{"id":543,"date":"2020-12-22T14:33:48","date_gmt":"2020-12-22T14:33:48","guid":{"rendered":"http:\/\/forms.mhamichiana.org\/?page_id=543"},"modified":"2021-01-12T19:54:24","modified_gmt":"2021-01-12T19:54:24","slug":"pre-therapy-questionnaire-client","status":"publish","type":"page","link":"https:\/\/forms.mhamichiana.org\/es\/pre-therapy-questionnaire-client\/","title":{"rendered":"Pre Therapy Questionnaire (Client)"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"543\" class=\"elementor elementor-543\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-938e573 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"938e573\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1f93a8c\" data-id=\"1f93a8c\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-afebdb8 elementor-widget elementor-widget-heading\" data-id=\"afebdb8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Pre Therapy Outcomes Questionnaire (for Clients)<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1449d73 elementor-widget elementor-widget-shortcode\" data-id=\"1449d73\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\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\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_10' ><div id='gf_10' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_10' id='gform_10'  action='\/es\/wp-json\/wp\/v2\/pages\/543#gf_10' data-formid='10' novalidate data-trp-original-action=\"\/es\/wp-json\/wp\/v2\/pages\/543#gf_10\">\n                        <div class='gform-body gform_body'><ul id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_10_1\" class=\"gfield gfield--type-text hipaa_forms_first_name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_1'>First Name:<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_10_1' type='text' value='' class='medium'   tabindex='49'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_10_18\" class=\"gfield gfield--type-text hipaa_forms_last_name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_18'>Last Name:<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_10_18' type='text' value='' class='medium'   tabindex='50'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_10_19\" class=\"gfield gfield--type-email hipaa_forms_email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_19'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_19' id='input_10_19' type='email' value='' class='medium' tabindex='51'    aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_10_17\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_17'>Today&#039;s Date:<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_17' id='input_10_17' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='52'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_10_17_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_10_17_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_10_17' class='gform_hidden' value='https:\/\/forms.mhamichiana.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_10_3\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_3'>Name of Therapist:<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_10_3' type='text' value='' class='medium'   tabindex='53'   aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_10_4\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I know what goals I want to work  on with my therapist.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_4'>\n\t\t\t<li class='gchoice gchoice_10_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Strongly agree (5)'  id='choice_10_4_0' tabindex='54'   \/>\n\t\t\t\t<label for='choice_10_4_0' id='label_10_4_0' class='gform-field-label gform-field-label--type-inline'>Strongly agree (5)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='Agree (4)'  id='choice_10_4_1' tabindex='55'   \/>\n\t\t\t\t<label for='choice_10_4_1' id='label_10_4_1' class='gform-field-label gform-field-label--type-inline'>Agree (4)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_4_2'>\n\t\t\t\t<input name='input_4' type='radio' value='Neutral (3)'  id='choice_10_4_2' tabindex='56'   \/>\n\t\t\t\t<label for='choice_10_4_2' id='label_10_4_2' class='gform-field-label gform-field-label--type-inline'>Neutral (3)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_4_3'>\n\t\t\t\t<input name='input_4' type='radio' value='Disagree (2)'  id='choice_10_4_3' tabindex='57'   \/>\n\t\t\t\t<label for='choice_10_4_3' id='label_10_4_3' class='gform-field-label gform-field-label--type-inline'>Disagree (2)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_4_4'>\n\t\t\t\t<input name='input_4' type='radio' value='Strongly disagree (1)'  id='choice_10_4_4' tabindex='58'   \/>\n\t\t\t\t<label for='choice_10_4_4' id='label_10_4_4' class='gform-field-label gform-field-label--type-inline'>Strongly disagree (1)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_4_5'>\n\t\t\t\t<input name='input_4' type='radio' value='Not applicable'  id='choice_10_4_5' tabindex='59'   \/>\n\t\t\t\t<label for='choice_10_4_5' id='label_10_4_5' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_5\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >In the past two weeks, I have  missed work or been late to work  because of my mental health.