{"id":1225,"date":"2020-06-23T04:53:59","date_gmt":"2020-06-23T08:53:59","guid":{"rendered":"https:\/\/alpha.westernston.com\/?page_id=1225"},"modified":"2020-06-23T04:53:59","modified_gmt":"2020-06-23T08:53:59","slug":"complimentary-consultation-step-1","status":"publish","type":"page","link":"https:\/\/alpha.westernston.com\/complimentary-consultation-step-1\/","title":{"rendered":"Complimentary Consultation: Step 1"},"content":{"rendered":"<div id=\"dslc-theme-content\"><div id=\"dslc-theme-content-inner\"><style type=\"text\/css\">#ipt_fsqm_form_wrap_21 .ipt_fsqm_form_logo img,\n\t#ipt_fsqm_form_wrap_21 .ipt-eform-width-restrain,\n\t#ipt_fsqm_form_wrap_21 .ipt_fsqm_form_message_restore,\n\t#ipt_fsqm_form_wrap_21 .ipt_fsqm_form_message_success,\n\t#ipt_fsqm_form_wrap_21 .ipt_fsqm_form_message_error,\n\t#ipt_fsqm_form_wrap_21 .ipt_fsqm_form_message_process,\n\t#ipt_fsqm_form_wrap_21 .ipt_fsqm_form_validation_error,\n\t#ipt_fsqm_form_wrap_21 .eform-ui-estimator {\n\t\tmax-width: 980px;\n\t\tmin-width: 240px;\n\t}\n\n\t\/**\/<\/style><div\nid=\"ipt_fsqm_form_wrap_21\" class=\"ipt_uif_front ipt_uif_common ipt_fsqm_form type_1 ui-front eform-ltr eform-override-element-boxy eform-override-alignment-inherit\" data-fsqmsayt=\"{&quot;auto_save&quot;:false,&quot;show_restore&quot;:true,&quot;restore&quot;:false,&quot;admin_override&quot;:false,&quot;user_update&quot;:false,&quot;interval_save&quot;:false,&quot;interval&quot;:&quot;30&quot;}\" data-ui-type=\"1\" data-ui-theme=\"[&quot;https:\\\/\\\/alpha.westernston.com\\\/wp-content\\\/plugins\\\/wp-fsqm-pro\\\/static\\\/front\\\/css\\\/material-themes\\\/light-themes\\\/grey.css?ver=4.11.0&quot;]\" data-ui-theme-id=\"material-grey\" data-eformanim=\"1\" data-fsqmga=\"{&quot;enabled&quot;:false,&quot;manual_load&quot;:false,&quot;tracking_id&quot;:&quot;&quot;,&quot;cookie&quot;:&quot;auto&quot;,&quot;user_update&quot;:false,&quot;name&quot;:&quot;Westernston: Initial Consultation with Lakshay Behl&quot;,&quot;form_id&quot;:&quot;21&quot;}\" data-fsqmreset=\"{&quot;reset&quot;:false,&quot;delay&quot;:10}\" data-eformreg=\"{&quot;enabled&quot;:false,&quot;username_id&quot;:&quot;ipt_fsqm_form_21_pinfo_&quot;,&quot;password_id&quot;:&quot;ipt_fsqm_form_21_pinfo_&quot;,&quot;hide_pinfo&quot;:false,&quot;hide_meta&quot;:false,&quot;meta&quot;:[]}\" data-eformscroll=\"{&quot;progress&quot;:true,&quot;message&quot;:true,&quot;offset&quot;:&quot;0&quot;}\" data-eform-cookie=\"0\" data-subscription-form=\"false\">\n<noscript><div\nclass=\"ipt_fsqm_form_message_noscript ui-widget ui-widget-content ui-corner-all\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3>Javascript is disabled<\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-bottom\"><p>Javascript is disabled on your browser. Please enable it in order to use this form.<\/p><\/div><\/div>\n<\/noscript><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt_uif_init_loader ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">Loading<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_uif_conditional_logic\" id=\"ipt_uif_conditional_logic_21\" value=\"{&quot;logics&quot;:[],&quot;indexes&quot;:[],&quot;base&quot;:&quot;21&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_timer_data\" id=\"ipt_fsqm_timer_data_21\" value=\"{&quot;type&quot;:&quot;none&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_epoc_data\" id=\"ipt_fsqm_epoc_data_21\" value=\"{&quot;CURRENTYEAR&quot;:2024,&quot;CURRENTDATE&quot;:1715650106000,&quot;CURRENTDAY&quot;:14,&quot;CURRENTMONTH&quot;:5,&quot;CURRENTHOUR&quot;:1,&quot;CURRENTMINUTE&quot;:28,&quot;CURRENTSECOND&quot;:26,&quot;CURRENTWEEK&quot;:20,&quot;CURRENTEPOC&quot;:19857}\" \/><div\nstyle=\"display: none;\" class=\"ipt_uif_hidden_init\"><form\nmethod=\"post\" action=\"\" class=\"ipt_uif_validate_form ipt_fsqm_main_form\" id=\"ipt_fsqm_form_21\" autocomplete=\"on\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"action\" id=\"action\" value=\"ipt_fsqm_save_form\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_epoc\" class=\"eform-epoc-value\" value=\"1715650106\" \/>\n<input\ntype=\"hidden\" class=\"ipt_fsqm_form_tab_pos\" name=\"fsqm_form21_tab_pos\" value=\"0\" id=\"fsqm_form21_tab_pos\" \/>\n<input\ntype=\"hidden\" id=\"ipt_fsqm_form_data_save\" name=\"ipt_fsqm_form_data_save\" value=\"df5110f647\" data-sayt-exclude \/>\t\t\t<input\ntype=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/1225\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"form_id\" value=\"21\" \/><div\nclass=\"ipt-eform-width-restrain\"><div\nclass=\"ipt-eform-content \"><div\ndata-settings=\"{&quot;can_previous&quot;:true,&quot;show_progress_bar&quot;:true,&quot;progress_bar_bottom&quot;:false,&quot;block_previous&quot;:false,&quot;any_tab&quot;:false,&quot;type&quot;:&quot;1&quot;,&quot;scroll&quot;:true,&quot;decimal_point&quot;:2,&quot;auto_progress&quot;:false,&quot;auto_progress_delay&quot;:&quot;1500&quot;,&quot;auto_submit&quot;:false,&quot;hidden_buttons&quot;:false,&quot;scroll_on_error&quot;:true}\" class=\"ipt_fsqm_main_tab ipt_uif_tabs horizontal\"><div\nclass=\"ipt-eform-tab-nav-wrap\"><ul><li\nid=\"ipt_fsqm_form_21_tab_0_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_21_tab_0\"><span\nclass=\"eform-tab-labels\">Step 1 <span\nclass=\"ipt_uif_tab_subtitle\">Tell us about yourself<\/span><\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_21_tab_1_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_21_tab_1\"><span\nclass=\"eform-tab-labels\">Your business <\/span><\/a><\/li><\/ul>\n<i\nclass=\"eform-tab-nav eform-tab-nav-right ipt-icomoon-angle-right disabled eform-ripple\"><\/i>\n<i\nclass=\"eform-tab-nav eform-tab-nav-left ipt-icomoon-angle-left disabled eform-ripple\"><\/i>\n<span\nclass=\"eform-tab-passive-notifier\"><\/span>\n<span\nclass=\"eform-tab-active-notifier\"><\/span><\/div><div\nid=\"ipt_fsqm_form_21_tab_0\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_21_layout_0_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[pinfo][0][m_type]\" id=\"ipt_fsqm_form_21_pinfo_0_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[pinfo][0][type]\" id=\"ipt_fsqm_form_21_pinfo_0_type\" value=\"f_name\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_f_name\" id=\"ipt_fsqm_form_21_pinfo_0\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[personName]] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_21[pinfo][0][value]\"\nid=\"ipt_fsqm_form_21_pinfo_0_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf007;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_pinfo_0_value\">First Name<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[pinfo][1][m_type]\" id=\"ipt_fsqm_form_21_pinfo_1_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[pinfo][1][type]\" id=\"ipt_fsqm_form_21_pinfo_1_type\" value=\"l_name\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_l_name\" id=\"ipt_fsqm_form_21_pinfo_1\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[personName]] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_21[pinfo][1][value]\"\nid=\"ipt_fsqm_form_21_pinfo_1_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf007;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_pinfo_1_value\">Last Name<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[pinfo][2][m_type]\" id=\"ipt_fsqm_form_21_pinfo_2_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[pinfo][2][type]\" id=\"ipt_fsqm_form_21_pinfo_2_type\" value=\"email\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_email\" id=\"ipt_fsqm_form_21_pinfo_2\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[email]] ipt_uif_text\"\ntype=\"email\"\nname=\"ipt_fsqm_form_21[pinfo][2][value]\"\nid=\"ipt_fsqm_form_21_pinfo_2_value\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf0e0;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_pinfo_2_value\">Email Address<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[pinfo][3][m_type]\" id=\"ipt_fsqm_form_21_pinfo_3_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[pinfo][3][type]\" id=\"ipt_fsqm_form_21_pinfo_3_type\" value=\"phone\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_phone\" id=\"ipt_fsqm_form_21_pinfo_3\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[phone]] ipt_uif_text\"\ntype=\"tel\"\nname=\"ipt_fsqm_form_21[pinfo][3][value]\"\nid=\"ipt_fsqm_form_21_pinfo_3_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe08c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_pinfo_3_value\">Phone<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[pinfo][4][m_type]\" id=\"ipt_fsqm_form_21_pinfo_4_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[pinfo][4][type]\" id=\"ipt_fsqm_form_21_pinfo_4_type\" value=\"address\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_address\" id=\"ipt_fsqm_form_21_pinfo_4\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_pinfo_4\">Address Title<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt-eform-address-line-one\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_21[pinfo][4][values][line_one]\"\nid=\"ipt_fsqm_form_21_pinfo_4_values_line_one\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-address-book ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_pinfo_4_values_line_one\">Address line one<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt-eform-address-line-two\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_21[pinfo][4][values][line_two]\"\nid=\"ipt_fsqm_form_21_pinfo_4_values_line_two\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-address-book ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_pinfo_4_values_line_two\">Address line two<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt-eform-address-line-three\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_21[pinfo][4][values][line_three]\"\nid=\"ipt_fsqm_form_21_pinfo_4_values_line_three\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-address-book ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_pinfo_4_values_line_three\">City<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt-eform-address-cpz cpz-column-third\"><div\nclass=\"ipt_uif_column ipt_uif_column_third ipt_uif_conditional ipt_uif_column_custom ipt-eform-address-country\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"ipt_uif_autocomplete  check_me validate[required] ipt_uif_text\"\ndata-autocomplete=\"[]\"\t\t\t\t\t\t\t\ttype=\"text\"\nname=\"ipt_fsqm_form_21[pinfo][4][values][country]\"\nid=\"ipt_fsqm_form_21_pinfo_4_values_country\"\nvalue=\"United States\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-flag ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_pinfo_4_values_country\">Country<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt_uif_column ipt_uif_column_third ipt_uif_conditional ipt_uif_column_custom ipt-eform-address-province\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"ipt_uif_autocomplete  check_me validate[required] ipt_uif_text\"\ndata-autocomplete=\"[]\" data-preset-country=\"united_states_of_america.json\"\t\t\t\t\t\t\t\ttype=\"text\"\nname=\"ipt_fsqm_form_21[pinfo][4][values][province]\"\nid=\"ipt_fsqm_form_21_pinfo_4_values_province\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-map-signs ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_pinfo_4_values_province\">State<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt_uif_column ipt_uif_column_third ipt_uif_conditional ipt_uif_column_custom ipt-eform-address-zip\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[zipCode]] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_21[pinfo][4][values][zip]\"\nid=\"ipt_fsqm_form_21_pinfo_4_values_zip\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-location ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_pinfo_4_values_zip\">Zip Code<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[pinfo][5][m_type]\" id=\"ipt_fsqm_form_21_pinfo_5_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[pinfo][5][type]\" id=\"ipt_fsqm_form_21_pinfo_5_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_21_pinfo_5\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_pinfo_5_value\">Date of Birth<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required] is-empty ipt_uif_text\"\ndata-dateFormat=\"yy-mm-dd\" data-timeFormat=\"HH:mm:ss\" data-year_range=\"100\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_21[pinfo][5][value]\"\nid=\"ipt_fsqm_form_21_pinfo_5_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_pinfo_5_value\">Select Date<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Clear\">&times;<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_21_tab_1\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_21_layout_1_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[mcq][0][m_type]\" id=\"ipt_fsqm_form_21_mcq_0_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[mcq][0][type]\" id=\"ipt_fsqm_form_21_mcq_0_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_uif_qtooltip ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_21_mcq_0\" title=\"Use averge of three years\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_mcq_0\">Annual Revenue<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_21_mcq_0\">Gross sales excluding service tax, VAT etc.<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][0][options][]\"\nid=\"ipt_fsqm_form_21_mcq_0_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_0_options__0\" data-labelcon=\"&#xe18e;\">\nLess than $100,000\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][0][options][]\"\nid=\"ipt_fsqm_form_21_mcq_0_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_0_options__1\" data-labelcon=\"&#xe18e;\">\nBetween $100,000 and $500,000\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][0][options][]\"\nid=\"ipt_fsqm_form_21_mcq_0_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_0_options__2\" data-labelcon=\"&#xe18e;\">\nBetween $500,000 and $2,500,0000\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][0][options][]\"\nid=\"ipt_fsqm_form_21_mcq_0_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_0_options__3\" data-labelcon=\"&#xe18e;\">\nBetween $2.5 million and $10 million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][0][options][]\"\nid=\"ipt_fsqm_form_21_mcq_0_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_0_options__4\" data-labelcon=\"&#xe18e;\">\nBetween $10 million and $25 million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][0][options][]\"\nid=\"ipt_fsqm_form_21_mcq_0_options__5\"\nvalue=\"5\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_0_options__5\" data-labelcon=\"&#xe18e;\">\nBetween $25 million and $60 million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][0][options][]\"\nid=\"ipt_fsqm_form_21_mcq_0_options__6\"\nvalue=\"6\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_0_options__6\" data-labelcon=\"&#xe18e;\">\nOver $60 million\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[mcq][1][m_type]\" id=\"ipt_fsqm_form_21_mcq_1_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[mcq][1][type]\" id=\"ipt_fsqm_form_21_mcq_1_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_uif_qtooltip ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_21_mcq_1\" title=\"Use averge of three years\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_mcq_1\">Annual Cashflow (or EBITDA)<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][1][options][]\"\nid=\"ipt_fsqm_form_21_mcq_1_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_1_options__0\" data-labelcon=\"&#xe18e;\">\nLess than $100,000\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][1][options][]\"\nid=\"ipt_fsqm_form_21_mcq_1_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_1_options__1\" data-labelcon=\"&#xe18e;\">\nBetween $100,000 and $500,000\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][1][options][]\"\nid=\"ipt_fsqm_form_21_mcq_1_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_1_options__2\" data-labelcon=\"&#xe18e;\">\nBetween $500,000 and $2,500,0000\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][1][options][]\"\nid=\"ipt_fsqm_form_21_mcq_1_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_1_options__3\" data-labelcon=\"&#xe18e;\">\nBetween $2.5 million and $10 million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][1][options][]\"\nid=\"ipt_fsqm_form_21_mcq_1_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_1_options__4\" data-labelcon=\"&#xe18e;\">\nBetween $10 million and $25 million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][1][options][]\"\nid=\"ipt_fsqm_form_21_mcq_1_options__6\"\nvalue=\"6\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_1_options__6\" data-labelcon=\"&#xe18e;\">\nOver $25 million\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[mcq][2][m_type]\" id=\"ipt_fsqm_form_21_mcq_2_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[mcq][2][type]\" id=\"ipt_fsqm_form_21_mcq_2_type\" value=\"grading\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_uif_qtooltip ipt_fsqm_container_grading\" id=\"ipt_fsqm_form_21_mcq_2\" title=\"Please include yourself in the management count. No overlap.\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_mcq_2\">Number of employees<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_21_mcq_2\">Broken down by those in management positions and those who are not<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_fancy_container\"><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_mcq_2\">Managers<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_empty_box ipt_uif_slider_box\">\n<input\ndata-floats=\"1\" type=\"number\" min=\"1\" max=\"1000\" step=\"1\" data-nomin=\"\" data-show-count=\"1\" data-labels=\"{&quot;first&quot;:false,&quot;last&quot;:false,&quot;rest&quot;:false,&quot;labels&quot;:[]}\" data-prefix=\"\" data-suffix=\"\" class=\"ipt_uif_slider check_me validate[funcCall[iptUIFSliderVal]]\" data-min=\"1\" data-max=\"1000\" data-step=\"1\" name=\"ipt_fsqm_form_21[mcq][2][options][0]\" id=\"ipt_fsqm_form_21_mcq_2_options_0\" value=\"1\" data-vertical=\"\" data-height=\"300\" \/><div\nclass=\"ipt_uif_slider_count\">\n<span\nclass=\"ipt_uif_slider_count_single\">1<\/span><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_mcq_2\">Non-managers<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_empty_box ipt_uif_slider_box\">\n<input\ndata-floats=\"1\" type=\"number\" min=\"1\" max=\"1000\" step=\"1\" data-nomin=\"\" data-show-count=\"1\" data-labels=\"{&quot;first&quot;:false,&quot;last&quot;:false,&quot;rest&quot;:false,&quot;labels&quot;:[]}\" data-prefix=\"\" data-suffix=\"\" class=\"ipt_uif_slider check_me validate[funcCall[iptUIFSliderVal]]\" data-min=\"1\" data-max=\"1000\" data-step=\"1\" name=\"ipt_fsqm_form_21[mcq][2][options][1]\" id=\"ipt_fsqm_form_21_mcq_2_options_1\" value=\"1\" data-vertical=\"\" data-height=\"300\" \/><div\nclass=\"ipt_uif_slider_count\">\n<span\nclass=\"ipt_uif_slider_count_single\">1<\/span><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[mcq][4][m_type]\" id=\"ipt_fsqm_form_21_mcq_4_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[mcq][4][type]\" id=\"ipt_fsqm_form_21_mcq_4_type\" value=\"starrating\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_uif_qtooltip ipt_fsqm_container_starrating\" id=\"ipt_fsqm_form_21_mcq_4\" title=\"More stars equal high confidence.\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_mcq_4\">How high is your confidence level regarding your business in the next decade?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_fancy_container\"><div\nclass=\"eform-rating-container ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_mcq_4_options_0\">Your marketshare<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_rating ipt_uif_rating_star\"><h6 class=\"ipt_uif_rating_heading ipt_uif_rating_label_low\"><span\nclass=\"ipt_uif_span\">Very pessimistic.<\/span><\/h6>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][0]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_0_1\"\nvalue=\"1\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_0_1\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][0]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_0_2\"\nvalue=\"2\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_0_2\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][0]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_0_3\"\nvalue=\"3\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_0_3\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][0]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_0_4\"\nvalue=\"4\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_0_4\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][0]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_0_5\"\nvalue=\"5\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_0_5\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][0]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_0_6\"\nvalue=\"6\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_0_6\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][0]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_0_7\"\nvalue=\"7\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_0_7\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][0]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_0_8\"\nvalue=\"8\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_0_8\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][0]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_0_9\"\nvalue=\"9\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_0_9\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][0]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_0_10\"\nvalue=\"10\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_0_10\"><\/label><h6 