Request a Consultation with Principal Patterson


Request for Consultation Form\n<style type='\"text\/css\"'>@media print{.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}}<\/style>\n<link id=\"custom-font\" type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/opt\/google-fonts\/Times New Roman\/fontface.css\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn01.jotfor.ms\/themes\/CSS\/5e6b428acc8c4e222d1beb91.css?themeRevisionID=5f7ed99c2c2c7240ba580251\"\/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn02.jotfor.ms\/css\/styles\/payment\/payment_styles.css?3.3.27191\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn03.jotfor.ms\/css\/styles\/payment\/payment_feature.css?3.3.27191\" \/>\n<style type=\"text\/css\" id=\"form-designer-style\">\n \/* Injected CSS Code *\/\n\n*,\n*:after,\n*:before {\n box-sizing: border-box;\n}\n.form-all {\n font-family: \"Times New Roman\", sans-serif;\n font-family: \"Times New Roman\", serif;\n}\n.main .jotform-form {\n width: 100%;\n padding: 0 3%;\n}\n.form-all {\n display: flex;\n flex-direction: column;\n width: 100%;\n max-width: 752px;\n}\n.form-line-active {\n background-color: 0;\n}\n.form-all {\n font-size: 17px;\n}\n.form-label {\n font-weight: bold;\n}\n.form-checkbox-item label,\n.form-radio-item label {\n font-weight: 500;\n}\nli.form-line {\n margin-top: 12px;\n margin-bottom: 12px;\n}\n.form-line {\n padding: 12px 10px;\n}\n.form-section {\n padding: 0px 38px;\n}\n.form-textbox,\n.form-textarea {\n border-color: rgba(195, 202, 216, 0.75);\n}\n.form-textbox,\n.form-textarea,\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input {\n background-color: #ffffff;\n}\n.form-label {\n font-family: \"Times New Roman\", sans-serif;\n font-family: \"Times New Roman\", serif;\n}\n.form-line-column {\n width: calc(50% - 8px);\n}\n.form-dropdown {\n border-color: rgba(195, 202, 216, 0.75);\n background-color: #ffffff;\n}\n.form-checkbox-item label,\n.form-checkbox-item span,\n.form-radio-item label,\n.form-radio-item span {\n color: #404a64;\n}\n.form-radio-item,\n.form-checkbox-item {\n padding-bottom: 0px !important;\n}\n.form-radio-item:last-child,\n.form-checkbox-item:last-child {\n padding-bottom: 0;\n}\n.form-single-column .form-checkbox-item,\n.form-single-column .form-radio-item {\n width: 100%;\n}\n.form-checkbox-item .editor-container div,\n.form-radio-item .editor-container div {\n position: relative;\n}\n.form-checkbox-item .editor-container div:before,\n.form-radio-item .editor-container div:before {\n display: inline-block;\n vertical-align: middle;\n left: 0;\n width: 20px;\n height: 20px;\n}\n.form-all .form-submit-button,\n.form-all .form-submit-print {\n font-size: 17px;\n font-weight: normal;\n font-family: \"Times New Roman\", sans-serif;\n font-family: \"Times New Roman\", serif;\n border-color: rgba(195, 202, 216, 0.75);\n}\n.form-all .form-submit-button {\n min-width: 180px;\n}\n.form-all .form-submit-button.js-new-sacl-button,\n.form-all .form-submit-print {\n min-width: 98px;\n}\n.form-all .form-pagebreak-back,\n.form-all .form-pagebreak-next {\n font-family: \"Times New Roman\", sans-serif;\n font-family: \"Times New Roman\", serif;\n font-size: 17px;\n font-weight: normal;\n}\n.form-all .form-pagebreak-back,\n.form-all .form-pagebreak-next {\n min-width: 128px;\n}\nli[data-type=\"control_image\"] div {\n text-align: left;\n}\nli[data-type=\"control_image\"] img {\n border: none;\n border-width: 0px !important;\n border-style: solid !important;\n border-color: false !important;\n}\n.supernova {\n height: 100%;\n background-repeat: no-repeat;\n background-attachment: scroll;\n background-position: center top;\n background-repeat: repeat;\n}\n.supernova {\n background-image: none;\n}\n#stage {\n background-image: none;\n}\n\/* | *\/\n.form-all {\n background-repeat: no-repeat;\n background-attachment: scroll;\n background-position: center top;\n background-repeat: repeat;\n}\n.form-header-group {\n background-repeat: no-repeat;\n background-attachment: scroll;\n background-position: center top;\n}\n.header-large h1.form-header {\n font-size: 2em;\n}\n.header-large h2.form-header {\n font-size: 1.5em;\n}\n.header-large h3.form-header {\n font-size: 1.17em;\n}\n.header-large h1 + .form-subHeader {\n font-size: 1em;\n}\n.header-large h2 + .form-subHeader {\n font-size: .875em;\n}\n.header-large h3 + .form-subHeader {\n font-size: .75em;\n}\n.header-default h1.form-header {\n font-size: 2em;\n}\n.header-default h2.form-header {\n font-size: 1.5em;\n}\n.header-default h3.form-header {\n font-size: 1.17em;\n}\n.header-default h1 + .form-subHeader {\n font-size: 1em;\n}\n.header-default h2 + .form-subHeader {\n font-size: .875em;\n}\n.header-default h3 + .form-subHeader {\n font-size: .75em;\n}\n.header-small h1.form-header {\n font-size: 2em;\n}\n.header-small h2.form-header {\n font-size: 1.5em;\n}\n.header-small h3.form-header {\n font-size: 1.17em;\n}\n.header-small h1 + .form-subHeader {\n font-size: 1em;\n}\n.header-small h2 + .form-subHeader {\n font-size: .875em;\n}\n.header-small h3 + .form-subHeader {\n font-size: .75em;\n}\n.form-header-group {\n text-align: left;\n}\n.form-header-group {\n font-family: \"Times New Roman\", sans-serif;\n font-family: \"Times New Roman\", serif;\n}\ndiv.form-header-group.header-large {\n margin: 0px -38px;\n}\ndiv.form-header-group.header-large {\n padding: 40px 52px;\n}\n.form-header-group .form-header,\n.form-header-group .form-subHeader {\n color: #2c3345;\n}\n.form-line-error {\n overflow: hidden;\n -webkit-transition-property: none;\n -moz-transition-property: none;\n -ms-transition-property: none;\n -o-transition-property: none;\n transition-property: none;\n -webkit-transition-duration: 0.3s;\n -moz-transition-duration: 0.3s;\n -ms-transition-duration: 0.3s;\n -o-transition-duration: 0.3s;\n transition-duration: 0.3s;\n -webkit-transition-timing-function: ease;\n -moz-transition-timing-function: ease;\n -ms-transition-timing-function: ease;\n -o-transition-timing-function: ease;\n transition-timing-function: ease;\n background-color: #ffd6d6;\n}\n.form-line-error .form-error-message {\n background-color: #f23a3c;\n clear: both;\n float: none;\n}\n.form-line-error .form-error-message .form-error-arrow {\n border-bottom-color: #f23a3c;\n}\n.form-line-error input:not(#coupon-input),\n.form-line-error textarea,\n.form-line-error .form-validation-error {\n border: 1px solid #f23a3c;\n box-shadow: 0 0 3px #f23a3c;\n}\n.supernova {\n background-color: #ffffff;\n background-color: #d0021b;\n}\n.supernova body {\n background-color: transparent;\n}\n.supernova .form-all,\n.form-all {\n background-color: #ffffff;\n}\n.form-textbox,\n.form-textarea,\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input {\n background-color: #ffffff;\n}\n.form-matrix-table tr {\n border-color: #e6e6e6;\n}\n.form-matrix-table tr:nth-child(2n) {\n background-color: #f2f2f2;\n}\n.form-all {\n color: #2c3345;\n}\n.form-label-top,\n.form-label-left,\n.form-label-right,\n.form-html {\n color: #2c3345;\n}\n.form-line-error {\n overflow: hidden;\n -webkit-transition-property: none;\n -moz-transition-property: none;\n -ms-transition-property: none;\n -o-transition-property: none;\n transition-property: none;\n -webkit-transition-duration: 0.3s;\n -moz-transition-duration: 0.3s;\n -ms-transition-duration: 0.3s;\n -o-transition-duration: 0.3s;\n transition-duration: 0.3s;\n -webkit-transition-timing-function: ease;\n -moz-transition-timing-function: ease;\n -ms-transition-timing-function: ease;\n -o-transition-timing-function: ease;\n transition-timing-function: ease;\n background-color: #ffd6d6;\n}\n\n\/*PREFERENCES STYLE*\/\n \/* NEW THEME STYLE *\/\n\n \/* colors *\/\n\n .form-textbox, .form-textarea {\n color: undefined;\n }\n .rating-item input:hover+label {\n color: #2e69ff;\n }\n li[data-type=control_fileupload] .qq-upload-button,\n .until-text,\n .form-submit-reset {\n color: #2c3345;\n }\n\n .stageEmpty.isSmall{\n color: #CAD0CF;\n }\n\n .rating-item label {\n color: rgba(195, 202, 216, 0.75);\n }\n .currentDate,\n .pickerItem select,\n .appointmentCalendar .calendarDay,\n .calendar.popup th,\n .calendar.popup table tbody td,\n .calendar-new-header>*,\n .form-collapse-table {\n color: #2C3345;\n }\n .appointmentCalendar .dayOfWeek {\n color: #2e69ff;\n }\n .appointmentSlotsContainer > * {\n color: #2e69ff;\n }\n li[data-type=control_fileupload] .jfUpload-heading,\n ::placeholder,\n .form-dropdown.is-active,\n .form-dropdown:first-child,\n .form-spinner-input {\n color: #57647e;\n }\n .appointmentCalendar .calendarWeek .calendarDay.isUnavailable,\n .calendar tr.days td.otherDay,\n .calendar tr.days td:hover:not(.unselectable) {\n color: #CAD0CF;\n }\n span.form-sub-label, label.form-sub-label, div.form-header-group .form-subHeader,\n .rating-item-title.for-to > label:first-child,\n .rating-item-title.for-from > label:first-child,\n .rating-item-title .editor-container * {\n color: #57647E;\n }\n .form-pagebreak-back{\n color: #2c3345;\n }\n .rating-item input:checked+label,\n .rating-item input:focus+label {\n color: #FFFFFF;\n }\n .clear-pad-btn {\n color: #57647e;\n }\n .form-textbox::placeholder,\n .form-dropdown:not(.time-dropdown):not(:required),\n .form-dropdown:not(:required),\n .form-dropdown:required:invalid {\n color: #57647e;\n }\n \/* border-colors *\/\n .form-dropdown,\n .form-textarea,\n .form-textbox,\n li[data-type=control_fileupload] .qq-upload-button,\n .rating-item label,\n .rating-item input:focus+label,\n .rating-item input:checked+label,\n .jf-form-buttons,\n .form-checkbox+label:before, .form-checkbox+span:before, .form-radio+label:before, .form-radio+span:before,\n .signature-pad-passive,\n .signature-wrapper,\n .appointmentCalendarContainer,\n .appointmentField .timezonePickerName,\n .appointmentDayPickerButton,\n .appointmentCalendarContainer .monthYearPicker .pickerItem+.pickerItem,\n .appointmentCalendarContainer .monthYearPicker,\n .appointmentCalendar .calendarDay.isActive .calendarDayEach, .appointmentCalendar .calendarDay.isToday .calendarDayEach, .appointmentCalendar .calendarDay:not(.empty):hover .calendarDayEach,\n .calendar.popup:before,\n .calendar-new-month,\n .form-matrix-column-headers, .form-matrix-table td, .form-matrix-table td:last-child,\n .form-matrix-table th, .form-matrix-table th:last-child, .form-matrix-table tr:last-child td, .form-matrix-table tr:last-child th, .form-matrix-table tr:not([role=group])+tr[role=group] th,\n .form-matrix-headers.form-matrix-column-headers,\n .isSelected .form-matrix-column-headers:nth-last-of-type(2),\n li[data-type=control_inline] input[type=email], li[data-type=control_inline] input[type=number],\n li[data-type=control_inline] input[type=tel], li[data-type=control_inline] input[type=text],\n .stageEmpty.isSmall {\n border-color: rgba(195, 202, 216, 0.75);\n }\n .rating-item input:hover+label {\n border-color: #2e69ff;\n }\n .appointmentSlot,\n .form-checkbox:checked+label:before, .form-checkbox:checked+span:before, .form-checkbox:checked+span label:before,\n .form-radio:checked+label:before, .form-radio:checked+span:before,\n .form-dropdown:focus, .form-textarea:focus, .form-textbox:focus, .signature-wrapper:focus,\n .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,\n .form-dropdown:hover, .form-textarea:hover, .form-textbox:hover, .signature-wrapper:hover {\n border-color: #2e69ff;\n }\n\n .calendar tr.days td:hover:not(.unselectable):after {\n border-color: #e5eaf4;\n }\n .form-header-group,\n .form-buttons-wrapper, .form-pagebreak, .form-submit-clear-wrapper,\n .form-pagebreak-next,\n .form-pagebreak-back,\n .form-checkbox:hover+label:before, .form-checkbox:hover+span:before, .form-radio:hover+label:before, .form-radio:hover+span:before{\n border-color: #ECEDF3;\n }\n .form-pagebreak-back:focus, .form-pagebreak-next:focus, .form-submit-button:focus {\n border-color: rgba(46, 105, 255, 1);\n }\n \/* background-colors *\/\n .form-line-active {\n background-color: #F1F5FF;\n }\n .form-line-error {\n background-color: #FFD6D6;\n }\n .form-matrix-column-headers, .form-matrix-row-headers,\n .form-spinner-button-container>*,\n .form-collapse-table,\n .form-collapse-table:hover,\n .appointmentDayPickerButton {\n background-color: #e5eaf4;\n }\n .calendar.popup, .calendar.popup table,\n .calendar.popup table tbody td:after{\n background-color: #FFFFFF;\n }\n\n .appointmentCalendar .calendarDay.isActive .calendarDayEach,\n .appointmentFieldRow.forSelectedDate,\n .calendar.popup tr.days td.selected:after,\n .calendar.popup:after,\n .submit-button,\n .form-checkbox:checked+label:before, .form-checkbox:checked+span:before, .form-checkbox:checked+span label:before,\n .form-radio+label:after, .form-radio+span:after,\n .rating-item input:checked+label,\n .appointmentCalendar .calendarDay:after,\n .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,\n .rating-item input:focus+label {\n background-color: #2e69ff;\n }\n .appointmentSlot.active {\n background-color: #2e69ff !important;\n }\n .clear-pad-btn,\n .appointmentCalendar .dayOfWeek,\n .calendar.popup th {\n background-color: #eef3ff !important;\n }\n .appointmentField .timezonePicker:hover+.timezonePickerName,\n .form-spinner-button-container>*:hover {\n background-color: #eef3ff;\n }\n .form-matrix-values,\n .form-matrix-values,\n .signature-wrapper,\n .signature-pad-passive,\n .rating-item label,\n .form-checkbox+label:before, .form-checkbox+span:before,\n .form-radio+label:before, .form-radio+span:before {\n background-color: #FFFFFF;\n }\n li[data-type=control_fileupload] .qq-upload-button {\n background-color: #fbfcff;\n }\n .JotFormBuilder .appContainer #app li.form-line[data-type=control_matrix].isSelected\n .questionLine-editButton.forRemove:after, \n .JotFormBuilder .appContainer #app li.form-line[data-type=control_matrix].isSelected .questionLine-editButton.forRemove:before {\n background-color: #FFFFFF;\n }\n .appointmentCalendarContainer, .appointmentSlot,\n .rating-item-title.for-to > label:first-child,\n .rating-item-title.for-from > label:first-child,\n .rating-item-title .editor-container *,\n .calendar-opened {\n background-color: transparent;\n }\n .page-section li.form-line-active[data-type=\"control_button\"] {\n background-color: #F1F5FF;\n }\n .appointmentCalendar .calendarDay.isSelected:after {\n color: #FFFFFF;\n }\n \/* shadow *\/\n .form-dropdown:hover, .form-textarea:hover, .form-textbox:hover, .signature-wrapper:hover,\n .calendar.popup:before,\n .jSignature:hover,\n li[data-type=control_fileupload] .qq-upload-button-hover,\n .