{"id":7428,"date":"2024-10-25T20:28:42","date_gmt":"2024-10-25T17:28:42","guid":{"rendered":"https:\/\/amariatek.com\/?page_id=7428"},"modified":"2024-10-25T20:28:42","modified_gmt":"2024-10-25T17:28:42","slug":"individual","status":"publish","type":"page","link":"https:\/\/amariatek.com\/individual\/","title":{"rendered":"Individual"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7428\" class=\"elementor elementor-7428\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fbab5bb e-flex e-con-boxed e-con e-parent\" data-id=\"fbab5bb\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e5191c7 elementor-widget elementor-widget-jet-form-builder-form\" data-id=\"e5191c7\" data-element_type=\"widget\" data-widget_type=\"jet-form-builder-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<link rel='stylesheet' id='wp-block-library-css' href='https:\/\/amariatek.com\/wp-includes\/css\/dist\/block-library\/style.min.css?ver=6.8.1' type='text\/css' media=\"print\" onload=\"this.media='all'\" \/>\n<style id=\"jet-form-builder-7921-inline-css\"><\/style><form  class=\"jet-form-builder layout-column submit-type-reload\" action=\"https:\/\/amariatek.com\/wp-json\/wp\/v2\/pages\/7428\/?5AcGk8=a01gG30xFB&amp;method=reload\" method=\"POST\" data-form-id=\"7921\" data-layout=\"column\" enctype=\"multipart\/form-data\" novalidate=\"null\"><input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"03747637c3\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/7428\" \/>\r\n<input type=\"hidden\" name=\"_jfb_current_render_states[]\" value=\"DEFAULT.STATE\" data-jfb-sync \/><input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_booking_form_id\" data-field-name=\"_jet_engine_booking_form_id\" value=\"7921\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_refer\" data-field-name=\"_jet_engine_refer\" value=\"https:\/\/amariatek.com\/wp-json\/wp\/v2\/pages\/7428\/\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"__queried_post_id\" data-field-name=\"__queried_post_id\" value=\"7428\">\n<div class=\"jet-form-builder-page \" data-page=\"1\" data-page-offset=\"75\">\n<div class=\"jet-form-builder-progress-pages jfb-progress-type--default\" data-type=\"default\">\t<div class=\"jet-form-builder-progress-pages__item--wrapper active-page\" data-page=\"1\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">1<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"2\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">2<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"3\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">3<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Last Page<\/div>\n\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Individual (for myself)<\/h2>\n\n\n\n<p>Step into your greatness and Unleash Your Full Potential<\/p>\n\n\n<div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Which area do you need help with<br> <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"indi-q1\" value=\"personal_q0\" data-field-name=\"indi-q1\" data-calculate=\"Personal\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Personal<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"indi-q1\" value=\"career_q0\" data-field-name=\"indi-q1\" data-calculate=\"Career\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Career<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"indi-q1\" value=\"business_q0\" data-field-name=\"indi-q1\" data-calculate=\"Business\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Business<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;personal_q0&quot;,&quot;field&quot;:&quot;indi-q1&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">What led you to seek help today? (Please select all that apply)<br> <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"I am grieving \" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"I am grieving \"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I am grieving <\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"I am heart broken.\" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"I am heart broken.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I am heart broken.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"I often feel depressed\" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"I often feel depressed\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I often feel depressed<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"I feel stuck and confused with my life\" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"I feel stuck and confused with my life\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I feel stuck and confused with my life<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"I frequently feel anxious or overwhelmed \" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"I frequently feel anxious or overwhelmed \"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I frequently feel anxious or overwhelmed <\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"I&#039;m unable to move past painful experiences.\" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"I&#039;m unable to move past painful experiences.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I'm unable to move past painful experiences.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"Family conflicts are wearing me down.\" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"Family conflicts are wearing me down.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Family conflicts are wearing me down.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"Forgiving others or myself is hard for me.\" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"Forgiving others or myself is hard for me.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Forgiving others or myself is hard for me.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"Confidence is something I struggle with.\" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"Confidence is something I struggle with.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Confidence is something I struggle with.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"I find myself struggling with my weight.\" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"I find myself struggling with my weight.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I find myself struggling with my weight.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"I am struggling with an addiction \" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"I am struggling with an addiction \"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I am struggling with an addiction <\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"Financial challenges are a concern for me.\" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"Financial challenges are a concern for me.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Financial challenges are a concern for me.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"Procrastination is holding me back.\" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"Procrastination is holding me back.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Procrastination is holding me back.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"I&#039;m not really sure what I&#039;m struggling with.\" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"I&#039;m not really sure what I&#039;m struggling with.