{"id":582,"date":"2022-01-04T12:01:29","date_gmt":"2022-01-04T11:01:29","guid":{"rendered":"https:\/\/ariadnespaths.com\/encuesta\/"},"modified":"2022-02-08T16:35:52","modified_gmt":"2022-02-08T15:35:52","slug":"survey","status":"publish","type":"page","link":"https:\/\/ariadnespaths.com\/en\/survey\/","title":{"rendered":"Survey"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_section-94c5830f7e3a700ae85ca0ad0171f965\">\n.avia-section.av-av_section-94c5830f7e3a700ae85ca0ad0171f965{\nbackground-color:#f2f2f2;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-av_section-94c5830f7e3a700ae85ca0ad0171f965 main_color avia-section-default avia-no-border-styling  avia-builder-el-0  avia-builder-el-no-sibling  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-582'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_three_fourth-a874283034a6becbc152682b4594a776\">\n.flex_column.av-av_three_fourth-a874283034a6becbc152682b4594a776{\nwidth:74.5%;\nborder-radius:10px 10px 10px 10px;\npadding:30px 30px 30px 30px;\nbackground-color:#ffffff;\n}\n<\/style>\n<div  class='flex_column av-av_three_fourth-a874283034a6becbc152682b4594a776 av_three_fourth  avia-builder-el-1  el_before_av_one_fourth  avia-builder-el-first  first flex_column_div  '     ><section  class='av_textblock_section av-av_textblock-e878f05c31dff72941bf1e49a00d9ff5 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_1' style='display:none'><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/en\/wp-json\/wp\/v2\/pages\/582#gf_1' data-formid='1' novalidate>\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>12<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_8' style='width:8%;'><span>8%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_1_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_6\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">1. CONTACT DATA AND PERSONAL CODE<\/h3><\/div><div id=\"field_1_133\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kzck4l0o-dd00db78e37d64b4f943a636a23b3d8e\">\n.flex_column.av-kzck4l0o-dd00db78e37d64b4f943a636a23b3d8e{\nwidth:100%;\nborder-radius:10px 10px 10px 10px;\npadding:30px 30px 30px 30px;\nbackground-color:#ededed;\n}\n<\/style>\n<div  class='flex_column av-kzck4l0o-dd00db78e37d64b4f943a636a23b3d8e av_one_full first flex_column_div  '     ><h3>Welcome and thank you for participating in this study.<\/h3>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kzck4xst-a6ceac0a465c28f25babb53c3940f6a7\">\n#top .av_textblock_section.av-kzck4xst-a6ceac0a465c28f25babb53c3940f6a7 .avia_textblock{\ncolor:#222222;\n}\n<\/style>\n<section  class='av_textblock_section av-kzck4xst-a6ceac0a465c28f25babb53c3940f6a7 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><p>Hello. we ask you to fill a questionnaire about several topics and life experiences, whether you are or not gifted. This questionnaire is completely anonymous (if you want to know the details you can visit the <a href=\"https:\/\/ariadnespaths.com\/en\/privacy-policy\/\" target=\"_blank\" rel=\"noopener\">Privacy Policy<\/a> of the project to learn more about how the data is processed), so the scientists who will work with the data will not know the person behind it. We ask for your email to send you notifications and communicate progress or your own reports.<\/p>\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kzckibbb-058f690ebee6ba1c9a0383f46be004a5\">\n#top .hr.hr-invisible.av-kzckibbb-058f690ebee6ba1c9a0383f46be004a5{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-kzckibbb-058f690ebee6ba1c9a0383f46be004a5 hr-invisible'><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kzckn7i3-7cf7276e3447ba54382bd884fa9f3a0f\">\n.flex_column.av-kzckn7i3-7cf7276e3447ba54382bd884fa9f3a0f{\nwidth:100%;\nborder-radius:10px 10px 10px 10px;\npadding:30px 30px 30px 30px;\nbackground-color:#e5e5e5;\n}\n<\/style>\n<div  class='flex_column av-kzckn7i3-7cf7276e3447ba54382bd884fa9f3a0f av_one_full first flex_column_div  '     ><h3>Access to your results<\/h3>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kzckniwi-f27624e211a00417f3c12854dbc413c8\">\n#top .av_textblock_section.av-kzckniwi-f27624e211a00417f3c12854dbc413c8 .avia_textblock{\ncolor:#222222;\n}\n<\/style>\n<section  class='av_textblock_section av-kzckniwi-f27624e211a00417f3c12854dbc413c8 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><p>Once you finish and send the survey you will receive an email inviting you to create a password to access your account. You will receive these data: anonymous username and invitation to create your own password. Simply follow the instructions and you can access at any time. Check your spam folder if you don't receive the email.<\/p>\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kzckst88-a13ec7354b71bd2c1508a847cb9575ca\">\n#top .hr.hr-invisible.av-kzckst88-a13ec7354b71bd2c1508a847cb9575ca{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-kzckst88-a13ec7354b71bd2c1508a847cb9575ca hr-invisible'><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-10ijvi-313a3f40b81805edbdac2b51a7af82f7\">\n.flex_column.av-10ijvi-313a3f40b81805edbdac2b51a7af82f7{\nwidth:100%;\nborder-radius:10px 10px 10px 10px;\npadding:30px 30px 30px 30px;\nbackground-color:#e0e0e0;\n}\n<\/style>\n<div  class='flex_column av-10ijvi-313a3f40b81805edbdac2b51a7af82f7 av_one_full first flex_column_div  '     ><h3>Personalized report and study conclusions<\/h3>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-q5gjq-ff0b6e6f59e3feaec46430856c993306\">\n#top .av_textblock_section.av-q5gjq-ff0b6e6f59e3feaec46430856c993306 .avia_textblock{\ncolor:#222222;\n}\n<\/style>\n<section  class='av_textblock_section av-q5gjq-ff0b6e6f59e3feaec46430856c993306 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><p>In exchange, you will receive a personalized report based on your answers, with data based on the latest scientific publications on the subject (from 2011 to 2021). In addition, in a few months, you will receive a new report with the conclusions of this study that we are carrying out with the people who respond.<\/p>\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kzcktgpr-fe397e4fba672c9fec40e8b50ee9e953\">\n#top .hr.hr-invisible.av-kzcktgpr-fe397e4fba672c9fec40e8b50ee9e953{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-kzcktgpr-fe397e4fba672c9fec40e8b50ee9e953 hr-invisible'><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/div><fieldset id=\"field_1_2\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Your e-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_1_2'>The scientists who will process your data will never know your email. We collect it only for notifying you your access data or send reports and news about the project.<\/div><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_1_2_container'>\n                                <span id='input_1_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_2' id='input_1_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_1_2\" \/>\n                                    <label for='input_1_2' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_1_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_2_2' id='input_1_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_1_2\" \/>\n                                    <label for='input_1_2_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_1_136\" class=\"gfield gfield--type-password gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Password to access your report<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_1_136'>Enter the password you want for accessing your personalized report later.<\/div><div class='ginput_complex ginput_container ginput_container_password gform-grid-row' id='input_1_136_container'>\n\t\t\t\t\t\t<span id='input_1_136_1_container' class='ginput_password ginput_left gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_136' id='input_1_136' onkeyup='gformShowPasswordStrength(\"input_1_136\");' onchange='gformShowPasswordStrength(\"input_1_136\");' aria-describedby=\"input_1_136_strength_indicator gfield_description_1_136\" value=''   aria-required=\"true\" aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t<button type='button' class='gform_show_password gform-theme-button gform-theme-button--simple' onclick='javascript:gformToggleShowPassword(\"input_1_136\");' aria-live='polite' aria-label='Show Password' data-label-show='Show Password' data-label-hide='Hide Password'><span class='dashicons dashicons-hidden' aria-hidden='true'><\/span><\/button>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_1_136' class='gform-field-label gform-field-label--type-sub '>Enter Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span id='input_1_136_2_container' class='ginput_password ginput_right gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_136_2' id='input_1_136_2' onkeyup='gformShowPasswordStrength(\"input_1_136\");' onchange='gformShowPasswordStrength(\"input_1_136\");' value=''   aria-required=\"true\" aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t<button type='button' class='gform_show_password gform-theme-button gform-theme-button--simple' onclick='javascript:gformToggleShowPassword(\"input_1_136_2\");' aria-live='polite' aria-label='Show Password' data-label-show='Show Password' data-label-hide='Hide Password'><span class='dashicons dashicons-hidden' aria-hidden='true'><\/span><\/button>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_1_136_2' class='gform-field-label gform-field-label--type-sub '>Confirm Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<div class='gf_clear gf_clear_complex'><\/div>\n\t\t\t\t\t<\/div><div id='input_1_136_strength_indicator' class='gfield_password_strength'  aria-live='assertive' aria-atomic='true'>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tStrength indicator\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input type='hidden' class='gform_hidden' id='input_1_136_strength' name='input_136_strength' \/><\/fieldset><div id=\"field_1_135\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_135' id='input_1_135' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='69d1c09619d06' \/><\/div><\/div><fieldset id=\"field_1_134\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Privacy Policy<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_134.1' id='input_1_134_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_1_134\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_1_134_1' >I accept the Privacy Policy.<\/label><input type='hidden' name='input_134.2' value='I accept the Privacy Policy.' class='gform_hidden' \/><input type='hidden' name='input_134.3' value='1' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_1_134' tabindex='0'>You can visit the <a href=\"https:\/\/ariadnespaths.com\/en\/privacy-policy\/\" target=\"_blank\" rel=\"noopener\">Privacy Policy<\/a> of the project, respectful of your privacy and your anonymity. You must accept it to continue the survey.<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_1_9' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' data-js='page-field-id-9' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_5\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">2. ACADEMIC &amp; WORK SPHERE<\/h3><\/div><fieldset id=\"field_1_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My memories about primary and secondary education (until 18 years old) are<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_7'>\n\t\t\t<div class='gchoice gchoice_1_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='1'  id='choice_1_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_7_0' id='label_1_7_0' class='gform-field-label gform-field-label--type-inline'>Bad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='2'  id='choice_1_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_7_1' id='label_1_7_1' class='gform-field-label gform-field-label--type-inline'>Not very nice<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_7_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='3'  id='choice_1_7_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_7_2' id='label_1_7_2' class='gform-field-label gform-field-label--type-inline'>Acceptable<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_7_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='4'  id='choice_1_7_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_7_3' id='label_1_7_3' class='gform-field-label gform-field-label--type-inline'>Good<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My motivation with my current job is high.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_15'>\n\t\t\t<div class='gchoice gchoice_1_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='1'  id='choice_1_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_15_0' id='label_1_15_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='2'  id='choice_1_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_15_1' id='label_1_15_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='3'  id='choice_1_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_15_2' id='label_1_15_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='4'  id='choice_1_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_15_3' id='label_1_15_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I would say my level of stress at work is high<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_14'>\n\t\t\t<div class='gchoice gchoice_1_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='1'  id='choice_1_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_14_0' id='label_1_14_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='2'  id='choice_1_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_14_1' id='label_1_14_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_14_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='3'  id='choice_1_14_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_14_2' id='label_1_14_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_14_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='4'  id='choice_1_14_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_14_3' id='label_1_14_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I\u2019ve had some issues with authority on a professional level<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_12'>\n\t\t\t<div class='gchoice gchoice_1_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='1'  id='choice_1_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_12_0' id='label_1_12_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='2'  id='choice_1_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_12_1' id='label_1_12_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='3'  id='choice_1_12_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_12_2' id='label_1_12_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_12_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='4'  id='choice_1_12_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_12_3' id='label_1_12_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Concentrating is effortless for me, I can easily direct my thoughts.