{"id":2120,"date":"2022-03-16T14:58:08","date_gmt":"2022-03-16T19:58:08","guid":{"rendered":"https:\/\/drroxannedaleo.com\/roxie\/?page_id=2120"},"modified":"2023-09-28T13:15:39","modified_gmt":"2023-09-28T18:15:39","slug":"stress-reduction-checklist","status":"publish","type":"page","link":"https:\/\/drroxannedaleo.com\/roxie\/stress-reduction-checklist\/","title":{"rendered":"Stress Reduction Checklist"},"content":{"rendered":"\n<div id=\"erf_form_container_2118\" class=\"erf-container erf-contact erf-label-top erf-layout-one-column erf-style-rounded-corner\">\n        \n    \n         \n                    <div class=\"erf-content-above\">\n                Fill out the form for your stress analysis            <\/div>\n            <form method=\"post\" enctype=\"multipart\/form-data\" class=\"erf-form erf-front-form\" data-parsley-validate=\"\" novalidate=\"true\" data-erf-submission-id=\"0\" data-erf-form-id=\"2118\">\n                <div class=\"erf-form-html\" id=\"erf_form_2118\">\n                    <div class=\"rendered-form\">\n                        <div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='Heading4' data-ref-id='header-i1nqdstc' class='' >Stress Symptom Checklist<\/h1><\/div><div class=\"erf-richtext erf-element-width-12\"><div data-non-input='1' data-ref-label='RichText1' data-ref-id='richtext-ohvluejr' class='erf-rich-text' ><p>Each of us experiences stress in different ways. It is useful to see if your stress symptoms are predominantly physical, emotional or behavioral. This will help you understand yourself better, develop more awareness and make best use of stress reduction techniques.<\/p><\/div><\/div><div class=\"erf-text form-group field-text-286571620928 erf-element-width-12\"><label for=\"text-286571620928\" class=\"erf-text-label\">Name<span class=\"erf-required\">*<\/span><\/label><input type='text' maxlength='50' required='required' class='form-control' name='text-286571620928' data-ref-label='Name' id='text-286571620928'  \/><\/div><div class=\"erf-email form-group field-text-24780750951 erf-element-width-12\"><label for=\"text-24780750951\" class=\"erf-email-label\">Email<span class=\"erf-required\">*<\/span><\/label><input type='email' required='required' class='form-control' name='text-24780750951' data-ref-label='Email' id='text-24780750951'  \/><\/div><div class=\"erf-tel form-group field-field-SnDMXKjfSx3lDOJ erf-element-width-12\"><label for=\"field-SnDMXKjfSx3lDOJ\" class=\"erf-tel-label\">Phone1<span class=\"erf-required\">*<\/span><\/label><input type='tel' data-ref-label='Phone1' class='form-control' name='field-SnDMXKjfSx3lDOJ' masking='(999) 999-9999' required='required' enable-intl='1' id='field-SnDMXKjfSx3lDOJ'  \/><\/div><div class=\"erf-splitter erf-element-width-12\"><div data-non-input='1' custom-type='page-break' data-ref-label='Splitter1' class='' data-ref-id='splitter-h5nuoiei' >Splitter1<\/div><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='physical' data-ref-id='header-eskwtspa' class='' >Physical Symptoms<\/h1><\/div><div class=\"erf-radio-group form-group field-field-5S6ocr9IolaV44x erf-element-width-12\"><label for=\"field-5S6ocr9IolaV44x\" class=\"erf-radio-group-label\">Headaches<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-5S6ocr9IolaV44x-0\" name='field-5S6ocr9IolaV44x' data-ref-label='headaches' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-5S6ocr9IolaV44x-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-5S6ocr9IolaV44x-1\" name='field-5S6ocr9IolaV44x' data-ref-label='headaches' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-5S6ocr9IolaV44x-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-5S6ocr9IolaV44x-2\" name='field-5S6ocr9IolaV44x' data-ref-label='headaches' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-5S6ocr9IolaV44x-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-5S6ocr9IolaV44x-3\" name='field-5S6ocr9IolaV44x' data-ref-label='headaches' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-5S6ocr9IolaV44x-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-fJuqtxiKeAHmAiy erf-element-width-12\"><label for=\"field-fJuqtxiKeAHmAiy\" class=\"erf-radio-group-label\">Indigestion<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-fJuqtxiKeAHmAiy-0\" name='field-fJuqtxiKeAHmAiy' data-ref-label='indigestion' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-fJuqtxiKeAHmAiy-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-fJuqtxiKeAHmAiy-1\" name='field-fJuqtxiKeAHmAiy' data-ref-label='indigestion' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-fJuqtxiKeAHmAiy-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-fJuqtxiKeAHmAiy-2\" name='field-fJuqtxiKeAHmAiy' data-ref-label='indigestion' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-fJuqtxiKeAHmAiy-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-fJuqtxiKeAHmAiy-3\" name='field-fJuqtxiKeAHmAiy' data-ref-label='indigestion' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-fJuqtxiKeAHmAiy-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-u9yCPdP7loFoxb8 erf-element-width-12\"><label for=\"field-u9yCPdP7loFoxb8\" class=\"erf-radio-group-label\">Stomach