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I'm not really sure what I'm struggling with.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q1-indi-q2[]\" value=\"I want to improve myself but i dont know where to start \u25cf\tOther \" data-field-name=\"pers-q1-indi-q2\" data-calculate=\"I want to improve myself but i dont know where to start \u25cf\tOther \"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to improve myself but i dont know where to start \u25cf\tOther <\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><button type=\"button\" class=\"add-custom-option\">+ Other<template><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><label class=\"jet-form-builder__field-label for-checkbox\"><input type=\"checkbox\" checked=\"checked\" data-field-name=\"pers-q1-indi-q2\" data-custom=\"1\" class=\"jet-form-builder__field checkboxes-field checkradio-field\" value=\"\"><span><input type=\"text\" name=\"pers-q1-indi-q2[]\" data-field-name=\"pers-q1-indi-q2\" class=\"jet-form-builder__field text-field\"><\/span><label><\/div><\/template><\/button><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">What are your primary goals for engaging in coaching? (Select all that apply) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q2-indi-q2[]\" value=\"Healing and forgiving my inner child\" data-field-name=\"pers-q2-indi-q2\" data-calculate=\"Healing and forgiving my inner child\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Healing and forgiving my inner child<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q2-indi-q2[]\" value=\"Overcoming addictions\" data-field-name=\"pers-q2-indi-q2\" data-calculate=\"Overcoming addictions\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Overcoming addictions<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q2-indi-q2[]\" value=\"Losing weight\" data-field-name=\"pers-q2-indi-q2\" data-calculate=\"Mastering my emotions\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Losing weight<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q2-indi-q2[]\" value=\"Building confidence\" data-field-name=\"pers-q2-indi-q2\" data-calculate=\"Building confidence\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Building confidence<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q2-indi-q2[]\" value=\"Improving relationships\" data-field-name=\"pers-q2-indi-q2\" data-calculate=\"Improving relationships\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Improving relationships<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q2-indi-q2[]\" value=\"Finding happiness\" data-field-name=\"pers-q2-indi-q2\" data-calculate=\"Finding happiness\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Finding happiness<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q2-indi-q2[]\" value=\"Discovering purpose and meaning\" data-field-name=\"pers-q2-indi-q2\" data-calculate=\"Discovering purpose and meaning\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Discovering purpose and meaning<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q2-indi-q2[]\" value=\"Addressing a specific challenge\" data-field-name=\"pers-q2-indi-q2\" data-calculate=\"Addressing a specific challenge\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Addressing a specific challenge<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q2-indi-q2[]\" value=\"Overcoming procrastination\" data-field-name=\"pers-q2-indi-q2\" data-calculate=\"Overcoming procrastination\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Overcoming procrastination<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><button type=\"button\" class=\"add-custom-option\">+ Add New<template><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><label class=\"jet-form-builder__field-label for-checkbox\"><input type=\"checkbox\" checked=\"checked\" data-field-name=\"pers-q2-indi-q2\" data-custom=\"1\" class=\"jet-form-builder__field checkboxes-field checkradio-field\" value=\"\"><span><input type=\"text\" name=\"pers-q2-indi-q2[]\" data-field-name=\"pers-q2-indi-q2\" class=\"jet-form-builder__field text-field\"><\/span><label><\/div><\/template><\/button><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">What are your expectations from your Helper? (Select all that apply) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q3-indi-q2[]\" value=\"Listen and support me\" data-field-name=\"pers-q3-indi-q2\" data-calculate=\"Listen and support me\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Listen and support me<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q3-indi-q2[]\" value=\"Explore my past experiences\" data-field-name=\"pers-q3-indi-q2\" data-calculate=\"Explore my past experiences\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Explore my past experiences<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q3-indi-q2[]\" value=\"Teach me new skills\" data-field-name=\"pers-q3-indi-q2\" data-calculate=\"Teach me new skills\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Teach me new skills<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q3-indi-q2[]\" value=\"Guide me to set and achieve goals\" data-field-name=\"pers-q3-indi-q2\" data-calculate=\"Guide me to set and achieve goals\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Guide me to set and achieve goals<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q3-indi-q2[]\" value=\"I don\u2019t know yet\" data-field-name=\"pers-q3-indi-q2\" data-calculate=\"I don\u2019t know yet\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I don\u2019t know yet<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><button type=\"button\" class=\"add-custom-option\">+ Add New<template><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><label class=\"jet-form-builder__field-label for-checkbox\"><input type=\"checkbox\" checked=\"checked\" data-field-name=\"pers-q3-indi-q2\" data-custom=\"1\" class=\"jet-form-builder__field checkboxes-field checkradio-field\" value=\"\"><span><input type=\"text\" name=\"pers-q3-indi-q2[]\" data-field-name=\"pers-q3-indi-q2\" class=\"jet-form-builder__field text-field\"><\/span><label><\/div><\/template><\/button><\/div><\/div><div class=\"jet-form-builder__desc\"><small> <\/small><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">How do you prefer to communicate with your helper? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q4-indi-q2[]\" value=\"Mostly via Physical sessions\" data-field-name=\"pers-q4-indi-q2\" data-calculate=\"Mostly via Physical sessions\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Mostly via Physical sessions<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q4-indi-q2[]\" value=\"Mostly via online sessions\" data-field-name=\"pers-q4-indi-q2\" data-calculate=\"Mostly via online sessions\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Mostly via online sessions<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q4-indi-q2[]\" value=\"Both physical and online sessions\" data-field-name=\"pers-q4-indi-q2\" data-calculate=\"Both physical and online sessions\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Both physical and online sessions<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q4-indi-q2[]\" value=\"Not sure yet (decide later)\" data-field-name=\"pers-q4-indi-q2\" data-calculate=\"Not sure yet (decide later)\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Not sure yet (decide later)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><button type=\"button\" class=\"add-custom-option\">+ Add New<template><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><label class=\"jet-form-builder__field-label for-checkbox\"><input type=\"checkbox\" checked=\"checked\" data-field-name=\"pers-q4-indi-q2\" data-custom=\"1\" class=\"jet-form-builder__field checkboxes-field checkradio-field\" value=\"\"><span><input type=\"text\" name=\"pers-q4-indi-q2[]\" data-field-name=\"pers-q4-indi-q2\" class=\"jet-form-builder__field text-field\"><\/span><label><\/div><\/template><\/button><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">How Did You Hear About Us? (Select all that apply) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q5-indi-q2[]\" value=\"Facebook\" data-field-name=\"pers-q5-indi-q2\" data-calculate=\"Instagram\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Online Search<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q5-indi-q2[]\" value=\"LinkedIn\" data-field-name=\"pers-q5-indi-q2\" data-calculate=\"YouTube\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Twitter<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q5-indi-q2[]\" value=\"TikTok\" data-field-name=\"pers-q5-indi-q2\" data-calculate=\"TikTok\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>TikTok<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q5-indi-q2[]\" value=\"Referral\" data-field-name=\"pers-q5-indi-q2\" data-calculate=\"Referral\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Referral<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q5-indi-q2[]\" value=\"Article\" data-field-name=\"pers-q5-indi-q2\" data-calculate=\"Article\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Article<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"pers-q5-indi-q2[]\" value=\"Newspaper\" data-field-name=\"pers-q5-indi-q2\" data-calculate=\"Newspaper\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Newspaper<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><button type=\"button\" class=\"add-custom-option\">+ Add New<template><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><label class=\"jet-form-builder__field-label for-checkbox\"><input type=\"checkbox\" checked=\"checked\" data-field-name=\"pers-q5-indi-q2\" data-custom=\"1\" class=\"jet-form-builder__field checkboxes-field checkradio-field\" value=\"\"><span><input type=\"text\" name=\"pers-q5-indi-q2[]\" data-field-name=\"pers-q5-indi-q2\" class=\"jet-form-builder__field text-field\"><\/span><label><\/div><\/template><\/button><\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;career_q0&quot;,&quot;field&quot;:&quot;indi-q1&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">What led you to seek help today? (Please select all that apply) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q1-indi-q2[]\" value=\"I procrastinate a lot.\" data-field-name=\"caree-q1-indi-q2\" data-calculate=\"I procrastinate a lot.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I procrastinate a lot.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q1-indi-q2[]\" value=\"I feel tired and overwhelmed.\" data-field-name=\"caree-q1-indi-q2\" data-calculate=\"I feel tired and overwhelmed.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I feel tired and overwhelmed.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q1-indi-q2[]\" value=\"I am feeling anxious.\" data-field-name=\"caree-q1-indi-q2\" data-calculate=\"I am feeling anxious.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I am feeling anxious.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q1-indi-q2[]\" value=\"I am not happy at work.\" data-field-name=\"caree-q1-indi-q2\" data-calculate=\"I am not happy at work.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I am not happy at work.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q1-indi-q2[]\" value=\"I can\u2019t seem to find a job.\" data-field-name=\"caree-q1-indi-q2\" data-calculate=\"I can\u2019t seem to find a job.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I can\u2019t seem to find a job.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q1-indi-q2[]\" value=\"I struggle to concentrate at work.\" data-field-name=\"caree-q1-indi-q2\" data-calculate=\"I struggle to concentrate at work.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I struggle to concentrate at work.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q1-indi-q2[]\" value=\"I am struggling to meet deadlines.\" data-field-name=\"caree-q1-indi-q2\" data-calculate=\"I am struggling to meet deadlines.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I am struggling to meet deadlines.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q1-indi-q2[]\" value=\"I am confused about my career path.\" data-field-name=\"caree-q1-indi-q2\" data-calculate=\"I am confused about my career path.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I am confused about my career path.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q1-indi-q2[]\" value=\"I struggle to relate with my workmates. \" data-field-name=\"caree-q1-indi-q2\" data-calculate=\"I struggle to relate with my workmates. \"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I struggle to relate with my workmates. <\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q1-indi-q2[]\" value=\"I struggle to communicate with confidence. \" data-field-name=\"caree-q1-indi-q2\" data-calculate=\"I struggle to communicate with confidence. \"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I struggle to communicate with confidence. <\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q1-indi-q2[]\" value=\"I am struggling to find time for myself outside of work.\" data-field-name=\"caree-q1-indi-q2\" data-calculate=\"I am struggling to find time for myself outside of work.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I am struggling to find time for myself outside of work.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q1-indi-q2[]\" value=\"I have been working for some time, but I don\u2019t see any progress.\" data-field-name=\"caree-q1-indi-q2\" data-calculate=\"I have been working for some time, but I don\u2019t see any progress.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I have been working for some time, but I don\u2019t see any progress.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><button type=\"button\" class=\"add-custom-option\">+ Add New<template><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><label class=\"jet-form-builder__field-label for-checkbox\"><input type=\"checkbox\" checked=\"checked\" data-field-name=\"caree-q1-indi-q2\" data-custom=\"1\" class=\"jet-form-builder__field checkboxes-field checkradio-field\" value=\"\"><span><input type=\"text\" name=\"caree-q1-indi-q2[]\" data-field-name=\"caree-q1-indi-q2\" class=\"jet-form-builder__field text-field\"><\/span><label><\/div><\/template><\/button><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">What are your primary goals for engaging in coaching? (Select all that apply) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q2-indi-q2[]\" value=\"I want to find a job.\" data-field-name=\"caree-q2-indi-q2\" data-calculate=\"I want to find a job.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to find a job.