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_11'>\n\t\t\t<div class='gchoice gchoice_1_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='1'  id='choice_1_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_11_0' id='label_1_11_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='2'  id='choice_1_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_11_1' id='label_1_11_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='3'  id='choice_1_11_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_11_2' id='label_1_11_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_11_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='4'  id='choice_1_11_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_11_3' id='label_1_11_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I have doubts about my ability to successfully complete some projects, even though others are quite confident that I&#039;ll do well.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_10'>\n\t\t\t<div class='gchoice gchoice_1_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='1'  id='choice_1_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_10_0' id='label_1_10_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='2'  id='choice_1_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_10_1' id='label_1_10_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='3'  id='choice_1_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_10_2' id='label_1_10_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_10_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='4'  id='choice_1_10_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_10_3' id='label_1_10_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I am my own boss<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_16'>\n\t\t\t<div class='gchoice gchoice_1_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='1'  id='choice_1_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_16_0' id='label_1_16_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='0'  id='choice_1_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_16_1' id='label_1_16_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_17' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_17' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_3' class='gform_page' data-js='page-field-id-17' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_18\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">3. SOCIAL \/ FAMILY SPHERE<\/h3><\/div><fieldset id=\"field_1_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How would you rate the support and secure attachment you received from your family during your childhood?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_19'>\n\t\t\t<div class='gchoice gchoice_1_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='1'  id='choice_1_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_19_0' id='label_1_19_0' class='gform-field-label gform-field-label--type-inline'>non-existent<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='2'  id='choice_1_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_19_1' id='label_1_19_1' class='gform-field-label gform-field-label--type-inline'>quite low<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_19_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='3'  id='choice_1_19_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_19_2' id='label_1_19_2' class='gform-field-label gform-field-label--type-inline'>Acceptable<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_19_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='4'  id='choice_1_19_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_19_3' id='label_1_19_3' class='gform-field-label gform-field-label--type-inline'>Good<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I have children.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_20'>\n\t\t\t<div class='gchoice gchoice_1_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='1'  id='choice_1_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_20_0' id='label_1_20_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='0'  id='choice_1_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_20_1' id='label_1_20_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I have the feeling of being fundamentally different from the people around me<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_21'>\n\t\t\t<div class='gchoice gchoice_1_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='1'  id='choice_1_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_21_0' id='label_1_21_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='2'  id='choice_1_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_21_1' id='label_1_21_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_21_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='3'  id='choice_1_21_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_21_2' id='label_1_21_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_21_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='4'  id='choice_1_21_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_21_3' id='label_1_21_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >When I am surrounded by people I always show myself as I am.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_22'>\n\t\t\t<div class='gchoice gchoice_1_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='1'  id='choice_1_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_22_0' id='label_1_22_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='2'  id='choice_1_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_22_1' id='label_1_22_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_22_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='3'  id='choice_1_22_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_22_2' id='label_1_22_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_22_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='4'  id='choice_1_22_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_22_3' id='label_1_22_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My sense of humor is not understood by the majority of people<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_23'>\n\t\t\t<div class='gchoice gchoice_1_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='1'  id='choice_1_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_23_0' id='label_1_23_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='2'  id='choice_1_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_23_1' id='label_1_23_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='3'  id='choice_1_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_23_2' id='label_1_23_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_23_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='4'  id='choice_1_23_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_23_3' id='label_1_23_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I have been told I am too intense, I have too much energy or I am too sensitive.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_24'>\n\t\t\t<div class='gchoice gchoice_1_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='1'  id='choice_1_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_24_0' id='label_1_24_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='2'  id='choice_1_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_24_1' id='label_1_24_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_24_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='3'  id='choice_1_24_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_24_2' id='label_1_24_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_24_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='4'  id='choice_1_24_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_24_3' id='label_1_24_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >When I compare myself to others, I think that most people are smarter or more skilled than me.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_25'>\n\t\t\t<div class='gchoice gchoice_1_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='1'  id='choice_1_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_25_0' id='label_1_25_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='2'  id='choice_1_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_25_1' id='label_1_25_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_25_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='3'  id='choice_1_25_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_25_2' id='label_1_25_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_25_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='4'  id='choice_1_25_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_25_3' id='label_1_25_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >If I get praised for something I&#039;ve accomplished, I tend to downplay it.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_26'>\n\t\t\t<div class='gchoice gchoice_1_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='1'  id='choice_1_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_26_0' id='label_1_26_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_26_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='2'  id='choice_1_26_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_26_1' id='label_1_26_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_26_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='3'  id='choice_1_26_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_26_2' id='label_1_26_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_26_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='4'  id='choice_1_26_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_26_3' id='label_1_26_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_28' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_28' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_4' class='gform_page' data-js='page-field-id-28' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_27\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">4. SELF-PERCEPTION<\/h3><\/div><fieldset id=\"field_1_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I feel enough, loveable, my selfesteem is high.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_29'>\n\t\t\t<div class='gchoice gchoice_1_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='1'  id='choice_1_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_0' id='label_1_29_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='2'  id='choice_1_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_1' id='label_1_29_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_29_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='3'  id='choice_1_29_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_2' id='label_1_29_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_29_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='4'  id='choice_1_29_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_29_3' id='label_1_29_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I think I have some special skills and important deficits as well<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_30'>\n\t\t\t<div class='gchoice gchoice_1_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='1'  id='choice_1_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_0' id='label_1_30_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='2'  id='choice_1_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_1' id='label_1_30_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='3'  id='choice_1_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_2' id='label_1_30_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='4'  id='choice_1_30_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_3' id='label_1_30_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_31\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My level of perfectionism is too high and sometimes blocks me<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_31'>\n\t\t\t<div class='gchoice gchoice_1_31_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='1'  id='choice_1_31_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_31_0' id='label_1_31_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_31_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='2'  id='choice_1_31_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_31_1' id='label_1_31_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_31_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='3'  id='choice_1_31_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_31_2' id='label_1_31_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_31_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='4'  id='choice_1_31_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_31_3' id='label_1_31_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I tend to procrastinate with both personal and professional projects<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_34'>\n\t\t\t<div class='gchoice gchoice_1_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='1'  id='choice_1_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_34_0' id='label_1_34_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='2'  id='choice_1_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_34_1' id='label_1_34_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='3'  id='choice_1_34_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_34_2' id='label_1_34_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_34_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='4'  id='choice_1_34_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_34_3' id='label_1_34_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I need to analyze and see myself critically to understand why I do what I do.