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_5'>\n\t\t\t<li class='gchoice gchoice_10_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Strongly agree (5)'  id='choice_10_5_0' tabindex='60'   \/>\n\t\t\t\t<label for='choice_10_5_0' id='label_10_5_0' class='gform-field-label gform-field-label--type-inline'>Strongly agree (5)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='Agree (4)'  id='choice_10_5_1' tabindex='61'   \/>\n\t\t\t\t<label for='choice_10_5_1' id='label_10_5_1' class='gform-field-label gform-field-label--type-inline'>Agree (4)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_5_2'>\n\t\t\t\t<input name='input_5' type='radio' value='Neutral (3)'  id='choice_10_5_2' tabindex='62'   \/>\n\t\t\t\t<label for='choice_10_5_2' id='label_10_5_2' class='gform-field-label gform-field-label--type-inline'>Neutral (3)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_5_3'>\n\t\t\t\t<input name='input_5' type='radio' value='Disagree (2)'  id='choice_10_5_3' tabindex='63'   \/>\n\t\t\t\t<label for='choice_10_5_3' id='label_10_5_3' class='gform-field-label gform-field-label--type-inline'>Disagree (2)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_5_4'>\n\t\t\t\t<input name='input_5' type='radio' value='Strongly disagree (1)'  id='choice_10_5_4' tabindex='64'   \/>\n\t\t\t\t<label for='choice_10_5_4' id='label_10_5_4' class='gform-field-label gform-field-label--type-inline'>Strongly disagree (1)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_5_5'>\n\t\t\t\t<input name='input_5' type='radio' value='Not applicable'  id='choice_10_5_5' tabindex='65'   \/>\n\t\t\t\t<label for='choice_10_5_5' id='label_10_5_5' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_6\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I am satisfied with my work (ie.  Type of work, pay, benefits,  hours)<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_6'>\n\t\t\t<li class='gchoice gchoice_10_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Strongly agree (5)'  id='choice_10_6_0' tabindex='66'   \/>\n\t\t\t\t<label for='choice_10_6_0' id='label_10_6_0' class='gform-field-label gform-field-label--type-inline'>Strongly agree (5)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Agree (4)'  id='choice_10_6_1' tabindex='67'   \/>\n\t\t\t\t<label for='choice_10_6_1' id='label_10_6_1' class='gform-field-label gform-field-label--type-inline'>Agree (4)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_6_2'>\n\t\t\t\t<input name='input_6' type='radio' value='Neutral (3)'  id='choice_10_6_2' tabindex='68'   \/>\n\t\t\t\t<label for='choice_10_6_2' id='label_10_6_2' class='gform-field-label gform-field-label--type-inline'>Neutral (3)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_6_3'>\n\t\t\t\t<input name='input_6' type='radio' value='Disagree (2)'  id='choice_10_6_3' tabindex='69'   \/>\n\t\t\t\t<label for='choice_10_6_3' id='label_10_6_3' class='gform-field-label gform-field-label--type-inline'>Disagree (2)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_6_4'>\n\t\t\t\t<input name='input_6' type='radio' value='Strongly disagree (1)'  id='choice_10_6_4' tabindex='70'   \/>\n\t\t\t\t<label for='choice_10_6_4' id='label_10_6_4' class='gform-field-label gform-field-label--type-inline'>Strongly disagree (1)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_6_5'>\n\t\t\t\t<input name='input_6' type='radio' value='Not applicable'  id='choice_10_6_5' tabindex='71'   \/>\n\t\t\t\t<label for='choice_10_6_5' id='label_10_6_5' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_7\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I am satisfied with my current  educational level or work skills.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_7'>\n\t\t\t<li class='gchoice gchoice_10_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='Strongly agree (5)'  id='choice_10_7_0' tabindex='72'   \/>\n\t\t\t\t<label for='choice_10_7_0' id='label_10_7_0' class='gform-field-label gform-field-label--type-inline'>Strongly agree (5)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_7_1'>\n\t\t\t\t<input name='input_7' type='radio' value='Agree (4)'  id='choice_10_7_1' tabindex='73'   \/>\n\t\t\t\t<label for='choice_10_7_1' id='label_10_7_1' class='gform-field-label gform-field-label--type-inline'>Agree (4)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_7_2'>\n\t\t\t\t<input name='input_7' type='radio' value='Neutral (3)'  id='choice_10_7_2' tabindex='74'   \/>\n\t\t\t\t<label for='choice_10_7_2' id='label_10_7_2' class='gform-field-label gform-field-label--type-inline'>Neutral (3)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_7_3'>\n\t\t\t\t<input