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q2-indi-q2[]\" value=\"I want to make more money.\" data-field-name=\"caree-q2-indi-q2\" data-calculate=\"I want to make more money.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to make more money.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q2-indi-q2[]\" value=\"I want to beat procrastination.\" data-field-name=\"caree-q2-indi-q2\" data-calculate=\"I want to beat procrastination.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to beat procrastination.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q2-indi-q2[]\" value=\"I want to change my career path.\" data-field-name=\"caree-q2-indi-q2\" data-calculate=\"I want to change my career path.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to change my career path.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q2-indi-q2[]\" value=\"I want to be more productive at work.\" data-field-name=\"caree-q2-indi-q2\" data-calculate=\"I want to be more productive at work.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to be more productive at work.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q2-indi-q2[]\" value=\"I want to establish a work-life balance.\" data-field-name=\"caree-q2-indi-q2\" data-calculate=\"I want to establish a work-life balance.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to establish a work-life balance.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q2-indi-q2[]\" value=\"I want to improve my communication skills.\" data-field-name=\"caree-q2-indi-q2\" data-calculate=\"I want to improve my communication skills.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to improve my communication skills.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q2-indi-q2[]\" value=\"I want to develop leadership skills.\" data-field-name=\"caree-q2-indi-q2\" data-calculate=\"I want to develop leadership skills.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to develop leadership skills.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q2-indi-q2[]\" value=\"I want to enhance my networking abilities.\" data-field-name=\"caree-q2-indi-q2\" data-calculate=\"I want to enhance my networking abilities.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to enhance my networking abilities.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q2-indi-q2[]\" value=\"I want to improve my job interview skills.\" data-field-name=\"caree-q2-indi-q2\" data-calculate=\"I want to improve my job interview skills.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to improve my job interview skills.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q2-indi-q2[]\" value=\"I want to navigate a career transition.\" data-field-name=\"caree-q2-indi-q2\" data-calculate=\"I want to navigate a career transition.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to navigate a career transition.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q2-indi-q2[]\" value=\"I want to set and achieve my career goals.\" data-field-name=\"caree-q2-indi-q2\" data-calculate=\"I want to set and achieve my career goals.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to set and achieve my career goals.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><button type=\"button\" class=\"add-custom-option\">+ Add New<template><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><label class=\"jet-form-builder__field-label for-checkbox\"><input type=\"checkbox\" checked=\"checked\" data-field-name=\"caree-q2-indi-q2\" data-custom=\"1\" class=\"jet-form-builder__field checkboxes-field checkradio-field\" value=\"\"><span><input type=\"text\" name=\"caree-q2-indi-q2[]\" data-field-name=\"caree-q2-indi-q2\" class=\"jet-form-builder__field text-field\"><\/span><label><\/div><\/template><\/button><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">What are your expectations from your Helper? (Select all that apply) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q3-indi-q2[]\" value=\"Listen and support me\" data-field-name=\"caree-q3-indi-q2\" data-calculate=\"Listen and support me\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Listen and support me<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q3-indi-q2[]\" value=\"Explore my past experiences\" data-field-name=\"caree-q3-indi-q2\" data-calculate=\"Explore my past experiences\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Explore my past experiences<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q3-indi-q2[]\" value=\"Teach me new skills\" data-field-name=\"caree-q3-indi-q2\" data-calculate=\"Teach me new skills\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Teach me new skills<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q3-indi-q2[]\" value=\"Guide me to set and achieve goals\" data-field-name=\"caree-q3-indi-q2\" data-calculate=\"Guide me to set and achieve goals\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Guide me to set and achieve goals<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q3-indi-q2[]\" value=\"I don\u2019t know yet\" data-field-name=\"caree-q3-indi-q2\" data-calculate=\"I don\u2019t know yet\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I don\u2019t know yet<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><button type=\"button\" class=\"add-custom-option\">+ Add New<template><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><label class=\"jet-form-builder__field-label for-checkbox\"><input type=\"checkbox\" checked=\"checked\" data-field-name=\"caree-q3-indi-q2\" data-custom=\"1\" class=\"jet-form-builder__field checkboxes-field checkradio-field\" value=\"\"><span><input type=\"text\" name=\"caree-q3-indi-q2[]\" data-field-name=\"caree-q3-indi-q2\" class=\"jet-form-builder__field text-field\"><\/span><label><\/div><\/template><\/button><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">How do you prefer to communicate with your helper? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q4-indi-q2[]\" value=\"Mostly via online \" data-field-name=\"caree-q4-indi-q2\" data-calculate=\"Mostly via online \"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Mostly via online <\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q4-indi-q2[]\" value=\"Mostly via Physical sessions \" data-field-name=\"caree-q4-indi-q2\" data-calculate=\"Mostly via Physical sessions \"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Mostly via Physical sessions <\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q4-indi-q2[]\" value=\"Both physical and online sessions \" data-field-name=\"caree-q4-indi-q2\" data-calculate=\"Both physical and online sessions \"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Both physical and online sessions <\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q4-indi-q2[]\" value=\"Not sure yet (decide later)\" data-field-name=\"caree-q4-indi-q2\" data-calculate=\"Not sure yet (decide later)\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Not sure yet (decide later)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><button type=\"button\" class=\"add-custom-option\">+ Add New<template><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><label class=\"jet-form-builder__field-label for-checkbox\"><input type=\"checkbox\" checked=\"checked\" data-field-name=\"caree-q4-indi-q2\" data-custom=\"1\" class=\"jet-form-builder__field checkboxes-field checkradio-field\" value=\"\"><span><input