{"id":170,"date":"2026-05-28T19:36:58","date_gmt":"2026-05-28T19:36:58","guid":{"rendered":"https:\/\/demolinks2.com\/keith-brailsford\/?page_id=170"},"modified":"2026-06-30T16:05:03","modified_gmt":"2026-06-30T16:05:03","slug":"start-your-journey","status":"publish","type":"page","link":"https:\/\/demolinks2.com\/keith-brailsford\/start-your-journey\/","title":{"rendered":"Start Your Journey"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row el_id=&#8221;jorny&#8221; woodmart_css_id=&#8221;6a189eaf6a96f&#8221; responsive_spacing=&#8221;eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2YTE4OWVhZjZhOTZmIiwic2hvcnRjb2RlIjoidmNfcm93IiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnt9fX0=&#8221; mobile_bg_img_hidden=&#8221;no&#8221; tablet_bg_img_hidden=&#8221;no&#8221; woodmart_parallax=&#8221;0&#8243; woodmart_gradient_switch=&#8221;no&#8221; woodmart_box_shadow=&#8221;no&#8221; wd_z_index=&#8221;no&#8221; woodmart_disable_overflow=&#8221;0&#8243; row_reverse_mobile=&#8221;0&#8243; row_reverse_tablet=&#8221;0&#8243;][vc_column]\t\t\t<div class=\"info-box-wrapper\">\n\t\t\t\t<div id=\"wd-6a43e914c96f6\" class=\" wd-rs-6a43e914c96f6 wd-info-box wd-wpb text-left box-icon-align-top box-style- color-scheme- wd-bg-none \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"info-box-content\">\n\t\t\t\t\t\t<h2 class=\"info-box-title title box-title-style-default wd-fontsize-xl\">EIGHT LIFE DOMAINS OF SELF-ASSESSMENT<\/h2>\t\t\t\t\t\t<div class=\"info-box-inner reset-last-child\"><p>Complete the eight domain self assessment questionnaire below.<\/p>\n<p>Then give yourself a score by punching the appropriate number of stars, from one to 10, on where you think you presently stand on achieving balance in each domain.<\/p>\n<p>At the end of the 10 week program you will have the opportunity to complete a similar self assessment to identify areas of growth and change.<\/p>\n<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t<div id=\"wd-6a189da77922e\" class=\"wd-text-block wd-wpb reset-last-child wd-rs-6a189da77922e text-left \">\n\t\t\t<div class='fluentform ff-default fluentform_wrapper_3 ffs_default_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Start Your Journey<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='170' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"1d2378e63a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/keith-brailsford\/wp-json\/wp\/v2\/pages\/170\" \/><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_names_first_name_' id='label_ff_3_names_first_name_' >Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_3_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Enter Your Full Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_email' id='label_ff_3_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_3_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_1\" ><h4>Domain 1 \u2013 THOUGHT BALANCE<\/h4><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Ratings\">Ratings<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-ratings jss-ff-el-ratings' role='radiogroup' style='--ff-rating-inactive-color: #d4d4d4; --ff-rating-active-color: #ffb100;' data-rating-icon-source='preset' data-rating-icon-type='star' data-base-tabindex='0'><label for=ratings_6835fbbce83ecfaca927682fda02d5fb class='' role='radio' aria-checked='false' aria-label='Nice' tabindex='-1'><input name=\"ratings\" data-name=\"ratings\" type=\"radio\" tabindex=\"-1\"  id=ratings_6835fbbce83ecfaca927682fda02d5fb aria-valuenow='1' value='1' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_39a015d98e2ffeb5f0872474ceff22e9 class='' role='radio' aria-checked='false' aria-label='Good' tabindex='-1'><input name=\"ratings\" data-name=\"ratings\" type=\"radio\" tabindex=\"-1\"  id=ratings_39a015d98e2ffeb5f0872474ceff22e9 aria-valuenow='2' value='2' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_9dbb64ad88ac75be9f1e8cc4fea6ec4b class='' role='radio' aria-checked='false' aria-label='Very Good' tabindex='-1'><input name=\"ratings\" data-name=\"ratings\" type=\"radio\" tabindex=\"-1\"  id=ratings_9dbb64ad88ac75be9f1e8cc4fea6ec4b aria-valuenow='3' value='3' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_4d77421d872ebe8e00192b077a474f6c class='' role='radio' aria-checked='false' aria-label='Awesome' tabindex='-1'><input name=\"ratings\" data-name=\"ratings\" type=\"radio\" tabindex=\"-1\"  id=ratings_4d77421d872ebe8e00192b077a474f6c aria-valuenow='4' value='4' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_3ea5184bf96a8a330c15800bd345e127 class='' role='radio' aria-checked='false' aria-label='Amazing' tabindex='-1'><input name=\"ratings\" data-name=\"ratings\" type=\"radio\" tabindex=\"-1\"  id=ratings_3ea5184bf96a8a330c15800bd345e127 aria-valuenow='5' value='5' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_f029778e31798e9312342b8704f03480 class='' role='radio' aria-checked='false' aria-label='Item 6' tabindex='-1'><input name=\"ratings\" data-name=\"ratings\" type=\"radio\" tabindex=\"-1\"  id=ratings_f029778e31798e9312342b8704f03480 aria-valuenow='6' value='6' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_69e5da3d33e82437039bf939e54ec799 class='' role='radio' aria-checked='false' aria-label='Item 7' tabindex='-1'><input name=\"ratings\" data-name=\"ratings\" type=\"radio\" tabindex=\"-1\"  id=ratings_69e5da3d33e82437039bf939e54ec799 aria-valuenow='7' value='7' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_4d8a65ea92f10d6fd64e18ad7b6d4a1b class='' role='radio' aria-checked='false' aria-label='Item 8' tabindex='-1'><input name=\"ratings\" data-name=\"ratings\" type=\"radio\" tabindex=\"-1\"  id=ratings_4d8a65ea92f10d6fd64e18ad7b6d4a1b aria-valuenow='8' value='8' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_0133055e2a0c1d94ecca76c5dd4740e0 class='' role='radio' aria-checked='false' aria-label='Item 9' tabindex='-1'><input name=\"ratings\" data-name=\"ratings\" type=\"radio\" tabindex=\"-1\"  id=ratings_0133055e2a0c1d94ecca76c5dd4740e0 aria-valuenow='9' value='9' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_77ab4fcd097b89d735ec56b01e8d5120 class='' role='radio' aria-checked='false' aria-label='Item 10' tabindex='-1'><input name=\"ratings\" data-name=\"ratings\" type=\"radio\" tabindex=\"-1\"  id=ratings_77ab4fcd097b89d735ec56b01e8d5120 aria-valuenow='10' value='10' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"1.\tI have trouble concentrating if something is bothering me.\">1.\tI have trouble concentrating if something is bothering me.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_646d9ffb5e8c8a5f85cbc7c5b0ad092e'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_646d9ffb5e8c8a5f85cbc7c5b0ad092e' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_80e1c879b12dec75dbc071f5d81d0c31'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_80e1c879b12dec75dbc071f5d81d0c31' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"2.\tWhen I get angry, I sometimes say or do something I later regret.\">2.\tWhen I get angry, I sometimes say or do something I later regret.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_9e1e4a3c50e316dd8163285b5931021f'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_1_9e1e4a3c50e316dd8163285b5931021f' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_1c356521bb2682cd80c85f57ebf579da'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_1_1c356521bb2682cd80c85f57ebf579da' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"3.\tSomedays, I am overwhelmed with information.\">3.\tSomedays, I am overwhelmed with information.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_1d84a2327bef0c98ed68cdc287eef84f'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_2_1d84a2327bef0c98ed68cdc287eef84f' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_378aaddbd786d3273bccec7f8469730e'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_2_378aaddbd786d3273bccec7f8469730e' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"4.\tI spend more than eight hours a day on the computer, laptop, or iPhone looking at social media, texts, emails or other informational platforms.\">4.\tI spend more than eight hours a day on the computer, laptop, or iPhone looking at social media, texts, emails or other informational platforms.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_fb5ce2b41b4ed1bf451350cd31d0fae3'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_3_fb5ce2b41b4ed1bf451350cd31d0fae3' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_279c4031e87020672ded2de57cfb3e81'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_3_279c4031e87020672ded2de57cfb3e81' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"5.\tI realize that some information I hear or see is not helpful, but I still watch or listen to it anyways.\">5.\tI realize that some information I hear or see is not helpful, but I still watch or listen to it anyways.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_41461aac596d590cb40608dccc866b73'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_4_41461aac596d590cb40608dccc866b73' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_69de9ea91d55492092a6fdf4600f7cbc'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_4_69de9ea91d55492092a6fdf4600f7cbc' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"6.\tI am influenced by what other people say.\">6.\tI am influenced by what other people say.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_f0e7dd0236230050d5db8a416f9aa40a'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_5_f0e7dd0236230050d5db8a416f9aa40a' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_b333c961179833a421a015712402c0c3'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_5_b333c961179833a421a015712402c0c3' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"7.\tI sometimes think that all the information my brain takes in on a given day affects parts of my life like my sleep, my emotions or other areas of my life.\">7.\tI sometimes think that all the information my brain takes in on a given day affects parts of my life like my sleep, my emotions or other areas of my life.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_ed55cbe829f3d1aeba50971ff1902777'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_6_ed55cbe829f3d1aeba50971ff1902777' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_e3463490951ed26f89ce7ef798ca07e5'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_6_e3463490951ed26f89ce7ef798ca07e5' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"8.\tI know how to reduce or eliminate negative thoughts.\">8.\tI know how to reduce or eliminate negative thoughts.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_065eb1b061800a5990c4ad4a2c81e0d7'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_7_065eb1b061800a5990c4ad4a2c81e0d7' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_c03d0294298efb8127555da72c8c4d7c'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_7_c03d0294298efb8127555da72c8c4d7c' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"9.\tI overthink things.\">9.\tI overthink things.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_5143b5eed210ff973bf4d716f1a0336d'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_8_5143b5eed210ff973bf4d716f1a0336d' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_4d698275a2ab71aefef28810bb1469b2'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_8_4d698275a2ab71aefef28810bb1469b2' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"10.