Aches<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-u9yCPdP7loFoxb8-0\" name='field-u9yCPdP7loFoxb8' data-ref-label='stomachaches' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-u9yCPdP7loFoxb8-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-u9yCPdP7loFoxb8-1\" name='field-u9yCPdP7loFoxb8' data-ref-label='stomachaches' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-u9yCPdP7loFoxb8-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-u9yCPdP7loFoxb8-2\" name='field-u9yCPdP7loFoxb8' data-ref-label='stomachaches' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-u9yCPdP7loFoxb8-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-u9yCPdP7loFoxb8-3\" name='field-u9yCPdP7loFoxb8' data-ref-label='stomachaches' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-u9yCPdP7loFoxb8-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-RGxqTSB0QwKWjXU erf-element-width-12\"><label for=\"field-RGxqTSB0QwKWjXU\" class=\"erf-radio-group-label\">Back Pain<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-RGxqTSB0QwKWjXU-0\" name='field-RGxqTSB0QwKWjXU' data-ref-label='backpain' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-RGxqTSB0QwKWjXU-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-RGxqTSB0QwKWjXU-1\" name='field-RGxqTSB0QwKWjXU' data-ref-label='backpain' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-RGxqTSB0QwKWjXU-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-RGxqTSB0QwKWjXU-2\" name='field-RGxqTSB0QwKWjXU' data-ref-label='backpain' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-RGxqTSB0QwKWjXU-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-RGxqTSB0QwKWjXU-3\" name='field-RGxqTSB0QwKWjXU' data-ref-label='backpain' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-RGxqTSB0QwKWjXU-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-qOuxBHldDMapvzr erf-element-width-12\"><label for=\"field-qOuxBHldDMapvzr\" class=\"erf-radio-group-label\">Tight Neck or Shoulders<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-qOuxBHldDMapvzr-0\" name='field-qOuxBHldDMapvzr' data-ref-label='tightneck' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-qOuxBHldDMapvzr-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-qOuxBHldDMapvzr-1\" name='field-qOuxBHldDMapvzr' data-ref-label='tightneck' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-qOuxBHldDMapvzr-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-qOuxBHldDMapvzr-2\" name='field-qOuxBHldDMapvzr' data-ref-label='tightneck' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-qOuxBHldDMapvzr-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-qOuxBHldDMapvzr-3\" name='field-qOuxBHldDMapvzr' data-ref-label='tightneck' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-qOuxBHldDMapvzr-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-iW5rovAMK6nqCTF erf-element-width-12\"><label for=\"field-iW5rovAMK6nqCTF\" class=\"erf-radio-group-label\">Racing Heart<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-iW5rovAMK6nqCTF-0\" name='field-iW5rovAMK6nqCTF' data-ref-label='racingheart' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-iW5rovAMK6nqCTF-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-iW5rovAMK6nqCTF-1\" name='field-iW5rovAMK6nqCTF' data-ref-label='racingheart' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-iW5rovAMK6nqCTF-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-iW5rovAMK6nqCTF-2\" name='field-iW5rovAMK6nqCTF' data-ref-label='racingheart' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-iW5rovAMK6nqCTF-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-iW5rovAMK6nqCTF-3\" name='field-iW5rovAMK6nqCTF' data-ref-label='racingheart' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-iW5rovAMK6nqCTF-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-7HXyfBhir8dulIU erf-element-width-12\"><label for=\"field-7HXyfBhir8dulIU\" class=\"erf-radio-group-label\">Sweaty Palms<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-7HXyfBhir8dulIU-0\" name='field-7HXyfBhir8dulIU' data-ref-label='sweatypalms' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-7HXyfBhir8dulIU-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-7HXyfBhir8dulIU-1\" name='field-7HXyfBhir8dulIU' data-ref-label='sweatypalms' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-7HXyfBhir8dulIU-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-7HXyfBhir8dulIU-2\" name='field-7HXyfBhir8dulIU' data-ref-label='sweatypalms' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-7HXyfBhir8dulIU-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-7HXyfBhir8dulIU-3\" name='field-7HXyfBhir8dulIU' data-ref-label='sweatypalms' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-7HXyfBhir8dulIU-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-lqQJDlyCJFwykHW erf-element-width-12\"><label for=\"field-lqQJDlyCJFwykHW\" class=\"erf-radio-group-label\">Trouble