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value=\"build-date-1708004387019\" \/><input type=\"hidden\" id=\"submitSource\" name=\"submitSource\" value=\"unknown\" \/><input type=\"hidden\" id=\"buildDate\" name=\"buildDate\" value=\"1708004387019\" \/>\n  <div role=\"main\" class=\"form-all\">\n    <ul class=\"form-section page-section\">\n      <li id=\"cid_1\" class=\"form-input-wide\" data-type=\"control_head\">\n        <div class=\"form-header-group  header-large\">\n          <div class=\"header-text httal htvam\">\n            <h1 id=\"header_1\" class=\"form-header\" data-component=\"header\">Meeting Evaluation: Facilitating Pastor<\/h1>\n            <div id=\"subHeader_1\" class=\"form-subHeader\">LCMS Post-Seminary Applied Learning &amp; Support<\/div>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-1 jf-required\" data-type=\"control_textbox\" id=\"id_4\"><label class=\"form-label form-label-top\" id=\"label_4\" for=\"input_4\" aria-hidden=\"false\"> Meeting number:<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_4\" class=\"form-input-wide jf-required\"> <input type=\"text\" id=\"input_4\" name=\"q4_meetingNumber4\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" size=\"40\" placeholder=\" \" data-component=\"textbox\" aria-labelledby=\"label_4\" required=\"\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_datetime\" id=\"id_18\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_18\" for=\"lite_mode_18\" aria-hidden=\"false\"> Start date of meeting:<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_18\" class=\"form-input-wide jf-required\">\n          <div data-wrapper-react=\"true\">\n            <div style=\"display:none\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" class=\"form-textbox validate[required, limitDate]\" id=\"month_18\" name=\"q18_startDate[month]\" size=\"2\" data-maxlength=\"2\" data-age=\"\" maxLength=\"2\" value=\"\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_18 sublabel_18_month\" \/><span class=\"date-separate\" aria-hidden=\"true\">\u00a0-<\/span><label class=\"form-sub-label\" for=\"month_18\" id=\"sublabel_18_month\" style=\"min-height:13px\">Month<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" class=\"form-textbox validate[required, limitDate]\" id=\"day_18\" name=\"q18_startDate[day]\" size=\"2\" data-maxlength=\"2\" data-age=\"\" maxLength=\"2\" value=\"\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_18 sublabel_18_day\" \/><span class=\"date-separate\" aria-hidden=\"true\">\u00a0-<\/span><label class=\"form-sub-label\" for=\"day_18\" id=\"sublabel_18_day\" style=\"min-height:13px\">Day<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" class=\"form-textbox validate[required, limitDate]\" id=\"year_18\" name=\"q18_startDate[year]\" size=\"4\" data-maxlength=\"4\" data-age=\"\" maxLength=\"4\" value=\"\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_18 sublabel_18_year\" \/><label class=\"form-sub-label\" for=\"year_18\" id=\"sublabel_18_year\" style=\"min-height:13px\">Year<\/label><\/span><\/div><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" class=\"form-textbox validate[required, limitDate, validateLiteDate]\" id=\"lite_mode_18\" size=\"12\" data-maxlength=\"12\" maxLength=\"12\" data-age=\"\" value=\"\" required=\"\" data-format=\"mmddyyyy\" data-seperator=\"-\" placeholder=\"mm-dd-yyyy\" data-placeholder=\"MM-DD-YYYY\" autoComplete=\"off\" aria-labelledby=\"label_18 sublabel_18_litemode\" \/><img class=\"showAutoCalendar newDefaultTheme-dateIcon icon-liteMode\" alt=\"Pick a Date\" id=\"input_18_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" data-component=\"datetime\" aria-hidden=\"true\" data-allow-time=\"No\" data-version=\"v1\" \/><label class=\"form-sub-label\" for=\"lite_mode_18\" id=\"sublabel_18_litemode\" style=\"min-height:13px\">Date<\/label><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_datetime\" id=\"id_25\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_25\" for=\"lite_mode_25\" aria-hidden=\"false\"> End date of meeting:<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_25\" class=\"form-input-wide jf-required\">\n          <div data-wrapper-react=\"true\">\n            <div style=\"display:none\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" class=\"form-textbox