{"id":40516,"date":"2023-04-21T09:45:58","date_gmt":"2023-04-21T13:45:58","guid":{"rendered":"https:\/\/www.sciremc.com\/?page_id=40516"},"modified":"2023-05-02T08:07:28","modified_gmt":"2023-05-02T12:07:28","slug":"energyadvisorsurvey","status":"publish","type":"page","link":"https:\/\/www.sciremc.com\/energyadvisorsurvey\/","title":{"rendered":"Energy Audit\/Rebate Satisfaction Survey"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_chrome gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_50' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_50'  action='\/wp-json\/wp\/v2\/pages\/40516' data-formid='50' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_50' class='gform_fields top_label form_sublabel_above description_below'><fieldset id=\"field_50_21\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_21\"><legend class='gfield_label gform-field-label'  >How satisfied are you with your overall experience with our Energy Advisor?<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_50_21'>\n\t\t\t<div class='gchoice gchoice_50_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Very Satisfied'  id='choice_50_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_21_0' id='label_50_21_0' class='gform-field-label gform-field-label--type-inline'>Very Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Satisfied'  id='choice_50_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_21_1' id='label_50_21_1' class='gform-field-label gform-field-label--type-inline'>Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_21_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Neutral'  id='choice_50_21_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_21_2' id='label_50_21_2' class='gform-field-label gform-field-label--type-inline'>Neutral<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_21_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Dissatisfied'  id='choice_50_21_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_21_3' id='label_50_21_3' class='gform-field-label gform-field-label--type-inline'>Dissatisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_21_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Very Dissatisfied'  id='choice_50_21_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_21_4' id='label_50_21_4' class='gform-field-label gform-field-label--type-inline'>Very Dissatisfied<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_50_23\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_23\"><legend class='gfield_label gform-field-label'  >Was the Energy Advisor courteous and professional?<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_50_23'>\n\t\t\t<div class='gchoice gchoice_50_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Yes'  id='choice_50_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_23_0' id='label_50_23_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_50_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='No'  id='choice_50_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_23_1' id='label_50_23_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_50_25\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_25\"><legend class='gfield_label gform-field-label'  >Was the Energy Advisor responsive to your questions and concerns?<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_50_25'>\n\t\t\t<div class='gchoice gchoice_50_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Yes'  id='choice_50_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_25_0' id='label_50_25_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_50_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='No'  id='choice_50_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_25_1' id='label_50_25_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_50_27\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_27\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Which of the following SCI REMC incentive programs are you aware of?<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_50_27'><div class='gchoice gchoice_50_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='Connect to Save'  id='choice_50_27_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_27_1' id='label_50_27_1' class='gform-field-label gform-field-label--type-inline'>Connect to Save<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_50_27_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.2' type='checkbox'  value='Rebates'  id='choice_50_27_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_27_2' id='label_50_27_2' class='gform-field-label gform-field-label--type-inline'>Rebates<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_50_27_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.3' type='checkbox'  value='I did not know these programs existed.'  id='choice_50_27_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_27_3' id='label_50_27_3' class='gform-field-label gform-field-label--type-inline'>I did not know these programs existed.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_50_45\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_45\">Request information on these programs by calling (765) 342-3344 or email productsservices@sciremc.com.<\/div><div id=\"field_50_28\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_28\"><h3 class=\"gsection_title\">Energy Audit Visits<\/h3><\/div><fieldset id=\"field_50_29\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_29\"><legend class='gfield_label gform-field-label'  >Have you received an SCI REMC energy audit?<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_50_29'>\n\t\t\t<div class='gchoice gchoice_50_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Yes'  id='choice_50_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_29_0' id='label_50_29_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_50_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='No'  id='choice_50_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_29_1' id='label_50_29_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_50_30\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_30\"><legend class='gfield_label gform-field-label'  >How likely would you recommend another member to receive an energy audit from SCI REMC?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_50_30'>\n\t\t\t<div class='gchoice gchoice_50_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Very Likely'  id='choice_50_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_30_0' id='label_50_30_0' class='gform-field-label gform-field-label--type-inline'>Very Likely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Likely'  id='choice_50_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_30_1' id='label_50_30_1' class='gform-field-label gform-field-label--type-inline'>Likely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Unlikely'  id='choice_50_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_30_2' id='label_50_30_2' class='gform-field-label gform-field-label--type-inline'>Unlikely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_30_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Very Unlikely'  id='choice_50_30_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_30_3' id='label_50_30_3' class='gform-field-label gform-field-label--type-inline'>Very Unlikely<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_50_32\"  class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_32\"><label class='gfield_label gform-field-label' for='input_50_32' >How did the energy audit benefit you and or your energy savings?