Sleeping<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-lqQJDlyCJFwykHW-0\" name='field-lqQJDlyCJFwykHW' data-ref-label='troublesleeping' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-lqQJDlyCJFwykHW-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-lqQJDlyCJFwykHW-1\" name='field-lqQJDlyCJFwykHW' data-ref-label='troublesleeping' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-lqQJDlyCJFwykHW-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-lqQJDlyCJFwykHW-2\" name='field-lqQJDlyCJFwykHW' data-ref-label='troublesleeping' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-lqQJDlyCJFwykHW-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-lqQJDlyCJFwykHW-3\" name='field-lqQJDlyCJFwykHW' data-ref-label='troublesleeping' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-lqQJDlyCJFwykHW-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-lwLdgsw3uFxP5k2 erf-element-width-12\"><label for=\"field-lwLdgsw3uFxP5k2\" class=\"erf-radio-group-label\">Restlessness (hard to sit still)<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-lwLdgsw3uFxP5k2-0\" name='field-lwLdgsw3uFxP5k2' data-ref-label='restlessness' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-lwLdgsw3uFxP5k2-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-lwLdgsw3uFxP5k2-1\" name='field-lwLdgsw3uFxP5k2' data-ref-label='restlessness' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-lwLdgsw3uFxP5k2-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-lwLdgsw3uFxP5k2-2\" name='field-lwLdgsw3uFxP5k2' data-ref-label='restlessness' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-lwLdgsw3uFxP5k2-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-lwLdgsw3uFxP5k2-3\" name='field-lwLdgsw3uFxP5k2' data-ref-label='restlessness' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-lwLdgsw3uFxP5k2-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-4mAy53WOBKRbVQ0 erf-element-width-12\"><label for=\"field-4mAy53WOBKRbVQ0\" class=\"erf-radio-group-label\">Dizziness<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-4mAy53WOBKRbVQ0-0\" name='field-4mAy53WOBKRbVQ0' data-ref-label='dizziness' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-4mAy53WOBKRbVQ0-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-4mAy53WOBKRbVQ0-1\" name='field-4mAy53WOBKRbVQ0' data-ref-label='dizziness' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-4mAy53WOBKRbVQ0-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-4mAy53WOBKRbVQ0-2\" name='field-4mAy53WOBKRbVQ0' data-ref-label='dizziness' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-4mAy53WOBKRbVQ0-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-4mAy53WOBKRbVQ0-3\" name='field-4mAy53WOBKRbVQ0' data-ref-label='dizziness' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-4mAy53WOBKRbVQ0-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-vcet9nlRp774uop erf-element-width-12\"><label for=\"field-vcet9nlRp774uop\" class=\"erf-radio-group-label\">Ringing in the Ears<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-vcet9nlRp774uop-0\" name='field-vcet9nlRp774uop' data-ref-label='ringingears' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-vcet9nlRp774uop-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-vcet9nlRp774uop-1\" name='field-vcet9nlRp774uop' data-ref-label='ringingears' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-vcet9nlRp774uop-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-vcet9nlRp774uop-2\" name='field-vcet9nlRp774uop' data-ref-label='ringingears' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-vcet9nlRp774uop-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-vcet9nlRp774uop-3\" name='field-vcet9nlRp774uop' data-ref-label='ringingears' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-vcet9nlRp774uop-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-scnlqzEvHyfkEZY erf-element-width-12\"><label for=\"field-scnlqzEvHyfkEZY\" class=\"erf-text-label\">Total Physical Symptoms<input readonly type='text' data-ref-label='physicalsymptoms' class='formula-field form-control ' name='field-scnlqzEvHyfkEZY' data-expression='INTEGER(%headaches%) + INTEGER(%indigestion%) + INTEGER(%stomachaches%)+INTEGER(%backpain%)+INTEGER(%tightneck%) + INTEGER(%racingheart%) + INTEGER(%sweatypalms%) + INTEGER(%troublesleeping%) + INTEGER(%restlessness%) + INTEGER(%dizziness%) + INTEGER(%ringingears%)' id='field-scnlqzEvHyfkEZY'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='Behavioral' data-ref-id='header-macp2hef' class='' >Behavioral Symptoms<\/h1><\/div><div class=\"erf-radio-group form-group field-field-OVVl6NYdUYUZ5ab erf-element-width-12\"><label for=\"field-OVVl6NYdUYUZ5ab\" class=\"erf-radio-group-label\">Smoke Excessively<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-OVVl6NYdUYUZ5ab-0\" name='field-OVVl6NYdUYUZ5ab' data-ref-label='smoke' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-OVVl6NYdUYUZ5ab-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-OVVl6NYdUYUZ5ab-1\" name='field-OVVl6NYdUYUZ5ab' data-ref-label='smoke' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-OVVl6NYdUYUZ5ab-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-OVVl6NYdUYUZ5ab-2\" name='field-OVVl6NYdUYUZ5ab' data-ref-label='smoke' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-OVVl6NYdUYUZ5ab-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-OVVl6NYdUYUZ5ab-3\" name='field-OVVl6NYdUYUZ5ab' data-ref-label='smoke' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-OVVl6NYdUYUZ5ab-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-2mQjkfZeZrvM2vM erf-element-width-12\"><label for=\"field-2mQjkfZeZrvM2vM\" class=\"erf-radio-group-label\">Grind