\tI sometimes cannot prioritize things that are most important verses what is least important to do on a given day.\">10.\tI sometimes cannot prioritize things that are most important verses what is least important to do on a given day.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_496af67ad0359de1db314eeefed1441e'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_9_496af67ad0359de1db314eeefed1441e' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_3cf478cc8db3169df0ebab49426f4673'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_9_3cf478cc8db3169df0ebab49426f4673' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_2\" ><p><strong>After the 10th question, on a scale of one to 10 stars with one star being unbalanced, and 10 stars being completely balanced, punch the appropriate number of stars.<\/strong><\/p><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_3\" ><hr \/><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_4\" ><h4>Domain 2 \u2013 EMOTIONAL BALANCE<\/h4><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Ratings\">Ratings<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-ratings jss-ff-el-ratings' role='radiogroup' style='--ff-rating-inactive-color: #d4d4d4; --ff-rating-active-color: #ffb100;' data-rating-icon-source='preset' data-rating-icon-type='star' data-base-tabindex='0'><label for=ratings_1_41b903bd392afa2817aaa8c0e38add2a class='' role='radio' aria-checked='false' aria-label='Nice' tabindex='-1'><input name=\"ratings_1\" data-name=\"ratings_1\" type=\"radio\" tabindex=\"-1\"  id=ratings_1_41b903bd392afa2817aaa8c0e38add2a aria-valuenow='1' value='1' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_1_730d6c9de2fe757bd09b12fb215ab176 class='' role='radio' aria-checked='false' aria-label='Good' tabindex='-1'><input name=\"ratings_1\" data-name=\"ratings_1\" type=\"radio\" tabindex=\"-1\"  id=ratings_1_730d6c9de2fe757bd09b12fb215ab176 aria-valuenow='2' value='2' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_1_87998da4d86eef2209791740fe5c66ec class='' role='radio' aria-checked='false' aria-label='Very Good' tabindex='-1'><input name=\"ratings_1\" data-name=\"ratings_1\" type=\"radio\" tabindex=\"-1\"  id=ratings_1_87998da4d86eef2209791740fe5c66ec aria-valuenow='3' value='3' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_1_e798834b70f56328cb73a6f1993c6c21 class='' role='radio' aria-checked='false' aria-label='Awesome' tabindex='-1'><input name=\"ratings_1\" data-name=\"ratings_1\" type=\"radio\" tabindex=\"-1\"  id=ratings_1_e798834b70f56328cb73a6f1993c6c21 aria-valuenow='4' value='4' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_1_ba0b24717748d4db099b334b543ec0f0 class='' role='radio' aria-checked='false' aria-label='Amazing' tabindex='-1'><input name=\"ratings_1\" data-name=\"ratings_1\" type=\"radio\" tabindex=\"-1\"  id=ratings_1_ba0b24717748d4db099b334b543ec0f0 aria-valuenow='5' value='5' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_1_2dcbaf05c0be5d2c493299ae11f570ff class='' role='radio' aria-checked='false' aria-label='Item 6' tabindex='-1'><input name=\"ratings_1\" data-name=\"ratings_1\" type=\"radio\" tabindex=\"-1\"  id=ratings_1_2dcbaf05c0be5d2c493299ae11f570ff aria-valuenow='6' value='6' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_1_36f0f906ccb4b9350368bed108fac20e class='' role='radio' aria-checked='false' aria-label='Item 7' tabindex='-1'><input name=\"ratings_1\" data-name=\"ratings_1\" type=\"radio\" tabindex=\"-1\"  id=ratings_1_36f0f906ccb4b9350368bed108fac20e aria-valuenow='7' value='7' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_1_11f4698f05b54361a3fa0a297b72408a class='' role='radio' aria-checked='false' aria-label='Item 8' tabindex='-1'><input name=\"ratings_1\" data-name=\"ratings_1\" type=\"radio\" tabindex=\"-1\"  id=ratings_1_11f4698f05b54361a3fa0a297b72408a aria-valuenow='8' value='8' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_1_285f845efd6bf81c47deb5554ee2a982 class='' role='radio' aria-checked='false' aria-label='Item 9' tabindex='-1'><input name=\"ratings_1\" data-name=\"ratings_1\" type=\"radio\" tabindex=\"-1\"  id=ratings_1_285f845efd6bf81c47deb5554ee2a982 aria-valuenow='9' value='9' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_1_9777475a28f34e70b7cba88b025b5898 class='' role='radio' aria-checked='false' aria-label='Item 10' tabindex='-1'><input name=\"ratings_1\" data-name=\"ratings_1\" type=\"radio\" tabindex=\"-1\"  id=ratings_1_9777475a28f34e70b7cba88b025b5898 aria-valuenow='10' value='10' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"1.\tI get emotional if things don&#039;t go my way\">1.\tI get emotional if things don't go my way<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_16_68a96ebf730a8c06373a6dd0148d0fdf'><input  type=\"radio\" name=\"input_radio_16\" data-name=\"input_radio_16\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_16_68a96ebf730a8c06373a6dd0148d0fdf' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_16_2e24edcaa6cbb842dacd97b110260544'><input  type=\"radio\" name=\"input_radio_16\" data-name=\"input_radio_16\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_16_2e24edcaa6cbb842dacd97b110260544' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"2.\tI let things build up until I can&#039;t take it anymore\">2.\tI let things build up until I can't take it anymore <\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_17_1cb58f01daf8353e0285a04c582253c9'><input  type=\"radio\" name=\"input_radio_17\" data-name=\"input_radio_17\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_17_1cb58f01daf8353e0285a04c582253c9' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_17_64186bb6855abc593e08c64cbe0a17a4'><input  type=\"radio\" name=\"input_radio_17\" data-name=\"input_radio_17\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_17_64186bb6855abc593e08c64cbe0a17a4' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_8\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"3.\tI can always control my emotions.\">3.\tI can always control my emotions.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_81_3316c8f20237d88bd4c09247136698bd'><input  type=\"radio\" name=\"input_radio_81\" data-name=\"input_radio_81\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_81_3316c8f20237d88bd4c09247136698bd' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_81_9c2169bb6602e557c4a0f3616eb67286'><input  type=\"radio\" name=\"input_radio_81\" data-name=\"input_radio_81\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_81_9c2169bb6602e557c4a0f3616eb67286' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"4.\tI can be emotionally influenced by what other people say or do.\">4.\tI can be emotionally influenced by what other people say or do.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_82_e29a16e1c46410b72da40c0e097ef412'><input  type=\"radio\" name=\"input_radio_82\" data-name=\"input_radio_82\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_82_e29a16e1c46410b72da40c0e097ef412' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_82_3e02f330056fd3b1026d39c2fad8bd92'><input  type=\"radio\" name=\"input_radio_82\" data-name=\"input_radio_82\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_82_3e02f330056fd3b1026d39c2fad8bd92' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_9\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"5.\tI feel like it\u2019s okay to show or express your emotions.\">5.\tI feel like it\u2019s okay to show or express your emotions.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_14_38587f9997120b8514422ece22d98edb'><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_14_38587f9997120b8514422ece22d98edb' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_14_453a79cf2b97557269e595d6423e1069'><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_14_453a79cf2b97557269e595d6423e1069' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"6.\tI believe it\u2019s better to keep your emotions to yourself.\">6.\tI believe it\u2019s better to keep your emotions to yourself.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_15_4e6b60100903eb323e7f13a3da4d192f'><input  type=\"radio\" name=\"input_radio_15\" data-name=\"input_radio_15\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_15_4e6b60100903eb323e7f13a3da4d192f' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_15_67b7a56be263e767bebfb7c1a67d28e8'><input  type=\"radio\" name=\"input_radio_15\" data-name=\"input_radio_15\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_15_67b7a56be263e767bebfb7c1a67d28e8' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_10\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"7.\tI would rather show a \u2018happy face\u2019 to others even when I feel otherwise.\">7.\tI would rather show a \u2018happy face\u2019 to others even when I feel otherwise.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_12_014e4f64d15141b545aacf9c0afd36ed'><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_12_014e4f64d15141b545aacf9c0afd36ed' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_12_5b63b14bc1a6aacf7b50d89c3e171555'><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_12_5b63b14bc1a6aacf7b50d89c3e171555' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"8.\tI believe that your emotions are a true expression of who you are as a person and you should not hold them back.\">8.\tI believe that your emotions are a true expression of who you are as a person and you should not hold them back.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_13_a81c6e1cbbcad4e750df4a1812499501'><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_13_a81c6e1cbbcad4e750df4a1812499501' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_13_5b7585a48d6f7bab6ecd8238593c0702'><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_13_5b7585a48d6f7bab6ecd8238593c0702' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_11\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"9.\tWhen I get angry at someone and yell, I regret it later and feel physically exhausted as well.\">9.\tWhen I get angry at someone and yell, I regret it later and feel physically exhausted as well.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_18_ac530df14c4df67b2b6fe924dcd95541'><input  type=\"radio\" name=\"input_radio_18\" data-name=\"input_radio_18\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_18_ac530df14c4df67b2b6fe924dcd95541' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_18_1d6972bd6077efd15ce0004b8184ae20'><input  type=\"radio\" name=\"input_radio_18\" data-name=\"input_radio_18\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_18_1d6972bd6077efd15ce0004b8184ae20' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"10.\tMy best friendships have been with people who I can emotionally connect with.\">10.\tMy best friendships have been with people who I can emotionally connect with.