{"id":3363,"date":"2020-09-25T18:20:28","date_gmt":"2020-09-25T18:20:28","guid":{"rendered":"https:\/\/curesz.org\/?page_id=3363"},"modified":"2020-09-30T15:37:31","modified_gmt":"2020-09-30T15:37:31","slug":"csars","status":"publish","type":"page","link":"https:\/\/curesz.org\/pt_pt\/csars\/","title":{"rendered":"Avalia\u00e7\u00e3o C-SARS"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-bottom:0px;--awb-margin-top:1%;--awb-margin-bottom:8%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1352px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-bottom:74px;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_8' ><div id='gf_8' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_8'  action='\/pt_pt\/wp-json\/wp\/v2\/pages\/3363#gf_8' data-formid='8' novalidate>\n        <div id='gf_progressbar_wrapper_8' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Passo <span class='gf_step_current_page'>1<\/span> de <span class='gf_step_page_count'>13<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_7' style='width:7%;'><span>7%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_8_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_8' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_100\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"><label id='gfield_label_8_100' class='gfield_label gform-field-label' for='input_8_100'><span class='gform-field-label__text'>Instagram<\/span><\/label><div class='gfield_description' id='gfield_description_8_100'>Este campo \u00e9 para efeitos de valida\u00e7\u00e3o e deve ser mantido inalterado.<\/div><div class='ginput_container'><input name='input_100' id='input_8_100' type='text' value='' autocomplete='new-password'\/><\/div><\/div><fieldset id=\"field_8_99\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"c76f0f91\" data-field-span=\"12\"><legend id='gfield_label_8_99' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Before you begin<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_8_99'><div class='gfield_consent_description_text gform-theme__no-reset--children' tabindex='0'>The C-SARS is a voluntary self-assessment to help you decide whether to talk with a qualified healthcare professional about cognitive concerns. It does not diagnose schizophrenia or any other condition, does not replace a professional  valuation, and does not create a patient\u2013provider relationship with CURESZ. It is intended for adults 18 and older. <br><br \/>\nWe collect your answers to 12 questions, and calculate your scores, only to show you your results. We do not ask for your name or email address, and we do not store your IP address. When you finish, your results will appear on screen with a link to download them as a PDF. The link works for 20 minutes. <br><br \/>\nPlease download or save your results right away. We do not email results, and your responses are deleted from our website within one day. We do not sell your information, use it for research, or use your answers for advertising or fundraising. <br><br \/>\nPlease read our <a target=\"_blank\" href=\"https:\/\/curesz.org\/c-sars-assessment-privacy-notice\/\">C-SARS Assessment Privacy Notice<\/a> before you begin. If you prefer not to submit anything online, you may download the <a href=\"https:\/\/curesz.org\/wp-content\/uploads\/2020\/09\/C-SARS-Form.pdf\">C-SARS Form PDF<\/a> and complete it privately. <\/div><\/div><div class='ginput_container ginput_container_consent'><input name='input_99.1' id='input_8_99_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_8_99\" aria-labelledby=\"input_8_99_1_label gfield_label_8_99\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_8_99_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_99_1' ><span class='gform-field-label__text'>I have read this notice and the Assessment Privacy Notice, and I agree to CURESZ collecting and  using my responses as described.  (required)<\/span><\/label><input type='hidden' name='input_99.2' value='I have read this notice and the Assessment Privacy Notice, and I agree to CURESZ collecting and  using my responses as described.  (required)' class='gform_hidden' \/><input type='hidden' name='input_99.3' value='4' class='gform_hidden' \/><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_8_6' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Begin<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_2' class='gform_page' data-js='page-field-id-6' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_2' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_84\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"><h3 class=\"gsection_title\">1. I have difficulty staying focused on something I am reading or a TV program I am watching<\/h3><\/div><fieldset id=\"field_8_58\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_58' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A. FREQUENCY<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_58'>\n\t\t\t<div class='gchoice gchoice_8_58_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='0'  id='choice_8_58_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_58_0 gfield_label_8_58\"   \/>\n\t\t\t\t\t<label for='choice_8_58_0' id='label_8_58_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_58_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='1'  id='choice_8_58_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_58_1' id='label_8_58_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_58_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='2'  id='choice_8_58_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_58_2' id='label_8_58_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_58_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='3'  id='choice_8_58_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_58_3' id='label_8_58_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_70\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_70' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>B. HOW MUCH IT INTERFERES WITH MY LIFE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_70'>\n\t\t\t<div class='gchoice gchoice_8_70_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='0'  id='choice_8_70_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_70_0 gfield_label_8_70\"   \/>\n\t\t\t\t\t<label for='choice_8_70_0' id='label_8_70_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_70_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='1'  id='choice_8_70_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_70_1' id='label_8_70_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_70_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='2'  id='choice_8_70_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_70_2' id='label_8_70_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_70_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='3'  id='choice_8_70_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_70_3' id='label_8_70_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_8_10' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_8_10' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_3' class='gform_page' data-js='page-field-id-10' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_3' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_95\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"><h3 class=\"gsection_title\">2. I have difficulty remembering things that happened or what people told me<\/h3><\/div><fieldset id=\"field_8_59\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_59' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A. FREQUENCY<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_59'>\n\t\t\t<div class='gchoice