{"id":239625,"date":"2025-05-18T16:23:18","date_gmt":"2025-05-18T20:23:18","guid":{"rendered":"https:\/\/screening.mhanational.org\/?post_type=screen&#038;p=239625"},"modified":"2026-03-23T13:08:08","modified_gmt":"2026-03-23T17:08:08","slug":"ai-mental-health-survey","status":"publish","type":"screen","link":"https:\/\/screening.mhanational.org\/es\/screening-tools\/ai-mental-health-survey\/","title":{"rendered":"Encuesta sobre la salud mental y IA"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework full-pager_wrapper' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_87' style='display:none'>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_87' class='full-pager' class='clearfix' action='\/es\/wp-json\/wp\/v2\/screen\/239625' data-formid='87' novalidate><ol class=\"full-progress-bar clearfix step-1-of-3\"><li class=\"step-1 active\"><span>Survey Questions<\/span><\/li><li class=\"step-2 empty\"><span>Optional Questions<\/span><\/li><\/ol>\n                        <div class='gform-body gform_body'><div id='gform_page_87_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_87' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_87_158\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_158'>X\/Twitter<\/label><div class='gfield_description' id='gfield_description_87_158'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_158' id='input_87_158' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_87_4\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>This survey was developed to help us explore your opinions about artificial intelligence (AI) and mental mealth.<\/p><p>Sharing these thoughts will help us understand what resources and policies to consider when thinking about the future of AI in mental health. Thank you for participating!<\/p><\/div><div id=\"field_87_38\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_38' id='input_87_38' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_87_39\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><input name=\"input_39\" id=\"input_87_39\" type=\"hidden\" class=\"gform_hidden\" aria-invalid=\"false\" value=\"239625\"><\/div><div id=\"field_87_40\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><input name=\"input_40\" id=\"input_87_40\" type=\"hidden\" class=\"gform_hidden\" aria-invalid=\"false\" value=\"f193bd523dbecb7ff45335fb32287682\"><\/div><div id=\"field_87_41\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_41' id='input_87_41' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_87_51\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_51' id='input_87_51' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_87_81\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_81' id='input_87_81' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_87_82\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_82' id='input_87_82' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_87_83\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_83' id='input_87_83' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_87_93\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_93' id='input_87_93' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_87_157\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_157' id='input_87_157' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='lang--es' \/><\/div><\/div><fieldset id=\"field_87_103\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio traditional gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Which of the following <strong>best<\/strong> describes your use of AI?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_103'>\n\t\t\t<div class='gchoice gchoice_87_103_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='I have never used AI, but I would like to'  id='choice_87_103_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_103_0' id='label_87_103_0' class='gform-field-label gform-field-label--type-inline'>I have never used AI, but I would like to<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_103_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='I will never use AI if I can avoid it'  id='choice_87_103_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_103_1' id='label_87_103_1' class='gform-field-label gform-field-label--type-inline'>I will never use AI if I can avoid it<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_103_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='I have only used AI when forced to'  id='choice_87_103_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_103_2' id='label_87_103_2' class='gform-field-label gform-field-label--type-inline'>I have only used AI when forced to<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_103_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='I only use AI when it\u2019s included in another product (ex: Zoom, Office, Google)'  id='choice_87_103_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_103_3' id='label_87_103_3' class='gform-field-label gform-field-label--type-inline'>I only use AI when it\u2019s included in another product (ex: Zoom, Office, Google)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_103_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='I use AI less than once a month'  id='choice_87_103_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_103_4' id='label_87_103_4' class='gform-field-label gform-field-label--type-inline'>I use AI less than once a month<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_103_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='I use AI once a month'  id='choice_87_103_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_103_5' id='label_87_103_5' class='gform-field-label gform-field-label--type-inline'>I use AI once a month<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_103_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='I use AI once or twice a week'  id='choice_87_103_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_103_6' id='label_87_103_6' class='gform-field-label gform-field-label--type-inline'>I use AI once or twice a week<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_103_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='I use AI every day'  id='choice_87_103_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_103_7' id='label_87_103_7' class='gform-field-label gform-field-label--type-inline'>I use AI every day<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_87_110\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full traditional limit-3 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What prevents you from using AI?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_110'>Select your top 3.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_110'><div class='gchoice gchoice_87_110_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.1' type='checkbox'  value='AI doesn\u2019t seem interesting or useful to me'  id='choice_87_110_1'   aria-describedby=\"gfield_description_87_110\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_110_1' id='label_87_110_1' class='gform-field-label gform-field-label--type-inline'>AI doesn\u2019t seem interesting or useful to me<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_110_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.2' type='checkbox'  value='I don\u2019t know how to use AI'  id='choice_87_110_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_110_2' id='label_87_110_2' class='gform-field-label gform-field-label--type-inline'>I don\u2019t know how to use AI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_110_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.3' type='checkbox'  value='I don\u2019t have access to AI'  id='choice_87_110_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_110_3' id='label_87_110_3' class='gform-field-label gform-field-label--type-inline'>I don\u2019t have access to AI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_110_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.4' type='checkbox'  value='AI can\u2019t do anything for me that I can\u2019t do for myself'  id='choice_87_110_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_110_4' id='label_87_110_4' class='gform-field-label gform-field-label--type-inline'>AI can\u2019t do anything for me that I can\u2019t do for myself<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_110_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.5' type='checkbox'  value='I don\u2019t trust AI to give me good advice or accurate information'  id='choice_87_110_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_110_5' id='label_87_110_5' class='gform-field-label gform-field-label--type-inline'>I don\u2019t trust AI to give me good advice or accurate information<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_110_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.6' type='checkbox'  value='I don\u2019t want my personal information to be tracked'  id='choice_87_110_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_110_6' id='label_87_110_6' class='gform-field-label gform-field-label--type-inline'>I don\u2019t want my personal information to be tracked<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_110_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.7' type='checkbox'  value='I don\u2019t trust the companies behind AI'  id='choice_87_110_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_110_7' id='label_87_110_7' class='gform-field-label gform-field-label--type-inline'>I don\u2019t trust the companies behind AI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_110_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.8' type='checkbox'  value='I am opposed to using AI because of its negative impact on society'  id='choice_87_110_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_110_8' id='label_87_110_8' class='gform-field-label gform-field-label--type-inline'>I am opposed to using AI because of its negative impact on society<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_110_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.9' type='checkbox'  value='The technology isn\u2019t good enough yet'  id='choice_87_110_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_110_9' id='label_87_110_9' class='gform-field-label gform-field-label--type-inline'>The technology isn\u2019t good enough yet<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_87_140\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full traditional gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Which AI system do you use <strong>the most<\/strong>?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_140'>\n\t\t\t<div class='gchoice gchoice_87_140_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='ChatGPT'  id='choice_87_140_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_140_0' id='label_87_140_0' class='gform-field-label gform-field-label--type-inline'>ChatGPT<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_140_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='Claude (Anthropic)'  id='choice_87_140_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_140_1' id='label_87_140_1' class='gform-field-label gform-field-label--type-inline'>Claude (Anthropic)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_140_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='Gemini (Google)'  id='choice_87_140_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_140_2' id='label_87_140_2' class='gform-field-label gform-field-label--type-inline'>Gemini (Google)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_140_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='Character AI'  id='choice_87_140_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_140_3' id='label_87_140_3' class='gform-field-label gform-field-label--type-inline'>Character AI<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_140_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='Grok'  id='choice_87_140_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_140_4' id='label_87_140_4' class='gform-field-label gform-field-label--type-inline'>Grok<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_140_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='Microsoft Copilot'  id='choice_87_140_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_140_5' id='label_87_140_5' class='gform-field-label gform-field-label--type-inline'>Microsoft Copilot<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_140_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='Meta AI'  id='choice_87_140_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_140_6' id='label_87_140_6' class='gform-field-label gform-field-label--type-inline'>Meta AI<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_140_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='Other (examples: Perplexity, Snapchat AI)'  id='choice_87_140_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_140_7' id='label_87_140_7' class='gform-field-label gform-field-label--type-inline'>Other (examples: Perplexity, Snapchat AI)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_141\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_141'>What other AI system do you use the most?