Teeth at Night<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-2mQjkfZeZrvM2vM-0\" name='field-2mQjkfZeZrvM2vM' data-ref-label='grindteeth' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-2mQjkfZeZrvM2vM-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-2mQjkfZeZrvM2vM-1\" name='field-2mQjkfZeZrvM2vM' data-ref-label='grindteeth' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-2mQjkfZeZrvM2vM-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-2mQjkfZeZrvM2vM-2\" name='field-2mQjkfZeZrvM2vM' data-ref-label='grindteeth' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-2mQjkfZeZrvM2vM-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-2mQjkfZeZrvM2vM-3\" name='field-2mQjkfZeZrvM2vM' data-ref-label='grindteeth' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-2mQjkfZeZrvM2vM-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-Yp9855yjprFWSbr erf-element-width-12\"><label for=\"field-Yp9855yjprFWSbr\" class=\"erf-radio-group-label\">Trouble Thinking Clearly<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-Yp9855yjprFWSbr-0\" name='field-Yp9855yjprFWSbr' data-ref-label='troublethinking' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-Yp9855yjprFWSbr-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Yp9855yjprFWSbr-1\" name='field-Yp9855yjprFWSbr' data-ref-label='troublethinking' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-Yp9855yjprFWSbr-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Yp9855yjprFWSbr-2\" name='field-Yp9855yjprFWSbr' data-ref-label='troublethinking' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-Yp9855yjprFWSbr-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Yp9855yjprFWSbr-3\" name='field-Yp9855yjprFWSbr' data-ref-label='troublethinking' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-Yp9855yjprFWSbr-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-JS6dgmIjEJbT7un erf-element-width-12\"><label for=\"field-JS6dgmIjEJbT7un\" class=\"erf-radio-group-label\">Drink Alcohol Excessively<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-JS6dgmIjEJbT7un-0\" name='field-JS6dgmIjEJbT7un' data-ref-label='drinkalcohol' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-JS6dgmIjEJbT7un-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-JS6dgmIjEJbT7un-1\" name='field-JS6dgmIjEJbT7un' data-ref-label='drinkalcohol' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-JS6dgmIjEJbT7un-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-JS6dgmIjEJbT7un-2\" name='field-JS6dgmIjEJbT7un' data-ref-label='drinkalcohol' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-JS6dgmIjEJbT7un-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-JS6dgmIjEJbT7un-3\" name='field-JS6dgmIjEJbT7un' data-ref-label='drinkalcohol' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-JS6dgmIjEJbT7un-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-72B7GbMdQy9ebAt erf-element-width-12\"><label for=\"field-72B7GbMdQy9ebAt\" class=\"erf-radio-group-label\">Forgetful<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-72B7GbMdQy9ebAt-0\" name='field-72B7GbMdQy9ebAt' data-ref-label='forgetful' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-72B7GbMdQy9ebAt-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-72B7GbMdQy9ebAt-1\" name='field-72B7GbMdQy9ebAt' data-ref-label='forgetful' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-72B7GbMdQy9ebAt-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-72B7GbMdQy9ebAt-2\" name='field-72B7GbMdQy9ebAt' data-ref-label='forgetful' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-72B7GbMdQy9ebAt-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-72B7GbMdQy9ebAt-3\" name='field-72B7GbMdQy9ebAt' data-ref-label='forgetful' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-72B7GbMdQy9ebAt-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-P2O14Q8rWR1nXLA erf-element-width-12\"><label for=\"field-P2O14Q8rWR1nXLA\" class=\"erf-radio-group-label\">Can't Make Decisions<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-P2O14Q8rWR1nXLA-0\" name='field-P2O14Q8rWR1nXLA' data-ref-label='decisions' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-P2O14Q8rWR1nXLA-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-P2O14Q8rWR1nXLA-1\" name='field-P2O14Q8rWR1nXLA' data-ref-label='decisions' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-P2O14Q8rWR1nXLA-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-P2O14Q8rWR1nXLA-2\" name='field-P2O14Q8rWR1nXLA' data-ref-label='decisions' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-P2O14Q8rWR1nXLA-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-P2O14Q8rWR1nXLA-3\" name='field-P2O14Q8rWR1nXLA' data-ref-label='decisions' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-P2O14Q8rWR1nXLA-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-iGn9fYpHZaeraC8 erf-element-width-12\"><label