{"id":9787,"date":"2023-05-19T20:09:31","date_gmt":"2023-05-20T03:09:31","guid":{"rendered":"https:\/\/www.sfspca.org\/?page_id=9787"},"modified":"2024-03-05T13:18:39","modified_gmt":"2024-03-05T21:18:39","slug":"dog-intake-form","status":"publish","type":"page","link":"https:\/\/www.sfspca.org\/dog-intake-form\/","title":{"rendered":"Dog Intake Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9787\" class=\"elementor elementor-9787\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-247c8fb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"247c8fb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-07da430\" data-id=\"07da430\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b73e519 elementor-widget elementor-widget-shortcode\" data-id=\"b73e519\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_42' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Dog History Form (Intake)<\/h2>\n                            <p class='gform_description'>This form is for clients who wish to return an animal adopted from the SF SPCA<\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_42'  action='\/wp-json\/wp\/v2\/pages\/9787' data-formid='42' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_42' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_42_106\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Was your dog adopted from the SF SPCA?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_106'>\n\t\t\t<div class='gchoice gchoice_42_106_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_106' type='radio' value='Yes'  id='choice_42_106_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_106_0' id='label_42_106_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_106_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_106' type='radio' value='No'  id='choice_42_106_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_106_1' id='label_42_106_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_170\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><!DOCTYPE html>\n<html lang=\"en\">\n<head>\n    <meta charset=\"UTF-8\">\n    <meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n    <title>Additional Resources<\/title>\n<\/head>\n<body>\n    <h1>Where to go from here...<\/h1>\n    <p>The San Francisco SPCA only accepts surrenders of animals previously adopted from our shelter. Please reach out to your local municipal shelter for next steps on surrendering your pet. Please click the link to find your resident county's municipal shelter. Thank you!<\/p>\n    <a href=\"https:\/\/www.sfspca.org\/wp-content\/uploads\/2024\/02\/Municipal-Shelter-Contact-List-1.xlsx\" target=\"_blank\">Additional Resources<\/a>\n<\/body>\n<\/html><\/div><div id=\"field_42_109\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Client Information<\/h3><\/div><fieldset id=\"field_42_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Guardian Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_42_1'>\n                            \n                            <span id='input_42_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_42_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_42_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_42_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_42_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_42_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_42_3\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_3'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_42_3' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_4'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_42_4' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_42_110\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Dog Identification<\/h3><\/div><div id=\"field_42_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_5'>Dog&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_42_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_169\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_169'>Name in shelter if different from current name<\/label><div class='ginput_container ginput_container_text'><input name='input_169' id='input_42_169' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_181\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_181'>How long has your dog been in your home?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_181' id='input_42_181' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_9\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What factor(s) lead you to decide to return your dog?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_9'><div class='gchoice gchoice_42_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='Moving'  id='choice_42_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_9_1' id='label_42_9_1' class='gform-field-label gform-field-label--type-inline'>Moving<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_9_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.2' type='checkbox'  value='Allergies'  id='choice_42_9_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_9_2' id='label_42_9_2' class='gform-field-label gform-field-label--type-inline'>Allergies<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_9_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.3' type='checkbox'  value='Not housetrained'  id='choice_42_9_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_9_3' id='label_42_9_3' class='gform-field-label gform-field-label--type-inline'>Not housetrained<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_9_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.4' type='checkbox'  value='New baby'  id='choice_42_9_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_9_4' id='label_42_9_4' class='gform-field-label gform-field-label--type-inline'>New baby<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_9_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.5' type='checkbox'  value='Too much energy'  id='choice_42_9_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_9_5' id='label_42_9_5' class='gform-field-label gform-field-label--type-inline'>Too much energy<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_9_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.6' type='checkbox'  value='No time'  id='choice_42_9_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_9_6' id='label_42_9_6' class='gform-field-label gform-field-label--type-inline'>No time<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_9_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.7' type='checkbox'  value='Not getting along with other pets'  id='choice_42_9_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_9_7' id='label_42_9_7' class='gform-field-label gform-field-label--type-inline'>Not getting along with other pets<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_9_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.8' type='checkbox'  value='Not getting along with family members'  id='choice_42_9_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_9_8' id='label_42_9_8' class='gform-field-label gform-field-label--type-inline'>Not getting along with family members<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_9_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.9' type='checkbox'  value='Behavior issues'  id='choice_42_9_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_9_9' id='label_42_9_9' class='gform-field-label gform-field-label--type-inline'>Behavior issues<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_9_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.11' type='checkbox'  value='Other'  id='choice_42_9_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_9_11' id='label_42_9_11' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_12\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_12'>Please elaborate on your dog&#039;s behavior issues:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_42_12' class='textarea large'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_42_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_13'>Please elaborate on any other reason why you are giving up your dog:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_42_13' class='textarea large'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_42_20\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Behavior Section<\/h3><\/div><fieldset id=\"field_42_111\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Does your dog have any unwanted behaviors that a new adopter should know about?