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[et_pb_line_break_holder] -->& when ( @buttonFontType = google ) { @import (css) "@{buttonFontLink}";<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->*/<!-- [et_pb_line_break_holder] -->h2.form-header { line-height: 1.618em; font-size: 1.714em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->h2 ~ .form-subHeader { line-height: 1.5em; font-size: 1.071em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-header-group { text-align: left;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line { zoom: 1;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line:before,<!-- [et_pb_line_break_holder] -->.form-line:after { display: table; content: ''; line-height: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line:after { clear: both;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-sub-label-container { margin-right: 0; float: left; white-space: nowrap; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-sub-label-container .date-separate { visibility: hidden;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-captcha input,<!-- [et_pb_line_break_holder] -->.form-spinner input { width: 425px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-textbox,<!-- [et_pb_line_break_holder] -->.form-textarea { width: 100%; max-width: 425px; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-input,<!-- [et_pb_line_break_holder] -->.form-address-table,<!-- [et_pb_line_break_holder] -->.form-matrix-table { width: 100%; max-width: 425px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-radio-item,<!-- [et_pb_line_break_holder] -->.form-checkbox-item { width: 100%; max-width: 425px; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-textbox.form-radio-other-input,<!-- [et_pb_line_break_holder] -->.form-textbox.form-checkbox-other-input { width: 80%; margin-left: 3%; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-multiple-column { width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-multiple-column .form-radio-item,<!-- [et_pb_line_break_holder] -->.form-multiple-column .form-checkbox-item { width: 10%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="1"] .form-radio-item,<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="1"] .form-checkbox-item { width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="2"] .form-radio-item,<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="2"] .form-checkbox-item { width: 50%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="3"] .form-radio-item,<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="3"] .form-checkbox-item { width: 33.33333333%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="4"] .form-radio-item,<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="4"] .form-checkbox-item { width: 25%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="5"] .form-radio-item,<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="5"] .form-checkbox-item { width: 20%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="6"] .form-radio-item,<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="6"] .form-checkbox-item { width: 16.66666667%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="7"] .form-radio-item,<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="7"] .form-checkbox-item { width: 14.28571429%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="8"] .form-radio-item,<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="8"] .form-checkbox-item { width: 12.5%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="9"] .form-radio-item,<!-- [et_pb_line_break_holder] -->.form-multiple-column[data-columncount="9"] .form-checkbox-item { width: 11.11111111%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_dropdown"] .form-dropdown { width: 100% !important; max-width: 425px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_fullname"] .form-sub-label-container { -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; width: 48%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_fullname"] .form-sub-label-container:first-child { margin-right: 4%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_phone"] .form-sub-label-container { width: 65%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_phone"] .form-sub-label-container:first-child { width: 32.5%; margin-right: 2.5%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_birthdate"] .form-sub-label-container { width: 22%; margin-right: 3%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_birthdate"] .form-sub-label-container:first-child { width: 50%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_birthdate"] .form-sub-label-container:last-child { margin-right: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_birthdate"] .form-sub-label-container .form-dropdown { width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_time"] .form-sub-label-container { width: 37%; margin-right: 3%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_time"] .form-sub-label-container:last-child { width: 20%; margin-right: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_time"] .form-sub-label-container .form-dropdown { width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"] .form-sub-label-container { width: 28%; margin-right: 4%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"] .form-sub-label-container:last-child { width: 4%; margin-right: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .form-sub-label-container { width: 12%; margin-right: 3%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .form-sub-label-container:last-child { width: 4%; margin-right: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .allowTime-container { float: right; width: 51%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .allowTime-container .form-sub-label-container { width: 27%; margin-right: 4%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .allowTime-container .form-sub-label-container:first-child { width: 4%; margin-left: 3%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .allowTime-container .form-sub-label-container:last-child { width: 27%; margin-right: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .form-dropdown { width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_payment"] .form-sub-label-container { width: auto;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_payment"] .form-sub-label-container .form-dropdown { width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-address-table td .form-dropdown { width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-address-table td .form-sub-label-container { width: 96%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-address-table td:last-child .form-sub-label-container { margin-left: 4%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-address-table td[colspan="2"] .form-sub-label-container { width: 100%; margin: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->/*.form-dropdown,<!-- [et_pb_line_break_holder] -->.form-radio-item,<!-- [et_pb_line_break_holder] -->.form-checkbox-item,<!-- [et_pb_line_break_holder] -->.form-radio-other-input,<!-- [et_pb_line_break_holder] -->.form-checkbox-other-input,*/<!-- [et_pb_line_break_holder] -->.form-captcha input,<!-- [et_pb_line_break_holder] -->.form-spinner input,<!-- [et_pb_line_break_holder] -->.form-error-message { padding: 4px 3px 2px 3px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-header-group { font-family: "Lucida Grande", sans-serif;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-section { padding: 0px 0px 0px 0px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-header-group { margin: 12px 36px 12px 36px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-header-group { padding: 24px 0px 24px 0px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-textbox,<!-- [et_pb_line_break_holder] -->.form-textarea { padding: 4px 3px 2px 3px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-textbox,<!-- [et_pb_line_break_holder] -->.form-textarea { width: 100%; max-width: 425px; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_textbox"] .form-input,<!-- [et_pb_line_break_holder] -->[data-type="control_textarea"] .form-input,<!-- [et_pb_line_break_holder] -->[data-type="control_fullname"] .form-input,<!-- [et_pb_line_break_holder] -->[data-type="control_phone"] .form-input,<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"] .form-input,<!-- [et_pb_line_break_holder] -->[data-type="control_address"] .form-input,<!-- [et_pb_line_break_holder] -->[data-type="control_email"] .form-input,<!-- [et_pb_line_break_holder] -->[data-type="control_passwordbox"] .form-input,<!-- [et_pb_line_break_holder] -->[data-type="control_autocomp"] .form-input,<!-- [et_pb_line_break_holder] -->[data-type="control_textbox"] .form-input-wide,<!-- [et_pb_line_break_holder] -->[data-type="control_textarea"] .form-input-wide,<!-- [et_pb_line_break_holder] -->[data-type="control_fullname"] .form-input-wide,<!-- [et_pb_line_break_holder] -->[data-type="control_phone"] .form-input-wide,<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"] .form-input-wide,<!-- [et_pb_line_break_holder] -->[data-type="control_address"] .form-input-wide,<!-- [et_pb_line_break_holder] -->[data-type="control_email"] .form-input-wide,<!-- [et_pb_line_break_holder] -->[data-type="control_passwordbox"] .form-input-wide,<!-- [et_pb_line_break_holder] -->[data-type="control_autocomp"] .form-input-wide { width: 100%; max-width: 425px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_fullname"] .form-sub-label-container { -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; width: 48%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_fullname"] .form-sub-label-container:first-child { margin-right: 4%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_phone"] .form-sub-label-container { width: 65%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_phone"] .form-sub-label-container:first-child { width: 32.5%; margin-right: 2.5%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_phone"] .form-sub-label-container .date-separate { visibility: hidden;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"] .form-sub-label-container { width: 