for=\"field-iGn9fYpHZaeraC8\" class=\"erf-radio-group-label\">Bossiness<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-iGn9fYpHZaeraC8-0\" name='field-iGn9fYpHZaeraC8' data-ref-label='bossiness' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-iGn9fYpHZaeraC8-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-iGn9fYpHZaeraC8-1\" name='field-iGn9fYpHZaeraC8' data-ref-label='bossiness' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-iGn9fYpHZaeraC8-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-iGn9fYpHZaeraC8-2\" name='field-iGn9fYpHZaeraC8' data-ref-label='bossiness' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-iGn9fYpHZaeraC8-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-iGn9fYpHZaeraC8-3\" name='field-iGn9fYpHZaeraC8' data-ref-label='bossiness' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-iGn9fYpHZaeraC8-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-EJ7jONx1BDJ32V9 erf-element-width-12\"><label for=\"field-EJ7jONx1BDJ32V9\" class=\"erf-radio-group-label\">Compulsive Eating<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-EJ7jONx1BDJ32V9-0\" name='field-EJ7jONx1BDJ32V9' data-ref-label='compulsiveeating' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-EJ7jONx1BDJ32V9-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-EJ7jONx1BDJ32V9-1\" name='field-EJ7jONx1BDJ32V9' data-ref-label='compulsiveeating' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-EJ7jONx1BDJ32V9-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-EJ7jONx1BDJ32V9-2\" name='field-EJ7jONx1BDJ32V9' data-ref-label='compulsiveeating' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-EJ7jONx1BDJ32V9-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-EJ7jONx1BDJ32V9-3\" name='field-EJ7jONx1BDJ32V9' data-ref-label='compulsiveeating' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-EJ7jONx1BDJ32V9-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-z2IAGUrmkod6sE3 erf-element-width-12\"><label for=\"field-z2IAGUrmkod6sE3\" class=\"erf-radio-group-label\">Thoughts of Running Away<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-z2IAGUrmkod6sE3-0\" name='field-z2IAGUrmkod6sE3' data-ref-label='runningaway' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-z2IAGUrmkod6sE3-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-z2IAGUrmkod6sE3-1\" name='field-z2IAGUrmkod6sE3' data-ref-label='runningaway' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-z2IAGUrmkod6sE3-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-z2IAGUrmkod6sE3-2\" name='field-z2IAGUrmkod6sE3' data-ref-label='runningaway' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-z2IAGUrmkod6sE3-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-z2IAGUrmkod6sE3-3\" name='field-z2IAGUrmkod6sE3' data-ref-label='runningaway' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-z2IAGUrmkod6sE3-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-WLtezhxP9eSn2kL erf-element-width-12\"><label for=\"field-WLtezhxP9eSn2kL\" class=\"erf-radio-group-label\">Critical of Others<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-WLtezhxP9eSn2kL-0\" name='field-WLtezhxP9eSn2kL' data-ref-label='criticalofothers' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-WLtezhxP9eSn2kL-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-WLtezhxP9eSn2kL-1\" name='field-WLtezhxP9eSn2kL' data-ref-label='criticalofothers' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-WLtezhxP9eSn2kL-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-WLtezhxP9eSn2kL-2\" name='field-WLtezhxP9eSn2kL' data-ref-label='criticalofothers' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-WLtezhxP9eSn2kL-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-WLtezhxP9eSn2kL-3\" name='field-WLtezhxP9eSn2kL' data-ref-label='criticalofothers' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-WLtezhxP9eSn2kL-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-oTMO1Zq604jhZpI erf-element-width-12\"><label for=\"field-oTMO1Zq604jhZpI\" class=\"erf-radio-group-label\">Compulsive Gum Chewing<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-oTMO1Zq604jhZpI-0\" name='field-oTMO1Zq604jhZpI' data-ref-label='gumchewing' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-oTMO1Zq604jhZpI-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-oTMO1Zq604jhZpI-1\" name='field-oTMO1Zq604jhZpI' data-ref-label='gumchewing' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-oTMO1Zq604jhZpI-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-oTMO1Zq604jhZpI-2\" name='field-oTMO1Zq604jhZpI' data-ref-label='gumchewing' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-oTMO1Zq604jhZpI-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-oTMO1Zq604jhZpI-3\" name='field-oTMO1Zq604jhZpI' data-ref-label='gumchewing' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-oTMO1Zq604jhZpI-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-2bOs9R8DJas84oF erf-element-width-12\"><label for=\"field-2bOs9R8DJas84oF\" class=\"erf-radio-group-label\">Can't seem to get things done<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-2bOs9R8DJas84oF-0\" name='field-2bOs9R8DJas84oF' data-ref-label='getthingsdone' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-2bOs9R8DJas84oF-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-2bOs9R8DJas84oF-1\" name='field-2bOs9R8DJas84oF' data-ref-label='getthingsdone' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-2bOs9R8DJas84oF-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-2bOs9R8DJas84oF-2\" name='field-2bOs9R8DJas84oF' data-ref-label='getthingsdone' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-2bOs9R8DJas84oF-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-2bOs9R8DJas84oF-3\" name='field-2bOs9R8DJas84oF' data-ref-label='getthingsdone' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-2bOs9R8DJas84oF-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-ENWTIfTn6xmueF5 