/*jslint nomen:false, debug:true, evil:true, vars:false, browser:true, forin:true, undef:false, white:false */
/**
* Includes a Form with javascript
* @param {Object} formId
* @param {Object} initialHeight
* @param {Object} iframeCode
*/
function FrameBuilder (formId, appendTo, initialHeight, iframeCode){
this.formId = formId;
this.initialHeight = initialHeight;
this.iframeCode = iframeCode;
this.frame = null;
this.timeInterval= 200;
this.appendTo = appendTo || false;
// initialize function for object
this.init = function(){
this.createFrame();
this.addFrameContent(this.iframeCode);
};
// Create the frame
this.createFrame = function(){
var htmlCode = "<"+"iframe src=\"\" allowtransparency=\"true\" frameborder=\"0\" name=\""+this.formId+"\" id=\""+this.formId+"\" style=\"width:100%; height:"+this.initialHeight+"px; border:none;\" scrolling=\"no\">";
if(this.appendTo === false){
document.write(htmlCode);
}else{
var tmp = document.createElement('div');
tmp.innerHTML = htmlCode;
var a = this.appendTo;
document.getElementById(a).appendChild(tmp.firstChild);
}
// also get the frame for future use.
this.frame = document.getElementById(this.formId);
// set the time on the on load event of the frame
this.addEvent(this.frame, 'load', this.bindMethod(this.setTimer, this));
};
// add event function for different browsers
this.addEvent = function( obj, type, fn ) {
if ( obj.attachEvent ) {
obj["e"+type+fn] = fn;
obj[type+fn] = function() { obj["e"+type+fn]( window.event ); };
obj.attachEvent( "on"+type, obj[type+fn] );
}
else{
obj.addEventListener( type, fn, false );
}
};
this.addFrameContent = function (string){
string = string.replace(new RegExp('src\\=\\"[^"]*captcha.php\"><\/scr'+'ipt>', 'gim'), 'src="http://api.recaptcha.net/js/recaptcha_ajax.js"><'+'div id="recaptcha_div"><'+'/div>'+
'<'+'style>#recaptcha_logo{ display:none;} #recaptcha_tagline{display:none;} #recaptcha_table{border:none !important;} .recaptchatable .recaptcha_image_cell, #recaptcha_table{ background-color:transparent !important; } <'+'/style>'+
'<'+'script defer="defer"> window.onload = function(){ Recaptcha.create("6Ld9UAgAAAAAAMon8zjt30tEZiGQZ4IIuWXLt1ky", "recaptcha_div", {theme: "clean",tabindex: 0,callback: function (){'+
'if (document.getElementById("uword")) { document.getElementById("uword").parentNode.removeChild(document.getElementById("uword")); } if (window["validate"] !== undefined) { if (document.getElementById("recaptcha_response_field")){ document.getElementById("recaptcha_response_field").onblur = function(){ validate(document.getElementById("recaptcha_response_field"), "Required"); } } } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_challenge_field")[0].setAttribute("name", "anum"); } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_response_field")[0].setAttribute("name", "qCap"); }}})'+
' }<'+'/script>');
string = string.replace(/(type="text\/javascript">)\s+(validate\(\"[^"]*"\);)/, '$1 jTime = setInterval(function(){if("validate" in window){$2clearTimeout(jTime);}}, 1000);');
var frameDocument = (this.frame.contentWindow) ? this.frame.contentWindow : (this.frame.contentDocument.document) ? this.frame.contentDocument.document : this.frame.contentDocument;
frameDocument.document.open();
frameDocument.document.write(string);
setTimeout( function(){
frameDocument.document.close();
try{
if('JotFormFrameLoaded' in window){
JotFormFrameLoaded();
}
}catch(e){}
},200);
};
this.setTimer = function(){
var self = this;
this.interval = setTimeout(function(){self.changeHeight();},this.timeInterval);
};
this.changeHeight = function (){
var actualHeight = this.getBodyHeight();
var currentHeight = this.getViewPortHeight();
if(actualHeight === undefined){
this.frame.style.height = "100%";
if(!this.frame.style.minHeight){
this.frame.style.minHeight = "300px";
}
}else if (Math.abs(actualHeight - currentHeight) > 18){
this.frame.style.height = (actualHeight)+"px";
}
this.setTimer();
};
this.bindMethod = function(method, scope) {
return function() {
method.apply(scope,arguments);
};
};
this.getBodyHeight = function (){
var height;
var scrollHeight;
var offsetHeight;
try{ // Prevent IE from throw errors
if (this.frame.contentWindow.document.height){
height = this.frame.contentWindow.document.height;
//Emre: to prevent "iframe height" problem (61059)
if (this.frame.contentWindow.document.body.scrollHeight){
height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight;
}