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_19_915c59fd8bc40849722458bd61d1cc18'><input  type=\"radio\" name=\"input_radio_19\" data-name=\"input_radio_19\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_19_915c59fd8bc40849722458bd61d1cc18' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_19_e9515f3b3d4eeccfeec327223aa5cf24'><input  type=\"radio\" name=\"input_radio_19\" data-name=\"input_radio_19\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_19_e9515f3b3d4eeccfeec327223aa5cf24' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_5\" ><p><strong>After the 10th question, on a scale of one to 10 stars with one star being unbalanced, and 10 stars being completely balanced, punch the appropriate number of stars.<\/strong><\/p><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_6\" ><hr \/><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_7\" ><h4>Domain 3 \u2013 PHYSICAL BALANCE<\/h4><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Ratings\">Ratings<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-ratings jss-ff-el-ratings' role='radiogroup' style='--ff-rating-inactive-color: #d4d4d4; --ff-rating-active-color: #ffb100;' data-rating-icon-source='preset' data-rating-icon-type='star' data-base-tabindex='0'><label for=ratings_3_a90f74ef85762d13c30872098e670191 class='' role='radio' aria-checked='false' aria-label='Nice' tabindex='-1'><input name=\"ratings_3\" data-name=\"ratings_3\" type=\"radio\" tabindex=\"-1\"  id=ratings_3_a90f74ef85762d13c30872098e670191 aria-valuenow='1' value='1' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_3_5f9be876e62668592468581f41e63841 class='' role='radio' aria-checked='false' aria-label='Good' tabindex='-1'><input name=\"ratings_3\" data-name=\"ratings_3\" type=\"radio\" tabindex=\"-1\"  id=ratings_3_5f9be876e62668592468581f41e63841 aria-valuenow='2' value='2' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_3_b46046b0154eecbe511bcf0eb7da6cd6 class='' role='radio' aria-checked='false' aria-label='Very Good' tabindex='-1'><input name=\"ratings_3\" data-name=\"ratings_3\" type=\"radio\" tabindex=\"-1\"  id=ratings_3_b46046b0154eecbe511bcf0eb7da6cd6 aria-valuenow='3' value='3' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_3_e7fe43f45c4744f4b02178f9110e3684 class='' role='radio' aria-checked='false' aria-label='Awesome' tabindex='-1'><input name=\"ratings_3\" data-name=\"ratings_3\" type=\"radio\" tabindex=\"-1\"  id=ratings_3_e7fe43f45c4744f4b02178f9110e3684 aria-valuenow='4' value='4' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_3_221314f65f5fecc8a08ac9c6cbed050f class='' role='radio' aria-checked='false' aria-label='Amazing' tabindex='-1'><input name=\"ratings_3\" data-name=\"ratings_3\" type=\"radio\" tabindex=\"-1\"  id=ratings_3_221314f65f5fecc8a08ac9c6cbed050f aria-valuenow='5' value='5' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_3_19478bace207d6aea3f6e3ded786230b class='' role='radio' aria-checked='false' aria-label='Item 6' tabindex='-1'><input name=\"ratings_3\" data-name=\"ratings_3\" type=\"radio\" tabindex=\"-1\"  id=ratings_3_19478bace207d6aea3f6e3ded786230b aria-valuenow='6' value='6' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_3_d5d9913dd7a012c348bd97fc685d9dad class='' role='radio' aria-checked='false' aria-label='Item 7' tabindex='-1'><input name=\"ratings_3\" data-name=\"ratings_3\" type=\"radio\" tabindex=\"-1\"  id=ratings_3_d5d9913dd7a012c348bd97fc685d9dad aria-valuenow='7' value='7' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_3_fd7bc9ef83e4900bbe9c6e7692427436 class='' role='radio' aria-checked='false' aria-label='Item 8' tabindex='-1'><input name=\"ratings_3\" data-name=\"ratings_3\" type=\"radio\" tabindex=\"-1\"  id=ratings_3_fd7bc9ef83e4900bbe9c6e7692427436 aria-valuenow='8' value='8' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_3_4b475fabbb588fc6e0fb6e862e687293 class='' role='radio' aria-checked='false' aria-label='Item 9' tabindex='-1'><input name=\"ratings_3\" data-name=\"ratings_3\" type=\"radio\" tabindex=\"-1\"  id=ratings_3_4b475fabbb588fc6e0fb6e862e687293 aria-valuenow='9' value='9' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_3_20d18b9762af697ae875d5f2ba9a716b class='' role='radio' aria-checked='false' aria-label='Item 10' tabindex='-1'><input name=\"ratings_3\" data-name=\"ratings_3\" type=\"radio\" tabindex=\"-1\"  id=ratings_3_20d18b9762af697ae875d5f2ba9a716b aria-valuenow='10' value='10' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_12\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"1.\tI get 7-8 hours of sleep a night.\">1.\tI get 7-8 hours of sleep a night.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_21_ae2584bc6882a5730817ba7e89a9c414'><input  type=\"radio\" name=\"input_radio_21\" data-name=\"input_radio_21\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_21_ae2584bc6882a5730817ba7e89a9c414' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_21_369b71ea248f92b5a33a359471deb090'><input  type=\"radio\" name=\"input_radio_21\" data-name=\"input_radio_21\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_21_369b71ea248f92b5a33a359471deb090' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"2.\tI walk or run four miles (approximately 10K steps), a day.\">2.\tI walk or run four miles (approximately 10K steps), a day.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_20_897c0ecf6e3b1f52cf3116463ffa3955'><input  type=\"radio\" name=\"input_radio_20\" data-name=\"input_radio_20\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_20_897c0ecf6e3b1f52cf3116463ffa3955' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_20_575f30a06a1d86abc14a80988e1f08ac'><input  type=\"radio\" name=\"input_radio_20\" data-name=\"input_radio_20\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_20_575f30a06a1d86abc14a80988e1f08ac' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_13\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"3.\tI have an annual physical exam every year.\">3.\tI have an annual physical exam every year.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_28_3e2871a970d69292e8b524c4cc68b401'><input  type=\"radio\" name=\"input_radio_28\" data-name=\"input_radio_28\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_28_3e2871a970d69292e8b524c4cc68b401' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_28_c1f7b0236710a505f0cef4fb495645e6'><input  type=\"radio\" name=\"input_radio_28\" data-name=\"input_radio_28\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_28_c1f7b0236710a505f0cef4fb495645e6' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"4.\tI consider myself overweight\">4.\tI consider myself overweight<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_29_79b45ccd33b9a7ce9d05680b73bef6ef'><input  type=\"radio\" name=\"input_radio_29\" data-name=\"input_radio_29\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_29_79b45ccd33b9a7ce9d05680b73bef6ef' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_29_30f91ac658a3fa376e4ce5c8a298e8cb'><input  type=\"radio\" name=\"input_radio_29\" data-name=\"input_radio_29\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_29_30f91ac658a3fa376e4ce5c8a298e8cb' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_14\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"5.\tI take fitness classes and\/or workout at my local gym 3+ times a week.\">5.\tI take fitness classes and\/or workout at my local gym 3+ times a week.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_26_b565d79011cfa4501183013321308d9c'><input  type=\"radio\" name=\"input_radio_26\" data-name=\"input_radio_26\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_26_b565d79011cfa4501183013321308d9c' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_26_68bd5ef4fe01dfd78970b7c8bb8cc2c4'><input  type=\"radio\" name=\"input_radio_26\" data-name=\"input_radio_26\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_26_68bd5ef4fe01dfd78970b7c8bb8cc2c4' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"6.\tI take my physical fitness seriously.\">6.\tI take my physical fitness seriously.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_27_35dd5f3540f95d29a1ad200bea69a3b1'><input  type=\"radio\" name=\"input_radio_27\" data-name=\"input_radio_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_27_35dd5f3540f95d29a1ad200bea69a3b1' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_27_5de48eec827fe3eefc3a07cd2a70b11a'><input  type=\"radio\" name=\"input_radio_27\" data-name=\"input_radio_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_27_5de48eec827fe3eefc3a07cd2a70b11a' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_15\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"7.\tI feel like it is easier to get injured as I get older when I don\u2019t work out.\">7.\tI feel like it is easier to get injured as I get older when I don\u2019t work out.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_24_e109617aa1eb6f4b83601caa868572d0'><input  type=\"radio\" name=\"input_radio_24\" data-name=\"input_radio_24\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_24_e109617aa1eb6f4b83601caa868572d0' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_24_1900ae58aa4b1b7372a8af80c88036be'><input  type=\"radio\" name=\"input_radio_24\" data-name=\"input_radio_24\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_24_1900ae58aa4b1b7372a8af80c88036be' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"8.\tI like to play sports or to participate in physical activities with friends or family.\">8.\tI like to play sports or to participate in physical activities with friends or family.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_25_1d92418c86aa3632d4c0481802cbbb7c'><input  type=\"radio\" name=\"input_radio_25\" data-name=\"input_radio_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_25_1d92418c86aa3632d4c0481802cbbb7c' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_25_e4886dc67300e797734b4d9b62a8ba39'><input  type=\"radio\" name=\"input_radio_25\" data-name=\"input_radio_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_25_e4886dc67300e797734b4d9b62a8ba39' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_16\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"9.\tIt\u2019s hard for me to set physical fitness goals.\">9.\tIt\u2019s hard for me to set physical fitness goals.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_22_db7f3b6e5b801c3b1fca5a2f12cc9f68'><input  type=\"radio\" name=\"input_radio_22\" data-name=\"input_radio_22\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_22_db7f3b6e5b801c3b1fca5a2f12cc9f68' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_22_c6c740ccfe29db4833846722d52840f6'><input  type=\"radio\" name=\"input_radio_22\" data-name=\"input_radio_22\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_22_c6c740ccfe29db4833846722d52840f6' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"10.\tI believe being physically fit can improve my overall health and well-being.\">10.\tI believe being physically fit can improve my overall health and well-being.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_23_76bfb0331345d1080657e9839df7b3ae'><input  type=\"radio\" name=\"input_radio_23\" data-name=\"input_radio_23\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_23_76bfb0331345d1080657e9839df7b3ae' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_23_72b20697607e858083e51e7c645be2b7'><input  type=\"radio\" name=\"input_radio_23\" data-name=\"input_radio_23\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_23_72b20697607e858083e51e7c645be2b7' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_8\" ><p><strong>After the 10th question, on a scale of one to 10 stars with one star being unbalanced, and 10 stars being completely balanced, punch the appropriate number of stars.