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_32'>\n\t\t\t<div class='gchoice gchoice_1_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='1'  id='choice_1_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_32_0' id='label_1_32_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='2'  id='choice_1_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_32_1' id='label_1_32_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_32_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='3'  id='choice_1_32_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_32_2' id='label_1_32_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_32_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='4'  id='choice_1_32_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_32_3' id='label_1_32_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I think I have a lot of things to be proud of.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_33'>\n\t\t\t<div class='gchoice gchoice_1_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='1'  id='choice_1_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_33_0' id='label_1_33_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='2'  id='choice_1_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_33_1' id='label_1_33_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_33_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='3'  id='choice_1_33_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_33_2' id='label_1_33_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_33_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='4'  id='choice_1_33_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_33_3' id='label_1_33_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I think about my own thinking, I am conscious of thinking.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_35'>\n\t\t\t<div class='gchoice gchoice_1_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='1'  id='choice_1_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_35_0' id='label_1_35_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='2'  id='choice_1_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_35_1' id='label_1_35_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_35_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='3'  id='choice_1_35_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_35_2' id='label_1_35_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_35_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='4'  id='choice_1_35_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_35_3' id='label_1_35_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_137\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >The concepts of death, universe, eternity or life meaning are frequently the object of my thoughts.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_137'>\n\t\t\t<div class='gchoice gchoice_1_137_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_137' type='radio' value='1'  id='choice_1_137_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_137_0' id='label_1_137_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_137_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_137' type='radio' value='2'  id='choice_1_137_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_137_1' id='label_1_137_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_137_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_137' type='radio' value='3'  id='choice_1_137_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_137_2' id='label_1_137_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_137_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_137' type='radio' value='4'  id='choice_1_137_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_137_3' id='label_1_137_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_58' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_58' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_5' class='gform_page' data-js='page-field-id-58' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_36\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">5. PHYSICAL AND MENTAL HEALTH<\/h3><\/div><fieldset id=\"field_1_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >When I wake up in the morning I find myself full of energy and motivated to start my day.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_37'>\n\t\t\t<div class='gchoice gchoice_1_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='1'  id='choice_1_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_37_0' id='label_1_37_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='2'  id='choice_1_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_37_1' id='label_1_37_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_37_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='3'  id='choice_1_37_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_37_2' id='label_1_37_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_37_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='4'  id='choice_1_37_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_37_3' id='label_1_37_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Facing the future causes me concern and worry<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_38'>\n\t\t\t<div class='gchoice gchoice_1_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='1'  id='choice_1_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_38_0' id='label_1_38_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='2'  id='choice_1_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_38_1' id='label_1_38_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_38_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='3'  id='choice_1_38_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_38_2' id='label_1_38_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_38_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='4'  id='choice_1_38_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_38_3' id='label_1_38_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I feel a constant pressure on myself, which can be self-imposed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_39'>\n\t\t\t<div class='gchoice gchoice_1_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='1'  id='choice_1_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_39_0' id='label_1_39_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='2'  id='choice_1_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_39_1' id='label_1_39_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_39_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='3'  id='choice_1_39_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_39_2' id='label_1_39_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_39_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='4'  id='choice_1_39_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_39_3' id='label_1_39_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I respect myself, take care of myself and have a positive attitude towards myself.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_40'>\n\t\t\t<div class='gchoice gchoice_1_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='1'  id='choice_1_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_40_0' id='label_1_40_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='2'  id='choice_1_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_40_1' id='label_1_40_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='3'  id='choice_1_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_40_2' id='label_1_40_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='4'  id='choice_1_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_40_3' id='label_1_40_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I have stomach discomfort, sweating, palpitations or shaking.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_41'>\n\t\t\t<div class='gchoice gchoice_1_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='1'  id='choice_1_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_41_0' id='label_1_41_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='2'  id='choice_1_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_41_1' id='label_1_41_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_41_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='3'  id='choice_1_41_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_41_2' id='label_1_41_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_41_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='4'  id='choice_1_41_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_41_3' id='label_1_41_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I am affected by strong lights, noises or smells, the touch of cloth tags or intense stimuli of any type, feeling uncomfortable .<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_42'>\n\t\t\t<div class='gchoice gchoice_1_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='1'  id='choice_1_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_42_0' id='label_1_42_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='2'  id='choice_1_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_42_1' id='label_1_42_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_42_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='3'  id='choice_1_42_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_42_2' id='label_1_42_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_42_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='4'  id='choice_1_42_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_42_3' id='label_1_42_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I have a tendency to look at things that are not going well and think them through even though I cannot change them.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_43'>\n\t\t\t<div class='gchoice gchoice_1_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='1'  id='choice_1_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_43_0' id='label_1_43_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='2'  id='choice_1_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_43_1' id='label_1_43_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_43_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='3'  id='choice_1_43_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_43_2' id='label_1_43_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_43_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='4'  id='choice_1_43_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_43_3' id='label_1_43_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_48\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">I&#039;ve had challenges in the last two years with any of these conditions:<\/h3><\/div><fieldset id=\"field_1_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Depression<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_49'>\n\t\t\t<div class='gchoice gchoice_1_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='0'  id='choice_1_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_49_0' id='label_1_49_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='1'  id='choice_1_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_49_1' id='label_1_49_1' class='gform-field-label gform-field-label--type-inline'>I think so<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_49_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='2'  id='choice_1_49_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_49_2' id='label_1_49_2' class='gform-field-label gform-field-label--type-inline'>Yes, I have been diagnosed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_56\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Anxiety<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_56'>\n\t\t\t<div class='gchoice gchoice_1_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='0'  id='choice_1_56_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_56_0' id='label_1_56_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='1'  id='choice_1_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_56_1' id='label_1_56_1' class='gform-field-label gform-field-label--type-inline'>I think so<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_56_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='2'  id='choice_1_56_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_56_2' id='label_1_56_2' class='gform-field-label gform-field-label--type-inline'>Yes, I have been diagnosed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Autism Spectrum Disorders<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_55'>\n\t\t\t<div class='gchoice gchoice_1_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='0'  id='choice_1_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_55_0' id='label_1_55_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='1'  id='choice_1_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_55_1' id='label_1_55_1' class='gform-field-label gform-field-label--type-inline'>I think so<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_55_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='2'  id='choice_1_55_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_55_2' id='label_1_55_2' class='gform-field-label gform-field-label--type-inline'>Yes, I have been diagnosed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Atention Deficit Disorder<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_54'>\n\t\t\t<div class='gchoice gchoice_1_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='0'  