validate[required, limitDate]\" id=\"month_25\" name=\"q25_endDate[month]\" size=\"2\" data-maxlength=\"2\" data-age=\"\" maxLength=\"2\" value=\"\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_25 sublabel_25_month\" \/><span class=\"date-separate\" aria-hidden=\"true\">\u00a0-<\/span><label class=\"form-sub-label\" for=\"month_25\" id=\"sublabel_25_month\" style=\"min-height:13px\">Month<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" class=\"form-textbox validate[required, limitDate]\" id=\"day_25\" name=\"q25_endDate[day]\" size=\"2\" data-maxlength=\"2\" data-age=\"\" maxLength=\"2\" value=\"\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_25 sublabel_25_day\" \/><span class=\"date-separate\" aria-hidden=\"true\">\u00a0-<\/span><label class=\"form-sub-label\" for=\"day_25\" id=\"sublabel_25_day\" style=\"min-height:13px\">Day<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" class=\"form-textbox validate[required, limitDate]\" id=\"year_25\" name=\"q25_endDate[year]\" size=\"4\" data-maxlength=\"4\" data-age=\"\" maxLength=\"4\" value=\"\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_25 sublabel_25_year\" \/><label class=\"form-sub-label\" for=\"year_25\" id=\"sublabel_25_year\" style=\"min-height:13px\">Year<\/label><\/span><\/div><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" class=\"form-textbox validate[required, limitDate, validateLiteDate]\" id=\"lite_mode_25\" size=\"12\" data-maxlength=\"12\" maxLength=\"12\" data-age=\"\" value=\"\" required=\"\" data-format=\"mmddyyyy\" data-seperator=\"-\" placeholder=\"mm-dd-yyyy\" data-placeholder=\"MM-DD-YYYY\" autoComplete=\"off\" aria-labelledby=\"label_25 sublabel_25_litemode\" \/><img class=\"showAutoCalendar newDefaultTheme-dateIcon icon-liteMode\" alt=\"Pick a Date\" id=\"input_25_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" data-component=\"datetime\" aria-hidden=\"true\" data-allow-time=\"No\" data-version=\"v1\" \/><label class=\"form-sub-label\" for=\"lite_mode_25\" id=\"sublabel_25_litemode\" style=\"min-height:13px\">Date<\/label><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_fullname\" id=\"id_19\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_19\" for=\"prefix_19\" aria-hidden=\"false\"> Name<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_19\" class=\"form-input-wide jf-required\">\n          <div data-wrapper-react=\"true\" class=\"extended\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"prefix\"><input type=\"text\" id=\"prefix_19\" name=\"q19_name[prefix]\" class=\"form-textbox\" data-defaultvalue=\"\" autoComplete=\"section-input_19 honorific-prefix\" size=\"4\" data-component=\"prefix\" aria-labelledby=\"label_19 sublabel_19_prefix\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"prefix_19\" id=\"sublabel_19_prefix\" style=\"min-height:13px\">Prefix<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"first\"><input type=\"text\" id=\"first_19\" name=\"q19_name[first]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_19 given-name\" size=\"10\" data-component=\"first\" aria-labelledby=\"label_19 sublabel_19_first\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"first_19\" id=\"sublabel_19_first\" style=\"min-height:13px\">First Name<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"middle\"><input type=\"text\" id=\"middle_19\" name=\"q19_name[middle]\" class=\"form-textbox\" data-defaultvalue=\"\" autoComplete=\"section-input_19 additional-name\" size=\"10\" data-component=\"middle\" aria-labelledby=\"label_19 sublabel_19_middle\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"middle_19\" id=\"sublabel_19_middle\" style=\"min-height:13px\">Middle Name<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"last\"><input type=\"text\" id=\"last_19\" name=\"q19_name[last]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_19 family-name\" size=\"15\" data-component=\"last\" aria-labelledby=\"label_19 sublabel_19_last\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"last_19\" id=\"sublabel_19_last\" style=\"min-height:13px\">Last Name<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"suffix\"><input type=\"text\" id=\"suffix_19\" name=\"q19_name[suffix]\" class=\"form-textbox\" data-defaultvalue=\"\" autoComplete=\"section-input_19 honorific-suffix\" size=\"4\" data-component=\"suffix\" aria-labelledby=\"label_19 