28%; margin-right: 4%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"] .form-sub-label-container:last-child { width: 4%; margin-right: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"] .form-sub-label-container .date-separate { visibility: hidden;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .form-sub-label-container { width: 12%; margin-right: 3%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .form-sub-label-container:last-child { width: 4%; margin-right: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .allowTime-container { float: right; width: 51%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .allowTime-container .form-sub-label-container { width: 27%; margin-right: 4%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .allowTime-container .form-sub-label-container:first-child { width: 4%; margin-left: 3%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .allowTime-container .form-sub-label-container:last-child { width: 27%; margin-right: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_datetime"].allowTime .form-dropdown { width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-matrix-table { width: 100%; max-width: 425px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-address-table { width: 100%; max-width: 425px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-address-table td .form-dropdown { width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-address-table td .form-sub-label-container { width: 96%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-address-table td:last-child .form-sub-label-container { margin-left: 4%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-address-table td[colspan="2"] .form-sub-label-container { width: 100%; margin: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_dropdown"] .form-input,<!-- [et_pb_line_break_holder] -->[data-type="control_birthdate"] .form-input,<!-- [et_pb_line_break_holder] -->[data-type="control_time"] .form-input,<!-- [et_pb_line_break_holder] -->[data-type="control_dropdown"] .form-input-wide,<!-- [et_pb_line_break_holder] -->[data-type="control_birthdate"] .form-input-wide,<!-- [et_pb_line_break_holder] -->[data-type="control_time"] .form-input-wide { width: 100%; max-width: 425px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_dropdown"] .form-dropdown { width: 100% !important; max-width: 425px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_birthdate"] .form-sub-label-container { width: 22%; margin-right: 3%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_birthdate"] .form-sub-label-container:first-child { width: 50%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_birthdate"] .form-sub-label-container:last-child { margin-right: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_birthdate"] .form-sub-label-container .form-dropdown { width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_time"] .form-sub-label-container { width: 37%; margin-right: 3%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_time"] .form-sub-label-container:last-child { width: 20%; margin-right: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->[data-type="control_time"] .form-sub-label-container .form-dropdown { width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-label { font-family: "Lucida Grande", sans-serif;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->li[data-type="control_image"] div { text-align: left;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->li[data-type="control_image"] img { border: none; border-width: 0px !important; border-style: solid !important; border-color: false !important;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-column { width: auto;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-error { overflow: hidden; -webkit-transition-property: none; -moz-transition-property: none; -ms-transition-property: none; -o-transition-property: none; transition-property: none; -webkit-transition-duration: 0.3s; -moz-transition-duration: 0.3s; -ms-transition-duration: 0.3s; -o-transition-duration: 0.3s; transition-duration: 0.3s; -webkit-transition-timing-function: ease; -moz-transition-timing-function: ease; -ms-transition-timing-function: ease; -o-transition-timing-function: ease; transition-timing-function: ease; background-color: #fff4f4;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-error .form-error-message { background-color: #ff3200; clear: both; float: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-error .form-error-message .form-error-arrow { border-bottom-color: #ff3200;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-error input:not(#coupon-input),<!-- [et_pb_line_break_holder] -->.form-line-error textarea,<!-- [et_pb_line_break_holder] -->.form-line-error .form-validation-error { border: 1px solid #ff3200; -webkit-box-shadow: 0 0 3px #ff3200; -moz-box-shadow: 0 0 3px #ff3200; box-shadow: 0 0 3px #ff3200;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.ie-8 .form-all { margin-top: auto; margin-top: initial;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.ie-8 .form-all:before { display: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->/* | */<!