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_111'><div class='gchoice gchoice_42_111_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.1' type='checkbox'  value='Barking'  id='choice_42_111_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_111_1' id='label_42_111_1' class='gform-field-label gform-field-label--type-inline'>Barking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_111_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.2' type='checkbox'  value='Nipping'  id='choice_42_111_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_111_2' id='label_42_111_2' class='gform-field-label gform-field-label--type-inline'>Nipping<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_111_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.3' type='checkbox'  value='Growling or lunging when food or toys are present'  id='choice_42_111_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_111_3' id='label_42_111_3' class='gform-field-label gform-field-label--type-inline'>Growling or lunging when food or toys are present<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_111_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.4' type='checkbox'  value='Constant attention seeking'  id='choice_42_111_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_111_4' id='label_42_111_4' class='gform-field-label gform-field-label--type-inline'>Constant attention seeking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_111_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.5' type='checkbox'  value='Jumping on people'  id='choice_42_111_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_111_5' id='label_42_111_5' class='gform-field-label gform-field-label--type-inline'>Jumping on people<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_111_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.6' type='checkbox'  value='Destructive behavior'  id='choice_42_111_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_111_6' id='label_42_111_6' class='gform-field-label gform-field-label--type-inline'>Destructive behavior<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_111_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.7' type='checkbox'  value='Aggressive towards people outside of the home'  id='choice_42_111_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_111_7' id='label_42_111_7' class='gform-field-label gform-field-label--type-inline'>Aggressive towards people outside of the home<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_111_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.8' type='checkbox'  value='Aggressive towards visitors in the home'  id='choice_42_111_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_111_8' id='label_42_111_8' class='gform-field-label gform-field-label--type-inline'>Aggressive towards visitors in the home<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_111_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.9' type='checkbox'  value='Aggressive towards other dogs OFF leash'  id='choice_42_111_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_111_9' id='label_42_111_9' class='gform-field-label gform-field-label--type-inline'>Aggressive towards other dogs OFF leash<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_111_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.11' type='checkbox'  value='Aggressive towards other dogs ON leash'  id='choice_42_111_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_111_11' id='label_42_111_11' class='gform-field-label gform-field-label--type-inline'>Aggressive towards other dogs ON leash<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_111_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.12' type='checkbox'  value='Aggressive towards other animals'  id='choice_42_111_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_111_12' id='label_42_111_12' class='gform-field-label gform-field-label--type-inline'>Aggressive towards other animals<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_111_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.13' type='checkbox'  value='None'  id='choice_42_111_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_111_13' id='label_42_111_13' class='gform-field-label gform-field-label--type-inline'>None<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_112\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_112'>What do you or other owners do in response to these behaviors?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_112' id='input_42_112' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_113\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_113'>How does the dog respond?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_113' id='input_42_113' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_114\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Have you looked into resources to try to work on these behaviors?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_114'><div class='gchoice gchoice_42_114_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.1' type='checkbox'  value='Classes'  id='choice_42_114_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_114_1' id='label_42_114_1' class='gform-field-label gform-field-label--type-inline'>Classes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_114_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.2' type='checkbox'  value='Trainer'  id='choice_42_114_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_114_2' id='label_42_114_2' class='gform-field-label gform-field-label--type-inline'>Trainer<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_114_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.3' type='checkbox'  value='Online Resources'  id='choice_42_114_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_114_3' id='label_42_114_3' class='gform-field-label gform-field-label--type-inline'>Online Resources<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_114_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.4' type='checkbox'  value='Reading Materials'  id='choice_42_114_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_114_4' id='label_42_114_4' class='gform-field-label gform-field-label--type-inline'>Reading Materials<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_114_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.5' type='checkbox'  value='None'  id='choice_42_114_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_114_5' id='label_42_114_5' class='gform-field-label gform-field-label--type-inline'>None<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_114_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.6' type='checkbox'  value='Other'  id='choice_42_114_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_114_6' id='label_42_114_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_115\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_115'>What facility?