{"id":7798,"date":"2025-03-06T09:38:21","date_gmt":"2025-03-06T14:38:21","guid":{"rendered":"https:\/\/www.dogguides.com\/?page_id=7798"},"modified":"2025-03-06T10:06:38","modified_gmt":"2025-03-06T15:06:38","slug":"support-person-survey","status":"publish","type":"page","link":"https:\/\/www.dogguides.com\/fr\/support-person-survey\/","title":{"rendered":"Support-Person Survey"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbsection\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_heading title=\u00a0\u00bbSurvey for Caregivers\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][\/et_pb_heading][wpforms_selector form_id=\u00a0\u00bb7763&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/wpforms_selector][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"et_pb_module wpforms_selector wpforms_selector_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-7763\"><form id=\"wpforms-form-7763\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"7763\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fr\/wp-json\/wp\/v2\/pages\/7798\" data-token=\"8c36f0376f69e72255b0e827b9b00b99\" data-token-time=\"1775629362\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-7763-field_19-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"19\"><fieldset><legend class=\"wpforms-field-label\">I support someone who requires an assistance dog <\/legend><ul id=\"wpforms-7763-field_19\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7763-field_19_1\" name=\"wpforms[fields][19]\" value=\"Yes\" aria-errormessage=\"wpforms-7763-field_19_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_19_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7763-field_19_2\" name=\"wpforms[fields][19]\" value=\"No\" aria-errormessage=\"wpforms-7763-field_19_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_19_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7763-field_20-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"content\" data-field-id=\"20\" style=\"display:none;\"><div id=\"wpforms-7763-field_20\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-7763-field_20-error\"><p>Sorry, but this survey is for supporters of people who require an assistance dog only. If you have any questions please email info@dogguides.com<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-7763-field_1-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"1\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-7763-field_1\">Indicate your province\/territory  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-7763-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required=\"required\"><option value=\"Alberta\" >Alberta<\/option><option value=\"British Columbia\" >British Columbia<\/option><option value=\"Manitoba\" >Manitoba<\/option><option value=\"New Brunswick\" >New Brunswick<\/option><option value=\"Newfoundland and Labrador\" >Newfoundland and Labrador<\/option><option value=\"Nova Scotia\" >Nova Scotia<\/option><option value=\"Ontario\" >Ontario<\/option><option value=\"Prince Edward Island\" >Prince Edward Island<\/option><option value=\"Quebec\" >Quebec<\/option><option value=\"Saskatchewan\" >Saskatchewan<\/option><option value=\"Northwest Territories\" >Northwest Territories<\/option><option value=\"Nunavut\" >Nunavut<\/option><option value=\"Yukon\" >Yukon<\/option><\/select><\/div><div id=\"wpforms-7763-field_2-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"2\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-7763-field_2\">Indicate your postal code <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7763-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-7763-field_2-error\" required><\/div><div id=\"wpforms-7763-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"3\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-7763-field_3\">Age  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-7763-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"17 or under\" >17 or under<\/option><option value=\"18 to 24\" >18 to 24<\/option><option value=\"25 to 34\" >25 to 34<\/option><option value=\"35 to 44\" >35 to 44<\/option><option value=\"45 to 54\" >45 to 54<\/option><option value=\"55 to 64\" >55 to 64<\/option><option value=\"65 or over\" >65 or over<\/option><\/select><\/div><div id=\"wpforms-7763-field_4-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"4\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-7763-field_4\">Type of assistance dog used by the person you support:  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-7763-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required=\"required\"><option value=\"Service\/physical accessibility needs\" >Service\/physical accessibility needs<\/option><option value=\"Diabetes Alert\" >Diabetes Alert<\/option><option value=\"Seizure Response\" >Seizure Response<\/option><option value=\"Autism Assistance\" >Autism Assistance<\/option><option value=\"Canine Vision\" >Canine Vision<\/option><option value=\"Hearing\" >Hearing<\/option><\/select><\/div><div id=\"wpforms-7763-field_5-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"5\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-7763-field_5\">How long have you supported someone with an assistance dog?  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-7763-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required=\"required\"><option value=\"less than a year\" >less than a year<\/option><option value=\"less than 5 years\" >less than 5 years<\/option><option value=\"more than 5 years\" >more than 5 years<\/option><option value=\"more than 10 years\" >more than 10 years<\/option><\/select><\/div><div id=\"wpforms-7763-field_6-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"6\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">How has the assistance dog positively impacted you (choose all that apply)?<\/legend><ul id=\"wpforms-7763-field_6\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_6_1\" name=\"wpforms[fields][6][]\" value=\"Less daily stress\/worry about the person I care for\" aria-errormessage=\"wpforms-7763-field_6_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_6_1\">Less daily stress\/worry about the person I care for<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_6_2\" name=\"wpforms[fields][6][]\" value=\"Less worry aout the future for the person I care for\" aria-errormessage=\"wpforms-7763-field_6_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_6_2\">Less worry aout the future for the person I care for<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_6_3\" name=\"wpforms[fields][6][]\" value=\"Reduced medical events\" aria-errormessage=\"wpforms-7763-field_6_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_6_3\">Reduced medical events<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_6_4\" name=\"wpforms[fields][6][]\" value=\"Less reliance on me for daily needs\" aria-errormessage=\"wpforms-7763-field_6_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_6_4\">Less reliance on me for daily needs<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_6_5\" name=\"wpforms[fields][6][]\" value=\"Improved emotional and\/or mental wellbeing overall\" aria-errormessage=\"wpforms-7763-field_6_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_6_5\">Improved emotional and\/or mental wellbeing overall<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_6_6\" name=\"wpforms[fields][6][]\" value=\"Improved sleep\" aria-errormessage=\"wpforms-7763-field_6_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_6_6\">Improved sleep<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_6_7\" name=\"wpforms[fields][6][]\" value=\"mproved self-care (e.g. exercise, healthy eating habits, engage socially)\" aria-errormessage=\"wpforms-7763-field_6_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_6_7\">mproved self-care (e.g. exercise, healthy eating habits, engage