-- [et_pb_line_break_holder] -->@media screen and (max-width: 480px), screen and (max-device-width: 768px) and (orientation: portrait), screen and (max-device-width: 415px) and (orientation: landscape) { .jotform-form { padding: 0; } .form-all { border: 0; width: 100% !important; max-width: initial; } .form-sub-label-container { width: 100%; margin: 0; } .form-input { width: 100%; } .form-label { width: 100%!important; } .form-line { padding: 2% 5%; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; } input[type=text], input[type=email], input[type=tel], textarea { width: 100%; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; max-width: initial !important; } .form-input, .form-input-wide, .form-textarea, .form-textbox, .form-dropdown { max-width: initial !important; } div.form-header-group { padding: 24px 0px !important; margin: 0 12px 2% !important; margin-left: 5% !important; margin-right: 5% !important; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; box-sizing: border-box; } [data-type="control_button"] { margin-bottom: 0 !important; } .form-buttons-wrapper { margin: 0!important; } .form-buttons-wrapper button { width: 100%; } table { width: 100%!important; max-width: initial !important; } table td + td { padding-left: 3%; } .form-checkbox-item input, .form-radio-item input { width: auto; } .form-collapse-table { margin: 0 5%; }<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->/* | */ /*__INSPECT_SEPERATOR__*/ /* Injected CSS Code */<!-- [et_pb_line_break_holder] --></style> <form class="jotform-form" action="https://submit.jotformeu.com/submit/72073741972359/" method="post" name="form_72073741972359" id="72073741972359" accept-charset="utf-8"> <input type="hidden" name="formID" value="72073741972359" /> <div class="form-all"> <ul class="form-section page-section"> <li id="cid_1" class="form-input-wide" data-type="control_head"> <div class="form-header-group "> <div class="header-text httal htvam"> <h2 id="header_1" class="form-header" data-component="header"> STEP Maths Course Feedback Form </h2> </div> </div> </li> <li class="form-line" data-type="control_radio" id="id_3"> <label class="form-label form-label-left form-label-auto" id="label_3" for="input_3"> Which Course did you attend? </label> <div id="cid_3" class="form-input jf-required"> <div class="form-single-column" data-component="radio"> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio" id="input_3_0" name="q3_whichCourse3" value="Summer Maths" /> <label id="label_input_3_0" for="input_3_0"> Summer Maths </label> </span> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio" id="input_3_1" name="q3_whichCourse3" value="Summer Physics" /> <label id="label_input_3_1" for="input_3_1"> Summer Physics </label> </span> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio" id="input_3_2" name="q3_whichCourse3" value="MAT Short Questions / Maths for PAT" /> <label id="label_input_3_2" for="input_3_2"> MAT Short Questions / Maths for PAT </label> </span> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio" id="input_3_3" name="q3_whichCourse3" value="October Half Term STEP" /> <label id="label_input_3_3" for="input_3_3"> October Half Term STEP </label> </span> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio" id="input_3_4" name="q3_whichCourse3" value="February Half Term STEP" /> <label id="label_input_3_4" for="input_3_4"> February Half Term STEP </label> </span> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio" id="input_3_5" name="q3_whichCourse3" value="Easter STEP III" /> <label id="label_input_3_5" for="input_3_5"> Easter STEP III </label> </span> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio" id="input_3_6" name="q3_whichCourse3" value="Easter 1-day STEP Taster" /> <label id="label_input_3_6" for="input_3_6"> Easter 1-day STEP Taster </label> </span> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio" id="input_3_7" name="q3_whichCourse3" value="MAT Long Questions" /> <label id="label_input_3_7" for="input_3_7"> MAT Long Questions </label> </span> </div> </div> </li> <li class="form-line" data-type="control_textbox" id="id_4"> <label class="form-label form-label-left form-label-auto" id="label_4" for="input_4"> Full name </label> <div id="cid_4" class="form-input jf-required"> <input type="text" id="input_4" name="q4_fullName" data-type="input-textbox" class="form-textbox" size="20" value="" placeholder=" " data-component="textbox" /> </div> </li> <li class="form-line" data-type="control_email" id="id_38"> <label class="form-label form-label-left form-label-auto" id="label_38" for="input_38"> Your email address </label> <div id="cid_38" class="form-input jf-required"> <input type="email" id="input_38" name="q38_yourEmail" class="form-textbox validate[Email]" size="30" value="" placeholder="ex: myname@example.com" data-component="email" /> </div> </li> <li class="form-line jf-required" data-type="control_rating" id="id_5"> <label class="form-label form-label-left form-label-auto" id="label_5" for="input_5"> How