{"id":1258,"date":"2022-07-03T15:50:51","date_gmt":"2022-07-03T15:50:51","guid":{"rendered":"https:\/\/nexunom.com\/members-area\/?page_id=1258"},"modified":"2022-07-03T15:53:39","modified_gmt":"2022-07-03T15:53:39","slug":"web-design-creative-brief-form","status":"publish","type":"page","link":"https:\/\/nexunom.com\/members-area\/web-design-creative-brief-form\/","title":{"rendered":"Web Design Creative Brief Form"},"content":{"rendered":"<style type=\"text\/css\">#ipt_fsqm_form_wrap_52 .ipt_fsqm_form_logo img,\n\t#ipt_fsqm_form_wrap_52 .ipt-eform-width-restrain,\n\t#ipt_fsqm_form_wrap_52 .ipt_fsqm_form_message_restore,\n\t#ipt_fsqm_form_wrap_52 .ipt_fsqm_form_message_success,\n\t#ipt_fsqm_form_wrap_52 .ipt_fsqm_form_message_error,\n\t#ipt_fsqm_form_wrap_52 .ipt_fsqm_form_message_process,\n\t#ipt_fsqm_form_wrap_52 .ipt_fsqm_form_validation_error,\n\t#ipt_fsqm_form_wrap_52 .eform-ui-estimator {\n\t\tmax-width: 980px;\n\t\tmin-width: 240px;\n\t}\n\n\t\/**\/<\/style><div\nid=\"ipt_fsqm_form_wrap_52\"\nclass=\"ipt_uif_front ipt_uif_common ipt_fsqm_form type_1 ui-front eform-ltr eform-override-element-boxy eform-override-alignment-inherit\"\ndata-fsqmsayt=\"{&quot;auto_save&quot;:false,&quot;show_restore&quot;:true,&quot;restore&quot;:false,&quot;admin_override&quot;:false,&quot;user_update&quot;:false,&quot;interval_save&quot;:false,&quot;interval&quot;:&quot;30&quot;}\"\ndata-ui-type=\"1\"\ndata-ui-theme=\"[&quot;https:\\\/\\\/nexunom.com\\\/members-area\\\/wp-content\\\/plugins\\\/wp-fsqm-pro\\\/static\\\/front\\\/css\\\/material-themes\\\/light-themes\\\/indigo.css?ver=4.20.1&quot;]\"\ndata-ui-theme-id=\"material-indigo\"\ndata-eformanim=\"1\"\ndata-fsqmga=\"{&quot;enabled&quot;:false,&quot;manual_load&quot;:false,&quot;tracking_id&quot;:&quot;&quot;,&quot;cookie&quot;:&quot;auto&quot;,&quot;user_update&quot;:false,&quot;name&quot;:&quot;Creative Brief&quot;,&quot;form_id&quot;:&quot;52&quot;}\"\ndata-fsqmreset=\"{&quot;reset&quot;:false,&quot;delay&quot;:10}\"\ndata-eformreg=\"{&quot;enabled&quot;:false,&quot;username_id&quot;:&quot;ipt_fsqm_form_52_pinfo_&quot;,&quot;password_id&quot;:&quot;ipt_fsqm_form_52_pinfo_&quot;,&quot;hide_pinfo&quot;:false,&quot;hide_meta&quot;:false,&quot;meta&quot;:[]}\"\ndata-eformscroll=\"{&quot;progress&quot;:true,&quot;message&quot;:true,&quot;offset&quot;:&quot;200&quot;,&quot;scrollOnError&quot;:true}\"\ndata-eform-cookie=\"0\"\ndata-subscription-form=\"false\"\ndata-instant-subscription=\"{&quot;doable&quot;:true,&quot;config&quot;:{&quot;enabled&quot;:false,&quot;min_tab&quot;:&quot;&quot;,&quot;debounce&quot;:&quot;3000&quot;},&quot;nonce&quot;:&quot;3f2b7bfd47&quot;}\"\n><link\nrel=\"stylesheet\" type=\"text\/css\" href=\"\/\/fonts.googleapis.com\/css?family=Ubuntu:400,400italic,700,700italic|Ubuntu:400,400italic,700,700italic\" \/><style type=\"text\/css\">\/*==============================================================================\n\t * Font Family\n\t *============================================================================*\/\n\tbody #ipt_fsqm_form_wrap_52,\n\tbody #ipt_fsqm_form_wrap_52.ipt_uif_common,\n\tbody #ipt_fsqm_form_wrap_52.ipt_uif_common .ui-widget,\n\tbody #ipt_fsqm_form_wrap_52.ipt_uif_tabs.ui-tabs .ui-tabs-nav li a span,\n\tbody #ipt_fsqm_form_wrap_52.ipt_uif_common .ui-widget input,\n\tbody #ipt_fsqm_form_wrap_52.ipt_uif_common .ui-widget select,\n\tbody #ipt_fsqm_form_wrap_52.ipt_uif_common .ui-widget textarea,\n\tbody #ipt_fsqm_form_wrap_52.ipt_uif_common .ui-widget button,\n\tbody #ipt_fsqm_form_wrap_52.ipt_uif_common .ipt_uif_divider span.ipt_uif_divider_text span.subtitle {\n\t\tfont-family: 'Ubuntu', Helvetica, Arial, sans-serif;\n\t}\n\tbody #ipt_fsqm_form_wrap_52 h1,\n\tbody #ipt_fsqm_form_wrap_52 h2,\n\tbody #ipt_fsqm_form_wrap_52 h3,\n\tbody #ipt_fsqm_form_wrap_52 h4,\n\tbody #ipt_fsqm_form_wrap_52 h5,\n\tbody #ipt_fsqm_form_wrap_52 h6,\n\tbody .ipt_fsqm_form_tabs .ui-tabs-nav,\n\t#ipt_fsqm_form_wrap_52 .ipt_uif_matrix thead,\n\t#ipt_fsqm_form_wrap_52 .ipt_uif_matrix th,\n\tbody .ipt_fsqm_form_sda .ipt_fsqm_form_sda_head,\n\tbody .ui-dialog .ui-dialog-title,\n\tbody #ipt_fsqm_form_wrap_52 ul.ipt_fsqm_form_ul_menu li a,\n\tbody #ipt_fsqm_form_wrap_52 .ipt_fsqm_form_message,\n\tbody #ipt_fsqm_form_wrap_52 .ipt_uif_tabs.ui-tabs .ui-tabs-nav li,\n\tbody #ipt_fsqm_form_wrap_52 .ipt_uif_question .ipt_uif_question_label .ipt_uif_question_title,\n\tbody #ipt_fsqm_form_wrap_52 .ipt_uif_divider {\n\t\tfont-family: 'Ubuntu', Helvetica, Arial, sans-serif;\n\t\tfont-weight: normal;\n\t\tfont-style: normal;\n\t}\n\n\tbody #ipt_fsqm_form_wrap_52 {\n\t\tfont-size: 14px;\n\t}\n\/**\/<\/style><noscript><div\nclass=\"ipt_fsqm_form_message_noscript ui-widget ui-widget-content ui-corner-all\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div>Javascript is disabled<\/div><\/div><div\nclass=\"ui-widget-content ui-corner-bottom\"><p>Javascript is disabled on your browser. Please enable it in order to use this form.<\/p><\/div><\/div>\n<\/noscript><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt_uif_init_loader ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">Loading<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_uif_conditional_logic\" id=\"ipt_uif_conditional_logic_52\" value=\"{&quot;logics&quot;:[],&quot;indexes&quot;:[],&quot;base&quot;:&quot;52&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_timer_data\" id=\"ipt_fsqm_timer_data_52\" value=\"{&quot;type&quot;:&quot;none&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_epoc_data\" id=\"ipt_fsqm_epoc_data_52\" value=\"{&quot;CURRENTYEAR&quot;:2026,&quot;CURRENTDATE&quot;:1776881827000,&quot;CURRENTDAY&quot;:22,&quot;CURRENTMONTH&quot;:4,&quot;CURRENTHOUR&quot;:18,&quot;CURRENTMINUTE&quot;:17,&quot;CURRENTSECOND&quot;:7,&quot;CURRENTWEEK&quot;:17,&quot;CURRENTEPOC&quot;:20565}\" \/><div\nstyle=\"display: none;\" class=\"ipt_uif_hidden_init\"><form\nmethod=\"post\" action=\"\" class=\"ipt_uif_validate_form