{"id":3464,"date":"2023-06-13T10:52:42","date_gmt":"2023-06-13T00:52:42","guid":{"rendered":"https:\/\/wfsoul.com\/?page_id=3464"},"modified":"2023-06-13T11:11:47","modified_gmt":"2023-06-13T01:11:47","slug":"support-plan-form","status":"publish","type":"page","link":"https:\/\/wfsoul.com\/index.php\/support-plan-form\/","title":{"rendered":"Support Plan Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3464\" class=\"elementor elementor-3464\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c9d2137 e-flex e-con-boxed e-con e-parent\" data-id=\"c9d2137\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e8bc84e fluent-form-widget-step-header-yes fluent-form-widget-step-progressbar-yes fluentform-widget-submit-button-custom elementor-widget elementor-widget-fluent-form-widget\" data-id=\"e8bc84e\" data-element_type=\"widget\" data-widget_type=\"fluent-form-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n            <div class=\"fluentform-widget-wrapper fluentform-widget-align-default\">\n\n            \n            <div class='fluentform ff-default fluentform_wrapper_11 ffs_custom_wrap'><form data-form_id=\"11\" id=\"fluentform_11\" class=\"frm-fluent-form fluent_form_11 ff-el-form-top ff_form_instance_11_1 ff-form-loading ff-form-has-steps ff-form-has-save-progress ff-form-has-save-progress ff-form-has-save-progress ff_has_v3_recptcha ffs_custom\" data-form_instance=\"ff_form_instance_11_1\" method=\"POST\" data-recptcha_key=\"6LcufeglAAAAAKuA5EiHDGEvhj78V4VX1sV5s0bw\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Client Support Plan (#11)<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='3464' \/><input type=\"hidden\" id=\"_fluentform_11_fluentformnonce\" name=\"_fluentform_11_fluentformnonce\" value=\"c14a2e5e20\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/3464\" \/><div class='ff-step-container' data-name=\"step_start-11_8\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div class='ff-step-header'><ul class='ff-step-titles'><li class='ff_active'><span>Client Details<\/span><\/li><li><span>Client Goals<\/span><\/li><li><span>Client Supports<\/span><\/li><li><span>Schedule of Supports &amp; Signature<\/span><\/li><\/ul><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-11_8\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 77.15%;'><div data-type=\"name-element\" data-name=\"names_3\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_names_3_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_3[first_name]\" id=\"ff_11_names_3_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" tabindex=\"1\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_names_3_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_3[last_name]\" id=\"ff_11_names_3_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" tabindex=\"2\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 22.85%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_datetime_3' aria-label=\"Date of Birth\">Date of Birth<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date of Birth Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_3\" id=\"ff_11_datetime_3\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime_3\" tabindex=\"3\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=\"Address\">Address<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_address_1_address_line_1_' aria-label=\"Address Line 1\">Address Line 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_11_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Address Line 1\" data-key_name=\"address_line_1\" tabindex=\"4\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_address_1_address_line_2_' aria-label=\"Address Line 2\">Address Line 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_11_address_1_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Address Line 2\" data-key_name=\"address_line_2\" tabindex=\"5\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_address_1_city_' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_11_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\" tabindex=\"6\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_address_1_state_' aria-label=\"State\">State<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[state]\" id=\"ff_11_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"State\" data-key_name=\"state\" tabindex=\"7\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_address_1_zip_' aria-label=\"Zip Code\">Zip Code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_11_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Zip\" data-key_name=\"zip\" tabindex=\"8\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_numeric-field_1' aria-label=\"Phone no.\">Phone no.<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_1\" id=\"ff_11_numeric-field_1\" class=\"ff-el-form-control\" data-name=\"numeric-field_1\" inputmode=\"numeric\" step=\"any\" tabindex=\"9\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_11_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\" tabindex=\"10\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_1' aria-label=\"Cultural Background &amp; Preferences\">Cultural Background &amp; Preferences<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_1\" id=\"ff_11_description_1\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_1\" tabindex=\"11\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_10' aria-label=\"Preferred Language\">Preferred Language<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_10\" class=\"ff-el-form-control\" data-name=\"input_text_10\" tabindex=\"12\" id=\"ff_11_input_text_10\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text' aria-label=\"Emergency Contact 1\">Emergency Contact 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" tabindex=\"13\" id=\"ff_11_input_text\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_22' aria-label=\"Emergency Contact 2\">Emergency Contact 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_22\" class=\"ff-el-form-control\" data-name=\"input_text_22\" tabindex=\"14\" id=\"ff_11_input_text_22\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_phone' aria-label=\"Phone\/Mobile\">Phone\/Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"phone\" id=\"ff_11_phone\" tabindex=\"15\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_phone_1' aria-label=\"Phone\/Mobile (Emergency Contact 2)\">Phone\/Mobile (Emergency Contact 2)<\/label><\/div><div class='ff-el-input--content'><input name=\"phone_1\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"phone_1\" id=\"ff_11_phone_1\" tabindex=\"16\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_email_1' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_1\" id=\"ff_11_email_1\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email_1\" tabindex=\"17\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_email_2' aria-label=\"Email (Emergency Contact 2)\">Email (Emergency Contact 2)<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_2\" id=\"ff_11_email_2\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email_2\" tabindex=\"18\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_21' aria-label=\"Relationship (emergency Contact 1)\">Relationship (emergency Contact 1)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_21\" class=\"ff-el-form-control\" data-name=\"input_text_21\" tabindex=\"19\" id=\"ff_11_input_text_21\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_23' aria-label=\"Relationship (emergency Contact 2)\">Relationship (emergency Contact 2)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_23\" class=\"ff-el-form-control\" data-name=\"input_text_23\" tabindex=\"20\" id=\"ff_11_input_text_23\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Do you require assistance in an emergency?\">Do you require assistance in an emergency?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_12_b10e2b33c112e380b3f1d26955455688><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"21\" value=\"yes\"  id='input_radio_12_b10e2b33c112e380b3f1d26955455688' aria-label='Yes' aria-invalid='false' aria-required=false> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_12_0a18acbbfbeaac3ec689f2befafde6c7><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"no\"  id='input_radio_12_0a18acbbfbeaac3ec689f2befafde6c7' aria-label='No' aria-invalid='false' aria-required=false> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_18' aria-label=\"Required Assistance\">Required Assistance<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_18\" id=\"ff_11_description_18\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_18\" tabindex=\"22\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_19' aria-label=\"Disability\/s and or Medical Conditions\">Disability\/s and or Medical Conditions<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_19\" id=\"ff_11_description_19\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_19\" tabindex=\"23\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description' aria-label=\"Medical Aids\">Medical Aids<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description\" id=\"ff_11_description\" class=\"ff-el-form-control\" placeholder=\"Eg: Toilet commode, shower chair, walker\" rows=\"3\" cols=\"2\" data-name=\"description\" tabindex=\"24\" ><\/textarea><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_25' aria-label=\"GP Name\">GP Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_25\" class=\"ff-el-form-control\" data-name=\"input_text_25\" tabindex=\"25\" id=\"ff_11_input_text_25\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_26' aria-label=\"GP Practice\">GP Practice<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_26\" class=\"ff-el-form-control\" data-name=\"input_text_26\" tabindex=\"26\" id=\"ff_11_input_text_26\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_phone_2' aria-label=\"GP Phone\/Mobile\">GP Phone\/Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"phone_2\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"phone_2\" id=\"ff_11_phone_2\" tabindex=\"27\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_email_3' aria-label=\"GP Email\">GP Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_3\" id=\"ff_11_email_3\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email_3\" tabindex=\"28\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_27' aria-label=\"Pharmacist Name\">Pharmacist Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_27\" class=\"ff-el-form-control\" data-name=\"input_text_27\" tabindex=\"29\" id=\"ff_11_input_text_27\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_28' aria-label=\"Pharmacist Practice\">Pharmacist Practice<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_28\" class=\"ff-el-form-control\" data-name=\"input_text_28\" tabindex=\"30\" id=\"ff_11_input_text_28\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_phone_3' aria-label=\"Pharmacist Phone\/Mobile\">Pharmacist Phone\/Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"phone_3\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"phone_3\" id=\"ff_11_phone_3\" tabindex=\"31\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_email_4' aria-label=\"Pharmacist Email\">Pharmacist Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_4\" id=\"ff_11_email_4\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email_4\" tabindex=\"32\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_20' aria-label=\"Medication Details\">Medication Details<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_20\" id=\"ff_11_description_20\" class=\"ff-el-form-control\" placeholder=\"Please list all medications currently being taken\" rows=\"3\" cols=\"2\" data-name=\"description_20\" tabindex=\"33\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Medication Acknowledgement\">Medication Acknowledgement<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check- ff_item_selected'><label class='ff-el-form-check-label' for=checkbox_0468af039e08f4c2733015df28ed1670><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" checked=\"1\" tabindex=\"34\" value=\" I acknowledge that White Feather Soul staff do not dispense medication\"  id='checkbox_0468af039e08f4c2733015df28ed1670' aria-label='I acknowledge that White Feather Soul staff do not dispense medication' aria-invalid='false' aria-required=false> <span> I acknowledge