if (this.frame.contentWindow.document.body.offsetHeight){
height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight;
}
} else if (this.frame.contentWindow.document.body){
if (this.frame.contentWindow.document.body.scrollHeight){
height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight;
}
if (this.frame.contentWindow.document.body.offsetHeight){
height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight;
}
if (scrollHeight && offsetHeight){
height = Math.max(scrollHeight, offsetHeight);
}
}
}catch(e){ }
return height;
};
this.getViewPortHeight = function(){
var height = 0;
try{ // Prevent IE from throw errors
if (this.frame.contentWindow.window.innerHeight)
{
height = this.frame.contentWindow.window.innerHeight - 18;
}
else if ((this.frame.contentWindow.document.documentElement) &&
(this.frame.contentWindow.document.documentElement.clientHeight))
{
height = this.frame.contentWindow.document.documentElement.clientHeight;
}
else if ((this.frame.contentWindow.document.body) &&
(this.frame.contentWindow.document.body.clientHeight))
{
height = this.frame.contentWindow.document.body.clientHeight;
}
}catch(e){ }
return height;
};
this.init();
}
FrameBuilder.get = [];
var i1321729396 = new FrameBuilder("1321729396", false, "", "\n\n\n\n\nForm<\/title>\n<link href=\"http:\/\/max.jotfor.ms\/min\/g=formCss?3.0.2434\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<style type=\"text\/css\">\n .form-label{\n width:150px !important;\n }\n .form-label-left{\n width:150px !important;\n }\n .form-line{\n padding:10px;\n }\n .form-label-right{\n width:150px !important;\n }\n body, html{\n margin:0;\n padding:0;\n background:#d1d9e0;\n }\n\n .form-all{\n margin:0px auto;\n padding-top:0px;\n width:650px;\n background:#d1d9e0;\n color:Black !important;\n font-family:Verdana;\n font-size:12px;\n }\n<\/style>\n\n<script src=\"http:\/\/max.jotfor.ms\/min\/g=jotform?3.0.2434\" type=\"text\/javascript\"><\/script>\n<script type=\"text\/javascript\">\n var jsTime = setInterval(function(){try{\n JotForm.jsForm = true;\n\n JotForm.init(function(){\n JotForm.initCaptcha('input_44');\n });\n\n clearInterval(jsTime);\n }catch(e){}}, 1000);\n<\/script>\n<\/head>\n<body>\n<form class=\"jotform-form\" action=\"http:\/\/submit.jotform.com\/submit.php\" method=\"post\" enctype=\"multipart\/form-data\" name=\"form_1321729396\" id=\"1321729396\" accept-charset=\"utf-8\">\n <input type=\"hidden\" name=\"formID\" value=\"1321729396\" \/>\n <div class=\"form-all\">\n <ul class=\"form-section\">\n <li id=\"cid_1\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_1\" class=\"form-header\">\n How did you feel about your store?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_4\">\n <label class=\"form-label-left\" id=\"label_4\" for=\"input_4\"> Appearance and cleanliness? <\/label>\n <div id=\"cid_4\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_4_0\" name=\"q4_appearanceAnd\" value=\"Very Satisfied\" \/>\n <label for=\"input_4_0\"> Very Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_4_1\" name=\"q4_appearanceAnd\" value=\"Satisfied\" \/>\n <label for=\"input_4_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_4_2\" name=\"q4_appearanceAnd\" value=\"Uncertain\" \/>\n <label for=\"input_4_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_4_3\" name=\"q4_appearanceAnd\" value=\"Dissatisfied\" \/>\n <label for=\"input_4_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_4_4\" name=\"q4_appearanceAnd\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_4_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_5\">\n <label class=\"form-label-left\" id=\"label_5\" for=\"input_5\"> Convenience of store's location? <\/label>\n <div id=\"cid_5\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_5_0\" name=\"q5_convenienceOf\" value=\"Very Satisfied\" \/>\n <label for=\"input_5_0\"> Very Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_5_1\" name=\"q5_convenienceOf\" value=\"Satisfied\" \/>\n <label for=\"input_5_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_5_2\" name=\"q5_convenienceOf\" value=\"Uncertain\" \/>\n <label for=\"input_5_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_5_3\" name=\"q5_convenienceOf\" value=\"Dissatisfied\" \/>\n <label for=\"input_5_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_5_4\" name=\"q5_convenienceOf\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_5_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_13\">\n <label