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,\n .form-line[data-payment=\"true\"] .form-product-item .p_checkbox:hover .select_border,\n .form-checkbox:hover+label:before, .form-checkbox:hover+span:before, .form-radio:hover+label:before, .form-radio:hover+span:before,\n .calendar.popup:before {\n border-color: rgba(169, 191, 249, 0.5);\n box-shadow: 0 0 0 2px rgba(201, 216, 254, 0.25);\n }\n .form-dropdown:focus, .form-textarea:focus, .form-textbox:focus, .signature-wrapper:focus,\n li[data-type=control_fileupload] .qq-upload-button-focus,\n .form-checkbox:focus+label:before, .form-checkbox:focus+span:before, .form-radio:focus+label:before, .form-radio:focus+span:before,\n .calendar.popup:before {\n border-color: rgba(46, 105, 255, 1);\n box-shadow: 0 0 0 3px rgba(201, 216, 254, 0.25);\n }\n .calendar.popup table tbody td{\n box-shadow: none;\n }\n\n \/* button colors *\/\n .submit-button {\n background-color: #18BD5B;\n border-color: #18BD5B;\n }\n .submit-button:hover {\n background-color: #16AA52;\n border-color: #16AA52;\n }\n .form-pagebreak-next {\n background-color: #2e69ff;\n }\n .form-pagebreak-back {\n background-color: #e5e7f2;\n }\n .form-pagebreak-back:hover {\n background-color: #CED0DA;\n border-color: #CED0DA;\n }\n .form-pagebreak-next:hover {\n background-color: #2554CC;\n border-color: #2554CC;\n }\n .form-sacl-button, .form-submit-print {\n background-color: transparent;\n color: #2c3345;\n border-color: rgba(195, 202, 216, 0.75);\n }\n .form-sacl-button:hover, .form-submit-print:hover,\n .appointmentSlot:not(.disabled):not(.active):hover,\n .appointmentDayPickerButton:hover,\n .rating-item input:hover+label {\n background-color: #96B4FF;\n }\n\n \/* payment styles *\/\n \n .form-line[data-payment=true] .form-textbox,\n .form-line[data-payment=true] .select-area,\n .form-line[data-payment=true] #coupon-input,\n .form-line[data-payment=true] #coupon-container input,\n .form-line[data-payment=true] input#productSearch-input,\n .form-line[data-payment=true] .form-product-category-item:after,\n .form-line[data-payment=true] .filter-container .dropdown-container .select-content,\n .form-line[data-payment=true] .form-textbox.form-product-custom_quantity,\n .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .select_border,\n .form-line[data-payment=\"true\"] .form-product-item .form-product-container .form-sub-label-container span.select_cont,\n .form-line[data-payment=true] select.form-dropdown {\n border-color: rgba(195, 202, 216, 0.75);\n border-color: undefined;\n }\n .form-line[data-payment=\"true\"] hr,\n .form-line[data-payment=true] .p_item_separator,\n .form-line[data-payment=\"true\"] .payment_footer.new_ui,\n .form-line.card-3col .form-product-item.new_ui,\n .form-line.card-2col .form-product-item.new_ui {\n border-color: rgba(195, 202, 216, 0.75);\n border-color: undefined;\n }\n .form-line[data-payment=true] .form-product-category-item {\n border-color: rgba(195, 202, 216, 0.75);\n border-color: undefined;\n }\n .form-line[data-payment=true] #coupon-input,\n .form-line[data-payment=true] .form-textbox.form-product-custom_quantity,\n .form-line[data-payment=true] input#productSearch-input,\n .form-line[data-payment=true] .select-area,\n .form-line[data-payment=true] .custom_quantity,\n .form-line[data-payment=true] .filter-container .select-content,\n .form-line[data-payment=true] .p_checkbox .select_border {\n background-color: #FFFFFF;\n }\n .form-line[data-payment=true] .form-product-category-item.title_collapsed.has_selected_product .selected-items-icon {\n background-color: undefined;\n border-color: undefined;\n }\n .form-line[data-payment=true].form-line.card-3col .form-product-item,\n .form-line[data-payment=true].form-line.card-2col .form-product-item {\n background-color: undefined;\n }\n .form-line[data-payment=true] .payment-form-table input.form-textbox,\n .form-line[data-payment=true] .payment-form-table input.form-dropdown,\n .form-line[data-payment=true] .payment-form-table .form-sub-label-container > div,\n .form-line[data-payment=true] .payment-form-table span.form-sub-label-container iframe,\n .form-line[data-type=control_square] .payment-form-table span.form-sub-label-container iframe {\n border-color: rgba(195, 202, 216, 0.75);\n }\n\n \/* icons *\/\n .appointmentField .timezonePickerName:before {\n background-image: url(data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMTYiIGhlaWdodD0iMTYiIHZpZXdCb3g9IjAgMCAxNiAxNiIgZmlsbD0ibm9uZSIgeG1sbnM9Imh0dHA6Ly93d3cudzMub3JnLzIwMDAvc3ZnIj4KPHBhdGggZmlsbC1ydWxlPSJldmVub2RkIiBjbGlwLXJ1bGU9ImV2ZW5vZGQiIGQ9Ik0wIDcuOTYwMkMwIDMuNTY2MTcgMy41NTgyMSAwIDcuOTUyMjQgMEMxMi4zNTQyIDAgMTUuOTIwNCAzLjU2NjE3IDE1LjkyMDQgNy45NjAyQzE1LjkyMDQgMTIuMzU0MiAxMi4zNTQyIDE1LjkyMDQgNy45NTIyNCAxNS45MjA0QzMuNTU4MjEgMTUuOTIwNCAwIDEyLjM1NDIgMCA3Ljk2MDJaTTEuNTkzNzUgNy45NjAyQzEuNTkzNzUgMTEuNDc4NiA0LjQ0MzUgMTQuMzI4NCA3Ljk2MTkxIDE0LjMyODRDMTEuNDgwMyAxNC4zMjg0IDE0LjMzMDEgMTEuNDc4NiAxNC4zMzAxIDcuOTYwMkMxNC4zMzAxIDQuNDQxNzkgMTEuNDgwMyAxLjU5MjA0IDcuOTYxOTEgMS41OTIwNEM0LjQ0MzUgMS41OTIwNCAxLjU5Mzc1IDQuNDQxNzkgMS41OTM3NSA3Ljk2MDJaIiBmaWxsPSIjMTExMTExIi8+CjxwYXRoIGQ9Ik04LjM1ODA5IDMuOTgwNDdINy4xNjQwNlY4Ljc1NjU5TDExLjM0MzIgMTEuMjY0MUwxMS45NDAyIDEwLjI4NDlMOC4zNTgwOSA4LjE1OTU3VjMuOTgwNDdaIiBmaWxsPSIjMTExMTExIi8+Cjwvc3ZnPgo=);\n }\n .appointmentCalendarContainer .monthYearPicker .pickerArrow.prev:after {\n background-image: url(data:image\/svg+xml;base64,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);\n }\n .appointmentCalendarContainer .monthYearPicker .pickerArrow.next:after {\n background-image: url(data:image\/svg+xml;base64,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);\n }\n .appointmentField .timezonePickerName:after {\n background-image: 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width: 11px;\n }\n li[data-type=control_datetime] [data-wrapper-react=true].extended>div+.form-sub-label-container .form-textbox:placeholder-shown,\n li[data-type=control_datetime] [data-wrapper-react=true]:not(.extended) .form-textbox:not(.time-dropdown):placeholder-shown,\n .appointmentCalendarContainer .currentDate {\n background-image: 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}\n .form-star-rating-star.Stars {\n background-image: 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Principal Patterson Leadership Services currently has four offerings:<\/span><\/p>\n <p><br \/><strong><span style=\"font-family: georgia, palatino, serif;\">The Leadership League<\/span><\/strong><\/p>\n <p><span style=\"font-family: georgia, palatino, serif;\">This program is for educators who are interested in developing their leadership skills and positioning themselves into leadership.\u00a0<\/span><\/p>\n <p><br \/><strong><span style=\"font-family: georgia, palatino, serif;\">The Admin League<\/span><\/strong><\/p>\n <p><span style=\"font-family: georgia, palatino, serif;\">This program is for current administrators (principals, assistant principals, deans, etc.) who are interested in strengthening their leadership to be the most effective administrator within their school community or district.\u00a0<\/span><\/p>\n <p><br \/><strong><span style=\"font-family: georgia, palatino, serif;\">The Consultant League<\/span><\/strong><\/p>\n <p><span style=\"font-family: georgia, palatino, serif;\">This program is for school leaders who are interested in monetizing their expertise to build and develop their own coaching and consulting firms.\u00a0<\/span><\/p>\n <p><br \/><span style=\"font-family: georgia, palatino, serif;\"><strong>1:1 VIP Day Service<\/strong>\u00a0<\/span><\/p>\n <p><span style=\"font-family: georgia, palatino, serif;\">This premium service is an individualized program that serves to meet the current needs of an individual. This may include interview preparation, school improvement, etc.\u00a0<\/span><\/p>\n <p><br \/><span style=\"font-family: georgia, palatino, serif;\">Please complete questions below so that we may support in understanding if this would be a great fit! Upon receipt of your submission, you will be alerted if you move on to meeting with Principal Patterson. Due to the high volume of consultation requests, we may not be able to move forward with every request received.\u00a0 If you have any questions, please email us at info@principalpatterson.com<\/span><\/p>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_14\" class=\"form-input-wide\" data-type=\"control_pagebreak\">\n <div class=\"form-pagebreak\" data-component=\"pagebreak\">\n <div class=\"form-pagebreak-back-container\">\n <button id=\"form-pagebreak-back_14\" type=\"button\" class=\"form-pagebreak-back form-submit-button-simple_black jf-form-buttons\" data-component=\"pagebreak-back\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button id=\"form-pagebreak-next_14\" type=\"button\" class=\"form-pagebreak-next form-submit-button-simple_black jf-form-buttons\" data-component=\"pagebreak-next\">\n Next\n <\/button>\n <\/div>\n <div style=\"clear:both\" class=\"pageInfo form-sub-label\" id=\"pageInfo_14\">\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section page-section\" style=\"display:none;\">\n <li id=\"cid_17\" class=\"form-input-wide\" data-type=\"control_head\">\n <div class=\"form-header-group header-default\">\n <div class=\"header-text httal htvam\">\n <h2 id=\"header_17\" class=\"form-header\" data-component=\"header\">\n Basic Information\n <\/h2>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_fullname\" id=\"id_3\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_3\" for=\"first_3\"> Name <\/label>\n <div id=\"cid_3\" class=\"form-input-wide\" data-layout=\"full\">\n <div data-wrapper-react=\"true\">\n <span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"first\">\n <input type=\"text\" id=\"first_3\" name=\"q3_name[first]\" class=\"form-textbox\" size=\"10\" value=\"\" data-component=\"first\" aria-labelledby=\"label_3 sublabel_3_first\" \/>\n <label class=\"form-sub-label\" for=\"first_3\" id=\"sublabel_3_first\" style=\"min-height:13px\" aria-hidden=\"false\"> First Name <\/label>\n <\/span>\n <span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"last\">\n <input