that White Feather Soul staff do not dispense medication<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-text-right ff_submit_btn_wrapper ff_submit_btn_wrapper_custom'><button class=\"ff-btn ff-btn-save-progress ff-btn-md ff_btn_style ff_resume_email_enabled\" name=\"save_progress_button-11_1\" data-name=\"save_progress_button-11_1\" tabindex=\"35\" >Save & Resume<\/button><style>form.fluent_form_11 .ff-btn-save-progress { background-color: rgb(64, 158, 255); color: rgb(255, 255, 255); }<\/style><\/div><div class='step-nav ff_step_nav_last'><button tabindex='36'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><button tabindex='37'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Next<\/button><\/div><\/div><div class=\" fluentform-step\" data-name=\"form_step-11_2\" ><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"No of Goals\">No of Goals<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check- ff_item_selected'><label class='ff-el-form-check-label' for=input_radio_5_f35e6c0da122c9b96ee88a9255236974><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" checked=\"1\" tabindex=\"38\" value=\"1\"  id='input_radio_5_f35e6c0da122c9b96ee88a9255236974' aria-label='1' aria-invalid='false' aria-required=false> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_5_2cfcafb1b4aef95b1a11aa1d6e679a9f><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"2\"  id='input_radio_5_2cfcafb1b4aef95b1a11aa1d6e679a9f' aria-label='2' aria-invalid='false' aria-required=false> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_5_f83b2f0ef75d762e564cee3394977478><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"3\"  id='input_radio_5_f83b2f0ef75d762e564cee3394977478' aria-label='3' aria-invalid='false' aria-required=false> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_5_7e531ca87878c7bdc2e701330d8944c5><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"4\"  id='input_radio_5_7e531ca87878c7bdc2e701330d8944c5' aria-label='4' aria-invalid='false' aria-required=false> <span>4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_5_b943b27be952235d7cb3b3bb0ecdc4a3><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"5\"  id='input_radio_5_b943b27be952235d7cb3b3bb0ecdc4a3' aria-label='5' aria-invalid='false' aria-required=false> <span>5<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_11' aria-label=\"Goal 1\">Goal 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_11\" class=\"ff-el-form-control\" data-name=\"input_text_11\" tabindex=\"39\" id=\"ff_11_input_text_11\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_2' aria-label=\"Actions to Achieve Goals\">Actions to Achieve Goals<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_2\" id=\"ff_11_description_2\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_2\" tabindex=\"40\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_13' aria-label=\"Goal 2\">Goal 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_13\" class=\"ff-el-form-control\" data-name=\"input_text_13\" tabindex=\"41\" id=\"ff_11_input_text_13\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_3' aria-label=\"Actions to Achieve Goals (Goal 2)\">Actions to Achieve Goals (Goal 2)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_3\" id=\"ff_11_description_3\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_3\" tabindex=\"42\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_12' aria-label=\"Goal 3\">Goal 3<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_12\" class=\"ff-el-form-control\" data-name=\"input_text_12\" tabindex=\"43\" id=\"ff_11_input_text_12\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_4' aria-label=\"Actions to Achieve Goals (Goal 3)\">Actions to Achieve Goals (Goal 3)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_4\" id=\"ff_11_description_4\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_4\" tabindex=\"44\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_14' aria-label=\"Goal 4\">Goal 4<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_14\" class=\"ff-el-form-control\" data-name=\"input_text_14\" tabindex=\"45\" id=\"ff_11_input_text_14\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_5' aria-label=\"Actions to Achieve Goals (Goal 4)\">Actions to Achieve Goals (Goal 4)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_5\" id=\"ff_11_description_5\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_5\" tabindex=\"46\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_15' aria-label=\"Goal 5\">Goal 5<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_15\" class=\"ff-el-form-control\" data-name=\"input_text_15\" tabindex=\"47\" id=\"ff_11_input_text_15\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_6' aria-label=\"Actions to Achieve Goals (Goal 5)\">Actions to Achieve Goals (Goal 5)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_6\" id=\"ff_11_description_6\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_6\" tabindex=\"48\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_datetime_2' aria-label=\"Goal\/s Review Date\">Goal\/s Review Date<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Goal\/s Review Date Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_2\" id=\"ff_11_datetime_2\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime_2\" tabindex=\"49\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group ff-text-right ff_submit_btn_wrapper ff_submit_btn_wrapper_custom'><button class=\"ff-btn ff-btn-save-progress ff-btn-md ff_btn_style ff_resume_email_enabled\" name=\"save_progress_button-11_3\" data-name=\"save_progress_button-11_3\" tabindex=\"50\" >Save & Resume<\/button><style>form.fluent_form_11 .ff-btn-save-progress { background-color: rgb(64, 158, 255); color: rgb(255, 255, 255); }<\/style><\/div><div class='step-nav ff_step_nav_last'><button tabindex='51'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><button tabindex='52'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Next<\/button><\/div><\/div><div class=\" fluentform-step\" data-name=\"form_step-11_4\" ><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"No of Supports Required\">No of Supports