class=\"ipt_uif_rating_heading ipt_uif_rating_label_high\"><span\nclass=\"ipt_uif_span\">Super confident that everything is under control.<\/span><\/h6><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"eform-rating-container ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_mcq_4_options_1\">Your approach towards new technological innovations and competition<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_rating ipt_uif_rating_star\"><h6 class=\"ipt_uif_rating_heading ipt_uif_rating_label_low\"><span\nclass=\"ipt_uif_span\">Very pessimistic.<\/span><\/h6>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][1]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_1_1\"\nvalue=\"1\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_1_1\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][1]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_1_2\"\nvalue=\"2\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_1_2\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][1]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_1_3\"\nvalue=\"3\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_1_3\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][1]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_1_4\"\nvalue=\"4\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_1_4\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][1]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_1_5\"\nvalue=\"5\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_1_5\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][1]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_1_6\"\nvalue=\"6\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_1_6\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][1]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_1_7\"\nvalue=\"7\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_1_7\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][1]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_1_8\"\nvalue=\"8\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_1_8\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][1]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_1_9\"\nvalue=\"9\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_1_9\"><\/label>\n<input\ntype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio\"\nname=\"ipt_fsqm_form_21[mcq][4][options][1]\"\nid=\"ipt_fsqm_form_21_mcq_4_options_1_10\"\nvalue=\"10\" \/>\n<label\nfor=\"ipt_fsqm_form_21_mcq_4_options_1_10\"><\/label><h6 class=\"ipt_uif_rating_heading ipt_uif_rating_label_high\"><span\nclass=\"ipt_uif_span\">Super confident that everything is under control.<\/span><\/h6><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][0][m_type]\" id=\"ipt_fsqm_form_21_freetype_0_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][0][type]\" id=\"ipt_fsqm_form_21_freetype_0_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_21_freetype_0\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_freetype_0_value\">Name of your business<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_21[freetype][0][value]\"\nid=\"ipt_fsqm_form_21_freetype_0_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_freetype_0_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][1][m_type]\" id=\"ipt_fsqm_form_21_freetype_1_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][1][type]\" id=\"ipt_fsqm_form_21_freetype_1_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_uif_qtooltip ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_21_freetype_1\" title=\"What do you do? How do you do it? What makes you unique?\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_freetype_1_value\">Briefly explain your business model<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_21_freetype_1_value\">If you have multiple diversification zones, please speak to the largest one(s).