many stars would you give the course? <span class="form-required"> * </span> </label> <div id="cid_5" class="form-input jf-required"> <div id="input_5" name="q5_howMany" data-component="rating"> <select name="q5_howMany"> <option value="1"> 1 </option> <option value="2"> 2 </option> <option value="3"> 3 </option> <option value="4"> 4 </option> <option value="5"> 5 </option> </select> </div> </div> </li> <li class="form-line jf-required" data-type="control_textarea" id="id_11"> <label class="form-label form-label-left form-label-auto" id="label_11" for="input_11"> What were the best things about the course including topics you found useful? <span class="form-required"> * </span> </label> <div id="cid_11" class="form-input jf-required"> <textarea id="input_11" class="form-textarea validate[required]" name="q11_whatWere11" cols="40" rows="6" data-component="textarea" required="">The best things about the course were</textarea> </div> </li> <li class="form-line jf-required" data-type="control_textarea" id="id_13"> <label class="form-label form-label-left form-label-auto" id="label_13" for="input_13"> How could we improve the course? <span class="form-required"> * </span> </label> <div id="cid_13" class="form-input jf-required"> <textarea id="input_13" class="form-textarea validate[required]" name="q13_howCould" cols="40" rows="6" data-component="textarea" required=""></textarea> </div> </li> <li class="form-line always-hidden" data-type="control_textarea" id="id_34"> <label class="form-label form-label-left form-label-auto" id="label_34" for="input_34"> If too long or too short, please explain your answer </label> <div id="cid_34" class="form-input always-hidden jf-required"> <textarea id="input_34" class="form-textarea" name="q34_ifToo" cols="40" rows="6" data-component="textarea"></textarea> </div> </li> <li class="form-line always-hidden" data-type="control_text" id="id_23"> <div id="cid_23" class="form-input-wide always-hidden"> <div id="text_23" class="form-html" data-component="text"> <p>We are planning to hold a similar 3 day course in the Easter Holidays, covering material for STEP III including hyperbolic functions, complex numbers, polar coordinates, mechanics, differential equations and Maclaurin Series.</p> </div> </div> </li> <li class="form-line always-hidden" data-type="control_text" id="id_41"> <div id="cid_41" class="form-input-wide always-hidden"> <div id="text_41" class="form-html" data-component="text"> <p>As mentioned on Thursday, we are thinking of holding a Mock day in the May half term. NB this is not yet confirmed.</p> </div> </div> </li> <li class="form-line always-hidden" data-type="control_text" id="id_46"> <div id="cid_46" class="form-input-wide always-hidden"> <div id="text_46" class="form-html" data-component="text"> <p>We are thinking of holding a Mock day in the May half term for STEP I and STEP III. NB this is not yet confirmed.</p> <p>We will also have a 3 day summer course in the summer holidays.</p> </div> </div> </li> <li class="form-line always-hidden jf-required" data-type="control_radio" id="id_24"> <label class="form-label form-label-left form-label-auto" id="label_24" for="input_24"> Would you be interested in attending either of these? <span class="form-required"> * </span> </label> <div id="cid_24" class="form-input always-hidden jf-required"> <div class="form-single-column" data-component="radio"> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio validate[required]" id="input_24_0" name="q24_wouldYou" value="Yes" required="" /> <label id="label_input_24_0" for="input_24_0"> Yes </label> </span> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio validate[required]" id="input_24_1" name="q24_wouldYou" value="Maybe" required="" /> <label id="label_input_24_1" for="input_24_1"> Maybe </label> </span> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio validate[required]" id="input_24_2" name="q24_wouldYou" value="No" required="" /> <label id="label_input_24_2" for="input_24_2"> No </label> </span> </div> </div> </li> <li class="form-line always-hidden" data-type="control_checkbox" id="id_47"> <label class="form-label form-label-left form-label-auto" id="label_47" for="input_47_0"> Would you be interested in attending / enrolling on the following courses? </label> <div id="cid_47" class="form-input always-hidden jf-required"> <div class="form-single-column" data-component="checkbox"> <span class="form-checkbox-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="checkbox" class="form-checkbox" id="input_47_0" name="q47_wouldYou47[]" value="Maths Interview Day" /> <label id="label_input_47_0" for="input_47_0"> Maths Interview Day </label> </span> <span class="form-checkbox-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="checkbox" class="form-checkbox" id="input_47_1" name="q47_wouldYou47[]" value="Physics Interview Day" /> <label id="label_input_47_1" for="input_47_1"> Physics Interview Day </label> </span> <span class="form-checkbox-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="checkbox" class="form-checkbox" id="input_47_2" name="q47_wouldYou47[]" value="February