erf-element-width-12\"><label for=\"field-ENWTIfTn6xmueF5\" class=\"erf-text-label\">Total Behavioral Symptoms<input readonly type='text' data-ref-label='behavioralsymptoms' class='formula-field form-control ' name='field-ENWTIfTn6xmueF5' data-expression='INTEGER(%smoke%) + INTEGER(%grindteeth%) + INTEGER(%troublethinking%) + INTEGER(%drinkalcohol%) + INTEGER(%forgetful%) + INTEGER(%decisions%) + INTEGER(%bossiness%) + INTEGER(%compulsiveeating%) + INTEGER(%runningaway%) + INTEGER(%criticalofothers%) + INTEGER(%gumchewing%) +INTEGER(%getthingsdone%)' id='field-ENWTIfTn6xmueF5'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h1  data-non-input='1' data-ref-label='emotional' data-ref-id='header-whpzxzgo' class='' >Emotional Symptoms<\/h1><\/div><div class=\"erf-radio-group form-group field-field-7f1QVPcThppgB5f erf-element-width-12\"><label for=\"field-7f1QVPcThppgB5f\" class=\"erf-radio-group-label\">Crying, sad<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-7f1QVPcThppgB5f-0\" name='field-7f1QVPcThppgB5f' data-ref-label='cryingsad' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-7f1QVPcThppgB5f-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-7f1QVPcThppgB5f-1\" name='field-7f1QVPcThppgB5f' data-ref-label='cryingsad' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-7f1QVPcThppgB5f-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-7f1QVPcThppgB5f-2\" name='field-7f1QVPcThppgB5f' data-ref-label='cryingsad' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-7f1QVPcThppgB5f-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-7f1QVPcThppgB5f-3\" name='field-7f1QVPcThppgB5f' data-ref-label='cryingsad' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-7f1QVPcThppgB5f-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-RBw48AGnMTU5OMD erf-element-width-12\"><label for=\"field-RBw48AGnMTU5OMD\" class=\"erf-radio-group-label\">Overwhelmed with Pressure<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-RBw48AGnMTU5OMD-0\" name='field-RBw48AGnMTU5OMD' data-ref-label='overwhelmed' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-RBw48AGnMTU5OMD-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-RBw48AGnMTU5OMD-1\" name='field-RBw48AGnMTU5OMD' data-ref-label='overwhelmed' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-RBw48AGnMTU5OMD-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-RBw48AGnMTU5OMD-2\" name='field-RBw48AGnMTU5OMD' data-ref-label='overwhelmed' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-RBw48AGnMTU5OMD-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-RBw48AGnMTU5OMD-3\" name='field-RBw48AGnMTU5OMD' data-ref-label='overwhelmed' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-RBw48AGnMTU5OMD-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-8mP3gLDqJDoR067 erf-element-width-12\"><label for=\"field-8mP3gLDqJDoR067\" class=\"erf-radio-group-label\">Nervous, Anxious<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-8mP3gLDqJDoR067-0\" name='field-8mP3gLDqJDoR067' data-ref-label='nervousanxious' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-8mP3gLDqJDoR067-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-8mP3gLDqJDoR067-1\" name='field-8mP3gLDqJDoR067' data-ref-label='nervousanxious' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-8mP3gLDqJDoR067-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-8mP3gLDqJDoR067-2\" name='field-8mP3gLDqJDoR067' data-ref-label='nervousanxious' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-8mP3gLDqJDoR067-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-8mP3gLDqJDoR067-3\" name='field-8mP3gLDqJDoR067' data-ref-label='nervousanxious' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-8mP3gLDqJDoR067-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-9TCnVyXsqNrngAc erf-element-width-12\"><label for=\"field-9TCnVyXsqNrngAc\" class=\"erf-radio-group-label\">Angry<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-9TCnVyXsqNrngAc-0\" name='field-9TCnVyXsqNrngAc' data-ref-label='angry' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-9TCnVyXsqNrngAc-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-9TCnVyXsqNrngAc-1\" name='field-9TCnVyXsqNrngAc' data-ref-label='angry' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-9TCnVyXsqNrngAc-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-9TCnVyXsqNrngAc-2\" name='field-9TCnVyXsqNrngAc' data-ref-label='angry' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-9TCnVyXsqNrngAc-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-9TCnVyXsqNrngAc-3\" name='field-9TCnVyXsqNrngAc' data-ref-label='angry' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-9TCnVyXsqNrngAc-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-1uYwsYKfcRCLraR erf-element-width-12\"><label for=\"field-1uYwsYKfcRCLraR\" class=\"erf-radio-group-label\">Bored - can't find any meaning to