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_32' id='input_50_32' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_50_47\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_47\"><legend class='gfield_label gform-field-label'  >How did you learn about SCI REMC&#039;s energy audits?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_50_47'>\n\t\t\t<div class='gchoice gchoice_50_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Newsletter'  id='choice_50_47_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_47_0' id='label_50_47_0' class='gform-field-label gform-field-label--type-inline'>Newsletter<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_47_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Social Media'  id='choice_50_47_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_47_1' id='label_50_47_1' class='gform-field-label gform-field-label--type-inline'>Social Media<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_47_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Website'  id='choice_50_47_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_47_2' id='label_50_47_2' class='gform-field-label gform-field-label--type-inline'>Website<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_47_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Word of Mouth'  id='choice_50_47_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_47_3' id='label_50_47_3' class='gform-field-label gform-field-label--type-inline'>Word of Mouth<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_47_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='gf_other_choice'  id='choice_50_47_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_47_4' id='label_50_47_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_50_47_other' class='gchoice_other_control' name='input_47_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_50_33\"  class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_33\"><label class='gfield_label gform-field-label' for='input_50_33' >Please share any suggestions or comments regarding the SCI REMC Energy Advisor who performed services at your home.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_33' id='input_50_33' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_50_34\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_34\"><h3 class=\"gsection_title\">Rebate Programs<\/h3><\/div><fieldset id=\"field_50_38\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_38\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Which SCI REMC incentive program(s) have you participated\/are participating in?<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_50_38'><div class='gchoice gchoice_50_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='Connect to Save Program'  id='choice_50_38_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_38_1' id='label_50_38_1' class='gform-field-label gform-field-label--type-inline'>Connect to Save Program<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_50_38_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.2' type='checkbox'  value='Electric Outdoor Equipment Rebate'  id='choice_50_38_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_38_2' id='label_50_38_2' class='gform-field-label gform-field-label--type-inline'>Electric Outdoor Equipment Rebate<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_50_38_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.3' type='checkbox'  value='Air Source Heat Pump Rebate'  id='choice_50_38_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_38_3' id='label_50_38_3' class='gform-field-label gform-field-label--type-inline'>Air Source Heat Pump Rebate<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_50_38_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.4' type='checkbox'  value='Geothermal Heat Pump Rebate'  id='choice_50_38_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_38_4' id='label_50_38_4' class='gform-field-label gform-field-label--type-inline'>Geothermal Heat Pump Rebate<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_50_38_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.5' type='checkbox'  value='Mini-Split Heat Pump Rebate'  id='choice_50_38_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_38_5' id='label_50_38_5' class='gform-field-label gform-field-label--type-inline'>Mini-Split Heat Pump Rebate<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_50_38_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.6' type='checkbox'  value='HVAC Tune-Up Rebate'  id='choice_50_38_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_38_6' id='label_50_38_6' class='gform-field-label gform-field-label--type-inline'>HVAC Tune-Up Rebate<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_50_38_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.7' type='checkbox'  value='Hybrid\/Heat Pump Water Heater Rebate'  id='choice_50_38_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_38_7' id='label_50_38_7' class='gform-field-label gform-field-label--type-inline'>Hybrid\/Heat Pump Water Heater Rebate<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_50_38_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.8' type='checkbox'  value='I am not currently participating in any incentive programs offered by SCI REMC.'  id='choice_50_38_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_38_8' id='label_50_38_8' class='gform-field-label gform-field-label--type-inline'>I am not currently participating in any incentive programs offered by SCI REMC.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_50_38_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.9' type='checkbox'  value='I have never participated in any incentive programs offered by SCI REMC.'  id='choice_50_38_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_50_38_9' id='label_50_38_9' class='gform-field-label gform-field-label--type-inline'>I have never participated in any incentive programs offered by SCI REMC.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_50_35\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_35\"><legend class='gfield_label gform-field-label'  >How would you rate your satisfaction on the application process?