/*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 i1384748370 = new FrameBuilder("1384748370", false, "", "\n\n\n\n\nForm<\/title>\n<link href=\"http:\/\/max.jotfor.ms\/min\/g=formCss?3.0.2435\" 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:false;\n }\n\n .form-all{\n margin:0px auto;\n padding-top:0px;\n width:650px;\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?3.0.2435\" type=\"text\/javascript\"><\/script>\n<script type=\"text\/javascript\">\n var jsTime = setInterval(function(){try{\n JotForm.jsForm = true;\n\n JotForm.init();\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\" name=\"form_1384748370\" id=\"1384748370\" accept-charset=\"utf-8\">\n <input type=\"hidden\" name=\"formID\" value=\"1384748370\" \/>\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 What donation center did you visit?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_3\">\n <label class=\"form-label-left\" id=\"label_3\" for=\"input_3\"> Please Select One <\/label>\n <div id=\"cid_3\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_3\" name=\"q3_pleaseSelect\">\n <option> <\/option>\n <option value=\"Donation Center\"> Donation Center <\/option>\n <option value=\"Retail Store Donation Center\"> Retail Store Donation Center <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li id=\"cid_4\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_4\" class=\"form-header\">\n How did you feel about the donation center?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_5\">\n <label class=\"form-label-left\" id=\"label_5\" for=\"input_5\"> Appearance and cleanliness? <\/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_appearanceAnd\" 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_appearanceAnd\" 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_appearanceAnd\" 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_appearanceAnd\" 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_appearanceAnd\" value=\"Very Disatisfied\" \/>\n <label for=\"input_5_4\"> Very Disatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_6\">\n <label class=\"form-label-left\" id=\"label_6\" for=\"input_6\"> Convenience of center's location <\/label>\n <div id=\"cid_6\" 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_6_0\" name=\"q6_convenienceOf\" value=\"Very Satisfied\" \/>\n <label for=\"input_6_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_6_1\" name=\"q6_convenienceOf\" value=\"Satified\" \/>\n <label for=\"input_6_1\"> Satified <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_6_2\" name=\"q6_convenienceOf\" value=\"Uncertain\" \/>\n <label for=\"input_6_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_6_3\" name=\"q6_convenienceOf\" value=\"Dissatisfied\" \/>\n <label for=\"input_6_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_6_4\" name=\"q6_convenienceOf\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_6_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_7\">\n <label class=\"form-label-left\" id=\"label_7\" for=\"input_7\"> Hours of operation <\/label>\n <div id=\"cid_7\" 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_7_0\" name=\"q7_hoursOf\" value=\"Very Satisfied\" \/>\n <label for=\"input_7_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_7_1\" name=\"q7_hoursOf\" value=\"Satisfied\" \/>\n <label for=\"input_7_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_7_2\" name=\"q7_hoursOf\" value=\"Uncertain\" \/>\n <label for=\"input_7_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_7_3\" name=\"q7_hoursOf\" value=\"Dissatisfied\" \/>\n <label for=\"input_7_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_7_4\" name=\"q7_hoursOf\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_7_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_8\">\n <label class=\"form-label-left\" id=\"label_8\" for=\"input_8\"> Layout of center <\/label>\n <div id=\"cid_8\" 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_8_0\" name=\"q8_layoutOf\" value=\"Very Satisfied\" \/>\n <label for=\"input_8_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_8_1\" name=\"q8_layoutOf\" value=\"Satisfied\" \/>\n <label for=\"input_8_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_8_2\" name=\"q8_layoutOf\" value=\"Uncertain\" \/>\n <label for=\"input_8_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_8_3\" name=\"q8_layoutOf\" value=\"Dissatisfied\" \/>\n <label for=\"input_8_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_8_4\" name=\"q8_layoutOf\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_8_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_9\">\n <label class=\"form-label-left\" id=\"label_9\" for=\"input_9\"> Quality of the information signs <\/label>\n <div id=\"cid_9\" 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_9_0\" name=\"q9_qualityOf\" value=\"Very Satisfied\" \/>\n <label for=\"input_9_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_9_1\" name=\"q9_qualityOf\" value=\"Satisfied\" \/>\n <label for=\"input_9_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_9_2\" name=\"q9_qualityOf\" value=\"Uncertain\" \/>\n <label for=\"input_9_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_9_3\" name=\"q9_qualityOf\" value=\"Dissatisfied\" \/>\n <label for=\"input_9_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_9_4\" name=\"q9_qualityOf\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_9_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_10\">\n <label class=\"form-label-left\" id=\"label_10\" for=\"input_10\"> Quality of the directional signs <\/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_qualityOf10\" 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_qualityOf10\" 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_qualityOf10\" 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_qualityOf10\" value=\"Dissatisfied\" \/>\n <label for=\"input_10_3\"> Dissatisfied <\/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_qualityOf10\" 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 id=\"cid_11\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_11\" class=\"form-header\">\n How did you feel about the service you received in the donation center?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_13\">\n <label class=\"form-label-left\" id=\"label_13\" for=\"input_13\"> I was greeted by the donation attendant. <\/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_iWas\" value=\"Yes\" \/>\n <label for=\"input_13_0\"> Yes <\/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_iWas\" value=\"No\" \/>\n <label for=\"input_13_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\"> The donation attendant was helpful during the donation process. <\/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_theDonation\" 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_theDonation\" 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\"> My donations were handled with care. <\/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_myDonations\" 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_myDonations\" 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_14\">\n <label class=\"form-label-left\" id=\"label_14\" for=\"input_14\"> The donation attendant was friendly. <\/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_theDonation14\" value=\"Yes\" \/>\n <label for=\"input_14_0\"> Yes <\/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_theDonation14\" value=\"No\" \/>\n <label for=\"input_14_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\"> A receipt was offered for my donation. <\/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_aReceipt\" 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_aReceipt\" value=\"No\" \/>\n <label for=\"input_16_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_17\">\n <label class=\"form-label-left\" id=\"label_17\" for=\"input_17\"> I was thanked by the donation attendant when I left the donation center. <\/label>\n <div id=\"cid_17\" 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_17_0\" name=\"q17_iWas17\" value=\"Yes\" \/>\n <label for=\"input_17_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_17_1\" name=\"q17_iWas17\" value=\"No\" \/>\n <label for=\"input_17_1\"> No <\/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\"> Goodwill's mission, to help people with disabilities or other barriers find jobs and improve their lives, was advertised at the center. <\/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_goodwillsMission\" value=\"Yes\" \/>\n <label for=\"input_19_0\"> Yes <\/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_goodwillsMission\" value=\"No\" \/>\n <label for=\"input_19_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_21\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_21\" class=\"form-header\">\n Based on your donation experience, would you\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_22\">\n <label class=\"form-label-left\" id=\"label_22\" for=\"input_22\"> Would you donate at this Goodwill donation center again? <\/label>\n <div id=\"cid_22\" 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_22_0\" name=\"q22_wouldYou\" value=\"Yes\" \/>\n <label for=\"input_22_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_22_1\" name=\"q22_wouldYou\" value=\"No\" \/>\n <label for=\"input_22_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_24\">\n <label class=\"form-label-left\" id=\"label_24\" for=\"input_24\"> In general, would you donate to Goodwill again? <\/label>\n <div id=\"cid_24\" 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_24_0\" name=\"q24_inGeneral\" value=\"Yes\" \/>\n <label for=\"input_24_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_24_1\" name=\"q24_inGeneral\" value=\"No\" \/>\n <label for=\"input_24_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_23\">\n <label class=\"form-label-left\" id=\"label_23\" for=\"input_23\"> Would you refer someone else to donate to Goodwill? <\/label>\n <div id=\"cid_23\" 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_23_0\" name=\"q23_wouldYou23\" value=\"Yes\" \/>\n <label