name='input_7' type='radio' value='Disagree (2)'  id='choice_10_7_3' tabindex='75'   \/>\n\t\t\t\t<label for='choice_10_7_3' id='label_10_7_3' class='gform-field-label gform-field-label--type-inline'>Disagree (2)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_7_4'>\n\t\t\t\t<input name='input_7' type='radio' value='Strongly disagree (1)'  id='choice_10_7_4' tabindex='76'   \/>\n\t\t\t\t<label for='choice_10_7_4' id='label_10_7_4' class='gform-field-label gform-field-label--type-inline'>Strongly disagree (1)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_7_5'>\n\t\t\t\t<input name='input_7' type='radio' value='Not applicable'  id='choice_10_7_5' tabindex='77'   \/>\n\t\t\t\t<label for='choice_10_7_5' id='label_10_7_5' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_8\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >In the past two weeks, I have  missed school or been late to  classes because of my mental  health.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_8'>\n\t\t\t<li class='gchoice gchoice_10_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='Strongly agree (5)'  id='choice_10_8_0' tabindex='78'   \/>\n\t\t\t\t<label for='choice_10_8_0' id='label_10_8_0' class='gform-field-label gform-field-label--type-inline'>Strongly agree (5)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='Agree (4)'  id='choice_10_8_1' tabindex='79'   \/>\n\t\t\t\t<label for='choice_10_8_1' id='label_10_8_1' class='gform-field-label gform-field-label--type-inline'>Agree (4)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_8_2'>\n\t\t\t\t<input name='input_8' type='radio' value='Neutral (3)'  id='choice_10_8_2' tabindex='80'   \/>\n\t\t\t\t<label for='choice_10_8_2' id='label_10_8_2' class='gform-field-label gform-field-label--type-inline'>Neutral (3)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_8_3'>\n\t\t\t\t<input name='input_8' type='radio' value='Disagree (2)'  id='choice_10_8_3' tabindex='81'   \/>\n\t\t\t\t<label for='choice_10_8_3' id='label_10_8_3' class='gform-field-label gform-field-label--type-inline'>Disagree (2)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_8_4'>\n\t\t\t\t<input name='input_8' type='radio' value='Strongly disagree (1)'  id='choice_10_8_4' tabindex='82'   \/>\n\t\t\t\t<label for='choice_10_8_4' id='label_10_8_4' class='gform-field-label gform-field-label--type-inline'>Strongly disagree (1)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_8_5'>\n\t\t\t\t<input name='input_8' type='radio' value='Not applicable'  id='choice_10_8_5' tabindex='83'   \/>\n\t\t\t\t<label for='choice_10_8_5' id='label_10_8_5' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_9\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I can talk to friends or family  members about my mental  health.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_9'>\n\t\t\t<li class='gchoice gchoice_10_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='Strongly agree (5)'  id='choice_10_9_0' tabindex='84'   \/>\n\t\t\t\t<label for='choice_10_9_0' id='label_10_9_0' class='gform-field-label gform-field-label--type-inline'>Strongly agree (5)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='Agree (4)'  id='choice_10_9_1' tabindex='85'   \/>\n\t\t\t\t<label for='choice_10_9_1' id='label_10_9_1' class='gform-field-label gform-field-label--type-inline'>Agree (4)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_9_2'>\n\t\t\t\t<input name='input_9' type='radio' value='Neutral (3)'  id='choice_10_9_2' tabindex='86'   \/>\n\t\t\t\t<label for='choice_10_9_2' id='label_10_9_2' class='gform-field-label gform-field-label--type-inline'>Neutral (3)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_9_3'>\n\t\t\t\t<input name='input_9' type='radio' value='Disagree (2)'  id='choice_10_9_3' tabindex='87'   \/>\n\t\t\t\t<label for='choice_10_9_3' id='label_10_9_3' class='gform-field-label gform-field-label--type-inline'>Disagree (2)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_9_4'>\n\t\t\t\t<input name='input_9' type='radio' value='Strongly disagree (1)'  id='choice_10_9_4' tabindex='88'   \/>\n\t\t\t\t<label for='choice_10_9_4' id='label_10_9_4' class='gform-field-label gform-field-label--type-inline'>Strongly disagree (1)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_9_5'>\n\t\t\t\t<input name='input_9' type='radio' value='Not applicable'  id='choice_10_9_5' tabindex='89'   \/>\n\t\t\t\t<label for='choice_10_9_5' id='label_10_9_5' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_10\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I am satisfied with my overall well-  being (general sense of well-  being, life satisfaction).