ipt_fsqm_main_form\" id=\"ipt_fsqm_form_52\" autocomplete=\"on\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"action\" id=\"action\" value=\"ipt_fsqm_save_form\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_epoc\" class=\"eform-epoc-value\" value=\"1776881827\" \/>\n<input\ntype=\"hidden\" class=\"ipt_fsqm_form_tab_pos\" name=\"fsqm_form52_tab_pos\" value=\"0\" id=\"fsqm_form52_tab_pos\" \/>\n<input\ntype=\"hidden\" id=\"ipt_fsqm_form_data_save\" name=\"ipt_fsqm_form_data_save\" value=\"739f9f1408\" data-sayt-exclude \/>\t\t\t<input\ntype=\"hidden\" name=\"_wp_http_referer\" value=\"\/members-area\/wp-json\/wp\/v2\/pages\/1258\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"form_id\" value=\"52\" \/><div\nclass=\"ipt-eform-width-restrain\"><div\nclass=\"ipt-eform-content \"><div\ndata-settings=\"{&quot;can_previous&quot;:true,&quot;show_progress_bar&quot;:true,&quot;progress_bar_bottom&quot;:false,&quot;block_previous&quot;:false,&quot;any_tab&quot;:false,&quot;type&quot;:&quot;1&quot;,&quot;scroll&quot;:true,&quot;decimal_point&quot;:2,&quot;auto_progress&quot;:false,&quot;auto_progress_delay&quot;:&quot;1500&quot;,&quot;auto_submit&quot;:false,&quot;hidden_buttons&quot;:false,&quot;scroll_on_error&quot;:true}\" class=\"ipt_fsqm_main_tab ipt_uif_tabs horizontal\"><div\nclass=\"ipt-eform-tab-nav-wrap\"><ul><li\nid=\"ipt_fsqm_form_52_tab_0_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_52_tab_0\"><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe052;\"><\/i>\n<span\nclass=\"eform-tab-labels\">Practice Info <span\nclass=\"ipt_uif_tab_subtitle\">About your practice<\/span><\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_52_tab_1_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_52_tab_1\"><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe1cf;\"><\/i>\n<span\nclass=\"eform-tab-labels\">Design Purpose <span\nclass=\"ipt_uif_tab_subtitle\">Why a new site?<\/span><\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_52_tab_2_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_52_tab_2\"><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf004;\"><\/i>\n<span\nclass=\"eform-tab-labels\">Design Preferences <span\nclass=\"ipt_uif_tab_subtitle\">What do you prefer?<\/span><\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_52_tab_3_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_52_tab_3\"><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf1c9;\"><\/i>\n<span\nclass=\"eform-tab-labels\">Website Features <span\nclass=\"ipt_uif_tab_subtitle\">Features you need<\/span><\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_52_tab_4_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_52_tab_4\"><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe0d8;\"><\/i>\n<span\nclass=\"eform-tab-labels\">Design Resources <span\nclass=\"ipt_uif_tab_subtitle\">Upload your files<\/span><\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_52_tab_5_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_52_tab_5\"><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe227;\"><\/i>\n<span\nclass=\"eform-tab-labels\">Pricing Details <span\nclass=\"ipt_uif_tab_subtitle\">How would you like to pay?<\/span><\/span><\/a><\/li><\/ul>\n<i\nclass=\"eform-tab-nav eform-tab-nav-right ipt-icomoon-angle-right disabled eform-ripple\"><\/i>\n<i\nclass=\"eform-tab-nav eform-tab-nav-left ipt-icomoon-angle-left disabled eform-ripple\"><\/i>\n<span\nclass=\"eform-tab-passive-notifier\"><\/span>\n<span\nclass=\"eform-tab-active-notifier\"><\/span><\/div><div\nid=\"ipt_fsqm_form_52_tab_0\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_52_layout_0_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[design][4][m_type]\" id=\"ipt_fsqm_form_52_design_4_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[design][4][type]\" id=\"ipt_fsqm_form_52_design_4_type\" value=\"richtext\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional\" id=\"ipt_fsqm_form_52_design_4\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_richtext\"><p\nstyle=\"font-size: 17px;\">Please provide us the following information about your practice, your current website, and the new website you want us to build for you. If you are not sure about a question, please leave it blank and move on to the next question or next step. Please fill out this form to the best of your knowledge and go to the last step and click submit to get your unique editing link. You can use the editing link to revisit your submission at a later time and to add more info or answer the questions you have left unanswered.<\/p><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[design][6][m_type]\" id=\"ipt_fsqm_form_52_design_6_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[design][6][type]\" id=\"ipt_fsqm_form_52_design_6_type\" value=\"heading\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_heading\" id=\"ipt_fsqm_form_52_design_6\"><div\nclass=\"ipt_uif_column_inner\"><h4 class=\"ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_has_scroll\">\n<a\nhref=\"#\" class=\"ipt_uif_scroll_to_top\"><i\nclass=\"ipticm ipt-icomoon-chevron-up suffix\"><\/i><\/a>\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nGeneral Info\t\t\t\t<\/span>\n<\/span><\/h4><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][2][m_type]\" id=\"ipt_fsqm_form_52_freetype_2_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][2][type]\" id=\"ipt_fsqm_form_52_freetype_2_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_2\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][2][value]\"\nid=\"ipt_fsqm_form_52_freetype_2_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21e;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_2_value\">Full Practice Name<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[pinfo][1][m_type]\" id=\"ipt_fsqm_form_52_pinfo_1_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[pinfo][1][type]\" id=\"ipt_fsqm_form_52_pinfo_1_type\" value=\"p_email\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_p_email\" id=\"ipt_fsqm_form_52_pinfo_1\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[custom[email]] ipt_uif_text\"\ntype=\"email\"\nname=\"ipt_fsqm_form_52[pinfo][1][value]\"\nid=\"ipt_fsqm_form_52_pinfo_1_value\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf0e0;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_pinfo_1_value\">Practice