type=\"text\" name=\"caree-q4-indi-q2[]\" data-field-name=\"caree-q4-indi-q2\" class=\"jet-form-builder__field text-field\"><\/span><label><\/div><\/template><\/button><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">How Did You Hear About Us? (Select all that apply) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q5-indi-q2[]\" value=\"Online Search\" data-field-name=\"caree-q5-indi-q2\" data-calculate=\"Online Search\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Online Search<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q5-indi-q2[]\" value=\"Facebook\" data-field-name=\"caree-q5-indi-q2\" data-calculate=\"Facebook\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Facebook<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q5-indi-q2[]\" value=\"Instagram\" data-field-name=\"caree-q5-indi-q2\" data-calculate=\"Instagram\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Instagram<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q5-indi-q2[]\" value=\"Twitter\" data-field-name=\"caree-q5-indi-q2\" data-calculate=\"Twitter\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Twitter<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q5-indi-q2[]\" value=\"LinkedIn\" data-field-name=\"caree-q5-indi-q2\" data-calculate=\"LinkedIn\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>LinkedIn<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q5-indi-q2[]\" value=\"YouTube\" data-field-name=\"caree-q5-indi-q2\" data-calculate=\"YouTube\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>YouTube<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q5-indi-q2[]\" value=\"TikTok\" data-field-name=\"caree-q5-indi-q2\" data-calculate=\"TikTok\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>TikTok<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q5-indi-q2[]\" value=\"Referral\" data-field-name=\"caree-q5-indi-q2\" data-calculate=\"Referral\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Referral<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q5-indi-q2[]\" value=\"Article\" data-field-name=\"caree-q5-indi-q2\" data-calculate=\"Article\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Article<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"caree-q5-indi-q2[]\" value=\"Newspaper\" data-field-name=\"caree-q5-indi-q2\" data-calculate=\"Newspaper\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Newspaper<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><button type=\"button\" class=\"add-custom-option\">+ Add New<template><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><label class=\"jet-form-builder__field-label for-checkbox\"><input type=\"checkbox\" checked=\"checked\" data-field-name=\"caree-q5-indi-q2\" data-custom=\"1\" class=\"jet-form-builder__field checkboxes-field checkradio-field\" value=\"\"><span><input type=\"text\" name=\"caree-q5-indi-q2[]\" data-field-name=\"caree-q5-indi-q2\" class=\"jet-form-builder__field text-field\"><\/span><label><\/div><\/template><\/button><\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;business_q0&quot;,&quot;field&quot;:&quot;indi-q1&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">What led you to seek help today? (Please select all that apply) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q1-indi-q2[]\" value=\"I do not have capital.\" data-field-name=\"busin-q1-indi-q2\" data-calculate=\"I do not have capital.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I do not have capital.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q1-indi-q2[]\" value=\"My business is not growing.\" data-field-name=\"busin-q1-indi-q2\" data-calculate=\"My business is not growing.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>My business is not growing.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q1-indi-q2[]\" value=\"My team is not supporting me.\" data-field-name=\"busin-q1-indi-q2\" data-calculate=\"My team is not supporting me.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>My team is not supporting me.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q1-indi-q2[]\" value=\"I am struggling to find clients.\" data-field-name=\"busin-q1-indi-q2\" data-calculate=\"I am struggling to find clients.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I am struggling to find clients.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q1-indi-q2[]\" value=\"I dont feel confident about my idea.\" data-field-name=\"busin-q1-indi-q2\" data-calculate=\"I dont feel confident about my idea.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I dont feel confident about my idea.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q1-indi-q2[]\" value=\"My business is making me anxious.\" data-field-name=\"busin-q1-indi-q2\" data-calculate=\"My business is making me anxious.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>My business is making me anxious.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q1-indi-q2[]\" value=\"I am facing financial management issues.\" data-field-name=\"busin-q1-indi-q2\" data-calculate=\"I am facing financial management issues.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I am facing financial management issues.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q1-indi-q2[]\" value=\"I am struggling to make important decisions.\" data-field-name=\"busin-q1-indi-q2\" data-calculate=\"I am struggling to make important decisions.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I am struggling to make important decisions.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q1-indi-q2[]\" value=\"I have difficulty managing my time effectively.\" data-field-name=\"busin-q1-indi-q2\" data-calculate=\"I have difficulty managing my time effectively.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I have difficulty managing my time effectively.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q1-indi-q2[]\" value=\"I dont know how to go about with legal requirements.\" data-field-name=\"busin-q1-indi-q2\" data-calculate=\"I dont know how to go about with legal requirements.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I dont know how to go about with legal requirements.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q1-indi-q2[]\" value=\"I am struggling with marketing and increasing visibility.\" data-field-name=\"busin-q1-indi-q2\" data-calculate=\"I am struggling with marketing and increasing visibility.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I am struggling with marketing and increasing visibility.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q1-indi-q2[]\" value=\"I feel overwhelmed by the demands of running my business.\" data-field-name=\"busin-q1-indi-q2\" data-calculate=\"I feel overwhelmed by the demands of running my business.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I feel overwhelmed by the demands of running my business.<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">What are your primary goals for engaging in coaching? (Select all that apply) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q2-indi-q2[]\" value=\"I want to raise capital\" data-field-name=\"busin-q2-indi-q2\" data-calculate=\"I want to raise capital\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to raise capital<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q2-indi-q2[]\" value=\"I want to make more sales\" data-field-name=\"busin-q2-indi-q2\" data-calculate=\"I want to make more sales\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to make more sales<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q2-indi-q2[]\" value=\"I want to scale my business.