sublabel_19_suffix\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"suffix_19\" id=\"sublabel_19_suffix\" style=\"min-height:13px\">Suffix<\/label><\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_address\" id=\"id_20\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_20\" for=\"input_20_addr_line1\" aria-hidden=\"false\"> Address<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_20\" class=\"form-input-wide jf-required\">\n          <div summary=\"\" class=\"form-address-table jsTest-addressField\">\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_20_addr_line1\" name=\"q20_address[addr_line1]\" class=\"form-textbox validate[required] form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_20 address-line1\" data-component=\"address_line_1\" aria-labelledby=\"label_20 sublabel_20_addr_line1\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_20_addr_line1\" id=\"sublabel_20_addr_line1\" style=\"min-height:13px\">Street Address<\/label><\/span><\/span><\/div>\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_20_addr_line2\" name=\"q20_address[addr_line2]\" class=\"form-textbox form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_20 address-line2\" data-component=\"address_line_2\" aria-labelledby=\"label_20 sublabel_20_addr_line2\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_20_addr_line2\" id=\"sublabel_20_addr_line2\" style=\"min-height:13px\">Street Address<\/label><\/span><\/span><\/div>\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-city-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_20_city\" name=\"q20_address[city]\" class=\"form-textbox validate[required] form-address-city\" data-defaultvalue=\"\" autoComplete=\"section-input_20 address-level2\" data-component=\"city\" aria-labelledby=\"label_20 sublabel_20_city\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_20_city\" id=\"sublabel_20_city\" style=\"min-height:13px\">City<\/label><\/span><\/span><span class=\"form-address-line form-address-state-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><select class=\"form-dropdown validate[required] form-address-state\" name=\"q20_address[state]\" id=\"input_20_state\" data-component=\"state\" required=\"\" aria-labelledby=\"label_20 sublabel_20_state\" autoComplete=\"section-input_20 address-level1\">\n                    <option selected=\"\" value=\"\">Please Select<\/option>\n                    <option value=\"Alabama\">Alabama<\/option>\n                    <option value=\"Alaska\">Alaska<\/option>\n                    <option value=\"Arizona\">Arizona<\/option>\n                    <option value=\"Arkansas\">Arkansas<\/option>\n                    <option value=\"California\">California<\/option>\n                    <option value=\"Colorado\">Colorado<\/option>\n                    <option value=\"Connecticut\">Connecticut<\/option>\n                    <option value=\"Delaware\">Delaware<\/option>\n                    <option value=\"District of Columbia\">District of Columbia<\/option>\n                    <option value=\"Florida\">Florida<\/option>\n                    <option value=\"Georgia\">Georgia<\/option>\n                    <option value=\"Hawaii\">Hawaii<\/option>\n                    <option value=\"Idaho\">Idaho<\/option>\n                    <option value=\"Illinois\">Illinois<\/option>\n                    <option value=\"Indiana\">Indiana<\/option>\n                    <option value=\"Iowa\">Iowa<\/option>\n                    <option value=\"Kansas\">Kansas<\/option>\n                    <option value=\"Kentucky\">Kentucky<\/option>\n                    <option value=\"Louisiana\">Louisiana<\/option>\n                    <option value=\"Maine\">Maine<\/option>\n                    <option value=\"Maryland\">Maryland<\/option>\n                    <option value=\"Massachusetts\">Massachusetts<\/option>\n                    <option value=\"Michigan\">Michigan<\/option>\n                    <option value=\"Minnesota\">Minnesota<\/option>\n                    <option value=\"Mississippi\">Mississippi<\/option>\n                    <option value=\"Missouri\">Missouri<\/option>\n                    <option value=\"Montana\">Montana<\/option>\n                    <option value=\"Nebraska\">Nebraska<\/option>\n                    <option