Email Address<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[pinfo][2][m_type]\" id=\"ipt_fsqm_form_52_pinfo_2_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[pinfo][2][type]\" id=\"ipt_fsqm_form_52_pinfo_2_type\" value=\"phone\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_phone\" id=\"ipt_fsqm_form_52_pinfo_2\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[custom[phone]] ipt_uif_text\"\ntype=\"tel\"\nname=\"ipt_fsqm_form_52[pinfo][2][value]\"\nid=\"ipt_fsqm_form_52_pinfo_2_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe08c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_pinfo_2_value\">Practice Phone Number<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[design][7][m_type]\" id=\"ipt_fsqm_form_52_design_7_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[design][7][type]\" id=\"ipt_fsqm_form_52_design_7_type\" value=\"heading\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_heading\" id=\"ipt_fsqm_form_52_design_7\"><div\nclass=\"ipt_uif_column_inner\"><h4 class=\"ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_has_scroll\">\n<a\nhref=\"#\" class=\"ipt_uif_scroll_to_top\"><i\nclass=\"ipticm ipt-icomoon-chevron-up suffix\"><\/i><\/a>\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nCurrent Website Info\t\t\t\t<\/span>\n<\/span><\/h4><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][20][m_type]\" id=\"ipt_fsqm_form_52_freetype_20_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][20][type]\" id=\"ipt_fsqm_form_52_freetype_20_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_20\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][20][value]\"\nid=\"ipt_fsqm_form_52_freetype_20_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_20_value\">Current Website URL<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][33][m_type]\" id=\"ipt_fsqm_form_52_freetype_33_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][33][type]\" id=\"ipt_fsqm_form_52_freetype_33_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_33\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][33][value]\"\nid=\"ipt_fsqm_form_52_freetype_33_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21e;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_33_value\">Current Hosting Company<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][34][m_type]\" id=\"ipt_fsqm_form_52_freetype_34_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][34][type]\" id=\"ipt_fsqm_form_52_freetype_34_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_34\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][34][value]\"\nid=\"ipt_fsqm_form_52_freetype_34_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21e;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_34_value\">Current Domain Registrar<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][35][m_type]\" id=\"ipt_fsqm_form_52_freetype_35_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][35][type]\" id=\"ipt_fsqm_form_52_freetype_35_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_35\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][35][value]\"\nid=\"ipt_fsqm_form_52_freetype_35_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21e;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_35_value\">Where Emails Are Hosted<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[design][10][m_type]\" id=\"ipt_fsqm_form_52_design_10_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[design][10][type]\" id=\"ipt_fsqm_form_52_design_10_type\" value=\"heading\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_heading\" id=\"ipt_fsqm_form_52_design_10\"><div\nclass=\"ipt_uif_column_inner\"><h4 class=\"ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_has_scroll\">\n<a\nhref=\"#\" class=\"ipt_uif_scroll_to_top\"><i\nclass=\"ipticm ipt-icomoon-chevron-up suffix\"><\/i><\/a>\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nPractice Info\t\t\t\t<\/span>\n<\/span><\/h4><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][23][m_type]\" id=\"ipt_fsqm_form_52_freetype_23_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][23][type]\" id=\"ipt_fsqm_form_52_freetype_23_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_52_freetype_23\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_23_value\">Practice Description<\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_23_value\">Please briefly describe your practice, what it does and how it helps patients.<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me \"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_52[freetype][23][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_52_freetype_23_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe873;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_23_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][30][m_type]\" id=\"ipt_fsqm_form_52_freetype_30_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][30][type]\" id=\"ipt_fsqm_form_52_freetype_30_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_52_freetype_30\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_30_value\">What Makes You Stand Out From Other Practices?<\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_30_value\">What is it about you and your practice that sets you apart from the rest of dental\/orthodontic practices?<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me \"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_52[freetype][30][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_52_freetype_30_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe873;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_30_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][24][m_type]\" id=\"ipt_fsqm_form_52_freetype_24_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][24][type]\" id=\"ipt_fsqm_form_52_freetype_24_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_24\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_24_value\">How Many Locations Do You have?