{"id":7656,"date":"2021-04-23T11:45:02","date_gmt":"2021-04-23T16:45:02","guid":{"rendered":"https:\/\/uamscaregiving.org\/springdale\/?page_id=7656"},"modified":"2022-07-29T12:29:22","modified_gmt":"2022-07-29T17:29:22","slug":"wwepe","status":"publish","type":"page","link":"https:\/\/uamscaregiving.org\/springdale\/wwepe\/","title":{"rendered":"Walk with Ease Participant Evaluation"},"content":{"rendered":"<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_146' ><div id='gf_146' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_146'  action='\/springdale\/wp-json\/wp\/v2\/pages\/7656#gf_146' data-formid='146' novalidate>\n        <div id='gf_progressbar_wrapper_146' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_146_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_146' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_146_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_146_23\" ><label class='gfield_label gform-field-label' for='input_146_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_146_23'><strong><i>(MM\/DD\/YYYY)<\/i><\/strong><\/div><div class='ginput_container ginput_container_date'>\n                            <input aria-describedby='field_146_23_dmessage' name='input_23' id='input_146_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_146_23_date_format gfield_description_146_23\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_146_23_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_146_23' class='gform_hidden' value='https:\/\/uamscaregiving.org\/springdale\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_146_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_146_18\" ><label class='gfield_label gform-field-label' for='input_146_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_146_18'><strong><i>(MM\/DD\/YYYY)<\/i><\/strong><\/div><div class='ginput_container ginput_container_date'>\n                            <input aria-describedby='field_146_18_dmessage' name='input_18' id='input_146_18' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_146_18_date_format gfield_description_146_18\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_146_18_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_146_18' class='gform_hidden' value='https:\/\/uamscaregiving.org\/springdale\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_146_41\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_41\" ><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_146_41'>\n                            \n                            <span id='input_146_41_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.3' id='input_146_41_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_146_41_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_146_41_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.6' id='input_146_41_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_146_41_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_146_49' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_146\").val(\"2\");  jQuery(\"#gform_146\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_146\").val(\"2\");  jQuery(\"#gform_146\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_146_2' class='gform_page' data-js='page-field-id-49' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_146_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_146_48\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_48\" ><strong><font color=\"red\">Please mark the category that corresponds to your answer about the information, tools, and workbook in this program:<\/font><\/strong> <br><br><\/li><li id=\"field_146_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_25\" ><label class='gfield_label gform-field-label' >To what extent did you learn basic information about arthritis?<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_146_25'>\n\t\t\t<li class='gchoice gchoice_146_25_0'>\n\t\t\t\t<input name='input_25' type='radio' value='Very well'  id='choice_146_25_0'    \/>\n\t\t\t\t<label for='choice_146_25_0' id='label_146_25_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_25_1'>\n\t\t\t\t<input name='input_25' type='radio' value='Fairly well'  id='choice_146_25_1'    \/>\n\t\t\t\t<label for='choice_146_25_1' id='label_146_25_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_25_2'>\n\t\t\t\t<input name='input_25' type='radio' value='A little'  id='choice_146_25_2'    \/>\n\t\t\t\t<label for='choice_146_25_2' id='label_146_25_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_25_3'>\n\t\t\t\t<input name='input_25' type='radio' value='Not at all'  id='choice_146_25_3'    \/>\n\t\t\t\t<label for='choice_146_25_3' id='label_146_25_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_55\" ><label class='gfield_label gform-field-label' >To what extent did you increase your understanding of the rationale and principles of exercise for people with arthritis?<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_146_55'>\n\t\t\t<li class='gchoice gchoice_146_55_0'>\n\t\t\t\t<input name='input_55' type='radio' value='Very well'  id='choice_146_55_0'    \/>\n\t\t\t\t<label for='choice_146_55_0' id='label_146_55_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_55_1'>\n\t\t\t\t<input name='input_55' type='radio' value='Fairly well'  id='choice_146_55_1'    \/>\n\t\t\t\t<label for='choice_146_55_1' id='label_146_55_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_55_2'>\n\t\t\t\t<input name='input_55' type='radio' value='A little'  id='choice_146_55_2'    \/>\n\t\t\t\t<label for='choice_146_55_2' id='label_146_55_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_55_3'>\n\t\t\t\t<input name='input_55' type='radio' value='Not at all'  id='choice_146_55_3'    \/>\n\t\t\t\t<label for='choice_146_55_3' id='label_146_55_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_54\" ><label class='gfield_label gform-field-label' >To what extent did you increase your knowledge about walking in a safe and comfortable manner?