<\/label><div class='ginput_container ginput_container_text'><input name='input_141' id='input_87_141' type='text' value='' class='medium'    placeholder='Tell us more...'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_87_132\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_87_114\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full traditional limit-3 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Imagine the future 5 years from now. What do you hope AI will help you do?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_114'>Select your top 3.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_114'><div class='gchoice gchoice_87_114_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.1' type='checkbox'  value='Save time and effort by doing tasks for me'  id='choice_87_114_1'   aria-describedby=\"gfield_description_87_114\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_114_1' id='label_87_114_1' class='gform-field-label gform-field-label--type-inline'>Save time and effort by doing tasks for me<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_114_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.2' type='checkbox'  value='Organizing my life \u2014 reminders, to-do lists, calendars, files, and photos'  id='choice_87_114_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_114_2' id='label_87_114_2' class='gform-field-label gform-field-label--type-inline'>Organizing my life \u2014 reminders, to-do lists, calendars, files, and photos<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_114_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.3' type='checkbox'  value='Easier access to information'  id='choice_87_114_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_114_3' id='label_87_114_3' class='gform-field-label gform-field-label--type-inline'>Easier access to information<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_114_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.4' type='checkbox'  value='Improve my problem solving or decision making'  id='choice_87_114_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_114_4' id='label_87_114_4' class='gform-field-label gform-field-label--type-inline'>Improve my problem solving or decision making<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_114_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.5' type='checkbox'  value='Learning new skills'  id='choice_87_114_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_114_5' id='label_87_114_5' class='gform-field-label gform-field-label--type-inline'>Learning new skills<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_114_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.6' type='checkbox'  value='Find new ways to express myself creatively'  id='choice_87_114_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_114_6' id='label_87_114_6' class='gform-field-label gform-field-label--type-inline'>Find new ways to express myself creatively<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_114_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.7' type='checkbox'  value='Support my health and wellness'  id='choice_87_114_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_114_7' id='label_87_114_7' class='gform-field-label gform-field-label--type-inline'>Support my health and wellness<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_114_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.8' type='checkbox'  value='Enhance my communication with other people'  id='choice_87_114_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_114_8' id='label_87_114_8' class='gform-field-label gform-field-label--type-inline'>Enhance my communication with other people<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_114_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.9' type='checkbox'  value='Help me feel less lonely'  id='choice_87_114_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_114_9' id='label_87_114_9' class='gform-field-label gform-field-label--type-inline'>Help me feel less lonely<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_114_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.11' type='checkbox'  value='Other people will use AI to make new inventions or discoveries that will improve my life'  id='choice_87_114_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_114_11' id='label_87_114_11' class='gform-field-label gform-field-label--type-inline'>Other people will use AI to make new inventions or discoveries that will improve my life<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_114_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.12' type='checkbox'  value='Nothing. I don&#039;t like AI and don&#039;t want it to affect my life in any way'  id='choice_87_114_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_114_12' id='label_87_114_12' class='gform-field-label gform-field-label--type-inline'>Nothing. I don't like AI and don't want it to affect my life in any way<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_114_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.13' type='checkbox'  value='Other...'  id='choice_87_114_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_114_13' id='label_87_114_13' class='gform-field-label gform-field-label--type-inline'>Other...<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_117\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full optional field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_117'>What else do you hope AI will help you do?<\/label><div class='ginput_container ginput_container_text'><input name='input_117' id='input_87_117' type='text' value='' class='medium'    placeholder='Tell us more...'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_87_118\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full traditional limit-3 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Imagine the future 5 years from now. What scares you the most about the impact of AI?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_118'>Select your top 3.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_118'><div class='gchoice gchoice_87_118_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.1' type='checkbox'  value='Losing human skills (social, reading, writing, creating)'  id='choice_87_118_1'   aria-describedby=\"gfield_description_87_118\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_118_1' id='label_87_118_1' class='gform-field-label gform-field-label--type-inline'>Losing human skills (social, reading, writing, creating)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_118_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.2' type='checkbox'  value='Being monitored and tracked online'  id='choice_87_118_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_118_2' id='label_87_118_2' class='gform-field-label gform-field-label--type-inline'>Being monitored and tracked online<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_118_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.3' type='checkbox'  value='Companies stealing my information or work to train AI models'  id='choice_87_118_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_118_3' id='label_87_118_3' class='gform-field-label gform-field-label--type-inline'>Companies stealing my information or work to train AI models<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_118_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.4' type='checkbox'  value='Job loss or being replaced by AI'  id='choice_87_118_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_118_4' id='label_87_118_4' class='gform-field-label gform-field-label--type-inline'>Job loss or being replaced by AI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_118_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.5' type='checkbox'  value='AI making biased decisions about me (what healthcare or jobs I can get, where I can live, etc.)'  id='choice_87_118_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_118_5' id='label_87_118_5' class='gform-field-label gform-field-label--type-inline'>AI making biased decisions about me (what healthcare or jobs I can get, where I can live, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_118_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.6' type='checkbox'  value='Replacing in-person connection with other people'  id='choice_87_118_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_118_6' id='label_87_118_6' class='gform-field-label gform-field-label--type-inline'>Replacing in-person connection with other people<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_118_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.7' type='checkbox'  value='Can cause brain changes that are harmful (addiction, attention problems)'  id='choice_87_118_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_118_7' id='label_87_118_7' class='gform-field-label gform-field-label--type-inline'>Can cause brain changes that are harmful (addiction, attention problems)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_118_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.8' type='checkbox'  value='Becoming dependent on AI (can\u2019t make decisions without AI)'  id='choice_87_118_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_118_8' id='label_87_118_8' class='gform-field-label gform-field-label--type-inline'>Becoming dependent on AI (can\u2019t make decisions without AI)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_118_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.9' type='checkbox'  value='Providing bad information (bad advice, wrong answers, deep fakes)'  id='choice_87_118_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_118_9' id='label_87_118_9' class='gform-field-label gform-field-label--type-inline'>Providing bad information (bad advice, wrong answers, deep fakes)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_118_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.11' type='checkbox'  value='Flooding the internet with junk and making it harder to find quality content'  id='choice_87_118_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_118_11' id='label_87_118_11' class='gform-field-label gform-field-label--type-inline'>Flooding the internet with junk and making it harder to find quality content<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_118_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.12' type='checkbox'  value='Nothing. I think AI will only have positive effects.'  id='choice_87_118_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_118_12' id='label_87_118_12' class='gform-field-label gform-field-label--type-inline'>Nothing. I think AI will only have positive effects.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_118_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.13' type='checkbox'  value='Other...'  id='choice_87_118_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_118_13' id='label_87_118_13' class='gform-field-label gform-field-label--type-inline'>Other...