<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][24][value]\"\nid=\"ipt_fsqm_form_52_freetype_24_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe053;\"><\/i><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][25][m_type]\" id=\"ipt_fsqm_form_52_freetype_25_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][25][type]\" id=\"ipt_fsqm_form_52_freetype_25_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_25\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_25_value\">How Many Employees Do You Have?<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][25][value]\"\nid=\"ipt_fsqm_form_52_freetype_25_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe7fb;\"><\/i><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][21][m_type]\" id=\"ipt_fsqm_form_52_freetype_21_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][21][type]\" id=\"ipt_fsqm_form_52_freetype_21_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_21\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_21_value\">Slogan\/Tagline<\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_21_value\">Do you have a slogan or tagline that clearly describes what you offer in terms of benefits or features? <\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][21][value]\"\nid=\"ipt_fsqm_form_52_freetype_21_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe06d;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_21_value\">Slogan or tagline<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_52_tab_1\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_52_layout_1_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][0][m_type]\" id=\"ipt_fsqm_form_52_freetype_0_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][0][type]\" id=\"ipt_fsqm_form_52_freetype_0_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_52_freetype_0\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_0_value\">Why do you want to have a new website, or have your current site redesigned? <\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me \"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_52[freetype][0][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_52_freetype_0_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21e;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_0_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][1][m_type]\" id=\"ipt_fsqm_form_52_freetype_1_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][1][type]\" id=\"ipt_fsqm_form_52_freetype_1_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_52_freetype_1\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_1_value\">What issues do you have with the current website that you would like to fix in the new site?<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me \"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_52[freetype][1][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_52_freetype_1_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21e;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_1_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][0][m_type]\" id=\"ipt_fsqm_form_52_mcq_0_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][0][type]\" id=\"ipt_fsqm_form_52_mcq_0_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_52_mcq_0\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_mcq_0\">I want this site because:<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][0][options][]\" id=\"ipt_fsqm_form_52_mcq_0_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_0_options__0\" data-labelcon=\"&#xe18e;\">\nI need to build awareness for my brand\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][0][options][]\" id=\"ipt_fsqm_form_52_mcq_0_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_0_options__1\" data-labelcon=\"&#xe18e;\">\nI need to offer a contact point to my clients\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][0][options][]\" id=\"ipt_fsqm_form_52_mcq_0_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_0_options__2\" data-labelcon=\"&#xe18e;\">\nI need my company to have a better image online\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][0][options][]\" id=\"ipt_fsqm_form_52_mcq_0_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_0_options__3\" data-labelcon=\"&#xe18e;\">\nI need to sell my product\/service through my site\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][0][options][]\" id=\"ipt_fsqm_form_52_mcq_0_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_0_options__4\" data-labelcon=\"&#xe18e;\">\nI need to use it to build customer loyalty\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][0][options][]\" id=\"ipt_fsqm_form_52_mcq_0_options__5\"\nvalue=\"5\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_0_options__5\" data-labelcon=\"&#xe18e;\">\nI need to reach people in many languages\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][0][options][]\" id=\"ipt_fsqm_form_52_mcq_0_options__6\"\nvalue=\"6\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_0_options__6\" data-labelcon=\"&#xe18e;\">\nI need somewhere to promote my latest product\/service\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][1][m_type]\" id=\"ipt_fsqm_form_52_mcq_1_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][1][type]\" id=\"ipt_fsqm_form_52_mcq_1_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_52_mcq_1\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_mcq_1\">My site will be built to target:<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][1][options][]\" id=\"ipt_fsqm_form_52_mcq_1_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_1_options__0\" data-labelcon=\"&#xe18e;\">\nKids & teens\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][1][options][]\" id=\"ipt_fsqm_form_52_mcq_1_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_1_options__1\" data-labelcon=\"&#xe18e;\">\nIn their 20s\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][1][options][]\" id=\"ipt_fsqm_form_52_mcq_1_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_1_options__2\" data-labelcon=\"&#xe18e;\">\nIn their 