<\/label><div class='ginput_container ginput_container_text'><input name='input_115' id='input_42_115' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_116\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_116'>What Trainer? What style of training do they do?<\/label><div class='ginput_container ginput_container_text'><input name='input_116' id='input_42_116' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_117\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_117'>What websites?<\/label><div class='ginput_container ginput_container_text'><input name='input_117' id='input_42_117' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_118\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_118'>What books or articles?<\/label><div class='ginput_container ginput_container_text'><input name='input_118' id='input_42_118' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_119\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_119'>If &quot;other,&quot; please explain:<\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_42_119' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_120\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Is there anything that makes your dog nervous or causes them to behave in a different manner than normal?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_120'><div class='gchoice gchoice_42_120_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.1' type='checkbox'  value='Men'  id='choice_42_120_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_1' id='label_42_120_1' class='gform-field-label gform-field-label--type-inline'>Men<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.2' type='checkbox'  value='Women'  id='choice_42_120_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_2' id='label_42_120_2' class='gform-field-label gform-field-label--type-inline'>Women<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.3' type='checkbox'  value='Children'  id='choice_42_120_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_3' id='label_42_120_3' class='gform-field-label gform-field-label--type-inline'>Children<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.4' type='checkbox'  value='Strangers'  id='choice_42_120_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_4' id='label_42_120_4' class='gform-field-label gform-field-label--type-inline'>Strangers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.5' type='checkbox'  value='Vet'  id='choice_42_120_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_5' id='label_42_120_5' class='gform-field-label gform-field-label--type-inline'>Vet<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.6' type='checkbox'  value='Groomer'  id='choice_42_120_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_6' id='label_42_120_6' class='gform-field-label gform-field-label--type-inline'>Groomer<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.7' type='checkbox'  value='Riding in the car'  id='choice_42_120_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_7' id='label_42_120_7' class='gform-field-label gform-field-label--type-inline'>Riding in the car<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.8' type='checkbox'  value='Loud Noises'  id='choice_42_120_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_8' id='label_42_120_8' class='gform-field-label gform-field-label--type-inline'>Loud Noises<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.9' type='checkbox'  value='Bathing'  id='choice_42_120_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_9' id='label_42_120_9' class='gform-field-label gform-field-label--type-inline'>Bathing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.11' type='checkbox'  value='Brushing'  id='choice_42_120_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_11' id='label_42_120_11' class='gform-field-label gform-field-label--type-inline'>Brushing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.12' type='checkbox'  value='Nail clipping'  id='choice_42_120_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_12' id='label_42_120_12' class='gform-field-label gform-field-label--type-inline'>Nail clipping<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.13' type='checkbox'  value='Other animals'  id='choice_42_120_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_13' id='label_42_120_13' class='gform-field-label gform-field-label--type-inline'>Other animals<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.14' type='checkbox'  value='Other'  id='choice_42_120_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_14' id='label_42_120_14' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_120_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.15' type='checkbox'  value='None'  id='choice_42_120_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_120_15' id='label_42_120_15' class='gform-field-label gform-field-label--type-inline'>None<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_171\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_171'>If &quot;other&quot; selected, please explain<\/label><div class='ginput_container ginput_container_text'><input name='input_171' id='input_42_171' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_121\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What do they do when present with these stimuli?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_121'><div class='gchoice gchoice_42_121_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.1' type='checkbox'  value='Flinch\/startle'  id='choice_42_121_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_121_1' id='label_42_121_1' class='gform-field-label gform-field-label--type-inline'>Flinch\/startle<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_121_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.2' type='checkbox'  value='Freeze'  id='choice_42_121_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_121_2' id='label_42_121_2' class='gform-field-label gform-field-label--type-inline'>Freeze<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_121_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.3' type='checkbox'  value='Move away'  id='choice_42_121_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_121_3' id='label_42_121_3' class='gform-field-label gform-field-label--type-inline'>Move away<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_121_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.4' type='checkbox'  value='Hide'  id='choice_42_121_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_121_4' id='label_42_121_4' class='gform-field-label gform-field-label--type-inline'>Hide<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_121_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.5' type='checkbox'  value='Lunge or try to bite'  id='choice_42_121_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_121_5' id='label_42_121_5' class='gform-field-label gform-field-label--type-inline'>Lunge or try to bite<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_121_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.6' type='checkbox'  value='Growl'  id='choice_42_121_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_121_6' id='label_42_121_6' class='gform-field-label gform-field-label--type-inline'>Growl<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_121_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.7' type='checkbox'  value='Other'  id='choice_42_121_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_121_7' id='label_42_121_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_172\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_172'>If &quot;other&quot; selected, please explain<\/label><div class='ginput_container ginput_container_text'><input name='input_172' id='input_42_172' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_122\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has your dog ever bitten a person and broken skin?