class=\"form-label-left\" id=\"label_13\" for=\"input_13\"> Hours of Operation <\/label>\n <div id=\"cid_13\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_13_0\" name=\"q13_hoursOf\" value=\"Very Satisfied\" \/>\n <label for=\"input_13_0\"> Very Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_13_1\" name=\"q13_hoursOf\" value=\"Satisfied\" \/>\n <label for=\"input_13_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_13_2\" name=\"q13_hoursOf\" value=\"Uncertain\" \/>\n <label for=\"input_13_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_13_3\" name=\"q13_hoursOf\" value=\"Dissatisfied\" \/>\n <label for=\"input_13_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_13_4\" name=\"q13_hoursOf\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_13_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_14\">\n <label class=\"form-label-left\" id=\"label_14\" for=\"input_14\"> Layout of store's department? <\/label>\n <div id=\"cid_14\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_14_0\" name=\"q14_layoutOf\" value=\"Very Satisfied\" \/>\n <label for=\"input_14_0\"> Very Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_14_1\" name=\"q14_layoutOf\" value=\"Satisfied\" \/>\n <label for=\"input_14_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_14_2\" name=\"q14_layoutOf\" value=\"Uncertain\" \/>\n <label for=\"input_14_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_14_3\" name=\"q14_layoutOf\" value=\"Dissatisfied\" \/>\n <label for=\"input_14_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_14_4\" name=\"q14_layoutOf\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_14_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_9\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_9\" class=\"form-header\">\n How did you feel about the services you received in the store?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_10\">\n <label class=\"form-label-left\" id=\"label_10\" for=\"input_10\"> Rate your overall checkout experience <\/label>\n <div id=\"cid_10\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_10_0\" name=\"q10_rateYour10\" value=\"Very Satisfied\" \/>\n <label for=\"input_10_0\"> Very Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_10_1\" name=\"q10_rateYour10\" value=\"Satisfied\" \/>\n <label for=\"input_10_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_10_2\" name=\"q10_rateYour10\" value=\"Uncertain\" \/>\n <label for=\"input_10_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_10_3\" name=\"q10_rateYour10\" value=\"Dissatisied\" \/>\n <label for=\"input_10_3\"> Dissatisied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_10_4\" name=\"q10_rateYour10\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_10_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_11\">\n <label class=\"form-label-left\" id=\"label_11\" for=\"input_11\"> Were you greeted when you entered the store? <\/label>\n <div id=\"cid_11\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_11_0\" name=\"q11_wereYou\" value=\"Yes\" \/>\n <label for=\"input_11_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_11_1\" name=\"q11_wereYou\" value=\"No\" \/>\n <label for=\"input_11_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_12\">\n <label class=\"form-label-left\" id=\"label_12\" for=\"input_12\"> Was Goodwill's message statement \"To help people with disabilites and disadvantages achieve maximum independence.\" advertised in the store? <\/label>\n <div id=\"cid_12\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_12_0\" name=\"q12_wasGoodwills\" value=\"Yes\" \/>\n <label for=\"input_12_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_12_1\" name=\"q12_wasGoodwills\" value=\"No\" \/>\n <label for=\"input_12_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_15\">\n <label class=\"form-label-left\" id=\"label_15\" for=\"input_15\"> Did you find the store associates to be knowledgeable\/helpful? <\/label>\n <div id=\"cid_15\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_15_0\" name=\"q15_didYou\" value=\"Yes\" \/>\n <label for=\"input_15_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_15_1\" name=\"q15_didYou\" value=\"No\" \/>\n <label for=\"input_15_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_16\">\n <label class=\"form-label-left\" id=\"label_16\" for=\"input_16\"> Were our store associates friendly? <\/label>\n <div id=\"cid_16\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_16_0\" name=\"q16_wereOur\" value=\"Yes\" \/>\n <label for=\"input_16_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_16_1\" name=\"q16_wereOur\" value=\"No\" \/>\n <label for=\"input_16_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_17\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_17\" class=\"form-header\">\n How did you feel about the merchandise in the store?