things<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-1uYwsYKfcRCLraR-0\" name='field-1uYwsYKfcRCLraR' data-ref-label='bored' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-1uYwsYKfcRCLraR-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-1uYwsYKfcRCLraR-1\" name='field-1uYwsYKfcRCLraR' data-ref-label='bored' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-1uYwsYKfcRCLraR-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-1uYwsYKfcRCLraR-2\" name='field-1uYwsYKfcRCLraR' data-ref-label='bored' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-1uYwsYKfcRCLraR-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-1uYwsYKfcRCLraR-3\" name='field-1uYwsYKfcRCLraR' data-ref-label='bored' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-1uYwsYKfcRCLraR-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-sL7fD5lTXnp0Tfk erf-element-width-12\"><label for=\"field-sL7fD5lTXnp0Tfk\" class=\"erf-radio-group-label\">Lonely<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-sL7fD5lTXnp0Tfk-0\" name='field-sL7fD5lTXnp0Tfk' data-ref-label='lonely' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-sL7fD5lTXnp0Tfk-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-sL7fD5lTXnp0Tfk-1\" name='field-sL7fD5lTXnp0Tfk' data-ref-label='lonely' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-sL7fD5lTXnp0Tfk-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-sL7fD5lTXnp0Tfk-2\" name='field-sL7fD5lTXnp0Tfk' data-ref-label='lonely' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-sL7fD5lTXnp0Tfk-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-sL7fD5lTXnp0Tfk-3\" name='field-sL7fD5lTXnp0Tfk' data-ref-label='lonely' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-sL7fD5lTXnp0Tfk-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-rJkpFiFuKwyRpN5 erf-element-width-12\"><label for=\"field-rJkpFiFuKwyRpN5\" class=\"erf-radio-group-label\">Can't Stop Worrying<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-rJkpFiFuKwyRpN5-0\" name='field-rJkpFiFuKwyRpN5' data-ref-label='worrying' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-rJkpFiFuKwyRpN5-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-rJkpFiFuKwyRpN5-1\" name='field-rJkpFiFuKwyRpN5' data-ref-label='worrying' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-rJkpFiFuKwyRpN5-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-rJkpFiFuKwyRpN5-2\" name='field-rJkpFiFuKwyRpN5' data-ref-label='worrying' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-rJkpFiFuKwyRpN5-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-rJkpFiFuKwyRpN5-3\" name='field-rJkpFiFuKwyRpN5' data-ref-label='worrying' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-rJkpFiFuKwyRpN5-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-dhJPeeKJ3uGvo19 erf-element-width-12\"><label for=\"field-dhJPeeKJ3uGvo19\" class=\"erf-radio-group-label\">On Edge - feeling ready to explode<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-dhJPeeKJ3uGvo19-0\" name='field-dhJPeeKJ3uGvo19' data-ref-label='onedge' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-dhJPeeKJ3uGvo19-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dhJPeeKJ3uGvo19-1\" name='field-dhJPeeKJ3uGvo19' data-ref-label='onedge' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-dhJPeeKJ3uGvo19-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dhJPeeKJ3uGvo19-2\" name='field-dhJPeeKJ3uGvo19' data-ref-label='onedge' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-dhJPeeKJ3uGvo19-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dhJPeeKJ3uGvo19-3\" name='field-dhJPeeKJ3uGvo19' data-ref-label='onedge' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-dhJPeeKJ3uGvo19-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-hFWd6mKILoq4qod erf-element-width-12\"><label for=\"field-hFWd6mKILoq4qod\" class=\"erf-radio-group-label\">Can't Laugh<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-hFWd6mKILoq4qod-0\" name='field-hFWd6mKILoq4qod' data-ref-label='cantlaugh' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-hFWd6mKILoq4qod-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-hFWd6mKILoq4qod-1\" name='field-hFWd6mKILoq4qod' data-ref-label='cantlaugh' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-hFWd6mKILoq4qod-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-hFWd6mKILoq4qod-2\" name='field-hFWd6mKILoq4qod' data-ref-label='cantlaugh' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-hFWd6mKILoq4qod-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-hFWd6mKILoq4qod-3\" name='field-hFWd6mKILoq4qod' data-ref-label='cantlaugh' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-hFWd6mKILoq4qod-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-lpeIuHTOWAe4BdN erf-element-width-12\"><label for=\"field-lpeIuHTOWAe4BdN\" class=\"erf-radio-group-label\">Unhappy for no particular reason<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-lpeIuHTOWAe4BdN-0\" name='field-lpeIuHTOWAe4BdN' data-ref-label='unhappy' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-lpeIuHTOWAe4BdN-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-lpeIuHTOWAe4BdN-1\" name='field-lpeIuHTOWAe4BdN' data-ref-label='unhappy' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-lpeIuHTOWAe4BdN-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-lpeIuHTOWAe4BdN-2\" name='field-lpeIuHTOWAe4BdN' data-ref-label='unhappy' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-lpeIuHTOWAe4BdN-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-lpeIuHTOWAe4BdN-3\" name='field-lpeIuHTOWAe4BdN' data-ref-label='unhappy' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-lpeIuHTOWAe4BdN-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-JRUchs5HzK7x8ru