30s\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][1][options][]\" id=\"ipt_fsqm_form_52_mcq_1_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_1_options__3\" data-labelcon=\"&#xe18e;\">\nIn their 40s\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][1][options][]\" id=\"ipt_fsqm_form_52_mcq_1_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_1_options__4\" data-labelcon=\"&#xe18e;\">\nIn their 50s\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][1][options][]\" id=\"ipt_fsqm_form_52_mcq_1_options__5\"\nvalue=\"5\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_1_options__5\" data-labelcon=\"&#xe18e;\">\nSenior citizens\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_52_tab_2\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_52_layout_2_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][32][m_type]\" id=\"ipt_fsqm_form_52_freetype_32_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][32][type]\" id=\"ipt_fsqm_form_52_freetype_32_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_52_freetype_32\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_32_value\">What do you like and dislike about your existing website?<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me \"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_52[freetype][32][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_52_freetype_32_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21e;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_32_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][36][m_type]\" id=\"ipt_fsqm_form_52_freetype_36_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][36][type]\" id=\"ipt_fsqm_form_52_freetype_36_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_52_freetype_36\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_36_value\">Describe the new site's desired look and feel by using adjectives and short phrases?<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me \"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_52[freetype][36][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_52_freetype_36_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21e;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_36_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[design][11][m_type]\" id=\"ipt_fsqm_form_52_design_11_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[design][11][type]\" id=\"ipt_fsqm_form_52_design_11_type\" value=\"heading\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_heading\" id=\"ipt_fsqm_form_52_design_11\"><div\nclass=\"ipt_uif_column_inner\"><h4 class=\"ipt_uif_heading ipt_uif_divider ipt_uif_align_left ipt_uif_divider_no_icon ipt_uif_divider_has_scroll\">\n<a\nhref=\"#\" class=\"ipt_uif_scroll_to_top\"><i\nclass=\"ipticm ipt-icomoon-chevron-up suffix\"><\/i><\/a>\n<span\nclass=\"ipt_uif_divider_text\">\n<span\nclass=\"ipt_uif_divider_text_inner\">\nExample Sites\t\t\t\t<\/span>\n<\/span><\/h4><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[design][5][m_type]\" id=\"ipt_fsqm_form_52_design_5_m_type\" value=\"design\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[design][5][type]\" id=\"ipt_fsqm_form_52_design_5_type\" value=\"richtext\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional\" id=\"ipt_fsqm_form_52_design_5\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_richtext\"><p\nstyle=\"font-size: 17px;\">Please list two to three other sites that you like. In the comment section, please articulate why each site is attractive to you.<\/p><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][14][m_type]\" id=\"ipt_fsqm_form_52_freetype_14_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][14][type]\" id=\"ipt_fsqm_form_52_freetype_14_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_14\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_14_value\">Website URL 1<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][14][value]\"\nid=\"ipt_fsqm_form_52_freetype_14_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_14_value\">Website URL 1<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][15][m_type]\" id=\"ipt_fsqm_form_52_freetype_15_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][15][type]\" id=\"ipt_fsqm_form_52_freetype_15_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_52_freetype_15\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_15_value\">Comment<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me \"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_52[freetype][15][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_52_freetype_15_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21e;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_15_value\">Please specify why you like this site.<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][16][m_type]\" id=\"ipt_fsqm_form_52_freetype_16_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][16][type]\" id=\"ipt_fsqm_form_52_freetype_16_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_16\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_16_value\">Website URL 2<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][16][value]\"\nid=\"ipt_fsqm_form_52_freetype_16_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_16_value\">Website URL 2<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][17][m_type]\" id=\"ipt_fsqm_form_52_freetype_17_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][17][type]\" id=\"ipt_fsqm_form_52_freetype_17_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_52_freetype_17\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_17_value\">Comment<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me \"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_52[freetype][17][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_52_freetype_17_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21e;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_17_value\">Please specify why you like this site.