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    {"id":72,"date":"2016-02-16T21:31:14","date_gmt":"2016-02-16T20:31:14","guid":{"rendered":"http:\/\/alouetteswebsites.com\/en\/form\/"},"modified":"2020-11-17T17:15:16","modified_gmt":"2020-11-17T22:15:16","slug":"form","status":"publish","type":"page","link":"https:\/\/sondage.piri-piri.ca\/en\/form\/","title":{"rendered":"Form"},"content":{"rendered":"[vc_row type=&#8221;in_container&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; overlay_strength=&#8221;0.3&#8243;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; width=&#8221;1\/1&#8243;]<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' style='display:none'><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3' id='gform_3'  action='\/en\/wp-json\/wp\/v2\/pages\/72#gf_3' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_page_3_1' class='gform_page black' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_55\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Informations<\/li><li id=\"field_3_3\" class=\"gfield gfield--type-html title_q1 titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Please complete the following fields :<\/h2><\/li><li id=\"field_3_53\" class=\"gfield gfield--type-radio gfield--type-choice age with-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Your age as of today<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_53'>\n\t\t\t<li class='gchoice gchoice_3_53_0'>\n\t\t\t\t<input name='input_53' type='radio' value='Less than 15'  id='choice_3_53_0' tabindex='49'   \/>\n\t\t\t\t<label for='choice_3_53_0' id='label_3_53_0' class='gform-field-label gform-field-label--type-inline'>Less than 15<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_53_1'>\n\t\t\t\t<input name='input_53' type='radio' value='15 to 17'  id='choice_3_53_1' tabindex='50'   \/>\n\t\t\t\t<label for='choice_3_53_1' id='label_3_53_1' class='gform-field-label gform-field-label--type-inline'>15 to 17<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_53_2'>\n\t\t\t\t<input name='input_53' type='radio' value='18 to 24'  id='choice_3_53_2' tabindex='51'   \/>\n\t\t\t\t<label for='choice_3_53_2' id='label_3_53_2' class='gform-field-label gform-field-label--type-inline'>18 to 24<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_53_3'>\n\t\t\t\t<input name='input_53' type='radio' value='25 to 35'  id='choice_3_53_3' tabindex='52'   \/>\n\t\t\t\t<label for='choice_3_53_3' id='label_3_53_3' class='gform-field-label gform-field-label--type-inline'>25 to 35<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_53_4'>\n\t\t\t\t<input name='input_53' type='radio' value='36 to 44'  id='choice_3_53_4' tabindex='53'   \/>\n\t\t\t\t<label for='choice_3_53_4' id='label_3_53_4' class='gform-field-label gform-field-label--type-inline'>36 to 44<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_53_5'>\n\t\t\t\t<input name='input_53' type='radio' value='45 to 54'  id='choice_3_53_5' tabindex='54'   \/>\n\t\t\t\t<label for='choice_3_53_5' id='label_3_53_5' class='gform-field-label gform-field-label--type-inline'>45 to 54<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_53_6'>\n\t\t\t\t<input name='input_53' type='radio' value='55 and over'  id='choice_3_53_6' tabindex='55'   \/>\n\t\t\t\t<label for='choice_3_53_6' id='label_3_53_6' class='gform-field-label gform-field-label--type-inline'>55 and over<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_54\" class=\"gfield gfield--type-radio gfield--type-choice sexe with-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Your sex  :<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_54'>\n\t\t\t<li class='gchoice gchoice_3_54_0'>\n\t\t\t\t<input name='input_54' type='radio' value='Man'  id='choice_3_54_0' tabindex='56'   \/>\n\t\t\t\t<label for='choice_3_54_0' id='label_3_54_0' class='gform-field-label gform-field-label--type-inline'>Man<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_54_1'>\n\t\t\t\t<input name='input_54' type='radio' value='Women'  id='choice_3_54_1' tabindex='57'   \/>\n\t\t\t\t<label for='choice_3_54_1' id='label_3_54_1' class='gform-field-label gform-field-label--type-inline'>Women<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_6\" class=\"gfield gfield--type-text col-gf-4 postal with-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_6'><span class='gform-field-label__text'>Your Zip code<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_3_6' type='text' value='' class='medium'   tabindex='58' placeholder='Zip code *' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_3_20' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='59'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_2' class='gform_page black' data-js='page-field-id-20' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_56\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Informations<\/li><li id=\"field_3_21\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Which of the restaurants have you visited most recently?