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_122'>\n\t\t\t<div class='gchoice gchoice_42_122_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_122' type='radio' value='Yes'  id='choice_42_122_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_122_0' id='label_42_122_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_122_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_122' type='radio' value='No'  id='choice_42_122_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_122_1' id='label_42_122_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_123\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_123'>When was the most recent incident?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_123' id='input_42_123' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_125\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_125'>When was the first incident?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_42_125' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_127\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_127'>How many times have they bitten and broken skin since time of adoption?<\/label><div class='ginput_container ginput_container_number'><input name='input_127' id='input_42_127' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_42_128\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_128'>Was the bleeding caused by punctures or tooth scrapes?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_128' id='input_42_128' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_129\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_129'>Please describe the most recent incident including what was happening before, during, and directly after the incident<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_129' id='input_42_129' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_42_130\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Medical Section<\/h3><\/div><fieldset id=\"field_42_131\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has your dog been to a veterinary hospital or clinic?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_131'>\n\t\t\t<div class='gchoice gchoice_42_131_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='Yes'  id='choice_42_131_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_131_0' id='label_42_131_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_131_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='No'  id='choice_42_131_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_131_1' id='label_42_131_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_132\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_132'>Name of Facility<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_132' id='input_42_132' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_133\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_133'>Date of last visit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_42_133' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_134\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_134'>Any other facilities visited<\/label><div class='ginput_container ginput_container_text'><input name='input_134' id='input_42_134' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_135\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is your dog current on vaccinations?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_135'>\n\t\t\t<div class='gchoice gchoice_42_135_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='Yes'  id='choice_42_135_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_135_0' id='label_42_135_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_135_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='No'  id='choice_42_135_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_135_1' id='label_42_135_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_42_136\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >In the last 30 days, has your dog been to a boarding facility or day care?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_136'>\n\t\t\t<div class='gchoice gchoice_42_136_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_136' type='radio' value='Yes'  id='choice_42_136_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_136_0' id='label_42_136_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_136_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_136' type='radio' value='No'  id='choice_42_136_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_136_1' id='label_42_136_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_42_137\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >In the last 30 days, has your dog had any of the following symptoms?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_137'><div class='gchoice gchoice_42_137_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.1' type='checkbox'  value='Sneezing'  id='choice_42_137_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_137_1' id='label_42_137_1' class='gform-field-label gform-field-label--type-inline'>Sneezing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_137_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.2' type='checkbox'  value='Coughing'  id='choice_42_137_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_137_2' id='label_42_137_2' class='gform-field-label gform-field-label--type-inline'>Coughing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_137_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.3' type='checkbox'  value='Vomiting'  id='choice_42_137_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_137_3' id='label_42_137_3' class='gform-field-label gform-field-label--type-inline'>Vomiting<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_137_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.4' type='checkbox'  value='Diarrhea'  id='choice_42_137_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_137_4' id='label_42_137_4' class='gform-field-label gform-field-label--type-inline'>Diarrhea<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_137_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.5' type='checkbox'  value='None'  id='choice_42_137_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_137_5' id='label_42_137_5' class='gform-field-label gform-field-label--type-inline'>None<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_42_138\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is your dog on a special diet? (eg Bland, hypo-allergenic, prescribed foods)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_138'>\n\t\t\t<div class='gchoice gchoice_42_138_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='Yes'  id='choice_42_138_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_138_0' id='label_42_138_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_138_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='No'  id='choice_42_138_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_138_1' id='label_42_138_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_139\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_139'>Please list the brand, type\/name of food, and if it is wet or dry\/kibble<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_139' id='input_42_139' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_140\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is your pet covered by pet insurance?