<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me validate[required]\"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_21[freetype][1][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_21_freetype_1_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_freetype_1_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][2][m_type]\" id=\"ipt_fsqm_form_21_freetype_2_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][2][type]\" id=\"ipt_fsqm_form_21_freetype_2_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_21_freetype_2\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_freetype_2_value\">Country of operation<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_21_freetype_2_value\">Mention as many as you like<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me validate[required]\"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_21[freetype][2][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_21_freetype_2_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_freetype_2_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][3][m_type]\" id=\"ipt_fsqm_form_21_freetype_3_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][3][type]\" id=\"ipt_fsqm_form_21_freetype_3_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_uif_qtooltip ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_21_freetype_3\" title=\"Please note that your application will be accepted or rejected based on this questionnaire.\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_freetype_3_value\">What are your top three challenges right now?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_21_freetype_3_value\">Please explain in some detail.<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me validate[required]\"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_21[freetype][3][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_21_freetype_3_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_freetype_3_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][4][m_type]\" id=\"ipt_fsqm_form_21_freetype_4_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][4][type]\" id=\"ipt_fsqm_form_21_freetype_4_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_21_freetype_4\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_freetype_4_value\">What year was your business incorporated in?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[integer],min[1800],max[2021]] ipt_uif_text\"\nmin=\"1800\" max=\"2021\" step=\"any\"\t\t\t\ttype=\"number\"\nname=\"ipt_fsqm_form_21[freetype][4][value]\"\nid=\"ipt_fsqm_form_21_freetype_4_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_freetype_4_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[mcq][5][m_type]\" id=\"ipt_fsqm_form_21_mcq_5_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[mcq][5][type]\" id=\"ipt_fsqm_form_21_mcq_5_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_21_mcq_5\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_mcq_5\">How long have you personally managed this business?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_conditional_input\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][5][options][]\"\nid=\"ipt_fsqm_form_21_mcq_5_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_5_options__0\" data-labelcon=\"&#xe18e;\">\nI founded the business.\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][5][options][]\"\nid=\"ipt_fsqm_form_21_mcq_5_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_5_options__1\" data-labelcon=\"&#xe18e;\">\nI inherited or bought this business and started managing it myself prior to 2010\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][5][options][]\"\nid=\"ipt_fsqm_form_21_mcq_5_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_5_options__2\" data-labelcon=\"&#xe18e;\">\nI inherited or bought this business and started managing it myself in or after 2010\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-condid=\"ipt_fsqm_form_21_mcq_5_others_wrap\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_21[mcq][5][options][]\"\nid=\"ipt_fsqm_form_21_mcq_5_options__others\"\nvalue=\"others\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_21_mcq_5_options__others\" data-labelcon=\"&#xe18e;\">\nSomething else I'll explain\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_box ipt_uif_question_others\" id=\"ipt_fsqm_form_21_mcq_5_others_wrap\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_21[mcq][5][others]\"\nid=\"ipt_fsqm_form_21_mcq_5_others\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-pen ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_mcq_5_others\">Write here<\/label><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][5][m_type]\" id=\"ipt_fsqm_form_21_freetype_5_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][5][type]\" id=\"ipt_fsqm_form_21_freetype_5_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_21_freetype_5\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_21_freetype_5_value\">What do you hope to gain out this consultation call?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_21_freetype_5_value\">Please explain in some detail.<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me validate[required]\"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_21[freetype][5][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_21_freetype_5_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_21_freetype_5_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][6][m_type]\" id=\"ipt_fsqm_form_21_freetype_6_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_21[freetype][6][type]\" id=\"ipt_fsqm_form_21_freetype_6_type\" value=\"signature\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_jsignature\" id=\"ipt_fsqm_form_21_freetype_6\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_container ipt_uif_iconbox\" data-opened=\"1\"><div\nclass=\"ipt_uif_container_head\"><h3>\t\t\t\t\t\t<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe055;\"><\/i>\n<span\nclass=\"ipt_uif_container_label\">I understand that I may or may not be offered a complimentary consultation call based on my response to this questionnaire. I also accept that I will be asked to place a refundable deposit $199 which will only become non-refundable in case of non-cancellation and no-show. Finally, I understand that this call, or any association with Westernston does not implicitly or explicitly guarantee any success, increase in revenues, cashflow, number of leads, customers, clients and so on. I undertake that Westernston (along with any and all of its employees, subsidiaries, associates and JV partners) have not made any guarantees of any kind to me or my organization.