Required<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_957ed7ec8b66bfd7b8c35e35337cced8><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"53\" value=\"1\"  id='input_radio_6_957ed7ec8b66bfd7b8c35e35337cced8' aria-label='1' aria-invalid='false' aria-required=false> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_e225632c1141d40e85ce4ba0e36f7aa2><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"2\"  id='input_radio_6_e225632c1141d40e85ce4ba0e36f7aa2' aria-label='2' aria-invalid='false' aria-required=false> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_f1ba6e1b5b37581bd007a10b6a705ef5><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"3\"  id='input_radio_6_f1ba6e1b5b37581bd007a10b6a705ef5' aria-label='3' aria-invalid='false' aria-required=false> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_23f8e65f702169d7063e3282defb8b76><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"4\"  id='input_radio_6_23f8e65f702169d7063e3282defb8b76' aria-label='4' aria-invalid='false' aria-required=false> <span>4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_92e2b7c915190fbb41c089b4a334a58d><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"5\"  id='input_radio_6_92e2b7c915190fbb41c089b4a334a58d' aria-label='5' aria-invalid='false' aria-required=false> <span>5<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_16' aria-label=\"Support 1\">Support 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_16\" class=\"ff-el-form-control\" data-name=\"input_text_16\" tabindex=\"54\" id=\"ff_11_input_text_16\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_7' aria-label=\"Support Description\">Support Description<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_7\" id=\"ff_11_description_7\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_7\" tabindex=\"55\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_8' aria-label=\"Support Actions\">Support Actions<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_8\" id=\"ff_11_description_8\" class=\"ff-el-form-control\" placeholder=\"How will the support be provided. Are support actions inline with goals\" rows=\"3\" cols=\"2\" data-name=\"description_8\" tabindex=\"56\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Reliance on this Support\">Reliance on this Support<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_7_47e52b8eac03d5880a034f100e0c9f93><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"57\" value=\"Low\"  id='input_radio_7_47e52b8eac03d5880a034f100e0c9f93' aria-label='Low' aria-invalid='false' aria-required=false> <span>Low<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_7_7ac8c619abb3d212da8e073c21dd674f><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Medium\"  id='input_radio_7_7ac8c619abb3d212da8e073c21dd674f' aria-label='Medium' aria-invalid='false' aria-required=false> <span>Medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_7_6d22a95424b241575f754c56950581d4><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"High\"  id='input_radio_7_6d22a95424b241575f754c56950581d4' aria-label='High' aria-invalid='false' aria-required=false> <span>High<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_31' aria-label=\"Support 2\">Support 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_31\" class=\"ff-el-form-control\" data-name=\"input_text_31\" tabindex=\"58\" id=\"ff_11_input_text_31\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_9' aria-label=\"Support Description (Support 2)\">Support Description (Support 2)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_9\" id=\"ff_11_description_9\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_9\" tabindex=\"59\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_25' aria-label=\"Support Actions (Support 2)\">Support Actions (Support 2)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_25\" id=\"ff_11_description_25\" class=\"ff-el-form-control\" placeholder=\"How will the support be provided. Are support actions inline with goals\" rows=\"3\" cols=\"2\" data-name=\"description_25\" tabindex=\"60\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Reliance on this Support (Support 2)\">Reliance on this Support (Support 2)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_4003f5e4dcebf72fe1dc7f668c9a650c><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"61\" value=\"Low\"  id='input_radio_8_4003f5e4dcebf72fe1dc7f668c9a650c' aria-label='Low' aria-invalid='false' aria-required=false> <span>Low<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_3bc179b72fec70b175310bc8f8895b01><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Medium\"  id='input_radio_8_3bc179b72fec70b175310bc8f8895b01' aria-label='Medium' aria-invalid='false' aria-required=false> <span>Medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_420ca88b9b6bec1ba6ae4d9dc761cedf><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"High\"  id='input_radio_8_420ca88b9b6bec1ba6ae4d9dc761cedf' aria-label='High' aria-invalid='false' aria-required=false> <span>High<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_20' aria-label=\"Support 3\">Support 3<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_20\" class=\"ff-el-form-control\" data-name=\"input_text_20\" tabindex=\"62\" id=\"ff_11_input_text_20\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_26' aria-label=\"Support Description (Support 3)\">Support Description (Support 3)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_26\" id=\"ff_11_description_26\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_26\" tabindex=\"63\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_27' aria-label=\"Support Actions (Support 3)\">Support Actions (Support 3)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_27\" id=\"ff_11_description_27\" class=\"ff-el-form-control\" placeholder=\"How will the support be provided. Are support actions inline with goals\" rows=\"3\" cols=\"2\" data-name=\"description_27\" tabindex=\"64\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Reliance on this Support (Support 3)\">Reliance on this Support (Support 3)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_13_cf48e104031b1ec0a3b43f6cc0df6a24><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"65\" value=\"Low\"  