<\/h2><\/li><li id=\"field_3_42\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio clear col-gf-12 typePartisan withPhoto gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Restaurants visited<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_42'>\n\t\t\t<li class='gchoice gchoice_3_42_0'>\n\t\t\t\t<input name='input_42' type='radio' value='Super partisan'  id='choice_3_42_0' tabindex='60'   \/>\n\t\t\t\t<label for='choice_3_42_0' id='label_3_42_0' class='gform-field-label gform-field-label--type-inline'>Piri-Piri <strong>Plateau<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_1'>\n\t\t\t\t<input name='input_42' type='radio' value='Party'  id='choice_3_42_1' tabindex='61'   \/>\n\t\t\t\t<label for='choice_3_42_1' id='label_3_42_1' class='gform-field-label gform-field-label--type-inline'>Piri-Piri <strong>Masson<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_2'>\n\t\t\t\t<input name='input_42' type='radio' value='Famille'  id='choice_3_42_2' tabindex='62'   \/>\n\t\t\t\t<label for='choice_3_42_2' id='label_3_42_2' class='gform-field-label gform-field-label--type-inline'>Piri-Piri <strong>Hochelaga<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_3'>\n\t\t\t\t<input name='input_42' type='radio' value='gsurvey420b664648'  id='choice_3_42_3' tabindex='63'   \/>\n\t\t\t\t<label for='choice_3_42_3' id='label_3_42_3' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>C\u00f4te-des-neiges<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_4'>\n\t\t\t\t<input name='input_42' type='radio' value='gsurvey42cce0a988'  id='choice_3_42_4' tabindex='64'   \/>\n\t\t\t\t<label for='choice_3_42_4' id='label_3_42_4' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>Longue-Pointe<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_5'>\n\t\t\t\t<input name='input_42' type='radio' value='Partisan occasionnel'  id='choice_3_42_5' tabindex='65'   \/>\n\t\t\t\t<label for='choice_3_42_5' id='label_3_42_5' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>Boucherville<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_6'>\n\t\t\t\t<input name='input_42' type='radio' value='gsurvey422d5de1f5'  id='choice_3_42_6' tabindex='66'   \/>\n\t\t\t\t<label for='choice_3_42_6' id='label_3_42_6' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>LaSalle<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_7'>\n\t\t\t\t<input name='input_42' type='radio' value='gsurvey42cf67da60'  id='choice_3_42_7' tabindex='67'   \/>\n\t\t\t\t<label for='choice_3_42_7' id='label_3_42_7' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>March\u00e9-Central<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_8'>\n\t\t\t\t<input name='input_42' type='radio' value='gsurvey42088121fe'  id='choice_3_42_8' tabindex='68'   \/>\n\t\t\t\t<label for='choice_3_42_8' id='label_3_42_8' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>St-Eustache<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_9'>\n\t\t\t\t<input name='input_42' type='radio' value='gsurvey4284d38152'  id='choice_3_42_9' tabindex='69'   \/>\n\t\t\t\t<label for='choice_3_42_9' id='label_3_42_9' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>Complexe Desjardins<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_10'>\n\t\t\t\t<input name='input_42' type='radio' value='gsurvey42dae112da'  id='choice_3_42_10' tabindex='70'   \/>\n\t\t\t\t<label for='choice_3_42_10' id='label_3_42_10' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>Dollard-Des-Ormeauxl<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_11'>\n\t\t\t\t<input name='input_42' type='radio' value='gsurvey4243a768ed'  id='choice_3_42_11' tabindex='71'   \/>\n\t\t\t\t<label for='choice_3_42_11' id='label_3_42_11' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>Anjou<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_12'>\n\t\t\t\t<input name='input_42' type='radio' value='gsurvey42cf088f8d'  id='choice_3_42_12' tabindex='72'   \/>\n\t\t\t\t<label for='choice_3_42_12' id='label_3_42_12' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>Place Vertu<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_42_13'>\n\t\t\t\t<input name='input_42' type='radio' value='gsurvey42486e19ff'  id='choice_3_42_13' tabindex='73'   \/>\n\t\t\t\t<label for='choice_3_42_13' id='label_3_42_13' class='gform-field-label gform-field-label--type-inline'>None<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_119\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Have you eaten on-site or taken-away?<\/h2><\/li><li id=\"field_3_118\" class=\"gfield gfield--type-radio gfield--type-choice age gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Have you eaten on-site or taken-away?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_118'>\n\t\t\t<li class='gchoice gchoice_3_118_0'>\n\t\t\t\t<input name='input_118' type='radio' value='On-site'  id='choice_3_118_0' tabindex='74'   \/>\n\t\t\t\t<label for='choice_3_118_0' id='label_3_118_0' class='gform-field-label gform-field-label--type-inline'>On-site<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_118_1'>\n\t\t\t\t<input name='input_118' type='radio' value='Take away'  id='choice_3_118_1' tabindex='75'   \/>\n\t\t\t\t<label for='choice_3_118_1' id='label_3_118_1' class='gform-field-label gform-field-label--type-inline'>Take away<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_23' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='76'>Previous page<\/button> <button type='button' id='gform_next_button_3_23' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='77'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_3' class='gform_page conditionnel red' data-js='page-field-id-23' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_57\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Service\n<\/li><li id=\"field_3_24\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Order taker<\/h2><\/li><li id=\"field_3_58\" class=\"gfield gfield--type-survey gfield--input-type-likert conditionnel gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Operator in charge<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='Operator in charge' class='gsurvey-likert' id='input_3_58'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_3_58' scope='col'  class='gsurvey-likert-choice-label'>Very