<\/strong><\/p><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_9\" ><hr><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_10\" ><h4>Domain 4 \u2013 NUTRITIONAL BALANCE<\/h4><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Ratings\">Ratings<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-ratings jss-ff-el-ratings' role='radiogroup' style='--ff-rating-inactive-color: #d4d4d4; --ff-rating-active-color: #ffb100;' data-rating-icon-source='preset' data-rating-icon-type='star' data-base-tabindex='0'><label for=ratings_4_aa134efb1f4764828cae5bd5e3176b9c class='' role='radio' aria-checked='false' aria-label='Nice' tabindex='-1'><input name=\"ratings_4\" data-name=\"ratings_4\" type=\"radio\" tabindex=\"-1\"  id=ratings_4_aa134efb1f4764828cae5bd5e3176b9c aria-valuenow='1' value='1' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_4_935bfcc608d83296f3b60dd7b01133c5 class='' role='radio' aria-checked='false' aria-label='Good' tabindex='-1'><input name=\"ratings_4\" data-name=\"ratings_4\" type=\"radio\" tabindex=\"-1\"  id=ratings_4_935bfcc608d83296f3b60dd7b01133c5 aria-valuenow='2' value='2' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_4_7d3537658aafedcfa676b7858da25f3e class='' role='radio' aria-checked='false' aria-label='Very Good' tabindex='-1'><input name=\"ratings_4\" data-name=\"ratings_4\" type=\"radio\" tabindex=\"-1\"  id=ratings_4_7d3537658aafedcfa676b7858da25f3e aria-valuenow='3' value='3' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_4_6225c8f2261b4fcc63bfa5f8a51cb69b class='' role='radio' aria-checked='false' aria-label='Awesome' tabindex='-1'><input name=\"ratings_4\" data-name=\"ratings_4\" type=\"radio\" tabindex=\"-1\"  id=ratings_4_6225c8f2261b4fcc63bfa5f8a51cb69b aria-valuenow='4' value='4' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_4_d7307dc66a03457e36e13d921bd61f0e class='' role='radio' aria-checked='false' aria-label='Amazing' tabindex='-1'><input name=\"ratings_4\" data-name=\"ratings_4\" type=\"radio\" tabindex=\"-1\"  id=ratings_4_d7307dc66a03457e36e13d921bd61f0e aria-valuenow='5' value='5' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_4_5acf715d7b7e7d629e2e9a68da766edd class='' role='radio' aria-checked='false' aria-label='Item 6' tabindex='-1'><input name=\"ratings_4\" data-name=\"ratings_4\" type=\"radio\" tabindex=\"-1\"  id=ratings_4_5acf715d7b7e7d629e2e9a68da766edd aria-valuenow='6' value='6' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_4_5e99671c9fff614d0cbd84c6341588a4 class='' role='radio' aria-checked='false' aria-label='Item 7' tabindex='-1'><input name=\"ratings_4\" data-name=\"ratings_4\" type=\"radio\" tabindex=\"-1\"  id=ratings_4_5e99671c9fff614d0cbd84c6341588a4 aria-valuenow='7' value='7' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_4_aeff64d03a26adfdcaaffc1c142df372 class='' role='radio' aria-checked='false' aria-label='Item 8' tabindex='-1'><input name=\"ratings_4\" data-name=\"ratings_4\" type=\"radio\" tabindex=\"-1\"  id=ratings_4_aeff64d03a26adfdcaaffc1c142df372 aria-valuenow='8' value='8' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_4_e5d7e03266570afe114a6261f3740c1b class='' role='radio' aria-checked='false' aria-label='Item 9' tabindex='-1'><input name=\"ratings_4\" data-name=\"ratings_4\" type=\"radio\" tabindex=\"-1\"  id=ratings_4_e5d7e03266570afe114a6261f3740c1b aria-valuenow='9' value='9' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_4_ac9f38b5c8c4e8ca1a63661df34d24fa class='' role='radio' aria-checked='false' aria-label='Item 10' tabindex='-1'><input name=\"ratings_4\" data-name=\"ratings_4\" type=\"radio\" tabindex=\"-1\"  id=ratings_4_ac9f38b5c8c4e8ca1a63661df34d24fa aria-valuenow='10' value='10' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_17\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"1.\tI think about what I am going to eat, whether its vegetarian food, protein or other foods.\">1.\tI think about what I am going to eat, whether its vegetarian food, protein or other foods. <\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_30_9db86a20db67468f9f8cf942da5bc7d6'><input  type=\"radio\" name=\"input_radio_30\" data-name=\"input_radio_30\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_30_9db86a20db67468f9f8cf942da5bc7d6' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_30_5235a944bfbc618b72bdffd49e1c621c'><input  type=\"radio\" name=\"input_radio_30\" data-name=\"input_radio_30\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_30_5235a944bfbc618b72bdffd49e1c621c' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"2.\tI plan for what times I am going to eat throughout the day.\">2.\tI plan for what times I am going to eat throughout the day.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_32_bcce7189093135738c22111f4307cdd7'><input  type=\"radio\" name=\"input_radio_32\" data-name=\"input_radio_32\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_32_bcce7189093135738c22111f4307cdd7' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_32_5d6cb0b6ceeb590a9a4bfa84f98b7a37'><input  type=\"radio\" name=\"input_radio_32\" data-name=\"input_radio_32\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_32_5d6cb0b6ceeb590a9a4bfa84f98b7a37' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_18\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"3.\tI eat three meals a day.\">3.\tI eat three meals a day.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_39_4e851e17fabc20b69fcce7acbdf7cbcb'><input  type=\"radio\" name=\"input_radio_39\" data-name=\"input_radio_39\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_39_4e851e17fabc20b69fcce7acbdf7cbcb' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_39_476aeb570268976c95e3211b645ecbdd'><input  type=\"radio\" name=\"input_radio_39\" data-name=\"input_radio_39\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_39_476aeb570268976c95e3211b645ecbdd' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"4.\tI check the ingredients of the foods I buy.\">4.\tI check the ingredients of the foods I buy.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_40_d02f407c7cbd85b633fe1e5fe74c9025'><input  type=\"radio\" name=\"input_radio_40\" data-name=\"input_radio_40\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_40_d02f407c7cbd85b633fe1e5fe74c9025' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_40_4fbbd6d23eee17607dfd96e932499f6b'><input  type=\"radio\" name=\"input_radio_40\" data-name=\"input_radio_40\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_40_4fbbd6d23eee17607dfd96e932499f6b' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_19\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"5.\tI eat a lot of carbohydrates, sweets or snacks.\">5.\tI eat a lot of carbohydrates, sweets or snacks.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_37_d4cd311f36740285a81706b35fc715dc'><input  type=\"radio\" name=\"input_radio_37\" data-name=\"input_radio_37\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_37_d4cd311f36740285a81706b35fc715dc' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_37_544994ecdb8ae42f861501fe1bdf6aa1'><input  type=\"radio\" name=\"input_radio_37\" data-name=\"input_radio_37\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_37_544994ecdb8ae42f861501fe1bdf6aa1' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"6.\tI drink more than one glass of wine, beer or cocktail more than once a week.\">6.\tI drink more than one glass of wine, beer or cocktail more than once a week.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_38_05011a438845d129707b4945c245cf39'><input  type=\"radio\" name=\"input_radio_38\" data-name=\"input_radio_38\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_38_05011a438845d129707b4945c245cf39' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_38_b4f6c34b2e3ae9556463a1321fcf01c1'><input  type=\"radio\" name=\"input_radio_38\" data-name=\"input_radio_38\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_38_b4f6c34b2e3ae9556463a1321fcf01c1' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_20\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"7.\tI check the calories of the foods before I buy.\">7.\tI check the calories of the foods before I buy.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_35_755b4c279c5121d992f1b1cfa9af397b'><input  type=\"radio\" name=\"input_radio_35\" data-name=\"input_radio_35\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_35_755b4c279c5121d992f1b1cfa9af397b' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_35_b8815071929aa2f6154f3265ea49a458'><input  type=\"radio\" name=\"input_radio_35\" data-name=\"input_radio_35\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_35_b8815071929aa2f6154f3265ea49a458' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"8.\tIf I see a snack on sale (e.g. buy 2 Cheetos and get the 3rd one free!), I am likely to buy it.\">8.\tIf I see a snack on sale (e.g. buy 2 Cheetos and get the 3rd one free!), I am likely to buy it.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_36_dda3c90c37ba1ccf1e9cb3ff12b3b3cf'><input  type=\"radio\" name=\"input_radio_36\" data-name=\"input_radio_36\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_36_dda3c90c37ba1ccf1e9cb3ff12b3b3cf' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_36_2ffc6a000230a456db3fd3af9276eb0c'><input  type=\"radio\" name=\"input_radio_36\" data-name=\"input_radio_36\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_36_2ffc6a000230a456db3fd3af9276eb0c' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_21\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"9.\tI eat desert more than 3 times a week.\">9.\tI eat desert more than 3 times a week.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_33_4d6fa2ff8fb6f8f4130a90e5ff14892c'><input  type=\"radio\" name=\"input_radio_33\" data-name=\"input_radio_33\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_33_4d6fa2ff8fb6f8f4130a90e5ff14892c' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_33_efb529b4f6e4aa9bfca6b02fdaa7d9e3'><input  type=\"radio\" name=\"input_radio_33\" data-name=\"input_radio_33\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_33_efb529b4f6e4aa9bfca6b02fdaa7d9e3' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"10.\tI regularly buy soda at the supermarket.\">10.\tI regularly buy soda at the supermarket.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_34_f86215ef4ebc1698349eb1ab33a52562'><input  type=\"radio\" name=\"input_radio_34\" data-name=\"input_radio_34\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_34_f86215ef4ebc1698349eb1ab33a52562' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_34_3fb01cdbc573d117ea9cedab19376b85'><input  type=\"radio\" name=\"input_radio_34\" data-name=\"input_radio_34\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_34_3fb01cdbc573d117ea9cedab19376b85' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_11\" ><p><strong>After the 10th question, on a scale of one to 10 stars with one star being unbalanced, and 10 stars being completely balanced, punch the appropriate number of stars.