<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][18][m_type]\" id=\"ipt_fsqm_form_52_freetype_18_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][18][type]\" id=\"ipt_fsqm_form_52_freetype_18_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_18\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_18_value\">Website URL 3<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][18][value]\"\nid=\"ipt_fsqm_form_52_freetype_18_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_18_value\">Website URL 3<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][19][m_type]\" id=\"ipt_fsqm_form_52_freetype_19_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][19][type]\" id=\"ipt_fsqm_form_52_freetype_19_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_52_freetype_19\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_19_value\">Comment<\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me \"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_52[freetype][19][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_52_freetype_19_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21e;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_19_value\">Please specify why you like this site.<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][10][m_type]\" id=\"ipt_fsqm_form_52_mcq_10_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][10][type]\" id=\"ipt_fsqm_form_52_mcq_10_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_52_mcq_10\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_mcq_10\">Matching Brand Identity<\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_52_mcq_10\">Do you have print materials (such as business cards or brochures) that we need to match?<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_52[mcq][10][options][]\"\nid=\"ipt_fsqm_form_52_mcq_10_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_10_options__0\" data-labelcon=\"&#xe18e;\">\nYes\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_52[mcq][10][options][]\"\nid=\"ipt_fsqm_form_52_mcq_10_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_10_options__1\" data-labelcon=\"&#xe18e;\">\nNo\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][6][m_type]\" id=\"ipt_fsqm_form_52_mcq_6_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][6][type]\" id=\"ipt_fsqm_form_52_mcq_6_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_52_mcq_6\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_mcq_6\">What other things we need to match our design with?<\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_52_mcq_6\">Does your company have a logo\/established image & branding guidelines (e.g. fonts, colour schemes etc)?<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][6][options][]\" id=\"ipt_fsqm_form_52_mcq_6_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_6_options__0\" data-labelcon=\"&#xe18e;\">\nLogo\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][6][options][]\" id=\"ipt_fsqm_form_52_mcq_6_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_6_options__1\" data-labelcon=\"&#xe18e;\">\nColor Schemes\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][6][options][]\" id=\"ipt_fsqm_form_52_mcq_6_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_6_options__3\" data-labelcon=\"&#xe18e;\">\nFont\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][37][m_type]\" id=\"ipt_fsqm_form_52_freetype_37_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][37][type]\" id=\"ipt_fsqm_form_52_freetype_37_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_52_freetype_37\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_37_value\">Color Palate<\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_37_value\">Do you have specific brand colors or a color palette you\u2019d like us to use for your website? Please enter your brand colors or preferred palette (e.g., #123456, Navy Blue, White).<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me \"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_52[freetype][37][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_52_freetype_37_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf1fc;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_37_value\">e.g., #123456, Navy Blue, White<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_52_tab_3\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_52_layout_3_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][3][m_type]\" id=\"ipt_fsqm_form_52_mcq_3_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][3][type]\" id=\"ipt_fsqm_form_52_mcq_3_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_52_mcq_3\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_mcq_3\">What Features Do You Need?<\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_52_mcq_3\">Special features to be included in our new website:<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][3][options][]\" id=\"ipt_fsqm_form_52_mcq_3_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_3_options__0\" data-labelcon=\"&#xe18e;\">\nAppointment Request Form\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][3][options][]\" id=\"ipt_fsqm_form_52_mcq_3_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_3_options__1\" data-labelcon=\"&#xe18e;\">\nVideo streaming\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][3][options][]\" id=\"ipt_fsqm_form_52_mcq_3_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_3_options__2\" data-labelcon=\"&#xe18e;\">\nBlog Section\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][3][options][]\" id=\"ipt_fsqm_form_52_mcq_3_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_3_options__3\" data-labelcon=\"&#xe18e;\">\nContact Request Form\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][3][options][]\" id=\"ipt_fsqm_form_52_mcq_3_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_3_options__4\" data-labelcon=\"&#xe18e;\">\nPatient\/Doctor Referral Form\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][3][options][]\" id=\"ipt_fsqm_form_52_mcq_3_options__5\"\nvalue=\"5\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_3_options__5\" data-labelcon=\"&#xe18e;\">\nBefore\/After Image