for=\"input_23_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_23_1\" name=\"q23_wouldYou23\" value=\"No\" \/>\n <label for=\"input_23_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_25\">\n <label class=\"form-label-left\" id=\"label_25\" for=\"input_25\"> Would you consider shopping at Goodwill? <\/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_wouldYou25\" value=\"Yes\" \/>\n <label for=\"input_25_0\"> Yes <\/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_wouldYou25\" value=\"No\" \/>\n <label for=\"input_25_1\"> No <\/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 Have you ever shopped at a Goodwill Retail 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\"> Please indicate your response. <\/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_pleaseIndicate\" value=\"Yes\" \/>\n <label for=\"input_27_0\"> Yes <\/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_pleaseIndicate\" value=\"No\" \/>\n <label for=\"input_27_1\"> No <\/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 Do you donate household goods to other organizations?\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\"> Please indicate your response. <\/label>\n <div id=\"cid_29\" 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_29_0\" name=\"q29_pleaseIndicate29\" value=\"Yes\" \/>\n <label for=\"input_29_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_29_1\" name=\"q29_pleaseIndicate29\" value=\"No\" \/>\n <label for=\"input_29_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_30\">\n <label class=\"form-label-left\" id=\"label_30\" for=\"input_30\"> If Yes, which organizations and why <\/label>\n <div id=\"cid_30\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_30\" name=\"q30_ifYes\" size=\"20\" \/>\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 How often do you donate at Goodwill?\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\"> .... <\/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_32\" value=\"Once a month or more\" \/>\n <label for=\"input_32_0\"> Once a month or more <\/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_32\" value=\"3-5 times a year\" \/>\n <label for=\"input_32_1\"> 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_32_2\" name=\"q32_32\" value=\"Twice a year\" \/>\n <label for=\"input_32_2\"> 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_32_3\" name=\"q32_32\" value=\"Once a year\" \/>\n <label for=\"input_32_3\"> 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_32_4\" name=\"q32_32\" value=\"Once every 2-3 years\" \/>\n <label for=\"input_32_4\"> Once every 2-3 years <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_32_5\" name=\"q32_32\" value=\"My first time donating at Goodwill\" \/>\n <label for=\"input_32_5\"> My first time donating at Goodwill <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_33\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_33\" class=\"form-header\">\n How far do you travel to donate to Goodwill?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_34\">\n <label class=\"form-label-left\" id=\"label_34\" for=\"input_34\"> .... <\/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_34\" value=\"Less than 10 minutes\" \/>\n <label for=\"input_34_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_34_1\" name=\"q34_34\" value=\"Between 10 and 20 minutes\" \/>\n <label for=\"input_34_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_34_2\" name=\"q34_34\" value=\"Between 20 and 30 minutes\" \/>\n <label for=\"input_34_2\"> Between 20 and 30 minutes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_34_3\" name=\"q34_34\" value=\"More than 30 minutes\" \/>\n <label for=\"input_34_3\"> More than 30 minutes <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_35\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_35\" class=\"form-header\">\n When you donate to Goodwill...\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_36\">\n <label class=\"form-label-left\" id=\"label_36\" for=\"input_36\"> .... <\/label>\n <div id=\"cid_36\" 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_36_0\" name=\"q36_36\" value=\"Do you make a special trip?\" \/>\n <label for=\"input_36_0\"> Do you make a special trip? <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_36_1\" name=\"q36_36\" value=\"As part of your regular routine?