\" data-field-name=\"busin-q2-indi-q2\" data-calculate=\"I want to scale my business.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to scale my business.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q2-indi-q2[]\" value=\"I want to build a stronger team.\" data-field-name=\"busin-q2-indi-q2\" data-calculate=\"I want to build a stronger team.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to build a stronger team.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q2-indi-q2[]\" value=\"I need to improve my work-life balance.\" data-field-name=\"busin-q2-indi-q2\" data-calculate=\"I need to improve my work-life balance.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I need to improve my work-life balance.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q2-indi-q2[]\" value=\"I want to increase my business revenue.\" data-field-name=\"busin-q2-indi-q2\" data-calculate=\"I want to increase my business revenue.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to increase my business revenue.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q2-indi-q2[]\" value=\"I want to reduce stress and avoid burnout.\" data-field-name=\"busin-q2-indi-q2\" data-calculate=\"I want to reduce stress and avoid burnout.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to reduce stress and avoid burnout.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q2-indi-q2[]\" value=\"I want to manage my time more effectively.\" data-field-name=\"busin-q2-indi-q2\" data-calculate=\"I want to manage my time more effectively.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to manage my time more effectively.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q2-indi-q2[]\" value=\"I want to create effective marketing strategies.\" data-field-name=\"busin-q2-indi-q2\" data-calculate=\"I want to create effective marketing strategies.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to create effective marketing strategies.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q2-indi-q2[]\" value=\"I want to improve my financial management skills.\" data-field-name=\"busin-q2-indi-q2\" data-calculate=\"I want to improve my financial management skills.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I want to improve my financial management skills.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q2-indi-q2[]\" value=\"I need to improve my leadership and team-building skills.\" data-field-name=\"busin-q2-indi-q2\" data-calculate=\"I need to improve my leadership and team-building skills.\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I need to improve my leadership and team-building skills.<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">What are your expectations from your Helper? (Select all that apply) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q3-indi-q2[]\" value=\"Listen and support me\" data-field-name=\"busin-q3-indi-q2\" data-calculate=\"Listen and support me\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Listen and support me<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q3-indi-q2[]\" value=\"Explore my past experiences\" data-field-name=\"busin-q3-indi-q2\" data-calculate=\"Explore my past experiences\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Explore my past experiences<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q3-indi-q2[]\" value=\"Teach me new skills\" data-field-name=\"busin-q3-indi-q2\" data-calculate=\"Teach me new skills\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Teach me new skills<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q3-indi-q2[]\" value=\"Guide me to set and achieve goals\" data-field-name=\"busin-q3-indi-q2\" data-calculate=\"Guide me to set and achieve goals\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Guide me to set and achieve goals<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q3-indi-q2[]\" value=\"I don\u2019t know yet\" data-field-name=\"busin-q3-indi-q2\" data-calculate=\"I don\u2019t know yet\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I don\u2019t know yet<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><button type=\"button\" class=\"add-custom-option\">+ Add New<template><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><label class=\"jet-form-builder__field-label for-checkbox\"><input type=\"checkbox\" checked=\"checked\" data-field-name=\"busin-q3-indi-q2\" data-custom=\"1\" class=\"jet-form-builder__field checkboxes-field checkradio-field\" value=\"\"><span><input type=\"text\" name=\"busin-q3-indi-q2[]\" data-field-name=\"busin-q3-indi-q2\" class=\"jet-form-builder__field text-field\"><\/span><label><\/div><\/template><\/button><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">How do you prefer to communicate with your helper? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q4-indi-q2[]\" value=\"Mostly via Physical sessions \" data-field-name=\"busin-q4-indi-q2\" data-calculate=\"Mostly via Physical sessions \"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Mostly via Physical sessions <\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q4-indi-q2[]\" value=\"Mostly via online \" data-field-name=\"busin-q4-indi-q2\" data-calculate=\"Mostly via online \"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Mostly via online <\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q4-indi-q2[]\" value=\"Both physical and online sessions \" data-field-name=\"busin-q4-indi-q2\" data-calculate=\"Both physical and online sessions \"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Both physical and online sessions <\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q4-indi-q2[]\" value=\"Not sure yet (decide later)\" data-field-name=\"busin-q4-indi-q2\" data-calculate=\"Not sure yet (decide later)\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Not sure yet (decide later)<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">How Did You Hear About Us? (Select all that apply) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q5-indi-q2[]\" value=\"Online Search\" data-field-name=\"busin-q5-indi-q2\" data-calculate=\"Online Search\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Online Search<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q5-indi-q2[]\" value=\"Facebook\" data-field-name=\"busin-q5-indi-q2\" data-calculate=\"Facebook\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Facebook<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q5-indi-q2[]\" value=\"Instagram\" data-field-name=\"busin-q5-indi-q2\" data-calculate=\"Instagram\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Instagram<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q5-indi-q2[]\" value=\"Twitter\" data-field-name=\"busin-q5-indi-q2\" data-calculate=\"Twitter\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Twitter<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q5-indi-q2[]\" value=\"LinkedIn\" data-field-name=\"busin-q5-indi-q2\" data-calculate=\"LinkedIn\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>LinkedIn<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q5-indi-q2[]\" value=\"YouTube\" data-field-name=\"busin-q5-indi-q2\" data-calculate=\"YouTube\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>YouTube<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q5-indi-q2[]\" value=\"Referral\" data-field-name=\"busin-q5-indi-q2\" data-calculate=\"Referral\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Referral<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q5-indi-q2[]\" value=\"Article\" data-field-name=\"busin-q5-indi-q2\" data-calculate=\"Article\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Article<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"busin-q5-indi-q2[]\" value=\"Newspaper\" data-field-name=\"busin-q5-indi-q2\" data-calculate=\"Newspaper\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Newspaper<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><button