Gallery\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][3][options][]\" id=\"ipt_fsqm_form_52_mcq_3_options__6\"\nvalue=\"6\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_3_options__6\" data-labelcon=\"&#xe18e;\">\nHomepage Video Background\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][3][options][]\" id=\"ipt_fsqm_form_52_mcq_3_options__7\"\nvalue=\"7\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_3_options__7\" data-labelcon=\"&#xe18e;\">\nOffice Image Gallery\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in \"\nname=\"ipt_fsqm_form_52[mcq][3][options][]\" id=\"ipt_fsqm_form_52_mcq_3_options__8\"\nvalue=\"8\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_3_options__8\" data-labelcon=\"&#xe18e;\">\nStaff Image Gallery\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][26][m_type]\" id=\"ipt_fsqm_form_52_freetype_26_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][26][type]\" id=\"ipt_fsqm_form_52_freetype_26_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_52_freetype_26\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_26_value\">Other Features<\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_26_value\">Please name other feature in this box<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me \"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_52[freetype][26][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_52_freetype_26_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe21e;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_26_value\">Describe Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_52_tab_4\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_52_layout_4_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][8][m_type]\" id=\"ipt_fsqm_form_52_mcq_8_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][8][type]\" id=\"ipt_fsqm_form_52_mcq_8_type\" value=\"checkbox\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_checkbox\" id=\"ipt_fsqm_form_52_mcq_8\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_mcq_8\">Which of the following resources will you provide?<\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_52_mcq_8\">Check all that you will provide us<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][8][options][]\" id=\"ipt_fsqm_form_52_mcq_8_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_8_options__0\" data-labelcon=\"&#xe18e;\">\nStock Photography\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][8][options][]\" id=\"ipt_fsqm_form_52_mcq_8_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_8_options__1\" data-labelcon=\"&#xe18e;\">\nCompany Photography\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][8][options][]\" id=\"ipt_fsqm_form_52_mcq_8_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_8_options__2\" data-labelcon=\"&#xe18e;\">\nCompany Video\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][8][options][]\" id=\"ipt_fsqm_form_52_mcq_8_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_8_options__3\" data-labelcon=\"&#xe18e;\">\nOther Artwork\/ Illustrations\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][8][options][]\" id=\"ipt_fsqm_form_52_mcq_8_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_8_options__4\" data-labelcon=\"&#xe18e;\">\nCopywriting text\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][8][options][]\" id=\"ipt_fsqm_form_52_mcq_8_options__5\"\nvalue=\"5\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_8_options__5\" data-labelcon=\"&#xe18e;\">\nProfessional logo\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][8][options][]\" id=\"ipt_fsqm_form_52_mcq_8_options__7\"\nvalue=\"7\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_8_options__7\" data-labelcon=\"&#xe18e;\">\nHealth History Form & New Patient Form (Adult & Kids)\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][8][options][]\" id=\"ipt_fsqm_form_52_mcq_8_options__8\"\nvalue=\"8\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_8_options__8\" data-labelcon=\"&#xe18e;\">\nBefore\/After Images\t\t\t\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\t\t\t\t\t\t\ttype=\"checkbox\"\nclass=\"check_me ipt_uif_checkbox filled-in as-eform-button \"\nname=\"ipt_fsqm_form_52[mcq][8][options][]\" id=\"ipt_fsqm_form_52_mcq_8_options__9\"\nvalue=\"9\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_52_mcq_8_options__9\" data-labelcon=\"&#xe18e;\">\nOther Print Collateral\t\t\t\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][28][m_type]\" id=\"ipt_fsqm_form_52_freetype_28_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][28][type]\" id=\"ipt_fsqm_form_52_freetype_28_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_28\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_28_value\">DropBox\/GoogleDrive Link<\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_28_value\">Please provide a link to a Dropbox or Google Drive folder where you will share the above-selected design resources with us<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][28][value]\"\nid=\"ipt_fsqm_form_52_freetype_28_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe2bc;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_28_value\">Paste Link Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_52_tab_5\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_52_layout_5_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][29][m_type]\" id=\"ipt_fsqm_form_52_freetype_29_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[freetype][29][type]\" id=\"ipt_fsqm_form_52_freetype_29_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_52_freetype_29\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_29_value\">Do you have a quote from us?<\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_52_freetype_29_value\">Enter the price we gave you in this field<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_52[freetype][29][value]\"\nid=\"ipt_fsqm_form_52_freetype_29_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf155;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_52_freetype_29_value\">Enter amount here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][9][m_type]\" id=\"ipt_fsqm_form_52_mcq_9_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_52[mcq][9][type]\" id=\"ipt_fsqm_form_52_mcq_9_type\" value=\"slider\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_slider\" id=\"ipt_fsqm_form_52_mcq_9\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_52_mcq_9_value\">Payment terms<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_52_mcq_9_value\">In how many instalments would you like to make your payment?