id='choice_1_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_0' id='label_1_54_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='1'  id='choice_1_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_1' id='label_1_54_1' class='gform-field-label gform-field-label--type-inline'>I think so<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_54_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='2'  id='choice_1_54_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_2' id='label_1_54_2' class='gform-field-label gform-field-label--type-inline'>Yes, I have been diagnosed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Hiperactivity<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_53'>\n\t\t\t<div class='gchoice gchoice_1_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='0'  id='choice_1_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_53_0' id='label_1_53_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='1'  id='choice_1_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_53_1' id='label_1_53_1' class='gform-field-label gform-field-label--type-inline'>I think so<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_53_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='2'  id='choice_1_53_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_53_2' id='label_1_53_2' class='gform-field-label gform-field-label--type-inline'>Yes, I have been diagnosed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Ashtma<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_52'>\n\t\t\t<div class='gchoice gchoice_1_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='0'  id='choice_1_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_52_0' id='label_1_52_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='1'  id='choice_1_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_52_1' id='label_1_52_1' class='gform-field-label gform-field-label--type-inline'>I think so<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_52_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='2'  id='choice_1_52_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_52_2' id='label_1_52_2' class='gform-field-label gform-field-label--type-inline'>Yes, I have been diagnosed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_51\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Allergies and intolerances<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_51'>\n\t\t\t<div class='gchoice gchoice_1_51_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='0'  id='choice_1_51_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_51_0' id='label_1_51_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_51_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='1'  id='choice_1_51_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_51_1' id='label_1_51_1' class='gform-field-label gform-field-label--type-inline'>I think so<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_51_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='2'  id='choice_1_51_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_51_2' id='label_1_51_2' class='gform-field-label gform-field-label--type-inline'>Yes, I have been diagnosed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_59' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_59' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_6' class='gform_page' data-js='page-field-id-59' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_60\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">6. LIFE SATISFACTION<\/h3><div class='gsection_description' id='gfield_description_1_60'>How often would you say that\u2026<\/div><\/div><fieldset id=\"field_1_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >It seems to me that my life has many interesting aspects, it is not flat at all.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_61'>\n\t\t\t<div class='gchoice gchoice_1_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='1'  id='choice_1_61_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_61_0' id='label_1_61_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='2'  id='choice_1_61_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_61_1' id='label_1_61_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_61_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='3'  id='choice_1_61_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_61_2' id='label_1_61_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_61_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='4'  id='choice_1_61_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_61_3' id='label_1_61_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_62\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I have already completed a good part of the goals and desires that I have in life.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_62'>\n\t\t\t<div class='gchoice gchoice_1_62_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='1'  id='choice_1_62_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_62_0' id='label_1_62_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_62_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='2'  id='choice_1_62_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_62_1' id='label_1_62_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_62_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='3'  id='choice_1_62_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_62_2' id='label_1_62_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_62_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='4'  id='choice_1_62_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_62_3' id='label_1_62_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >At a general level, I can&#039;t guess why I&#039;m alive, what&#039;s the meaning of my life<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_63'>\n\t\t\t<div class='gchoice gchoice_1_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='1'  id='choice_1_63_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_63_0' id='label_1_63_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='2'  id='choice_1_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_63_1' id='label_1_63_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_63_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='3'  id='choice_1_63_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_63_2' id='label_1_63_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_63_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='4'  id='choice_1_63_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_63_3' id='label_1_63_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_64\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >If I died today, it would seem to me that my life has been totally full and worthwhile.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_64'>\n\t\t\t<div class='gchoice gchoice_1_64_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='1'  id='choice_1_64_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_64_0' id='label_1_64_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_64_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='2'  id='choice_1_64_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_64_1' id='label_1_64_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_64_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='3'  id='choice_1_64_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_64_2' id='label_1_64_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_64_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='4'  id='choice_1_64_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_64_3' id='label_1_64_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_65\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I believe that most of the important things in life are beyond my control, I feel like an onlooker<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_65'>\n\t\t\t<div class='gchoice gchoice_1_65_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='1'  id='choice_1_65_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_65_0' id='label_1_65_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_65_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='2'  id='choice_1_65_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_65_1' id='label_1_65_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_65_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='3'  id='choice_1_65_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_65_2' id='label_1_65_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_65_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='4'  id='choice_1_65_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_65_3' id='label_1_65_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_66\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I tend to remember more the incidents in my life that didn&#039;t go well than those where I gave my best<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_66'>\n\t\t\t<div class='gchoice gchoice_1_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='1'  id='choice_1_66_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_66_0' id='label_1_66_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_66_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='2'  id='choice_1_66_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_66_1' id='label_1_66_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_66_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='3'  id='choice_1_66_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_66_2' id='label_1_66_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_66_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='4'  id='choice_1_66_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_66_3' id='label_1_66_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_67\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I am very aware of the course of time on a day-to-day basis and sometimes it distresses me<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_67'>\n\t\t\t<div class='gchoice gchoice_1_67_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='1'  id='choice_1_67_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_67_0' id='label_1_67_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_67_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='2'  id='choice_1_67_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_67_1' id='label_1_67_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_67_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='3'  id='choice_1_67_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_67_2' id='label_1_67_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_67_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='4'  id='choice_1_67_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_67_3' id='label_1_67_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_68\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >If I started over, I&#039;d live my life again without changing a thing.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_68'>\n\t\t\t<div class='gchoice gchoice_1_68_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='1'  id='choice_1_68_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_68_0' id='label_1_68_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_68_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='2'  id='choice_1_68_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_68_1' id='label_1_68_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_68_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='3'  id='choice_1_68_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_68_2' id='label_1_68_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_68_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='4'  id='choice_1_68_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_68_3' id='label_1_68_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_69' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_69' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_7' class='gform_page' data-js='page-field-id-69' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_70\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">7. INTRINSIC MOTIVATION, MEANING<\/h3><\/div><fieldset id=\"field_1_71\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >The connection with nature and open spaces is very important to me.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_71'>\n\t\t\t<div class='gchoice gchoice_1_71_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='1'  id='choice_1_71_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_71_0' id='label_1_71_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_71_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='2'  id='choice_1_71_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_71_1' id='label_1_71_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_71_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='3'  id='choice_1_71_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_71_2' id='label_1_71_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_71_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='4'  id='choice_1_71_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_71_3' id='label_1_71_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Knowing more about different things, always keep learning, is very important to me.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_72'>\n\t\t\t<div class='gchoice gchoice_1_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='1'  id='choice_1_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_72_0' id='label_1_72_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='2'  id='choice_1_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_72_1' id='label_1_72_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_72_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='3'  id='choice_1_72_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_72_2' id='label_1_72_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_72_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='4'  id='choice_1_72_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_72_3' id='label_1_72_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_73\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Spirituality, thinking that I belong to something bigger is very important to me.