<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_10'>\n\t\t\t<li class='gchoice gchoice_10_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='Strongly agree (5)'  id='choice_10_10_0' tabindex='90'   \/>\n\t\t\t\t<label for='choice_10_10_0' id='label_10_10_0' class='gform-field-label gform-field-label--type-inline'>Strongly agree (5)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='Agree (4)'  id='choice_10_10_1' tabindex='91'   \/>\n\t\t\t\t<label for='choice_10_10_1' id='label_10_10_1' class='gform-field-label gform-field-label--type-inline'>Agree (4)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_10_2'>\n\t\t\t\t<input name='input_10' type='radio' value='Neutral (3)'  id='choice_10_10_2' tabindex='92'   \/>\n\t\t\t\t<label for='choice_10_10_2' id='label_10_10_2' class='gform-field-label gform-field-label--type-inline'>Neutral (3)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_10_3'>\n\t\t\t\t<input name='input_10' type='radio' value='Disagree (2)'  id='choice_10_10_3' tabindex='93'   \/>\n\t\t\t\t<label for='choice_10_10_3' id='label_10_10_3' class='gform-field-label gform-field-label--type-inline'>Disagree (2)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_10_4'>\n\t\t\t\t<input name='input_10' type='radio' value='Strongly disagree (1)'  id='choice_10_10_4' tabindex='94'   \/>\n\t\t\t\t<label for='choice_10_10_4' id='label_10_10_4' class='gform-field-label gform-field-label--type-inline'>Strongly disagree (1)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_10_5'>\n\t\t\t\t<input name='input_10' type='radio' value='Not applicable'  id='choice_10_10_5' tabindex='95'   \/>\n\t\t\t\t<label for='choice_10_10_5' id='label_10_10_5' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_11\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >My close relationships are going  well (good communication, little  conflict).<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_11'>\n\t\t\t<li class='gchoice gchoice_10_11_0'>\n\t\t\t\t<input name='input_11' type='radio' value='Strongly agree (5)'  id='choice_10_11_0' tabindex='96'   \/>\n\t\t\t\t<label for='choice_10_11_0' id='label_10_11_0' class='gform-field-label gform-field-label--type-inline'>Strongly agree (5)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_11_1'>\n\t\t\t\t<input name='input_11' type='radio' value='Agree (4)'  id='choice_10_11_1' tabindex='97'   \/>\n\t\t\t\t<label for='choice_10_11_1' id='label_10_11_1' class='gform-field-label gform-field-label--type-inline'>Agree (4)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_11_2'>\n\t\t\t\t<input name='input_11' type='radio' value='Neutral (3)'  id='choice_10_11_2' tabindex='98'   \/>\n\t\t\t\t<label for='choice_10_11_2' id='label_10_11_2' class='gform-field-label gform-field-label--type-inline'>Neutral (3)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_11_3'>\n\t\t\t\t<input name='input_11' type='radio' value='Disagree (2)'  id='choice_10_11_3' tabindex='99'   \/>\n\t\t\t\t<label for='choice_10_11_3' id='label_10_11_3' class='gform-field-label gform-field-label--type-inline'>Disagree (2)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_11_4'>\n\t\t\t\t<input name='input_11' type='radio' value='Strongly disagree (1)'  id='choice_10_11_4' tabindex='100'   \/>\n\t\t\t\t<label for='choice_10_11_4' id='label_10_11_4' class='gform-field-label gform-field-label--type-inline'>Strongly disagree (1)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_11_5'>\n\t\t\t\t<input name='input_11' type='radio' value='Not applicable'  id='choice_10_11_5' tabindex='101'   \/>\n\t\t\t\t<label for='choice_10_11_5' id='label_10_11_5' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_12\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >My other relationships are going  well (work, school, friends<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_12'>\n\t\t\t<li class='gchoice gchoice_10_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='Strongly agree (5)'  id='choice_10_12_0' tabindex='102'   \/>\n\t\t\t\t<label for='choice_10_12_0' id='label_10_12_0' class='gform-field-label gform-field-label--type-inline'>Strongly agree (5)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='Agree (4)'  id='choice_10_12_1' tabindex='103'   \/>\n\t\t\t\t<label for='choice_10_12_1' id='label_10_12_1' class='gform-field-label gform-field-label--type-inline'>Agree (4)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_12_2'>\n\t\t\t\t<input name='input_12' type='radio' value='Neutral (3)'  id='choice_10_12_2' tabindex='104'   \/>\n\t\t\t\t<label for='choice_10_12_2' id='label_10_12_2' class='gform-field-label gform-field-label--type-inline'>Neutral (3)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_12_3'>\n\t\t\t\t<input name='input_12' type='radio' value='Disagree (2)'  id='choice_10_12_3' tabindex='105'   \/>\n\t\t\t\t<label for='choice_10_12_3' id='label_10_12_3' class='gform-field-label gform-field-label--type-inline'>Disagree (2)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_12_4'>\n\t\t\t\t<input name='input_12' type='radio' value='Strongly disagree (1)'  id='choice_10_12_4' tabindex='106'   \/>\n\t\t\t\t<label for='choice_10_12_4' id='label_10_12_4' class='gform-field-label gform-field-label--type-inline'>Strongly disagree (1)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_12_5'>\n\t\t\t\t<input name='input_12' type='radio' value='Not applicable'  id='choice_10_12_5' tabindex='107'   \/>\n\t\t\t\t<label for='choice_10_12_5' id='label_10_12_5' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_13\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I am satisfied with my finances  (stable income, good decision  making).