erf-element-width-12\"><label for=\"field-JRUchs5HzK7x8ru\" class=\"erf-radio-group-label\">Powerless to Change Things<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-JRUchs5HzK7x8ru-0\" name='field-JRUchs5HzK7x8ru' data-ref-label='powerless' required='required' class='form-control'  type=\"radio\" value=\"0\" \/><label for=\"field-JRUchs5HzK7x8ru-0\">Never<\/label><\/div><div class=\"radio-inline\"><input id=\"field-JRUchs5HzK7x8ru-1\" name='field-JRUchs5HzK7x8ru' data-ref-label='powerless' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-JRUchs5HzK7x8ru-1\">Rarely<\/label><\/div><div class=\"radio-inline\"><input id=\"field-JRUchs5HzK7x8ru-2\" name='field-JRUchs5HzK7x8ru' data-ref-label='powerless' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-JRUchs5HzK7x8ru-2\">Sometimes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-JRUchs5HzK7x8ru-3\" name='field-JRUchs5HzK7x8ru' data-ref-label='powerless' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-JRUchs5HzK7x8ru-3\">Often<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-s28tisdMKVarm0h erf-element-width-12\"><label for=\"field-s28tisdMKVarm0h\" class=\"erf-text-label\">Total Emotional Symptoms<input readonly type='text' data-ref-label='emotionalsymptoms' class='formula-field form-control ' name='field-s28tisdMKVarm0h' data-expression='INTEGER(%cryingsad%) + INTEGER(%overwhelmed%) + INTEGER(%nervousanxious%) + INTEGER(%angry%) + INTEGER(%bored%) + INTEGER(%lonely%) +INTEGER(%worrying%) + INTEGER(%onedge%) + INTEGER(%cantlaugh%) + INTEGER(%unhappy%) + INTEGER(%powerless%)' id='field-s28tisdMKVarm0h'  \/><\/div><div class=\"erf-text form-group field-field-xebUDDhnNzokfV1 erf-element-width-12\"><label for=\"field-xebUDDhnNzokfV1\" class=\"erf-text-label\">Total Symptoms<input readonly type='text' data-ref-label='totalsymptoms' class='formula-field form-control ' name='field-xebUDDhnNzokfV1' data-expression='INTEGER(%cryingsad%) + INTEGER(%overwhelmed%) + INTEGER(%nervousanxious%) + INTEGER(%angry%) + INTEGER(%bored%) + INTEGER(%lonely%) +INTEGER(%worrying%) + INTEGER(%onedge%) + INTEGER(%cantlaugh%) + INTEGER(%unhappy%) + INTEGER(%powerless%) + INTEGER(%smoke%) + INTEGER(%grindteeth%) + INTEGER(%troublethinking%) + INTEGER(%drinkalcohol%) + INTEGER(%forgetful%) + INTEGER(%decisions%) + INTEGER(%bossiness%) + INTEGER(%compulsiveeating%) + INTEGER(%runningaway%) + INTEGER(%criticalofothers%) + INTEGER(%gumchewing%) +INTEGER(%getthingsdone%) + INTEGER(%headaches%) + INTEGER(%indigestion%) + INTEGER(%stomachaches%)+INTEGER(%backpain%)+INTEGER(%tightneck%) + INTEGER(%racingheart%) + INTEGER(%sweatypalms%) + INTEGER(%troublesleeping%) + INTEGER(%restlessness%) + INTEGER(%dizziness%) + INTEGER(%ringingears%)' id='field-xebUDDhnNzokfV1'  \/><\/div><div class=\"erf-textarea form-group field-textarea-15215772530 erf-element-width-12\"><label for=\"textarea-15215772530\" class=\"erf-textarea-label\">Message<span class=\"erf-required\">*<\/span><\/label><textarea maxlength='500' rows='5' required='required' class='form-control' name='textarea-15215772530' data-ref-label='Message' id='textarea-15215772530' ><\/textarea><\/div><div class=\"erf-button form-group field-button-5412238772 erf-element-width-12\"><button type='submit'class='btn btn-primary'name='button-5412238772'data-ref-label='Send'id='button-5412238772'>Submit<\/button><\/div>                    <\/div> \n                <\/div>    \n\n                <div class=\"erf-external-form-elements\">\n                    \n                    \n                    \n\n                    \n                                        <div class=\"erf-errors\" style=\"display:none\">\n                        <span class=\"erf-errors-head erf-error-row\">Error occured. Please confirm your data and submit again:<\/span>\n                        <div class=\"erf-errors-body\">\n                                                    <\/div> \n                    <\/div>\n\n                <\/div>\n                <!-- Contains multipage Next,Previous buttons -->\n                <div class=\"erf-form-nav clearfix\"><\/div> \n\n                <!-- Single page form button -->\n                <div class=\"erf-submit-button clearfix\"><\/div>\n\n\n                <input type=\"hidden\" name=\"erform_id\" value=\"2118\" \/>\n                <input type=\"hidden\" id=\"erform_submission_nonce\" name=\"erform_submission_nonce\" value=\"94f0fe3c64\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/roxie\/wp-json\/wp\/v2\/pages\/2120\" \/>                <input type=\"hidden\" name=\"action\" value=\"erf_submit_form\" \/>\n\n            <\/form>\n            \n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2120","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.4 - 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