id='input_radio_13_cf48e104031b1ec0a3b43f6cc0df6a24' aria-label='Low' aria-invalid='false' aria-required=false> <span>Low<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_13_daa07a7b85fb210c6907a03194d8359b><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Medium\"  id='input_radio_13_daa07a7b85fb210c6907a03194d8359b' aria-label='Medium' aria-invalid='false' aria-required=false> <span>Medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_13_eba1cab5ff685af1d8a036ab675cacf8><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"High\"  id='input_radio_13_eba1cab5ff685af1d8a036ab675cacf8' aria-label='High' aria-invalid='false' aria-required=false> <span>High<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_32' aria-label=\"Support 4\">Support 4<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_32\" class=\"ff-el-form-control\" data-name=\"input_text_32\" tabindex=\"66\" id=\"ff_11_input_text_32\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_28' aria-label=\"Support Description (Support 4)\">Support Description (Support 4)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_28\" id=\"ff_11_description_28\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_28\" tabindex=\"67\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_29' aria-label=\"Support Actions (Support 4)\">Support Actions (Support 4)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_29\" id=\"ff_11_description_29\" class=\"ff-el-form-control\" placeholder=\"How will the support be provided. Are support actions inline with goals\" rows=\"3\" cols=\"2\" data-name=\"description_29\" tabindex=\"68\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Reliance on this Support (Support 4)\">Reliance on this Support (Support 4)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_14_71125b8ac3d9619b3857775df4cf0c5c><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"69\" value=\"Low\"  id='input_radio_14_71125b8ac3d9619b3857775df4cf0c5c' aria-label='Low' aria-invalid='false' aria-required=false> <span>Low<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_14_2b129738514bb1ff6f80b92cc59cf774><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Medium\"  id='input_radio_14_2b129738514bb1ff6f80b92cc59cf774' aria-label='Medium' aria-invalid='false' aria-required=false> <span>Medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_14_fbe47ee3472d7b5ac5eb45d08cd9b822><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"High\"  id='input_radio_14_fbe47ee3472d7b5ac5eb45d08cd9b822' aria-label='High' aria-invalid='false' aria-required=false> <span>High<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_33' aria-label=\"Support 5\">Support 5<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_33\" class=\"ff-el-form-control\" data-name=\"input_text_33\" tabindex=\"70\" id=\"ff_11_input_text_33\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_15' aria-label=\"Support Description (Support 5)\">Support Description (Support 5)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_15\" id=\"ff_11_description_15\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_15\" tabindex=\"71\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_16' aria-label=\"Support Actions (Support 5)\">Support Actions (Support 5)<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_16\" id=\"ff_11_description_16\" class=\"ff-el-form-control\" placeholder=\"How will the support be provided. Are support actions inline with goals\" rows=\"3\" cols=\"2\" data-name=\"description_16\" tabindex=\"72\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Reliance on this Support (Support 5)\">Reliance on this Support (Support 5)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_11_3cca6a0b3d7f045dadd75023952efa2e><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"73\" value=\"Low\"  id='input_radio_11_3cca6a0b3d7f045dadd75023952efa2e' aria-label='Low' aria-invalid='false' aria-required=false> <span>Low<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_11_c48d54ced0c37405b036c119fb15005e><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Medium\"  id='input_radio_11_c48d54ced0c37405b036c119fb15005e' aria-label='Medium' aria-invalid='false' aria-required=false> <span>Medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_11_3b23a36f15e8dc619ce8d2afe2450ced><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"High\"  id='input_radio_11_3b23a36f15e8dc619ce8d2afe2450ced' aria-label='High' aria-invalid='false' aria-required=false> <span>High<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_file-upload_1' aria-label=\"Please Upload any relevant support information\/documents\">Please Upload any relevant support information\/documents<\/label><\/div><div class='ff-el-input--content'><label for='ff_11_file-upload_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload\" id=\"ff_11_file-upload_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload\" multiple=\"1\" tabindex=\"74\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_17' aria-label=\"Effectiveness of Service Criteria\">Effectiveness of Service Criteria<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_17\" id=\"ff_11_description_17\" class=\"ff-el-form-control\" placeholder=\"List criteria to be used to evaluate the effectiveness of the service. For example: My level of anxiety after the stay vs before.