satisfied<\/th><th id='likert_col_2_3_58' scope='col'  class='gsurvey-likert-choice-label'>Somewhat satisfied<\/th><th id='likert_col_3_3_58' scope='col'  class='gsurvey-likert-choice-label'>Neither satisfied or dissatisfied<\/th><th id='likert_col_4_3_58' scope='col'  class='gsurvey-likert-choice-label'>Somewhat dissatisfied<\/th><th id='likert_col_5_3_58' scope='col'  class='gsurvey-likert-choice-label'>Very dissatisfied<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_3_58' data-label='' class='gsurvey-likert-row-label'>Order taker <strong>professionalism<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_58.1' type='radio' value='glikertrowb474507e:glikertcol58fe4fa06b'  id='choice_3_58_1_1'  tabindex='78'  aria-labelledby='likert_row_1_3_58 likert_col_1_3_58'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_58.1' type='radio' value='glikertrowb474507e:glikertcol58164a60d7'  id='choice_3_58_1_2'  tabindex='79'  aria-labelledby='likert_row_1_3_58 likert_col_2_3_58'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_58.1' type='radio' value='glikertrowb474507e:glikertcol58f5f078e0'  id='choice_3_58_1_3'  tabindex='80'  aria-labelledby='likert_row_1_3_58 likert_col_3_3_58'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_58.1' type='radio' value='glikertrowb474507e:glikertcol58099d65c7'  id='choice_3_58_1_4'  tabindex='81'  aria-labelledby='likert_row_1_3_58 likert_col_4_3_58'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_58.1' type='radio' value='glikertrowb474507e:glikertcol5889bc84da'  id='choice_3_58_1_5'  tabindex='82'  aria-labelledby='likert_row_1_3_58 likert_col_5_3_58'\/><\/td><\/tr><tr><td id='likert_row_2_3_58' data-label='' class='gsurvey-likert-row-label'>Order taker <strong>Courtesy<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_58.2' type='radio' value='glikertrow26e05ecb:glikertcol58fe4fa06b'  id='choice_3_58_2_1'  tabindex='83'  aria-labelledby='likert_row_2_3_58 likert_col_1_3_58'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_58.2' type='radio' value='glikertrow26e05ecb:glikertcol58164a60d7'  id='choice_3_58_2_2'  tabindex='84'  aria-labelledby='likert_row_2_3_58 likert_col_2_3_58'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_58.2' type='radio' value='glikertrow26e05ecb:glikertcol58f5f078e0'  id='choice_3_58_2_3'  tabindex='85'  aria-labelledby='likert_row_2_3_58 likert_col_3_3_58'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_58.2' type='radio' value='glikertrow26e05ecb:glikertcol58099d65c7'  id='choice_3_58_2_4'  tabindex='86'  aria-labelledby='likert_row_2_3_58 likert_col_4_3_58'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_58.2' type='radio' value='glikertrow26e05ecb:glikertcol5889bc84da'  id='choice_3_58_2_5'  tabindex='87'  aria-labelledby='likert_row_2_3_58 likert_col_5_3_58'\/><\/td><\/tr><tr><td id='likert_row_3_3_58' data-label='' class='gsurvey-likert-row-label'><strong>Answer<\/strong> to your questions<\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_58.3' type='radio' value='glikertrowc28a08f0:glikertcol58fe4fa06b'  id='choice_3_58_3_1'  tabindex='88'  aria-labelledby='likert_row_3_3_58 likert_col_1_3_58'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_58.3' type='radio' value='glikertrowc28a08f0:glikertcol58164a60d7'  id='choice_3_58_3_2'  tabindex='89'  aria-labelledby='likert_row_3_3_58 likert_col_2_3_58'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_58.3' type='radio' value='glikertrowc28a08f0:glikertcol58f5f078e0'  id='choice_3_58_3_3'  tabindex='90'  aria-labelledby='likert_row_3_3_58 likert_col_3_3_58'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_58.3' type='radio' value='glikertrowc28a08f0:glikertcol58099d65c7'  id='choice_3_58_3_4'  tabindex='91'  aria-labelledby='likert_row_3_3_58 likert_col_4_3_58'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_58.3' type='radio' value='glikertrowc28a08f0:glikertcol5889bc84da'  id='choice_3_58_3_5'  tabindex='92'  aria-labelledby='likert_row_3_3_58 likert_col_5_3_58'\/><\/td><\/tr><tr><td id='likert_row_4_3_58' data-label='' class='gsurvey-likert-row-label'><strong>Suggestion <\/strong> additional products<\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_58.4' type='radio' value='glikertrowfddf0680:glikertcol58fe4fa06b'  id='choice_3_58_4_1'  tabindex='93'  aria-labelledby='likert_row_4_3_58 likert_col_1_3_58'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_58.4' type='radio' value='glikertrowfddf0680:glikertcol58164a60d7'  id='choice_3_58_4_2'  tabindex='94'  aria-labelledby='likert_row_4_3_58 likert_col_2_3_58'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_58.4' type='radio' value='glikertrowfddf0680:glikertcol58f5f078e0'  id='choice_3_58_4_3'  tabindex='95'  aria-labelledby='likert_row_4_3_58 likert_col_3_3_58'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_58.4' type='radio' value='glikertrowfddf0680:glikertcol58099d65c7'  id='choice_3_58_4_4'  tabindex='96'  aria-labelledby='likert_row_4_3_58 likert_col_4_3_58'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_58.4' type='radio' value='glikertrowfddf0680:glikertcol5889bc84da'  id='choice_3_58_4_5'  tabindex='97'  aria-labelledby='likert_row_4_3_58 likert_col_5_3_58'\/><\/td><\/tr><tr><td id='likert_row_5_3_58' data-label='' class='gsurvey-likert-row-label'><strong>Speed<\/strong> of order taking<\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_58.5' type='radio' value='glikertrow5eaab48e:glikertcol58fe4fa06b'  id='choice_3_58_5_1'  tabindex='98'  aria-labelledby='likert_row_5_3_58 likert_col_1_3_58'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_58.5' type='radio' value='glikertrow5eaab48e:glikertcol58164a60d7'  