<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_13'>\n\t\t\t<li class='gchoice gchoice_10_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='Strongly agree (5)'  id='choice_10_13_0' tabindex='108'   \/>\n\t\t\t\t<label for='choice_10_13_0' id='label_10_13_0' class='gform-field-label gform-field-label--type-inline'>Strongly agree (5)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='Agree (4)'  id='choice_10_13_1' tabindex='109'   \/>\n\t\t\t\t<label for='choice_10_13_1' id='label_10_13_1' class='gform-field-label gform-field-label--type-inline'>Agree (4)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_13_2'>\n\t\t\t\t<input name='input_13' type='radio' value='Neutral (3)'  id='choice_10_13_2' tabindex='110'   \/>\n\t\t\t\t<label for='choice_10_13_2' id='label_10_13_2' class='gform-field-label gform-field-label--type-inline'>Neutral (3)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_13_3'>\n\t\t\t\t<input name='input_13' type='radio' value='Disagree (2)'  id='choice_10_13_3' tabindex='111'   \/>\n\t\t\t\t<label for='choice_10_13_3' id='label_10_13_3' class='gform-field-label gform-field-label--type-inline'>Disagree (2)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_13_4'>\n\t\t\t\t<input name='input_13' type='radio' value='Strongly disagree (1)'  id='choice_10_13_4' tabindex='112'   \/>\n\t\t\t\t<label for='choice_10_13_4' id='label_10_13_4' class='gform-field-label gform-field-label--type-inline'>Strongly disagree (1)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_13_5'>\n\t\t\t\t<input name='input_13' type='radio' value='Not applicable'  id='choice_10_13_5' tabindex='113'   \/>\n\t\t\t\t<label for='choice_10_13_5' id='label_10_13_5' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_14\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I am concerned that my therapist  won\u2019t respect my culture, spiritual  beliefs, and\/ or sexuality.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_14'>\n\t\t\t<li class='gchoice gchoice_10_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='Strongly agree (5)'  id='choice_10_14_0' tabindex='114'   \/>\n\t\t\t\t<label for='choice_10_14_0' id='label_10_14_0' class='gform-field-label gform-field-label--type-inline'>Strongly agree (5)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='Agree (4)'  id='choice_10_14_1' tabindex='115'   \/>\n\t\t\t\t<label for='choice_10_14_1' id='label_10_14_1' class='gform-field-label gform-field-label--type-inline'>Agree (4)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_14_2'>\n\t\t\t\t<input name='input_14' type='radio' value='Neutral (3)'  id='choice_10_14_2' tabindex='116'   \/>\n\t\t\t\t<label for='choice_10_14_2' id='label_10_14_2' class='gform-field-label gform-field-label--type-inline'>Neutral (3)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_14_3'>\n\t\t\t\t<input name='input_14' type='radio' value='Disagree (2)'  id='choice_10_14_3' tabindex='117'   \/>\n\t\t\t\t<label for='choice_10_14_3' id='label_10_14_3' class='gform-field-label gform-field-label--type-inline'>Disagree (2)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_14_4'>\n\t\t\t\t<input name='input_14' type='radio' value='Strongly disagree (1)'  id='choice_10_14_4' tabindex='118'   \/>\n\t\t\t\t<label for='choice_10_14_4' id='label_10_14_4' class='gform-field-label gform-field-label--type-inline'>Strongly disagree (1)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_14_5'>\n\t\t\t\t<input name='input_14' type='radio' value='Not applicable'  id='choice_10_14_5' tabindex='119'   \/>\n\t\t\t\t<label for='choice_10_14_5' id='label_10_14_5' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_15\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I have received counseling in the  past and it was helpful.