value=\"Nevada\">Nevada<\/option>\n                    <option value=\"New Hampshire\">New Hampshire<\/option>\n                    <option value=\"New Jersey\">New Jersey<\/option>\n                    <option value=\"New Mexico\">New Mexico<\/option>\n                    <option value=\"New York\">New York<\/option>\n                    <option value=\"North Carolina\">North Carolina<\/option>\n                    <option value=\"North Dakota\">North Dakota<\/option>\n                    <option value=\"Ohio\">Ohio<\/option>\n                    <option value=\"Oklahoma\">Oklahoma<\/option>\n                    <option value=\"Oregon\">Oregon<\/option>\n                    <option value=\"Pennsylvania\">Pennsylvania<\/option>\n                    <option value=\"Rhode Island\">Rhode Island<\/option>\n                    <option value=\"South Carolina\">South Carolina<\/option>\n                    <option value=\"South Dakota\">South Dakota<\/option>\n                    <option value=\"Tennessee\">Tennessee<\/option>\n                    <option value=\"Texas\">Texas<\/option>\n                    <option value=\"Utah\">Utah<\/option>\n                    <option value=\"Vermont\">Vermont<\/option>\n                    <option value=\"Virginia\">Virginia<\/option>\n                    <option value=\"Washington\">Washington<\/option>\n                    <option value=\"West Virginia\">West Virginia<\/option>\n                    <option value=\"Wisconsin\">Wisconsin<\/option>\n                    <option value=\"Wyoming\">Wyoming<\/option>\n                  <\/select><label class=\"form-sub-label\" for=\"input_20_state\" id=\"sublabel_20_state\" style=\"min-height:13px\">State<\/label><\/span><\/span><\/div>\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-zip-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_20_postal\" name=\"q20_address[postal]\" class=\"form-textbox form-address-postal\" data-defaultvalue=\"\" autoComplete=\"section-input_20 postal-code\" data-component=\"zip\" aria-labelledby=\"label_20 sublabel_20_postal\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_20_postal\" id=\"sublabel_20_postal\" style=\"min-height:13px\">Zip Code<\/label><\/span><\/span><\/div>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textarea\" id=\"id_8\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_8\" for=\"input_8\" aria-hidden=\"false\"> List of participants:<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_8\" class=\"form-input-wide jf-required\"> <textarea id=\"input_8\" class=\"form-textarea validate[required]\" name=\"q8_listOf8\" cols=\"40\" rows=\"6\" data-component=\"textarea\" required=\"\" aria-labelledby=\"label_8\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textarea\" id=\"id_16\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_16\" for=\"input_16\" aria-hidden=\"false\"> Topics discussed and materials used:<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_16\" class=\"form-input-wide jf-required\"> <textarea id=\"input_16\" class=\"form-textarea validate[required]\" name=\"q16_topicDiscussed\" cols=\"40\" rows=\"6\" data-component=\"textarea\" required=\"\" aria-labelledby=\"label_16\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textarea\" id=\"id_10\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_10\" for=\"input_10\" aria-hidden=\"false\"> Structure of the meeting:<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_10\" class=\"form-input-wide jf-required\"> <textarea id=\"input_10\" class=\"form-textarea validate[required]\" name=\"q10_structureOf10\" cols=\"40\" rows=\"6\" data-component=\"textarea\" required=\"\" aria-labelledby=\"label_10\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_fileupload\" id=\"id_24\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_24\" for=\"input_24\" aria-hidden=\"false\"> Upload a meeting photo: <\/label>\n        <div id=\"cid_24\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\">\n              <div class=\"qq-uploader-buttonText-value\">Browse Files<\/div><input type=\"file\" id=\"input_24\" name=\"q24_uploadA24[]\" multiple=\"\" class=\"form-upload-multiple\" data-imagevalidate=\"yes\" data-file-accept=\"pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif\" data-file-maxsize=\"10854\" data-file-minsize=\"0\" data-file-limit=\"\" data-component=\"fileupload\" \/><label class=\"form-sub-label\" for=\"input_24\" style=\"min-height:13px\">Optional - for use in PALS publications (Facebook, PenPALS, etc.)