id='choice_3_58_5_2'  tabindex='99'  aria-labelledby='likert_row_5_3_58 likert_col_2_3_58'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_58.5' type='radio' value='glikertrow5eaab48e:glikertcol58f5f078e0'  id='choice_3_58_5_3'  tabindex='100'  aria-labelledby='likert_row_5_3_58 likert_col_3_3_58'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_58.5' type='radio' value='glikertrow5eaab48e:glikertcol58099d65c7'  id='choice_3_58_5_4'  tabindex='101'  aria-labelledby='likert_row_5_3_58 likert_col_4_3_58'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_58.5' type='radio' value='glikertrow5eaab48e:glikertcol5889bc84da'  id='choice_3_58_5_5'  tabindex='102'  aria-labelledby='likert_row_5_3_58 likert_col_5_3_58'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_3_80\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_80' id='input_3_80' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_86' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='103'>Previous page<\/button> <button type='button' id='gform_next_button_3_86' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='104'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_4' class='gform_page red pourquoi' data-js='page-field-id-86' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_88\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Service<\/li><li id=\"field_3_89\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>ORDER TAKER<\/h2><\/li><li id=\"field_3_87\" class=\"gfield gfield--type-textarea large field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_87'><span class='gform-field-label__text'>Could you explain to us why you chose somewhat dissatisfied or very dissatisfied?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_87' id='input_3_87' class='textarea large' tabindex='105'   placeholder='Details'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='106'>Previous page<\/button> <button type='button' id='gform_next_button_3_27' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='107'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_5' class='gform_page conditionnel red' data-js='page-field-id-27' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_59\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Service<\/li><li id=\"field_3_26\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>CASHIER<\/h2>\n<\/li><li id=\"field_3_60\" class=\"gfield gfield--type-survey gfield--input-type-likert conditionnel gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Caissier<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='Caissier' class='gsurvey-likert' id='input_3_60'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_3_60' scope='col'  class='gsurvey-likert-choice-label'>Very satisfied<\/th><th id='likert_col_2_3_60' scope='col'  class='gsurvey-likert-choice-label'>Somewhat satisfied<\/th><th id='likert_col_3_3_60' scope='col'  class='gsurvey-likert-choice-label'>Neither satisfied or dissatisfied<\/th><th id='likert_col_4_3_60' scope='col'  class='gsurvey-likert-choice-label'>Somewhat dissatisfied<\/th><th id='likert_col_5_3_60' scope='col'  class='gsurvey-likert-choice-label'>Very dissatisfied<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_3_60' data-label='' class='gsurvey-likert-row-label'>Cashier <strong>PROFESSIONNALISM<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_60.1' type='radio' value='glikertrowb474507e:glikertcol58fe4fa06b'  id='choice_3_60_1_1'  tabindex='108'  aria-labelledby='likert_row_1_3_60 likert_col_1_3_60'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_60.1' type='radio' value='glikertrowb474507e:glikertcol58164a60d7'  id='choice_3_60_1_2'  tabindex='109'  aria-labelledby='likert_row_1_3_60 likert_col_2_3_60'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_60.1' type='radio' value='glikertrowb474507e:glikertcol58f5f078e0'  id='choice_3_60_1_3'  tabindex='110'  aria-labelledby='likert_row_1_3_60 likert_col_3_3_60'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_60.1' type='radio' value='glikertrowb474507e:glikertcol58099d65c7'  id='choice_3_60_1_4'  tabindex='111'  aria-labelledby='likert_row_1_3_60 likert_col_4_3_60'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_60.1' type='radio' value='glikertrowb474507e:glikertcol5889bc84da'  id='choice_3_60_1_5'  tabindex='112'  aria-labelledby='likert_row_1_3_60 likert_col_5_3_60'\/><\/td><\/tr><tr><td id='likert_row_2_3_60' data-label='' class='gsurvey-likert-row-label'>Cashier <strong>courtesy<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_60.2' type='radio' value='glikertrow26e05ecb:glikertcol58fe4fa06b'  id='choice_3_60_2_1'  tabindex='113'  aria-labelledby='likert_row_2_3_60 likert_col_1_3_60'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_60.2' type='radio' value='glikertrow26e05ecb:glikertcol58164a60d7'  id='choice_3_60_2_2'  tabindex='114'  aria-labelledby='likert_row_2_3_60 likert_col_2_3_60'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_60.2' type='radio' value='glikertrow26e05ecb:glikertcol58f5f078e0'  id='choice_3_60_2_3'  tabindex='115'  aria-labelledby='likert_row_2_3_60 likert_col_3_3_60'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_60.2' type='radio' value='glikertrow26e05ecb:glikertcol58099d65c7'  id='choice_3_60_2_4'  tabindex='116'  aria-labelledby='likert_row_2_3_60 likert_col_4_3_60'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_60.2' type='radio' value='glikertrow26e05ecb:glikertcol5889bc84da'  id='choice_3_60_2_5'  tabindex='117'  aria-labelledby='likert_row_2_3_60 likert_col_5_3_60'\/><\/td><\/tr><tr><td