-15-6a1b17b717f8d\" class=\"forminator-radio\" title=\"30 or above\"><input type=\"radio\" name=\"radio-8\" value=\"30-or-above\" id=\"forminator-field-radio-8-15-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-8-label-15\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">30 or above<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-37\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-37-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-37-6a1b17b717f8d-label\" class=\"forminator-label\">What is your race? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-37-label-1\" for=\"forminator-field-radio-37-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"American Indian or Alaska Native\"><input type=\"radio\" name=\"radio-37\" value=\"american-indian-or-alaska-native\" id=\"forminator-field-radio-37-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-37-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">American Indian or Alaska Native<\/span><\/label><label id=\"forminator-field-radio-37-label-2\" for=\"forminator-field-radio-37-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Asian\"><input type=\"radio\" name=\"radio-37\" value=\"asian\" id=\"forminator-field-radio-37-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-37-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Asian<\/span><\/label><label id=\"forminator-field-radio-37-label-3\" for=\"forminator-field-radio-37-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Black or African American\"><input type=\"radio\" name=\"radio-37\" value=\"black-or-african-american\" id=\"forminator-field-radio-37-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-37-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Black or African American<\/span><\/label><label id=\"forminator-field-radio-37-label-4\" for=\"forminator-field-radio-37-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Native Hawaiian or Other Pacific Islander\"><input type=\"radio\" name=\"radio-37\" value=\"native-hawaiian-or-other-pacific-islander\" id=\"forminator-field-radio-37-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-37-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Native Hawaiian or Other Pacific Islander<\/span><\/label><label id=\"forminator-field-radio-37-label-5\" for=\"forminator-field-radio-37-5-6a1b17b717f8d\" class=\"forminator-radio\" title=\"White\"><input type=\"radio\" name=\"radio-37\" value=\"white\" id=\"forminator-field-radio-37-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-37-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">White<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-36\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-36-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-36-6a1b17b717f8d-label\" class=\"forminator-label\">Are you Hispanic or Latino? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-36-label-1\" for=\"forminator-field-radio-36-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-36\" value=\"yes\" id=\"forminator-field-radio-36-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-36-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-36-label-2\" for=\"forminator-field-radio-36-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-36\" value=\"no\" id=\"forminator-field-radio-36-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-36-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-9-6a1b17b717f8d-label\" class=\"forminator-label\">Are you attending a two- or four-year college\/university? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-9\" value=\"yes\" id=\"forminator-field-radio-9-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-9\" value=\"no\" id=\"forminator-field-radio-9-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><p>We're sorry! This program is only for college of university students. We will let you know when programs for non-university students become available.<\/p><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-2\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-2-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"2\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-10\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><p>Nice to meet you!<\/p>\n<p>Innsightful is a 12-week program, where we take you on a meaningful journey that will improve your wellbeing. We want to create a safe and non-judgmental environment for everyone.\u00a0<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-3-6a1b17b717f8d-label\" class=\"forminator-label\">Are you willing to keep all conversations within our program private and confidential? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-3\" value=\"yes\" id=\"forminator-field-radio-3-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-3\" value=\"no\" id=\"forminator-field-radio-3-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><p style=\"color: red\">To continue to use our service, you must be willing to keep all conversations within our program private and confidential.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><p>Attendance is a crucial part of the program You will be part of a small group that you will meet weekly for 1 hour. We expect that you will chat and support group members, you will express your feelings when you\u2019re ready, and involve in activities that we have prepared to help you.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-4-6a1b17b717f8d-label\" class=\"forminator-label\">We expect regular attendance in all parts of the program and meetings, but you may miss one or two meetings in emergency cases. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"I&#039;m likely to make all meetings\"><input type=\"radio\" name=\"radio-4\" value=\"im-likely-to-make-all-meetings\" id=\"forminator-field-radio-4-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">I'm likely to make all meetings<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"I might miss 1-2 meetings\"><input type=\"radio\" name=\"radio-4\" value=\"i-might-miss-1-2-meetings\" id=\"forminator-field-radio-4-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">I might miss 1-2 meetings<\/span><\/label><label id=\"forminator-field-radio-4-label-3\" for=\"forminator-field-radio-4-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"I might miss 3+ meetings\"><input type=\"radio\" name=\"radio-4\" value=\"i-might-miss-3-meetings\" id=\"forminator-field-radio-4-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-4-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">I might miss 3+ meetings<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><p style=\"color:red\">To receive the most effective help, you should be able to attend all or most meetings.<\/p><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-3\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-3-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"3\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-7\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-1527__field--select-2_6a1b17b717f8d\" id=\"forminator-form-1527__field--select-2_6a1b17b717f8d-label\" class=\"forminator-label\">Do you have a coupon <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-1527__field--select-2_6a1b17b717f8d\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-placeholder=\"Select\" data-search=\"false\" data-search-placeholder=\"Select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1527__field--select-2_6a1b17b717f8d-label\"><option value=\"\"  >Select<\/option><option value=\"yes\"  data-calculation=\"0\">Yes<\/option><option value=\"no\"  data-calculation=\"0\">No<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a1b17b717f8d\" id=\"forminator-field-textarea-1_6a1b17b717f8d-label\" class=\"forminator-label\">Coupon <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-1\" placeholder=\"Enter your coupon\" id=\"forminator-field-textarea-1_6a1b17b717f8d\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:20px;\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-4\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-4-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"4\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-11\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><label class=\"forminator-label\">Your coupon is invalid.<\/label><p>\u00a0<\/p>\n<p>To try again, please go back.<\/p>\n<p>To proceed the registration, please fill in your card details below:<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-14\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-14\"><label class=\"forminator-label\">Your coupon is valid. You can continue to the next part of registration.<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-5\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-5-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"5\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-6\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><label class=\"forminator-label\">Thank you for registering! We need more information from you to get you started in a group. Let\u2019s go!<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a1b17b717f8d\" id=\"forminator-field-text-3_6a1b17b717f8d-label\" class=\"forminator-label\">What is the name of your university? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"E.g. University of Northern Colorado\" id=\"forminator-field-text-3_6a1b17b717f8d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-5-6a1b17b717f8d-label\" class=\"forminator-label\">Are you an undergraduate or graduate student? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Undergraduate Student\"><input type=\"radio\" name=\"radio-5\" value=\"Undergraduate-Student\" id=\"forminator-field-radio-5-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Undergraduate Student<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Master&#039;s Student\"><input type=\"radio\" name=\"radio-5\" value=\"Master&#039;s-Student\" id=\"forminator-field-radio-5-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Master's Student<\/span><\/label><label id=\"forminator-field-radio-5-label-3\" for=\"forminator-field-radio-5-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"PhD Student\"><input type=\"radio\" name=\"radio-5\" value=\"PhD-Student\" id=\"forminator-field-radio-5-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-5-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">PhD Student<\/span><\/label><label id=\"forminator-field-radio-5-label-4\" for=\"forminator-field-radio-5-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Graduating PhD Student\"><input type=\"radio\" name=\"radio-5\" value=\"Graduating-PhD-Student\" id=\"forminator-field-radio-5-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-5-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Graduating PhD Student<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-39\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-39-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-39-6a1b17b717f8d-label\" class=\"forminator-label\">Are you an international student? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-39-label-1\" for=\"forminator-field-radio-39-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-39\" value=\"Yes\" id=\"forminator-field-radio-39-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-39-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-39-label-2\" for=\"forminator-field-radio-39-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-39\" value=\"No\" id=\"forminator-field-radio-39-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-39-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-6-6a1b17b717f8d-label\" class=\"forminator-label\">What kind of groups do you prefer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Mixed gender groups\"><input type=\"radio\" name=\"radio-6\" value=\"mixed-gender-groups\" id=\"forminator-field-radio-6-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Mixed gender groups<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Single gender groups\"><input type=\"radio\" name=\"radio-6\" value=\"single-gender-groups\" id=\"forminator-field-radio-6-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Single gender groups<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-6\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-6-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"6\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-5\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"radio-11\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-11-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-11-6a1b17b717f8d-label\" class=\"forminator-label\">What is your timezone? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-11-label-1\" for=\"forminator-field-radio-11-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"EST\"><input type=\"radio\" name=\"radio-11\" value=\"est\" id=\"forminator-field-radio-11-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-11-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">EST<\/span><\/label><label id=\"forminator-field-radio-11-label-2\" for=\"forminator-field-radio-11-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"CST\"><input type=\"radio\" name=\"radio-11\" value=\"cst\" id=\"forminator-field-radio-11-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-11-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">CST<\/span><\/label><label id=\"forminator-field-radio-11-label-3\" for=\"forminator-field-radio-11-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"MST\"><input type=\"radio\" name=\"radio-11\" value=\"mst\" id=\"forminator-field-radio-11-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-11-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">MST<\/span><\/label><label id=\"forminator-field-radio-11-label-4\" for=\"forminator-field-radio-11-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"PST\"><input type=\"radio\" name=\"radio-11\" value=\"pst\" id=\"forminator-field-radio-11-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-11-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">PST<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6a1b17b717f8d-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6a1b17b717f8d-label\" class=\"forminator-label\">When are available for group meetings? Please select at least 5 options. Remember, more flexibility the better. Less availability will slow down your time to match, we hope that\u2019s OK. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-1-1-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-1-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"10AM-11AM Monday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"10am-11am-monday\" id=\"forminator-field-checkbox-1-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-1-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Monday<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-2-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"1PM-2PM Monday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"1pm-2pm-monday\" id=\"forminator-field-checkbox-1-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-2-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Monday<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-3-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"3PM-4PM Monday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"3pm-4pm-monday\" id=\"forminator-field-checkbox-1-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-3-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3PM-4PM Monday<\/span><\/label><label id=\"forminator-field-checkbox-1-4-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-4-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"1PM-2PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"1pm-2pm-tuesday\" id=\"forminator-field-checkbox-1-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-4-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-1-5-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-5-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"3PM-4PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"3pm-4pm-tuesday\" id=\"forminator-field-checkbox-1-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-5-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3PM-4PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-1-6-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-6-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"4PM-5PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"4pm-5pm-tuesday\" id=\"forminator-field-checkbox-1-6-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-6-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">4PM-5PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-1-7-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-7-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"11AM-12PM Wednesday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"11am-12pm-wednesday\" id=\"forminator-field-checkbox-1-7-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-7-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12PM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-1-8-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-8-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"12PM-1PM Wednesday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"12pm-1pm-wednesday\" id=\"forminator-field-checkbox-1-8-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-8-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-1-9-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-9-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"1PM-2PM Wednesday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"1pm-2pm-wednesday\" id=\"forminator-field-checkbox-1-9-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-9-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-1-10-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-10-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"1PM-2PM Thursday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"1pm-2pm-thursday\" id=\"forminator-field-checkbox-1-10-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-10-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-1-11-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-11-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"3PM-4PM Thursday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"3pm-4pm-thursday\" id=\"forminator-field-checkbox-1-11-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-11-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3PM-4PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-1-12-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-12-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"4PM-5PM Thursday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"4pm-5pm-thursday\" id=\"forminator-field-checkbox-1-12-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-12-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">4PM-5PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-1-13-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-13-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"10AM-11AM Friday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"10am-11am-friday\" id=\"forminator-field-checkbox-1-13-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-13-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-1-14-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-14-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"11AM-12PM Friday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"11am-12pm-friday\" id=\"forminator-field-checkbox-1-14-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-14-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12PM Friday<\/span><\/label><label id=\"forminator-field-checkbox-1-15-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-1-15-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"4PM-5PM Saturday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"4pm-5pm-saturday\" id=\"forminator-field-checkbox-1-15-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-1-15-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">4PM-5PM Saturday<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-6a1b17b717f8d-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-3-6a1b17b717f8d-label\" class=\"forminator-label\">When are available for group meetings? Please select at least 5 options. Remember, more flexibility the better. Less availability will slow down your time to match, we hope that\u2019s OK. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-3-1-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-1-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"9AM-10AM Monday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"10am-11am-monday\" id=\"forminator-field-checkbox-3-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-1-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">9AM-10AM Monday<\/span><\/label><label id=\"forminator-field-checkbox-3-2-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-2-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"12PM-1PM Monday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"1pm-2pm-monday\" id=\"forminator-field-checkbox-3-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-2-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Monday<\/span><\/label><label id=\"forminator-field-checkbox-3-3-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-3-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"2PM-3PM Monday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"3pm-4pm-monday\" id=\"forminator-field-checkbox-3-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-3-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Monday<\/span><\/label><label id=\"forminator-field-checkbox-3-4-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-4-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"12PM-1PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"1pm-2pm-tuesday\" id=\"forminator-field-checkbox-3-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-4-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-3-5-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-5-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"2PM-3PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"3pm-4pm-tuesday\" id=\"forminator-field-checkbox-3-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-5-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-3-6-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-6-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"3PM-4PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"4pm-5pm-tuesday\" id=\"forminator-field-checkbox-3-6-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-6-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3PM-4PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-3-7-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-7-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"10AM-11AM Wednesday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"11am-12pm-wednesday\" id=\"forminator-field-checkbox-3-7-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-7-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-3-8-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-8-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"11AM-12PM Wednesday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"12pm-1pm-wednesday\" id=\"forminator-field-checkbox-3-8-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-8-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12PM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-3-9-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-9-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"12PM-1PM Wednesday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"1pm-2pm-wednesday\" id=\"forminator-field-checkbox-3-9-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-9-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-3-10-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-10-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"12PM-1PM Thursday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"1pm-2pm-thursday\" id=\"forminator-field-checkbox-3-10-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-10-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-3-11-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-11-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"2PM-3PM Thursday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"3pm-4pm-thursday\" id=\"forminator-field-checkbox-3-11-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-11-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-3-12-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-12-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"3PM-4PM Thursday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"4pm-5pm-thursday\" id=\"forminator-field-checkbox-3-12-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-12-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3PM-4PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-3-13-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-13-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"9AM-10AM Friday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"10am-11am-friday\" id=\"forminator-field-checkbox-3-13-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-13-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">9AM-10AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-3-14-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-14-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"10AM-11AM Friday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"11am-12pm-friday\" id=\"forminator-field-checkbox-3-14-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-14-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-3-15-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-3-15-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"3PM-4PM Saturday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"4pm-5pm-saturday\" id=\"forminator-field-checkbox-3-15-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-3-15-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3PM-4PM Saturday<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-6a1b17b717f8d-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-4-6a1b17b717f8d-label\" class=\"forminator-label\">When are available for group meetings? Please select at least 5 options. Remember, more flexibility the better. Less availability will slow down your time to match, we hope that\u2019s OK. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-4-1-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-1-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"8AM-9AM Monday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"10am-11am-monday\" id=\"forminator-field-checkbox-4-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-1-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">8AM-9AM Monday<\/span><\/label><label id=\"forminator-field-checkbox-4-2-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-2-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"11AM-12AM Monday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"1pm-2pm-monday\" id=\"forminator-field-checkbox-4-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-2-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12AM Monday<\/span><\/label><label id=\"forminator-field-checkbox-4-3-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-3-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"1PM-2PM Monday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"3pm-4pm-monday\" id=\"forminator-field-checkbox-4-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-3-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Monday<\/span><\/label><label id=\"forminator-field-checkbox-4-4-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-4-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"11AM-12PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"1pm-2pm-tuesday\" id=\"forminator-field-checkbox-4-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-4-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-4-5-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-5-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"1PM-2PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"3pm-4pm-tuesday\" id=\"forminator-field-checkbox-4-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-5-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-4-6-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-6-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"2PM-3PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"4pm-5pm-tuesday\" id=\"forminator-field-checkbox-4-6-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-6-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-4-7-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-7-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"9AM-10AM Wednesday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"11am-12pm-wednesday\" id=\"forminator-field-checkbox-4-7-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-7-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">9AM-10AM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-4-8-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-8-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"10AM-11AM Wednesday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"12pm-1pm-wednesday\" id=\"forminator-field-checkbox-4-8-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-8-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-4-9-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-9-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"11AM-12PM Wednesday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"1pm-2pm-wednesday\" id=\"forminator-field-checkbox-4-9-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-9-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12PM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-4-10-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-10-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"11AM-12PM Thursday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"1pm-2pm-thursday\" id=\"forminator-field-checkbox-4-10-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-10-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-4-11-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-11-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"1PM-2PM Thursday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"3pm-4pm-thursday\" id=\"forminator-field-checkbox-4-11-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-11-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-4-12-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-12-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"2PM-3PM Thursday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"4pm-5pm-thursday\" id=\"forminator-field-checkbox-4-12-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-12-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-4-13-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-13-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"8AM-9AM Friday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"10am-11am-friday\" id=\"forminator-field-checkbox-4-13-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-13-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">8AM-9AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-4-14-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-14-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"9AM-10AM Friday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"11am-12pm-friday\" id=\"forminator-field-checkbox-4-14-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-14-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">9AM-10AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-4-15-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-4-15-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"2PM-3PM Saturday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"4pm-5pm-saturday\" id=\"forminator-field-checkbox-4-15-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-4-15-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Saturday<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-5\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-5-6a1b17b717f8d-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-5-6a1b17b717f8d-label\" class=\"forminator-label\">When are available for group meetings? Please select at least 5 options. Remember, more flexibility the better. Less availability will slow down your time to match, we hope that\u2019s OK. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-5-1-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-1-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"7AM-8AM Monday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"10am-11am-monday\" id=\"forminator-field-checkbox-5-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-1-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">7AM-8AM Monday<\/span><\/label><label id=\"forminator-field-checkbox-5-2-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-2-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"10AM-11AM Monday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"1pm-2pm-monday\" id=\"forminator-field-checkbox-5-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-2-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Monday<\/span><\/label><label id=\"forminator-field-checkbox-5-3-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-3-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"12PM-1PM Monday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"1pm-2pm-monday\" id=\"forminator-field-checkbox-5-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-3-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Monday<\/span><\/label><label id=\"forminator-field-checkbox-5-4-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-4-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"10AM-11AM Tuesday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"11am-12pm-tuesday\" id=\"forminator-field-checkbox-5-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-4-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-5-5-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-5-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"12PM-1PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"3pm-4pm-tuesday\" id=\"forminator-field-checkbox-5-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-5-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-5-6-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-6-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"1PM-2PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"2pm-3pm-tuesday\" id=\"forminator-field-checkbox-5-6-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-6-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-5-7-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-7-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"8AM-9AM Wednesday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"9am-10am-wednesday\" id=\"forminator-field-checkbox-5-7-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-7-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">8AM-9AM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-5-8-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-8-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"9AM-10AM Wednesday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"10am-11am-wednesday\" id=\"forminator-field-checkbox-5-8-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-8-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">9AM-10AM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-5-9-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-9-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"10AM-11AM Wednesday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"11am-12pm-wednesday\" id=\"forminator-field-checkbox-5-9-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-9-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-5-10-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-10-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"10AM-11AM Thursday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"1pm-2pm-thursday\" id=\"forminator-field-checkbox-5-10-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-10-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-5-11-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-11-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"12PM-1PM Thursday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"1pm-2pm-thursday\" id=\"forminator-field-checkbox-5-11-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-11-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-5-12-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-12-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"1PM-2PM Thursday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"4pm-5pm-thursday\" id=\"forminator-field-checkbox-5-12-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-12-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-5-13-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-13-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"7AM-8AM Friday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"9am-10am-friday\" id=\"forminator-field-checkbox-5-13-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-13-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">7AM-8AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-5-14-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-14-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"8AM-9AM Friday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"10am-11am-friday\" id=\"forminator-field-checkbox-5-14-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-14-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">8AM-9AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-5-15-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-5-15-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"2PM-3PM Saturday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"4pm-5pm-saturday\" id=\"forminator-field-checkbox-5-15-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-5-15-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Saturday<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-7\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-7-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"7\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-4\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><p>Now we want to understand your current wellbeing to help you get better. In order to best help you, we need to understand you individually\u2026<\/p>\n<p>\u00a0<\/p>\n<p>Over the last 2 weeks, how often have you been bothered by any of the following problems?<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-38\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-38-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-38-6a1b17b717f8d-label\" class=\"forminator-label\">Little interest or pleasure in doing things? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-38-label-1\" for=\"forminator-field-radio-38-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-38\" value=\"0\" id=\"forminator-field-radio-38-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-38-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-38-label-2\" for=\"forminator-field-radio-38-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-38\" value=\"1\" id=\"forminator-field-radio-38-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-38-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-38-label-3\" for=\"forminator-field-radio-38-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-38\" value=\"2\" id=\"forminator-field-radio-38-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-38-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-38-label-4\" for=\"forminator-field-radio-38-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-38\" value=\"3\" id=\"forminator-field-radio-38-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-38-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-12\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-12-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-12-6a1b17b717f8d-label\" class=\"forminator-label\">Feeling down, depressed, or hopeless? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-12-label-1\" for=\"forminator-field-radio-12-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-12\" value=\"0\" id=\"forminator-field-radio-12-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-12-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-12-label-2\" for=\"forminator-field-radio-12-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-12\" value=\"1\" id=\"forminator-field-radio-12-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-12-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-12-label-3\" for=\"forminator-field-radio-12-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-12\" value=\"2\" id=\"forminator-field-radio-12-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-12-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-12-label-4\" for=\"forminator-field-radio-12-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-12\" value=\"3\" id=\"forminator-field-radio-12-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-12-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-13\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-13-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-13-6a1b17b717f8d-label\" class=\"forminator-label\">Trouble falling or staying asleep, or sleeping too much? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-13-label-1\" for=\"forminator-field-radio-13-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-13\" value=\"0\" id=\"forminator-field-radio-13-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-13-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-13-label-2\" for=\"forminator-field-radio-13-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-13\" value=\"1\" id=\"forminator-field-radio-13-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-13-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-13-label-3\" for=\"forminator-field-radio-13-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-13\" value=\"2\" id=\"forminator-field-radio-13-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-13-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-13-label-4\" for=\"forminator-field-radio-13-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-13\" value=\"3\" id=\"forminator-field-radio-13-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-13-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-14\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-14-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-14-6a1b17b717f8d-label\" class=\"forminator-label\">Feeling tired or having little energy? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-14-label-1\" for=\"forminator-field-radio-14-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-14\" value=\"0\" id=\"forminator-field-radio-14-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-14-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-14-label-2\" for=\"forminator-field-radio-14-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-14\" value=\"1\" id=\"forminator-field-radio-14-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-14-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-14-label-3\" for=\"forminator-field-radio-14-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-14\" value=\"2\" id=\"forminator-field-radio-14-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-14-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-14-label-4\" for=\"forminator-field-radio-14-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-14\" value=\"3\" id=\"forminator-field-radio-14-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-14-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-15\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-15-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-15-6a1b17b717f8d-label\" class=\"forminator-label\">Poor appetite or overeating? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-15-label-1\" for=\"forminator-field-radio-15-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-15\" value=\"0\" id=\"forminator-field-radio-15-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-15-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-15-label-2\" for=\"forminator-field-radio-15-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-15\" value=\"1\" id=\"forminator-field-radio-15-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-15-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-15-label-3\" for=\"forminator-field-radio-15-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-15\" value=\"2\" id=\"forminator-field-radio-15-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-15-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-15-label-4\" for=\"forminator-field-radio-15-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-15\" value=\"3\" id=\"forminator-field-radio-15-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-15-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-16\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-16-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-16-6a1b17b717f8d-label\" class=\"forminator-label\">Feeling bad about yourself or that you are a failure or have let yourself or your family down? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-16-label-1\" for=\"forminator-field-radio-16-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-16\" value=\"0\" id=\"forminator-field-radio-16-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-16-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-16-label-2\" for=\"forminator-field-radio-16-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-16\" value=\"1\" id=\"forminator-field-radio-16-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-16-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-16-label-3\" for=\"forminator-field-radio-16-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-16\" value=\"2\" id=\"forminator-field-radio-16-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-16-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-16-label-4\" for=\"forminator-field-radio-16-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-16\" value=\"3\" id=\"forminator-field-radio-16-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-16-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-17\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-17-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-17-6a1b17b717f8d-label\" class=\"forminator-label\">Trouble concentrating on things, such as reading the newspaper or watching television? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-17-label-1\" for=\"forminator-field-radio-17-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-17\" value=\"0\" id=\"forminator-field-radio-17-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-17-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-17-label-2\" for=\"forminator-field-radio-17-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-17\" value=\"1\" id=\"forminator-field-radio-17-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-17-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-17-label-3\" for=\"forminator-field-radio-17-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-17\" value=\"2\" id=\"forminator-field-radio-17-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-17-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-17-label-4\" for=\"forminator-field-radio-17-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-17\" value=\"3\" id=\"forminator-field-radio-17-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-17-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-18\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-18-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-18-6a1b17b717f8d-label\" class=\"forminator-label\">Moving or speaking so slowly that other people could have noticed. Or the opposite being so figety or restless that you have been moving around a lot more than usual? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-18-label-1\" for=\"forminator-field-radio-18-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-18\" value=\"0\" id=\"forminator-field-radio-18-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-18-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-18-label-2\" for=\"forminator-field-radio-18-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-18\" value=\"1\" id=\"forminator-field-radio-18-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-18-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-18-label-3\" for=\"forminator-field-radio-18-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-18\" value=\"2\" id=\"forminator-field-radio-18-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-18-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-18-label-4\" for=\"forminator-field-radio-18-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-18\" value=\"3\" id=\"forminator-field-radio-18-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-18-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-19\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-19-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-19-6a1b17b717f8d-label\" class=\"forminator-label\">Thoughts that you would be better off dead, or of hurting yourself? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-19-label-1\" for=\"forminator-field-radio-19-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-19\" value=\"0\" id=\"forminator-field-radio-19-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-19-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-19-label-2\" for=\"forminator-field-radio-19-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-19\" value=\"1\" id=\"forminator-field-radio-19-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-19-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-19-label-3\" for=\"forminator-field-radio-19-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-19\" value=\"2\" id=\"forminator-field-radio-19-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-19-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-19-label-4\" for=\"forminator-field-radio-19-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-19\" value=\"3\" id=\"forminator-field-radio-19-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-19-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-8\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-8-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"8\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-3\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p>We\u2019re almost there\u2026 Help us personalize our program for you and get you the best help.<\/p>\n<p>Over the last 2 weeks, how often have you been bothered by any of the following problems?<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-20\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-20-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-20-6a1b17b717f8d-label\" class=\"forminator-label\">Feeling nervous, anxious or on edge? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-20-label-1\" for=\"forminator-field-radio-20-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-20\" value=\"0\" id=\"forminator-field-radio-20-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-20-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-20-label-2\" for=\"forminator-field-radio-20-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-20\" value=\"1\" id=\"forminator-field-radio-20-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-20-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-20-label-3\" for=\"forminator-field-radio-20-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-20\" value=\"2\" id=\"forminator-field-radio-20-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-20-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-20-label-4\" for=\"forminator-field-radio-20-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-20\" value=\"3\" id=\"forminator-field-radio-20-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-20-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-21\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-21-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-21-6a1b17b717f8d-label\" class=\"forminator-label\">Not being able to stop or control worrying? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-21-label-1\" for=\"forminator-field-radio-21-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-21\" value=\"0\" id=\"forminator-field-radio-21-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-21-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-21-label-2\" for=\"forminator-field-radio-21-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-21\" value=\"1\" id=\"forminator-field-radio-21-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-21-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-21-label-3\" for=\"forminator-field-radio-21-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-21\" value=\"2\" id=\"forminator-field-radio-21-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-21-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-21-label-4\" for=\"forminator-field-radio-21-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-21\" value=\"3\" id=\"forminator-field-radio-21-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-21-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-22\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-22-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-22-6a1b17b717f8d-label\" class=\"forminator-label\">Worrying too much about different things? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-22-label-1\" for=\"forminator-field-radio-22-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-22\" value=\"0\" id=\"forminator-field-radio-22-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-22-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-22-label-2\" for=\"forminator-field-radio-22-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-22\" value=\"1\" id=\"forminator-field-radio-22-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-22-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-22-label-3\" for=\"forminator-field-radio-22-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-22\" value=\"2\" id=\"forminator-field-radio-22-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-22-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-22-label-4\" for=\"forminator-field-radio-22-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-22\" value=\"3\" id=\"forminator-field-radio-22-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-22-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-23\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-23-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-23-6a1b17b717f8d-label\" class=\"forminator-label\">Trouble relaxing? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-23-label-1\" for=\"forminator-field-radio-23-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-23\" value=\"0\" id=\"forminator-field-radio-23-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-23-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-23-label-2\" for=\"forminator-field-radio-23-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-23\" value=\"1\" id=\"forminator-field-radio-23-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-23-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-23-label-3\" for=\"forminator-field-radio-23-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-23\" value=\"2\" id=\"forminator-field-radio-23-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-23-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-23-label-4\" for=\"forminator-field-radio-23-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-23\" value=\"3\" id=\"forminator-field-radio-23-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-23-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-24\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-24-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-24-6a1b17b717f8d-label\" class=\"forminator-label\">Being so restless that it is hard to sit still? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-24-label-1\" for=\"forminator-field-radio-24-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-24\" value=\"0\" id=\"forminator-field-radio-24-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-24-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-24-label-2\" for=\"forminator-field-radio-24-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-24\" value=\"1\" id=\"forminator-field-radio-24-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-24-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-24-label-3\" for=\"forminator-field-radio-24-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-24\" value=\"2\" id=\"forminator-field-radio-24-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-24-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-24-label-4\" for=\"forminator-field-radio-24-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-24\" value=\"3\" id=\"forminator-field-radio-24-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-24-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-25\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-25-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-25-6a1b17b717f8d-label\" class=\"forminator-label\">Becoming easily annoyed or irritable? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-25-label-1\" for=\"forminator-field-radio-25-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-25\" value=\"0\" id=\"forminator-field-radio-25-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-25-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-25-label-2\" for=\"forminator-field-radio-25-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-25\" value=\"1\" id=\"forminator-field-radio-25-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-25-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-25-label-3\" for=\"forminator-field-radio-25-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-25\" value=\"2\" id=\"forminator-field-radio-25-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-25-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-25-label-4\" for=\"forminator-field-radio-25-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-25\" value=\"3\" id=\"forminator-field-radio-25-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-25-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-26\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-26-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-26-6a1b17b717f8d-label\" class=\"forminator-label\">Feeling afraid as if something awful might happen? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-26-label-1\" for=\"forminator-field-radio-26-1-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-26\" value=\"0\" id=\"forminator-field-radio-26-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-26-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-26-label-2\" for=\"forminator-field-radio-26-2-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-26\" value=\"1\" id=\"forminator-field-radio-26-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-26-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-26-label-3\" for=\"forminator-field-radio-26-3-6a1b17b717f8d\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-26\" value=\"2\" id=\"forminator-field-radio-26-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-26-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-26-label-4\" for=\"forminator-field-radio-26-4-6a1b17b717f8d\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-26\" value=\"3\" id=\"forminator-field-radio-26-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-26-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-9\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-9-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"9\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-2\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><label class=\"forminator-label\">We feel like we know you much more now! Just a few more questions and we\u2019re done!