<\/span><\/h3><\/div><div\nclass=\"ipt_uif_container_inner\"><div\nclass=\"ipt_uif_jsignature\">\n<input\ntype=\"text\" style=\"height: 0; width: 0; padding: 0; margin: 0; opacity: 0;\" class=\"ipt_uif_jsignature_input check_me validate[required,funcCall[iptUIFSigVal]]\" name=\"ipt_fsqm_form_21[freetype][6][value]\" id=\"ipt_fsqm_form_21_freetype_6_value\" value=\"\"><div\nclass=\"ipt_uif_jsignature_pad ui-state-active\" style=\"color: #212121;\"><\/div><div\nclass=\" ipt-eform-material-button-container\"><div\nclass=\"eform-button-container-inner\">\n<button\ntype=\"button\" title=\"Undo Last Stroke\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_uif_jsignature_undo ipt_uif_tooltip small primary-button\"> <i\nclass=\"ipticm ipt-icomoon-undo2\"><\/i><\/button>\n<button\ntype=\"button\" title=\"Reset\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_uif_jsignature_reset ipt_uif_tooltip small ipt-ui-button\"> <i\nclass=\"ipticm ipt-icomoon-times\"><\/i><\/button><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear\"><\/div><div\nid=\"ipt_fsqm_form_21_button_container\" class=\"ipt_fsqm_form_button_container ipt_fsqm_form_button_container--classic ipt-eform-material-button-container\"><div\nclass=\"eform-button-container-inner\">\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_prev medium primary-button\" name=\"ipt_fsqm_form_21_button_prev\" id=\"ipt_fsqm_form_21_button_prev\"> Previous<\/button>\n<button\ntype=\"submit\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_submit medium primary-button\" name=\"ipt_fsqm_form_21_button_submit\" id=\"ipt_fsqm_form_21_button_submit\"> Submit<\/button>\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_next medium primary-button\" name=\"ipt_fsqm_form_21_button_next\" id=\"ipt_fsqm_form_21_button_next\"> Next<\/button><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/form><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_success ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3><i\ntitle=\"\" class=\" ipt-icomoon-checkmark-circle ipticm prefix\"><\/i>\nYour response has been submitted<\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-all ipt_fsqm_success_wrap\"><p>Thank you %NAME% for applying to have the initial consultation call with Lakshay Behl.<br\n\/>\nWe have received your request, and will be processing it within the next 3 business days. We will let you know about the confirmation status via email within three business days.<\/p><p>In case you do not receive a response from us in three business days, please contact us by using the contact form on the website.<\/p><p>Thank you<br\n\/>\nTeam Westernston<\/p><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3><i\ntitle=\"\" class=\" ipt-icomoon-laptop ipticm prefix\"><\/i>\nServer Side Error<\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p>We faced problems while connecting to the server or receiving data from the server. Please wait for a few seconds and try again.<\/p><p>If the problem persists, then check your internet connectivity. If all other sites open fine, then please contact the administrator of this website with the following information.<\/p><p\nclass=\"jqXHR\">\n<strong>TextStatus: <\/strong><span\nclass=\"textStatus\">undefined<\/span><br\n\/>\n<strong>HTTP Error: <\/strong><span\nclass=\"errorThrown\">undefined<\/span><\/p><\/div><\/div><div\nstyle=\"display: none\" class=\"ipt_uif_widget_box ipt_fsqm_form_message_process\"><div\nclass=\"ui-widget ui-widget-header ui-corner-all\"><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">Submitting your information<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_validation_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3><i\ntitle=\"\" class=\" ipt-icomoon-warning2 ipticm prefix\"><\/i>\n<span\nclass=\"fsqm_ve_text\">Error<\/span><\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p\nclass=\"fsqm_ve_msg\">Some error has occured.