\" rows=\"3\" cols=\"2\" data-name=\"description_17\" tabindex=\"75\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_21' aria-label=\"Identified Risks\">Identified Risks<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_21\" id=\"ff_11_description_21\" class=\"ff-el-form-control\" placeholder=\"List of Identified Risks and level severity - LOW, MEDIUM, HIGH\" rows=\"3\" cols=\"2\" data-name=\"description_21\" tabindex=\"76\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_22' aria-label=\"Controls\">Controls<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_22\" id=\"ff_11_description_22\" class=\"ff-el-form-control\" placeholder=\"List of controls to minimise risks\" rows=\"3\" cols=\"2\" data-name=\"description_22\" tabindex=\"77\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_23' aria-label=\"Transitional Risks\">Transitional Risks<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_23\" id=\"ff_11_description_23\" class=\"ff-el-form-control\" placeholder=\"List of Identified Transitional Risks and level severity - LOW, MEDIUM, HIGH\" rows=\"3\" cols=\"2\" data-name=\"description_23\" tabindex=\"78\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_description_24' aria-label=\"Controls\">Controls<\/label><\/div><div class='ff-el-input--content'><textarea aria-invalid=\"false\" aria-required=false name=\"description_24\" id=\"ff_11_description_24\" class=\"ff-el-form-control\" placeholder=\"List of controls to minimise transitional risks\" rows=\"3\" cols=\"2\" data-name=\"description_24\" tabindex=\"79\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_file-upload_1_1' aria-label=\"Attach any Risk Assessments\">Attach any Risk Assessments<\/label><\/div><div class='ff-el-input--content'><label for='ff_11_file-upload_1_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload_1\" id=\"ff_11_file-upload_1_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_1\" multiple=\"1\" tabindex=\"80\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='ff-el-group ff-text-right ff_submit_btn_wrapper ff_submit_btn_wrapper_custom'><button class=\"ff-btn ff-btn-save-progress ff-btn-md ff_btn_style ff_resume_email_enabled\" name=\"save_progress_button-11_5\" data-name=\"save_progress_button-11_5\" tabindex=\"81\" >Save & Resume<\/button><style>form.fluent_form_11 .ff-btn-save-progress { background-color: rgb(64, 158, 255); color: rgb(255, 255, 255); }<\/style><\/div><div class='step-nav ff_step_nav_last'><button tabindex='82'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><button tabindex='83'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Next<\/button><\/div><\/div><div class=\" fluentform-step\" data-name=\"form_step-11_6\" ><div data-type='tabular-element' data-name='tabular_grid' class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label aria-label='SCHEDULE OF SUPPORTS' for=''>SCHEDULE OF SUPPORTS<\/label><\/div><div class='ff-el-input--content'><table class='ff-table ff-checkable-grids ff_flexible_table' role='table'><thead><tr><th><\/th><th>Not Applicable<\/th><th>Holistic Therapy<\/th><th>Community Participation<\/th><th>Assist Personal Care<\/th><th>Assist Household Duties<\/th><th>Transport<\/th><th>Companionship<\/th><th>Skill Development<\/th><\/tr><\/thead><tbody><tr role=\"row\"\"><td class='ff_grid_header' role='cell'>Monday<\/td><td data-label='Not Applicable'><input aria-label=\"Monday-Not Applicable\" name=\"tabular_grid[Monday][]\" type=\"checkbox\" value=\"Not Applicable\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Holistic Therapy'><input aria-label=\"Monday-Holistic Therapy\" name=\"tabular_grid[Monday][]\" type=\"checkbox\" value=\"Holistic Therapy\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Community Participation'><input aria-label=\"Monday-Community Participation\" name=\"tabular_grid[Monday][]\" type=\"checkbox\" value=\"Community Participation\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Personal Care'><input aria-label=\"Monday-Assist Personal Care\" name=\"tabular_grid[Monday][]\" type=\"checkbox\" value=\"Assist Personal Care\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Household Duties'><input aria-label=\"Monday-Assist Household Duties\" name=\"tabular_grid[Monday][]\" type=\"checkbox\" value=\"Assist Household Duties\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Transport'><input aria-label=\"Monday-Transport\" name=\"tabular_grid[Monday][]\" type=\"checkbox\" value=\"Transport\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Companionship'><input aria-label=\"Monday-Companionship\" name=\"tabular_grid[Monday][]\" type=\"checkbox\" value=\"Companionship\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Skill Development'><input aria-label=\"Monday-Skill Development\" name=\"tabular_grid[Monday][]\" type=\"checkbox\" value=\"Skill Development\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><\/tr><tr role=\"row\"\"><td class='ff_grid_header' role='cell'>Tuesday<\/td><td data-label='Not Applicable'><input aria-label=\"Tuesday-Not Applicable\" name=\"tabular_grid[Tuesday][]\" type=\"checkbox\" value=\"Not Applicable\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Holistic Therapy'><input aria-label=\"Tuesday-Holistic Therapy\" name=\"tabular_grid[Tuesday][]\" type=\"checkbox\" value=\"Holistic Therapy\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Community Participation'><input aria-label=\"Tuesday-Community Participation\" name=\"tabular_grid[Tuesday][]\" type=\"checkbox\" value=\"Community Participation\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Personal Care'><input aria-label=\"Tuesday-Assist Personal Care\" name=\"tabular_grid[Tuesday][]\" type=\"checkbox\" value=\"Assist Personal Care\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Household Duties'><input aria-label=\"Tuesday-Assist Household Duties\" name=\"tabular_grid[Tuesday][]\" type=\"checkbox\" value=\"Assist Household Duties\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Transport'><input aria-label=\"Tuesday-Transport\" name=\"tabular_grid[Tuesday][]\" type=\"checkbox\" value=\"Transport\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Companionship'><input aria-label=\"Tuesday-Companionship\" name=\"tabular_grid[Tuesday][]\" type=\"checkbox\" value=\"Companionship\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Skill Development'><input aria-label=\"Tuesday-Skill Development\" name=\"tabular_grid[Tuesday][]\" type=\"checkbox\" value=\"Skill Development\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><\/tr><tr role=\"row\"\"><td class='ff_grid_header' role='cell'>Wednesday<\/td><td data-label='Not Applicable'><input aria-label=\"Wednesday-Not Applicable\" name=\"tabular_grid[Wednesday][]\" type=\"checkbox\" value=\"Not Applicable\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Holistic Therapy'><input aria-label=\"Wednesday-Holistic Therapy\" name=\"tabular_grid[Wednesday][]\" type=\"checkbox\" value=\"Holistic