STEP Course" /> <label id="label_input_47_2" for="input_47_2"> February STEP Course </label> </span> <span class="form-checkbox-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="checkbox" class="form-checkbox" id="input_47_3" name="q47_wouldYou47[]" value="Online: Physics Part 1 (Includes different topics in similar style)" /> <label id="label_input_47_3" for="input_47_3"> Online: Physics Part 1 (Includes different topics in similar style) </label> </span> <span class="form-checkbox-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="checkbox" class="form-checkbox" id="input_47_4" name="q47_wouldYou47[]" value="Online: MAT Short Questions" /> <label id="label_input_47_4" for="input_47_4"> Online: MAT Short Questions </label> </span> </div> </div> </li> <li class="form-line always-hidden" data-type="control_textarea" id="id_33"> <label class="form-label form-label-left form-label-auto" id="label_33" for="input_33"> Please explain your choice </label> <div id="cid_33" class="form-input always-hidden jf-required"> <textarea id="input_33" class="form-textarea" name="q33_pleaseExplain" cols="40" rows="6" data-component="textarea"></textarea> </div> </li> <li id="cid_20" class="form-input-wide always-hidden" data-type="control_head"> <div class="form-header-group "> <div class="header-text httal htvam"> <h2 id="header_20" class="form-header" data-component="header"> Testimonial </h2> </div> </div> </li> <li class="form-line always-hidden" data-type="control_text" id="id_19"> <div id="cid_19" class="form-input-wide always-hidden"> <div id="text_19" class="form-html" data-component="text"> <p><span style="font-size:8pt;">Please could you write a testimonial for our website too? (4-5 sentences would be much appreciated :))</span></p> <p><span style="font-size:8pt;">Examples of comment you could write:</span></p> <p><span style="font-size:8pt;">- what specifically you enjoyed about the course</span></p> <p><span style="font-size:8pt;">- how the presenters helped you to understand, were they clear, friendly, approachable, good at explaining, wiling to give you 1-1 attention, knowledgable about the subject matter</span></p> <p><span style="font-size:8pt;">- if the group work helped you and why</span></p> <p><span style="font-size:8pt;">- if you found the mini whiteboards helpful and why</span></p> <p><span style="font-size:8pt;">- what exactly you learnt and how much you learnt</span></p> <p><span style="font-size:8pt;">- why you would recommend us</span></p> <p><span style="font-size:8pt;">- anything else you have thought of that you wish to share</span></p> <p><span style="font-size:10.6666669845581px;">- what you have learnt that you wouldn't be able to learn on your own</span></p> <p><span style="font-size:10.6666669845581px;">- the student - teacher ratio</span></p> </div> </div> </li> <li class="form-line jf-required" data-type="control_checkbox" id="id_15"> <label class="form-label form-label-left form-label-auto" id="label_15" for="input_15_0"> Would you recommend our courses to someone else sitting the exam? <span class="form-required"> * </span> </label> <div id="cid_15" class="form-input jf-required"> <div class="form-single-column" data-component="checkbox"> <span class="form-checkbox-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="checkbox" class="form-checkbox validate[required]" id="input_15_0" name="q15_wouldYou15[]" value="Yes" required="" /> <label id="label_input_15_0" for="input_15_0"> Yes </label> </span> <span class="form-checkbox-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="checkbox" class="form-checkbox validate[required]" id="input_15_1" name="q15_wouldYou15[]" value="No" required="" /> <label id="label_input_15_1" for="input_15_1"> No </label> </span> </div> </div> </li> <li class="form-line" data-type="control_textarea" id="id_37"> <label class="form-label form-label-left form-label-auto" id="label_37" for="input_37"> How would you describe/recommend this course to a friend? </label> <div id="cid_37" class="form-input jf-required"> <textarea id="input_37" class="form-textarea" name="q37_howWould" cols="60" rows="10" data-component="textarea"></textarea> </div> </li> <li class="form-line always-hidden jf-required" data-type="control_textarea" id="id_49"> <label class="form-label form-label-left form-label-auto" id="label_49" for="input_49"> If you are taking the MAT, do you think the STEP Courses has helped your MAT Preparation? In what way? <span class="form-required"> * </span> </label> <div id="cid_49" class="form-input always-hidden jf-required"> <textarea id="input_49" class="form-textarea validate[required]" name="q49_ifYou" cols="60" rows="10" data-component="textarea" required=""></textarea> </div> </li> <li id="cid_32" class="form-input-wide always-hidden" data-type="control_head"> <div class="form-header-group "> <div class="header-text httal htvam"> <h2 id="header_32" class="form-header" data-component="header"> Photo </h2> </div> </div> </li> <li class="form-line always-hidden" data-type="control_text" id="id_30"> <div id="cid_30" class="form-input-wide always-hidden"> <div id="text_30" class="form-html" data-component="text"> <p>Your testimonials have a LOT more impact if they are accompanied by photos! We need these testimonials to keep running great courses.