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_15'>\n\t\t\t<li class='gchoice gchoice_10_15_0'>\n\t\t\t\t<input name='input_15' type='radio' value='Strongly agree (5)'  id='choice_10_15_0' tabindex='120'   \/>\n\t\t\t\t<label for='choice_10_15_0' id='label_10_15_0' class='gform-field-label gform-field-label--type-inline'>Strongly agree (5)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_15_1'>\n\t\t\t\t<input name='input_15' type='radio' value='Agree (4)'  id='choice_10_15_1' tabindex='121'   \/>\n\t\t\t\t<label for='choice_10_15_1' id='label_10_15_1' class='gform-field-label gform-field-label--type-inline'>Agree (4)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_15_2'>\n\t\t\t\t<input name='input_15' type='radio' value='Neutral (3)'  id='choice_10_15_2' tabindex='122'   \/>\n\t\t\t\t<label for='choice_10_15_2' id='label_10_15_2' class='gform-field-label gform-field-label--type-inline'>Neutral (3)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_15_3'>\n\t\t\t\t<input name='input_15' type='radio' value='Disagree (2)'  id='choice_10_15_3' tabindex='123'   \/>\n\t\t\t\t<label for='choice_10_15_3' id='label_10_15_3' class='gform-field-label gform-field-label--type-inline'>Disagree (2)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_15_4'>\n\t\t\t\t<input name='input_15' type='radio' value='Strongly disagree (1)'  id='choice_10_15_4' tabindex='124'   \/>\n\t\t\t\t<label for='choice_10_15_4' id='label_10_15_4' class='gform-field-label gform-field-label--type-inline'>Strongly disagree (1)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_15_5'>\n\t\t\t\t<input name='input_15' type='radio' value='Not applicable'  id='choice_10_15_5' tabindex='125'   \/>\n\t\t\t\t<label for='choice_10_15_5' id='label_10_15_5' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'>  <input type='hidden' name='gform_ajax' value='form_id=10&amp;title=&amp;description=&amp;tabindex=49&amp;theme=legacy&amp;styles=[]&amp;hash=331f2ea7724c21468a4685c6bcf83c3b' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_10' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_10' id='gform_theme_10' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_10' id='gform_style_settings_10' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_10' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='10' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='4ltOOy2GeppiaVZ+b2NAw4UP0MJ8303JyEYsSYCwUJInpRh0guPyOvse19VPabr3JXTlCLD99vhrB4UOhrUZZJahZb2Pzo0MgqL9UugyHmZ4b3I=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_10' value='WyJbXSIsIjJhNjY0ZWI3MzhiMTIyZmI1OWU3NzYyZGIzODliOGI1Il0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_10' id='gform_target_page_number_10' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_10' id='gform_source_page_number_10' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='check=First+Choice%2CSecond+Choice' \/>\n            \n        <\/div>\n                        <input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_10' id='gform_ajax_frame_10' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe>\n\t\t                <script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 10, 'https:\/\/forms.mhamichiana.org\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_10').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_10');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_10').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){jQuery('#gform_wrapper_10').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_10').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_10').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_10').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_10').val();gformInitSpinner( 10, 'https:\/\/forms.mhamichiana.org\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [10, current_page]);window['gf_submitting_10'] = 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_10').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_10').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [10]);window['gf_submitting_10'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_10').text());}else{jQuery('#gform_10').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"10\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_10\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_10\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_10\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 10, 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\/* ]]> *\/\n<\/script>\n\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Pre Therapy Outcomes Questionnaire (for Clients)<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-543","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/forms.mhamichiana.org\/es\/wp-json\/wp\/v2\/pages\/543","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forms.mhamichiana.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/forms.mhamichiana.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/forms.mhamichiana.org\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/forms.mhamichiana.org\/es\/wp-json\/wp\/v2\/comments?post=543"}],"version-history":[{"count":7,"href":"https:\/\/forms.mhamichiana.org\/es\/wp-json\/wp\/v2\/pages\/543\/revisions"}],"predecessor-version":[{"id":614,"href":"https:\/\/forms.mhamichiana.org\/es\/wp-json\/wp\/v2\/pages\/543\/revisions\/614"}],"wp:attachment":[{"href":"https:\/\/forms.mhamichiana.org\/es\/wp-json\/wp\/v2\/media?parent=543"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}