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_140'>\n\t\t\t<div class='gchoice gchoice_42_140_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='Yes'  id='choice_42_140_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_140_0' id='label_42_140_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_140_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='No'  id='choice_42_140_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_140_1' id='label_42_140_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_141\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_141'>What insurance company is your pet covered by?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_141' id='input_42_141' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_142\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_142'>Please attach any digital medical records you may have<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' \/><input name='input_142' id='input_42_142' type='file' class='large' aria-describedby=\"gfield_upload_rules_42_142\" onchange='javascript:gformValidateFileSize( this, 52428800 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_142'>Max. file size: 50 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_42_142'><\/div> <\/div><\/div><div id=\"field_42_143\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Lifestyle<\/h3><\/div><fieldset id=\"field_42_144\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Where does your dog spend their time at home?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_144'>\n\t\t\t<div class='gchoice gchoice_42_144_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='Inside'  id='choice_42_144_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_144_0' id='label_42_144_0' class='gform-field-label gform-field-label--type-inline'>Inside<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_144_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='Outside'  id='choice_42_144_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_144_1' id='label_42_144_1' class='gform-field-label gform-field-label--type-inline'>Outside<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_144_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='Both'  id='choice_42_144_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_144_2' id='label_42_144_2' class='gform-field-label gform-field-label--type-inline'>Both<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_145\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_145'>Where does your dog sleep at night?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_145' id='input_42_145' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_146\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_146'>On an average day, how many hours is your dog alone?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_146' id='input_42_146' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_42_147\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What does your dog do when alone?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_147'><div class='gchoice gchoice_42_147_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_147.1' type='checkbox'  value='Rests'  id='choice_42_147_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_147_1' id='label_42_147_1' class='gform-field-label gform-field-label--type-inline'>Rests<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_147_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_147.2' type='checkbox'  value='Plays'  id='choice_42_147_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_147_2' id='label_42_147_2' class='gform-field-label gform-field-label--type-inline'>Plays<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_147_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_147.3' type='checkbox'  value='Paces'  id='choice_42_147_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_147_3' id='label_42_147_3' class='gform-field-label gform-field-label--type-inline'>Paces<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_147_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_147.4' type='checkbox'  value='Chews'  id='choice_42_147_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_147_4' id='label_42_147_4' class='gform-field-label gform-field-label--type-inline'>Chews<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_147_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_147.5' type='checkbox'  value='Whines'  id='choice_42_147_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_147_5' id='label_42_147_5' class='gform-field-label gform-field-label--type-inline'>Whines<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_147_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_147.6' type='checkbox'  value='Howls'  id='choice_42_147_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_147_6' id='label_42_147_6' class='gform-field-label gform-field-label--type-inline'>Howls<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_147_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_147.7' type='checkbox'  value='Barks'  id='choice_42_147_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_147_7' id='label_42_147_7' class='gform-field-label gform-field-label--type-inline'>Barks<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_147_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_147.8' type='checkbox'  value='Digs'  id='choice_42_147_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_147_8' id='label_42_147_8' class='gform-field-label gform-field-label--type-inline'>Digs<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_147_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_147.9' type='checkbox'  value='Tries to escape'  id='choice_42_147_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_147_9' id='label_42_147_9' class='gform-field-label gform-field-label--type-inline'>Tries to escape<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_147_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_147.11' type='checkbox'  value='Other'  id='choice_42_147_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_147_11' id='label_42_147_11' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_173\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_173'>If &quot;other&quot; selected, please explain:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_173' id='input_42_173' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_148\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is your dog ever crated?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_148'>\n\t\t\t<div class='gchoice gchoice_42_148_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='Yes'  id='choice_42_148_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_148_0' id='label_42_148_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_148_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='No'  id='choice_42_148_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_148_1' id='label_42_148_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_150\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_150'>When is the dog crated?