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_73'>\n\t\t\t<div class='gchoice gchoice_1_73_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='1'  id='choice_1_73_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_73_0' id='label_1_73_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_73_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='2'  id='choice_1_73_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_73_1' id='label_1_73_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_73_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='3'  id='choice_1_73_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_73_2' id='label_1_73_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_73_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='4'  id='choice_1_73_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_73_3' id='label_1_73_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_74\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Giving back to society and the world a little of what I have received is very important to me.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_74'>\n\t\t\t<div class='gchoice gchoice_1_74_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='1'  id='choice_1_74_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_74_0' id='label_1_74_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_74_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='2'  id='choice_1_74_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_74_1' id='label_1_74_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_74_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='3'  id='choice_1_74_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_74_2' id='label_1_74_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_74_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='4'  id='choice_1_74_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_74_3' id='label_1_74_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_75\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >The freedom to make my decisions and live according to my ideas is very important to me.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_75'>\n\t\t\t<div class='gchoice gchoice_1_75_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='1'  id='choice_1_75_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_75_0' id='label_1_75_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_75_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='2'  id='choice_1_75_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_75_1' id='label_1_75_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_75_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='3'  id='choice_1_75_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_75_2' id='label_1_75_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_75_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='4'  id='choice_1_75_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_75_3' id='label_1_75_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_76\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Creating and inventing, using imagination even for small things is very important to me<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_76'>\n\t\t\t<div class='gchoice gchoice_1_76_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='1'  id='choice_1_76_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_76_0' id='label_1_76_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_76_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='2'  id='choice_1_76_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_76_1' id='label_1_76_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_76_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='3'  id='choice_1_76_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_76_2' id='label_1_76_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_76_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='4'  id='choice_1_76_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_76_3' id='label_1_76_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_77\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I feel connected to others through my empathy, I feel part of Humanity<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_77'>\n\t\t\t<div class='gchoice gchoice_1_77_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='1'  id='choice_1_77_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_77_0' id='label_1_77_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_77_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='2'  id='choice_1_77_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_77_1' id='label_1_77_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_77_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='3'  id='choice_1_77_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_77_2' id='label_1_77_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_77_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='4'  id='choice_1_77_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_77_3' id='label_1_77_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_78\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Achieving my goals and influencing people to align with them is very important to me.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_78'>\n\t\t\t<div class='gchoice gchoice_1_78_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='1'  id='choice_1_78_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_78_0' id='label_1_78_0' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_78_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='2'  id='choice_1_78_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_78_1' id='label_1_78_1' class='gform-field-label gform-field-label--type-inline'>Disagree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_78_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='3'  id='choice_1_78_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_78_2' id='label_1_78_2' class='gform-field-label gform-field-label--type-inline'>Agree<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_78_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='4'  id='choice_1_78_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_78_3' id='label_1_78_3' class='gform-field-label gform-field-label--type-inline'>Fully agree<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_79' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_79' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_8' class='gform_page' data-js='page-field-id-79' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_80\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">8.SELF-REGULATION STRATEGIES<\/h3><div class='gsection_description' id='gfield_description_1_80'>(or the ones you tried, please rate its effectiveness. For those you didn't try, state N\/A<\/div><\/div><fieldset id=\"field_1_81\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Conductive-conductual therapy with a psychologist<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_81'>\n\t\t\t<div class='gchoice gchoice_1_81_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='1'  id='choice_1_81_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_81_0' id='label_1_81_0' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_81_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='2'  id='choice_1_81_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_81_1' id='label_1_81_1' class='gform-field-label gform-field-label--type-inline'>Very low\/ineffective<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_81_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='3'  id='choice_1_81_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_81_2' id='label_1_81_2' class='gform-field-label gform-field-label--type-inline'>Acceptable<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_81_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='4'  id='choice_1_81_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_81_3' id='label_1_81_3' class='gform-field-label gform-field-label--type-inline'>High<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_82\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Cultivating spirituality (in a general sense, not necessarily religious)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_82'>\n\t\t\t<div class='gchoice gchoice_1_82_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='1'  id='choice_1_82_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_82_0' id='label_1_82_0' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_82_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='2'  id='choice_1_82_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_82_1' id='label_1_82_1' class='gform-field-label gform-field-label--type-inline'>Very low\/ineffective<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_82_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='3'  id='choice_1_82_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_82_2' id='label_1_82_2' class='gform-field-label gform-field-label--type-inline'>Acceptable<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_82_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='4'  id='choice_1_82_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_82_3' id='label_1_82_3' class='gform-field-label gform-field-label--type-inline'>High<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_83\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Sharing my concerns with people I trust<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_83'>\n\t\t\t<div class='gchoice gchoice_1_83_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='1'  id='choice_1_83_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_83_0' id='label_1_83_0' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_83_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='2'  id='choice_1_83_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_83_1' id='label_1_83_1' class='gform-field-label gform-field-label--type-inline'>Very low\/ineffective<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_83_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='3'  id='choice_1_83_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_83_2' id='label_1_83_2' class='gform-field-label gform-field-label--type-inline'>Acceptable<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_83_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='4'  id='choice_1_83_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_83_3' id='label_1_83_3' class='gform-field-label gform-field-label--type-inline'>High<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_84\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Meditation, mindfulness<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_84'>\n\t\t\t<div class='gchoice gchoice_1_84_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='1'  id='choice_1_84_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_84_0' id='label_1_84_0' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_84_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='2'  id='choice_1_84_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_84_1' id='label_1_84_1' class='gform-field-label gform-field-label--type-inline'>Very low\/ineffective<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_84_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='3'  id='choice_1_84_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_84_2' id='label_1_84_2' class='gform-field-label gform-field-label--type-inline'>Acceptable<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_84_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='4'  id='choice_1_84_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_84_3' id='label_1_84_3' class='gform-field-label gform-field-label--type-inline'>High<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_85\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Medication prescribed by a psychiatrist<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_85'>\n\t\t\t<div class='gchoice gchoice_1_85_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='1'  id='choice_1_85_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_85_0' id='label_1_85_0' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_85_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='2'  id='choice_1_85_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_85_1' id='label_1_85_1' class='gform-field-label gform-field-label--type-inline'>Very low\/ineffective<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_85_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='3'  id='choice_1_85_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_85_2' id='label_1_85_2' class='gform-field-label gform-field-label--type-inline'>Acceptable<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_85_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='4'  id='choice_1_85_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_85_3' id='label_1_85_3' class='gform-field-label gform-field-label--type-inline'>High<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_86\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Use of psychoactive substances<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_86'>\n\t\t\t<div class='gchoice gchoice_1_86_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='1'  id='choice_1_86_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_86_0' id='label_1_86_0' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_86_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='2'  id='choice_1_86_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_86_1' id='label_1_86_1' class='gform-field-label gform-field-label--type-inline'>Very low\/ineffective<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_86_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='3'  id='choice_1_86_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_86_2' id='label_1_86_2' class='gform-field-label gform-field-label--type-inline'>Acceptable<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_86_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='4'  id='choice_1_86_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_86_3' id='label_1_86_3' class='gform-field-label gform-field-label--type-inline'>High<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_131\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_131'>Others. Please specify:<\/label><div class='ginput_container ginput_container_text'><input name='input_131' id='input_1_131' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_141\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_141'><div class='gchoice gchoice_1_141_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_141.1' type='checkbox'  value='I have been diagnosed as Gifted by a Psychologist'  id='choice_1_141_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_141_1' id='label_1_141_1' class='gform-field-label gform-field-label--type-inline'>I have been diagnosed as Gifted by a Psychologist<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_90\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_90'><div class='gchoice gchoice_1_90_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.1' type='checkbox'  value='I am a member of MENSA'  id='choice_1_90_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_90_1' id='label_1_90_1' class='gform-field-label gform-field-label--type-inline'>I am a member of MENSA<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_140\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_140'><div class='gchoice gchoice_1_140_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_140.1' type='checkbox'  value='My IQ is over 135'  id='choice_1_140_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_140_1' id='label_1_140_1' class='gform-field-label gform-field-label--type-inline'>My IQ is over 135<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_132\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_132'>Do you have any comment on the above?