<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_119\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full optional field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_119'>What else scares you about the impact of AI?<\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_87_119' type='text' value='' class='medium'    placeholder='Tell us more...'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_87_105\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio traditional gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you used AI for emotional support?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_105'>\n\t\t\t<div class='gchoice gchoice_87_105_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='No, never'  id='choice_87_105_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_105_0' id='label_87_105_0' class='gform-field-label gform-field-label--type-inline'>No, never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_105_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='Yes, a few times'  id='choice_87_105_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_105_1' id='label_87_105_1' class='gform-field-label gform-field-label--type-inline'>Yes, a few times<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_105_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='Yes, regularly \/ often'  id='choice_87_105_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_105_2' id='label_87_105_2' class='gform-field-label gform-field-label--type-inline'>Yes, regularly \/ often<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_87_120\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full traditional limit-3 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What is preventing you from using AI for emotional support more often?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_120'>Select your top 3.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_120'><div class='gchoice gchoice_87_120_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.1' type='checkbox'  value='I don\u2019t trust AI to give me good advice or accurate information'  id='choice_87_120_1'   aria-describedby=\"gfield_description_87_120\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_120_1' id='label_87_120_1' class='gform-field-label gform-field-label--type-inline'>I don\u2019t trust AI to give me good advice or accurate information<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_120_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.2' type='checkbox'  value='I\u2019m worried that my personal information could be tracked'  id='choice_87_120_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_120_2' id='label_87_120_2' class='gform-field-label gform-field-label--type-inline'>I\u2019m worried that my personal information could be tracked<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_120_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.3' type='checkbox'  value='I don\u2019t trust the companies behind AI'  id='choice_87_120_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_120_3' id='label_87_120_3' class='gform-field-label gform-field-label--type-inline'>I don\u2019t trust the companies behind AI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_120_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.4' type='checkbox'  value='I don\u2019t know how to use it for this purpose'  id='choice_87_120_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_120_4' id='label_87_120_4' class='gform-field-label gform-field-label--type-inline'>I don\u2019t know how to use it for this purpose<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_120_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.5' type='checkbox'  value='I prefer to talk to a human'  id='choice_87_120_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_120_5' id='label_87_120_5' class='gform-field-label gform-field-label--type-inline'>I prefer to talk to a human<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_120_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.6' type='checkbox'  value='The technology isn\u2019t good enough yet'  id='choice_87_120_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_120_6' id='label_87_120_6' class='gform-field-label gform-field-label--type-inline'>The technology isn\u2019t good enough yet<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_120_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.7' type='checkbox'  value='I am opposed to using AI because of its negative impact on society'  id='choice_87_120_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_120_7' id='label_87_120_7' class='gform-field-label gform-field-label--type-inline'>I am opposed to using AI because of its negative impact on society<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_120_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.8' type='checkbox'  value='I don\u2019t need it because I am already receiving treatment or support another way'  id='choice_87_120_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_120_8' id='label_87_120_8' class='gform-field-label gform-field-label--type-inline'>I don\u2019t need it because I am already receiving treatment or support another way<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_120_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_120.9' type='checkbox'  value='I already got what I needed from it'  id='choice_87_120_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_120_9' id='label_87_120_9' class='gform-field-label gform-field-label--type-inline'>I already got what I needed from it<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_87_133\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full traditional gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How positive or negative was your experience?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_133'>\n\t\t\t<div class='gchoice gchoice_87_133_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_133' type='radio' value='Very positive'  id='choice_87_133_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_133_0' id='label_87_133_0' class='gform-field-label gform-field-label--type-inline'>Very positive<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_133_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_133' type='radio' value='Positive'  id='choice_87_133_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_133_1' id='label_87_133_1' class='gform-field-label gform-field-label--type-inline'>Positive<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_133_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_133' type='radio' value='Negative'  id='choice_87_133_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_133_2' id='label_87_133_2' class='gform-field-label gform-field-label--type-inline'>Negative<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_133_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_133' type='radio' value='Very negative'  id='choice_87_133_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_133_3' id='label_87_133_3' class='gform-field-label gform-field-label--type-inline'>Very negative<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_123\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_123'>Can you tell us more about why your experience was positive?<\/label><div class='ginput_container ginput_container_text'><input name='input_123' id='input_87_123' type='text' value='' class='large'    placeholder='Tell us more...'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_87_124\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_124'>Can you tell us more about why your experience was negative?<\/label><div class='ginput_container ginput_container_text'><input name='input_124' id='input_87_124' type='text' value='' class='large'    placeholder='Tell us more...'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_87_125\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full question short gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you ever consider using AI for emotional support?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_125'>\n\t\t\t<div class='gchoice gchoice_87_125_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='Yes'  id='choice_87_125_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_125_0' id='label_87_125_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_125_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='No'  id='choice_87_125_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_125_1' id='label_87_125_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_87_127\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full traditional limit-3 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What would prevent you from using AI for emotional support?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_127'>Select your top 3.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_127'><div class='gchoice gchoice_87_127_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.1' type='checkbox'  value='I don\u2019t trust AI to give me good advice or accurate information'  id='choice_87_127_1'   aria-describedby=\"gfield_description_87_127\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_127_1' id='label_87_127_1' class='gform-field-label gform-field-label--type-inline'>I don\u2019t trust AI to give me good advice or accurate information<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_127_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.2' type='checkbox'  value='I\u2019m worried that my personal information could be tracked'  id='choice_87_127_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_127_2' id='label_87_127_2' class='gform-field-label gform-field-label--type-inline'>I\u2019m worried that my personal information could be tracked<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_127_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.3' type='checkbox'  value='I don\u2019t trust the companies behind AI'  id='choice_87_127_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_127_3' id='label_87_127_3' class='gform-field-label gform-field-label--type-inline'>I don\u2019t trust the companies behind AI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_127_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.4' type='checkbox'  value='I don\u2019t know how to use it for this purpose'  id='choice_87_127_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_127_4' id='label_87_127_4' class='gform-field-label gform-field-label--type-inline'>I don\u2019t know how to use it for this purpose<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_127_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.5' type='checkbox'  value='I prefer to talk to a human'  id='choice_87_127_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_127_5' id='label_87_127_5' class='gform-field-label gform-field-label--type-inline'>I prefer to talk to a human<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_127_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.6' type='checkbox'  value='The technology isn\u2019t good enough yet'  id='choice_87_127_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_127_6' id='label_87_127_6' class='gform-field-label gform-field-label--type-inline'>The technology isn\u2019t good enough yet<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_127_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.7' type='checkbox'  value='I am opposed to using AI because of its negative impact on society'  id='choice_87_127_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_127_7' id='label_87_127_7' class='gform-field-label gform-field-label--type-inline'>I am opposed to using AI because of its negative impact on society<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_127_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.8' type='checkbox'  value='I don\u2019t need it because I am already receiving treatment or support another way'  id='choice_87_127_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_127_8' id='label_87_127_8' class='gform-field-label gform-field-label--type-inline'>I don\u2019t need it because I am already receiving treatment or support another way<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_127_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.9' type='checkbox'  value='I already got what I needed from it'  id='choice_87_127_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_127_9' id='label_87_127_9' class='gform-field-label gform-field-label--type-inline'>I already got what I needed from it<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_87_139\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full traditional limit-3 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Why would you consider using AI for mental or emotional support?