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_150' id='input_42_150' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_151\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_151'>How long is the dog usually crated?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_151' id='input_42_151' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_149\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What does your dog do when crated?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_149'><div class='gchoice gchoice_42_149_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.1' type='checkbox'  value='Rests'  id='choice_42_149_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_149_1' id='label_42_149_1' class='gform-field-label gform-field-label--type-inline'>Rests<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_149_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.2' type='checkbox'  value='Plays'  id='choice_42_149_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_149_2' id='label_42_149_2' class='gform-field-label gform-field-label--type-inline'>Plays<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_149_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.3' type='checkbox'  value='Paces'  id='choice_42_149_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_149_3' id='label_42_149_3' class='gform-field-label gform-field-label--type-inline'>Paces<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_149_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.4' type='checkbox'  value='Chews'  id='choice_42_149_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_149_4' id='label_42_149_4' class='gform-field-label gform-field-label--type-inline'>Chews<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_149_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.5' type='checkbox'  value='Whines'  id='choice_42_149_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_149_5' id='label_42_149_5' class='gform-field-label gform-field-label--type-inline'>Whines<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_149_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.6' type='checkbox'  value='Howls'  id='choice_42_149_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_149_6' id='label_42_149_6' class='gform-field-label gform-field-label--type-inline'>Howls<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_149_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.7' type='checkbox'  value='Barks'  id='choice_42_149_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_149_7' id='label_42_149_7' class='gform-field-label gform-field-label--type-inline'>Barks<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_149_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.8' type='checkbox'  value='Digs'  id='choice_42_149_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_149_8' id='label_42_149_8' class='gform-field-label gform-field-label--type-inline'>Digs<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_149_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.9' type='checkbox'  value='Tries to escape'  id='choice_42_149_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_149_9' id='label_42_149_9' class='gform-field-label gform-field-label--type-inline'>Tries to escape<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_149_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.11' type='checkbox'  value='Other'  id='choice_42_149_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_149_11' id='label_42_149_11' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_174\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_174'>If &quot;other&quot; selected, please explain:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_174' id='input_42_174' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_152\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is your dog housetrained?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_152'>\n\t\t\t<div class='gchoice gchoice_42_152_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='Yes'  id='choice_42_152_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_152_0' id='label_42_152_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_152_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='No'  id='choice_42_152_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_152_1' id='label_42_152_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_42_153\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has your dog had any accidents?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_153'>\n\t\t\t<div class='gchoice gchoice_42_153_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_153' type='radio' value='Yes'  id='choice_42_153_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_153_0' id='label_42_153_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_153_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_153' type='radio' value='No'  id='choice_42_153_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_153_1' id='label_42_153_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_154\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_154'>How often?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_154' id='input_42_154' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_155\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_155'>Are the accidents pee, poop, or both?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_155' id='input_42_155' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_156\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >How does your dog get exercise?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_156'><div class='gchoice gchoice_42_156_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_156.1' type='checkbox'  value='On-leash walks'  id='choice_42_156_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_156_1' id='label_42_156_1' class='gform-field-label gform-field-label--type-inline'>On-leash walks<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_156_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_156.2' type='checkbox'  value='Outdoor play'  id='choice_42_156_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_156_2' id='label_42_156_2' class='gform-field-label gform-field-label--type-inline'>Outdoor play<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_156_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_156.3' type='checkbox'  value='Play at home'  id='choice_42_156_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_156_3' id='label_42_156_3' class='gform-field-label gform-field-label--type-inline'>Play at home<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_156_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_156.4' type='checkbox'  value='Other'  id='choice_42_156_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_156_4' id='label_42_156_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_175\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_175'>If &quot;other&quot; selected, please explain:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_175' id='input_42_175' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_157\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_157'>How much exercise does your dog get on an average day?