id='likert_row_3_3_60' data-label='' class='gsurvey-likert-row-label'><strong>Answer<\/strong> to your questions<\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_60.3' type='radio' value='glikertrowc28a08f0:glikertcol58fe4fa06b'  id='choice_3_60_3_1'  tabindex='118'  aria-labelledby='likert_row_3_3_60 likert_col_1_3_60'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_60.3' type='radio' value='glikertrowc28a08f0:glikertcol58164a60d7'  id='choice_3_60_3_2'  tabindex='119'  aria-labelledby='likert_row_3_3_60 likert_col_2_3_60'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_60.3' type='radio' value='glikertrowc28a08f0:glikertcol58f5f078e0'  id='choice_3_60_3_3'  tabindex='120'  aria-labelledby='likert_row_3_3_60 likert_col_3_3_60'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_60.3' type='radio' value='glikertrowc28a08f0:glikertcol58099d65c7'  id='choice_3_60_3_4'  tabindex='121'  aria-labelledby='likert_row_3_3_60 likert_col_4_3_60'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_60.3' type='radio' value='glikertrowc28a08f0:glikertcol5889bc84da'  id='choice_3_60_3_5'  tabindex='122'  aria-labelledby='likert_row_3_3_60 likert_col_5_3_60'\/><\/td><\/tr><tr><td id='likert_row_4_3_60' data-label='' class='gsurvey-likert-row-label'>Additional products <strong>suggestion <\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_60.4' type='radio' value='glikertrowfddf0680:glikertcol58fe4fa06b'  id='choice_3_60_4_1'  tabindex='123'  aria-labelledby='likert_row_4_3_60 likert_col_1_3_60'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_60.4' type='radio' value='glikertrowfddf0680:glikertcol58164a60d7'  id='choice_3_60_4_2'  tabindex='124'  aria-labelledby='likert_row_4_3_60 likert_col_2_3_60'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_60.4' type='radio' value='glikertrowfddf0680:glikertcol58f5f078e0'  id='choice_3_60_4_3'  tabindex='125'  aria-labelledby='likert_row_4_3_60 likert_col_3_3_60'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_60.4' type='radio' value='glikertrowfddf0680:glikertcol58099d65c7'  id='choice_3_60_4_4'  tabindex='126'  aria-labelledby='likert_row_4_3_60 likert_col_4_3_60'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_60.4' type='radio' value='glikertrowfddf0680:glikertcol5889bc84da'  id='choice_3_60_4_5'  tabindex='127'  aria-labelledby='likert_row_4_3_60 likert_col_5_3_60'\/><\/td><\/tr><tr><td id='likert_row_5_3_60' data-label='' class='gsurvey-likert-row-label'>Order <strong>accuracy<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_60.5' type='radio' value='glikertrow5eaab48e:glikertcol58fe4fa06b'  id='choice_3_60_5_1'  tabindex='128'  aria-labelledby='likert_row_5_3_60 likert_col_1_3_60'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_60.5' type='radio' value='glikertrow5eaab48e:glikertcol58164a60d7'  id='choice_3_60_5_2'  tabindex='129'  aria-labelledby='likert_row_5_3_60 likert_col_2_3_60'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_60.5' type='radio' value='glikertrow5eaab48e:glikertcol58f5f078e0'  id='choice_3_60_5_3'  tabindex='130'  aria-labelledby='likert_row_5_3_60 likert_col_3_3_60'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_60.5' type='radio' value='glikertrow5eaab48e:glikertcol58099d65c7'  id='choice_3_60_5_4'  tabindex='131'  aria-labelledby='likert_row_5_3_60 likert_col_4_3_60'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_60.5' type='radio' value='glikertrow5eaab48e:glikertcol5889bc84da'  id='choice_3_60_5_5'  tabindex='132'  aria-labelledby='likert_row_5_3_60 likert_col_5_3_60'\/><\/td><\/tr><tr><td id='likert_row_6_3_60' data-label='' class='gsurvey-likert-row-label'><strong>Speed<\/strong> of collection<\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_60.6' type='radio' value='glikertrowf5bf8b04:glikertcol58fe4fa06b'  id='choice_3_60_6_1'  tabindex='133'  aria-labelledby='likert_row_6_3_60 likert_col_1_3_60'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_60.6' type='radio' value='glikertrowf5bf8b04:glikertcol58164a60d7'  id='choice_3_60_6_2'  tabindex='134'  aria-labelledby='likert_row_6_3_60 likert_col_2_3_60'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_60.6' type='radio' value='glikertrowf5bf8b04:glikertcol58f5f078e0'  id='choice_3_60_6_3'  tabindex='135'  aria-labelledby='likert_row_6_3_60 likert_col_3_3_60'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_60.6' type='radio' value='glikertrowf5bf8b04:glikertcol58099d65c7'  id='choice_3_60_6_4'  tabindex='136'  aria-labelledby='likert_row_6_3_60 likert_col_4_3_60'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_60.6' type='radio' value='glikertrowf5bf8b04:glikertcol5889bc84da'  id='choice_3_60_6_5'  tabindex='137'  aria-labelledby='likert_row_6_3_60 likert_col_5_3_60'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_3_83\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_83' id='input_3_83' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_90' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='138'>Previous page<\/button> <button type='button' id='gform_next_button_3_90' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='139'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_6' class='gform_page red pourquoi' data-js='page-field-id-90' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_92\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Service<\/li><li id=\"field_3_93\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>CASHIER<\/h2>\n<\/li><li id=\"field_3_91\" class=\"gfield gfield--type-textarea large field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_91'><span class='gform-field-label__text'>Could you explain to us why you chose somewhat dissatisfied or very dissatisfied?