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_139'>Select your top 3.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_139'><div class='gchoice gchoice_87_139_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.1' type='checkbox'  value='I feel more comfortable talking to a bot than to a human'  id='choice_87_139_1'   aria-describedby=\"gfield_description_87_139\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_139_1' id='label_87_139_1' class='gform-field-label gform-field-label--type-inline'>I feel more comfortable talking to a bot than to a human<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_139_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.2' type='checkbox'  value='It\u2019s convenient\/available 24\/7'  id='choice_87_139_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_139_2' id='label_87_139_2' class='gform-field-label gform-field-label--type-inline'>It\u2019s convenient\/available 24\/7<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_139_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.3' type='checkbox'  value='It\u2019s free'  id='choice_87_139_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_139_3' id='label_87_139_3' class='gform-field-label gform-field-label--type-inline'>It\u2019s free<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_139_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.4' type='checkbox'  value='Traditional therapy isn\u2019t available to me'  id='choice_87_139_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_139_4' id='label_87_139_4' class='gform-field-label gform-field-label--type-inline'>Traditional therapy isn\u2019t available to me<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_139_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.5' type='checkbox'  value='It\u2019s safer. It lets me stay anonymous'  id='choice_87_139_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_139_5' id='label_87_139_5' class='gform-field-label gform-field-label--type-inline'>It\u2019s safer. It lets me stay anonymous<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_139_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.6' type='checkbox'  value='It lets me get help without telling my family'  id='choice_87_139_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_139_6' id='label_87_139_6' class='gform-field-label gform-field-label--type-inline'>It lets me get help without telling my family<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_139_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.7' type='checkbox'  value='Therapy or help I\u2019ve received from people has not helped'  id='choice_87_139_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_139_7' id='label_87_139_7' class='gform-field-label gform-field-label--type-inline'>Therapy or help I\u2019ve received from people has not helped<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_139_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.8' type='checkbox'  value='It\u2019s entertaining\/engaging'  id='choice_87_139_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_139_8' id='label_87_139_8' class='gform-field-label gform-field-label--type-inline'>It\u2019s entertaining\/engaging<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_87_137\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full traditional limit-3 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >In what ways have you <strong>used AI the most<\/strong> for emotional support?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_137'>Select your top 3.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_137'><div class='gchoice gchoice_87_137_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.1' type='checkbox'  value='Help me answer questions about mental health'  id='choice_87_137_1'   aria-describedby=\"gfield_description_87_137\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_137_1' id='label_87_137_1' class='gform-field-label gform-field-label--type-inline'>Help me answer questions about mental health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_137_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.2' type='checkbox'  value='Help me with a mental health diagnosis'  id='choice_87_137_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_137_2' id='label_87_137_2' class='gform-field-label gform-field-label--type-inline'>Help me with a mental health diagnosis<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_137_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.3' type='checkbox'  value='Help me get treatment options'  id='choice_87_137_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_137_3' id='label_87_137_3' class='gform-field-label gform-field-label--type-inline'>Help me get treatment options<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_137_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.4' type='checkbox'  value='Tracking my mood or habits (logs, reminders)'  id='choice_87_137_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_137_4' id='label_87_137_4' class='gform-field-label gform-field-label--type-inline'>Tracking my mood or habits (logs, reminders)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_137_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.5' type='checkbox'  value='A structured tool or app that uses AI in the activity (worksheets, exercises, journaling prompts)'  id='choice_87_137_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_137_5' id='label_87_137_5' class='gform-field-label gform-field-label--type-inline'>A structured tool or app that uses AI in the activity (worksheets, exercises, journaling prompts)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_137_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.6' type='checkbox'  value='A conversation with AI (learns your habits\/needs over time, provides listening and advice, helps me make decisions, helps me deal with hard issues)'  id='choice_87_137_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_137_6' id='label_87_137_6' class='gform-field-label gform-field-label--type-inline'>A conversation with AI (learns your habits\/needs over time, provides listening and advice, helps me make decisions, helps me deal with hard issues)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_87_128\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full traditional limit-3 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >In what ways are you <strong>most interested in using AI<\/strong> for emotional support?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_128'>Select your top 3.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_128'><div class='gchoice gchoice_87_128_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_128.1' type='checkbox'  value='Help me answer questions about mental health'  id='choice_87_128_1'   aria-describedby=\"gfield_description_87_128\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_128_1' id='label_87_128_1' class='gform-field-label gform-field-label--type-inline'>Help me answer questions about mental health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_128_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_128.2' type='checkbox'  value='Help me with a mental health diagnosis'  id='choice_87_128_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_128_2' id='label_87_128_2' class='gform-field-label gform-field-label--type-inline'>Help me with a mental health diagnosis<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_128_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_128.3' type='checkbox'  value='Help me get treatment options'  id='choice_87_128_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_128_3' id='label_87_128_3' class='gform-field-label gform-field-label--type-inline'>Help me get treatment options<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_128_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_128.4' type='checkbox'  value='Tracking my mood or habits (logs, reminders)'  id='choice_87_128_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_128_4' id='label_87_128_4' class='gform-field-label gform-field-label--type-inline'>Tracking my mood or habits (logs, reminders)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_128_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_128.5' type='checkbox'  value='A structured tool or app that uses AI in the activity (worksheets, exercises, journaling prompts)'  id='choice_87_128_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_128_5' id='label_87_128_5' class='gform-field-label gform-field-label--type-inline'>A structured tool or app that uses AI in the activity (worksheets, exercises, journaling prompts)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_128_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_128.6' type='checkbox'  value='A conversation with AI (learns your habits\/needs over time, provides listening and advice, helps me make decisions, helps me deal with hard issues)'  id='choice_87_128_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_128_6' id='label_87_128_6' class='gform-field-label gform-field-label--type-inline'>A conversation with AI (learns your habits\/needs over time, provides listening and advice, helps me make decisions, helps me deal with hard issues)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_87_149\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full traditional limit-3 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >When people use AI for emotional support, what is the best thing the AI can do to respond to their needs?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_149'>Select your top 3.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_149'><div class='gchoice gchoice_87_149_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.1' type='checkbox'  value='Ask them directly about risk of harm (hurting yourself or others)'  id='choice_87_149_1'   aria-describedby=\"gfield_description_87_149\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_149_1' id='label_87_149_1' class='gform-field-label gform-field-label--type-inline'>Ask them directly about risk of harm (hurting yourself or others)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_149_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.2' type='checkbox'  value='Listen and support their emotional concerns'  id='choice_87_149_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_149_2' id='label_87_149_2' class='gform-field-label gform-field-label--type-inline'>Listen and support their emotional concerns<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_149_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.3' type='checkbox'  value='Help them figure out how to feel better (e.g making a plan, learning some skils)'  id='choice_87_149_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_149_3' id='label_87_149_3' class='gform-field-label gform-field-label--type-inline'>Help them figure out how to feel better (e.g making a plan, learning some skils)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_149_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.4' type='checkbox'  value='Give them information about mental health'  id='choice_87_149_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_149_4' id='label_87_149_4' class='gform-field-label gform-field-label--type-inline'>Give them information about mental health<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_149_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.5' type='checkbox'  value='Explore all the different support systems they have'  id='choice_87_149_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_149_5' id='label_87_149_5' class='gform-field-label gform-field-label--type-inline'>Explore all the different support systems they have<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_149_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.6' type='checkbox'  value='Help them figure out how to talk to someone'  id='choice_87_149_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_149_6' id='label_87_149_6' class='gform-field-label gform-field-label--type-inline'>Help them figure out how to talk to someone<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_149_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_149.7' type='checkbox'  value='Send them resources, including how to connect to a person'  id='choice_87_149_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_149_7' id='label_87_149_7' class='gform-field-label gform-field-label--type-inline'>Send them resources, including how to connect to a person<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_138\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_138'><strong>Optional:<\/strong> Think back to a time when you used AI for emotional support. Can you share anything about how that conversation went? What did you talk about? How did you feel?