gchoice_8_59_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='0'  id='choice_8_59_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_59_0 gfield_label_8_59\"   \/>\n\t\t\t\t\t<label for='choice_8_59_0' id='label_8_59_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_59_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='1'  id='choice_8_59_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_59_1' id='label_8_59_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_59_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='2'  id='choice_8_59_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_59_2' id='label_8_59_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_59_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='3'  id='choice_8_59_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_59_3' id='label_8_59_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_71\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_71' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>B. HOW MUCH IT INTERFERES WITH MY LIFE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_71'>\n\t\t\t<div class='gchoice gchoice_8_71_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='0'  id='choice_8_71_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_71_0 gfield_label_8_71\"   \/>\n\t\t\t\t\t<label for='choice_8_71_0' id='label_8_71_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_71_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='1'  id='choice_8_71_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_71_1' id='label_8_71_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_71_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='2'  id='choice_8_71_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_71_2' id='label_8_71_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_71_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='3'  id='choice_8_71_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_71_3' id='label_8_71_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_8_12' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_8_12' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_4' class='gform_page' data-js='page-field-id-12' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_4' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_94\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"><h3 class=\"gsection_title\">3. I forget what I am supposed to do<\/h3><\/div><fieldset id=\"field_8_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_60' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A. FREQUENCY<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_60'>\n\t\t\t<div class='gchoice gchoice_8_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='0'  id='choice_8_60_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_60_0 gfield_label_8_60\"   \/>\n\t\t\t\t\t<label for='choice_8_60_0' id='label_8_60_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='1'  id='choice_8_60_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_60_1' id='label_8_60_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_60_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='2'  id='choice_8_60_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_60_2' id='label_8_60_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_60_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='3'  id='choice_8_60_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_60_3' id='label_8_60_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_72' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>B. HOW MUCH IT INTERFERES WITH MY LIFE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_72'>\n\t\t\t<div class='gchoice gchoice_8_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='0'  id='choice_8_72_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_72_0 gfield_label_8_72\"   \/>\n\t\t\t\t\t<label for='choice_8_72_0' id='label_8_72_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='1'  id='choice_8_72_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_72_1' id='label_8_72_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_72_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='2'  id='choice_8_72_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_72_2' id='label_8_72_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_72_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='3'  id='choice_8_72_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_72_3' id='label_8_72_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_8_15' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_8_15' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_5' class='gform_page' data-js='page-field-id-15' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_5' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_93\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"><h3 class=\"gsection_title\">4. I forget where I put things<\/h3><\/div><fieldset id=\"field_8_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_61' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A. FREQUENCY<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_61'>\n\t\t\t<div class='gchoice gchoice_8_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='0'  id='choice_8_61_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_61_0 gfield_label_8_61\"   \/>\n\t\t\t\t\t<label for='choice_8_61_0' id='label_8_61_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='1'  id='choice_8_61_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_61_1' id='label_8_61_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_61_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='2'  id='choice_8_61_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_61_2' id='label_8_61_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_61_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='3'  id='choice_8_61_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_61_3' id='label_8_61_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_73\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_73' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>B. HOW MUCH IT INTERFERES WITH MY LIFE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_73'>\n\t\t\t<div class='gchoice gchoice_8_73_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='0'  id='choice_8_73_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_73_0 gfield_label_8_73\"   \/>\n\t\t\t\t\t<label for='choice_8_73_0' id='label_8_73_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_73_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='1'  id='choice_8_73_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_73_1' id='label_8_73_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_73_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='2'  id='choice_8_73_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_73_2' id='label_8_73_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_73_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='3'  id='choice_8_73_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_73_3' id='label_8_73_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_8_18' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_8_18' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_6' class='gform_page' data-js='page-field-id-18' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_6' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_92\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"><h3 class=\"gsection_title\">5. When I am speaking I forget what I was going to say<\/h3><\/div><fieldset id=\"field_8_62\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_62' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A. FREQUENCY<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_62'>\n\t\t\t<div