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_157' id='input_42_157' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_42_157\" \/><\/div><div class='gfield_description' id='gfield_description_42_157'>Hours per day<\/div><\/div><fieldset id=\"field_42_158\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has your dog met other dogs?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_158'>\n\t\t\t<div class='gchoice gchoice_42_158_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_158' type='radio' value='Yes'  id='choice_42_158_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_158_0' id='label_42_158_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_158_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_158' type='radio' value='No'  id='choice_42_158_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_158_1' id='label_42_158_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_42_159\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >How did you meet the other dog(s)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_159'><div class='gchoice gchoice_42_159_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_159.1' type='checkbox'  value='Resident dog(s)'  id='choice_42_159_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_159_1' id='label_42_159_1' class='gform-field-label gform-field-label--type-inline'>Resident dog(s)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_159_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_159.2' type='checkbox'  value='Dogs at the dog park'  id='choice_42_159_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_159_2' id='label_42_159_2' class='gform-field-label gform-field-label--type-inline'>Dogs at the dog park<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_159_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_159.3' type='checkbox'  value='Friend or family member&#039;s dog'  id='choice_42_159_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_159_3' id='label_42_159_3' class='gform-field-label gform-field-label--type-inline'>Friend or family member's dog<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_159_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_159.4' type='checkbox'  value='In passing on walk'  id='choice_42_159_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_159_4' id='label_42_159_4' class='gform-field-label gform-field-label--type-inline'>In passing on walk<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_159_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_159.5' type='checkbox'  value='Other'  id='choice_42_159_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_159_5' id='label_42_159_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_176\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_176'>If &quot;other&quot; selected, please explain:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_176' id='input_42_176' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_160\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What did your dog do in response to meeting the other dogs?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_160'><div class='gchoice gchoice_42_160_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_160.1' type='checkbox'  value='Froze'  id='choice_42_160_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_160_1' id='label_42_160_1' class='gform-field-label gform-field-label--type-inline'>Froze<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_160_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_160.2' type='checkbox'  value='Tried to play'  id='choice_42_160_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_160_2' id='label_42_160_2' class='gform-field-label gform-field-label--type-inline'>Tried to play<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_160_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_160.3' type='checkbox'  value='Pulled towards them'  id='choice_42_160_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_160_3' id='label_42_160_3' class='gform-field-label gform-field-label--type-inline'>Pulled towards them<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_160_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_160.4' type='checkbox'  value='Barked'  id='choice_42_160_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_160_4' id='label_42_160_4' class='gform-field-label gform-field-label--type-inline'>Barked<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_160_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_160.5' type='checkbox'  value='Growled'  id='choice_42_160_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_160_5' id='label_42_160_5' class='gform-field-label gform-field-label--type-inline'>Growled<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_160_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_160.6' type='checkbox'  value='Avoided other dog'  id='choice_42_160_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_160_6' id='label_42_160_6' class='gform-field-label gform-field-label--type-inline'>Avoided other dog<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_160_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_160.7' type='checkbox'  value='Sniffed other dog'  id='choice_42_160_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_160_7' id='label_42_160_7' class='gform-field-label gform-field-label--type-inline'>Sniffed other dog<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_160_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_160.8' type='checkbox'  value='Other'  id='choice_42_160_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_160_8' id='label_42_160_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_177\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_177'>If &quot;other&quot; selected, please explain:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_177' id='input_42_177' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_161\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How does your dog walk on leash?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_42_161'>\n\t\t\t<div class='gchoice gchoice_42_161_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_161' type='radio' value='Loose-leash walk'  id='choice_42_161_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_161_0' id='label_42_161_0' class='gform-field-label gform-field-label--type-inline'>Loose-leash walk<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_161_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_161' type='radio' value='Pulls constantly'  id='choice_42_161_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_161_1' id='label_42_161_1' class='gform-field-label gform-field-label--type-inline'>Pulls constantly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_42_161_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_161' type='radio' value='Pulls only towards stimuli'  id='choice_42_161_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_42_161_2' id='label_42_161_2' class='gform-field-label gform-field-label--type-inline'>Pulls only towards stimuli<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_42_162\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What stimuli does your dog pull towards?