<\/label><div class='gfield_description' id='gfield_description_87_138'><em><strong>Share as much or as little as you like.<\/strong> For example, you could just describe your experience in one sentence, share prompts you've used that have been particularly effective, or anything in between.<\/em><\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_138' id='input_87_138' class='textarea medium'  aria-describedby=\"gfield_description_87_138\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_87_142\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full limit-3 traditional question gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Who do you think are the top 3 groups who should be most responsible for implementing mental health protections for people who use AI?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_142'>Select up to 3.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_142'><div class='gchoice gchoice_87_142_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_142.1' type='checkbox'  value='Myself \/ individual users'  id='choice_87_142_1'   aria-describedby=\"gfield_description_87_142\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_142_1' id='label_87_142_1' class='gform-field-label gform-field-label--type-inline'>Myself \/ individual users<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_142_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_142.2' type='checkbox'  value='Parents \/ guardians'  id='choice_87_142_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_142_2' id='label_87_142_2' class='gform-field-label gform-field-label--type-inline'>Parents \/ guardians<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_142_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_142.3' type='checkbox'  value='Technology companies'  id='choice_87_142_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_142_3' id='label_87_142_3' class='gform-field-label gform-field-label--type-inline'>Technology companies<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_142_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_142.4' type='checkbox'  value='Companies using AI software (employers, healthcare, schools)'  id='choice_87_142_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_142_4' id='label_87_142_4' class='gform-field-label gform-field-label--type-inline'>Companies using AI software (employers, healthcare, schools)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_142_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_142.5' type='checkbox'  value='Government'  id='choice_87_142_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_142_5' id='label_87_142_5' class='gform-field-label gform-field-label--type-inline'>Government<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_142_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_142.6' type='checkbox'  value='Other...'  id='choice_87_142_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_142_6' id='label_87_142_6' class='gform-field-label gform-field-label--type-inline'>Other...<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_143\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_143'>Who else do you think is the most responsible for implementing mental health protections?<\/label><div class='ginput_container ginput_container_text'><input name='input_143' id='input_87_143' type='text' value='' class='large'    placeholder='Tell us more...'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_87_144\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full limit-3 traditional question gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What are the top 3 things that technology companies can do to protect people from harm when they\u2019re getting mental health support from AI?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_144'>Select up to 3.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_144'><div class='gchoice gchoice_87_144_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_144.1' type='checkbox'  value='Refer me to a mental health professional instead of providing direct advice'  id='choice_87_144_1'   aria-describedby=\"gfield_description_87_144\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_144_1' id='label_87_144_1' class='gform-field-label gform-field-label--type-inline'>Refer me to a mental health professional instead of providing direct advice<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_144_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_144.2' type='checkbox'  value='Remind me that I\u2019m talking to a machine and not a human'  id='choice_87_144_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_144_2' id='label_87_144_2' class='gform-field-label gform-field-label--type-inline'>Remind me that I\u2019m talking to a machine and not a human<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_144_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_144.3' type='checkbox'  value='Make the AI less like a human'  id='choice_87_144_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_144_3' id='label_87_144_3' class='gform-field-label gform-field-label--type-inline'>Make the AI less like a human<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_144_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_144.4' type='checkbox'  value='Make the AI more like a human'  id='choice_87_144_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_144_4' id='label_87_144_4' class='gform-field-label gform-field-label--type-inline'>Make the AI more like a human<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_144_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_144.5' type='checkbox'  value='Tell me about my emotional risks when I\u2019m using AI'  id='choice_87_144_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_144_5' id='label_87_144_5' class='gform-field-label gform-field-label--type-inline'>Tell me about my emotional risks when I\u2019m using AI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_144_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_144.6' type='checkbox'  value='Guarantee that my conversations won\u2019t be used to train the AI'  id='choice_87_144_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_144_6' id='label_87_144_6' class='gform-field-label gform-field-label--type-inline'>Guarantee that my conversations won\u2019t be used to train the AI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_144_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_144.7' type='checkbox'  value='Make sure no one else can ever see the conversations I have with AI'  id='choice_87_144_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_144_7' id='label_87_144_7' class='gform-field-label gform-field-label--type-inline'>Make sure no one else can ever see the conversations I have with AI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_144_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_144.8' type='checkbox'  value='Develop industry standards for measuring impact on communities of users'  id='choice_87_144_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_144_8' id='label_87_144_8' class='gform-field-label gform-field-label--type-inline'>Develop industry standards for measuring impact on communities of users<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_144_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_144.9' type='checkbox'  value='Other...'  id='choice_87_144_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_144_9' id='label_87_144_9' class='gform-field-label gform-field-label--type-inline'>Other...<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_145\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_145'>What else can technology companies do to protect the mental health of people who use their AI?<\/label><div class='ginput_container ginput_container_text'><input name='input_145' id='input_87_145' type='text' value='' class='large'    placeholder='Tell us more...'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_87_146\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full limit-3 traditional question gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What are the top 3 things that the government can do to protect the mental health of people who use AI?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_146'>Select up to 3.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_146'><div class='gchoice gchoice_87_146_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_146.1' type='checkbox'  value='Set policies\/laws that tech companies have to follow'  id='choice_87_146_1'   aria-describedby=\"gfield_description_87_146\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_146_1' id='label_87_146_1' class='gform-field-label gform-field-label--type-inline'>Set policies\/laws that tech companies have to follow<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_146_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_146.2' type='checkbox'  value='Create a group of people responsible for reviewing and giving limitations on safety'  id='choice_87_146_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_146_2' id='label_87_146_2' class='gform-field-label gform-field-label--type-inline'>Create a group of people responsible for reviewing and giving limitations on safety<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_146_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_146.3' type='checkbox'  value='Create guidelines and incentives for safety'  id='choice_87_146_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_146_3' id='label_87_146_3' class='gform-field-label gform-field-label--type-inline'>Create guidelines and incentives for safety<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_146_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_146.4' type='checkbox'  value='Incentivize research on potential harms or positive impacts of AI'  id='choice_87_146_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_146_4' id='label_87_146_4' class='gform-field-label gform-field-label--type-inline'>Incentivize research on potential harms or positive impacts of AI<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_146_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_146.5' type='checkbox'  value='Fine technology companies for harm towards people'  id='choice_87_146_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_146_5' id='label_87_146_5' class='gform-field-label gform-field-label--type-inline'>Fine technology companies for harm towards people<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_146_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_146.6' type='checkbox'  value='Invest in public education on using AIsafely'  id='choice_87_146_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_146_6' id='label_87_146_6' class='gform-field-label gform-field-label--type-inline'>Invest in public education on using AIsafely<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_146_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_146.7' type='checkbox'  value='Other...'  