<\/label><div class='ginput_container ginput_container_text'><input name='input_132' id='input_1_132' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_87\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Confirmation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_87'><div class='gchoice gchoice_1_87_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_87.1' type='checkbox'  value='I confirm the information given is true'  id='choice_1_87_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_87_1' id='label_1_87_1' class='gform-field-label gform-field-label--type-inline'>I confirm the information given is true<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_91' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_91' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_9' class='gform_page' data-js='page-field-id-91' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_92\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">9. STATISTIC and PERSONAL INFORMATION<\/h3><\/div><div id=\"field_1_95\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_95'>Nationality<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_95' id='input_1_95' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >select country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Germany' >Germany<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antigua y Barbuda' >Antigua y Barbuda<\/option><option value='Antartida' >Antarctica<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Algeria' >Algeria<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaiyan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bangladeshi' >Bangladeshi<\/option><option value='Barbados' >Barbados<\/option><option value='Barein' >Bahrain<\/option><option value='Belice' >Belice<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Belarus' >Belarus<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, San Eustaquio &amp; Saba' >Bonaire, San Eustaquio &amp; Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brazil' >Brazil<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Begica' >Belgium<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Camboya' >Camboya<\/option><option value='Camerun' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Cyprus' >Cyprus<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Rep\u00fablica Democr\u00e1tica del' >Congo, Democratic Republic of<\/option><option value='Congo, Republica de' >Congo, Republic of<\/option><option value='North Korea' >North Korea<\/option><option value='South Korea' >South Korea<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Ivory Coast' >Ivory Coast<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Curacao' >Curacao<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Emiratos Arabes Unidos' >United Arab Emirates<\/option><option value='Eritrea' >Eritrea<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Spain' >Spain<\/option><option value='U.S' >U.S<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='Etiopia' >Ethiopia<\/option><option value='Fiji' >Fiji<\/option><option value='Philippines' >Philippines<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Georgia del Su' >South Georgia<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Granada' >Granada<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Guadalupe' >Guadalupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guiana' >Guiana<\/option><option value='French Guiana' >French Guiana<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea Bissau' >Guinea Bissau<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungria' >Hungary<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iraq' >Iraq<\/option><option value='Irlanda' >Irlanda<\/option><option value='Iran' >Iran<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Norfolk island' >Norfolk island<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Christmas island' >Christmas island<\/option><option value='Iceland' >Iceland<\/option><option value='Islas Caiman' >Cayman Islands<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Cook islands' >Cook islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Heard and McDonald Islands' >Heard and McDonald Islands<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Islas Salomon' >Solomon Islands<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='United States Minor Outlying Islands' >United States Minor Outlying Islands<\/option><option value='Islas Virgenes Britanicas' >British Virgin Islands<\/option><option value='Islas Virgenes de los Estados Unidos' >United States Virgin Islands<\/option><option value='Islas Aland' >Aland Islands<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japon' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordania' >Jordania<\/option><option value='Kazajistan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirguistan' >Kyrgyzstan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='Lybia' >Lybia<\/option><option value='Lesoto' >Lesoto<\/option><option value='Liberia' >Liberia<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Libano' >Lebanon<\/option><option value='Macau' >Macau<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaysia' >Malaysia<\/option><option value='Malawi' >Malawi<\/option><option value='Maldivas' >Maldivas<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Morocco' >Morocco<\/option><option value='Martinica' >Martinica<\/option><option value='Mauricio' >Mauricio<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mayotte' >Mayotte<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Mexico' >Mexico<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norway' >Norway<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Niger' >Niger<\/option><option value='Oman' >Oman<\/option><option value='Netherlands' >Netherlands<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua Nueva Guinea' >Papua Nueva Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='French polynesia' >French polynesia<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='United kingdom' >United kingdom<\/option><option value='Republica Centroafricana' >Central African Republic<\/option><option value='Republica Checa' >Czech Republic<\/option><option value='Republica Democr\u00e1tica Popular de Laos' >Lao People&#039;s Democratic Republic<\/option><option value='Republica Dominicana' >Dominican Republic<\/option><option value='Reunion' >Reunion<\/option><option value='Ruanda' >Ruanda<\/option><option value='Rumania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Occidental Sahara' >Occidental Sahara<\/option><option value='Samoa' >Samoa<\/option><option value='American Samoa' >American Samoa<\/option><option value='San Bartolome' >San Bartolome<\/option><option value='San Cristobal y Nieves' >San Crist\u00f3bal &amp; Nieves<\/option><option value='San Marino' >San Marino<\/option><option value='San Martin' >San Martin<\/option><option value='San Pedro y Miquelon' >San Pedro &amp; Miquelon<\/option><option value='San Vicente &amp; las Granadinas' >San Vicente &amp; las Granadinas<\/option><option value='St. Helen' >St. Helen<\/option><option value='Santa Lucia' >St. Lucia<\/option><option value='Holy See' >Holy See<\/option><option value='Santo Tome y Principe' >Santo Tome &amp; Principe<\/option><option value='Senegal' >Senegal<\/option><option value='Serbian' >Serbian<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Syria' >Syria<\/option><option value='Somalia' >Somalia<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudafrica' >Southafrica<\/option><option value='Sudan' >Sudan<\/option><option value='Sudan del Sur' >South Sudan<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Surinam' >Surinam<\/option><option value='Svalbard &amp; Jan Mayen' >Svalbard &amp; Jan Mayen<\/option><option value='Thailand' >Thailand<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Tayikistan' >Tajikistan<\/option><option value='Territorio Brit\u00e1nico del Oceano Indico' >British Indian Ocean Territory<\/option><option value='Tierras Australes y Antarticas Francesas' >French Southern and Antarctic Lands<\/option><option value='East Timor' >East Timor<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turquia' >Turkey<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Tunez' >Tunisia<\/option><option value='Ucrania' >Ucrania<\/option><option value='Uganda' >Uganda<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbaue' >Zimbaue<\/option><\/select><\/div><\/div><div id=\"field_1_138\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_138'>Age<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_138' id='input_1_138' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Select your age<\/option><option value='Under 18' >Under 18<\/option><option value='From 18 to 25' >From 18 to 25<\/option><option value='From 26 to 30' >From 26 to 30<\/option><option value='From 31 to 35' >From 31 to 35<\/option><option value='From 36 to 40' >From 36 to 40<\/option><option value='From 41 to 45' >From 41 to 45<\/option><option value='From 46 to 50' >From 46 to 50<\/option><option value='From 51 to 55' >From 51 to 55<\/option><option value='From 56 to 60' >From 56 to 60<\/option><option value='From 61 to 65' >From 61 to 65<\/option><option value='From 66 to 70' >From 66 to 70<\/option><option value='From 71 to 75' >From 71 to 75<\/option><option value='From 76 to 80' >From 76 to 80<\/option><option value='81 or more' >81 or more<\/option><\/select><\/div><\/div><div id=\"field_1_130\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_130'>Socioethnic origin<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_130' id='input_1_130' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Select origin<\/option><option value='Blanco-Caucasico' >White-Caucasian<\/option><option value='Latin' >Latin<\/option><option value='Black-African' >Black-African<\/option><option value='North-African' >North-African<\/option><option value='Arabe' >Arab<\/option><option value='Asiatico' >Asiatic<\/option><option value='Native American' >Native American<\/option><option value='Nativo de las islas del Pacifico' >Pacific Islander<\/option><option value='Mixed' >Mixed<\/option><\/select><\/div><\/div><div id=\"field_1_139\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_139'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_139' id='input_1_139' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Select gender<\/option><option value='Man' >Man<\/option><option value='Woman' >Woman<\/option><option value='Non Binary' >Non Binary<\/option><option value='I prefer not to answer' >I prefer not to answer<\/option><\/select><\/div><\/div><fieldset id=\"field_1_100\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Gender identity and sexuality<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_100'><div class='gchoice gchoice_1_100_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.1' type='checkbox'  value='LGTB+'  id='choice_1_100_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_100_1' id='label_1_100_1' class='gform-field-label gform-field-label--type-inline'>LGTB+<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_101\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_101'>Education level<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_101' id='input_1_101' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Choose a level of studies<\/option><option value='Primary School' >Primary School<\/option><option value='High School Diploma' >High School Diploma<\/option><option value='Bachelors Degree' >Bachelors Degree<\/option><option value='Masters Degree' >Masters Degree<\/option><option value='Doctorate' >Doctorate<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_103' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_103' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_10' class='gform_page' data-js='page-field-id-103' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_102\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Last questions<\/h3><\/div><div id=\"field_1_106\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Other Gifted traits are creativity or emotional sensitivity, for example.