<\/strong><\/p><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_12\" ><hr \/><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_13\" ><h4>Domain 5 \u2013 SPIRITUAL BALANCE<\/h4><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Ratings\">Ratings<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-ratings jss-ff-el-ratings' role='radiogroup' style='--ff-rating-inactive-color: #d4d4d4; --ff-rating-active-color: #ffb100;' data-rating-icon-source='preset' data-rating-icon-type='star' data-base-tabindex='0'><label for=ratings_5_ecbbdc0033d21fda80f9d97fede8e20c class='' role='radio' aria-checked='false' aria-label='Nice' tabindex='-1'><input name=\"ratings_5\" data-name=\"ratings_5\" type=\"radio\" tabindex=\"-1\"  id=ratings_5_ecbbdc0033d21fda80f9d97fede8e20c aria-valuenow='1' value='1' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_5_524de51c2dec00386864803cf6d31564 class='' role='radio' aria-checked='false' aria-label='Good' tabindex='-1'><input name=\"ratings_5\" data-name=\"ratings_5\" type=\"radio\" tabindex=\"-1\"  id=ratings_5_524de51c2dec00386864803cf6d31564 aria-valuenow='2' value='2' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_5_57f3168e82be1f5de92710ea414b3c1c class='' role='radio' aria-checked='false' aria-label='Very Good' tabindex='-1'><input name=\"ratings_5\" data-name=\"ratings_5\" type=\"radio\" tabindex=\"-1\"  id=ratings_5_57f3168e82be1f5de92710ea414b3c1c aria-valuenow='3' value='3' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_5_f82967adff1f68cd507d6cb271f13a1a class='' role='radio' aria-checked='false' aria-label='Awesome' tabindex='-1'><input name=\"ratings_5\" data-name=\"ratings_5\" type=\"radio\" tabindex=\"-1\"  id=ratings_5_f82967adff1f68cd507d6cb271f13a1a aria-valuenow='4' value='4' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_5_521acb1b453e81f2e7a3ca73c2e7954b class='' role='radio' aria-checked='false' aria-label='Amazing' tabindex='-1'><input name=\"ratings_5\" data-name=\"ratings_5\" type=\"radio\" tabindex=\"-1\"  id=ratings_5_521acb1b453e81f2e7a3ca73c2e7954b aria-valuenow='5' value='5' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_5_72130a2a0d4e10cb56b8b2af6ace895e class='' role='radio' aria-checked='false' aria-label='Item 6' tabindex='-1'><input name=\"ratings_5\" data-name=\"ratings_5\" type=\"radio\" tabindex=\"-1\"  id=ratings_5_72130a2a0d4e10cb56b8b2af6ace895e aria-valuenow='6' value='6' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_5_0d69213fdbdbfad0f791efe4721ddc2b class='' role='radio' aria-checked='false' aria-label='Item 7' tabindex='-1'><input name=\"ratings_5\" data-name=\"ratings_5\" type=\"radio\" tabindex=\"-1\"  id=ratings_5_0d69213fdbdbfad0f791efe4721ddc2b aria-valuenow='7' value='7' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_5_379394fba571f9c5a53568a7dd73e3d7 class='' role='radio' aria-checked='false' aria-label='Item 8' tabindex='-1'><input name=\"ratings_5\" data-name=\"ratings_5\" type=\"radio\" tabindex=\"-1\"  id=ratings_5_379394fba571f9c5a53568a7dd73e3d7 aria-valuenow='8' value='8' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_5_daf1642d6c7fc152a965fb7c14f4ca14 class='' role='radio' aria-checked='false' aria-label='Item 9' tabindex='-1'><input name=\"ratings_5\" data-name=\"ratings_5\" type=\"radio\" tabindex=\"-1\"  id=ratings_5_daf1642d6c7fc152a965fb7c14f4ca14 aria-valuenow='9' value='9' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_5_58a0674ab22642b9e1725f3e0249f27b class='' role='radio' aria-checked='false' aria-label='Item 10' tabindex='-1'><input name=\"ratings_5\" data-name=\"ratings_5\" type=\"radio\" tabindex=\"-1\"  id=ratings_5_58a0674ab22642b9e1725f3e0249f27b aria-valuenow='10' value='10' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_22\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"1.\tI believe in a higher power.\">1.\tI believe in a higher power.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_42_c620c2402a55e79ba4dfc3a2aabae9db'><input  type=\"radio\" name=\"input_radio_42\" data-name=\"input_radio_42\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_42_c620c2402a55e79ba4dfc3a2aabae9db' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_42_64aeedcf045f5b6c90bcff26d6125802'><input  type=\"radio\" name=\"input_radio_42\" data-name=\"input_radio_42\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_42_64aeedcf045f5b6c90bcff26d6125802' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"2.\tI practice my faith regularly.\">2.\tI practice my faith regularly.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_41_30c02de649f8cf06819618322899452a'><input  type=\"radio\" name=\"input_radio_41\" data-name=\"input_radio_41\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_41_30c02de649f8cf06819618322899452a' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_41_55bcfca7cd5ec7841e2ef415fffb4548'><input  type=\"radio\" name=\"input_radio_41\" data-name=\"input_radio_41\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_41_55bcfca7cd5ec7841e2ef415fffb4548' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_23\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"3.\tI pray.\">3.\tI pray.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_49_ea29c4b86e4a01634aa13109c5110f5d'><input  type=\"radio\" name=\"input_radio_49\" data-name=\"input_radio_49\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_49_ea29c4b86e4a01634aa13109c5110f5d' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_49_74e35b4b32e3963c110550101e92e53c'><input  type=\"radio\" name=\"input_radio_49\" data-name=\"input_radio_49\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_49_74e35b4b32e3963c110550101e92e53c' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"4.\tWhen something bad happens, I just accept it or rationalize it.\">4.\tWhen something bad happens, I just accept it or rationalize it.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_50_8868d38bacc62586cf0b8a9d73aa59a3'><input  type=\"radio\" name=\"input_radio_50\" data-name=\"input_radio_50\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_50_8868d38bacc62586cf0b8a9d73aa59a3' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_50_fbe0a3fdee95185d66a031b01afa2fcf'><input  type=\"radio\" name=\"input_radio_50\" data-name=\"input_radio_50\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_50_fbe0a3fdee95185d66a031b01afa2fcf' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_24\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"5.\tI believe in miracles.\">5.\tI believe in miracles.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_47_cbf31b1778988b86bc40a4354c06ea2a'><input  type=\"radio\" name=\"input_radio_47\" data-name=\"input_radio_47\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_47_cbf31b1778988b86bc40a4354c06ea2a' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_47_424a48d967a925b982f0c04e717a7ba3'><input  type=\"radio\" name=\"input_radio_47\" data-name=\"input_radio_47\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_47_424a48d967a925b982f0c04e717a7ba3' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"6.\tI take responsibility in my daily life and turn to my higher power when things happen beyond my control.\">6.\tI take responsibility in my daily life and turn to my higher power when things happen beyond my control.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_48_467c5ace6de0e1ccc624bc30d7feaeff'><input  type=\"radio\" name=\"input_radio_48\" data-name=\"input_radio_48\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_48_467c5ace6de0e1ccc624bc30d7feaeff' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_48_f3ce85d5f2ad86da285b2a9d417a1c50'><input  type=\"radio\" name=\"input_radio_48\" data-name=\"input_radio_48\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_48_f3ce85d5f2ad86da285b2a9d417a1c50' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_25\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"7.\tI have friendships and relationships with people who think like me.\">7.\tI have friendships and relationships with people who think like me.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_45_22853552722d2b0ec783cb8335bac472'><input  type=\"radio\" name=\"input_radio_45\" data-name=\"input_radio_45\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_45_22853552722d2b0ec783cb8335bac472' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_45_6273b183f83b038e13dedfcf09bd5b8e'><input  type=\"radio\" name=\"input_radio_45\" data-name=\"input_radio_45\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_45_6273b183f83b038e13dedfcf09bd5b8e' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"8.\tI reflect and appreciate when unexpected, good things happen in my life.\">8.\tI reflect and appreciate when unexpected, good things happen in my life.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_46_2f9d9ffa69efdc15a6c1b103b7bacc22'><input  type=\"radio\" name=\"input_radio_46\" data-name=\"input_radio_46\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_46_2f9d9ffa69efdc15a6c1b103b7bacc22' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_46_62541c4342df2e72324652e8333f66fc'><input  type=\"radio\" name=\"input_radio_46\" data-name=\"input_radio_46\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_46_62541c4342df2e72324652e8333f66fc' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_26\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"9.\tIf someone close to me dies, it makes me question my faith.\">9.\tIf someone close to me dies, it makes me question my faith.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_43_2079780830c289f5dd2e3e3d203d9e28'><input  type=\"radio\" name=\"input_radio_43\" data-name=\"input_radio_43\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_43_2079780830c289f5dd2e3e3d203d9e28' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_43_4a87fa582e68d914ef2f341b3d7e10dd'><input  type=\"radio\" name=\"input_radio_43\" data-name=\"input_radio_43\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_43_4a87fa582e68d914ef2f341b3d7e10dd' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"10.\tI respect people who have different spiritual beliefs than I do.\">10.\tI respect people who have different spiritual beliefs than I do.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_44_afdab77182c3e9b10668cadadc056380'><input  type=\"radio\" name=\"input_radio_44\" data-name=\"input_radio_44\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_44_afdab77182c3e9b10668cadadc056380' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_44_1d5369352ad0ab02ef853c8d9cdc710a'><input  type=\"radio\" name=\"input_radio_44\" data-name=\"input_radio_44\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_44_1d5369352ad0ab02ef853c8d9cdc710a' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_14\" ><p><strong>After the 10th question, on a scale of one to 10 stars with one star being unbalanced, and 10 stars being completely balanced, punch the appropriate number of stars.