{"id":7286,"date":"2021-03-02T13:04:52","date_gmt":"2021-03-02T19:04:52","guid":{"rendered":"https:\/\/uamscaregiving.org\/springdale\/?page_id=7286"},"modified":"2021-03-02T13:05:32","modified_gmt":"2021-03-02T19:05:32","slug":"post-drumsalive","status":"publish","type":"page","link":"https:\/\/uamscaregiving.org\/springdale\/post-drumsalive\/","title":{"rendered":"Post-Drums Alive Class Survey"},"content":{"rendered":"<h4>Thank you for agreeing to allow a follow-up survey regarding your experience in this program.\u00a0 Please take a moment to fill out the form below to help ensure that we are providing valuable programs to our community.<\/h4>\n<h4>By completing the survey you help us to continue to offer these programs at no cost to you.<\/h4>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_106' ><form method='post' enctype='multipart\/form-data'  id='gform_106'  action='\/springdale\/wp-json\/wp\/v2\/pages\/7286' data-formid='106' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_106' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_106_23\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_106_23\" ><label class='gfield_label gform-field-label' for='input_106_23'>What is today&#039;s date?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_106_23'><strong><i>(MM\/DD\/YYYY)<\/i><\/strong><\/div><div class='ginput_container ginput_container_date'>\n                            <input aria-describedby='field_106_23_dmessage' name='input_23' id='input_106_23' type='text' value='04\/25\/2026' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_106_23_date_format gfield_description_106_23\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_106_23_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_106_23' class='gform_hidden' value='https:\/\/uamscaregiving.org\/springdale\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_106_18\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_106_18\" ><label class='gfield_label gform-field-label' for='input_106_18'>Enter your birthday<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_106_18'><strong><i>(MM\/DD\/YYYY)<\/i><\/strong><\/div><div class='ginput_container ginput_container_date'>\n                            <input aria-describedby='field_106_18_dmessage' name='input_18' id='input_106_18' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_106_18_date_format gfield_description_106_18\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_106_18_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_106_18' class='gform_hidden' value='https:\/\/uamscaregiving.org\/springdale\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_106_45\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_106_45\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/label><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_106_45'>\n                            \n                            <span id='input_106_45_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_45.3' id='input_106_45_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_106_45_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_106_45_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_45.6' id='input_106_45_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_106_45_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><\/li><li id=\"field_106_49\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_106_49\" ><label class='gfield_label gform-field-label' for='input_106_49'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_49' id='input_106_49' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_106_50\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_106_50\" ><label class='gfield_label gform-field-label' for='input_106_50'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_50' id='input_106_50' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_106_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_106_25\" ><label class='gfield_label gform-field-label' >How often do you exercise at home?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_106_25'>\n\t\t\t<li class='gchoice gchoice_106_25_0'>\n\t\t\t\t<input name='input_25' type='radio' value='4'  id='choice_106_25_0'    \/>\n\t\t\t\t<label for='choice_106_25_0' id='label_106_25_0' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_25_1'>\n\t\t\t\t<input name='input_25' type='radio' value='3'  id='choice_106_25_1'    \/>\n\t\t\t\t<label for='choice_106_25_1' id='label_106_25_1' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_25_2'>\n\t\t\t\t<input name='input_25' type='radio' value='2'  id='choice_106_25_2'    \/>\n\t\t\t\t<label for='choice_106_25_2' id='label_106_25_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_25_3'>\n\t\t\t\t<input name='input_25' type='radio' value='1'  id='choice_106_25_3'    \/>\n\t\t\t\t<label for='choice_106_25_3' id='label_106_25_3' class='gform-field-label gform-field-label--type-inline'>Never<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_106_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_106_40\" ><label class='gfield_label gform-field-label' >How often are you active?