<\/p>\n<p>If you want to continue answering some questions, you'll receive a form including these other topics.<\/p><\/div><fieldset id=\"field_1_107\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you also want to respond to this last section?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_107'>\n\t\t\t<div class='gchoice gchoice_1_107_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Si'  id='choice_1_107_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_107_0' id='label_1_107_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_107_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='No'  id='choice_1_107_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_107_1' id='label_1_107_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_109' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_109' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_11' class='gform_page' data-js='page-field-id-109' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_108\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">EXECUTIVE FUNCTIONS, CREATIVITY AND EMOTIONAL SENSITIVITY<\/h3><\/div><fieldset id=\"field_1_110\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I am able to see patterns in facts and information around me<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_110'>\n\t\t\t<div class='gchoice gchoice_1_110_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='1'  id='choice_1_110_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_110_0' id='label_1_110_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_110_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='2'  id='choice_1_110_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_110_1' id='label_1_110_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_110_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='3'  id='choice_1_110_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_110_2' id='label_1_110_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_110_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='4'  id='choice_1_110_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_110_3' id='label_1_110_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_111\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I use a broader vocabulary than the majority of people in my environment<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_111'>\n\t\t\t<div class='gchoice gchoice_1_111_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_111' type='radio' value='1'  id='choice_1_111_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_111_0' id='label_1_111_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_111_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_111' type='radio' value='2'  id='choice_1_111_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_111_1' id='label_1_111_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_111_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_111' type='radio' value='3'  id='choice_1_111_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_111_2' id='label_1_111_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_111_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_111' type='radio' value='4'  id='choice_1_111_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_111_3' id='label_1_111_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_112\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Complex problems motivate me<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_112'>\n\t\t\t<div class='gchoice gchoice_1_112_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_112' type='radio' value='1'  id='choice_1_112_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_112_0' id='label_1_112_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_112_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_112' type='radio' value='2'  id='choice_1_112_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_112_1' id='label_1_112_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_112_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_112' type='radio' value='3'  id='choice_1_112_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_112_2' id='label_1_112_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_112_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_112' type='radio' value='4'  id='choice_1_112_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_112_3' id='label_1_112_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_113\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I have a good memory for events that happened a long time ago<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_113'>\n\t\t\t<div class='gchoice gchoice_1_113_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_113' type='radio' value='1'  id='choice_1_113_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_113_0' id='label_1_113_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_113_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_113' type='radio' value='2'  id='choice_1_113_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_113_1' id='label_1_113_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_113_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_113' type='radio' value='3'  id='choice_1_113_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_113_2' id='label_1_113_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_113_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_113' type='radio' value='4'  id='choice_1_113_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_113_3' id='label_1_113_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_114\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I have a strong urge to understand<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_114'>\n\t\t\t<div class='gchoice gchoice_1_114_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_114' type='radio' value='1'  id='choice_1_114_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_114_0' id='label_1_114_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_114_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_114' type='radio' value='2'  id='choice_1_114_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_114_1' id='label_1_114_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_114_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_114' type='radio' value='3'  id='choice_1_114_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_114_2' id='label_1_114_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_114_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_114' type='radio' value='4'  id='choice_1_114_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_114_3' id='label_1_114_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_115\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I feel attracted to topics and ideas I don\u2019t know anything about<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_115'>\n\t\t\t<div class='gchoice gchoice_1_115_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_115' type='radio' value='1'  id='choice_1_115_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_115_0' id='label_1_115_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_115_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_115' type='radio' value='2'  id='choice_1_115_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_115_1' id='label_1_115_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_115_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_115' type='radio' value='3'  id='choice_1_115_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_115_2' id='label_1_115_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_115_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_115' type='radio' value='4'  id='choice_1_115_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_115_3' id='label_1_115_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_116\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I sometimes feel overwhelmed by my own ideas<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_116'>\n\t\t\t<div class='gchoice gchoice_1_116_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='1'  id='choice_1_116_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_116_0' id='label_1_116_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_116_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='2'  id='choice_1_116_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_116_1' id='label_1_116_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_116_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='3'  id='choice_1_116_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_116_2' id='label_1_116_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_116_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='4'  id='choice_1_116_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_116_3' id='label_1_116_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_117\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I have a tendency for introversion, I need time to be on my own<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_117'>\n\t\t\t<div class='gchoice gchoice_1_117_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_117' type='radio' value='1'  id='choice_1_117_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_117_0' id='label_1_117_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_117_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_117' type='radio' value='2'  id='choice_1_117_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_117_1' id='label_1_117_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_117_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_117' type='radio' value='3'  id='choice_1_117_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_117_2' id='label_1_117_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_117_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_117' type='radio' value='4'  id='choice_1_117_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_117_3' id='label_1_117_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_118\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I look to be surrounded by people, I am enriched by exchanging points of view<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_118'>\n\t\t\t<div class='gchoice gchoice_1_118_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_118' type='radio' value='1'  id='choice_1_118_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_118_0' id='label_1_118_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_118_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_118' type='radio' value='2'  id='choice_1_118_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_118_1' id='label_1_118_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_118_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_118' type='radio' value='3'  id='choice_1_118_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_118_2' id='label_1_118_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_118_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_118' type='radio' value='4'  id='choice_1_118_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_118_3' id='label_1_118_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_119\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I have the ability to perceive what other people feel, even by subtle details<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_119'>\n\t\t\t<div class='gchoice gchoice_1_119_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='1'  id='choice_1_119_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_119_0' id='label_1_119_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_119_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='2'  id='choice_1_119_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_119_1' id='label_1_119_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_119_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='3'  id='choice_1_119_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_119_2' id='label_1_119_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_119_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='4'  id='choice_1_119_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_119_3' id='label_1_119_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_120\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I consider matters are either right or wrong, with a very small grey area, my sense of justice is very strong.<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_120'>\n\t\t\t<div class='gchoice gchoice_1_120_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_120' type='radio' value='1'  id='choice_1_120_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_120_0' id='label_1_120_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_120_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_120' type='radio' value='2'  id='choice_1_120_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_120_1' id='label_1_120_1' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_120_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_120' type='radio' value='3'  id='choice_1_120_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_120_2' id='label_1_120_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_120_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_120' type='radio' value='4'  id='choice_1_120_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_120_3' id='label_1_120_3' class='gform-field-label gform-field-label--type-inline'>Usually\/Always<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_122' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_1_122' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_12' class='gform_page' data-js='page-field-id-122' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_121\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">INTELLIGENCE QUOTIENT - IQ<\/h3><\/div><fieldset id=\"field_1_124\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you know your IQ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_124'>\n\t\t\t<div class='gchoice gchoice_1_124_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='Si'  id='choice_1_124_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_124_0' id='label_1_124_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_124_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='No'  id='choice_1_124_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_124_1' id='label_1_124_1' class='gform-field-label gform-field-label--type-inline'>I don't know my IQ, but I'd like to.