</p> <p>Please tick below if you are NOT happy for us to use a <em>very</em> <em>small</em> thumbnail of the photo you submitted during registration, next to your testimonial.</p> <p>The picture below shows how small the photo is in relation to the rest of the screen...</p> </div> </div> </li> <li class="form-line always-hidden" data-type="control_image" id="id_35"> <div id="cid_35" class="form-input-wide always-hidden"> <img alt="" class="form-image" style="border:0px;" src="//www.jotform.com/uploads/STEPMaths/form_files/testimonial size.png" height="472px" width="568px" data-component="image" /> </div> </li> <li class="form-line always-hidden" data-type="control_checkbox" id="id_36"> <label class="form-label form-label-left form-label-auto" id="label_36" for="input_36_0"> Photo </label> <div id="cid_36" class="form-input always-hidden jf-required"> <div class="form-single-column" data-component="checkbox"> <span class="form-checkbox-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="checkbox" class="form-checkbox" id="input_36_0" name="q36_photo[]" value="I am NOT happy for you to use a TINY thumbnail of the photo I submitted at registration" /> <label id="label_input_36_0" for="input_36_0"> I am NOT happy for you to use a TINY thumbnail of the photo I submitted at registration </label> </span> </div> </div> </li> <li class="form-line jf-required" data-type="control_radio" id="id_42"> <label class="form-label form-label-left form-label-auto" id="label_42" for="input_42"> Have you attended any other Preparation courses/tuition this year? <span class="form-required"> * </span> </label> <div id="cid_42" class="form-input jf-required"> <div class="form-single-column" data-component="radio"> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio validate[required]" id="input_42_0" name="q42_haveYou42" value="Yes" required="" /> <label id="label_input_42_0" for="input_42_0"> Yes </label> </span> <span class="form-radio-item" style="clear:left;"> <span class="dragger-item"> </span> <input type="radio" class="form-radio validate[required]" id="input_42_1" name="q42_haveYou42" value="No" required="" /> <label id="label_input_42_1" for="input_42_1"> No </label> </span> </div> </div> </li> <li class="form-line" data-type="control_textbox" id="id_44"> <label class="form-label form-label-left form-label-auto" id="label_44" for="input_44"> If so, which one(s)? </label> <div id="cid_44" class="form-input jf-required"> <input type="text" id="input_44" name="q44_ifSo" data-type="input-textbox" class="form-textbox" size="20" value="" placeholder=" " data-component="textbox" /> </div> </li> <li class="form-line" data-type="control_textarea" id="id_43"> <label class="form-label form-label-left form-label-auto" id="label_43" for="input_43"> What did you prefer about the other courses you attended, compared to the STEP Maths Course? </label> <div id="cid_43" class="form-input jf-required"> <textarea id="input_43" class="form-textarea" name="q43_whatDid" cols="40" rows="6" data-component="textarea"></textarea> </div> </li> <li class="form-line" data-type="control_textarea" id="id_45"> <label class="form-label form-label-left form-label-auto" id="label_45" for="input_45"> What did you prefer about the STEP Maths Course, compared to other courses that you attended? </label> <div id="cid_45" class="form-input jf-required"> <textarea id="input_45" class="form-textarea" name="q45_whatDid45" cols="40" rows="6" data-component="textarea"></textarea> </div> </li> <li class="form-line" data-type="control_text" id="id_40"> <div id="cid_40" class="form-input-wide"> <div id="text_40" class="form-html" data-component="text"> <p>We’d love to stay in touch with you and find out how your STEP/MAT/PAT/ENGAA exams went and how you find university and your interviews. We may also have opportunities for you to earn money while you are at university, so keep subscribed to our mailing lists to receive this information.</p> </div> </div> </li> <li class="form-line" data-type="control_button" id="id_2"> <div id="cid_2" class="form-input-wide"> <div style="margin-left:156px;" class="form-buttons-wrapper"> <button id="input_2" type="submit" class="form-submit-button" data-component="button"> Submit </button> </div> </div> </li> <li style="display:none"> Should be Empty: <input type="text" name="website" value="" /> </li> </ul> </div> <script> JotForm.showJotFormPowered = "0"; </script> <input type="hidden" id="simple_spc" name="simple_spc" value="72073741972359" /> <script type="text/javascript"> document.getElementById("si" + "mple" + "_spc").value = "72073741972359-72073741972359"; </script><!-- [et_pb_line_break_holder] --></form><!-- [et_pb_line_break_holder] --><script type="text/javascript">JotForm.ownerView=true;</script>
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