{"id":501,"date":"2020-12-18T12:01:51","date_gmt":"2020-12-18T12:01:51","guid":{"rendered":"https:\/\/forms.rowan-consultancy.co.uk\/?page_id=501"},"modified":"2020-12-18T12:13:00","modified_gmt":"2020-12-18T12:13:00","slug":"corporate-counselling-feedback-form","status":"publish","type":"page","link":"https:\/\/forms.rowan-consultancy.co.uk\/corporate-counselling-feedback-form\/","title":{"rendered":"Corporate Counselling Feedback Form"},"content":{"rendered":"<script type=\"text\/javascript\">var 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#112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_23' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>We would appreciate you taking the time to complete this survey. Feedback helps us to monitor the quality of Rowan services and to make improvements.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_23'  action='\/wp-json\/wp\/v2\/pages\/501#gf_23' data-formid='23' novalidate>\n        <div id='gf_progressbar_wrapper_23' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_23_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_23' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_23_27\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_27\" ><p>All information you submit is kept according to our privacy policy, <a href=\"https:\/\/www.rowan-consultancy.co.uk\/privacy-policy.htm\" target=\"_blank\">access it here<\/a>.<\/p><\/li><li id=\"field_23_1\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_1\" ><label class='gfield_label gform-field-label' for='input_23_1'>Please provide the name of your employer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_23_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_23_19\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_19\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please provide the name of your Rowan counsellor<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_23_19'>\n                            \n                            <span id='input_23_19_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_19.3' id='input_23_19_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_23_19_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_23_19_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_19.6' id='input_23_19_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_23_19_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_23_30' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_23\").val(\"2\");  jQuery(\"#gform_23\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_23\").val(\"2\");  jQuery(\"#gform_23\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_23_2' class='gform_page' data-js='page-field-id-30' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_23_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_23_3\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_3\" ><label class='gfield_label gform-field-label' >Overall, how helpful was the Rowan counsellor you saw?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_23_3'>\n\t\t\t<li class='gchoice gchoice_23_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='Very helpful'  id='choice_23_3_0'    \/>\n\t\t\t\t<label for='choice_23_3_0' id='label_23_3_0' class='gform-field-label gform-field-label--type-inline'>Very helpful<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_3_1'>\n\t\t\t\t<input name='input_3' type='radio' value='Helpful'  id='choice_23_3_1'    \/>\n\t\t\t\t<label for='choice_23_3_1' id='label_23_3_1' class='gform-field-label gform-field-label--type-inline'>Helpful<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_3_2'>\n\t\t\t\t<input name='input_3' type='radio' value='Neither'  id='choice_23_3_2'    \/>\n\t\t\t\t<label for='choice_23_3_2' id='label_23_3_2' class='gform-field-label gform-field-label--type-inline'>Neither<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_3_3'>\n\t\t\t\t<input name='input_3' type='radio' value='Not helpful'  id='choice_23_3_3'    \/>\n\t\t\t\t<label for='choice_23_3_3' id='label_23_3_3' class='gform-field-label gform-field-label--type-inline'>Not helpful<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_3_4'>\n\t\t\t\t<input name='input_3' type='radio' value='Not at all helpful'  id='choice_23_3_4'    \/>\n\t\t\t\t<label for='choice_23_3_4' id='label_23_3_4' class='gform-field-label gform-field-label--type-inline'>Not at all helpful<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_4\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_4\" ><label class='gfield_label gform-field-label' >How are you feeling now?