id='choice_87_146_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_146_7' id='label_87_146_7' class='gform-field-label gform-field-label--type-inline'>Other...<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_147\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_147'>What else can the government do to protect the mental health of people who use AI?<\/label><div class='ginput_container ginput_container_text'><input name='input_147' id='input_87_147' type='text' value='' class='large'    placeholder='Tell us more...'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_87_152\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full traditional field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >When you use AI tools, which mode do you use most often?<\/legend><div class='gfield_description' id='gfield_description_87_152'>Select 1.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_152'>\n\t\t\t<div class='gchoice gchoice_87_152_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='Text-based chat (typing)'  id='choice_87_152_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_87_152\"   \/>\n\t\t\t\t\t<label for='choice_87_152_0' id='label_87_152_0' class='gform-field-label gform-field-label--type-inline'>Text-based chat (typing)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_152_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='Voice-based conversation (speaking\/listening)'  id='choice_87_152_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_152_1' id='label_87_152_1' class='gform-field-label gform-field-label--type-inline'>Voice-based conversation (speaking\/listening)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_152_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='Both equally'  id='choice_87_152_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_152_2' id='label_87_152_2' class='gform-field-label gform-field-label--type-inline'>Both equally<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_152_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='Other...'  id='choice_87_152_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_152_3' id='label_87_152_3' class='gform-field-label gform-field-label--type-inline'>Other...<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_152_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='I don&#039;t know \/ not sure'  id='choice_87_152_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_152_4' id='label_87_152_4' class='gform-field-label gform-field-label--type-inline'>I don't know \/ not sure<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_153\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_153'>What other way do you interact with AI tools most often?<\/label><div class='ginput_container ginput_container_text'><input name='input_153' id='input_87_153' type='text' value='' class='medium'    placeholder='Tell us more...'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_87_154\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >When you interact with AI tools using text-based chat, how natural or human-like does the interaction feel?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_154'>\n\t\t\t<div class='gchoice gchoice_87_154_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='Not natural at all'  id='choice_87_154_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_154_0' id='label_87_154_0' class='gform-field-label gform-field-label--type-inline'>Not natural at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_154_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='Somewhat natural'  id='choice_87_154_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_154_1' id='label_87_154_1' class='gform-field-label gform-field-label--type-inline'>Somewhat natural<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_154_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='Very natural'  id='choice_87_154_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_154_2' id='label_87_154_2' class='gform-field-label gform-field-label--type-inline'>Very natural<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_87_155\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >When you interact with AI tools using voice-based conversation, how natural or human-like does the interaction feel?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_155'>\n\t\t\t<div class='gchoice gchoice_87_155_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_155' type='radio' value='Not natural at all'  id='choice_87_155_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_155_0' id='label_87_155_0' class='gform-field-label gform-field-label--type-inline'>Not natural at all<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_155_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_155' type='radio' value='Somewhat natural'  id='choice_87_155_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_155_1' id='label_87_155_1' class='gform-field-label gform-field-label--type-inline'>Somewhat natural<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_155_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_155' type='radio' value='Very natural'  id='choice_87_155_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_155_2' id='label_87_155_2' class='gform-field-label gform-field-label--type-inline'>Very natural<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_151\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><hr \/><\/div><fieldset id=\"field_87_129\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >We sometimes run paid research studies on topics like AI and mental health. Would you like to hear about future opportunities?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_129'>\n\t\t\t<div class='gchoice gchoice_87_129_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_129' type='radio' value='Yes, I&#039;m interested!'  id='choice_87_129_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_129_0' id='label_87_129_0' class='gform-field-label gform-field-label--type-inline'>Yes, I'm interested!<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_129_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_129' type='radio' value='No, thank you.'  id='choice_87_129_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_129_1' id='label_87_129_1' class='gform-field-label gform-field-label--type-inline'>No, thank you.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_131\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Great! Drop your email below so we can reach out when something comes up:<\/div><div id=\"field_87_130\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_130'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_130' id='input_87_130' type='email' value='' class='small'   placeholder='Enter your email address...'  aria-invalid=\"false\"  \/>\n                        <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_87_17' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_87_2' class='gform_page demographics' data-js='page-field-id-17' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_87_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_87_53\" class=\"gfield gfield--type-html gfield--input-type-html section-title gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2>About You<\/h2><\/div><div id=\"field_87_54\" class=\"gfield gfield--type-select gfield--input-type-select optional taxonomy field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_54'>Age Range<\/label><div class='ginput_container ginput_container_select'><select name='input_54' id='input_87_54' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='8-10' >8-10<\/option><option value='11-13' >11-13<\/option><option value='14-15' >14-15<\/option><option value='16-17' >16-17<\/option><option value='18-24' >18-24<\/option><option value='25-34' >25-34<\/option><option value='35-44' >35-44<\/option><option value='45-54' >45-54<\/option><option value='55-64' >55-64<\/option><option value='65+' >65+<\/option><option value='Prefer not to answer' >Prefer not to answer<\/option><\/select><\/div><\/div><fieldset id=\"field_87_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio optional mb-2 short field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Gender<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_55'>\n\t\t\t<div class='gchoice gchoice_87_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Female'  id='choice_87_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_55_0' id='label_87_55_0' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Male'  id='choice_87_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_55_1' id='label_87_55_1' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_55_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Non-Binary'  id='choice_87_55_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_55_2' id='label_87_55_2' class='gform-field-label gform-field-label--type-inline'>Non-Binary<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_55_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Prefer not to answer'  id='choice_87_55_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_55_3' id='label_87_55_3' class='gform-field-label gform-field-label--type-inline'>Prefer not to answer<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_87_156\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you identify as transgender?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_156'>\n\t\t\t<div class='gchoice gchoice_87_156_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_156' type='radio' value='Yes'  id='choice_87_156_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_156_0' id='label_87_156_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_156_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_156' type='radio' value='No'  id='choice_87_156_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_156_1' id='label_87_156_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_135\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_135'>How would you describe your gender?<\/label><div class='ginput_container ginput_container_text'><input name='input_135' id='input_87_135' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_87_58\" class=\"gfield gfield--type-select gfield--input-type-select optional field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_58'>Race\/Ethnicity<\/label><div class='ginput_container ginput_container_select'><select name='input_58' id='input_87_58' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='American Indian or Alaska Native' >American Indian or Alaska Native<\/option><option value='Asian' >Asian<\/option><option value='Black or African American (non-Hispanic)' >Black or African American (non-Hispanic)<\/option><option value='Hispanic or Latino' >Hispanic or Latino<\/option><option value='Middle Eastern or North African' >Middle Eastern or North African<\/option><option value='Native Hawaiian or other Pacific Islander' >Native Hawaiian or other Pacific Islander<\/option><option value='White (non-Hispanic)' >White (non-Hispanic)<\/option><option value='More than one of the above' >More than one of the above<\/option><option value='Other...' >Other...<\/option><\/select><\/div><\/div><div id=\"field_87_134\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_134'>How would you describe your race\/ethnicity?