<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_146_54'>\n\t\t\t<li class='gchoice gchoice_146_54_0'>\n\t\t\t\t<input name='input_54' type='radio' value='Very well'  id='choice_146_54_0'    \/>\n\t\t\t\t<label for='choice_146_54_0' id='label_146_54_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_54_1'>\n\t\t\t\t<input name='input_54' type='radio' value='Fairly well'  id='choice_146_54_1'    \/>\n\t\t\t\t<label for='choice_146_54_1' id='label_146_54_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_54_2'>\n\t\t\t\t<input name='input_54' type='radio' value='A little'  id='choice_146_54_2'    \/>\n\t\t\t\t<label for='choice_146_54_2' id='label_146_54_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_54_3'>\n\t\t\t\t<input name='input_54' type='radio' value='Not at all'  id='choice_146_54_3'    \/>\n\t\t\t\t<label for='choice_146_54_3' id='label_146_54_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_53\" ><label class='gfield_label gform-field-label' >To what extent do you feel knowledgeable about how to do warm-up and cool-down exercises before and after walking?<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_146_53'>\n\t\t\t<li class='gchoice gchoice_146_53_0'>\n\t\t\t\t<input name='input_53' type='radio' value='Very well'  id='choice_146_53_0'    \/>\n\t\t\t\t<label for='choice_146_53_0' id='label_146_53_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_53_1'>\n\t\t\t\t<input name='input_53' type='radio' value='Fairly well'  id='choice_146_53_1'    \/>\n\t\t\t\t<label for='choice_146_53_1' id='label_146_53_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_53_2'>\n\t\t\t\t<input name='input_53' type='radio' value='A little'  id='choice_146_53_2'    \/>\n\t\t\t\t<label for='choice_146_53_2' id='label_146_53_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_53_3'>\n\t\t\t\t<input name='input_53' type='radio' value='Not at all'  id='choice_146_53_3'    \/>\n\t\t\t\t<label for='choice_146_53_3' id='label_146_53_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_52\" ><label class='gfield_label gform-field-label' >To what extent were the problem-solving strategies useful to you?<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_146_52'>\n\t\t\t<li class='gchoice gchoice_146_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='Very well'  id='choice_146_52_0'    \/>\n\t\t\t\t<label for='choice_146_52_0' id='label_146_52_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='Fairly well'  id='choice_146_52_1'    \/>\n\t\t\t\t<label for='choice_146_52_1' id='label_146_52_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_52_2'>\n\t\t\t\t<input name='input_52' type='radio' value='A little'  id='choice_146_52_2'    \/>\n\t\t\t\t<label for='choice_146_52_2' id='label_146_52_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_52_3'>\n\t\t\t\t<input name='input_52' type='radio' value='Not at all'  id='choice_146_52_3'    \/>\n\t\t\t\t<label for='choice_146_52_3' id='label_146_52_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_51\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_51\" ><label class='gfield_label gform-field-label' >To what extent were the self-test tools useful to you?<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_146_51'>\n\t\t\t<li class='gchoice gchoice_146_51_0'>\n\t\t\t\t<input name='input_51' type='radio' value='Very well'  id='choice_146_51_0'    \/>\n\t\t\t\t<label for='choice_146_51_0' id='label_146_51_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_51_1'>\n\t\t\t\t<input name='input_51' type='radio' value='Fairly well'  id='choice_146_51_1'    \/>\n\t\t\t\t<label for='choice_146_51_1' id='label_146_51_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_51_2'>\n\t\t\t\t<input name='input_51' type='radio' value='A little'  id='choice_146_51_2'    \/>\n\t\t\t\t<label for='choice_146_51_2' id='label_146_51_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_51_3'>\n\t\t\t\t<input name='input_51' type='radio' value='Not at all'  id='choice_146_51_3'    \/>\n\t\t\t\t<label for='choice_146_51_3' id='label_146_51_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_50\" ><label class='gfield_label gform-field-label' >To what extent were the contract and walking diary tool useful to you?<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_146_50'>\n\t\t\t<li class='gchoice gchoice_146_50_0'>\n\t\t\t\t<input name='input_50' type='radio' value='Very well'  id='choice_146_50_0'    \/>\n\t\t\t\t<label for='choice_146_50_0' id='label_146_50_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_50_1'>\n\t\t\t\t<input name='input_50' type='radio' value='Fairly well'  id='choice_146_50_1'    \/>\n\t\t\t\t<label for='choice_146_50_1' id='label_146_50_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_50_2'>\n\t\t\t\t<input name='input_50' type='radio' value='A little'  id='choice_146_50_2'    \/>\n\t\t\t\t<label for='choice_146_50_2' id='label_146_50_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_50_3'>\n\t\t\t\t<input name='input_50' type='radio' value='Not at all'  id='choice_146_50_3'    \/>\n\t\t\t\t<label for='choice_146_50_3' id='label_146_50_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_146_56' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_146\").val(\"1\");  jQuery(\"#gform_146\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_146\").val(\"1\");  