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_23_4'>\n\t\t\t<li class='gchoice gchoice_23_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Much better'  id='choice_23_4_0'    \/>\n\t\t\t\t<label for='choice_23_4_0' id='label_23_4_0' class='gform-field-label gform-field-label--type-inline'>Much better<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='Better'  id='choice_23_4_1'    \/>\n\t\t\t\t<label for='choice_23_4_1' id='label_23_4_1' class='gform-field-label gform-field-label--type-inline'>Better<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_4_2'>\n\t\t\t\t<input name='input_4' type='radio' value='The same'  id='choice_23_4_2'    \/>\n\t\t\t\t<label for='choice_23_4_2' id='label_23_4_2' class='gform-field-label gform-field-label--type-inline'>The same<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_4_3'>\n\t\t\t\t<input name='input_4' type='radio' value='Worse'  id='choice_23_4_3'    \/>\n\t\t\t\t<label for='choice_23_4_3' id='label_23_4_3' class='gform-field-label gform-field-label--type-inline'>Worse<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_4_4'>\n\t\t\t\t<input name='input_4' type='radio' value='Much worse'  id='choice_23_4_4'    \/>\n\t\t\t\t<label for='choice_23_4_4' id='label_23_4_4' class='gform-field-label gform-field-label--type-inline'>Much worse<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_24\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_24\" ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_23_7\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_7\" ><h4>Please rate how you experienced our service<\/h4><\/li><li id=\"field_23_6\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_6\" ><label class='gfield_label gform-field-label' >Your first contact with us<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_23_6'>\n\t\t\t<li class='gchoice gchoice_23_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Very satisfied'  id='choice_23_6_0'    \/>\n\t\t\t\t<label for='choice_23_6_0' id='label_23_6_0' class='gform-field-label gform-field-label--type-inline'>Very satisfied<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Satisfied'  id='choice_23_6_1'    \/>\n\t\t\t\t<label for='choice_23_6_1' id='label_23_6_1' class='gform-field-label gform-field-label--type-inline'>Satisfied<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_6_2'>\n\t\t\t\t<input name='input_6' type='radio' value='Dissatisfied'  id='choice_23_6_2'    \/>\n\t\t\t\t<label for='choice_23_6_2' id='label_23_6_2' class='gform-field-label gform-field-label--type-inline'>Dissatisfied<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_6_3'>\n\t\t\t\t<input name='input_6' type='radio' value='Very dissatisfied'  id='choice_23_6_3'    \/>\n\t\t\t\t<label for='choice_23_6_3' id='label_23_6_3' class='gform-field-label gform-field-label--type-inline'>Very dissatisfied<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_8\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_8\" ><label class='gfield_label gform-field-label' >The surroundings you were seen in<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_23_8'>\n\t\t\t<li class='gchoice gchoice_23_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='Very satisfied'  id='choice_23_8_0'    \/>\n\t\t\t\t<label for='choice_23_8_0' id='label_23_8_0' class='gform-field-label gform-field-label--type-inline'>Very satisfied<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='Satisfied'  id='choice_23_8_1'    \/>\n\t\t\t\t<label for='choice_23_8_1' id='label_23_8_1' class='gform-field-label gform-field-label--type-inline'>Satisfied<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_8_2'>\n\t\t\t\t<input name='input_8' type='radio' value='Dissatisfied'  id='choice_23_8_2'    \/>\n\t\t\t\t<label for='choice_23_8_2' id='label_23_8_2' class='gform-field-label gform-field-label--type-inline'>Dissatisfied<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_8_3'>\n\t\t\t\t<input name='input_8' type='radio' value='Very dissatisfied'  id='choice_23_8_3'    \/>\n\t\t\t\t<label for='choice_23_8_3' id='label_23_8_3' class='gform-field-label gform-field-label--type-inline'>Very dissatisfied<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_25\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_25\" ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_23_9\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_9\" ><label class='gfield_label gform-field-label' >Would you recommend the service to a colleague?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_23_9'>\n\t\t\t<li class='gchoice gchoice_23_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='Yes'  id='choice_23_9_0'    \/>\n\t\t\t\t<label for='choice_23_9_0' id='label_23_9_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='No'  id='choice_23_9_1'    \/>\n\t\t\t\t<label for='choice_23_9_1' id='label_23_9_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_9_2'>\n\t\t\t\t<input name='input_9' type='radio' value='Maybe'  id='choice_23_9_2'    \/>\n\t\t\t\t<label for='choice_23_9_2' id='label_23_9_2' class='gform-field-label gform-field-label--type-inline'>Maybe<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_10\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_10\" ><label class='gfield_label gform-field-label' for='input_23_10'>Do you have any other comments you would like to make about the service?