{"id":37041,"date":"2024-02-04T12:00:57","date_gmt":"2024-02-04T12:00:57","guid":{"rendered":"https:\/\/www.bodyandflow.com\/?page_id=37041"},"modified":"2024-02-04T12:00:57","modified_gmt":"2024-02-04T12:00:57","slug":"sass-forn","status":"publish","type":"page","link":"https:\/\/bodyandflow.com\/vi\/sass-forn\/","title":{"rendered":"sass forn"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div     class=\"vc_row wpb_row section vc_row-fluid \" style=' text-align:left;'><div class=\" full_section_inner clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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    <h2 class=\"gform_title\">Sass create account<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_12'  action='\/vi\/wp-json\/wp\/v2\/pages\/37041#gf_12' data-formid='12' novalidate>\n        <div id='gf_progressbar_wrapper_12' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>5<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_20' style='width:20%;'><span>20%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_12_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_12' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_12_29\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_29'>Comments<\/label><div class='gfield_description' id='gfield_description_12_29'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_29' id='input_12_29' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_12_5\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">This form will create your account in our dashboard<\/h3><div class='gsection_description' id='gfield_description_12_5'>please add the most of all the question for the best option<\/div><\/div><fieldset id=\"field_12_1\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/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_12_1'>\n                            \n                            <span id='input_12_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_12_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_12_1_3' value=''   aria-required='false'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_12_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_12_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_12_1_6' value=''   aria-required='false'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_12_2\" class=\"gfield gfield--type-email gfield--input-type-email field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_12_2_container'>\n                                <span id='input_12_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_12_2' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                    <input class='' type='email' name='input_2' id='input_12_2' value=''     aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_12_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_12_2_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                    <input class='' type='email' name='input_2_2' id='input_12_2_2' value=''     aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_12_3\" class=\"gfield gfield--type-username gfield--input-type-username field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_3'>Username<\/label><\/div><fieldset id=\"field_12_4\" class=\"gfield gfield--type-password gfield--input-type-password field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Password<\/legend><div class='ginput_complex ginput_container ginput_container_password gform-grid-row' id='input_12_4_container'>\n\t\t\t\t\t\t<span id='input_12_4_1_container' class='ginput_password ginput_left gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<label for='input_12_4' class='gform-field-label gform-field-label--type-sub '>Enter Password<\/label>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_4' id='input_12_4'    value=''    aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span id='input_12_4_2_container' class='ginput_password ginput_right gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<label for='input_12_4_2' class='gform-field-label gform-field-label--type-sub '>Confirm Password<\/label>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_4_2' id='input_12_4_2'   value=''    aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<div class='gf_clear gf_clear_complex'><\/div>\n\t\t\t\t\t<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_12_15' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_2' class='gform_page' data-js='page-field-id-15' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_12_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_27'>Company name<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_12_27' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_28'>Site name<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_12_28' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_12_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What is your sector of business<\/legend><div class='gfield_description' id='gfield_description_12_18'>Please enter the number of building you have in your facility<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_18'>\n\t\t\t<div class='gchoice gchoice_12_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Tech Manufacturers'  id='choice_12_18_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_12_18\"   \/>\n\t\t\t\t\t<label for='choice_12_18_0' id='label_12_18_0' class='gform-field-label gform-field-label--type-inline'>Tech Manufacturers<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Hotel'  id='choice_12_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_18_1' id='label_12_18_1' class='gform-field-label gform-field-label--type-inline'>Hotel<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_18_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Food Chains'  id='choice_12_18_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_18_2' id='label_12_18_2' class='gform-field-label gform-field-label--type-inline'>Food Chains<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_18_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Shopping Center'  id='choice_12_18_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_18_3' id='label_12_18_3' class='gform-field-label gform-field-label--type-inline'>Shopping Center<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_18_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Tech Offices'  id='choice_12_18_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_18_4' id='label_12_18_4' class='gform-field-label gform-field-label--type-inline'>Tech Offices<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_18_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Hospital'  id='choice_12_18_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_18_5' id='label_12_18_5' class='gform-field-label gform-field-label--type-inline'>Hospital<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_18_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Residential'  id='choice_12_18_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_18_6' id='label_12_18_6' class='gform-field-label gform-field-label--type-inline'>Residential<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_18_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Convenience Stores'  id='choice_12_18_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_18_7' id='label_12_18_7' class='gform-field-label gform-field-label--type-inline'>Convenience Stores<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_18_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Offices'  id='choice_12_18_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_18_8' id='label_12_18_8' class='gform-field-label gform-field-label--type-inline'>Offices<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_18_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Terminal'  id='choice_12_18_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_18_9' id='label_12_18_9' class='gform-field-label gform-field-label--type-inline'>Terminal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_18_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Universities'  id='choice_12_18_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_18_10' id='label_12_18_10' class='gform-field-label gform-field-label--type-inline'>Universities<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_18_11'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='gf_other_choice'  id='choice_12_18_11' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_18_11' id='label_12_18_11' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_12_18_other' class='gchoice_other_control' name='input_18_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_12_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What is the leading cleaning issue you want to monitor<\/legend><div class='gfield_description' id='gfield_description_12_19'>Please select from the list more then one problem<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_19'>\n\t\t\t<div class='gchoice gchoice_12_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Toilet'  id='choice_12_19_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_12_19\"   \/>\n\t\t\t\t\t<label for='choice_12_19_0' id='label_12_19_0' class='gform-field-label gform-field-label--type-inline'>Toilet<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Kitchen'  id='choice_12_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_19_1' id='label_12_19_1' class='gform-field-label gform-field-label--type-inline'>Kitchen<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_19_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Offices'  id='choice_12_19_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_19_2' id='label_12_19_2' class='gform-field-label