<\/label><div class='ginput_container ginput_container_text'><input name='input_134' id='input_87_134' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_87_59\" class=\"gfield gfield--type-select gfield--input-type-select optional field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_59'>Household Income<\/label><div class='ginput_container ginput_container_select'><select name='input_59' id='input_87_59' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Less than $20,000' >Less than $20,000<\/option><option value='$20,000 - $39,999' >$20,000 - $39,999<\/option><option value='$40,000 - $59,999' >$40,000 - $59,999<\/option><option value='$60,000 - $79,999' >$60,000 - $79,999<\/option><option value='$80,000 - $99,999' >$80,000 - $99,999<\/option><option value='$100,000 - $149,999' >$100,000 - $149,999<\/option><option value='$150,000+' >$150,000+<\/option><\/select><\/div><\/div><fieldset id=\"field_87_87\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you live in the United States or another country?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_87'>\n\t\t\t<div class='gchoice gchoice_87_87_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_87' type='radio' value='I live in the United States'  id='choice_87_87_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_87_0' id='label_87_87_0' class='gform-field-label gform-field-label--type-inline'>I live in the United States<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_87_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_87' type='radio' value='I live in another country'  id='choice_87_87_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_87_1' id='label_87_87_1' class='gform-field-label gform-field-label--type-inline'>I live in another country<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_78\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full optional field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_78'>State<\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_87_78' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='I live in a U.S. Territory' >I live in a U.S. Territory<\/option><\/select><\/div><\/div><div id=\"field_87_80\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full optional field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_80'>What country do you live in?<\/label><div class='ginput_container ginput_container_select'><select name='input_80' id='input_87_80' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard and McDonald Islands' >Heard and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macau' >Macau<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Korea' >North Korea<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena' >Saint Helena<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia' >South Georgia<\/option><option value='South Korea' >South Korea<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen Islands' >Svalbard and Jan Mayen Islands<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select><\/div><\/div><fieldset id=\"field_87_109\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full traditional gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Do you live with any of the following disabilities or conditions?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_87_109'>Select all that apply.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_87_109'><div class='gchoice gchoice_87_109_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.1' type='checkbox'  value='Blind\/Low vision'  id='choice_87_109_1'   aria-describedby=\"gfield_description_87_109\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_87_109_1' id='label_87_109_1' class='gform-field-label gform-field-label--type-inline'>Blind\/Low vision<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_109_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.2' type='checkbox'  value='Hearing impairment'  id='choice_87_109_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_109_2' id='label_87_109_2' class='gform-field-label gform-field-label--type-inline'>Hearing impairment<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_109_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.3' type='checkbox'  value='Limited Mobility'  id='choice_87_109_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_109_3' id='label_87_109_3' class='gform-field-label gform-field-label--type-inline'>Limited Mobility<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_109_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.4' type='checkbox'  value='Arthritis or other chronic pain'  id='choice_87_109_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_109_4' id='label_87_109_4' class='gform-field-label gform-field-label--type-inline'>Arthritis or other chronic pain<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_109_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.5' type='checkbox'  value='Anxiety'  id='choice_87_109_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_109_5' id='label_87_109_5' class='gform-field-label gform-field-label--type-inline'>Anxiety<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_109_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.6' type='checkbox'  value='Mood conditions: depression or bipolar'  id='choice_87_109_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_109_6' id='label_87_109_6' class='gform-field-label gform-field-label--type-inline'>Mood conditions: depression or bipolar<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_109_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.7' type='checkbox'  value='Autism spectrum and\/or ADHD'  id='choice_87_109_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_109_7' id='label_87_109_7' class='gform-field-label gform-field-label--type-inline'>Autism spectrum and\/or ADHD<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_109_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.8' type='checkbox'  value='Intellectual or learning disability'  id='choice_87_109_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_109_8' id='label_87_109_8' class='gform-field-label gform-field-label--type-inline'>Intellectual or learning disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_109_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.9' type='checkbox'  value='Neurological condition (epilepsy, etc.) or traumatic brain injury (TBI)'  id='choice_87_109_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_109_9' id='label_87_109_9' class='gform-field-label gform-field-label--type-inline'>Neurological condition (epilepsy, etc.) or traumatic brain injury (TBI)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_109_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.11' type='checkbox'  value='None of the above'  id='choice_87_109_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_109_11' id='label_87_109_11' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_109_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.12' type='checkbox'  value='Other mental health condition...'  id='choice_87_109_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_109_12' id='label_87_109_12' class='gform-field-label gform-field-label--type-inline'>Other mental health condition...<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_87_109_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.13' type='checkbox'  value='Other...'  id='choice_87_109_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_87_109_13' id='label_87_109_13' class='gform-field-label gform-field-label--type-inline'>Other...<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_87_111\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full optional field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_111'>What other mental health conditions do you have?<\/label><div class='ginput_container ginput_container_text'><input name='input_111' id='input_87_111' type='text' value='' class='medium'    placeholder='Tell us more...'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_87_112\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full optional field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_87_112'>What other disabilities or conditions do you have?<\/label><div class='ginput_container ginput_container_text'><input name='input_112' id='input_87_112' type='text' value='' class='medium'    placeholder='Tell us more...'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_87_150\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full question short gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Over the past two weeks, how would you rate your mental health and wellbeing?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_87_150'>\n\t\t\t<div class='gchoice gchoice_87_150_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='Very Poor'  id='choice_87_150_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_150_0' id='label_87_150_0' class='gform-field-label gform-field-label--type-inline'>Very Poor<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_150_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='Poor'  id='choice_87_150_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_150_1' id='label_87_150_1' class='gform-field-label gform-field-label--type-inline'>Poor<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_150_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='Good'  id='choice_87_150_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_150_2' id='label_87_150_2' class='gform-field-label gform-field-label--type-inline'>Good<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_87_150_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='Very Good'  id='choice_87_150_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_87_150_3' id='label_87_150_3' class='gform-field-label gform-field-label--type-inline'>Very Good<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_87' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_87' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit Survey'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_87' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_87' id='gform_theme_87' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_87' id='gform_style_settings_87' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_87' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='87' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='BVxa01UWkezk4jMm3dFW8OJuSAKlMJer8wxSJK4eEsGnNJ2zHstLojH9lkmk+9TogESTMgnWJOIko8VEVJNDMKkMd7mkPDjRMNwsC9p0M7nTSK4=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_87' value='["{\"110.1\":\"275df65e37bfc490aaa336a303d9fc8f\",\"110.2\":\"1cf4d6d2e612109fe3271c9486de1c29\",\"110.3\":\"31e303e2ea18a899babdf3848310ba1c\",\"110.4\":\"fbc6d4858306a52674498b5422663545\",\"110.5\":\"5d3d3df4f758f9b6d6b3eb2a258fe272\",\"110.6\":\"365e2448066687cccaa4b20b6500461c\",\"110.7\":\"81a3b4254b8a99feee54e97e9ff32cde\",\"110.8\":\"e6de80ab1b17c50a4dcc75b30c131717\",\"110.9\":\"83141a4443ef7897908159bc26177785\",\"140\":[\"7e970ff891e063c002e9a8f5a1454385\",\"8c31b0c503c361021ee00f0fd61baed5\",\"054a5753739efb14be6fb288ef84ff73\",\"d71e9345a762993dffc2a1748c4ddb0c\",\"f1f6f0cacac066ead536dec323d32e31\",\"90ec728ad7c2cfd27f920a65084f3c04\",\"51dbc99fc69c1ed21164f57d5acfa1ac\",\"74e62893ae1af6f43b7b6dc3e15ade5d\"],\"114.1\":\"cca2b6f75e5769da0b97b9df69d0cfe8\",\"114.2\":\"5343e2c1d06f95166282238910f8a600\",\"114.3\":\"ede7e5b3ab32cc1d71765b84bc93d127\",\"114.4\":\"420e92de8dc0e9487a87f47aabb028fa\",\"114.5\":\"c785b6a435c528ae002b013195391543\",\"114.6\":\"8e0ed3c5458af53914f4177d3997792f\",\"114.7\":\"2053371530d9e5bd1f57e5c5baaeec2c\",\"114.8\":\"a637d84a71bce9ff0cfa3fe85bb0f127\",\"114.9\":\"553e1d9039a5bccb4af331d09002dd79\",\"114.11\":\"740ef26d8507de96118e9131051fd645\",\"114.12\":\"7711c9c59323ceeb99933092a3ba5760\",\"114.13\":\"93b660a181224e21d0167181a3e24937\",\"118.1\":\"4f05c773dd1894a2e5da18a00447c602\",\"118.2\":\"3adf6e01685b158e16db296bd792a265\",\"118.3\":\"1d188f794fc347c2b5dceb1fb7ad0839\",\"118.4\":\"448d2391371a45ea37905a81830f2ca0\",\"118.5\":\"fcc14ecb24a75fb98454814f3eedcc84\",\"118.6\":\"f3bf5eae3041f25f36cdca059d463032\",\"118.7\":\"1427a13b613318409b195166751f162e\",\"118.8\":\"a42c75cc3b1d5cdea3bbe58cb6611396\",\"118.9\":\"6e13d0ddacd0aca9ed73a4662fb2583e\",\"118.11\":\"be1a3854ed7d4cf57725b655c2a12db3\",\"118.12\":\"d7ef04cb5d832eab3aae3d4df8dccc6a\",