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_23_10' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_23_32' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_23\").val(\"1\");  jQuery(\"#gform_23\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_23\").val(\"1\");  jQuery(\"#gform_23\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_23_32' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_23\").val(\"3\");  jQuery(\"#gform_23\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_23\").val(\"3\");  jQuery(\"#gform_23\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_23_3' class='gform_page' data-js='page-field-id-32' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_23_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_23_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_20\" ><label class='gfield_label gform-field-label' >Feedback to employers?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_23_20'>\n\t\t\t<li class='gchoice gchoice_23_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='Yes, I give permission for Rowan to pass my feedback onto my employer anonymously'  id='choice_23_20_0'    \/>\n\t\t\t\t<label for='choice_23_20_0' id='label_23_20_0' class='gform-field-label gform-field-label--type-inline'>Yes, I give permission for Rowan to pass my feedback onto my employer anonymously<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='No, I do not give permission'  id='choice_23_20_1'    \/>\n\t\t\t\t<label for='choice_23_20_1' id='label_23_20_1' class='gform-field-label gform-field-label--type-inline'>No, I do not give permission<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_29\" ><label class='gfield_label gform-field-label' >We may wish to quote your feedback for publicity purposes<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_23_29'>\n\t\t\t<li class='gchoice gchoice_23_29_0'>\n\t\t\t\t<input name='input_29' type='radio' value='Yes, you may quote my feedback anonymously'  id='choice_23_29_0'    \/>\n\t\t\t\t<label for='choice_23_29_0' id='label_23_29_0' class='gform-field-label gform-field-label--type-inline'>Yes, you may quote my feedback anonymously<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_29_1'>\n\t\t\t\t<input name='input_29' type='radio' value='No, you may not use my feedback in publicity'  id='choice_23_29_1'    \/>\n\t\t\t\t<label for='choice_23_29_1' id='label_23_29_1' class='gform-field-label gform-field-label--type-inline'>No, you may not use my feedback in publicity<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_28\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_28\" ><label class='gfield_label gform-field-label' >Would you like us to contact you about your feedback?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_23_28'>\n\t\t\t<li class='gchoice gchoice_23_28_0'>\n\t\t\t\t<input name='input_28' type='radio' value='Yes'  id='choice_23_28_0'    \/>\n\t\t\t\t<label for='choice_23_28_0' id='label_23_28_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_23_28_1'>\n\t\t\t\t<input name='input_28' type='radio' value='No'  id='choice_23_28_1'    \/>\n\t\t\t\t<label for='choice_23_28_1' id='label_23_28_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_14\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_14\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_23_14'>\n                            \n                            <span id='input_23_14_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.3' id='input_23_14_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_23_14_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_23_14_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.6' id='input_23_14_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_23_14_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_23_15\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_15\" ><label class='gfield_label gform-field-label' for='input_23_15'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_23_15' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_23_16\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_16\" ><label class='gfield_label gform-field-label' for='input_23_16'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_16' id='input_23_16' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_23_18\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_18\" ><p>Thank you for your feedback. If you would like to stay in touch with Rowan, <a href=\"http:\/\/eepurl.com\/dtIkQX\" target=\"_black\">sign up for our newsletter here<\/a>.<\/p><\/li><\/ul><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_23' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='if(window[\"gf_submitting_23\"]){return false;}  if( !jQuery(\"#gform_23\")[0].checkValidity || jQuery(\"#gform_23\")[0].checkValidity()){window[\"gf_submitting_23\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_23\"]){return false;} if( !jQuery(\"#gform_23\")[0].checkValidity || jQuery(\"#gform_23\")[0].checkValidity()){window[\"gf_submitting_23\"]=true;}  jQuery(\"#gform_23\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_23' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_23\"]){return false;}  if( !jQuery(\"#gform_23\")[0].checkValidity || jQuery(\"#gform_23\")[0].checkValidity()){window[\"gf_submitting_23\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_23\"]){return false;} if( !jQuery(\"#gform_23\")[0].checkValidity || jQuery(\"#gform_23\")[0].checkValidity()){window[\"gf_submitting_23\"]=true;}  jQuery(\"#gform_23\").trigger(\"submit\",[true]); 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