<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_empty_box ipt_uif_slider_box\">\n<input\ndata-floats=\"1\" type=\"number\" min=\"1\" max=\"18\" step=\"1\" data-nomin=\"\" data-show-count=\"\" data-labels=\"{&quot;first&quot;:false,&quot;last&quot;:false,&quot;rest&quot;:false,&quot;labels&quot;:[]}\" data-prefix=\"\" data-suffix=\"\" class=\"ipt_uif_slider check_me validate[funcCall[iptUIFSliderVal]]\" data-min=\"1\" data-max=\"18\" data-step=\"1\" name=\"ipt_fsqm_form_52[mcq][9][value]\" id=\"ipt_fsqm_form_52_mcq_9_value\" value=\"1\" data-vertical=\"\" data-height=\"300\" \/><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear\"><\/div><div\nid=\"ipt_fsqm_form_52_button_container\" class=\"ipt_fsqm_form_button_container ipt_fsqm_form_button_container--classic ipt-eform-material-button-container\"><div\nclass=\"eform-button-container-inner\">\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_prev medium primary-button\" name=\"ipt_fsqm_form_52_button_prev\" id=\"ipt_fsqm_form_52_button_prev\"> Previous<\/button>\n<button\ntype=\"submit\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_submit medium primary-button\" name=\"ipt_fsqm_form_52_button_submit\" id=\"ipt_fsqm_form_52_button_submit\"> Submit<\/button>\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_next medium primary-button\" name=\"ipt_fsqm_form_52_button_next\" id=\"ipt_fsqm_form_52_button_next\"> Next<\/button><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/form><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_success ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3><i\ntitle=\"\" class=\" ipt-icomoon-checkmark-circle ipticm prefix\"><\/i>\nYour form has been submitted<\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-all ipt_fsqm_success_wrap\"><p>Thank you for taking the time to fill out this creative brief form.<br\n\/>\nWe have received your answers. You can view it anytime and edit your answers from this link:<br\n\/>\n<a\nhref=\"%TRACK_LINK%\">%TRACK_LINK%<\/a><br\n\/>\nWe have also attached a copy of your submission.<\/p><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div><i\ntitle=\"\" class=\" ipt-icomoon-laptop ipticm prefix\"><\/i>\nServer Side Error<\/div><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p>We faced problems while connecting to the server or receiving data from the server. Please wait for a few seconds and try again.<\/p><p>If the problem persists, then check your internet connectivity. If all other sites open fine, then please contact the administrator of this website with the following information.<\/p><p\nclass=\"jqXHR\">\n<strong>TextStatus: <\/strong><span\nclass=\"textStatus\">undefined<\/span><br\n\/>\n<strong>HTTP Error: <\/strong><span\nclass=\"errorThrown\">undefined<\/span><\/p><\/div><\/div><div\nstyle=\"display: none\" class=\"ipt_uif_widget_box ipt_fsqm_form_message_process\"><div\nclass=\"ui-widget ui-widget-header ui-corner-all\"><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">Processing your request<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_validation_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><div><i\ntitle=\"\" class=\" ipt-icomoon-warning2 ipticm prefix\"><\/i>\n<span\nclass=\"fsqm_ve_text\">Error<\/span><\/div><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p\nclass=\"fsqm_ve_msg\">Some error has occured.<\/p><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"Javascript is disabledJavascript is disabled on your browser. Please enable it in order to use this form. Loading Practice Info About your practice Design Purpose Why a new site? Design Preferences What do you prefer? Website Features Features you need Design Resources Upload your files Pricing Details How would you like to pay? Please provide us the following information about your practice, your current website, and the new website you want us to build for you. If you are not sure about a question, please leave it blank and move on to the next question or next step. Please fill out this form to the best of your knowledge and go to the last step and click submit to get your unique editing link. You can use the editing link to revisit your submission at a later time and to add more info or answer the questions you have left unanswered. General Info Full Practice Name Practice Email Address Practice Phone Number Current Website Info Current Website URL Current Hosting Company Current Domain Registrar Where Emails Are Hosted Practice Info Practice Description Please briefly describe your practice, what it does and how it helps patients. Write Here What Makes You [...]","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"pmpro_default_level":"","inline_featured_image":false,"footnotes":""},"class_list":["post-1258","page","type-page","status-publish","hentry","pmpro-has-access"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Web Design Creative Brief Form - Nexunom<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nexunom.com\/members-area\/web-design-creative-brief-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Web Design Creative Brief Form - Nexunom\" \/>\n<meta property=\"og:url\" content=\"https:\/\/nexunom.com\/members-area\/web-design-creative-brief-form\/\" \/>\n<meta property=\"og:site_name\" content=\"Nexunom\" \/>\n<meta property=\"article:modified_time\" content=\"2022-07-03T15:53:39+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/nexunom.com\\\/members-area\\\/web-design-creative-brief-form\\\/\",\"url\":\"https:\\\/\\\/nexunom.com\\\/members-area\\\/web-design-creative-brief-form\\\/\",\"name\":\"Web Design Creative Brief Form - 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