socially)<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7763-field_7-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"7\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-7763-field_7\">Other (please specify)<\/label><input type=\"text\" id=\"wpforms-7763-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-7763-field_7-error\" ><\/div><div id=\"wpforms-7763-field_8-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"8\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Has adding and assistance dog for the person you care for contributed to your ability to (choose all that apply):<\/legend><ul id=\"wpforms-7763-field_8\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_8_1\" name=\"wpforms[fields][8][]\" value=\"Start or continue paid employment\" aria-errormessage=\"wpforms-7763-field_8_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_8_1\">Start or continue paid employment<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_8_2\" name=\"wpforms[fields][8][]\" value=\"Increase hours of paid employment\" aria-errormessage=\"wpforms-7763-field_8_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_8_2\">Increase hours of paid employment<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_8_3\" name=\"wpforms[fields][8][]\" value=\"Take less time off from paid employment\" aria-errormessage=\"wpforms-7763-field_8_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_8_3\">Take less time off from paid employment<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_8_4\" name=\"wpforms[fields][8][]\" value=\"Started or increased time volunteering\" aria-errormessage=\"wpforms-7763-field_8_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_8_4\">Started or increased time volunteering<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7763-field_9-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"9\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-7763-field_9\">Other (please specify) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7763-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-7763-field_9-error\" required><\/div><div id=\"wpforms-7763-field_10-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"10\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Has having an assistance dog (choose all that apply) <\/legend><ul id=\"wpforms-7763-field_10\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_10_1\" name=\"wpforms[fields][10][]\" value=\"Reduced trips to the emergency room\" aria-errormessage=\"wpforms-7763-field_10_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_10_1\">Reduced trips to the emergency room<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_10_2\" name=\"wpforms[fields][10][]\" value=\"Reduced trips to your health care provider (e.g. doctor, nurse practitioner, nurse)\" aria-errormessage=\"wpforms-7763-field_10_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_10_2\">Reduced trips to your health care provider (e.g. doctor, nurse practitioner, nurse)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_10_3\" name=\"wpforms[fields][10][]\" value=\"Reduced hospital stays\" aria-errormessage=\"wpforms-7763-field_10_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_10_3\">Reduced hospital stays<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-7763-field_10_4\" name=\"wpforms[fields][10][]\" value=\"Reduced home care needs\" aria-errormessage=\"wpforms-7763-field_10_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_10_4\">Reduced home care needs<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7763-field_11-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"11\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-7763-field_11\">Other (please specify)  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-7763-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-7763-field_11-error\" required><\/div><div id=\"wpforms-7763-field_12-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"12\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Have you noticed any changes in your emotional or mental well-being since your loved one was matched with an assistance dog?<\/legend><ul id=\"wpforms-7763-field_12\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7763-field_12_1\" name=\"wpforms[fields][12]\" value=\"Significantly positive impact\" aria-errormessage=\"wpforms-7763-field_12_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_12_1\">Significantly positive impact<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7763-field_12_2\" name=\"wpforms[fields][12]\" value=\"Somewhat positive impact\" aria-errormessage=\"wpforms-7763-field_12_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_12_2\">Somewhat positive impact<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-7763-field_12_3\" name=\"wpforms[fields][12]\" value=\"No impact\" aria-errormessage=\"wpforms-7763-field_12_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_12_3\">No impact<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7763-field_13-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"13\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-7763-field_13\">Other (please specify)<\/label><input type=\"text\" id=\"wpforms-7763-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-7763-field_13-error\" ><\/div><div id=\"wpforms-7763-field_14-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"14\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">In what ways has your loved one\u2019s assistance dog impacted your emotional or mental health?<\/legend><ul id=\"wpforms-7763-field_14\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7763-field_14_1\" name=\"wpforms[fields][14]\" value=\"Decreased feelings of stress or anxiety.\" aria-errormessage=\"wpforms-7763-field_14_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_14_1\">Decreased feelings of stress or anxiety.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7763-field_14_2\" name=\"wpforms[fields][14]\" value=\"Decreased feelings of depression or sadness.\" aria-errormessage=\"wpforms-7763-field_14_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_14_2\">Decreased feelings of depression or sadness.<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-7763-field_14_3\" name=\"wpforms[fields][14]\" value=\"Decreased feelings of social isolation.\" aria-errormessage=\"wpforms-7763-field_14_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_14_3\">Decreased feelings of social isolation.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-7763-field_14_4\" name=\"wpforms[fields][14]\" value=\"Improved self-esteem or confidence.\" aria-errormessage=\"wpforms-7763-field_14_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_14_4\">Improved self-esteem or confidence.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7763-field_15-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"15\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-7763-field_15\">Other (please specify)<\/label><input type=\"text\" id=\"wpforms-7763-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-7763-field_15-error\" ><\/div><div id=\"wpforms-7763-field_16-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"16\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Have you encountered any barriers with the person you support to accessing businesses or public spaces because of the assistance dog? <\/legend><ul id=\"wpforms-7763-field_16\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7763-field_16_1\" name=\"wpforms[fields][16]\" value=\"Yes\" aria-errormessage=\"wpforms-7763-field_16_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_16_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7763-field_16_2\" name=\"wpforms[fields][16]\" value=\"No\" aria-errormessage=\"wpforms-7763-field_16_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7763-field_16_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-7763-field_17-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"17\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Where have these barriers occurred? 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