type=\"button\" class=\"add-custom-option\">+ Add New<template><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap custom-option\"><label class=\"jet-form-builder__field-label for-checkbox\"><input type=\"checkbox\" checked=\"checked\" data-field-name=\"busin-q5-indi-q2\" data-custom=\"1\" class=\"jet-form-builder__field checkboxes-field checkradio-field\" value=\"\"><span><input type=\"text\" name=\"busin-q5-indi-q2[]\" data-field-name=\"busin-q5-indi-q2\" class=\"jet-form-builder__field text-field\"><\/span><label><\/div><\/template><\/button><\/div><\/div>\n<\/div>\n<\/div>\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t\t\t\t<button data-jfb-conditional=\"[{&quot;page_state&quot;:&quot;active&quot;}]\" data-jfb-func=\"disable\" class=\"jet-form-builder__next-page\" type=\"button\">Next<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"2\" data-page-offset=\"75\">\n\n\n<div class=\"jet-form-builder-progress-pages jfb-progress-type--default\" data-type=\"default\">\t<div class=\"jet-form-builder-progress-pages__item--wrapper passed-page\" data-page=\"1\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">1<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper active-page\" data-page=\"2\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">2<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"3\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">3<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Last Page<\/div>\n\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">First Name: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"your_first_name\" id=\"your_first_name\" type=\"text\" data-field-name=\"your_first_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_1W6vSbfZ\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Last Name: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"your_last_name\" id=\"your_last_name\" type=\"text\" data-field-name=\"your_last_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_49uaxKVF\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-number-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Age <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t<input type=\"number\" class=\"jet-form-builder__field text-field\" required=\"required\" min=\"18\" name=\"individual_your_age\" data-field-name=\"individual_your_age\" id=\"individual_your_age\" data-jfb-sync=\"null\">\n\t<\/div><div class=\"jet-form-builder__desc\"><small>18+<\/small><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Country <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"individual_country\" data-field-name=\"individual_country\" id=\"individual_country\" data-jfb-sync=\"null\">\n\t\t<option value=\"UG\" >Uganda<\/option><option value=\"AX\" >\u00c5land Islands<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >AndorrA<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"CV\" >Cape Verde<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo, The Democratic Republic of the<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Cote D'Ivoire<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and Mcdonald Islands<\/option><option value=\"VA\" >Holy See (Vatican City State)<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran, Islamic Republic Of<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea, Democratic People'S Republic of<\/option><option value=\"KR\" >Korea, Republic of<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People'S Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libyan Arab Jamahiriya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Macedonia, The Former Yugoslav Republic of<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia, Federated States of<\/option><option value=\"MD\" >Moldova, Republic of<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"AN\" >Netherlands Antilles<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestinian Territory, Occupied<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RE\" >Reunion<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >RWANDA<\/option><option value=\"SH\" >Saint Helena<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"CS\" >Serbia and Montenegro<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SZ\" >Swaziland<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Province of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania, United Republic of<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TR\" >Turkey<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom<\/option><option value=\"US\" >United States<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela<\/option><option value=\"VN\" >Viet Nam<\/option><option value=\"VG\" >Virgin Islands, British<\/option><option value=\"VI\" >Virgin Islands, U.S.<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option>\t<\/select>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Phone  <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"your_phone\" id=\"your_phone\" type=\"tel\" data-field-name=\"your_phone\" class=\"jet-form-builder__field text-field\" maxlength=\"15\" data-jfb-sync=\"null\" autocomplete=\"off_CLxwFR0z\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t\t\t\t<button data-jfb-conditional=\"[{&quot;page_state&quot;:&quot;active&quot;}]\" data-jfb-func=\"disable\" class=\"jet-form-builder__next-page\" type=\"button\">Next<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"3\" data-page-offset=\"75\">\n\n\n<div class=\"jet-form-builder-progress-pages jfb-progress-type--default\" data-type=\"default\">\t<div class=\"jet-form-builder-progress-pages__item--wrapper passed-page\" data-page=\"1\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">1<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper passed-page\" data-page=\"2\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">2<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper active-page\" data-page=\"3\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">3<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Last Page<\/div>\n\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Create Your Personal Account<\/strong><\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Email <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"your_email\" id=\"your_email\" type=\"email\" data-field-name=\"your_email\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_jmDbWenx\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Username <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"your_username\" id=\"your_username\" type=\"text\" data-field-name=\"your_username\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_3Edw4xFr\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Password <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap has-eye-icon\">\n\t\t\t\t<input required=\"required\" name=\"individual_password\" id=\"individual_password\" type=\"password\" data-field-name=\"individual_password\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_yW6rlNUc\">\n\t\t\t\t\t<span\n\t\t\t\t\tclass=\"jfb-eye-icon seen\"\n\t\t\t\t\trole=\"button\"\n\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\tstyle=\"\"\n\t\t\t>\n\t\t\t\t<svg class=\"seen-icon\" viewBox=\"0 0 24 24\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"24\" aria-hidden=\"true\" focusable=\"false\" fill=\"currentColor\"><path d=\"M3.99961 13C4.67043 13.3354 4.6703 13.3357 4.67017 13.3359L4.67298 13.3305C4.67621 13.3242 4.68184 13.3135 4.68988 13.2985C4.70595 13.2686 4.7316 13.2218 4.76695 13.1608C4.8377 13.0385 4.94692 12.8592 5.09541 12.6419C5.39312 12.2062 5.84436 11.624 6.45435 11.0431C7.67308 9.88241 9.49719 8.75 11.9996 8.75C14.502 8.75 16.3261 9.88241 17.5449 11.0431C18.1549 11.624 18.6061 12.2062 18.9038 12.6419C19.0523 12.8592 19.1615 13.0385 19.2323 13.1608C19.2676 13.2218 19.2933 13.2686 19.3093 13.2985C19.3174 13.3135 19.323 13.3242 19.3262 13.3305L19.3291 13.3359C19.3289 13.3357 19.3288 13.3354 19.9996 13C20.6704 12.6646 20.6703 12.6643 20.6701 12.664L20.6697 12.6632L20.6688 12.6614L20.6662 12.6563L20.6583 12.6408C20.6517 12.6282 20.6427 12.6108 20.631 12.5892C20.6078 12.5459 20.5744 12.4852 20.5306 12.4096C20.4432 12.2584 20.3141 12.0471 20.1423 11.7956C19.7994 11.2938 19.2819 10.626 18.5794 9.9569C17.1731 8.61759 14.9972 7.25 11.9996 7.25C9.00203 7.25 6.82614 8.61759 5.41987 9.9569C4.71736 10.626 4.19984 11.2938 3.85694 11.7956C3.68511 12.0471 3.55605 12.2584 3.4686 12.4096C3.42484 12.4852 3.39142 12.5459 3.36818 12.5892C3.35656 12.6108 3.34748 12.6282 3.34092 12.6408L3.33297 12.6563L3.33041 12.6614L3.32948 12.6632L3.32911 12.664C3.32894 12.6643 3.32879 12.6646 3.99961 13ZM11.9996 16C13.9326 16 15.4996 14.433 15.4996 12.5C15.4996 10.567 13.9326 9 11.9996 9C10.0666 9 8.49961 10.567 8.49961 12.5C8.49961 14.433 10.0666 16 11.9996 16Z\"><\/path><\/svg>\t\t\t\t<svg class=\"unseen-icon\" viewBox=\"0 0 24 24\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"24\" aria-hidden=\"true\" focusable=\"false\" fill=\"currentColor\"><path d=\"M4.67 10.664s-2.09 1.11-2.917 1.582l.494.87 1.608-.914.002.002c.343.502.86 1.17 1.563 1.84.348.33.742.663 1.185.976L5.57 16.744l.858.515 1.02-1.701a9.1 9.1 0 0 0 4.051 1.18V19h1v-2.263a9.1 9.1 0 0 0 4.05-1.18l1.021 1.7.858-.514-1.034-1.723c.442-.313.837-.646 1.184-.977.703-.669 1.22-1.337 1.563-1.839l.002-.003 1.61.914.493-.87c-1.75-.994-2.918-1.58-2.918-1.58l-.003.005a8.29 8.29 0 0 1-.422.689 10.097 10.097 0 0 1-1.36 1.598c-1.218 1.16-3.042 2.293-5.544 2.293-2.503 0-4.327-1.132-5.546-2.293a10.099 10.099 0 0 1-1.359-1.599 8.267 8.267 0 0 1-.422-.689l-.003-.005Z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Confirm Password: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap has-eye-icon\">\n\t\t\t\t<input required=\"required\" name=\"individual_confirm_password\" id=\"individual_confirm_password\" type=\"password\" data-field-name=\"individual_confirm_password\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_6jiZpvWq\">\n\t\t\t\t\t<span\n\t\t\t\t\tclass=\"jfb-eye-icon seen\"\n\t\t\t\t\trole=\"button\"\n\t\t\t\t\ttabindex=\"0\"\n\t\t\t\t\tstyle=\"\"\n\t\t\t>\n\t\t\t\t<svg class=\"seen-icon\" viewBox=\"0 0 24 24\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"24\" aria-hidden=\"true\" focusable=\"false\" fill=\"currentColor\"><path d=\"M3.99961 13C4.67043 13.3354 4.6703 13.3357 4.67017 13.3359L4.67298 13.3305C4.67621 13.3242 4.68184 13.3135 4.68988 13.2985C4.70595 13.2686 4.7316 13.2218 4.76695 13.1608C4.8377 13.0385 4.94692 12.8592 5.09541 12.6419C5.39312 12.2062 5.84436 11.624 6.45435 11.0431C7.67308 9.88241 9.49719 8.75 11.9996 8.75C14.502 8.75 16.3261 9.88241 17.5449 11.0431C18.1549 11.624 18.6061 12.2062 18.9038 12.6419C19.0523 12.8592 19.1615 13.0385 19.2323 13.1608C19.2676 13.2218 19.2933 13.2686 19.3093 13.2985C19.3174 13.3135 19.323 13.3242 19.3262 13.3305L19.3291 13.3359C19.3289 13.3357 19.3288 13.3354 19.9996 13C20.6704 12.6646 20.6703 12.6643 20.6701 12.664L20.6697 12.6632L20.6688 12.6614L20.6662 12.6563L20.6583 12.6408C20.6517 12.6282 20.6427 12.6108 20.631 12.5892C20.6078 12.5459 20.5744 12.4852 20.5306 12.4096C20.4432 12.2584 20.3141 12.0471 20.1423 11.7956C19.7994 11.2938 19.2819 10.626 18.5794 9.9569C17.1731 8.61759 14.9972 7.25 11.9996 7.25C9.00203 7.25 6.82614 8.61759 5.41987 9.9569C4.71736 10.626 4.19984 11.2938 3.85694 11.7956C3.68511 12.0471 3.55605 12.2584 3.4686 12.4096C3.42484 12.4852 3.39142 12.5459 3.36818 12.5892C3.35656 12.6108 3.34748 12.6282 3.34092 12.6408L3.33297 12.6563L3.33041 12.6614L3.32948 12.6632L3.32911 12.664C3.32894 12.6643 3.32879 12.6646 3.99961 13ZM11.9996 16C13.9326 16 15.4996 14.433 15.4996 12.5C15.4996 10.567 13.9326 9 11.9996 9C10.0666 9 8.49961 10.567 8.49961 12.5C8.49961 14.433 10.0666 16 11.9996 16Z\"><\/path><\/svg>\t\t\t\t<svg class=\"unseen-icon\" viewBox=\"0 0 24 24\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"24\" aria-hidden=\"true\" focusable=\"false\" fill=\"currentColor\"><path d=\"M4.67 10.664s-2.09 1.11-2.917 1.582l.494.87 1.608-.914.002.002c.343.502.86 1.17 1.563 1.84.348.33.742.663 1.185.976L5.57 16.744l.858.515 1.02-1.701a9.1 9.1 0 0 0 4.051 1.18V19h1v-2.263a9.1 9.1 0 0 0 4.05-1.18l1.021 1.7.858-.514-1.034-1.723c.442-.313.837-.646 1.184-.977.703-.669 1.22-1.337 1.563-1.839l.002-.003 1.61.914.493-.87c-1.75-.994-2.918-1.58-2.918-1.58l-.003.005a8.29 8.29 0 0 1-.422.689 10.097 10.097 0 0 1-1.36 1.598c-1.218 1.16-3.042 2.293-5.544 2.293-2.503 0-4.327-1.132-5.546-2.293a10.099 10.099 0 0 1-1.359-1.599 8.267 8.267 0 0 1-.422-.689l-.003-.005Z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div  class=\"jet-form-builder-row field-type-submit-field\" >\n\t<div data-type=\"submit\" class=\"jet-form-builder__action-button-wrapper jet-form-builder__submit-wrap\">\n\t<button class=\"jet-form-builder__action-button jet-form-builder__submit submit-type-reload\" type=\"submit\">Submit<\/button>\n\t<\/div>\n\t\n<\/div>\n\n\n<p><\/p>\n<\/div>\t<div class=\"jet-form-builder-messages-wrap\" data-form-id=\"7921\"><\/div>\n<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Individual (for myself) Step into your greatness and Unleash Your Full Potential Which area do you need help with *<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_tutorstarter_page_metadata":[],"footnotes":""},"class_list":["post-7428","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/amariatek.com\/wp-json\/wp\/v2\/pages\/7428","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/amariatek.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/amariatek.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/amariatek.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/amariatek.com\/wp-json\/wp\/v2\/comments?post=7428"}],"version-history":[{"count":25,"href":"https:\/\/amariatek.com\/wp-json\/wp\/v2\/pages\/7428\/revisions"}],"predecessor-version":[{"id":9304,"href":"https:\/\/amariatek.com\/wp-json\/wp\/v2\/pages\/7428\/revisions\/9304"}],"wp:attachment":[{"href":"https:\/\/amariatek.com\/wp-json\/wp\/v2\/media?parent=7428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}