type=\"text\" id=\"last_3\" name=\"q3_name[last]\" class=\"form-textbox\" size=\"15\" value=\"\" data-component=\"last\" aria-labelledby=\"label_3 sublabel_3_last\" \/>\n <label class=\"form-sub-label\" for=\"last_3\" id=\"sublabel_3_last\" style=\"min-height:13px\" aria-hidden=\"false\"> Last Name <\/label>\n <\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_email\" id=\"id_4\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_4\" for=\"input_4\"> Email <\/label>\n <div id=\"cid_4\" class=\"form-input-wide\" data-layout=\"half\">\n <span class=\"form-sub-label-container\" style=\"vertical-align:top\">\n <input type=\"email\" id=\"input_4\" name=\"q4_email\" class=\"form-textbox validate[Email]\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"email\" aria-labelledby=\"label_4 sublabel_input_4\" \/>\n <label class=\"form-sub-label\" for=\"input_4\" id=\"sublabel_input_4\" style=\"min-height:13px\" aria-hidden=\"false\"> example@example.com <\/label>\n <\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_phone\" id=\"id_5\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_5\" for=\"input_5_full\"> Phone Number <\/label>\n <div id=\"cid_5\" class=\"form-input-wide\" data-layout=\"half\">\n <span class=\"form-sub-label-container\" style=\"vertical-align:top\">\n <input type=\"tel\" id=\"input_5_full\" name=\"q5_phoneNumber[full]\" data-type=\"mask-number\" class=\"mask-phone-number form-textbox validate[Fill Mask]\" style=\"width:310px\" data-masked=\"true\" value=\"\" placeholder=\"(000) 000-0000\" data-component=\"phone\" aria-labelledby=\"label_5 sublabel_5_masked\" \/>\n <label class=\"form-sub-label\" for=\"input_5_full\" id=\"sublabel_5_masked\" style=\"min-height:13px\" aria-hidden=\"false\"> Please enter a valid phone number. <\/label>\n <\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_7\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_7\" for=\"input_7\"> Social Media Handle (Instagram, Facebook, LinkedIn) <\/label>\n <div id=\"cid_7\" class=\"form-input-wide\" data-layout=\"full\">\n <textarea id=\"input_7\" class=\"form-textarea\" name=\"q7_socialMedia7\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_7\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_9\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_9\" for=\"input_9\"> What is your current role in Education? <\/label>\n <div id=\"cid_9\" class=\"form-input-wide\" data-layout=\"half\">\n <input type=\"text\" id=\"input_9\" name=\"q9_whatIs9\" data-type=\"input-textbox\" class=\"form-textbox\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_9\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_28\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_28\" for=\"input_28\"> How long have you served in Education? <\/label>\n <div id=\"cid_28\" class=\"form-input-wide\" data-layout=\"half\">\n <input type=\"text\" id=\"input_28\" name=\"q28_howLong\" data-type=\"input-textbox\" class=\"form-textbox\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_28\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_10\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_10\" for=\"input_10\"> How did you hear about Principal Patterson? If you were referred from a client, we'd like to send them a thank you. <\/label>\n <div id=\"cid_10\" class=\"form-input-wide\" data-layout=\"full\">\n <textarea id=\"input_10\" class=\"form-textarea\" name=\"q10_howDid10\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_10\"><\/textarea>\n <\/div>\n <\/li>\n <li id=\"cid_18\" class=\"form-input-wide\" data-type=\"control_pagebreak\">\n <div class=\"form-pagebreak\" data-component=\"pagebreak\">\n <div class=\"form-pagebreak-back-container\">\n <button id=\"form-pagebreak-back_18\" type=\"button\" class=\"form-pagebreak-back form-submit-button-simple_black jf-form-buttons\" data-component=\"pagebreak-back\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button id=\"form-pagebreak-next_18\" type=\"button\" class=\"form-pagebreak-next form-submit-button-simple_black jf-form-buttons\" data-component=\"pagebreak-next\">\n Next\n <\/button>\n <\/div>\n <div style=\"clear:both\" class=\"pageInfo form-sub-label\" id=\"pageInfo_18\">\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section page-section\" style=\"display:none;\">\n <li id=\"cid_19\" class=\"form-input-wide\" data-type=\"control_head\">\n <div class=\"form-header-group header-default\">\n <div class=\"header-text httal htvam\">\n <h2 id=\"header_19\" class=\"form-header\" data-component=\"header\">\n Service Offering Request\n <\/h2>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_radio\" id=\"id_8\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_8\" for=\"input_8\"> Which coaching program or service are you interested in? <\/label>\n <div id=\"cid_8\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_8\" data-component=\"radio\">\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_8\" class=\"form-radio\" id=\"input_8_0\" name=\"q8_whichCoaching\" value=\"The