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_162'><div class='gchoice gchoice_42_162_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_162.1' type='checkbox'  value='Other dogs'  id='choice_42_162_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_162_1' id='label_42_162_1' class='gform-field-label gform-field-label--type-inline'>Other dogs<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_162_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_162.2' type='checkbox'  value='People'  id='choice_42_162_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_162_2' id='label_42_162_2' class='gform-field-label gform-field-label--type-inline'>People<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_162_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_162.3' type='checkbox'  value='Cats'  id='choice_42_162_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_162_3' id='label_42_162_3' class='gform-field-label gform-field-label--type-inline'>Cats<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_162_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_162.4' type='checkbox'  value='Other'  id='choice_42_162_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_162_4' id='label_42_162_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_178\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_178'>If &quot;other&quot; selected, please explain:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_178' id='input_42_178' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_163\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What equipment does your dog wear when taken out?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_163'><div class='gchoice gchoice_42_163_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.1' type='checkbox'  value='Flat collar'  id='choice_42_163_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_163_1' id='label_42_163_1' class='gform-field-label gform-field-label--type-inline'>Flat collar<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_163_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.2' type='checkbox'  value='Harness'  id='choice_42_163_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_163_2' id='label_42_163_2' class='gform-field-label gform-field-label--type-inline'>Harness<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_163_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.3' type='checkbox'  value='Prong collar'  id='choice_42_163_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_163_3' id='label_42_163_3' class='gform-field-label gform-field-label--type-inline'>Prong collar<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_163_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.4' type='checkbox'  value='Choke chain'  id='choice_42_163_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_163_4' id='label_42_163_4' class='gform-field-label gform-field-label--type-inline'>Choke chain<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_163_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.5' type='checkbox'  value='Basket muzzle'  id='choice_42_163_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_163_5' id='label_42_163_5' class='gform-field-label gform-field-label--type-inline'>Basket muzzle<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_163_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.6' type='checkbox'  value='Cloth muzzle'  id='choice_42_163_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_163_6' id='label_42_163_6' class='gform-field-label gform-field-label--type-inline'>Cloth muzzle<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_163_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.7' type='checkbox'  value='Other'  id='choice_42_163_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_163_7' id='label_42_163_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_179\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_179'>If &quot;other&quot; selected, please explain:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_179' id='input_42_179' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_164\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_164'>Is there anywhere your dog doesn&#039;t like to be touched?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_164' id='input_42_164' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_42_165\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What do they do in response to being touched there?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_42_165'><div class='gchoice gchoice_42_165_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_165.1' type='checkbox'  value='Pull or move away'  id='choice_42_165_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_165_1' id='label_42_165_1' class='gform-field-label gform-field-label--type-inline'>Pull or move away<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_165_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_165.2' type='checkbox'  value='Freeze'  id='choice_42_165_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_165_2' id='label_42_165_2' class='gform-field-label gform-field-label--type-inline'>Freeze<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_165_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_165.3' type='checkbox'  value='Growl'  id='choice_42_165_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_165_3' id='label_42_165_3' class='gform-field-label gform-field-label--type-inline'>Growl<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_165_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_165.4' type='checkbox'  value='Bark'  id='choice_42_165_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_165_4' id='label_42_165_4' class='gform-field-label gform-field-label--type-inline'>Bark<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_165_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_165.5' type='checkbox'  value='Try to bike'  id='choice_42_165_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_165_5' id='label_42_165_5' class='gform-field-label gform-field-label--type-inline'>Try to bike<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_42_165_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_165.6' type='checkbox'  value='Other'  id='choice_42_165_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_165_6' id='label_42_165_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_42_180\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_180'>If &quot;other&quot; selected, please explain:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_180' id='input_42_180' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_166\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_166'>What are some other activities that your dog enjoys?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_166' id='input_42_166' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_42_167\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_167'>How would you describe your dog overall?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_167' id='input_42_167' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_42_168\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_168'>Is there anything that you would like us to know about your dog that hasn&#039;t been mentioned yet?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_168' id='input_42_168' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_42' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_42' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_42' id='gform_theme_42' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_42' id='gform_style_settings_42' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_42' value='1' \/>\n            <input type='hidden' 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