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_18\">\n <label class=\"form-label-left\" id=\"label_18\" for=\"input_18\"> Quality of the merchandise? <\/label>\n <div id=\"cid_18\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_18_0\" name=\"q18_qualityOf\" value=\"Very Satisfied\" \/>\n <label for=\"input_18_0\"> Very Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_18_1\" name=\"q18_qualityOf\" value=\"Satisfied\" \/>\n <label for=\"input_18_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_18_2\" name=\"q18_qualityOf\" value=\"Uncertain\" \/>\n <label for=\"input_18_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_18_3\" name=\"q18_qualityOf\" value=\"Dissatisfied\" \/>\n <label for=\"input_18_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_18_4\" name=\"q18_qualityOf\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_18_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_19\">\n <label class=\"form-label-left\" id=\"label_19\" for=\"input_19\"> Variety of the merchandise? <\/label>\n <div id=\"cid_19\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_19_0\" name=\"q19_varietyOf\" value=\"Very Satisfied\" \/>\n <label for=\"input_19_0\"> Very Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_19_1\" name=\"q19_varietyOf\" value=\"Satisfied\" \/>\n <label for=\"input_19_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_19_2\" name=\"q19_varietyOf\" value=\"Uncertain\" \/>\n <label for=\"input_19_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_19_3\" name=\"q19_varietyOf\" value=\"Dissatisfied\" \/>\n <label for=\"input_19_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_19_4\" name=\"q19_varietyOf\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_19_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_20\">\n <label class=\"form-label-left\" id=\"label_20\" for=\"input_20\"> Display of the merchandise? <\/label>\n <div id=\"cid_20\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_20_0\" name=\"q20_displayOf\" value=\"Very Saitsfied\" \/>\n <label for=\"input_20_0\"> Very Saitsfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_20_1\" name=\"q20_displayOf\" value=\"Satisfied\" \/>\n <label for=\"input_20_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_20_2\" name=\"q20_displayOf\" value=\"Uncertain\" \/>\n <label for=\"input_20_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_20_3\" name=\"q20_displayOf\" value=\"Dissatisfied\" \/>\n <label for=\"input_20_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_20_4\" name=\"q20_displayOf\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_20_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_21\">\n <label class=\"form-label-left\" id=\"label_21\" for=\"input_21\"> Visibility of the pricetags? <\/label>\n <div id=\"cid_21\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_21_0\" name=\"q21_visibilityOf21\" value=\"Very Satisfied\" \/>\n <label for=\"input_21_0\"> Very Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_21_1\" name=\"q21_visibilityOf21\" value=\"Satisfied\" \/>\n <label for=\"input_21_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_21_2\" name=\"q21_visibilityOf21\" value=\"Uncertain\" \/>\n <label for=\"input_21_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_21_3\" name=\"q21_visibilityOf21\" value=\"Dissatisfied\" \/>\n <label for=\"input_21_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_21_4\" name=\"q21_visibilityOf21\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_21_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_22\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_22\" class=\"form-header\">\n Which of the choices below are important to you when deciding to shop at Goodwill?