jQuery(\"#gform_146\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_146_56' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_146\").val(\"3\");  jQuery(\"#gform_146\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_146\").val(\"3\");  jQuery(\"#gform_146\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_146_3' class='gform_page' data-js='page-field-id-56' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_146_3' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_146_57\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_57\" ><strong><font color=\"red\">Please mark the category that corresponds to your answer about the presentation of the program:<\/font><\/strong> <br><br><\/li><li id=\"field_146_59\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_59\" ><label class='gfield_label gform-field-label' >To what extent did your Walk with Ease leader maintain your interest?<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_146_59'>\n\t\t\t<li class='gchoice gchoice_146_59_0'>\n\t\t\t\t<input name='input_59' type='radio' value='Very well'  id='choice_146_59_0'    \/>\n\t\t\t\t<label for='choice_146_59_0' id='label_146_59_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_59_1'>\n\t\t\t\t<input name='input_59' type='radio' value='Fairly well'  id='choice_146_59_1'    \/>\n\t\t\t\t<label for='choice_146_59_1' id='label_146_59_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_59_2'>\n\t\t\t\t<input name='input_59' type='radio' value='A little'  id='choice_146_59_2'    \/>\n\t\t\t\t<label for='choice_146_59_2' id='label_146_59_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_59_3'>\n\t\t\t\t<input name='input_59' type='radio' value='Not at all'  id='choice_146_59_3'    \/>\n\t\t\t\t<label for='choice_146_59_3' id='label_146_59_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_65\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_65\" ><label class='gfield_label gform-field-label' >To what extent are you satisfied with the way the Walk With Ease leader presented topics?<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_146_65'>\n\t\t\t<li class='gchoice gchoice_146_65_0'>\n\t\t\t\t<input name='input_65' type='radio' value='Very well'  id='choice_146_65_0'    \/>\n\t\t\t\t<label for='choice_146_65_0' id='label_146_65_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_65_1'>\n\t\t\t\t<input name='input_65' type='radio' value='Fairly well'  id='choice_146_65_1'    \/>\n\t\t\t\t<label for='choice_146_65_1' id='label_146_65_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_65_2'>\n\t\t\t\t<input name='input_65' type='radio' value='A little'  id='choice_146_65_2'    \/>\n\t\t\t\t<label for='choice_146_65_2' id='label_146_65_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_65_3'>\n\t\t\t\t<input name='input_65' type='radio' value='Not at all'  id='choice_146_65_3'    \/>\n\t\t\t\t<label for='choice_146_65_3' id='label_146_65_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_64\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_64\" ><label class='gfield_label gform-field-label' >To what extent are you satisfied with the length of the program?<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_146_64'>\n\t\t\t<li class='gchoice gchoice_146_64_0'>\n\t\t\t\t<input name='input_64' type='radio' value='Very well'  id='choice_146_64_0'    \/>\n\t\t\t\t<label for='choice_146_64_0' id='label_146_64_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_64_1'>\n\t\t\t\t<input name='input_64' type='radio' value='Fairly well'  id='choice_146_64_1'    \/>\n\t\t\t\t<label for='choice_146_64_1' id='label_146_64_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_64_2'>\n\t\t\t\t<input name='input_64' type='radio' value='A little'  id='choice_146_64_2'    \/>\n\t\t\t\t<label for='choice_146_64_2' id='label_146_64_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_64_3'>\n\t\t\t\t<input name='input_64' type='radio' value='Not at all'  id='choice_146_64_3'    \/>\n\t\t\t\t<label for='choice_146_64_3' id='label_146_64_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_63\" ><label class='gfield_label gform-field-label' >To what extent are you satisfied with the amount of time available with other group members?<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_146_63'>\n\t\t\t<li class='gchoice gchoice_146_63_0'>\n\t\t\t\t<input name='input_63' type='radio' value='Very well'  id='choice_146_63_0'    \/>\n\t\t\t\t<label for='choice_146_63_0' id='label_146_63_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_63_1'>\n\t\t\t\t<input name='input_63' type='radio' value='Fairly well'  id='choice_146_63_1'    \/>\n\t\t\t\t<label for='choice_146_63_1' id='label_146_63_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_63_2'>\n\t\t\t\t<input name='input_63' type='radio' value='A little'  id='choice_146_63_2'    \/>\n\t\t\t\t<label for='choice_146_63_2' id='label_146_63_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_63_3'>\n\t\t\t\t<input name='input_63' type='radio' value='Not at all'  id='choice_146_63_3'    \/>\n\t\t\t\t<label for='choice_146_63_3' id='label_146_63_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_62\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_62\" ><label class='gfield_label gform-field-label' >To what extent are you satisfied with the amount of time available with your leader?