<\/strong><\/p><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_15\" ><hr \/><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_16\" ><h4>Domain 6 \u2013 WORKLIFE BALANCE<\/h4><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Ratings\">Ratings<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-ratings jss-ff-el-ratings' role='radiogroup' style='--ff-rating-inactive-color: #d4d4d4; --ff-rating-active-color: #ffb100;' data-rating-icon-source='preset' data-rating-icon-type='star' data-base-tabindex='0'><label for=ratings_6_e5bef3d46c821de9f08f8b0f1ef8693e class='' role='radio' aria-checked='false' aria-label='Nice' tabindex='-1'><input name=\"ratings_6\" data-name=\"ratings_6\" type=\"radio\" tabindex=\"-1\"  id=ratings_6_e5bef3d46c821de9f08f8b0f1ef8693e aria-valuenow='1' value='1' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_6_64d180db58857ed240cf19530ec479f4 class='' role='radio' aria-checked='false' aria-label='Good' tabindex='-1'><input name=\"ratings_6\" data-name=\"ratings_6\" type=\"radio\" tabindex=\"-1\"  id=ratings_6_64d180db58857ed240cf19530ec479f4 aria-valuenow='2' value='2' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_6_9e26b0ee8a56322edbc0bc6d1942c9a4 class='' role='radio' aria-checked='false' aria-label='Very Good' tabindex='-1'><input name=\"ratings_6\" data-name=\"ratings_6\" type=\"radio\" tabindex=\"-1\"  id=ratings_6_9e26b0ee8a56322edbc0bc6d1942c9a4 aria-valuenow='3' value='3' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_6_ad9d992392e0b4cacdcadad0dc3847e2 class='' role='radio' aria-checked='false' aria-label='Awesome' tabindex='-1'><input name=\"ratings_6\" data-name=\"ratings_6\" type=\"radio\" tabindex=\"-1\"  id=ratings_6_ad9d992392e0b4cacdcadad0dc3847e2 aria-valuenow='4' value='4' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_6_f549fae1cfb1268377a8896a76df78a9 class='' role='radio' aria-checked='false' aria-label='Amazing' tabindex='-1'><input name=\"ratings_6\" data-name=\"ratings_6\" type=\"radio\" tabindex=\"-1\"  id=ratings_6_f549fae1cfb1268377a8896a76df78a9 aria-valuenow='5' value='5' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_6_cb8f0fd68d67cfb6250b21fe47c4e639 class='' role='radio' aria-checked='false' aria-label='Item 6' tabindex='-1'><input name=\"ratings_6\" data-name=\"ratings_6\" type=\"radio\" tabindex=\"-1\"  id=ratings_6_cb8f0fd68d67cfb6250b21fe47c4e639 aria-valuenow='6' value='6' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_6_a64d165b748444ee8be1dbe6727b5628 class='' role='radio' aria-checked='false' aria-label='Item 7' tabindex='-1'><input name=\"ratings_6\" data-name=\"ratings_6\" type=\"radio\" tabindex=\"-1\"  id=ratings_6_a64d165b748444ee8be1dbe6727b5628 aria-valuenow='7' value='7' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_6_f6d8d476eb7b1e3ec71dc296059d2ae0 class='' role='radio' aria-checked='false' aria-label='Item 8' tabindex='-1'><input name=\"ratings_6\" data-name=\"ratings_6\" type=\"radio\" tabindex=\"-1\"  id=ratings_6_f6d8d476eb7b1e3ec71dc296059d2ae0 aria-valuenow='8' value='8' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_6_128c78cd8ce7bb7babe0c93a0e78aeba class='' role='radio' aria-checked='false' aria-label='Item 9' tabindex='-1'><input name=\"ratings_6\" data-name=\"ratings_6\" type=\"radio\" tabindex=\"-1\"  id=ratings_6_128c78cd8ce7bb7babe0c93a0e78aeba aria-valuenow='9' value='9' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_6_5a6ee1ca7d1cc24a130cd927d7d2a370 class='' role='radio' aria-checked='false' aria-label='Item 10' tabindex='-1'><input name=\"ratings_6\" data-name=\"ratings_6\" type=\"radio\" tabindex=\"-1\"  id=ratings_6_5a6ee1ca7d1cc24a130cd927d7d2a370 aria-valuenow='10' value='10' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_27\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"1.\tI look at work as a challenge.\">1.\tI look at work as a challenge.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_51_6d428f38addb8c14674653ccc2221376'><input  type=\"radio\" name=\"input_radio_51\" data-name=\"input_radio_51\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_51_6d428f38addb8c14674653ccc2221376' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_51_f6c90c24303e2cccd17b50cb8db47523'><input  type=\"radio\" name=\"input_radio_51\" data-name=\"input_radio_51\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_51_f6c90c24303e2cccd17b50cb8db47523' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"2.\tI sometimes feel unorganized at work.\">2.\tI sometimes feel unorganized at work.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_52_a72c363b19e0040182957d0e33174873'><input  type=\"radio\" name=\"input_radio_52\" data-name=\"input_radio_52\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_52_a72c363b19e0040182957d0e33174873' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_52_67353537ffdc49765d96caa326d9fb14'><input  type=\"radio\" name=\"input_radio_52\" data-name=\"input_radio_52\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_52_67353537ffdc49765d96caa326d9fb14' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_28\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"3.\tI have difficulty balancing all the work and personal things I need to do each day.\">3.\tI have difficulty balancing all the work and personal things I need to do each day.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_59_d10065dcd073c62126b91228038306de'><input  type=\"radio\" name=\"input_radio_59\" data-name=\"input_radio_59\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_59_d10065dcd073c62126b91228038306de' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_59_b24b462bb9df149446b0d7162f10d22c'><input  type=\"radio\" name=\"input_radio_59\" data-name=\"input_radio_59\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_59_b24b462bb9df149446b0d7162f10d22c' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"4.\tI feel overwhelmed by work requirements at the expense of other areas of my life.\">4.\tI feel overwhelmed by work requirements at the expense of other areas of my life.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_60_41780d4c11cf7b1fd884817508ab4047'><input  type=\"radio\" name=\"input_radio_60\" data-name=\"input_radio_60\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_60_41780d4c11cf7b1fd884817508ab4047' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_60_3ba41f3c6e73400c18bb38c8a4660a69'><input  type=\"radio\" name=\"input_radio_60\" data-name=\"input_radio_60\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_60_3ba41f3c6e73400c18bb38c8a4660a69' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_29\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"5.\tI have a hard time adjusting to all the new technologies like AI.\">5.\tI have a hard time adjusting to all the new technologies like AI.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_57_d84364afc527178d712f822e58650b92'><input  type=\"radio\" name=\"input_radio_57\" data-name=\"input_radio_57\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_57_d84364afc527178d712f822e58650b92' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_57_f1653df6e48dd95a455188c781b20b79'><input  type=\"radio\" name=\"input_radio_57\" data-name=\"input_radio_57\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_57_f1653df6e48dd95a455188c781b20b79' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"6.\tI value my job and the role I play in the company.\">6.\tI value my job and the role I play in the company.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_58_68d8ff084cda1698dc2e85fe585c585e'><input  type=\"radio\" name=\"input_radio_58\" data-name=\"input_radio_58\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_58_68d8ff084cda1698dc2e85fe585c585e' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_58_6f4908a1d3a666f8f0b9e7930fd9ada3'><input  type=\"radio\" name=\"input_radio_58\" data-name=\"input_radio_58\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_58_6f4908a1d3a666f8f0b9e7930fd9ada3' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_30\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"7.\tI see the value in developing a work-life balance routine.\">7.\tI see the value in developing a work-life balance routine.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_55_1765e93d9db3646e08dc6b569a5cc7ba'><input  type=\"radio\" name=\"input_radio_55\" data-name=\"input_radio_55\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_55_1765e93d9db3646e08dc6b569a5cc7ba' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_55_1d092aefc4c83d20864f22dbd2535f3a'><input  type=\"radio\" name=\"input_radio_55\" data-name=\"input_radio_55\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_55_1d092aefc4c83d20864f22dbd2535f3a' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"8.\tI manage sudden changes in my daily routine well.\">8.\tI manage sudden changes in my daily routine well.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_56_b266f12219d7dafbb5df85de7848a33e'><input  type=\"radio\" name=\"input_radio_56\" data-name=\"input_radio_56\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_56_b266f12219d7dafbb5df85de7848a33e' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_56_1aee8c147935f54b30c5c02be9b25a46'><input  type=\"radio\" name=\"input_radio_56\" data-name=\"input_radio_56\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_56_1aee8c147935f54b30c5c02be9b25a46' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_31\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"9.\tI check my work email all hours of the day.\">9.\tI check my work email all hours of the day.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_53_c25ca92fc3e4a8c6f0861e82ea3510e1'><input  type=\"radio\" name=\"input_radio_53\" data-name=\"input_radio_53\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_53_c25ca92fc3e4a8c6f0861e82ea3510e1' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_53_ae7101a9fafcf2169a75a4881e62410d'><input  type=\"radio\" name=\"input_radio_53\" data-name=\"input_radio_53\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_53_ae7101a9fafcf2169a75a4881e62410d' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"10.\tI place my work above everything else in my life.\">10.\tI place my work above everything else in my life.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_54_38e177ceb8a7e8e7963a794f6920700f'><input  type=\"radio\" name=\"input_radio_54\" data-name=\"input_radio_54\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_54_38e177ceb8a7e8e7963a794f6920700f' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_54_3917d43216c8671e3405885201ef7adf'><input  type=\"radio\" name=\"input_radio_54\" data-name=\"input_radio_54\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_54_3917d43216c8671e3405885201ef7adf' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_17\" ><p><strong>After the 10th question, on a scale of one to 10 stars with one star being unbalanced, and 10 stars being completely balanced, punch the appropriate number of stars.