<\/p><\/div><\/div><\/div>\n<input type=hidden name=ihc_payment_gateway value=stripe \/><form action=\"\" method=\"post1\" class=\"ihc-stripe-form-payment\"><input type=\"hidden\" name=\"uid\" value=\"\" \/><input type=\"hidden\" name=\"lid\" id=\"ihc_lid_stripe\" value=\"\" \/><\/form><script src=\"https:\/\/checkout.stripe.com\/checkout.js\"><\/script>\n\t\t\t<script>\n\t\t\t\tvar handler = StripeCheckout.configure({\n\t\t\t\t\tkey: \"\",\n\t\t\t\t\tlocale: \"auto\",\n\t\t\t\t\ttoken: function(response) {\n\t\t\t\t\t\tvar input = jQuery(\"<input type=hidden name=stripeToken id=stripeToken \/>\").val(response.id);\n\t\t\t\t\t\tvar email = jQuery(\"<input type=hidden name=stripeEmail id=stripeEmail \/>\").val(response.email);\n\t\t\t\t\t\tjQuery(\".ihc-stripe-form-payment\").append(input);\n\t\t\t\t\t\tjQuery(\".ihc-stripe-form-payment\").append(email);\n\t\t\t\t\t\tjQuery(\".ihc-stripe-form-payment\").submit();\n\t\t\t\t\t}\n\t\t\t\t});\n\t\t\t\t\n\t\t\t\tfunction ihc_stripe_payment(l_name, l_amount, lid){\n\t\t\t\t\tvar l_amount = l_amount * 100;\n\t\t\t\t\tif (l_amount<50){\n\t\t\t\t\t\tl_amount = 50;\n\t\t\t\t\t}\n\t\t\t\t\t\n\t\t\t\t\tjQuery(\"#ihc_lid_stripe\").val(lid);\n\t\t\t\t\tif (jQuery(\"#ihc_coupon\").val()){\n\t\t\t\t\t\t\/\/with coupon\n\t\t\t\t\t\tjQuery.ajax({\n\t\t\t\t\t\t\t\t\ttype : \"post\",\n\t\t\t\t\t\t\t\t\turl : \"https:\/\/alpha.westernston.com\/wp-content\/plugins\/indeed-membership-pro\/public\/custom-ajax.php\",\n\t\t\t\t\t\t\t\t\tdata : {\n\t\t\t\t\t\t\t\t\t\t    ihc_coupon: jQuery(\"#ihc_coupon\").val(),\n\t\t\t\t\t\t\t\t\t\t    l_id: lid,\n\t\t\t\t\t\t\t\t\t\t    initial_price: l_amount,\n\t\t\t\t\t\t\t\t\t},\n\t\t\t\t\t\t\t\t\tsuccess: function (data) {\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\tif (data!=0){\n\t\t\t\t\t\t\t\t\t\t\tvar obj = jQuery.parseJSON(data);\n\t\t\t\t\t\t\t\t\t\t\tif (typeof obj.price!=\"undefined\"){\n\t\t\t\t\t\t\t\t\t\t\t\tjQuery(\".ihc-stripe-form-payment\").append(\"<input type=hidden value=\" + jQuery(\"#ihc_coupon\").val() + \" name=ihc_coupon \/>\");\n\t\t\t\t\t\t\t\t\t\t\t\tif (obj.price==0){\n\t\t\t\t\t\t\t\t   \t \t\t\t\tjQuery(\".ihc-stripe-form-payment\").append(\"<input type=hidden name=stripeToken value=stripe \/>\");\n\t\t\t\t\t\t\t\t   \t \t\t\t\tjQuery(\".ihc-stripe-form-payment\").append(\"<input type=hidden name=stripeEmail value=stripe \/>\");\n\t\t\t\t\t\t\t\t   \t \t\t\t\tjQuery(\".ihc-stripe-form-payment\").submit();\n\t\t\t\t\t\t\t\t   \t \t\t\t\treturn;\n\t\t\t\t\t\t\t\t   \t \t\t\t} else if (obj.price<50){\n\t\t\t\t\t\t\t\t   \t \t\t\t\tobj.price = 50;\n\t\t\t\t\t\t\t\t   \t \t\t\t}\n\t\t\t\t\t\t\t\t\t\t\t\tvar l_amount = obj.price;\n\t\t\t\t\t\t\t\t\t\t\t\t\/\/\/\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\tjQuery.ajax({\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\ttype: \"post\",\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\turl: decodeURI(window.ihc_site_url)+\"\/wp-admin\/admin-ajax.php\",\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\tdata: {\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\t\t\taction: \"ihc_get_amount_plus_taxes_by_uid\",\n\t\t\t\t\t\t\t\t\t\t\t\t\t               \t\tuid: \"\",\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t               \t\tprice: l_amount,\t\t\t\t\t\t\t\t   \t \t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\t},\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\tsuccess: function(data){\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\t\t\tif (data){\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\t\t\t\tvar l_amount = data;\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\t\t\t} \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\thandler.open({\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tname: l_name,\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdescription: l_name,\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tamount: l_amount,\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tcurrency: \"\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t});\t\t\t\t\t\t\t   \t \t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\t}\n\t\t\t\t\t\t\t\t\t\t\t\t\t});\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\/\/\/\n\t\t\t\t\t\t\t\t\t\t\t}\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t} \n\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t});\t\t\t\t\t\t\n\t\t\t\t\t} else {\n\t\t\t\t\t\t\/\/without coupon\n\t\t\t\t\t\tjQuery.ajax({\n\t\t\t\t\t\t\t\t\ttype: \"post\",\n\t\t\t\t\t\t\t\t\turl: decodeURI(window.ihc_site_url)+\"\/wp-admin\/admin-ajax.php\",\n\t\t\t\t\t\t   \t \t\tdata: {\n\t\t\t\t\t\t   \t \t\t\t\taction: \"ihc_get_amount_plus_taxes_by_uid\",\n\t\t\t\t\t\t               \t\tuid: \"\",\t\n\t\t\t\t\t\t               \t\tprice: l_amount,\t\t\t\t\t\t\t\t   \t \t\t\t\t\t\n\t\t\t\t\t\t   \t \t\t},\n\t\t\t\t\t\t  \t \t\tsuccess: function(data){\n\t\t\t\t\t\t  \t \t\t\t\tif (data){\n\t\t\t\t\t\t   \t \t\t\t\t\tvar l_amount = data;\n\t\t\t\t\t\t   \t \t\t\t\t} \n\t\t\t\t\t\t\t\t\t\t\tjQuery(\"#ihc_lid_stripe\").val(lid);\n\t\t\t\t\t\t\t\t\t\t\t\thandler.open({\n\t\t\t\t\t\t\t\t\t\t\t\tname: l_name,\n\t\t\t\t\t\t\t\t\t\t\t\tdescription: l_name,\n\t\t\t\t\t\t\t\t\t\t\t\tamount: l_amount,\n\t\t\t\t\t\t\t\t\t\t\t\tcurrency: \"\"\n\t\t\t\t\t\t\t\t\t\t\t});\t\t\t\t\t\t\t   \t \t\t\t\t\t\n\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t});\t\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t<\/script><\/div><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/pages\/1225"}],"collection":[{"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/comments?post=1225"}],"version-history":[{"count":0,"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/pages\/1225\/revisions"}],"wp:attachment":[{"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/media?parent=1225"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}