\" \/>\n <label for=\"input_36_1\"> As part of your regular routine? <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_37\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_37\" class=\"form-header\">\n Which of the following is important when deciding to donate to Goodwill (select top 3 choices)\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_38\">\n <label class=\"form-label-left\" id=\"label_38\" for=\"input_38\"> .... <\/label>\n <div id=\"cid_38\" 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_38_0\" name=\"q38_38[]\" value=\"Know someone receiving Goodwill's services\" \/>\n <label for=\"input_38_0\"> Know someone receiving Goodwill's services <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_38_1\" name=\"q38_38[]\" value=\"Convenience of the donation center\" \/>\n <label for=\"input_38_1\"> Convenience of the donation center <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_38_2\" name=\"q38_38[]\" value=\"Helpfulness of donation attendants\" \/>\n <label for=\"input_38_2\"> Helpfulness of donation attendants <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_38_3\" name=\"q38_38[]\" value=\"Tax receipts are available\" \/>\n <label for=\"input_38_3\"> Tax receipts are available <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_38_4\" name=\"q38_38[]\" value=\"Coupons (for shopping) are available\" \/>\n <label for=\"input_38_4\"> Coupons (for shopping) are available <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_38_5\" name=\"q38_38[]\" value=\"Donating is a family tradition\" \/>\n <label for=\"input_38_5\"> Donating is a family tradition <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_38_6\" name=\"q38_38[]\" value=\"Strongly believing in Goodwill's mission\" \/>\n <label for=\"input_38_6\"> Strongly believing in 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_38_7\" name=\"q38_38[]\" value=\"Donations are treated with respect\" \/>\n <label for=\"input_38_7\"> Donations are treated with respect <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_38_8\" name=\"q38_38[]\" value=\"Operating hours are convenient\" \/>\n <label for=\"input_38_8\"> Operating hours are convenient <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_39\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_39\" class=\"form-header\">\n Overall how would you rate your donation experience at Goodwill?\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_40\">\n <label class=\"form-label-left\" id=\"label_40\" for=\"input_40\"> Click to edit <\/label>\n <div id=\"cid_40\" 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_40_0\" name=\"q40_clickTo40\" value=\"Very Satisfied\" \/>\n <label for=\"input_40_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_40_1\" name=\"q40_clickTo40\" value=\"Satisfied\" \/>\n <label for=\"input_40_1\"> Satisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_40_2\" name=\"q40_clickTo40\" value=\"Uncertain\" \/>\n <label for=\"input_40_2\"> Uncertain <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_40_3\" name=\"q40_clickTo40\" value=\"Dissatisfied\" \/>\n <label for=\"input_40_3\"> Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_40_4\" name=\"q40_clickTo40\" value=\"Very Dissatisfied\" \/>\n <label for=\"input_40_4\"> Very Dissatisfied <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_41\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_41\" class=\"form-header\">\n Please tell us how you found out about this donation center.\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_42\">\n <label class=\"form-label-left\" id=\"label_42\" for=\"input_42\"> .... <\/label>\n <div id=\"cid_42\" 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_42_0\" name=\"q42_42\" value=\"Television\" \/>\n <label for=\"input_42_0\"> Television <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_42_1\" name=\"q42_42\" value=\"Radio\" \/>\n <label for=\"input_42_1\"> Radio <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_42_2\" name=\"q42_42\" value=\"Newspaper\" \/>\n <label for=\"input_42_2\"> Newspaper <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_42_3\" name=\"q42_42\" value=\"Website\" \/>\n <label for=\"input_42_3\"> Website <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_42_4\" name=\"q42_42\" value=\"Direct Mail\" \/>\n <label for=\"input_42_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_42_5\" name=\"q42_42\" value=\"Billboards\" \/>\n <label for=\"input_42_5\"> Billboards <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_42_6\" name=\"q42_42\" value=\"Word of Mouth\" \/>\n <label for=\"input_42_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_42_7\" name=\"q42_42\" value=\"Driving By\" \/>\n <label for=\"input_42_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_42_8\" name=\"q42_42\" value=\"E-mail\" \/>\n <label for=\"input_42_8\"> E-mail <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_43\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_43\" class=\"form-header\">\n Please use this space for any additional comments you may have:\n <\/h2>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_44\">\n <label class=\"form-label-left\" id=\"label_44\" for=\"input_44\"> .... <\/label>\n <div id=\"cid_44\" class=\"form-input\">\n <textarea id=\"input_44\" class=\"form-textarea\" name=\"q44_44\" cols=\"40\" rows=\"6\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_46\">\n <div id=\"cid_46\" class=\"form-input-wide\">\n <div style=\"margin-left:156px\" class=\"form-buttons-wrapper\">\n <button id=\"input_46\" 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=\"1384748370\" \/>\n <script type=\"text\/javascript\">\n document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"1384748370-1384748370\";\n <\/script>\n<\/form><\/body>\n<\/html>\n");