gform-field-label--type-inline'>Offices<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_19_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Meeting room'  id='choice_12_19_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_19_3' id='label_12_19_3' class='gform-field-label gform-field-label--type-inline'>Meeting room<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_19_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='gf_other_choice'  id='choice_12_19_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_19_4' id='label_12_19_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_12_19_other' class='gchoice_other_control' name='input_19_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_14' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_12_14' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_3' class='gform_page' data-js='page-field-id-14' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><fieldset id=\"field_12_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How many buildings do you have on your site<\/legend><div class='gfield_description' id='gfield_description_12_20'>Please enter the number of building you have in your facility<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_20'>\n\t\t\t<div class='gchoice gchoice_12_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='1'  id='choice_12_20_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_12_20\"   \/>\n\t\t\t\t\t<label for='choice_12_20_0' id='label_12_20_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='2'  id='choice_12_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_20_1' id='label_12_20_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_20_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='3-5'  id='choice_12_20_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_20_2' id='label_12_20_2' class='gform-field-label gform-field-label--type-inline'>3-5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_20_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='6-10'  id='choice_12_20_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_20_3' id='label_12_20_3' class='gform-field-label gform-field-label--type-inline'>6-10<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_20_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='gf_other_choice'  id='choice_12_20_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_20_4' id='label_12_20_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_12_20_other' class='gchoice_other_control' name='input_20_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_12_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How many floors do you have in a building<\/legend><div class='gfield_description' id='gfield_description_12_21'>Please enter the number of the floor you want to test the system on<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_21'>\n\t\t\t<div class='gchoice gchoice_12_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='1'  id='choice_12_21_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_12_21\"   \/>\n\t\t\t\t\t<label for='choice_12_21_0' id='label_12_21_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='2'  id='choice_12_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_21_1' id='label_12_21_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_21_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='3'  id='choice_12_21_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_21_2' id='label_12_21_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_21_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='4'  id='choice_12_21_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_21_3' id='label_12_21_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_21_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='5'  id='choice_12_21_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_21_4' id='label_12_21_4' class='gform-field-label gform-field-label--type-inline'>5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_21_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='6'  id='choice_12_21_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_21_5' id='label_12_21_5' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_21_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='7'  id='choice_12_21_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_21_6' id='label_12_21_6' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_21_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='8'  id='choice_12_21_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_21_7' id='label_12_21_7' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_21_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='9'  id='choice_12_21_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_21_8' id='label_12_21_8' class='gform-field-label gform-field-label--type-inline'>9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_21_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='gf_other_choice'  id='choice_12_21_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_21_9' id='label_12_21_9' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_12_21_other' class='gchoice_other_control' name='input_21_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_13' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_12_13' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_4' class='gform_page' data-js='page-field-id-13' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><fieldset id=\"field_12_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How many toilets are you have on a floor<\/legend><div class='gfield_description' id='gfield_description_12_16'>Please enter the number of toilet you have in the building you want to test<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_16'>\n\t\t\t<div class='gchoice gchoice_12_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='1'  id='choice_12_16_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_12_16\"   \/>\n\t\t\t\t\t<label for='choice_12_16_0' id='label_12_16_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='2'  id='choice_12_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_16_1' id='label_12_16_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='3 - 5'  id='choice_12_16_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_16_2' id='label_12_16_2' class='gform-field-label gform-field-label--type-inline'>3 - 5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_16_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='6 - 10'  id='choice_12_16_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_16_3' id='label_12_16_3' class='gform-field-label gform-field-label--type-inline'>6 - 10<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_16_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='gf_other_choice'  id='choice_12_16_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_16_4' id='label_12_16_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_12_16_other' class='gchoice_other_control' name='input_16_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_22'>What is the size of the toilet area<\/label><div class='gfield_description' id='gfield_description_12_22'>Please enter the area wise of the toilet in square meter<\/div><div class='ginput_container ginput_container_text'><input name='input_22' id='input_12_22' type='text' value='' class='large'  aria-describedby=\"gfield_description_12_22\"  placeholder='size in sq'  aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_23' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_12_23' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_5' class='gform_page' data-js='page-field-id-23' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_5' class='gform_fields top_label form_sublabel_above description_above validation_below'><fieldset id=\"field_12_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How many cleaners do you have in the building<\/legend><div class='gfield_description' id='gfield_description_12_25'>Please enter the number of the cleaning staff you have in the billding<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_25'>\n\t\t\t<div class='gchoice gchoice_12_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='1'  id='choice_12_25_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_12_25\"   \/>\n\t\t\t\t\t<label for='choice_12_25_0' id='label_12_25_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='2'  id='choice_12_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_25_1' id='label_12_25_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_25_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='3-5'  id='choice_12_25_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_25_2' id='label_12_25_2' class='gform-field-label gform-field-label--type-inline'>3-5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_25_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='6-10'  id='choice_12_25_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_25_3' id='label_12_25_3' class='gform-field-label gform-field-label--type-inline'>6-10<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_25_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='gf_other_choice'  id='choice_12_25_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_25_4' id='label_12_25_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_12_25_other' class='gchoice_other_control' name='input_25_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_12_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How many supervisors do you have in the building<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' 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