class='gchoice gchoice_8_62_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='0'  id='choice_8_62_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_62_0 gfield_label_8_62\"   \/>\n\t\t\t\t\t<label for='choice_8_62_0' id='label_8_62_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_62_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='1'  id='choice_8_62_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_62_1' id='label_8_62_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_62_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='2'  id='choice_8_62_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_62_2' id='label_8_62_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_62_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='3'  id='choice_8_62_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_62_3' id='label_8_62_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_74\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_74' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>B. HOW MUCH IT INTERFERES WITH MY LIFE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_74'>\n\t\t\t<div class='gchoice gchoice_8_74_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='0'  id='choice_8_74_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_74_0 gfield_label_8_74\"   \/>\n\t\t\t\t\t<label for='choice_8_74_0' id='label_8_74_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_74_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='1'  id='choice_8_74_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_74_1' id='label_8_74_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_74_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='2'  id='choice_8_74_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_74_2' id='label_8_74_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_74_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='3'  id='choice_8_74_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_74_3' id='label_8_74_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_8_21' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_8_21' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_7' class='gform_page' data-js='page-field-id-21' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_7' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_91\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"><h3 class=\"gsection_title\">6. I have difficulty planning ahead or making decisions<\/h3><\/div><fieldset id=\"field_8_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_63' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A. FREQUENCY<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_63'>\n\t\t\t<div class='gchoice gchoice_8_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='0'  id='choice_8_63_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_63_0 gfield_label_8_63\"   \/>\n\t\t\t\t\t<label for='choice_8_63_0' id='label_8_63_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='1'  id='choice_8_63_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_63_1' id='label_8_63_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_63_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='2'  id='choice_8_63_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_63_2' id='label_8_63_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_63_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='3'  id='choice_8_63_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_63_3' id='label_8_63_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_75\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_75' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>B. HOW MUCH IT INTERFERES WITH MY LIFE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_75'>\n\t\t\t<div class='gchoice gchoice_8_75_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='0'  id='choice_8_75_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_75_0 gfield_label_8_75\"   \/>\n\t\t\t\t\t<label for='choice_8_75_0' id='label_8_75_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_75_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='1'  id='choice_8_75_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_75_1' id='label_8_75_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_75_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='2'  id='choice_8_75_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_75_2' id='label_8_75_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_75_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_75' type='radio' value='3'  id='choice_8_75_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_75_3' id='label_8_75_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_8_24' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_8_24' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_8' class='gform_page' data-js='page-field-id-24' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_8' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_90\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"><h3 class=\"gsection_title\">7. I keep doing the same thing even though it does not work<\/h3><\/div><fieldset id=\"field_8_64\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_64' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A. FREQUENCY<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_64'>\n\t\t\t<div class='gchoice gchoice_8_64_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='0'  id='choice_8_64_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_64_0 gfield_label_8_64\"   \/>\n\t\t\t\t\t<label for='choice_8_64_0' id='label_8_64_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_64_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='1'  id='choice_8_64_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_64_1' id='label_8_64_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_64_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='2'  id='choice_8_64_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_64_2' id='label_8_64_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_64_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='3'  id='choice_8_64_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_64_3' id='label_8_64_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_76\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_76' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>B. HOW MUCH IT INTERFERES WITH MY LIFE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_76'>\n\t\t\t<div class='gchoice gchoice_8_76_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='0'  id='choice_8_76_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_76_0 gfield_label_8_76\"   \/>\n\t\t\t\t\t<label for='choice_8_76_0' id='label_8_76_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_76_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='1'  id='choice_8_76_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_76_1' id='label_8_76_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_76_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='2'  id='choice_8_76_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_76_2' id='label_8_76_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_76_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='3'  id='choice_8_76_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_76_3' id='label_8_76_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_8_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_8_27' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_9' class='gform_page' data-js='page-field-id-27' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_9' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_89\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"><h3 