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_50_35'>\n\t\t\t<div class='gchoice gchoice_50_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Very Satisfied'  id='choice_50_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_35_0' id='label_50_35_0' class='gform-field-label gform-field-label--type-inline'>Very Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Satisfied'  id='choice_50_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_35_1' id='label_50_35_1' class='gform-field-label gform-field-label--type-inline'>Satisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_35_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Neutral'  id='choice_50_35_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_35_2' id='label_50_35_2' class='gform-field-label gform-field-label--type-inline'>Neutral<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_35_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Dissatisfied'  id='choice_50_35_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_35_3' id='label_50_35_3' class='gform-field-label gform-field-label--type-inline'>Dissatisfied<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_35_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Very Dissatisfied'  id='choice_50_35_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_35_4' id='label_50_35_4' class='gform-field-label gform-field-label--type-inline'>Very Dissatisfied<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_50_40\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_40\"><legend class='gfield_label gform-field-label'  >How did you learn about these programs?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_50_40'>\n\t\t\t<div class='gchoice gchoice_50_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Newsletter'  id='choice_50_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_40_0' id='label_50_40_0' class='gform-field-label gform-field-label--type-inline'>Newsletter<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Social Media'  id='choice_50_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_40_1' id='label_50_40_1' class='gform-field-label gform-field-label--type-inline'>Social Media<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Website'  id='choice_50_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_40_2' id='label_50_40_2' class='gform-field-label gform-field-label--type-inline'>Website<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Word of Mouth'  id='choice_50_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_40_3' id='label_50_40_3' class='gform-field-label gform-field-label--type-inline'>Word of Mouth<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_50_40_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='gf_other_choice'  id='choice_50_40_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_40_4' id='label_50_40_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_50_40_other' class='gchoice_other_control' name='input_40_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_50_41\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_41\"><legend class='gfield_label gform-field-label'  >Would you recommend these programs to another member?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_50_41'>\n\t\t\t<div class='gchoice gchoice_50_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Yes'  id='choice_50_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_41_0' id='label_50_41_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_50_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='No'  id='choice_50_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_41_1' id='label_50_41_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_50_43\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_43\"><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_50_44\"  class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_44\"><label class='gfield_label gform-field-label' for='input_50_44' >Please share any additional suggestions or comments.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_44' id='input_50_44' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_50_48\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_48\"><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_50_58\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_58\"><legend class='gfield_label gform-field-label'  >Would you like to be contacted for more information on our services or to address a concern?<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_50_58'>\n\t\t\t<div class='gchoice gchoice_50_58_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='Yes'  id='choice_50_58_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_58_0' id='label_50_58_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_50_58_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='No'  id='choice_50_58_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_50_58_1' id='label_50_58_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_50_50\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_50\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_50_50'>\n                            \n                            <span id='input_50_50_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_50_50_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_50.3' id='input_50_50_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_50_50_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_50_50_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_50.6' id='input_50_50_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_50_57\"  class=\"gfield gfield--type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_57\"><label class='gfield_label gform-field-label' for='input_50_57' >Account Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_57' id='input_50_57' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_50_52\"  class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_52\"><label class='gfield_label gform-field-label' for='input_50_52' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_52' id='input_50_52' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_50_53\"  class=\"gfield gfield--type-email gfield--width-full field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_53\"><label class='gfield_label gform-field-label' for='input_50_53' >Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_53' id='input_50_53' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_50_56\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_50_56\"><label class='gfield_label gform-field-label' for='input_50_56' >What would you like to be contacted about?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_56' id='input_50_56' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_50' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_50\"]){return false;}  if( !jQuery(\"#gform_50\")[0].checkValidity || jQuery(\"#gform_50\")[0].checkValidity()){window[\"gf_submitting_50\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_50\"]){return false;} if( !jQuery(\"#gform_50\")[0].checkValidity || 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