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_91' id='input_3_91' class='textarea large' tabindex='140'   placeholder='Details'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_61' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='141'>Previous page<\/button> <button type='button' id='gform_next_button_3_61' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='142'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_7' class='gform_page conditionnel green' data-js='page-field-id-61' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_63\" class=\"gfield gfield--type-html info green gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Food<\/li><li id=\"field_3_62\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Food in the restaurant<\/h2><\/li><li id=\"field_3_120\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Food to go<\/h2><\/li><li id=\"field_3_64\" class=\"gfield gfield--type-survey gfield--input-type-likert conditionnel gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Restaurant food<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='Restaurant food' class='gsurvey-likert' id='input_3_64'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_3_64' scope='col'  class='gsurvey-likert-choice-label'>Very satisfied<\/th><th id='likert_col_2_3_64' scope='col'  class='gsurvey-likert-choice-label'>Somewhat satisfied<\/th><th id='likert_col_3_3_64' scope='col'  class='gsurvey-likert-choice-label'>Neither satisfied or dissatisfied<\/th><th id='likert_col_4_3_64' scope='col'  class='gsurvey-likert-choice-label'>Somewhat dissatisfied<\/th><th id='likert_col_5_3_64' scope='col'  class='gsurvey-likert-choice-label'>very dissatisfied<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_3_64' data-label='' class='gsurvey-likert-row-label'>Food <strong>temperature<\/strong> <\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_64.1' type='radio' value='glikertrowb474507e:glikertcol58fe4fa06b'  id='choice_3_64_1_1'  tabindex='143'  aria-labelledby='likert_row_1_3_64 likert_col_1_3_64'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_64.1' type='radio' value='glikertrowb474507e:glikertcol58164a60d7'  id='choice_3_64_1_2'  tabindex='144'  aria-labelledby='likert_row_1_3_64 likert_col_2_3_64'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_64.1' type='radio' value='glikertrowb474507e:glikertcol58f5f078e0'  id='choice_3_64_1_3'  tabindex='145'  aria-labelledby='likert_row_1_3_64 likert_col_3_3_64'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_64.1' type='radio' value='glikertrowb474507e:glikertcol58099d65c7'  id='choice_3_64_1_4'  tabindex='146'  aria-labelledby='likert_row_1_3_64 likert_col_4_3_64'\/><\/td><td data-label='very dissatisfied' class='gsurvey-likert-choice'><input name='input_64.1' type='radio' value='glikertrowb474507e:glikertcol5889bc84da'  id='choice_3_64_1_5'  tabindex='147'  aria-labelledby='likert_row_1_3_64 likert_col_5_3_64'\/><\/td><\/tr><tr><td id='likert_row_2_3_64' data-label='' class='gsurvey-likert-row-label'>Food <strong>quality<\/strong> <\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_64.2' type='radio' value='glikertrow26e05ecb:glikertcol58fe4fa06b'  id='choice_3_64_2_1'  tabindex='148'  aria-labelledby='likert_row_2_3_64 likert_col_1_3_64'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_64.2' type='radio' value='glikertrow26e05ecb:glikertcol58164a60d7'  id='choice_3_64_2_2'  tabindex='149'  aria-labelledby='likert_row_2_3_64 likert_col_2_3_64'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_64.2' type='radio' value='glikertrow26e05ecb:glikertcol58f5f078e0'  id='choice_3_64_2_3'  tabindex='150'  aria-labelledby='likert_row_2_3_64 likert_col_3_3_64'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_64.2' type='radio' value='glikertrow26e05ecb:glikertcol58099d65c7'  id='choice_3_64_2_4'  tabindex='151'  aria-labelledby='likert_row_2_3_64 likert_col_4_3_64'\/><\/td><td data-label='very dissatisfied' class='gsurvey-likert-choice'><input name='input_64.2' type='radio' value='glikertrow26e05ecb:glikertcol5889bc84da'  id='choice_3_64_2_5'  tabindex='152'  aria-labelledby='likert_row_2_3_64 likert_col_5_3_64'\/><\/td><\/tr><tr><td id='likert_row_3_3_64' data-label='' class='gsurvey-likert-row-label'><strong>Presentation<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_64.3' type='radio' value='glikertrowc28a08f0:glikertcol58fe4fa06b'  id='choice_3_64_3_1'  tabindex='153'  aria-labelledby='likert_row_3_3_64 likert_col_1_3_64'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_64.3' type='radio' value='glikertrowc28a08f0:glikertcol58164a60d7'  id='choice_3_64_3_2'  tabindex='154'  aria-labelledby='likert_row_3_3_64 likert_col_2_3_64'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_64.3' type='radio' value='glikertrowc28a08f0:glikertcol58f5f078e0'  id='choice_3_64_3_3'  tabindex='155'  aria-labelledby='likert_row_3_3_64 likert_col_3_3_64'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_64.3' type='radio' value='glikertrowc28a08f0:glikertcol58099d65c7'  id='choice_3_64_3_4'  tabindex='156'  aria-labelledby='likert_row_3_3_64 likert_col_4_3_64'\/><\/td><td data-label='very dissatisfied' class='gsurvey-likert-choice'><input name='input_64.3' type='radio' value='glikertrowc28a08f0:glikertcol5889bc84da'  id='choice_3_64_3_5'  tabindex='157'  aria-labelledby='likert_row_3_3_64 likert_col_5_3_64'\/><\/td><\/tr><tr><td id='likert_row_4_3_64' data-label='' class='gsurvey-likert-row-label'>Food <strong>taste <\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_64.4' type='radio' value='glikertrowfddf0680:glikertcol58fe4fa06b'  