<\/strong><\/p><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_18\" ><hr \/><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_19\" ><h4>Domain 7 \u2013 SOCIAL BALANCE<\/h4><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Ratings\">Ratings<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-ratings jss-ff-el-ratings' role='radiogroup' style='--ff-rating-inactive-color: #d4d4d4; --ff-rating-active-color: #ffb100;' data-rating-icon-source='preset' data-rating-icon-type='star' data-base-tabindex='0'><label for=ratings_7_5e49364a2a9c87580b3989b1ee96c113 class='' role='radio' aria-checked='false' aria-label='Nice' tabindex='-1'><input name=\"ratings_7\" data-name=\"ratings_7\" type=\"radio\" tabindex=\"-1\"  id=ratings_7_5e49364a2a9c87580b3989b1ee96c113 aria-valuenow='1' value='1' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_7_7404f0e672a75bde82d3c483bc28fc39 class='' role='radio' aria-checked='false' aria-label='Good' tabindex='-1'><input name=\"ratings_7\" data-name=\"ratings_7\" type=\"radio\" tabindex=\"-1\"  id=ratings_7_7404f0e672a75bde82d3c483bc28fc39 aria-valuenow='2' value='2' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_7_750e16119fcbbe190b0b637e5d1dfe47 class='' role='radio' aria-checked='false' aria-label='Very Good' tabindex='-1'><input name=\"ratings_7\" data-name=\"ratings_7\" type=\"radio\" tabindex=\"-1\"  id=ratings_7_750e16119fcbbe190b0b637e5d1dfe47 aria-valuenow='3' value='3' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_7_33ef03351aec1a1f0ed7592ef01e7bc8 class='' role='radio' aria-checked='false' aria-label='Awesome' tabindex='-1'><input name=\"ratings_7\" data-name=\"ratings_7\" type=\"radio\" tabindex=\"-1\"  id=ratings_7_33ef03351aec1a1f0ed7592ef01e7bc8 aria-valuenow='4' value='4' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_7_ea433ae77c40b76468c190b751941d9a class='' role='radio' aria-checked='false' aria-label='Amazing' tabindex='-1'><input name=\"ratings_7\" data-name=\"ratings_7\" type=\"radio\" tabindex=\"-1\"  id=ratings_7_ea433ae77c40b76468c190b751941d9a aria-valuenow='5' value='5' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_7_e798293ac08fd5d43e4fb7d65ac02b06 class='' role='radio' aria-checked='false' aria-label='Item 6' tabindex='-1'><input name=\"ratings_7\" data-name=\"ratings_7\" type=\"radio\" tabindex=\"-1\"  id=ratings_7_e798293ac08fd5d43e4fb7d65ac02b06 aria-valuenow='6' value='6' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_7_f01adefdf56cb8c1ca89b1e44713f7f4 class='' role='radio' aria-checked='false' aria-label='Item 7' tabindex='-1'><input name=\"ratings_7\" data-name=\"ratings_7\" type=\"radio\" tabindex=\"-1\"  id=ratings_7_f01adefdf56cb8c1ca89b1e44713f7f4 aria-valuenow='7' value='7' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_7_e3043c4f577d4ad6fc17f2487efeeddc class='' role='radio' aria-checked='false' aria-label='Item 8' tabindex='-1'><input name=\"ratings_7\" data-name=\"ratings_7\" type=\"radio\" tabindex=\"-1\"  id=ratings_7_e3043c4f577d4ad6fc17f2487efeeddc aria-valuenow='8' value='8' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_7_f3b6305d6e1260b3cb52c18b62c992b2 class='' role='radio' aria-checked='false' aria-label='Item 9' tabindex='-1'><input name=\"ratings_7\" data-name=\"ratings_7\" type=\"radio\" tabindex=\"-1\"  id=ratings_7_f3b6305d6e1260b3cb52c18b62c992b2 aria-valuenow='9' value='9' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_7_9cb7ac678d0d382216f271912134aa9f class='' role='radio' aria-checked='false' aria-label='Item 10' tabindex='-1'><input name=\"ratings_7\" data-name=\"ratings_7\" type=\"radio\" tabindex=\"-1\"  id=ratings_7_9cb7ac678d0d382216f271912134aa9f aria-valuenow='10' value='10' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_32\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"1.\tI get social interaction and fulfillment by watching movies.\">1.\tI get social interaction and fulfillment by watching movies.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_61_22a0bb34c6a279b674c51cb18c03bf94'><input  type=\"radio\" name=\"input_radio_61\" data-name=\"input_radio_61\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_61_22a0bb34c6a279b674c51cb18c03bf94' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_61_7899e2a74f61afb7f7ab89abadfa9ceb'><input  type=\"radio\" name=\"input_radio_61\" data-name=\"input_radio_61\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_61_7899e2a74f61afb7f7ab89abadfa9ceb' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"2.\tI get connected socially mostly through social media.\">2.\tI get connected socially mostly through social media.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_62_dcf440582c957d978b2e16dedaede94e'><input  type=\"radio\" name=\"input_radio_62\" data-name=\"input_radio_62\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_62_dcf440582c957d978b2e16dedaede94e' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_62_c2e7dca3acc53b411070465a32e7e523'><input  type=\"radio\" name=\"input_radio_62\" data-name=\"input_radio_62\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_62_c2e7dca3acc53b411070465a32e7e523' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_33\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"3.\tI have three friends who I can call in an emergency.\">3.\tI have three friends who I can call in an emergency.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_69_801c89f0333d404194434b1a7b7e2b4e'><input  type=\"radio\" name=\"input_radio_69\" data-name=\"input_radio_69\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_69_801c89f0333d404194434b1a7b7e2b4e' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_69_39211eb475c8626c5bfde992833a4919'><input  type=\"radio\" name=\"input_radio_69\" data-name=\"input_radio_69\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_69_39211eb475c8626c5bfde992833a4919' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"4.\tI am close to members of my family.\">4.\tI am close to members of my family.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_70_621eb3ec259270fc26d2cb4374b62394'><input  type=\"radio\" name=\"input_radio_70\" data-name=\"input_radio_70\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_70_621eb3ec259270fc26d2cb4374b62394' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_70_8298de641d476649992f68091225b3a5'><input  type=\"radio\" name=\"input_radio_70\" data-name=\"input_radio_70\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_70_8298de641d476649992f68091225b3a5' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_34\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"5.\tI have close friendships at work.\">5.\tI have close friendships at work.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_67_b1e18b60a7add4c7d8773579f9a0a97d'><input  type=\"radio\" name=\"input_radio_67\" data-name=\"input_radio_67\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_67_b1e18b60a7add4c7d8773579f9a0a97d' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_67_0770d147b524ec869a7667bb8cdadc75'><input  type=\"radio\" name=\"input_radio_67\" data-name=\"input_radio_67\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_67_0770d147b524ec869a7667bb8cdadc75' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"6.\tI participate in social events in my community.\">6.\tI participate in social events in my community.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_68_2f33787ece9e634b65d46e72cdb0a6dd'><input  type=\"radio\" name=\"input_radio_68\" data-name=\"input_radio_68\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_68_2f33787ece9e634b65d46e72cdb0a6dd' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_68_f192268776ff35d1567dc7121ce8b637'><input  type=\"radio\" name=\"input_radio_68\" data-name=\"input_radio_68\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_68_f192268776ff35d1567dc7121ce8b637' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_35\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"7.\tI participate in social and\/or athletic events like attending a concert, going to a football game or watching fireworks.\">7.\tI participate in social and\/or athletic events like attending a concert, going to a football game or watching fireworks.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_65_43a91a73f451465e9ddae8f14628fd8a'><input  type=\"radio\" name=\"input_radio_65\" data-name=\"input_radio_65\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_65_43a91a73f451465e9ddae8f14628fd8a' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_65_1aeeb159c64bebb7046c87d713c9d067'><input  type=\"radio\" name=\"input_radio_65\" data-name=\"input_radio_65\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_65_1aeeb159c64bebb7046c87d713c9d067' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"8.\tI enjoy traveling to different states and countries and meeting new people as well.\">8.\tI enjoy traveling to different states and countries and meeting new people as well.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_66_3faa9a38497c357c7f8603423b1bbcb2'><input  type=\"radio\" name=\"input_radio_66\" data-name=\"input_radio_66\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_66_3faa9a38497c357c7f8603423b1bbcb2' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_66_8320ff0544810e4c9a3a289054d89adc'><input  type=\"radio\" name=\"input_radio_66\" data-name=\"input_radio_66\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_66_8320ff0544810e4c9a3a289054d89adc' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_36\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"9.\tI spend more than two hours on social media a day, four or more days a week.\">9.\tI spend more than two hours on social media a day, four or more days a week.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_63_7ee561c1212e03e08084b9fbb82cd170'><input  type=\"radio\" name=\"input_radio_63\" data-name=\"input_radio_63\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_63_7ee561c1212e03e08084b9fbb82cd170' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_63_e9cfdff1d26162e654e1c2f44639fc12'><input  type=\"radio\" name=\"input_radio_63\" data-name=\"input_radio_63\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_63_e9cfdff1d26162e654e1c2f44639fc12' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"10.\tI identify myself as socially shy or an introvert around people.\">10.\tI identify myself as socially shy or an introvert around people.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_64_f067d1a75e35544ff38f50fc8e233066'><input  type=\"radio\" name=\"input_radio_64\" data-name=\"input_radio_64\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_64_f067d1a75e35544ff38f50fc8e233066' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_64_8fb9e85ef1b312c62bdf6ad9399d2068'><input  type=\"radio\" name=\"input_radio_64\" data-name=\"input_radio_64\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_64_8fb9e85ef1b312c62bdf6ad9399d2068' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_20\" ><p><strong>After the 10th question, on a scale of one to 10 stars with one star being unbalanced, and 10 stars being completely balanced, punch the appropriate number of stars.