<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_146_62'>\n\t\t\t<li class='gchoice gchoice_146_62_0'>\n\t\t\t\t<input name='input_62' type='radio' value='Very well'  id='choice_146_62_0'    \/>\n\t\t\t\t<label for='choice_146_62_0' id='label_146_62_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_62_1'>\n\t\t\t\t<input name='input_62' type='radio' value='Fairly well'  id='choice_146_62_1'    \/>\n\t\t\t\t<label for='choice_146_62_1' id='label_146_62_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_62_2'>\n\t\t\t\t<input name='input_62' type='radio' value='A little'  id='choice_146_62_2'    \/>\n\t\t\t\t<label for='choice_146_62_2' id='label_146_62_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_62_3'>\n\t\t\t\t<input name='input_62' type='radio' value='Not at all'  id='choice_146_62_3'    \/>\n\t\t\t\t<label for='choice_146_62_3' id='label_146_62_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_61\" ><label class='gfield_label gform-field-label' >To what extent did the Walk With Ease program fulfill your expectations?<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_146_61'>\n\t\t\t<li class='gchoice gchoice_146_61_0'>\n\t\t\t\t<input name='input_61' type='radio' value='Very well'  id='choice_146_61_0'    \/>\n\t\t\t\t<label for='choice_146_61_0' id='label_146_61_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_61_1'>\n\t\t\t\t<input name='input_61' type='radio' value='Fairly well'  id='choice_146_61_1'    \/>\n\t\t\t\t<label for='choice_146_61_1' id='label_146_61_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_61_2'>\n\t\t\t\t<input name='input_61' type='radio' value='A little'  id='choice_146_61_2'    \/>\n\t\t\t\t<label for='choice_146_61_2' id='label_146_61_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_61_3'>\n\t\t\t\t<input name='input_61' type='radio' value='Not at all'  id='choice_146_61_3'    \/>\n\t\t\t\t<label for='choice_146_61_3' id='label_146_61_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_60\" ><label class='gfield_label gform-field-label' >Overall, to what extent are you satisfied with this program?<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_146_60'>\n\t\t\t<li class='gchoice gchoice_146_60_0'>\n\t\t\t\t<input name='input_60' type='radio' value='Very well'  id='choice_146_60_0'    \/>\n\t\t\t\t<label for='choice_146_60_0' id='label_146_60_0' class='gform-field-label gform-field-label--type-inline'>Very well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_60_1'>\n\t\t\t\t<input name='input_60' type='radio' value='Fairly well'  id='choice_146_60_1'    \/>\n\t\t\t\t<label for='choice_146_60_1' id='label_146_60_1' class='gform-field-label gform-field-label--type-inline'>Fairly well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_60_2'>\n\t\t\t\t<input name='input_60' type='radio' value='A little'  id='choice_146_60_2'    \/>\n\t\t\t\t<label for='choice_146_60_2' id='label_146_60_2' class='gform-field-label gform-field-label--type-inline'>A little<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_60_3'>\n\t\t\t\t<input name='input_60' type='radio' value='Not at all'  id='choice_146_60_3'    \/>\n\t\t\t\t<label for='choice_146_60_3' id='label_146_60_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_146_58' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_146\").val(\"2\");  jQuery(\"#gform_146\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_146\").val(\"2\");  jQuery(\"#gform_146\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_146_58' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_146\").val(\"4\");  jQuery(\"#gform_146\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_146\").val(\"4\");  jQuery(\"#gform_146\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_146_4' class='gform_page' data-js='page-field-id-58' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_146_4' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_146_47\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_47\" ><label class='gfield_label gform-field-label' for='input_146_47'>What portions of the Walk With Ease program were of most value to you?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_47' id='input_146_47' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_146_69\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_69\" ><label class='gfield_label gform-field-label' for='input_146_69'>What portions of the Walk With Ease program were of least value to you?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_69' id='input_146_69' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_146_68\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_68\" ><label class='gfield_label gform-field-label' for='input_146_68'>What would you add to or change to the Walk With Ease program to make it more useful?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_68' id='input_146_68' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_146_70\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_70\" ><label class='gfield_label gform-field-label' >Would you recommend the Walk With Ease program to your 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_146_70'>\n\t\t\t<li class='gchoice gchoice_146_70_0'>\n\t\t\t\t<input name='input_70' type='radio' value='Yes'  id='choice_146_70_0'    \/>\n\t\t\t\t<label for='choice_146_70_0' id='label_146_70_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_70_1'>\n\t\t\t\t<input name='input_70' type='radio' value='No'  id='choice_146_70_1'    \/>\n\t\t\t\t<label for='choice_146_70_1' id='label_146_70_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/fieldset><\/li><li id=\"field_146_67\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_146_67\" ><label class='gfield_label gform-field-label' for='input_146_67'>Additional comments?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_67' id='input_146_67' class='textarea medium'      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