\"118.13\":\"93b660a181224e21d0167181a3e24937\",\"120.1\":\"5d3d3df4f758f9b6d6b3eb2a258fe272\",\"120.2\":\"1bbd5485addf5c96ed01397cdc244f6e\",\"120.3\":\"81a3b4254b8a99feee54e97e9ff32cde\",\"120.4\":\"5307c4095f95e76ee9d1f3182dc1b0b1\",\"120.5\":\"5d26c6a41e2819b075b095f5aac801c3\",\"120.6\":\"83141a4443ef7897908159bc26177785\",\"120.7\":\"e6de80ab1b17c50a4dcc75b30c131717\",\"120.8\":\"d9f2a08f63fe2c8766ebd92e263a2321\",\"120.9\":\"71b18b8141c39534797ca7cd37369fe1\",\"127.1\":\"5d3d3df4f758f9b6d6b3eb2a258fe272\",\"127.2\":\"1bbd5485addf5c96ed01397cdc244f6e\",\"127.3\":\"81a3b4254b8a99feee54e97e9ff32cde\",\"127.4\":\"5307c4095f95e76ee9d1f3182dc1b0b1\",\"127.5\":\"5d26c6a41e2819b075b095f5aac801c3\",\"127.6\":\"83141a4443ef7897908159bc26177785\",\"127.7\":\"e6de80ab1b17c50a4dcc75b30c131717\",\"127.8\":\"d9f2a08f63fe2c8766ebd92e263a2321\",\"127.9\":\"71b18b8141c39534797ca7cd37369fe1\",\"139.1\":\"db0ccc59c9a34ae115f9c2141daa2d7c\",\"139.2\":\"8978b70969580bdc454826874a656311\",\"139.3\":\"6de4fed273eb4defa4d3d75e67649ef7\",\"139.4\":\"6288abec212a7b097d8820e6b11217c1\",\"139.5\":\"cf67744033c40e2207f3c1f1c07c8ca0\",\"139.6\":\"ab425af81e5e8b239b0e93ede9dd7103\",\"139.7\":\"f8c93922f159c6f8e76e40a1b5824894\",\"139.8\":\"e01bf26ce2228dd421166300ba6f216e\",\"137.1\":\"ab238520c471d4de83d646b923b9d24f\",\"137.2\":\"6395dcf3b69219d383c15e9d578100fe\",\"137.3\":\"2b3298c841d2d74e3a0748b09071802e\",\"137.4\":\"c3e606c377924c802bcf2f73ccb95d2b\",\"137.5\":\"fa021ee51e1243f6e2a018d2fc3b00ac\",\"137.6\":\"16805c9a014d56a42bdee22b1b188cc1\",\"128.1\":\"ab238520c471d4de83d646b923b9d24f\",\"128.2\":\"6395dcf3b69219d383c15e9d578100fe\",\"128.3\":\"2b3298c841d2d74e3a0748b09071802e\",\"128.4\":\"c3e606c377924c802bcf2f73ccb95d2b\",\"128.5\":\"fa021ee51e1243f6e2a018d2fc3b00ac\",\"128.6\":\"16805c9a014d56a42bdee22b1b188cc1\",\"149.1\":\"50db1cebaea89fe1711da1f883b6ab22\",\"149.2\":\"30884fb7564463c9562d1f100aaceb5e\",\"149.3\":\"84d771da586bcc63df7cb9f73a700478\",\"149.4\":\"2f37d18b7a459d791ac237c18f3aef91\",\"149.5\":\"35038d9ad3705950ca565c8f4ec53586\",\"149.6\":\"4cfd791873f302eb2604d8f490c1e554\",\"149.7\":\"bd28e6ae204fe177fa73440e50385f17\",\"142.1\":\"6e9188f208c0431085233f3668f43a50\",\"142.2\":\"45591f3be818dde5863f9db514acc24c\",\"142.3\":\"a032ee70156a51df669ed60eb4cbc487\",\"142.4\":\"7d12d3ceef59976b2e00e717e5af8afc\",\"142.5\":\"858bc1f991e858b26b2792fcf117c82b\",\"142.6\":\"93b660a181224e21d0167181a3e24937\",\"144.1\":\"a91170e73b71c36a66cb39e1bcbaa1ad\",\"144.2\":\"d5419084eca42d55bec5e2653c5d06ca\",\"144.3\":\"9327988748649949c6d866f74c8edcb6\",\"144.4\":\"1cb92f09980abb39bea33137b2e47d77\",\"144.5\":\"9bcffc6b6e52b992b61cbfeec4140768\",\"144.6\":\"35843e898d0a41c66b6aaf2d8dc88072\",\"144.7\":\"d86dc0312be02294d8b5a4acf2932988\",\"144.8\":\"11e7b5ca1ebd5a506b324daaadc3323f\",\"144.9\":\"93b660a181224e21d0167181a3e24937\",\"146.1\":\"6d1fed29c7a089b3e00650ff3e7fce2b\",\"146.2\":\"a57e9c3bb581b3b1c93f48e9c24b6dc3\",\"146.3\":\"e0dd27a39e45c7e7cf2285d3d501ea11\",\"146.4\":\"71acecbcb371e9f275d7ef4b4cd3bf26\",\"146.5\":\"bb3dcf7be874332dfe8539b334386836\",\"146.6\":\"7729b49a4a9f97a422753ca5e7da2107\",\"146.7\":\"93b660a181224e21d0167181a3e24937\",\"152\":[\"4c1588b03415f3af4a5e247d677762f3\",\"8afecb709be147ce690bcbf151ad22fb\",\"c5aeffccd44977fb7a43fd686c2d6913\",\"93b660a181224e21d0167181a3e24937\",\"e06d1c17bfd59378f19cc506c6b1ba1f\"],\"154\":[\"c85e8cee05ba5cf27990881c31b78341\",\"bd8aa687be1565e813bf911d6847b04a\",\"ba7efc06136babfdeb5a8fed282afdf5\"],\"155\":[\"c85e8cee05ba5cf27990881c31b78341\",\"bd8aa687be1565e813bf911d6847b04a\",\"ba7efc06136babfdeb5a8fed282afdf5\"],\"129\":[\"0428d23772b1f79c33b82b8747848849\",\"6c5eab6e66339958eba041c90d3dc6a2\"],\"156\":[\"f82f3176b4d7ab3e661df02d86bfbabf\",\"519978fe0ab57bdd7a99133d686a83c1\"],\"87\":[\"8f84995d49268af5fa243c325f7c9ba9\",\"affa483a84453b9e3a6f86b8d1c43105\"],\"109.1\":\"077b03bc677f9adc1b51a60927c391fc\",\"109.2\":\"4dc2047c246a495723023acf5c45bf0e\",\"109.3\":\"5a333b510cc8cf9449c16ba35ed91640\",\"109.4\":\"31a936692c897f1b3dc77410682a3127\",\"109.5\":\"c7df6bc7cc8946d46f4d5da0c7a321b5\",\"109.6\":\"2f8413319a08b8a0641bf8391e5f16e2\",\"109.7\":\"a9dd13624e195138c05b2584a53c4a3f\",\"109.8\":\"5f194b52acd17afe4419b673d08bbea6\",\"109.9\":\"9562530c2d608a6a86a1510e05232b3e\",\"109.11\":\"818e604072a00a58dcbb07041a6b712b\",\"109.12\":\"d6e1f433a01b72557a8c493386b2c5a3\",\"109.13\":\"93b660a181224e21d0167181a3e24937\"}","8f4a46d54703f2df28fc6476abe5606a"]' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_87' id='gform_target_page_number_87' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_87' id='gform_source_page_number_87' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 87, 'https:\/\/screening.mhanational.org\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_87').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_87');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_87').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_87').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_87').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_87').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_87').val();gformInitSpinner( 87, 'https:\/\/screening.mhanational.org\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [87, current_page]);window['gf_submitting_87'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_87').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [87]);window['gf_submitting_87'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_87').text());}else{jQuery('#gform_87').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"87\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_87\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_87\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_87\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 87, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"<p>Esta encuesta se ha elaborado con el fin de conocer su opini\u00f3n sobre la inteligencia artificial (IA) y la salud mental. No se trata de una prueba de salud mental.<\/p>","protected":false},"template":"","tags":[],"age_group":[],"condition":[],"class_list":["post-239625","screen","type-screen","status-publish","hentry"],"acf":[],"yoast_head":"<title>AI &amp; Mental Health Survey &#8211; Mental Health America<\/title>\n<meta name=\"description\" content=\"This survey was developed to help us explore your opinions about artificial intelligence (AI) and mental health.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/screening.mhanational.org\/es\/screening-tools\/ai-mental-health-survey\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"AI &amp; Mental Health Survey &#8211; Mental Health America\" \/>\n<meta property=\"og:description\" content=\"This survey was developed to help us explore your opinions about artificial intelligence (AI) and mental health.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/screening.mhanational.org\/es\/screening-tools\/ai-mental-health-survey\/\" \/>\n<meta property=\"og:site_name\" content=\"Mental Health America\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/mentalhealthamerica\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-23T17:08:08+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/screening.mhanational.org\/wp-content\/uploads\/2022\/04\/Social-media-share-preview.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"631\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"AI &amp; Mental Health Survey &#8211; Mental Health America\" \/>\n<meta name=\"twitter:description\" content=\"This survey was developed to help us explore your opinions about artificial intelligence (AI) and mental health.\" \/>\n<meta name=\"twitter:site\" content=\"@mentalhealtham\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/screening.mhanational.org\\\/screening-tools\\\/ai-mental-health-survey\\\/\",\"url\":\"https:\\\/\\\/screening.mhanational.org\\\/screening-tools\\\/ai-mental-health-survey\\\/\",\"name\":\"AI & Mental Health Survey &#8211; Mental Health America\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/screening.mhanational.org\\\/#website\"},\"datePublished\":\"2025-05-18T20:23:18+00:00\",\"dateModified\":\"2026-03-23T17:08:08+00:00\",\"description\":\"This survey was developed to help us explore your opinions about artificial intelligence (AI) and mental health.\",\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/screening.mhanational.org\\\/screening-tools\\\/ai-mental-health-survey\\\/\"]}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/screening.mhanational.org\\\/#website\",\"url\":\"https:\\\/\\\/screening.mhanational.org\\\/\",\"name\":\"MHA Screening\",\"description\":\"Start your mental health journey here.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/screening.mhanational.org\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"}]}<\/script>","yoast_head_json":{"title":"Encuesta sobre IA y salud mental \u2013 Mental Health America","description":"This survey was developed to help us explore your opinions about artificial intelligence (AI) and mental health.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/screening.mhanational.org\/es\/screening-tools\/ai-mental-health-survey\/","og_locale":"es_MX","og_type":"article","og_title":"AI & Mental Health Survey &#8211; Mental Health America","og_description":"This survey was developed to help us explore your opinions about artificial intelligence (AI) and mental health.","og_url":"https:\/\/screening.mhanational.org\/es\/screening-tools\/ai-mental-health-survey\/","og_site_name":"Mental Health America","article_publisher":"https:\/\/www.facebook.com\/mentalhealthamerica","article_modified_time":"2026-03-23T17:08:08+00:00","og_image":[{"width":1200,"height":631,"url":"https:\/\/screening.mhanational.org\/wp-content\/uploads\/2022\/04\/Social-media-share-preview.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_title":"AI & Mental Health Survey &#8211; Mental Health America","twitter_description":"This survey was developed to help us explore your opinions about artificial intelligence (AI) and mental health.","twitter_site":"@mentalhealtham","twitter_misc":{"Est. reading time":"1 minuto"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/screening.mhanational.org\/screening-tools\/ai-mental-health-survey\/","url":"https:\/\/screening.mhanational.org\/screening-tools\/ai-mental-health-survey\/","name":"Encuesta sobre IA y salud mental \u2013 Mental Health America","isPartOf":{"@id":"https:\/\/screening.mhanational.org\/#website"},"datePublished":"2025-05-18T20:23:18+00:00","dateModified":"2026-03-23T17:08:08+00:00","description":"This survey was developed to help us explore your opinions about artificial intelligence (AI) and mental health.","inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/screening.mhanational.org\/screening-tools\/ai-mental-health-survey\/"]}]},{"@type":"WebSite","@id":"https:\/\/screening.mhanational.org\/#website","url":"https:\/\/screening.mhanational.org\/","name":"Evaluaci\u00f3n de MHA","description":"Comienza aqu\u00ed tu camino hacia la salud mental.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/screening.mhanational.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"}]}},"_links":{"self":[{"href":"https:\/\/screening.mhanational.org\/es\/wp-json\/wp\/v2\/screen\/239625","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/screening.mhanational.org\/es\/wp-json\/wp\/v2\/screen"}],"about":[{"href":"https:\/\/screening.mhanational.org\/es\/wp-json\/wp\/v2\/types\/screen"}],"wp:attachment":[{"href":"https:\/\/screening.mhanational.org\/es\/wp-json\/wp\/v2\/media?parent=239625"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/screening.mhanational.org\/es\/wp-json\/wp\/v2\/tags?post=239625"},{"taxonomy":"age_group","embeddable":true,"href":"https:\/\/screening.mhanational.org\/es\/wp-json\/wp\/v2\/age_group?post=239625"},{"taxonomy":"condition","embeddable":true,"href":"https:\/\/screening.mhanational.org\/es\/wp-json\/wp\/v2\/condition?post=239625"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}