<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6a1b17b717f8d-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-6a1b17b717f8d-label\" class=\"forminator-label\">What are your main concerns right now in your life? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-2-1-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-1-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Relationship concerns\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"relationship-concerns\" id=\"forminator-field-checkbox-2-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-1-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Relationship concerns<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-2-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Academic Performance and\/or Adjustment\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"academic-performance-and-or-adjustment\" id=\"forminator-field-checkbox-2-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-2-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Academic Performance and\/or Adjustment<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-3-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Work Performance and\/or Satisfaction\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"work-performance-and-or-satisfaction\" id=\"forminator-field-checkbox-2-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-3-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Work Performance and\/or Satisfaction<\/span><\/label><label id=\"forminator-field-checkbox-2-4-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-4-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Addiction\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"addiction\" id=\"forminator-field-checkbox-2-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-4-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Addiction<\/span><\/label><label id=\"forminator-field-checkbox-2-5-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-5-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Financial Issues\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"financial-issues\" id=\"forminator-field-checkbox-2-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-5-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Financial Issues<\/span><\/label><label id=\"forminator-field-checkbox-2-6-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-6-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Suicidality\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"suicidality\" id=\"forminator-field-checkbox-2-6-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-6-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Suicidality<\/span><\/label><label id=\"forminator-field-checkbox-2-7-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-7-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Gender Identity\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"gender-identity\" id=\"forminator-field-checkbox-2-7-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-7-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Gender Identity<\/span><\/label><label id=\"forminator-field-checkbox-2-8-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-8-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Anger Management\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"anger-management\" id=\"forminator-field-checkbox-2-8-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-8-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Anger Management<\/span><\/label><label id=\"forminator-field-checkbox-2-9-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-9-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Grief and Loss\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"grief-and-loss\" id=\"forminator-field-checkbox-2-9-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-9-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Grief and Loss<\/span><\/label><label id=\"forminator-field-checkbox-2-10-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-10-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Depressed mood\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"depressed-mood\" id=\"forminator-field-checkbox-2-10-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-10-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Depressed mood<\/span><\/label><label id=\"forminator-field-checkbox-2-11-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-11-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Sexual Identity\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"sexual-identity\" id=\"forminator-field-checkbox-2-11-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-11-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Sexual Identity<\/span><\/label><label id=\"forminator-field-checkbox-2-12-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-12-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Stress\/Anxiety Management\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"stress-anxiety-management\" id=\"forminator-field-checkbox-2-12-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-12-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Stress\/Anxiety Management<\/span><\/label><label id=\"forminator-field-checkbox-2-13-6a1b17b717f8d-label\" for=\"forminator-field-checkbox-2-13-6a1b17b717f8d\" class=\"forminator-checkbox\" title=\"Eating Concerns \/ Self-Esteem \/ Body Image\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"eating-concerns---self-esteem---body-image\" id=\"forminator-field-checkbox-2-13-6a1b17b717f8d\" aria-labelledby=\"forminator-field-checkbox-2-13-6a1b17b717f8d-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Eating Concerns \/ Self-Esteem \/ Body Image<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6a1b17b717f8d\" id=\"forminator-field-text-4_6a1b17b717f8d-label\" class=\"forminator-label\">What would you like to improve in your life? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_6a1b17b717f8d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-10\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-10-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"10\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"Page 11\"\n\t\t\t\tdata-name=\"\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><label class=\"forminator-label\">Last questions, we promise!<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-27\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-27-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-27-6a1b17b717f8d-label\" class=\"forminator-label\">On a scale from 1 to 5 (1 being the lowest), how much do you enjoy discussing topics in group chats? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-27-label-1\" for=\"forminator-field-radio-27-1-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"1\"><input type=\"radio\" name=\"radio-27\" value=\"1\" id=\"forminator-field-radio-27-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-27-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-27-label-2\" for=\"forminator-field-radio-27-2-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"2\"><input type=\"radio\" name=\"radio-27\" value=\"2\" id=\"forminator-field-radio-27-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-27-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-27-label-3\" for=\"forminator-field-radio-27-3-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"3\"><input type=\"radio\" name=\"radio-27\" value=\"3\" id=\"forminator-field-radio-27-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-27-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-27-label-4\" for=\"forminator-field-radio-27-4-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"4\"><input type=\"radio\" name=\"radio-27\" value=\"4\" id=\"forminator-field-radio-27-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-27-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-27-label-5\" for=\"forminator-field-radio-27-5-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"5\"><input type=\"radio\" name=\"radio-27\" value=\"5\" id=\"forminator-field-radio-27-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-27-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-31\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-31-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-31-6a1b17b717f8d-label\" class=\"forminator-label\">On a scale from 1 to 5 (1 being the lowest), how much do you enjoy giving advice to others? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-31-label-1\" for=\"forminator-field-radio-31-1-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"1\"><input type=\"radio\" name=\"radio-31\" value=\"1\" id=\"forminator-field-radio-31-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-31-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-31-label-2\" for=\"forminator-field-radio-31-2-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"2\"><input type=\"radio\" name=\"radio-31\" value=\"2\" id=\"forminator-field-radio-31-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-31-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-31-label-3\" for=\"forminator-field-radio-31-3-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"3\"><input type=\"radio\" name=\"radio-31\" value=\"3\" id=\"forminator-field-radio-31-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-31-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-31-label-4\" for=\"forminator-field-radio-31-4-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"4\"><input type=\"radio\" name=\"radio-31\" value=\"4\" id=\"forminator-field-radio-31-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-31-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-31-label-5\" for=\"forminator-field-radio-31-5-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"5\"><input type=\"radio\" name=\"radio-31\" value=\"5\" id=\"forminator-field-radio-31-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-31-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-34\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-34-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-34-6a1b17b717f8d-label\" class=\"forminator-label\">On a scale from 1 to 5 (1 being the lowest), how much do you enjoy receiving advice from others? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-34-label-1\" for=\"forminator-field-radio-34-1-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"1\"><input type=\"radio\" name=\"radio-34\" value=\"1\" id=\"forminator-field-radio-34-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-34-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-34-label-2\" for=\"forminator-field-radio-34-2-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"2\"><input type=\"radio\" name=\"radio-34\" value=\"2\" id=\"forminator-field-radio-34-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-34-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-34-label-3\" for=\"forminator-field-radio-34-3-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"3\"><input type=\"radio\" name=\"radio-34\" value=\"3\" id=\"forminator-field-radio-34-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-34-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-34-label-4\" for=\"forminator-field-radio-34-4-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"4\"><input type=\"radio\" name=\"radio-34\" value=\"4\" id=\"forminator-field-radio-34-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-34-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-34-label-5\" for=\"forminator-field-radio-34-5-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"5\"><input type=\"radio\" name=\"radio-34\" value=\"5\" id=\"forminator-field-radio-34-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-34-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-35\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-35-6a1b17b717f8d-label\"><span id=\"forminator-radiogroup-radio-35-6a1b17b717f8d-label\" class=\"forminator-label\">On a scale from 1 to 5 (1 being the lowest), how much do you feel comfortable to open-up about your problems in your life? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-35-label-1\" for=\"forminator-field-radio-35-1-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"1\"><input type=\"radio\" name=\"radio-35\" value=\"1\" id=\"forminator-field-radio-35-1-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-35-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-35-label-2\" for=\"forminator-field-radio-35-2-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"2\"><input type=\"radio\" name=\"radio-35\" value=\"2\" id=\"forminator-field-radio-35-2-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-35-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-35-label-3\" for=\"forminator-field-radio-35-3-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"3\"><input type=\"radio\" name=\"radio-35\" value=\"3\" id=\"forminator-field-radio-35-3-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-35-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-35-label-4\" for=\"forminator-field-radio-35-4-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"4\"><input type=\"radio\" name=\"radio-35\" value=\"4\" id=\"forminator-field-radio-35-4-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-35-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-35-label-5\" for=\"forminator-field-radio-35-5-6a1b17b717f8d\" class=\"forminator-radio forminator-radio-inline\" title=\"5\"><input type=\"radio\" name=\"radio-35\" value=\"5\" id=\"forminator-field-radio-35-5-6a1b17b717f8d\" aria-labelledby=\"forminator-field-radio-35-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><\/div><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled><span class=\"forminator-button--mask\" aria-label=\"hidden\"><\/span><span class=\"forminator-button--text\">Submit<\/span><\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"69989546cc\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/staging2\/wp-json\/wp\/v2\/pages\/2420\" \/><input type=\"hidden\" name=\"form_id\" value=\"1527\"><input type=\"hidden\" name=\"page_id\" value=\"2420\"><input type=\"hidden\" name=\"form_type\" value=\"registration\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/innsightful.com\/staging2\/enroll-form\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;6%||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Innsightful Emotional Wellness Program <div class=\"forminator-ui forminator-custom-form forminator-custom-form-1527 forminator-design--material  forminator_ajax\" data-forminator-render=\"1\" data-form=\"forminator-module-1527\" data-uid=\"6a1b17b7306cb\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-1527\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-1527 forminator-design--material  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"1\"\n\t\t\t\tdata-form-id=\"1527\"\n\t\t\t\t data-color-option=\"default\" data-design=\"material\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a1b17b7306cb\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-pagination-progress\" aria-hidden=\"true\"><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-0\"\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-0-label\"\n\t\t\t\tdata-step=\"0\"\n\t\t\t\tdata-label=\"Finish\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-1\"\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-15\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-15\"><p style=\"text-align: center\">Please set aside 7-10 minutes to complete the registration.<\/p>\n<p style=\"text-align: center;font-size: 25px\"><strong>Create Account<\/strong><\/p>\n<p style=\"text-align: center\">You must use your university email to sign up to our program. You will need this account to register and view the program resources.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a1b17b7306cb\" id=\"forminator-field-email-1_6a1b17b7306cb-label\" class=\"forminator-label\">University Email <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. jdoe@nd.edu\" id=\"forminator-field-email-1_6a1b17b7306cb\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"password-1\" class=\"forminator-field-password forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-password-1_6a1b17b7306cb\" id=\"forminator-field-password-1_6a1b17b7306cb-label\" class=\"forminator-label\">Password <span class=\"forminator-required\">*<\/span><\/label><input name=\"password-1\" value=\"\" placeholder=\"Enter your password\" id=\"forminator-field-password-1_6a1b17b7306cb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" type=\"password\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"gdprcheckbox-1\" class=\"forminator-field-gdprcheckbox forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-gdprcheckbox-1_6a1b17b7306cb\" class=\"forminator-checkbox\"><input type=\"checkbox\" name=\"gdprcheckbox-1\" value=\"true\" id=\"forminator-field-gdprcheckbox-1_6a1b17b7306cb\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I hereby confirm that I have read, consent, and agree to Innsightful\u2019s Terms &amp; Conditions and Privacy Policy.<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-1\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-1-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"1\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-8\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a1b17b7306cb\" id=\"forminator-field-name-1_6a1b17b7306cb-label\" class=\"forminator-label\">What is your first name? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"E.g. John\" id=\"forminator-field-name-1_6a1b17b7306cb\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6a1b17b7306cb\" id=\"forminator-field-name-2_6a1b17b7306cb-label\" class=\"forminator-label\">What is your last name? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"E.g. Doe\" id=\"forminator-field-name-2_6a1b17b7306cb\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a1b17b7306cb\" id=\"forminator-field-phone-1_6a1b17b7306cb-label\" class=\"forminator-label\">What\u2019s your phone number? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +1 300 400 5000\" id=\"forminator-field-phone-1_6a1b17b7306cb\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-33\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-33-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-33-6a1b17b7306cb-label\" class=\"forminator-label\">How do you describe yourself? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-33-label-1\" for=\"forminator-field-radio-33-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Male\"><input type=\"radio\" name=\"radio-33\" value=\"male\" id=\"forminator-field-radio-33-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-33-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Male<\/span><\/label><label id=\"forminator-field-radio-33-label-2\" for=\"forminator-field-radio-33-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Female\"><input type=\"radio\" name=\"radio-33\" value=\"female\" id=\"forminator-field-radio-33-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-33-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Female<\/span><\/label><label id=\"forminator-field-radio-33-label-3\" for=\"forminator-field-radio-33-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Transgender Male\"><input type=\"radio\" name=\"radio-33\" value=\"transgender-male\" id=\"forminator-field-radio-33-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-33-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Transgender Male<\/span><\/label><label id=\"forminator-field-radio-33-label-4\" for=\"forminator-field-radio-33-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Transgender Female\"><input type=\"radio\" name=\"radio-33\" value=\"transgender-female\" id=\"forminator-field-radio-33-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-33-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Transgender Female<\/span><\/label><label id=\"forminator-field-radio-33-label-5\" for=\"forminator-field-radio-33-5-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Other\"><input type=\"radio\" name=\"radio-33\" value=\"other\" id=\"forminator-field-radio-33-5-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-33-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Other<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-2-6a1b17b7306cb-label\" class=\"forminator-label\">Do you consider yourself to be: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Heterosexual or straight\"><input type=\"radio\" name=\"radio-2\" value=\"heterosexual-or-straight\" id=\"forminator-field-radio-2-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Heterosexual or straight<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Gay\"><input type=\"radio\" name=\"radio-2\" value=\"gay\" id=\"forminator-field-radio-2-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Gay<\/span><\/label><label id=\"forminator-field-radio-2-label-3\" for=\"forminator-field-radio-2-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Lesbian\"><input type=\"radio\" name=\"radio-2\" value=\"lesbian\" id=\"forminator-field-radio-2-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-2-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Lesbian<\/span><\/label><label id=\"forminator-field-radio-2-label-4\" for=\"forminator-field-radio-2-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Bisexual\"><input type=\"radio\" name=\"radio-2\" value=\"bisexual\" id=\"forminator-field-radio-2-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-2-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Bisexual<\/span><\/label><label id=\"forminator-field-radio-2-label-5\" for=\"forminator-field-radio-2-5-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not listed above\"><input type=\"radio\" name=\"radio-2\" value=\"not-listed-above\" id=\"forminator-field-radio-2-5-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-2-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not listed above<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Please specify\" id=\"forminator-field-textarea-2_6a1b17b7306cb\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:20px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-8-6a1b17b7306cb-label\" class=\"forminator-label\">What is your age? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"16 or below\"><input type=\"radio\" name=\"radio-8\" value=\"16-or-below\" id=\"forminator-field-radio-8-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">16 or below<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"17\"><input type=\"radio\" name=\"radio-8\" value=\"17\" id=\"forminator-field-radio-8-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">17<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"18\"><input type=\"radio\" name=\"radio-8\" value=\"18\" id=\"forminator-field-radio-8-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">18<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"19\"><input type=\"radio\" name=\"radio-8\" value=\"19\" id=\"forminator-field-radio-8-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">19<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-6a1b17b7306cb\" class=\"forminator-radio\" title=\"20\"><input type=\"radio\" name=\"radio-8\" value=\"20\" id=\"forminator-field-radio-8-5-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">20<\/span><\/label><label id=\"forminator-field-radio-8-label-6\" for=\"forminator-field-radio-8-6-6a1b17b7306cb\" class=\"forminator-radio\" title=\"21\"><input type=\"radio\" name=\"radio-8\" value=\"21\" id=\"forminator-field-radio-8-6-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">21<\/span><\/label><label id=\"forminator-field-radio-8-label-7\" for=\"forminator-field-radio-8-7-6a1b17b7306cb\" class=\"forminator-radio\" title=\"22\"><input type=\"radio\" name=\"radio-8\" value=\"22\" id=\"forminator-field-radio-8-7-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">22<\/span><\/label><label id=\"forminator-field-radio-8-label-8\" for=\"forminator-field-radio-8-8-6a1b17b7306cb\" class=\"forminator-radio\" title=\"23\"><input type=\"radio\" name=\"radio-8\" value=\"23\" id=\"forminator-field-radio-8-8-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">23<\/span><\/label><label id=\"forminator-field-radio-8-label-9\" for=\"forminator-field-radio-8-9-6a1b17b7306cb\" class=\"forminator-radio\" title=\"24\"><input type=\"radio\" name=\"radio-8\" value=\"24\" id=\"forminator-field-radio-8-9-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-9\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">24<\/span><\/label><label id=\"forminator-field-radio-8-label-10\" for=\"forminator-field-radio-8-10-6a1b17b7306cb\" class=\"forminator-radio\" title=\"25\"><input type=\"radio\" name=\"radio-8\" value=\"25\" id=\"forminator-field-radio-8-10-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-10\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">25<\/span><\/label><label id=\"forminator-field-radio-8-label-11\" for=\"forminator-field-radio-8-11-6a1b17b7306cb\" class=\"forminator-radio\" title=\"26\"><input type=\"radio\" name=\"radio-8\" value=\"26\" id=\"forminator-field-radio-8-11-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-11\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">26<\/span><\/label><label id=\"forminator-field-radio-8-label-12\" for=\"forminator-field-radio-8-12-6a1b17b7306cb\" class=\"forminator-radio\" title=\"27\"><input type=\"radio\" name=\"radio-8\" value=\"27\" id=\"forminator-field-radio-8-12-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-12\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">27<\/span><\/label><label id=\"forminator-field-radio-8-label-13\" for=\"forminator-field-radio-8-13-6a1b17b7306cb\" class=\"forminator-radio\" title=\"28\"><input type=\"radio\" name=\"radio-8\" value=\"28\" id=\"forminator-field-radio-8-13-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-13\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">28<\/span><\/label><label id=\"forminator-field-radio-8-label-14\" for=\"forminator-field-radio-8-14-6a1b17b7306cb\" class=\"forminator-radio\" title=\"29\"><input type=\"radio\" name=\"radio-8\" value=\"29\" id=\"forminator-field-radio-8-14-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-14\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">29<\/span><\/label><label id=\"forminator-field-radio-8-label-15\" for=\"forminator-field-radio-8-15-6a1b17b7306cb\" class=\"forminator-radio\" title=\"30 or above\"><input type=\"radio\" name=\"radio-8\" value=\"30-or-above\" id=\"forminator-field-radio-8-15-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-8-label-15\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">30 or above<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-37\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-37-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-37-6a1b17b7306cb-label\" class=\"forminator-label\">What is your race? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-37-label-1\" for=\"forminator-field-radio-37-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"American Indian or Alaska Native\"><input type=\"radio\" name=\"radio-37\" value=\"american-indian-or-alaska-native\" id=\"forminator-field-radio-37-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-37-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">American Indian or Alaska Native<\/span><\/label><label id=\"forminator-field-radio-37-label-2\" for=\"forminator-field-radio-37-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Asian\"><input type=\"radio\" name=\"radio-37\" value=\"asian\" id=\"forminator-field-radio-37-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-37-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Asian<\/span><\/label><label id=\"forminator-field-radio-37-label-3\" for=\"forminator-field-radio-37-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Black or African American\"><input type=\"radio\" name=\"radio-37\" value=\"black-or-african-american\" id=\"forminator-field-radio-37-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-37-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Black or African American<\/span><\/label><label id=\"forminator-field-radio-37-label-4\" for=\"forminator-field-radio-37-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Native Hawaiian or Other Pacific Islander\"><input type=\"radio\" name=\"radio-37\" value=\"native-hawaiian-or-other-pacific-islander\" id=\"forminator-field-radio-37-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-37-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Native Hawaiian or Other Pacific Islander<\/span><\/label><label id=\"forminator-field-radio-37-label-5\" for=\"forminator-field-radio-37-5-6a1b17b7306cb\" class=\"forminator-radio\" title=\"White\"><input type=\"radio\" name=\"radio-37\" value=\"white\" id=\"forminator-field-radio-37-5-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-37-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">White<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-36\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-36-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-36-6a1b17b7306cb-label\" class=\"forminator-label\">Are you Hispanic or Latino? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-36-label-1\" for=\"forminator-field-radio-36-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-36\" value=\"yes\" id=\"forminator-field-radio-36-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-36-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-36-label-2\" for=\"forminator-field-radio-36-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-36\" value=\"no\" id=\"forminator-field-radio-36-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-36-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-9-6a1b17b7306cb-label\" class=\"forminator-label\">Are you attending a two- or four-year college\/university? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-9\" value=\"yes\" id=\"forminator-field-radio-9-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-9\" value=\"no\" id=\"forminator-field-radio-9-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><p>We're sorry! This program is only for college of university students. We will let you know when programs for non-university students become available.<\/p><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-2\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-2-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"2\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-10\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><p>Nice to meet you!<\/p>\n<p>Innsightful is a 12-week program, where we take you on a meaningful journey that will improve your wellbeing. We want to create a safe and non-judgmental environment for everyone.\u00a0<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-3-6a1b17b7306cb-label\" class=\"forminator-label\">Are you willing to keep all conversations within our program private and confidential? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-3\" value=\"yes\" id=\"forminator-field-radio-3-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-3\" value=\"no\" id=\"forminator-field-radio-3-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><p style=\"color: red\">To continue to use our service, you must be willing to keep all conversations within our program private and confidential.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><p>Attendance is a crucial part of the program You will be part of a small group that you will meet weekly for 1 hour. We expect that you will chat and support group members, you will express your feelings when you\u2019re ready, and involve in activities that we have prepared to help you.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-4-6a1b17b7306cb-label\" class=\"forminator-label\">We expect regular attendance in all parts of the program and meetings, but you may miss one or two meetings in emergency cases. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"I&#039;m likely to make all meetings\"><input type=\"radio\" name=\"radio-4\" value=\"im-likely-to-make-all-meetings\" id=\"forminator-field-radio-4-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">I'm likely to make all meetings<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"I might miss 1-2 meetings\"><input type=\"radio\" name=\"radio-4\" value=\"i-might-miss-1-2-meetings\" id=\"forminator-field-radio-4-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">I might miss 1-2 meetings<\/span><\/label><label id=\"forminator-field-radio-4-label-3\" for=\"forminator-field-radio-4-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"I might miss 3+ meetings\"><input type=\"radio\" name=\"radio-4\" value=\"i-might-miss-3-meetings\" id=\"forminator-field-radio-4-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-4-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">I might miss 3+ meetings<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><p style=\"color:red\">To receive the most effective help, you should be able to attend all or most meetings.<\/p><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-3\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-3-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"3\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-7\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-1527__field--select-2_6a1b17b7306cb\" id=\"forminator-form-1527__field--select-2_6a1b17b7306cb-label\" class=\"forminator-label\">Do you have a coupon <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-1527__field--select-2_6a1b17b7306cb\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-placeholder=\"Select\" data-search=\"false\" data-search-placeholder=\"Select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1527__field--select-2_6a1b17b7306cb-label\"><option value=\"\"  >Select<\/option><option value=\"yes\"  data-calculation=\"0\">Yes<\/option><option value=\"no\"  data-calculation=\"0\">No<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a1b17b7306cb\" id=\"forminator-field-textarea-1_6a1b17b7306cb-label\" class=\"forminator-label\">Coupon <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-1\" placeholder=\"Enter your coupon\" id=\"forminator-field-textarea-1_6a1b17b7306cb\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:20px;\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-4\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-4-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"4\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-11\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><label class=\"forminator-label\">Your coupon is invalid.<\/label><p>\u00a0<\/p>\n<p>To try again, please go back.<\/p>\n<p>To proceed the registration, please fill in your card details below:<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-14\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-14\"><label class=\"forminator-label\">Your coupon is valid. You can continue to the next part of registration.<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-5\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-5-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"5\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-6\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><label class=\"forminator-label\">Thank you for registering! We need more information from you to get you started in a group. Let\u2019s go!<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a1b17b7306cb\" id=\"forminator-field-text-3_6a1b17b7306cb-label\" class=\"forminator-label\">What is the name of your university? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"E.g. University of Northern Colorado\" id=\"forminator-field-text-3_6a1b17b7306cb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-5-6a1b17b7306cb-label\" class=\"forminator-label\">Are you an undergraduate or graduate student? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Undergraduate Student\"><input type=\"radio\" name=\"radio-5\" value=\"Undergraduate-Student\" id=\"forminator-field-radio-5-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Undergraduate Student<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Master&#039;s Student\"><input type=\"radio\" name=\"radio-5\" value=\"Master&#039;s-Student\" id=\"forminator-field-radio-5-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Master's Student<\/span><\/label><label id=\"forminator-field-radio-5-label-3\" for=\"forminator-field-radio-5-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"PhD Student\"><input type=\"radio\" name=\"radio-5\" value=\"PhD-Student\" id=\"forminator-field-radio-5-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-5-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">PhD Student<\/span><\/label><label id=\"forminator-field-radio-5-label-4\" for=\"forminator-field-radio-5-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Graduating PhD Student\"><input type=\"radio\" name=\"radio-5\" value=\"Graduating-PhD-Student\" id=\"forminator-field-radio-5-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-5-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Graduating PhD Student<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-39\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-39-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-39-6a1b17b7306cb-label\" class=\"forminator-label\">Are you an international student? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-39-label-1\" for=\"forminator-field-radio-39-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-39\" value=\"Yes\" id=\"forminator-field-radio-39-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-39-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-39-label-2\" for=\"forminator-field-radio-39-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-39\" value=\"No\" id=\"forminator-field-radio-39-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-39-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-6-6a1b17b7306cb-label\" class=\"forminator-label\">What kind of groups do you prefer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Mixed gender groups\"><input type=\"radio\" name=\"radio-6\" value=\"mixed-gender-groups\" id=\"forminator-field-radio-6-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Mixed gender groups<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Single gender groups\"><input type=\"radio\" name=\"radio-6\" value=\"single-gender-groups\" id=\"forminator-field-radio-6-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Single gender groups<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-6\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-6-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"6\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-5\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"radio-11\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-11-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-11-6a1b17b7306cb-label\" class=\"forminator-label\">What is your timezone? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-11-label-1\" for=\"forminator-field-radio-11-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"EST\"><input type=\"radio\" name=\"radio-11\" value=\"est\" id=\"forminator-field-radio-11-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-11-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">EST<\/span><\/label><label id=\"forminator-field-radio-11-label-2\" for=\"forminator-field-radio-11-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"CST\"><input type=\"radio\" name=\"radio-11\" value=\"cst\" id=\"forminator-field-radio-11-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-11-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">CST<\/span><\/label><label id=\"forminator-field-radio-11-label-3\" for=\"forminator-field-radio-11-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"MST\"><input type=\"radio\" name=\"radio-11\" value=\"mst\" id=\"forminator-field-radio-11-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-11-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">MST<\/span><\/label><label id=\"forminator-field-radio-11-label-4\" for=\"forminator-field-radio-11-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"PST\"><input type=\"radio\" name=\"radio-11\" value=\"pst\" id=\"forminator-field-radio-11-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-11-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">PST<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6a1b17b7306cb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6a1b17b7306cb-label\" class=\"forminator-label\">When are available for group meetings? Please select at least 5 options. Remember, more flexibility the better. Less availability will slow down your time to match, we hope that\u2019s OK. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-1-1-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-1-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"10AM-11AM Monday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"10am-11am-monday\" id=\"forminator-field-checkbox-1-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-1-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Monday<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-2-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"1PM-2PM Monday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"1pm-2pm-monday\" id=\"forminator-field-checkbox-1-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-2-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Monday<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-3-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"3PM-4PM Monday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"3pm-4pm-monday\" id=\"forminator-field-checkbox-1-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-3-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3PM-4PM Monday<\/span><\/label><label id=\"forminator-field-checkbox-1-4-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-4-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"1PM-2PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"1pm-2pm-tuesday\" id=\"forminator-field-checkbox-1-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-4-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-1-5-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-5-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"3PM-4PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"3pm-4pm-tuesday\" id=\"forminator-field-checkbox-1-5-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-5-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3PM-4PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-1-6-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-6-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"4PM-5PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"4pm-5pm-tuesday\" id=\"forminator-field-checkbox-1-6-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-6-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">4PM-5PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-1-7-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-7-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"11AM-12PM Wednesday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"11am-12pm-wednesday\" id=\"forminator-field-checkbox-1-7-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-7-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12PM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-1-8-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-8-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"12PM-1PM Wednesday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"12pm-1pm-wednesday\" id=\"forminator-field-checkbox-1-8-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-8-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-1-9-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-9-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"1PM-2PM Wednesday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"1pm-2pm-wednesday\" id=\"forminator-field-checkbox-1-9-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-9-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-1-10-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-10-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"1PM-2PM Thursday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"1pm-2pm-thursday\" id=\"forminator-field-checkbox-1-10-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-10-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-1-11-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-11-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"3PM-4PM Thursday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"3pm-4pm-thursday\" id=\"forminator-field-checkbox-1-11-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-11-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3PM-4PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-1-12-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-12-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"4PM-5PM Thursday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"4pm-5pm-thursday\" id=\"forminator-field-checkbox-1-12-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-12-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">4PM-5PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-1-13-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-13-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"10AM-11AM Friday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"10am-11am-friday\" id=\"forminator-field-checkbox-1-13-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-13-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-1-14-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-14-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"11AM-12PM Friday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"11am-12pm-friday\" id=\"forminator-field-checkbox-1-14-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-14-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12PM Friday<\/span><\/label><label id=\"forminator-field-checkbox-1-15-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-1-15-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"4PM-5PM Saturday\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"4pm-5pm-saturday\" id=\"forminator-field-checkbox-1-15-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-1-15-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">4PM-5PM Saturday<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-6a1b17b7306cb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-3-6a1b17b7306cb-label\" class=\"forminator-label\">When are available for group meetings? Please select at least 5 options. Remember, more flexibility the better. Less availability will slow down your time to match, we hope that\u2019s OK. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-3-1-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-1-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"9AM-10AM Monday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"10am-11am-monday\" id=\"forminator-field-checkbox-3-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-1-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">9AM-10AM Monday<\/span><\/label><label id=\"forminator-field-checkbox-3-2-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-2-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"12PM-1PM Monday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"1pm-2pm-monday\" id=\"forminator-field-checkbox-3-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-2-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Monday<\/span><\/label><label id=\"forminator-field-checkbox-3-3-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-3-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"2PM-3PM Monday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"3pm-4pm-monday\" id=\"forminator-field-checkbox-3-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-3-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Monday<\/span><\/label><label id=\"forminator-field-checkbox-3-4-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-4-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"12PM-1PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"1pm-2pm-tuesday\" id=\"forminator-field-checkbox-3-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-4-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-3-5-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-5-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"2PM-3PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"3pm-4pm-tuesday\" id=\"forminator-field-checkbox-3-5-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-5-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-3-6-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-6-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"3PM-4PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"4pm-5pm-tuesday\" id=\"forminator-field-checkbox-3-6-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-6-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3PM-4PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-3-7-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-7-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"10AM-11AM Wednesday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"11am-12pm-wednesday\" id=\"forminator-field-checkbox-3-7-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-7-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-3-8-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-8-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"11AM-12PM Wednesday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"12pm-1pm-wednesday\" id=\"forminator-field-checkbox-3-8-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-8-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12PM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-3-9-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-9-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"12PM-1PM Wednesday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"1pm-2pm-wednesday\" id=\"forminator-field-checkbox-3-9-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-9-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-3-10-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-10-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"12PM-1PM Thursday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"1pm-2pm-thursday\" id=\"forminator-field-checkbox-3-10-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-10-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-3-11-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-11-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"2PM-3PM Thursday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"3pm-4pm-thursday\" id=\"forminator-field-checkbox-3-11-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-11-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-3-12-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-12-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"3PM-4PM Thursday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"4pm-5pm-thursday\" id=\"forminator-field-checkbox-3-12-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-12-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3PM-4PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-3-13-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-13-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"9AM-10AM Friday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"10am-11am-friday\" id=\"forminator-field-checkbox-3-13-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-13-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">9AM-10AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-3-14-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-14-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"10AM-11AM Friday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"11am-12pm-friday\" id=\"forminator-field-checkbox-3-14-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-14-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-3-15-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-3-15-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"3PM-4PM Saturday\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"4pm-5pm-saturday\" id=\"forminator-field-checkbox-3-15-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-3-15-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">3PM-4PM Saturday<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-6a1b17b7306cb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-4-6a1b17b7306cb-label\" class=\"forminator-label\">When are available for group meetings? Please select at least 5 options. Remember, more flexibility the better. Less availability will slow down your time to match, we hope that\u2019s OK. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-4-1-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-1-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"8AM-9AM Monday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"10am-11am-monday\" id=\"forminator-field-checkbox-4-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-1-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">8AM-9AM Monday<\/span><\/label><label id=\"forminator-field-checkbox-4-2-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-2-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"11AM-12AM Monday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"1pm-2pm-monday\" id=\"forminator-field-checkbox-4-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-2-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12AM Monday<\/span><\/label><label id=\"forminator-field-checkbox-4-3-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-3-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"1PM-2PM Monday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"3pm-4pm-monday\" id=\"forminator-field-checkbox-4-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-3-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Monday<\/span><\/label><label id=\"forminator-field-checkbox-4-4-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-4-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"11AM-12PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"1pm-2pm-tuesday\" id=\"forminator-field-checkbox-4-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-4-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-4-5-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-5-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"1PM-2PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"3pm-4pm-tuesday\" id=\"forminator-field-checkbox-4-5-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-5-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-4-6-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-6-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"2PM-3PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"4pm-5pm-tuesday\" id=\"forminator-field-checkbox-4-6-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-6-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-4-7-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-7-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"9AM-10AM Wednesday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"11am-12pm-wednesday\" id=\"forminator-field-checkbox-4-7-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-7-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">9AM-10AM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-4-8-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-8-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"10AM-11AM Wednesday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"12pm-1pm-wednesday\" id=\"forminator-field-checkbox-4-8-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-8-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-4-9-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-9-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"11AM-12PM Wednesday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"1pm-2pm-wednesday\" id=\"forminator-field-checkbox-4-9-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-9-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12PM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-4-10-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-10-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"11AM-12PM Thursday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"1pm-2pm-thursday\" id=\"forminator-field-checkbox-4-10-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-10-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">11AM-12PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-4-11-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-11-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"1PM-2PM Thursday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"3pm-4pm-thursday\" id=\"forminator-field-checkbox-4-11-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-11-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-4-12-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-12-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"2PM-3PM Thursday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"4pm-5pm-thursday\" id=\"forminator-field-checkbox-4-12-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-12-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-4-13-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-13-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"8AM-9AM Friday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"10am-11am-friday\" id=\"forminator-field-checkbox-4-13-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-13-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">8AM-9AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-4-14-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-14-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"9AM-10AM Friday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"11am-12pm-friday\" id=\"forminator-field-checkbox-4-14-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-14-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">9AM-10AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-4-15-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-4-15-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"2PM-3PM Saturday\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"4pm-5pm-saturday\" id=\"forminator-field-checkbox-4-15-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-4-15-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Saturday<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-5\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-5-6a1b17b7306cb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-5-6a1b17b7306cb-label\" class=\"forminator-label\">When are available for group meetings? Please select at least 5 options. Remember, more flexibility the better. Less availability will slow down your time to match, we hope that\u2019s OK. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-5-1-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-1-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"7AM-8AM Monday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"10am-11am-monday\" id=\"forminator-field-checkbox-5-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-1-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">7AM-8AM Monday<\/span><\/label><label id=\"forminator-field-checkbox-5-2-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-2-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"10AM-11AM Monday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"1pm-2pm-monday\" id=\"forminator-field-checkbox-5-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-2-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Monday<\/span><\/label><label id=\"forminator-field-checkbox-5-3-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-3-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"12PM-1PM Monday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"1pm-2pm-monday\" id=\"forminator-field-checkbox-5-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-3-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Monday<\/span><\/label><label id=\"forminator-field-checkbox-5-4-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-4-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"10AM-11AM Tuesday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"11am-12pm-tuesday\" id=\"forminator-field-checkbox-5-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-4-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-5-5-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-5-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"12PM-1PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"3pm-4pm-tuesday\" id=\"forminator-field-checkbox-5-5-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-5-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-5-6-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-6-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"1PM-2PM Tuesday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"2pm-3pm-tuesday\" id=\"forminator-field-checkbox-5-6-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-6-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Tuesday<\/span><\/label><label id=\"forminator-field-checkbox-5-7-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-7-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"8AM-9AM Wednesday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"9am-10am-wednesday\" id=\"forminator-field-checkbox-5-7-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-7-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">8AM-9AM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-5-8-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-8-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"9AM-10AM Wednesday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"10am-11am-wednesday\" id=\"forminator-field-checkbox-5-8-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-8-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">9AM-10AM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-5-9-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-9-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"10AM-11AM Wednesday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"11am-12pm-wednesday\" id=\"forminator-field-checkbox-5-9-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-9-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Wednesday<\/span><\/label><label id=\"forminator-field-checkbox-5-10-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-10-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"10AM-11AM Thursday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"1pm-2pm-thursday\" id=\"forminator-field-checkbox-5-10-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-10-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">10AM-11AM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-5-11-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-11-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"12PM-1PM Thursday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"1pm-2pm-thursday\" id=\"forminator-field-checkbox-5-11-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-11-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">12PM-1PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-5-12-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-12-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"1PM-2PM Thursday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"4pm-5pm-thursday\" id=\"forminator-field-checkbox-5-12-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-12-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">1PM-2PM Thursday<\/span><\/label><label id=\"forminator-field-checkbox-5-13-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-13-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"7AM-8AM Friday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"9am-10am-friday\" id=\"forminator-field-checkbox-5-13-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-13-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">7AM-8AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-5-14-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-14-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"8AM-9AM Friday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"10am-11am-friday\" id=\"forminator-field-checkbox-5-14-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-14-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">8AM-9AM Friday<\/span><\/label><label id=\"forminator-field-checkbox-5-15-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-5-15-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"2PM-3PM Saturday\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"4pm-5pm-saturday\" id=\"forminator-field-checkbox-5-15-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-5-15-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2PM-3PM Saturday<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-7\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-7-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"7\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-4\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><p>Now we want to understand your current wellbeing to help you get better. In order to best help you, we need to understand you individually\u2026<\/p>\n<p>\u00a0<\/p>\n<p>Over the last 2 weeks, how often have you been bothered by any of the following problems?<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-38\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-38-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-38-6a1b17b7306cb-label\" class=\"forminator-label\">Little interest or pleasure in doing things? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-38-label-1\" for=\"forminator-field-radio-38-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-38\" value=\"0\" id=\"forminator-field-radio-38-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-38-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-38-label-2\" for=\"forminator-field-radio-38-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-38\" value=\"1\" id=\"forminator-field-radio-38-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-38-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-38-label-3\" for=\"forminator-field-radio-38-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-38\" value=\"2\" id=\"forminator-field-radio-38-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-38-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-38-label-4\" for=\"forminator-field-radio-38-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-38\" value=\"3\" id=\"forminator-field-radio-38-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-38-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-12\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-12-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-12-6a1b17b7306cb-label\" class=\"forminator-label\">Feeling down, depressed, or hopeless? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-12-label-1\" for=\"forminator-field-radio-12-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-12\" value=\"0\" id=\"forminator-field-radio-12-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-12-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-12-label-2\" for=\"forminator-field-radio-12-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-12\" value=\"1\" id=\"forminator-field-radio-12-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-12-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-12-label-3\" for=\"forminator-field-radio-12-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-12\" value=\"2\" id=\"forminator-field-radio-12-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-12-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-12-label-4\" for=\"forminator-field-radio-12-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-12\" value=\"3\" id=\"forminator-field-radio-12-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-12-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-13\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-13-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-13-6a1b17b7306cb-label\" class=\"forminator-label\">Trouble falling or staying asleep, or sleeping too much? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-13-label-1\" for=\"forminator-field-radio-13-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-13\" value=\"0\" id=\"forminator-field-radio-13-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-13-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-13-label-2\" for=\"forminator-field-radio-13-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-13\" value=\"1\" id=\"forminator-field-radio-13-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-13-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-13-label-3\" for=\"forminator-field-radio-13-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-13\" value=\"2\" id=\"forminator-field-radio-13-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-13-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-13-label-4\" for=\"forminator-field-radio-13-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-13\" value=\"3\" id=\"forminator-field-radio-13-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-13-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-14\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-14-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-14-6a1b17b7306cb-label\" class=\"forminator-label\">Feeling tired or having little energy? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-14-label-1\" for=\"forminator-field-radio-14-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-14\" value=\"0\" id=\"forminator-field-radio-14-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-14-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-14-label-2\" for=\"forminator-field-radio-14-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-14\" value=\"1\" id=\"forminator-field-radio-14-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-14-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-14-label-3\" for=\"forminator-field-radio-14-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-14\" value=\"2\" id=\"forminator-field-radio-14-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-14-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-14-label-4\" for=\"forminator-field-radio-14-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-14\" value=\"3\" id=\"forminator-field-radio-14-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-14-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-15\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-15-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-15-6a1b17b7306cb-label\" class=\"forminator-label\">Poor appetite or overeating? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-15-label-1\" for=\"forminator-field-radio-15-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-15\" value=\"0\" id=\"forminator-field-radio-15-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-15-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-15-label-2\" for=\"forminator-field-radio-15-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-15\" value=\"1\" id=\"forminator-field-radio-15-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-15-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-15-label-3\" for=\"forminator-field-radio-15-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-15\" value=\"2\" id=\"forminator-field-radio-15-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-15-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-15-label-4\" for=\"forminator-field-radio-15-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-15\" value=\"3\" id=\"forminator-field-radio-15-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-15-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-16\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-16-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-16-6a1b17b7306cb-label\" class=\"forminator-label\">Feeling bad about yourself or that you are a failure or have let yourself or your family down? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-16-label-1\" for=\"forminator-field-radio-16-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-16\" value=\"0\" id=\"forminator-field-radio-16-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-16-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-16-label-2\" for=\"forminator-field-radio-16-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-16\" value=\"1\" id=\"forminator-field-radio-16-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-16-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-16-label-3\" for=\"forminator-field-radio-16-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-16\" value=\"2\" id=\"forminator-field-radio-16-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-16-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-16-label-4\" for=\"forminator-field-radio-16-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-16\" value=\"3\" id=\"forminator-field-radio-16-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-16-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-17\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-17-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-17-6a1b17b7306cb-label\" class=\"forminator-label\">Trouble concentrating on things, such as reading the newspaper or watching television? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-17-label-1\" for=\"forminator-field-radio-17-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-17\" value=\"0\" id=\"forminator-field-radio-17-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-17-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-17-label-2\" for=\"forminator-field-radio-17-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-17\" value=\"1\" id=\"forminator-field-radio-17-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-17-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-17-label-3\" for=\"forminator-field-radio-17-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-17\" value=\"2\" id=\"forminator-field-radio-17-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-17-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-17-label-4\" for=\"forminator-field-radio-17-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-17\" value=\"3\" id=\"forminator-field-radio-17-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-17-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-18\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-18-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-18-6a1b17b7306cb-label\" class=\"forminator-label\">Moving or speaking so slowly that other people could have noticed. Or the opposite being so figety or restless that you have been moving around a lot more than usual? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-18-label-1\" for=\"forminator-field-radio-18-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-18\" value=\"0\" id=\"forminator-field-radio-18-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-18-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-18-label-2\" for=\"forminator-field-radio-18-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-18\" value=\"1\" id=\"forminator-field-radio-18-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-18-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-18-label-3\" for=\"forminator-field-radio-18-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-18\" value=\"2\" id=\"forminator-field-radio-18-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-18-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-18-label-4\" for=\"forminator-field-radio-18-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-18\" value=\"3\" id=\"forminator-field-radio-18-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-18-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-19\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-19-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-19-6a1b17b7306cb-label\" class=\"forminator-label\">Thoughts that you would be better off dead, or of hurting yourself? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-19-label-1\" for=\"forminator-field-radio-19-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-19\" value=\"0\" id=\"forminator-field-radio-19-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-19-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-19-label-2\" for=\"forminator-field-radio-19-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-19\" value=\"1\" id=\"forminator-field-radio-19-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-19-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-19-label-3\" for=\"forminator-field-radio-19-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-19\" value=\"2\" id=\"forminator-field-radio-19-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-19-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-19-label-4\" for=\"forminator-field-radio-19-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-19\" value=\"3\" id=\"forminator-field-radio-19-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-19-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-8\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-8-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"8\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-3\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p>We\u2019re almost there\u2026 Help us personalize our program for you and get you the best help.<\/p>\n<p>Over the last 2 weeks, how often have you been bothered by any of the following problems?<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-20\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-20-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-20-6a1b17b7306cb-label\" class=\"forminator-label\">Feeling nervous, anxious or on edge? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-20-label-1\" for=\"forminator-field-radio-20-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-20\" value=\"0\" id=\"forminator-field-radio-20-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-20-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-20-label-2\" for=\"forminator-field-radio-20-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-20\" value=\"1\" id=\"forminator-field-radio-20-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-20-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-20-label-3\" for=\"forminator-field-radio-20-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-20\" value=\"2\" id=\"forminator-field-radio-20-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-20-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-20-label-4\" for=\"forminator-field-radio-20-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-20\" value=\"3\" id=\"forminator-field-radio-20-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-20-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-21\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-21-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-21-6a1b17b7306cb-label\" class=\"forminator-label\">Not being able to stop or control worrying? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-21-label-1\" for=\"forminator-field-radio-21-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-21\" value=\"0\" id=\"forminator-field-radio-21-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-21-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-21-label-2\" for=\"forminator-field-radio-21-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-21\" value=\"1\" id=\"forminator-field-radio-21-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-21-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-21-label-3\" for=\"forminator-field-radio-21-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-21\" value=\"2\" id=\"forminator-field-radio-21-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-21-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-21-label-4\" for=\"forminator-field-radio-21-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-21\" value=\"3\" id=\"forminator-field-radio-21-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-21-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-22\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-22-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-22-6a1b17b7306cb-label\" class=\"forminator-label\">Worrying too much about different things? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-22-label-1\" for=\"forminator-field-radio-22-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-22\" value=\"0\" id=\"forminator-field-radio-22-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-22-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-22-label-2\" for=\"forminator-field-radio-22-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-22\" value=\"1\" id=\"forminator-field-radio-22-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-22-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-22-label-3\" for=\"forminator-field-radio-22-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-22\" value=\"2\" id=\"forminator-field-radio-22-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-22-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-22-label-4\" for=\"forminator-field-radio-22-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-22\" value=\"3\" id=\"forminator-field-radio-22-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-22-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-23\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-23-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-23-6a1b17b7306cb-label\" class=\"forminator-label\">Trouble relaxing? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-23-label-1\" for=\"forminator-field-radio-23-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-23\" value=\"0\" id=\"forminator-field-radio-23-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-23-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-23-label-2\" for=\"forminator-field-radio-23-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-23\" value=\"1\" id=\"forminator-field-radio-23-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-23-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-23-label-3\" for=\"forminator-field-radio-23-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-23\" value=\"2\" id=\"forminator-field-radio-23-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-23-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-23-label-4\" for=\"forminator-field-radio-23-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-23\" value=\"3\" id=\"forminator-field-radio-23-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-23-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-24\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-24-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-24-6a1b17b7306cb-label\" class=\"forminator-label\">Being so restless that it is hard to sit still? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-24-label-1\" for=\"forminator-field-radio-24-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-24\" value=\"0\" id=\"forminator-field-radio-24-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-24-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-24-label-2\" for=\"forminator-field-radio-24-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-24\" value=\"1\" id=\"forminator-field-radio-24-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-24-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-24-label-3\" for=\"forminator-field-radio-24-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-24\" value=\"2\" id=\"forminator-field-radio-24-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-24-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-24-label-4\" for=\"forminator-field-radio-24-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-24\" value=\"3\" id=\"forminator-field-radio-24-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-24-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-25\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-25-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-25-6a1b17b7306cb-label\" class=\"forminator-label\">Becoming easily annoyed or irritable? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-25-label-1\" for=\"forminator-field-radio-25-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-25\" value=\"0\" id=\"forminator-field-radio-25-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-25-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-25-label-2\" for=\"forminator-field-radio-25-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-25\" value=\"1\" id=\"forminator-field-radio-25-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-25-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-25-label-3\" for=\"forminator-field-radio-25-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-25\" value=\"2\" id=\"forminator-field-radio-25-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-25-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-25-label-4\" for=\"forminator-field-radio-25-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-25\" value=\"3\" id=\"forminator-field-radio-25-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-25-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-26\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-26-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-26-6a1b17b7306cb-label\" class=\"forminator-label\">Feeling afraid as if something awful might happen? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-26-label-1\" for=\"forminator-field-radio-26-1-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Not at all\"><input type=\"radio\" name=\"radio-26\" value=\"0\" id=\"forminator-field-radio-26-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-26-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Not at all<\/span><\/label><label id=\"forminator-field-radio-26-label-2\" for=\"forminator-field-radio-26-2-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Several days\"><input type=\"radio\" name=\"radio-26\" value=\"1\" id=\"forminator-field-radio-26-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-26-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Several days<\/span><\/label><label id=\"forminator-field-radio-26-label-3\" for=\"forminator-field-radio-26-3-6a1b17b7306cb\" class=\"forminator-radio\" title=\"More than half the days\"><input type=\"radio\" name=\"radio-26\" value=\"2\" id=\"forminator-field-radio-26-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-26-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">More than half the days<\/span><\/label><label id=\"forminator-field-radio-26-label-4\" for=\"forminator-field-radio-26-4-6a1b17b7306cb\" class=\"forminator-radio\" title=\"Nearly every day\"><input type=\"radio\" name=\"radio-26\" value=\"3\" id=\"forminator-field-radio-26-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-26-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Nearly every day<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-9\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-9-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"9\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"\"\n\t\t\t\tdata-name=\"page-break-2\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><label class=\"forminator-label\">We feel like we know you much more now! Just a few more questions and we\u2019re done!<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6a1b17b7306cb-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-6a1b17b7306cb-label\" class=\"forminator-label\">What are your main concerns right now in your life? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-2-1-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-1-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Relationship concerns\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"relationship-concerns\" id=\"forminator-field-checkbox-2-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-1-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Relationship concerns<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-2-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Academic Performance and\/or Adjustment\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"academic-performance-and-or-adjustment\" id=\"forminator-field-checkbox-2-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-2-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Academic Performance and\/or Adjustment<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-3-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Work Performance and\/or Satisfaction\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"work-performance-and-or-satisfaction\" id=\"forminator-field-checkbox-2-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-3-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Work Performance and\/or Satisfaction<\/span><\/label><label id=\"forminator-field-checkbox-2-4-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-4-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Addiction\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"addiction\" id=\"forminator-field-checkbox-2-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-4-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Addiction<\/span><\/label><label id=\"forminator-field-checkbox-2-5-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-5-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Financial Issues\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"financial-issues\" id=\"forminator-field-checkbox-2-5-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-5-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Financial Issues<\/span><\/label><label id=\"forminator-field-checkbox-2-6-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-6-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Suicidality\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"suicidality\" id=\"forminator-field-checkbox-2-6-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-6-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Suicidality<\/span><\/label><label id=\"forminator-field-checkbox-2-7-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-7-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Gender Identity\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"gender-identity\" id=\"forminator-field-checkbox-2-7-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-7-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Gender Identity<\/span><\/label><label id=\"forminator-field-checkbox-2-8-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-8-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Anger Management\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"anger-management\" id=\"forminator-field-checkbox-2-8-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-8-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Anger Management<\/span><\/label><label id=\"forminator-field-checkbox-2-9-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-9-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Grief and Loss\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"grief-and-loss\" id=\"forminator-field-checkbox-2-9-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-9-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Grief and Loss<\/span><\/label><label id=\"forminator-field-checkbox-2-10-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-10-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Depressed mood\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"depressed-mood\" id=\"forminator-field-checkbox-2-10-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-10-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Depressed mood<\/span><\/label><label id=\"forminator-field-checkbox-2-11-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-11-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Sexual Identity\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"sexual-identity\" id=\"forminator-field-checkbox-2-11-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-11-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Sexual Identity<\/span><\/label><label id=\"forminator-field-checkbox-2-12-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-12-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Stress\/Anxiety Management\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"stress-anxiety-management\" id=\"forminator-field-checkbox-2-12-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-12-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Stress\/Anxiety Management<\/span><\/label><label id=\"forminator-field-checkbox-2-13-6a1b17b7306cb-label\" for=\"forminator-field-checkbox-2-13-6a1b17b7306cb\" class=\"forminator-checkbox\" title=\"Eating Concerns \/ Self-Esteem \/ Body Image\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"eating-concerns---self-esteem---body-image\" id=\"forminator-field-checkbox-2-13-6a1b17b7306cb\" aria-labelledby=\"forminator-field-checkbox-2-13-6a1b17b7306cb-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Eating Concerns \/ Self-Esteem \/ Body Image<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6a1b17b7306cb\" id=\"forminator-field-text-4_6a1b17b7306cb-label\" class=\"forminator-label\">What would you like to improve in your life? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_6a1b17b7306cb\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-1527--page-10\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-1527--page-10-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"10\"\n\t\t\t\tdata-label=\"\"\n\t\t\t\tdata-actual-label=\"Page 11\"\n\t\t\t\tdata-name=\"\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><label class=\"forminator-label\">Last questions, we promise!<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-27\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-27-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-27-6a1b17b7306cb-label\" class=\"forminator-label\">On a scale from 1 to 5 (1 being the lowest), how much do you enjoy discussing topics in group chats? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-27-label-1\" for=\"forminator-field-radio-27-1-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"1\"><input type=\"radio\" name=\"radio-27\" value=\"1\" id=\"forminator-field-radio-27-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-27-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-27-label-2\" for=\"forminator-field-radio-27-2-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"2\"><input type=\"radio\" name=\"radio-27\" value=\"2\" id=\"forminator-field-radio-27-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-27-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-27-label-3\" for=\"forminator-field-radio-27-3-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"3\"><input type=\"radio\" name=\"radio-27\" value=\"3\" id=\"forminator-field-radio-27-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-27-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-27-label-4\" for=\"forminator-field-radio-27-4-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"4\"><input type=\"radio\" name=\"radio-27\" value=\"4\" id=\"forminator-field-radio-27-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-27-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-27-label-5\" for=\"forminator-field-radio-27-5-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"5\"><input type=\"radio\" name=\"radio-27\" value=\"5\" id=\"forminator-field-radio-27-5-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-27-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-31\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-31-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-31-6a1b17b7306cb-label\" class=\"forminator-label\">On a scale from 1 to 5 (1 being the lowest), how much do you enjoy giving advice to others? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-31-label-1\" for=\"forminator-field-radio-31-1-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"1\"><input type=\"radio\" name=\"radio-31\" value=\"1\" id=\"forminator-field-radio-31-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-31-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-31-label-2\" for=\"forminator-field-radio-31-2-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"2\"><input type=\"radio\" name=\"radio-31\" value=\"2\" id=\"forminator-field-radio-31-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-31-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-31-label-3\" for=\"forminator-field-radio-31-3-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"3\"><input type=\"radio\" name=\"radio-31\" value=\"3\" id=\"forminator-field-radio-31-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-31-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-31-label-4\" for=\"forminator-field-radio-31-4-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"4\"><input type=\"radio\" name=\"radio-31\" value=\"4\" id=\"forminator-field-radio-31-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-31-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-31-label-5\" for=\"forminator-field-radio-31-5-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"5\"><input type=\"radio\" name=\"radio-31\" value=\"5\" id=\"forminator-field-radio-31-5-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-31-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-34\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-34-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-34-6a1b17b7306cb-label\" class=\"forminator-label\">On a scale from 1 to 5 (1 being the lowest), how much do you enjoy receiving advice from others? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-34-label-1\" for=\"forminator-field-radio-34-1-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"1\"><input type=\"radio\" name=\"radio-34\" value=\"1\" id=\"forminator-field-radio-34-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-34-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-34-label-2\" for=\"forminator-field-radio-34-2-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"2\"><input type=\"radio\" name=\"radio-34\" value=\"2\" id=\"forminator-field-radio-34-2-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-34-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2<\/span><\/label><label id=\"forminator-field-radio-34-label-3\" for=\"forminator-field-radio-34-3-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"3\"><input type=\"radio\" name=\"radio-34\" value=\"3\" id=\"forminator-field-radio-34-3-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-34-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">3<\/span><\/label><label id=\"forminator-field-radio-34-label-4\" for=\"forminator-field-radio-34-4-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"4\"><input type=\"radio\" name=\"radio-34\" value=\"4\" id=\"forminator-field-radio-34-4-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-34-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">4<\/span><\/label><label id=\"forminator-field-radio-34-label-5\" for=\"forminator-field-radio-34-5-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"5\"><input type=\"radio\" name=\"radio-34\" value=\"5\" id=\"forminator-field-radio-34-5-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-34-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-35\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-35-6a1b17b7306cb-label\"><span id=\"forminator-radiogroup-radio-35-6a1b17b7306cb-label\" class=\"forminator-label\">On a scale from 1 to 5 (1 being the lowest), how much do you feel comfortable to open-up about your problems in your life? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-35-label-1\" for=\"forminator-field-radio-35-1-6a1b17b7306cb\" class=\"forminator-radio forminator-radio-inline\" title=\"1\"><input type=\"radio\" name=\"radio-35\" value=\"1\" id=\"forminator-field-radio-35-1-6a1b17b7306cb\" aria-labelledby=\"forminator-field-radio-35-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">1<\/span><\/label><label id=\"forminator-field-radio-35-label-2\" 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