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_106_40'>\n\t\t\t<li class='gchoice gchoice_106_40_0'>\n\t\t\t\t<input name='input_40' type='radio' value='4'  id='choice_106_40_0'    \/>\n\t\t\t\t<label for='choice_106_40_0' id='label_106_40_0' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_40_1'>\n\t\t\t\t<input name='input_40' type='radio' value='3'  id='choice_106_40_1'    \/>\n\t\t\t\t<label for='choice_106_40_1' id='label_106_40_1' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_40_2'>\n\t\t\t\t<input name='input_40' type='radio' value='2'  id='choice_106_40_2'    \/>\n\t\t\t\t<label for='choice_106_40_2' id='label_106_40_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_40_3'>\n\t\t\t\t<input name='input_40' type='radio' value='1'  id='choice_106_40_3'    \/>\n\t\t\t\t<label for='choice_106_40_3' id='label_106_40_3' class='gform-field-label gform-field-label--type-inline'>Never<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_106_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_106_41\" ><label class='gfield_label gform-field-label' >How often are you sad or blue?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_106_41'>\n\t\t\t<li class='gchoice gchoice_106_41_0'>\n\t\t\t\t<input name='input_41' type='radio' value='4'  id='choice_106_41_0'    \/>\n\t\t\t\t<label for='choice_106_41_0' id='label_106_41_0' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_41_1'>\n\t\t\t\t<input name='input_41' type='radio' value='3'  id='choice_106_41_1'    \/>\n\t\t\t\t<label for='choice_106_41_1' id='label_106_41_1' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_41_2'>\n\t\t\t\t<input name='input_41' type='radio' value='2'  id='choice_106_41_2'    \/>\n\t\t\t\t<label for='choice_106_41_2' id='label_106_41_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_41_3'>\n\t\t\t\t<input name='input_41' type='radio' value='1'  id='choice_106_41_3'    \/>\n\t\t\t\t<label for='choice_106_41_3' id='label_106_41_3' class='gform-field-label gform-field-label--type-inline'>Never<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_106_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_106_42\" ><label class='gfield_label gform-field-label' >How often do you gather with family\/friends?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_106_42'>\n\t\t\t<li class='gchoice gchoice_106_42_0'>\n\t\t\t\t<input name='input_42' type='radio' value='4'  id='choice_106_42_0'    \/>\n\t\t\t\t<label for='choice_106_42_0' id='label_106_42_0' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_42_1'>\n\t\t\t\t<input name='input_42' type='radio' value='3'  id='choice_106_42_1'    \/>\n\t\t\t\t<label for='choice_106_42_1' id='label_106_42_1' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_42_2'>\n\t\t\t\t<input name='input_42' type='radio' value='2'  id='choice_106_42_2'    \/>\n\t\t\t\t<label for='choice_106_42_2' id='label_106_42_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_42_3'>\n\t\t\t\t<input name='input_42' type='radio' value='1'  id='choice_106_42_3'    \/>\n\t\t\t\t<label for='choice_106_42_3' id='label_106_42_3' class='gform-field-label gform-field-label--type-inline'>Never<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_106_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_106_43\" ><label class='gfield_label gform-field-label' >How often do you fall?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_106_43'>\n\t\t\t<li class='gchoice gchoice_106_43_0'>\n\t\t\t\t<input name='input_43' type='radio' value='4'  id='choice_106_43_0'    \/>\n\t\t\t\t<label for='choice_106_43_0' id='label_106_43_0' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_43_1'>\n\t\t\t\t<input name='input_43' type='radio' value='3'  id='choice_106_43_1'    \/>\n\t\t\t\t<label for='choice_106_43_1' id='label_106_43_1' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_43_2'>\n\t\t\t\t<input name='input_43' type='radio' value='2'  id='choice_106_43_2'    \/>\n\t\t\t\t<label for='choice_106_43_2' id='label_106_43_2' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_106_43_3'>\n\t\t\t\t<input name='input_43' type='radio' value='1'  id='choice_106_43_3'    \/>\n\t\t\t\t<label for='choice_106_43_3' id='label_106_43_3' class='gform-field-label gform-field-label--type-inline'>Never<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_106_56\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_106_56\" ><label class='gfield_label gform-field-label' for='input_106_56'>Pain Scale<\/label><div class='gfield_description' 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