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_125\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >You can perform this <a href=\"https:\/\/www.mensa.es\/test\/test.html\" target=\"_blank\">test<\/a> and enter the result in the following box. <\/div><div id=\"field_1_127\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_127'>My IQ is:<\/label><div class='ginput_container ginput_container_number'><input name='input_127' id='input_1_127' type='number' step='any' min='0' max='220' value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_1_127\" \/><div class='gfield_description instruction ' id='gfield_instruction_1_127'>Please enter a number from <strong>0<\/strong> to <strong>220<\/strong>.<\/div><\/div><\/div><div id=\"field_1_129\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_129'>Evaluated with the test:<\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_1_129' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_1' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Send'  \/> <input type='hidden' name='gform_ajax' value='form_id=1&amp;title=&amp;description=&amp;tabindex=0&amp;theme=gravity-theme&amp;styles=[]&amp;hash=35f12936bcad7831cba87fffc634e9a5' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='VxPFbWiWW93GvcoEU9heVk54+XZ+SHl6W71SkapG\/NAoG41nJt64vnPomDYzAo3j0liJIBUTjc6ooABAzunxq4gFsp+iIHXw3f9xCdRl8dL2sRE=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='["{\"134.1\":\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"134.2\":\"4c142c99fbee55beb1c1b7fbf4493171\",\"134.3\":\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"7\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"15\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"14\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"12\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"11\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"10\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"16\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"e7638792c3f3ab2ad844c8854f1d701d\"],\"19\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"20\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"e7638792c3f3ab2ad844c8854f1d701d\"],\"21\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"22\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"23\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"24\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"25\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"26\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"29\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"30\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"31\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"34\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"32\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"33\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"35\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"137\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"37\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"38\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"39\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"40\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"41\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"42\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"43\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"49\":[\"e7638792c3f3ab2ad844c8854f1d701d\",\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\"],\"56\":[\"e7638792c3f3ab2ad844c8854f1d701d\",\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\"],\"55\":[\"e7638792c3f3ab2ad844c8854f1d701d\",\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\"],\"54\":[\"e7638792c3f3ab2ad844c8854f1d701d\",\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\"],\"53\":[\"e7638792c3f3ab2ad844c8854f1d701d\",\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\"],\"52\":[\"e7638792c3f3ab2ad844c8854f1d701d\",\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\"],\"51\":[\"e7638792c3f3ab2ad844c8854f1d701d\",\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\"],\"61\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"62\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"63\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"64\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"65\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"66\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"67\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"68\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"71\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"72\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"73\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"74\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"75\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"76\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"77\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"78\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"81\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"82\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"83\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"84\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"85\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"86\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"107\":[\"bd6d94cb1c31ebbd24bb374c03cc9a4f\",\"5555e666a69067fa506894c7d6df6c3a\"],\"110\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"111\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"112\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"113\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"114\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"115\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"116\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"117\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"118\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"119\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"120\":[\"c24227bf1ca0be7a78d9b6fb7b1d11bf\",\"f3638a983200c8c9048827ef8f5b8a6f\",\"71784d88c3e9809484916a2b8405f360\",\"1b515fd12b766d19d47527b6ef6d3bc8\"],\"124\":[\"bd6d94cb1c31ebbd24bb374c03cc9a4f\",\"5555e666a69067fa506894c7d6df6c3a\"]}","a2883e0f0a25d0e50d1a5409ef35f603"]' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_1' id='gform_ajax_frame_1' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe>\n\t\t                <script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 1, 'https:\/\/ariadnespaths.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_1').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_1');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_1').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_1').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_1').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_1').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_1').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_1').val();gformInitSpinner( 1, 'https:\/\/ariadnespaths.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [1, current_page]);window['gf_submitting_1'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_1').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_1').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [1]);window['gf_submitting_1'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_1').text());}else{jQuery('#gform_1').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"1\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_1\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_1\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_1\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 1, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_one_fourth-5a31ecbb9be26bfa35039bea7eb143ac\">\n.flex_column.av-av_one_fourth-5a31ecbb9be26bfa35039bea7eb143ac{\nwidth:23.875%;\nmargin-left:1.5%;\nborder-radius:10px 10px 10px 10px;\npadding:30px 30px 30px 30px;\nbackground-color:#ededed;\n}\n<\/style>\n<div  class='flex_column av-av_one_fourth-5a31ecbb9be26bfa35039bea7eb143ac av_one_fourth  avia-builder-el-3  el_after_av_three_fourth  el_before_av_hr  flex_column_div av-hide-on-mobile  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kzeaa71c-e563e0c2f356f476e888a64542f0dfa4\">\n#top .av-special-heading.av-kzeaa71c-e563e0c2f356f476e888a64542f0dfa4{\npadding-bottom:0;\nfont-size:25px;\n}\nbody .av-special-heading.av-kzeaa71c-e563e0c2f356f476e888a64542f0dfa4 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-kzeaa71c-e563e0c2f356f476e888a64542f0dfa4 .av-special-heading-tag{\nfont-size:25px;\n}\n.av-special-heading.av-kzeaa71c-e563e0c2f356f476e888a64542f0dfa4 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-kzeaa71c-e563e0c2f356f476e888a64542f0dfa4 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-kzeaa71c-e563e0c2f356f476e888a64542f0dfa4 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-kzeaa71c-e563e0c2f356f476e888a64542f0dfa4 av-special-heading-h3 blockquote modern-quote  avia-builder-el-4  el_before_av_iconlist  avia-builder-el-first  av-inherit-size'><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >About the survey<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kzeac3je-d0ec4930da4d324bf47b5876a43ef80d\">\n#top .avia-icon-list-container.av-kzeac3je-d0ec4930da4d324bf47b5876a43ef80d .iconlist_icon{\ncolor:#1e7ac4;\n}\n#top .avia-icon-list-container.av-kzeac3je-d0ec4930da4d324bf47b5876a43ef80d .iconlist_icon svg:first-child{\nstroke:#1e7ac4;\nfill:#1e7ac4;\n}\n<\/style>\n<div  class='avia-icon-list-container av-kzeac3je-d0ec4930da4d324bf47b5876a43ef80d  avia-builder-el-5  el_after_av_heading  avia-builder-el-last '><ul class='avia-icon-list avia_animate_when_almost_visible avia-icon-list-left av-iconlist-small av-kzeac3je-d0ec4930da4d324bf47b5876a43ef80d avia-iconlist-animate'>\n<li><div class='iconlist_icon av-kzeabk5g-3c217308cd49143ced78733368a9a9ae avia-font-entypo-fontello avia-iconfont avia-font-entypo-fontello'><span class='av-icon-char' data-av_icon='\ue812' data-av_iconfont='entypo-fontello' aria-hidden=\"true\"><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\" aria-label=\"Icon: &lt;strong&gt;ABOUT US&lt;\/strong&gt;\"><div class='av_iconlist_title iconlist_title_small  '  itemprop=\"headline\" ><strong>ABOUT US<\/strong><\/div><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>This survey is part of a Master&#8217;s thesis in Neuroscience on the subjective well-being of adults with high intellectual abilities.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-kzeac2r2-2d4b8833181d7ccc88bfe6378ccf7476 avia-font-entypo-fontello avia-iconfont avia-font-entypo-fontello'><span class='av-icon-char' data-av_icon='\ue812' data-av_iconfont='entypo-fontello' aria-hidden=\"true\"><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\" aria-label=\"Icon: &lt;strong&gt;OBJECTIVES&lt;\/strong&gt;\"><div class='av_iconlist_title iconlist_title_small  '  itemprop=\"headline\" ><strong>OBJECTIVES<\/strong><\/div><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>The first objective is to validate a questionnaire that reflects psychological well-being in adults with high intellectual abilities. And the second objective is to increase the self-knowledge of this group and give them more visibility in society in general, because it will benefit us all.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<\/ul><\/div><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_hr-e8a686c44521428e615c8cf9b8a9143c\">\n#top .hr.hr-invisible.av-av_hr-e8a686c44521428e615c8cf9b8a9143c{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-av_hr-e8a686c44521428e615c8cf9b8a9143c hr-invisible  avia-builder-el-6  el_after_av_one_fourth  el_before_av_button  av-desktop-hide av-medium-hide'><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<div  class='avia-button-wrap av-kzeaau7r-eed26c462ca65dce4eb0d3c8f779238a-wrap avia-button-center  avia-builder-el-7  el_after_av_hr  avia-builder-el-last '>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kzeaau7r-eed26c462ca65dce4eb0d3c8f779238a\">\n#top #wrap_all .avia-button.av-kzeaau7r-eed26c462ca65dce4eb0d3c8f779238a{\nbackground-color:#c4691e;\nborder-color:#c4691e;\ncolor:#ffffff;\ntransition:all 0.4s ease-in-out;\n}\n#top #wrap_all .avia-button.av-kzeaau7r-eed26c462ca65dce4eb0d3c8f779238a .avia-svg-icon svg:first-child{\nfill:#ffffff;\nstroke:#ffffff;\n}\n<\/style>\n<a href='https:\/\/ariadnespaths.com\/en\/'  class='avia-button av-kzeaau7r-eed26c462ca65dce4eb0d3c8f779238a av-link-btn avia-icon_select-yes-left-icon avia-size-small avia-position-center av-desktop-hide av-medium-hide'   aria-label=\"Return to home (data is not kept)\"><span class='avia_button_icon avia_button_icon_left avia-iconfont avia-font-entypo-fontello' data-av_icon='\ue821' data-av_iconfont='entypo-fontello' ><\/span><span class='avia_iconbox_title' >Return to home (data is not kept)<\/span><\/a><\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-582","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ariadnespaths.com\/en\/wp-json\/wp\/v2\/pages\/582","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ariadnespaths.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ariadnespaths.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ariadnespaths.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ariadnespaths.com\/en\/wp-json\/wp\/v2\/comments?post=582"}],"version-history":[{"count":5,"href":"https:\/\/ariadnespaths.com\/en\/wp-json\/wp\/v2\/pages\/582\/revisions"}],"predecessor-version":[{"id":1022,"href":"https:\/\/ariadnespaths.com\/en\/wp-json\/wp\/v2\/pages\/582\/revisions\/1022"}],"wp:attachment":[{"href":"https:\/\/ariadnespaths.com\/en\/wp-json\/wp\/v2\/media?parent=582"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}