class=\"gsection_title\">8. I do things without thinking<\/h3><\/div><fieldset id=\"field_8_65\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_65' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A. FREQUENCY<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_65'>\n\t\t\t<div class='gchoice gchoice_8_65_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='0'  id='choice_8_65_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_65_0 gfield_label_8_65\"   \/>\n\t\t\t\t\t<label for='choice_8_65_0' id='label_8_65_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_65_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='1'  id='choice_8_65_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_65_1' id='label_8_65_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_65_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='2'  id='choice_8_65_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_65_2' id='label_8_65_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_65_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='3'  id='choice_8_65_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_65_3' id='label_8_65_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_77\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_77' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>B. HOW MUCH IT INTERFERES WITH MY LIFE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_77'>\n\t\t\t<div class='gchoice gchoice_8_77_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='0'  id='choice_8_77_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_77_0 gfield_label_8_77\"   \/>\n\t\t\t\t\t<label for='choice_8_77_0' id='label_8_77_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_77_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='1'  id='choice_8_77_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_77_1' id='label_8_77_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_77_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='2'  id='choice_8_77_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_77_2' id='label_8_77_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_77_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='3'  id='choice_8_77_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_77_3' id='label_8_77_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_8_30' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_8_30' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_10' class='gform_page' data-js='page-field-id-30' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_10' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_88\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"><h3 class=\"gsection_title\">9. I have difficulty adjusting to changes<\/h3><\/div><fieldset id=\"field_8_66\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_66' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A. FREQUENCY<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_66'>\n\t\t\t<div class='gchoice gchoice_8_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='0'  id='choice_8_66_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_66_0 gfield_label_8_66\"   \/>\n\t\t\t\t\t<label for='choice_8_66_0' id='label_8_66_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_66_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='1'  id='choice_8_66_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_66_1' id='label_8_66_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_66_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='2'  id='choice_8_66_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_66_2' id='label_8_66_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_66_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='3'  id='choice_8_66_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_66_3' id='label_8_66_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_78\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_78' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>B. HOW MUCH IT INTERFERES WITH MY LIFE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_78'>\n\t\t\t<div class='gchoice gchoice_8_78_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='0'  id='choice_8_78_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_78_0 gfield_label_8_78\"   \/>\n\t\t\t\t\t<label for='choice_8_78_0' id='label_8_78_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_78_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='1'  id='choice_8_78_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_78_1' id='label_8_78_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_78_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='2'  id='choice_8_78_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_78_2' id='label_8_78_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_78_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='3'  id='choice_8_78_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_78_3' id='label_8_78_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_8_34' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_8_34' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_11' class='gform_page' data-js='page-field-id-34' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_11' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_87\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"><h3 class=\"gsection_title\">10. I tend to be slow in mental or physical tasks<\/h3><\/div><fieldset id=\"field_8_67\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_67' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A. FREQUENCY<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_67'>\n\t\t\t<div class='gchoice gchoice_8_67_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='0'  id='choice_8_67_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_67_0 gfield_label_8_67\"   \/>\n\t\t\t\t\t<label for='choice_8_67_0' id='label_8_67_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_67_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='1'  id='choice_8_67_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_67_1' id='label_8_67_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_67_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='2'  id='choice_8_67_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_67_2' id='label_8_67_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_67_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='3'  id='choice_8_67_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_67_3' id='label_8_67_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_80\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_80' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>B. HOW MUCH IT INTERFERES WITH MY LIFE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_80'>\n\t\t\t<div class='gchoice gchoice_8_80_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='0'  id='choice_8_80_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_80_0 gfield_label_8_80\"   \/>\n\t\t\t\t\t<label for='choice_8_80_0' id='label_8_80_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_80_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='1'  id='choice_8_80_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_80_1' id='label_8_80_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_80_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='2'  id='choice_8_80_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_80_2' id='label_8_80_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_80_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='3'  