Therapy\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Community Participation'><input aria-label=\"Wednesday-Community Participation\" name=\"tabular_grid[Wednesday][]\" type=\"checkbox\" value=\"Community Participation\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Personal Care'><input aria-label=\"Wednesday-Assist Personal Care\" name=\"tabular_grid[Wednesday][]\" type=\"checkbox\" value=\"Assist Personal Care\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Household Duties'><input aria-label=\"Wednesday-Assist Household Duties\" name=\"tabular_grid[Wednesday][]\" type=\"checkbox\" value=\"Assist Household Duties\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Transport'><input aria-label=\"Wednesday-Transport\" name=\"tabular_grid[Wednesday][]\" type=\"checkbox\" value=\"Transport\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Companionship'><input aria-label=\"Wednesday-Companionship\" name=\"tabular_grid[Wednesday][]\" type=\"checkbox\" value=\"Companionship\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Skill Development'><input aria-label=\"Wednesday-Skill Development\" name=\"tabular_grid[Wednesday][]\" type=\"checkbox\" value=\"Skill Development\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><\/tr><tr role=\"row\"\"><td class='ff_grid_header' role='cell'>Thursday<\/td><td data-label='Not Applicable'><input aria-label=\"Thursday-Not Applicable\" name=\"tabular_grid[Thursday][]\" type=\"checkbox\" value=\"Not Applicable\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Holistic Therapy'><input aria-label=\"Thursday-Holistic Therapy\" name=\"tabular_grid[Thursday][]\" type=\"checkbox\" value=\"Holistic Therapy\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Community Participation'><input aria-label=\"Thursday-Community Participation\" name=\"tabular_grid[Thursday][]\" type=\"checkbox\" value=\"Community Participation\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Personal Care'><input aria-label=\"Thursday-Assist Personal Care\" name=\"tabular_grid[Thursday][]\" type=\"checkbox\" value=\"Assist Personal Care\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Household Duties'><input aria-label=\"Thursday-Assist Household Duties\" name=\"tabular_grid[Thursday][]\" type=\"checkbox\" value=\"Assist Household Duties\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Transport'><input aria-label=\"Thursday-Transport\" name=\"tabular_grid[Thursday][]\" type=\"checkbox\" value=\"Transport\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Companionship'><input aria-label=\"Thursday-Companionship\" name=\"tabular_grid[Thursday][]\" type=\"checkbox\" value=\"Companionship\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Skill Development'><input aria-label=\"Thursday-Skill Development\" name=\"tabular_grid[Thursday][]\" type=\"checkbox\" value=\"Skill Development\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><\/tr><tr role=\"row\"\"><td class='ff_grid_header' role='cell'>Friday<\/td><td data-label='Not Applicable'><input aria-label=\"Friday-Not Applicable\" name=\"tabular_grid[Friday][]\" type=\"checkbox\" value=\"Not Applicable\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Holistic Therapy'><input aria-label=\"Friday-Holistic Therapy\" name=\"tabular_grid[Friday][]\" type=\"checkbox\" value=\"Holistic Therapy\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Community Participation'><input aria-label=\"Friday-Community Participation\" name=\"tabular_grid[Friday][]\" type=\"checkbox\" value=\"Community Participation\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Personal Care'><input aria-label=\"Friday-Assist Personal Care\" name=\"tabular_grid[Friday][]\" type=\"checkbox\" value=\"Assist Personal Care\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Household Duties'><input aria-label=\"Friday-Assist Household Duties\" name=\"tabular_grid[Friday][]\" type=\"checkbox\" value=\"Assist Household Duties\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Transport'><input aria-label=\"Friday-Transport\" name=\"tabular_grid[Friday][]\" type=\"checkbox\" value=\"Transport\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Companionship'><input aria-label=\"Friday-Companionship\" name=\"tabular_grid[Friday][]\" type=\"checkbox\" value=\"Companionship\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Skill Development'><input aria-label=\"Friday-Skill Development\" name=\"tabular_grid[Friday][]\" type=\"checkbox\" value=\"Skill Development\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><\/tr><tr role=\"row\"\"><td class='ff_grid_header' role='cell'>Saturday<\/td><td data-label='Not Applicable'><input aria-label=\"Saturday-Not Applicable\" name=\"tabular_grid[Saturday][]\" type=\"checkbox\" value=\"Not Applicable\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Holistic Therapy'><input aria-label=\"Saturday-Holistic Therapy\" name=\"tabular_grid[Saturday][]\" type=\"checkbox\" value=\"Holistic Therapy\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Community Participation'><input aria-label=\"Saturday-Community Participation\" name=\"tabular_grid[Saturday][]\" type=\"checkbox\" value=\"Community Participation\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Personal Care'><input aria-label=\"Saturday-Assist Personal Care\" name=\"tabular_grid[Saturday][]\" type=\"checkbox\" value=\"Assist Personal Care\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Household Duties'><input aria-label=\"Saturday-Assist Household Duties\" name=\"tabular_grid[Saturday][]\" type=\"checkbox\" value=\"Assist Household Duties\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Transport'><input aria-label=\"Saturday-Transport\" name=\"tabular_grid[Saturday][]\" type=\"checkbox\" value=\"Transport\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Companionship'><input aria-label=\"Saturday-Companionship\" name=\"tabular_grid[Saturday][]\" type=\"checkbox\" value=\"Companionship\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Skill Development'><input aria-label=\"Saturday-Skill Development\" name=\"tabular_grid[Saturday][]\" type=\"checkbox\" value=\"Skill