Admin League\" \/>\n <label id=\"label_input_8_0\" for=\"input_8_0\"> The Admin League <\/label>\n <\/span>\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_8\" class=\"form-radio\" id=\"input_8_1\" name=\"q8_whichCoaching\" value=\"The Leadership League\" \/>\n <label id=\"label_input_8_1\" for=\"input_8_1\"> The Leadership League <\/label>\n <\/span>\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_8\" class=\"form-radio\" id=\"input_8_2\" name=\"q8_whichCoaching\" value=\"The Consultant League\" \/>\n <label id=\"label_input_8_2\" for=\"input_8_2\"> The Consultant League <\/label>\n <\/span>\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_8\" class=\"form-radio\" id=\"input_8_3\" name=\"q8_whichCoaching\" value=\"1:1 VIP Day Service\" \/>\n <label id=\"label_input_8_3\" for=\"input_8_3\"> 1:1 VIP Day Service <\/label>\n <\/span>\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_8\" class=\"form-radio\" id=\"input_8_4\" name=\"q8_whichCoaching\" value=\"None of The Above\" \/>\n <label id=\"label_input_8_4\" for=\"input_8_4\"> None of The Above <\/label>\n <\/span>\n <span class=\"form-radio-item formRadioOther\" style=\"clear:left\">\n <input type=\"radio\" class=\"form-radio-other form-radio\" name=\"q8_whichCoaching\" id=\"other_8\" value=\"other\" aria-label=\"Other\" \/>\n <label id=\"label_other_8\" style=\"text-indent:0\" for=\"other_8\"> Other <\/label>\n <span id=\"other_8_input\" class=\"other-input-container\" style=\"display:none\">\n <input type=\"text\" class=\"form-radio-other-input form-textbox\" name=\"q8_whichCoaching[other]\" data-otherhint=\"Other\" size=\"15\" id=\"input_8\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/>\n <\/span>\n <\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_radio\" id=\"id_15\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_15\" for=\"input_15\"> How soon are you looking to begin working with Principal Patterson? <\/label>\n <div id=\"cid_15\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_15\" data-component=\"radio\">\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_15\" class=\"form-radio\" id=\"input_15_0\" name=\"q15_howSoon15\" value=\"Immediately\" \/>\n <label id=\"label_input_15_0\" for=\"input_15_0\"> Immediately <\/label>\n <\/span>\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_15\" class=\"form-radio\" id=\"input_15_1\" name=\"q15_howSoon15\" value=\"Within 3 Months\" \/>\n <label id=\"label_input_15_1\" for=\"input_15_1\"> Within 3 Months <\/label>\n <\/span>\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_15\" class=\"form-radio\" id=\"input_15_2\" name=\"q15_howSoon15\" value=\"Within 6 Months\" \/>\n <label id=\"label_input_15_2\" for=\"input_15_2\"> Within 6 Months <\/label>\n <\/span>\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_15\" class=\"form-radio\" id=\"input_15_3\" name=\"q15_howSoon15\" value=\"I'm just exploring my options.\" \/>\n <label id=\"label_input_15_3\" for=\"input_15_3\"> I'm just exploring my options. <\/label>\n <\/span>\n <span class=\"form-radio-item formRadioOther\" style=\"clear:left\">\n <input type=\"radio\" class=\"form-radio-other form-radio\" name=\"q15_howSoon15\" id=\"other_15\" value=\"other\" aria-label=\"Other\" \/>\n <label id=\"label_other_15\" style=\"text-indent:0\" for=\"other_15\"> Other <\/label>\n <span id=\"other_15_input\" class=\"other-input-container\" style=\"display:none\">\n <input type=\"text\" class=\"form-radio-other-input form-textbox\" name=\"q15_howSoon15[other]\" data-otherhint=\"Other\" size=\"15\" id=\"input_15\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/>\n <\/span>\n <\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_radio\" id=\"id_16\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_16\" for=\"input_16\"> All of Principal Patterson's services require an investment. Are you prepared to make an investment in your personal and professional growth? <\/label>\n <div id=\"cid_16\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_16\" data-component=\"radio\">\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_16\" class=\"form-radio\" id=\"input_16_0\" name=\"q16_allOf\" value=\"Yes\" \/>\n <label id=\"label_input_16_0\" for=\"input_16_0\"> Yes <\/label>\n <\/span>\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_16\" class=\"form-radio\" id=\"input_16_1\" name=\"q16_allOf\" value=\"No\" \/>\n <label id=\"label_input_16_1\" for=\"input_16_1\"> No <\/label>\n <\/span>\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_16\" class=\"form-radio\" id=\"input_16_2\" name=\"q16_allOf\" value=\"I may need additional time.\" \/>\n <label id=\"label_input_16_2\" for=\"input_16_2\"> I may need additional time. <\/label>\n <\/span>\n <span class=\"form-radio-item\" style=\"clear:left\">\n <span class=\"dragger-item\">\n <\/span>\n <input type=\"radio\" aria-describedby=\"label_16\" class=\"form-radio\" id=\"input_16_3\" name=\"q16_allOf\" value=\"This will be sponsored by my school\/district.