<\/label>\n            <\/span><span style=\"display:none\" class=\"cancelText\">Cancel<\/span><span style=\"display:none\" class=\"ofText\">of<\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_fileupload\" id=\"id_23\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_23\" for=\"input_23\" aria-hidden=\"false\"> Upload meeting schedule: <\/label>\n        <div id=\"cid_23\" class=\"form-input-wide\">\n          <div data-wrapper-react=\"true\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\">\n              <div class=\"qq-uploader-buttonText-value\">Browse Files<\/div><input type=\"file\" id=\"input_23\" name=\"q23_uploadMeeting[]\" multiple=\"\" class=\"form-upload-multiple\" data-imagevalidate=\"yes\" data-file-accept=\"pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif\" data-file-maxsize=\"10854\" data-file-minsize=\"0\" data-file-limit=\"\" data-component=\"fileupload\" \/><label class=\"form-sub-label\" for=\"input_23\" style=\"min-height:13px\">Optional<\/label>\n            <\/span><span style=\"display:none\" class=\"cancelText\">Cancel<\/span><span style=\"display:none\" class=\"ofText\">of<\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textarea\" id=\"id_17\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_17\" for=\"input_17\" aria-hidden=\"false\"> Suggested curriculum additions or changes:<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_17\" class=\"form-input-wide jf-required\"> <textarea id=\"input_17\" class=\"form-textarea validate[required]\" name=\"q17_recommendationsFor\" cols=\"40\" rows=\"6\" data-component=\"textarea\" required=\"\" aria-labelledby=\"label_17\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textarea\" id=\"id_11\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_11\" for=\"input_11\" aria-hidden=\"false\"> What worked well:<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_11\" class=\"form-input-wide jf-required\"> <textarea id=\"input_11\" class=\"form-textarea validate[required]\" name=\"q11_whatWorked\" cols=\"40\" rows=\"6\" data-component=\"textarea\" required=\"\" aria-labelledby=\"label_11\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textarea\" id=\"id_12\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_12\" for=\"input_12\" aria-hidden=\"false\"> What I would not do again:<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_12\" class=\"form-input-wide jf-required\"> <textarea id=\"input_12\" class=\"form-textarea validate[required]\" name=\"q12_whatI\" cols=\"40\" rows=\"6\" data-component=\"textarea\" required=\"\" aria-labelledby=\"label_12\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_22\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_22\" for=\"input_22\" aria-hidden=\"false\"> Comments and suggestions: <\/label>\n        <div id=\"cid_22\" class=\"form-input-wide\"> <textarea id=\"input_22\" class=\"form-textarea\" name=\"q22_dSuggestions\" cols=\"40\" rows=\"6\" data-component=\"textarea\" aria-labelledby=\"label_22\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_captcha\" id=\"id_15\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_15\" for=\"input_15\" aria-hidden=\"false\"> Enter the message as it's shown<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_15\" class=\"form-input-wide jf-required\">\n          <div class=\"form-captcha\" data-component=\"captcha\"><label for=\"input_15\"><img alt=\"Captcha - Reload if not displayed\" id=\"input_15_captcha\" class=\"form-captcha-image\" style=\"background:url(https:\/\/cdn.jotfor.ms\/images\/loader-big.gif) no-repeat center\" src=\"https:\/\/cdn.jotfor.ms\/images\/blank.gif\" width=\"150\" height=\"41\" \/><\/label>\n            <div style=\"white-space:nowrap\"><input type=\"text\" id=\"input_15\" class=\"form-textbox validate[required]\" name=\"captcha\" style=\"width:130px\" required=\"\" \/><img src=\"https:\/\/cdn.jotfor.ms\/images\/reload.png\" alt=\"Reload\" style=\"cursor:pointer;vertical-align:middle\" id=\"input_15_reload\" \/><input type=\"hidden\" name=\"captcha_id\" id=\"input_15_captcha_id\" value=\"0\" \/><\/div>\n          <\/div>\n        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