Development\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><\/tr><tr role=\"row\"\"><td class='ff_grid_header' role='cell'>Sunday<\/td><td data-label='Not Applicable'><input aria-label=\"Sunday-Not Applicable\" name=\"tabular_grid[Sunday][]\" type=\"checkbox\" value=\"Not Applicable\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Holistic Therapy'><input aria-label=\"Sunday-Holistic Therapy\" name=\"tabular_grid[Sunday][]\" type=\"checkbox\" value=\"Holistic Therapy\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Community Participation'><input aria-label=\"Sunday-Community Participation\" name=\"tabular_grid[Sunday][]\" type=\"checkbox\" value=\"Community Participation\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Personal Care'><input aria-label=\"Sunday-Assist Personal Care\" name=\"tabular_grid[Sunday][]\" type=\"checkbox\" value=\"Assist Personal Care\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Assist Household Duties'><input aria-label=\"Sunday-Assist Household Duties\" name=\"tabular_grid[Sunday][]\" type=\"checkbox\" value=\"Assist Household Duties\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Transport'><input aria-label=\"Sunday-Transport\" name=\"tabular_grid[Sunday][]\" type=\"checkbox\" value=\"Transport\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Companionship'><input aria-label=\"Sunday-Companionship\" name=\"tabular_grid[Sunday][]\" type=\"checkbox\" value=\"Companionship\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><td data-label='Skill Development'><input aria-label=\"Sunday-Skill Development\" name=\"tabular_grid[Sunday][]\" type=\"checkbox\" value=\"Skill Development\" tabindex=\"84\"   aria-invalid='false' aria-required=false><\/td><\/tr><\/tbody><\/table><\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_29' aria-label=\"Participant\/Representative Name\">Participant\/Representative Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_29\" class=\"ff-el-form-control\" data-name=\"input_text_29\" tabindex=\"85\" id=\"ff_11_input_text_29\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_datetime' aria-label=\"Date\">Date<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_11_datetime\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime\" tabindex=\"86\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_11_input_text_30' aria-label=\"Signed\">Signed<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_30\" class=\"ff-el-form-control\" data-name=\"input_text_30\" tabindex=\"87\" id=\"ff_11_input_text_30\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper ff_submit_btn_wrapper_custom'><button class=\"ff-btn ff-btn-submit ff-btn-lg ff_btn_style wpf_has_custom_css\" type=\"submit\" name=\"custom_submit_button-11_7\" data-name=\"custom_submit_button-11_7\" tabindex=\"88\" >Save<\/button><style>form.fluent_form_11 .wpf_has_custom_css.ff-btn-submit { background-color:rgba(171, 219, 219, 1);border-color:rgba(7, 7, 7, 1);color:#505454;border-radius:17px;min-width:100%; }form.fluent_form_11 .wpf_has_custom_css.ff-btn-submit:hover { background-color:#ffffff;border-color:#409EFF;color:#409EFF;min-width:100%; } <\/style><\/div>        <div class=\"ff-step-t-container ff-inner_submit_container ff-column-container ff_columns_total_2\">\n            <div class=\"ff-t-cell ff-t-column-1\"><div class='step-nav ff_step_nav_last'><button tabindex='89'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><\/div><\/div>\n            <div class=\"ff-t-cell ff-t-column-2\">\n                            <\/div>\n        <\/div>\n        <\/div><\/div><\/div>\n        <\/fieldset><\/form><div id='fluentform_11_errors' class='ff-errors-in-stack ff_form_instance_11_1 ff-form-loading_errors ff_form_instance_11_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_11_1 = {\"id\":\"11\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\",\"asteriskPlacement\":\"asterisk-right\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_11_1\",\"form_id_selector\":\"fluentform_11\",\"rules\":{\"names_3[first_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"names_3[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"names_3[last_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"datetime_3\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"address_1[address_line_1]\":{\"required\":{\"value\":false,\"message\":\"This field is 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email\"}},\"description_1\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"input_text_10\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"input_text\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"input_text_22\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"phone\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"valid_phone_number\":{\"value\":false,\"message\":\"Phone number is not valid\"}},\"phone_1\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"valid_phone_number\":{\"value\":false,\"message\":\"Phone number is not valid\"}},\"email_1\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"email\":{\"value\":true,\"message\":\"This field must contain a valid email\"}},\"email_2\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"email\":{\"value\":true,\"message\":\"This field 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required\"},\"email\":{\"value\":false,\"message\":\"This field must contain a valid email\"}},\"input_text_27\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"input_text_28\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"phone_3\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"valid_phone_number\":{\"value\":false,\"message\":\"Phone number is not valid\"}},\"email_4\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"email\":{\"value\":false,\"message\":\"This field must contain a valid email\"}},\"description_20\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"checkbox\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"input_radio_5\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"input_text_11\":{\"required\":{\"value\":false,\"message\":\"This field is 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