\" \/>\n <label id=\"label_input_16_3\" for=\"input_16_3\"> This will be sponsored by my school\/district. <\/label>\n <\/span>\n <span class=\"form-radio-item formRadioOther\" style=\"clear:left\">\n <input type=\"radio\" class=\"form-radio-other form-radio\" name=\"q16_allOf\" id=\"other_16\" value=\"other\" aria-label=\"Other\" \/>\n <label id=\"label_other_16\" style=\"text-indent:0\" for=\"other_16\"> Other <\/label>\n <span id=\"other_16_input\" class=\"other-input-container\" style=\"display:none\">\n <input type=\"text\" class=\"form-radio-other-input form-textbox\" name=\"q16_allOf[other]\" data-otherhint=\"Other\" size=\"15\" id=\"input_16\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/>\n <\/span>\n <\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_33\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_33\" for=\"input_33\"> What is your budget for leadership coaching and\/or consulting? Please note, the minimum service offering is currently $1997 (subject to change). <\/label>\n <div id=\"cid_33\" class=\"form-input-wide\" data-layout=\"half\">\n <input type=\"text\" id=\"input_33\" name=\"q33_whatIs33\" data-type=\"input-textbox\" class=\"form-textbox\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_33\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_29\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_29\" for=\"input_29\"> If you are not interested in a service or working with Principal Patterson, what is your reasoning for a consultation request? <\/label>\n <div id=\"cid_29\" class=\"form-input-wide\" data-layout=\"full\">\n <textarea id=\"input_29\" class=\"form-textarea\" name=\"q29_ifYou\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_29\"><\/textarea>\n <\/div>\n <\/li>\n <li id=\"cid_20\" class=\"form-input-wide\" data-type=\"control_pagebreak\">\n <div class=\"form-pagebreak\" data-component=\"pagebreak\">\n <div class=\"form-pagebreak-back-container\">\n <button id=\"form-pagebreak-back_20\" type=\"button\" class=\"form-pagebreak-back form-submit-button-simple_black jf-form-buttons\" data-component=\"pagebreak-back\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button id=\"form-pagebreak-next_20\" type=\"button\" class=\"form-pagebreak-next form-submit-button-simple_black jf-form-buttons\" data-component=\"pagebreak-next\">\n Next\n <\/button>\n <\/div>\n <div style=\"clear:both\" class=\"pageInfo form-sub-label\" id=\"pageInfo_20\">\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section page-section\" style=\"display:none;\">\n <li id=\"cid_21\" class=\"form-input-wide\" data-type=\"control_head\">\n <div class=\"form-header-group header-default\">\n <div class=\"header-text httal htvam\">\n <h2 id=\"header_21\" class=\"form-header\" data-component=\"header\">\n Your Goals\n <\/h2>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_22\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_22\" for=\"input_22\"> What is your long-term professional goal? <\/label>\n <div id=\"cid_22\" class=\"form-input-wide\" data-layout=\"full\">\n <textarea id=\"input_22\" class=\"form-textarea\" name=\"q22_whatIs22\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_22\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_24\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_24\" for=\"input_24\"> What have you already tried in terms of achieving this goal? <\/label>\n <div id=\"cid_24\" class=\"form-input-wide\" data-layout=\"full\">\n <textarea id=\"input_24\" class=\"form-textarea\" name=\"q24_whatHave\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_24\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_25\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_25\" for=\"input_25\"> What skills do you feel you naturally excel at? What skills or traits do you find to be the most challenging? Why? <\/label>\n <div id=\"cid_25\" class=\"form-input-wide\" data-layout=\"full\">\n <textarea id=\"input_25\" class=\"form-textarea\" name=\"q25_whatSkills25\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_25\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_26\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_26\" for=\"input_26\"> Is there anything else you'd like me to know about you as it relates to working together? (Ex. parenting, multiple jobs, enrolled in school, etc) <\/label>\n <div id=\"cid_26\" class=\"form-input-wide\" data-layout=\"full\">\n <textarea id=\"input_26\" class=\"form-textarea\" name=\"q26_isThere\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_26\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_30\">\n <label class=\"form-label form-label-top form-label-auto\" id=\"label_30\" for=\"input_30\"> Have you participated in any other group or 1-on-1 coaching programs in the past? 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