<\/strong><\/p><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_21\" ><hr><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_22\" ><h4>Domain 8 \u2013 FINANCIAL<\/h4><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Ratings\">Ratings<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-ratings jss-ff-el-ratings' role='radiogroup' style='--ff-rating-inactive-color: #d4d4d4; --ff-rating-active-color: #ffb100;' data-rating-icon-source='preset' data-rating-icon-type='star' data-base-tabindex='0'><label for=ratings_8_701aea2467a78c2f0af1fbe521e55e8b class='' role='radio' aria-checked='false' aria-label='Nice' tabindex='-1'><input name=\"ratings_8\" data-name=\"ratings_8\" type=\"radio\" tabindex=\"-1\"  id=ratings_8_701aea2467a78c2f0af1fbe521e55e8b aria-valuenow='1' value='1' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_8_3ba81b8e1fd82f7cba45682de6e98229 class='' role='radio' aria-checked='false' aria-label='Good' tabindex='-1'><input name=\"ratings_8\" data-name=\"ratings_8\" type=\"radio\" tabindex=\"-1\"  id=ratings_8_3ba81b8e1fd82f7cba45682de6e98229 aria-valuenow='2' value='2' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_8_1f133b105277928dcfc6bd0e5fb922ae class='' role='radio' aria-checked='false' aria-label='Very Good' tabindex='-1'><input name=\"ratings_8\" data-name=\"ratings_8\" type=\"radio\" tabindex=\"-1\"  id=ratings_8_1f133b105277928dcfc6bd0e5fb922ae aria-valuenow='3' value='3' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_8_27eae97e5b68c680eefe3513ff7e2605 class='' role='radio' aria-checked='false' aria-label='Awesome' tabindex='-1'><input name=\"ratings_8\" data-name=\"ratings_8\" type=\"radio\" tabindex=\"-1\"  id=ratings_8_27eae97e5b68c680eefe3513ff7e2605 aria-valuenow='4' value='4' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_8_5770edc6d67674218ff0664365c23190 class='' role='radio' aria-checked='false' aria-label='Amazing' tabindex='-1'><input name=\"ratings_8\" data-name=\"ratings_8\" type=\"radio\" tabindex=\"-1\"  id=ratings_8_5770edc6d67674218ff0664365c23190 aria-valuenow='5' value='5' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_8_53f58376110e983c530384c397f3233a class='' role='radio' aria-checked='false' aria-label='Item 6' tabindex='-1'><input name=\"ratings_8\" data-name=\"ratings_8\" type=\"radio\" tabindex=\"-1\"  id=ratings_8_53f58376110e983c530384c397f3233a aria-valuenow='6' value='6' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_8_84d64fd0b7b3c50873d383a509687aca class='' role='radio' aria-checked='false' aria-label='Item 7' tabindex='-1'><input name=\"ratings_8\" data-name=\"ratings_8\" type=\"radio\" tabindex=\"-1\"  id=ratings_8_84d64fd0b7b3c50873d383a509687aca aria-valuenow='7' value='7' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_8_7605b5fc8a20f1060b0170c9530a58f0 class='' role='radio' aria-checked='false' aria-label='Item 8' tabindex='-1'><input name=\"ratings_8\" data-name=\"ratings_8\" type=\"radio\" tabindex=\"-1\"  id=ratings_8_7605b5fc8a20f1060b0170c9530a58f0 aria-valuenow='8' value='8' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_8_85c41b3afcb1116c15cf346883673684 class='' role='radio' aria-checked='false' aria-label='Item 9' tabindex='-1'><input name=\"ratings_8\" data-name=\"ratings_8\" type=\"radio\" tabindex=\"-1\"  id=ratings_8_85c41b3afcb1116c15cf346883673684 aria-valuenow='9' value='9' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><label for=ratings_8_1a6632eb46e9b2f0909838f77c8ed709 class='' role='radio' aria-checked='false' aria-label='Item 10' tabindex='-1'><input name=\"ratings_8\" data-name=\"ratings_8\" type=\"radio\" tabindex=\"-1\"  id=ratings_8_1a6632eb46e9b2f0909838f77c8ed709 aria-valuenow='10' value='10' aria-required=false aria-invalid='false'><span class='ff-rating-icon' aria-hidden='true'><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 62 58\" focusable=\"false\" aria-hidden=\"true\" preserveAspectRatio=\"xMidYMid meet\" preserveaspectratio=\"xMidYMid meet\" class=\"ff-rating-icon-svg jss-ff-svg ff-svg\"><path fill=\"currentColor\" d=\"M31 44.237L12.19 57.889l7.172-22.108L.566 22.111l23.241-.01L31 0l7.193 22.1 23.24.011-18.795 13.67 7.171 22.108z\"\/><\/svg><\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_37\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"1.\tI pay off my credit cards each month.\">1.\tI pay off my credit cards each month.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_71_2c30a745582c7269a583faec85a587b3'><input  type=\"radio\" name=\"input_radio_71\" data-name=\"input_radio_71\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_71_2c30a745582c7269a583faec85a587b3' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_71_d01e3cde7cd05458b523c6f05bcb7f94'><input  type=\"radio\" name=\"input_radio_71\" data-name=\"input_radio_71\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_71_d01e3cde7cd05458b523c6f05bcb7f94' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"2.\tI put money aside into a savings account each month.\">2.\tI put money aside into a savings account each month.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_72_cca92c9d10e5785337ac44d62d7b654a'><input  type=\"radio\" name=\"input_radio_72\" data-name=\"input_radio_72\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_72_cca92c9d10e5785337ac44d62d7b654a' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_72_c833c3a17b901debda7b946bfac0a0d0'><input  type=\"radio\" name=\"input_radio_72\" data-name=\"input_radio_72\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_72_c833c3a17b901debda7b946bfac0a0d0' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_38\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"3.\tI currently contribute or have contributed to a 401K or retirement account.\">3.\tI currently contribute or have contributed to a 401K or retirement account.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_79_c7e4b9853dc949d68fe7f431bea3a0e0'><input  type=\"radio\" name=\"input_radio_79\" data-name=\"input_radio_79\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_79_c7e4b9853dc949d68fe7f431bea3a0e0' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_79_f3b665d28b3aa0a51d943617a3132a06'><input  type=\"radio\" name=\"input_radio_79\" data-name=\"input_radio_79\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_79_f3b665d28b3aa0a51d943617a3132a06' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"4.\tMy partner and I have a dual account to pay shared bills.\">4.\tMy partner and I have a dual account to pay shared bills.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_80_8f4ea6d59e8e4a48e17bdba9c39e728f'><input  type=\"radio\" name=\"input_radio_80\" data-name=\"input_radio_80\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_80_8f4ea6d59e8e4a48e17bdba9c39e728f' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_80_0d2bdfe70e0924184c46673356b57f5c'><input  type=\"radio\" name=\"input_radio_80\" data-name=\"input_radio_80\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_80_0d2bdfe70e0924184c46673356b57f5c' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_39\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"5.\tI often spend without thinking about the price.\">5.\tI often spend without thinking about the price.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_77_28862195df3de802e4244c1d05da1b8f'><input  type=\"radio\" name=\"input_radio_77\" data-name=\"input_radio_77\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_77_28862195df3de802e4244c1d05da1b8f' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_77_c7547e1523c52e9c68fb5bfa96ef5cc5'><input  type=\"radio\" name=\"input_radio_77\" data-name=\"input_radio_77\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_77_c7547e1523c52e9c68fb5bfa96ef5cc5' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"6.\t I participate in the stock market.\">6.\t I participate in the stock market.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_78_60e202452246764e79c718ae79ad3b35'><input  type=\"radio\" name=\"input_radio_78\" data-name=\"input_radio_78\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_78_60e202452246764e79c718ae79ad3b35' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_78_712271542736bfd610afa6a71e944e4d'><input  type=\"radio\" name=\"input_radio_78\" data-name=\"input_radio_78\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_78_712271542736bfd610afa6a71e944e4d' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_40\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"7.\tI go out to a restaurant more than once a week.\">7.\tI go out to a restaurant more than once a week.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_75_fc6bceb26e4f207cb11586036de5c396'><input  type=\"radio\" name=\"input_radio_75\" data-name=\"input_radio_75\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_75_fc6bceb26e4f207cb11586036de5c396' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_75_d0357fb5d6fb0510be9232c94b8a90f5'><input  type=\"radio\" name=\"input_radio_75\" data-name=\"input_radio_75\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_75_d0357fb5d6fb0510be9232c94b8a90f5' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"8.\tI believe in saving up for something big like a car, or condo or a vacation.\">8.\tI believe in saving up for something big like a car, or condo or a vacation.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_76_2765a9ea832eccd27abf917a4f41d6fc'><input  type=\"radio\" name=\"input_radio_76\" data-name=\"input_radio_76\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_76_2765a9ea832eccd27abf917a4f41d6fc' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_76_d31ec3634dbb5a8990363d354e36bab3'><input  type=\"radio\" name=\"input_radio_76\" data-name=\"input_radio_76\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_76_d31ec3634dbb5a8990363d354e36bab3' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_41\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"9.\tI have written down some financial goals in the past and have fulfilled those goals.\">9.\tI have written down some financial goals in the past and have fulfilled those goals.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_73_584e7b481408b96fe3e43f5b73ad7837'><input  type=\"radio\" name=\"input_radio_73\" data-name=\"input_radio_73\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_73_584e7b481408b96fe3e43f5b73ad7837' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_73_d31e392c3bb7264f06a5efc6c463536d'><input  type=\"radio\" name=\"input_radio_73\" data-name=\"input_radio_73\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_73_d31e392c3bb7264f06a5efc6c463536d' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"10.\tI live within my means.\">10.\tI live within my means.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_74_5ed4066e0d7539045d7a3e855a816f81'><input  type=\"radio\" name=\"input_radio_74\" data-name=\"input_radio_74\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_74_5ed4066e0d7539045d7a3e855a816f81' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_74_86e55f046679fc748d5076b2ebdfccc6'><input  type=\"radio\" name=\"input_radio_74\" data-name=\"input_radio_74\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_74_86e55f046679fc748d5076b2ebdfccc6' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_23\" ><p><strong>After the 10th question, on a scale of one to 10 stars with one star being unbalanced, and 10 stars being completely balanced, punch the appropriate number of stars.<\/strong><\/p><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_file-upload_1' id='label_ff_3_file-upload_1' aria-label=\"Graphic File Upload\">Graphic File Upload<\/label><\/div><div class='ff-el-input--content'><label for='ff_3_file-upload_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload\" id=\"ff_3_file-upload_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_description' id='label_ff_3_description' aria-label=\"Message\">Message<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_3_description\" name=\"description\" id=\"ff_3_description\" class=\"ff-el-form-control\" placeholder=\"Message\" rows=\"3\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Submit Form\">Submit Form<\/button><\/div><\/fieldset><\/form><div id='fluentform_3_errors' class='ff-errors-in-stack ff_form_instance_3_1 ff-form-loading_errors ff_form_instance_3_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_3_1 = 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