id='choice_8_80_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_80_3' id='label_8_80_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_8_36' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_8_36' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_12' class='gform_page' data-js='page-field-id-36' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_12' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_86\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"><h3 class=\"gsection_title\">11. I have trouble reading someone&#039;s facial expression or gestures<\/h3><\/div><fieldset id=\"field_8_68\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_68' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A. FREQUENCY<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_68'>\n\t\t\t<div class='gchoice gchoice_8_68_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='0'  id='choice_8_68_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_68_0 gfield_label_8_68\"   \/>\n\t\t\t\t\t<label for='choice_8_68_0' id='label_8_68_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_68_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='1'  id='choice_8_68_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_68_1' id='label_8_68_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_68_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='2'  id='choice_8_68_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_68_2' id='label_8_68_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_68_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='3'  id='choice_8_68_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_68_3' id='label_8_68_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_81\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_81' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>B. HOW MUCH IT INTERFERES WITH MY LIFE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_81'>\n\t\t\t<div class='gchoice gchoice_8_81_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='0'  id='choice_8_81_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_81_0 gfield_label_8_81\"   \/>\n\t\t\t\t\t<label for='choice_8_81_0' id='label_8_81_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_81_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='1'  id='choice_8_81_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_81_1' id='label_8_81_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_81_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='2'  id='choice_8_81_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_81_2' id='label_8_81_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_81_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='3'  id='choice_8_81_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_81_3' id='label_8_81_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_8_40' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_8_40' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_8_13' class='gform_page' data-js='page-field-id-40' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_8_13' class='gform_fields top_label form_sublabel_above description_above validation_above' data-column-layout='fill'><div id=\"field_8_85\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"><h3 class=\"gsection_title\">12. I have difficulty understanding how another person feels<\/h3><\/div><fieldset id=\"field_8_69\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_69' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A. FREQUENCY<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_69'>\n\t\t\t<div class='gchoice gchoice_8_69_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='0'  id='choice_8_69_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_69_0 gfield_label_8_69\"   \/>\n\t\t\t\t\t<label for='choice_8_69_0' id='label_8_69_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_69_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='1'  id='choice_8_69_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_69_1' id='label_8_69_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_69_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='2'  id='choice_8_69_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_69_2' id='label_8_69_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_69_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='3'  id='choice_8_69_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_69_3' id='label_8_69_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_82\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible gfield--choice-align-horizontal\"><legend id='gfield_label_8_82' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>B. HOW MUCH IT INTERFERES WITH MY LIFE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_82'>\n\t\t\t<div class='gchoice gchoice_8_82_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='0'  id='choice_8_82_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_8_82_0 gfield_label_8_82\"   \/>\n\t\t\t\t\t<label for='choice_8_82_0' id='label_8_82_0' class='gform-field-label gform-field-label--type-inline'>Rarely<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_82_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='1'  id='choice_8_82_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_82_1' id='label_8_82_1' class='gform-field-label gform-field-label--type-inline'>Sometimes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_82_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='2'  id='choice_8_82_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_82_2' id='label_8_82_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_82_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_82' type='radio' value='3'  id='choice_8_82_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_8_82_3' id='label_8_82_3' class='gform-field-label gform-field-label--type-inline'>All the time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_57\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_hidden\"><label id='gfield_label_8_57' class='gfield_label gform-field-label' for='input_8_57'><span class='gform-field-label__text'>Frequency Score<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_57' id='input_8_57' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_8_96\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_hidden\"><label id='gfield_label_8_96' class='gfield_label gform-field-label' for='input_8_96'><span class='gform-field-label__text'>Severity Score<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_96' id='input_8_96' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><button type='submit' id='gform_previous_button_8' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='submit' id='gform_submit_button_8' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_8' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_8' id='gform_theme_8' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_8' id='gform_style_settings_8' value='[]' \/>\n            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name='gform_source_page_number_8' id='gform_source_page_number_8' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:#015da7;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><\/div><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3363","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>C-SARS Evaluation - CURESZ Foundation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/curesz.org\/pt_pt\/csars\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C-SARS Evaluation - CURESZ Foundation\" \/>\n<meta property=\"og:url\" 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