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_23\">\n <label class=\"form-label-left\" id=\"label_23\" for=\"input_23\"> Click to edit <\/label>\n <div id=\"cid_23\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_23_0\" name=\"q23_clickTo23[]\" value=\"Quality of the merchandise\" \/>\n <label for=\"input_23_0\"> Quality of the merchandise <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_23_1\" name=\"q23_clickTo23[]\" value=\"Variety of the merchandise\" \/>\n <label for=\"input_23_1\"> Variety of the merchandise <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_23_2\" name=\"q23_clickTo23[]\" value=\"Display of the merchandise\" \/>\n <label for=\"input_23_2\"> Display of the merchandise <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_23_3\" name=\"q23_clickTo23[]\" value=\"Visibility of the merchandise\" \/>\n <label for=\"input_23_3\"> Visibility of the merchandise <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_24\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_24\" class=\"form-header\">\n How often do you shop at Goodwill?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_25\">\n <label class=\"form-label-left\" id=\"label_25\" for=\"input_25\"> .... <\/label>\n <div id=\"cid_25\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_25_0\" name=\"q25_25\" value=\"More than once a month\" \/>\n <label for=\"input_25_0\"> More than once a month <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_25_1\" name=\"q25_25\" value=\"Once a month\" \/>\n <label for=\"input_25_1\"> Once a month <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_25_2\" name=\"q25_25\" value=\"3-5 times a year\" \/>\n <label for=\"input_25_2\"> 3-5 times a year <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_25_3\" name=\"q25_25\" value=\"Twice a year\" \/>\n <label for=\"input_25_3\"> Twice a year <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_25_4\" name=\"q25_25\" value=\"Once a year\" \/>\n <label for=\"input_25_4\"> Once a year <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_25_5\" name=\"q25_25\" value=\"Less than once a year\" \/>\n <label for=\"input_25_5\"> Less than once a year <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_25_6\" name=\"q25_25\" value=\"This is my first time shopping at Goodwill\" \/>\n <label for=\"input_25_6\"> This is my first time shopping at Goodwill <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_26\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_26\" class=\"form-header\">\n How far do you travel to shop at a Goodwill store?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_27\">\n <label class=\"form-label-left\" id=\"label_27\" for=\"input_27\"> .... <\/label>\n <div id=\"cid_27\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_27_0\" name=\"q27_27\" value=\"Less than 10 minutes\" \/>\n <label for=\"input_27_0\"> Less than 10 minutes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_27_1\" name=\"q27_27\" value=\"Between 10 and 20 minutes\" \/>\n <label for=\"input_27_1\"> Between 10 and 20 minutes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_27_2\" name=\"q27_27\" value=\"Option 3\" \/>\n <label for=\"input_27_2\"> Option 3 <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_27_3\" name=\"q27_27\" value=\"Option4\" \/>\n <label for=\"input_27_3\"> Option4 <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_28\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_28\" class=\"form-header\">\n What feature could Goodwill at to retail stores?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_29\">\n <label class=\"form-label-left\" id=\"label_29\" for=\"input_29\"> .... <\/label>\n <div id=\"cid_29\" class=\"form-input\">\n <textarea id=\"input_29\" class=\"form-textarea\" name=\"q29_29\" cols=\"40\" rows=\"6\"><\/textarea>\n <\/div>\n <\/li>\n <li id=\"cid_31\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_31\" class=\"form-header\">\n Please tell us about your shopping experience.\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_32\">\n <label class=\"form-label-left\" id=\"label_32\" for=\"input_32\"> Overall how would you rate your most recent shopping experience at Goodwill? <\/label>\n <div id=\"cid_32\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_32_0\" name=\"q32_overallHow\" value=\"Very Satisfied\" \/>\n <label for=\"input_32_0\"> Very Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_32_1\" name=\"q32_overallHow\" value=\"Satisfied\" \/>\n <label for=\"input_32_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_32_2\" name=\"q32_overallHow\" value=\"Uncertain\" \/>\n <label for=\"input_32_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_32_3\" name=\"q32_overallHow\" value=\"Dissatisfied\" \/>\n <label for=\"input_32_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_32_4\" name=\"q32_overallHow\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_32_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_33\">\n <label class=\"form-label-left\" id=\"label_33\" for=\"input_33\"> Compared to shopping at other retail stores, how would you rate your most recent shopping experience at Goodwill? <\/label>\n <div id=\"cid_33\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_33_0\" name=\"q33_comparedTo\" value=\"Much Better\" \/>\n <label for=\"input_33_0\"> Much Better <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_33_1\" name=\"q33_comparedTo\" value=\"Better\" \/>\n <label for=\"input_33_1\"> Better <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_33_2\" name=\"q33_comparedTo\" value=\"Uncertain\" \/>\n <label for=\"input_33_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_33_3\" name=\"q33_comparedTo\" value=\"Worse\" \/>\n <label for=\"input_33_3\"> Worse <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_33_4\" name=\"q33_comparedTo\" value=\"Much Worse\" \/>\n <label for=\"input_33_4\"> Much Worse <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_34\">\n <label class=\"form-label-left\" id=\"label_34\" for=\"input_34\"> Would you recommend shopping at Goodwill to a friend? <\/label>\n <div id=\"cid_34\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_34_0\" name=\"q34_wouldYou\" value=\"Yes\" \/>\n <label for=\"input_34_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_34_1\" name=\"q34_wouldYou\" value=\"No\" \/>\n <label for=\"input_34_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_35\">\n <label class=\"form-label-left\" id=\"label_35\" for=\"input_35\"> Would you shop at Goodwill again? <\/label>\n <div id=\"cid_35\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_35_0\" name=\"q35_wouldYou35\" value=\"Yes\" \/>\n <label for=\"input_35_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_35_1\" name=\"q35_wouldYou35\" value=\"No\" \/>\n <label for=\"input_35_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_36\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_36\" class=\"form-header\">\n When you shop at Goodwill, do you make a special trip or is it part of your regular shopping routine?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_37\">\n <label class=\"form-label-left\" id=\"label_37\" for=\"input_37\"> .... <\/label>\n <div id=\"cid_37\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_37_0\" name=\"q37_37\" value=\"Yes\" \/>\n <label for=\"input_37_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_37_1\" name=\"q37_37\" value=\"No\" \/>\n <label for=\"input_37_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_38\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_38\" class=\"form-header\">\n Which of the following is important when deciding to shop at Goodwill (select top 3 choices)\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_39\">\n <label class=\"form-label-left\" id=\"label_39\" for=\"input_39\"> .... <\/label>\n <div id=\"cid_39\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_39_0\" name=\"q39_39[]\" value=\"Quality\" \/>\n <label for=\"input_39_0\"> Quality <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_39_1\" name=\"q39_39[]\" value=\"Selection\" \/>\n <label for=\"input_39_1\"> Selection <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_39_2\" name=\"q39_39[]\" value=\"Option 3\" \/>\n <label for=\"input_39_2\"> Option 3 <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_39_3\" name=\"q39_39[]\" value=\"Value\" \/>\n <label for=\"input_39_3\"> Value <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_39_4\" name=\"q39_39[]\" value=\"Support of Goodwill's mission\" \/>\n <label for=\"input_39_4\"> Support of Goodwill's mission <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_39_5\" name=\"q39_39[]\" value=\"Store atmosphere and cleanliness\" \/>\n <label for=\"input_39_5\"> Store atmosphere and cleanliness <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_39_6\" name=\"q39_39[]\" value=\"Ease of finding merchandise\" \/>\n <label for=\"input_39_6\"> Ease of finding merchandise <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_40\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_40\" class=\"form-header\">\n How did you find out about this store?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_41\">\n <label class=\"form-label-left\" id=\"label_41\" for=\"input_41\"> .... <\/label>\n <div id=\"cid_41\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_41_0\" name=\"q41_41\" value=\"Television\" \/>\n <label for=\"input_41_0\"> Television <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_41_1\" name=\"q41_41\" value=\"Radio\" \/>\n <label for=\"input_41_1\"> Radio <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_41_2\" name=\"q41_41\" value=\"Newspaper\" \/>\n <label for=\"input_41_2\"> Newspaper <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_41_3\" name=\"q41_41\" value=\"E-Mail\" \/>\n <label for=\"input_41_3\"> E-Mail <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_41_4\" name=\"q41_41\" value=\"Direct Mail\" \/>\n <label for=\"input_41_4\"> Direct Mail <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_41_5\" name=\"q41_41\" value=\"Billboards\" \/>\n <label for=\"input_41_5\"> Billboards <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_41_6\" name=\"q41_41\" value=\"Word of mouth\" \/>\n <label for=\"input_41_6\"> Word of mouth <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_41_7\" name=\"q41_41\" value=\"Driving by\" \/>\n <label for=\"input_41_7\"> Driving by <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_41_8\" name=\"q41_41\" value=\"Website\" \/>\n <label for=\"input_41_8\"> Website <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_42\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_42\" class=\"form-header\">\n Please use this space for any additional comments.\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_43\">\n <label class=\"form-label-left\" id=\"label_43\" for=\"input_43\"> .... <\/label>\n <div id=\"cid_43\" class=\"form-input\">\n <textarea id=\"input_43\" class=\"form-textarea\" name=\"q43_43\" cols=\"40\" rows=\"6\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_44\">\n <label class=\"form-label-left\" id=\"label_44\" for=\"input_44\">\n Enter the message as it's shown<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_44\" class=\"form-input\">\n <div class=\"form-captcha\">\n <label for=\"input_44\"> <img alt=\"Captcha - Reload if it's not displayed\" id=\"input_44_captcha\" class=\"form-captcha-image\" style=\"background:url(http:\/\/www.jotform.com\/images\/loader-big.gif) no-repeat center;\" src=\"http:\/\/www.jotform.com\/images\/blank.gif\" width=\"150\" height=\"41\" \/> <\/label>\n <div style=\"white-space:nowrap;\">\n <input type=\"text\" id=\"input_44\" class=\"form-textbox validate[required]\" name=\"captcha\" style=\"width:130px;\" \/>\n <img src=\"http:\/\/www.jotform.com\/images\/reload.png\" alt=\"Reload\" align=\"absmiddle\" style=\"cursor:pointer\" onclick=\"JotForm.reloadCaptcha('input_44');\" \/>\n <input type=\"hidden\" name=\"captcha_id\" id=\"input_44_captcha_id\" value=\"0\">\n <\/div>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_2\">\n <div id=\"cid_2\" class=\"form-input-wide\">\n <div style=\"margin-left:156px\" class=\"form-buttons-wrapper\">\n <button id=\"input_2\" type=\"submit\" class=\"form-submit-button\">\n Submit Form\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_45\">\n <div id=\"cid_45\" class=\"form-input-wide\">\n <div style=\"margin-left:156px\" class=\"form-buttons-wrapper\">\n <button id=\"input_45\" type=\"submit\" class=\"form-submit-button\">\n Submit Form\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_46\">\n <label class=\"form-label-left\" id=\"label_46\" for=\"input_46\"> Click to edit <\/label>\n <div id=\"cid_46\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_46\" name=\"q46_clickTo46\" file-accept=\"pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif\" file-maxsize=\"500\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_47\">\n <div id=\"cid_47\" class=\"form-input-wide\">\n <div style=\"margin-left:156px\" class=\"form-buttons-wrapper\">\n <button id=\"input_47\" type=\"submit\" class=\"form-submit-button\">\n Submit Form\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <li style=\"display:none\">\n Should be Empty:\n <input type=\"text\" name=\"website\" value=\"\" \/>\n <\/li>\n <\/ul>\n <\/div>\n <input type=\"hidden\" id=\"simple_spc\" name=\"simple_spc\" value=\"1321729396\" \/>\n <script type=\"text\/javascript\">\n document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"1321729396-1321729396\";\n <\/script>\n<\/form><\/body>\n<\/html>\n");