id='choice_3_64_4_1'  tabindex='158'  aria-labelledby='likert_row_4_3_64 likert_col_1_3_64'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_64.4' type='radio' value='glikertrowfddf0680:glikertcol58164a60d7'  id='choice_3_64_4_2'  tabindex='159'  aria-labelledby='likert_row_4_3_64 likert_col_2_3_64'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_64.4' type='radio' value='glikertrowfddf0680:glikertcol58f5f078e0'  id='choice_3_64_4_3'  tabindex='160'  aria-labelledby='likert_row_4_3_64 likert_col_3_3_64'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_64.4' type='radio' value='glikertrowfddf0680:glikertcol58099d65c7'  id='choice_3_64_4_4'  tabindex='161'  aria-labelledby='likert_row_4_3_64 likert_col_4_3_64'\/><\/td><td data-label='very dissatisfied' class='gsurvey-likert-choice'><input name='input_64.4' type='radio' value='glikertrowfddf0680:glikertcol5889bc84da'  id='choice_3_64_4_5'  tabindex='162'  aria-labelledby='likert_row_4_3_64 likert_col_5_3_64'\/><\/td><\/tr><tr><td id='likert_row_5_3_64' data-label='' class='gsurvey-likert-row-label'>Food <strong>portion<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_64.5' type='radio' value='glikertrow5eaab48e:glikertcol58fe4fa06b'  id='choice_3_64_5_1'  tabindex='163'  aria-labelledby='likert_row_5_3_64 likert_col_1_3_64'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_64.5' type='radio' value='glikertrow5eaab48e:glikertcol58164a60d7'  id='choice_3_64_5_2'  tabindex='164'  aria-labelledby='likert_row_5_3_64 likert_col_2_3_64'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_64.5' type='radio' value='glikertrow5eaab48e:glikertcol58f5f078e0'  id='choice_3_64_5_3'  tabindex='165'  aria-labelledby='likert_row_5_3_64 likert_col_3_3_64'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_64.5' type='radio' value='glikertrow5eaab48e:glikertcol58099d65c7'  id='choice_3_64_5_4'  tabindex='166'  aria-labelledby='likert_row_5_3_64 likert_col_4_3_64'\/><\/td><td data-label='very dissatisfied' class='gsurvey-likert-choice'><input name='input_64.5' type='radio' value='glikertrow5eaab48e:glikertcol5889bc84da'  id='choice_3_64_5_5'  tabindex='167'  aria-labelledby='likert_row_5_3_64 likert_col_5_3_64'\/><\/td><\/tr><tr><td id='likert_row_6_3_64' data-label='' class='gsurvey-likert-row-label'><strong>Price<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_64.6' type='radio' value='glikertrowf5bf8b04:glikertcol58fe4fa06b'  id='choice_3_64_6_1'  tabindex='168'  aria-labelledby='likert_row_6_3_64 likert_col_1_3_64'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_64.6' type='radio' value='glikertrowf5bf8b04:glikertcol58164a60d7'  id='choice_3_64_6_2'  tabindex='169'  aria-labelledby='likert_row_6_3_64 likert_col_2_3_64'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_64.6' type='radio' value='glikertrowf5bf8b04:glikertcol58f5f078e0'  id='choice_3_64_6_3'  tabindex='170'  aria-labelledby='likert_row_6_3_64 likert_col_3_3_64'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_64.6' type='radio' value='glikertrowf5bf8b04:glikertcol58099d65c7'  id='choice_3_64_6_4'  tabindex='171'  aria-labelledby='likert_row_6_3_64 likert_col_4_3_64'\/><\/td><td data-label='very dissatisfied' class='gsurvey-likert-choice'><input name='input_64.6' type='radio' value='glikertrowf5bf8b04:glikertcol5889bc84da'  id='choice_3_64_6_5'  tabindex='172'  aria-labelledby='likert_row_6_3_64 likert_col_5_3_64'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_3_121\" class=\"gfield gfield--type-survey gfield--input-type-likert conditionnel gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Food to go<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='Food to go' class='gsurvey-likert' id='input_3_121'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_3_121' scope='col'  class='gsurvey-likert-choice-label'>Very satisfied<\/th><th id='likert_col_2_3_121' scope='col'  class='gsurvey-likert-choice-label'>Somewhat satisfied<\/th><th id='likert_col_3_3_121' scope='col'  class='gsurvey-likert-choice-label'>Neither satisfied or dissatisfied<\/th><th id='likert_col_4_3_121' scope='col'  class='gsurvey-likert-choice-label'>Somewhat dissatisfied<\/th><th id='likert_col_5_3_121' scope='col'  class='gsurvey-likert-choice-label'>Very dissatisfied<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_3_121' data-label='' class='gsurvey-likert-row-label'>Food <strong>temperature<\/strong> <\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_121.1' type='radio' value='glikertrowb474507e:glikertcol58fe4fa06b'  id='choice_3_121_1_1'  tabindex='173'  aria-labelledby='likert_row_1_3_121 likert_col_1_3_121'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_121.1' type='radio' value='glikertrowb474507e:glikertcol58164a60d7'  id='choice_3_121_1_2'  tabindex='174'  aria-labelledby='likert_row_1_3_121 likert_col_2_3_121'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_121.1' type='radio' value='glikertrowb474507e:glikertcol58f5f078e0'  id='choice_3_121_1_3'  tabindex='175'  aria-labelledby='likert_row_1_3_121 likert_col_3_3_121'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_121.1' type='radio' value='glikertrowb474507e:glikertcol58099d65c7'  id='choice_3_121_1_4'  tabindex='176'  aria-labelledby='likert_row_1_3_121 likert_col_4_3_121'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_121.1' type='radio' value='glikertrowb474507e:glikertcol5889bc84da'  id='choice_3_121_1_5'  tabindex='177'  aria-labelledby='likert_row_1_3_121 likert_col_5_3_121'\/><\/td><\/tr><tr><td id='likert_row_2_3_121' data-label='' class='gsurvey-likert-row-label'>Food <strong>quality<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_121.2' type='radio' value='glikertrow26e05ecb:glikertcol58fe4fa06b'  id='choice_3_121_2_1'  tabindex='178'  aria-labelledby='likert_row_2_3_121 likert_col_1_3_121'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_121.2' type='radio' value='glikertrow26e05ecb:glikertcol58164a60d7'  id='choice_3_121_2_2'  tabindex='179'  aria-labelledby='likert_row_2_3_121 likert_col_2_3_121'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_121.2' type='radio' value='glikertrow26e05ecb:glikertcol58f5f078e0'  id='choice_3_121_2_3'  tabindex='180'  aria-labelledby='likert_row_2_3_121 likert_col_3_3_121'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_121.2' type='radio' value='glikertrow26e05ecb:glikertcol58099d65c7'  id='choice_3_121_2_4'  tabindex='181'  aria-labelledby='likert_row_2_3_121 likert_col_4_3_121'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_121.2' type='radio' value='glikertrow26e05ecb:glikertcol5889bc84da'  id='choice_3_121_2_5'  tabindex='182'  aria-labelledby='likert_row_2_3_121 likert_col_5_3_121'\/><\/td><\/tr><tr><td id='likert_row_3_3_121' data-label='' class='gsurvey-likert-row-label'><strong>Presentation<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_121.3' type='radio' value='glikertrowc28a08f0:glikertcol58fe4fa06b'  id='choice_3_121_3_1'  tabindex='183'  aria-labelledby='likert_row_3_3_121 likert_col_1_3_121'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_121.3' type='radio' value='glikertrowc28a08f0:glikertcol58164a60d7'  id='choice_3_121_3_2'  tabindex='184'  aria-labelledby='likert_row_3_3_121 likert_col_2_3_121'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_121.3' type='radio' value='glikertrowc28a08f0:glikertcol58f5f078e0'  id='choice_3_121_3_3'  tabindex='185'  aria-labelledby='likert_row_3_3_121 likert_col_3_3_121'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_121.3' type='radio' value='glikertrowc28a08f0:glikertcol58099d65c7'  id='choice_3_121_3_4'  tabindex='186'  aria-labelledby='likert_row_3_3_121 likert_col_4_3_121'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_121.3' type='radio' value='glikertrowc28a08f0:glikertcol5889bc84da'  id='choice_3_121_3_5'  tabindex='187'  aria-labelledby='likert_row_3_3_121 likert_col_5_3_121'\/><\/td><\/tr><tr><td id='likert_row_4_3_121' data-label='' class='gsurvey-likert-row-label'>Food <strong>taste <\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_121.4' type='radio' value='glikertrowfddf0680:glikertcol58fe4fa06b'  id='choice_3_121_4_1'  tabindex='188'  aria-labelledby='likert_row_4_3_121 likert_col_1_3_121'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_121.4' type='radio' value='glikertrowfddf0680:glikertcol58164a60d7'  id='choice_3_121_4_2'  tabindex='189'  aria-labelledby='likert_row_4_3_121 likert_col_2_3_121'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_121.4' type='radio' value='glikertrowfddf0680:glikertcol58f5f078e0'  id='choice_3_121_4_3'  tabindex='190'  aria-labelledby='likert_row_4_3_121 likert_col_3_3_121'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_121.4' type='radio' value='glikertrowfddf0680:glikertcol58099d65c7'  id='choice_3_121_4_4'  tabindex='191'  aria-labelledby='likert_row_4_3_121 likert_col_4_3_121'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_121.4' type='radio' value='glikertrowfddf0680:glikertcol5889bc84da'  id='choice_3_121_4_5'  tabindex='192'  aria-labelledby='likert_row_4_3_121 likert_col_5_3_121'\/><\/td><\/tr><tr><td id='likert_row_5_3_121' data-label='' class='gsurvey-likert-row-label'>Food <strong>portion<\/strong> <\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_121.5' type='radio' value='glikertrow5eaab48e:glikertcol58fe4fa06b'  id='choice_3_121_5_1'  tabindex='193'  aria-labelledby='likert_row_5_3_121 likert_col_1_3_121'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_121.5' type='radio' value='glikertrow5eaab48e:glikertcol58164a60d7'  id='choice_3_121_5_2'  tabindex='194'  aria-labelledby='likert_row_5_3_121 likert_col_2_3_121'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_121.5' type='radio' value='glikertrow5eaab48e:glikertcol58f5f078e0'  id='choice_3_121_5_3'  tabindex='195'  aria-labelledby='likert_row_5_3_121 likert_col_3_3_121'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_121.5' type='radio' value='glikertrow5eaab48e:glikertcol58099d65c7'  id='choice_3_121_5_4'  tabindex='196'  aria-labelledby='likert_row_5_3_121 likert_col_4_3_121'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_121.5' type='radio' value='glikertrow5eaab48e:glikertcol5889bc84da'  id='choice_3_121_5_5'  tabindex='197'  aria-labelledby='likert_row_5_3_121 likert_col_5_3_121'\/><\/td><\/tr><tr><td id='likert_row_6_3_121' data-label='' class='gsurvey-likert-row-label'><strong>Price<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_121.6' type='radio' value='glikertrowf5bf8b04:glikertcol58fe4fa06b'  id='choice_3_121_6_1'  tabindex='198'  aria-labelledby='likert_row_6_3_121 likert_col_1_3_121'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_121.6' type='radio' value='glikertrowf5bf8b04:glikertcol58164a60d7'  id='choice_3_121_6_2'  tabindex='199'  aria-labelledby='likert_row_6_3_121 likert_col_2_3_121'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_121.6' type='radio' value='glikertrowf5bf8b04:glikertcol58f5f078e0'  id='choice_3_121_6_3'  tabindex='200'  aria-labelledby='likert_row_6_3_121 likert_col_3_3_121'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_121.6' type='radio' value='glikertrowf5bf8b04:glikertcol58099d65c7'  id='choice_3_121_6_4'  tabindex='201'  aria-labelledby='likert_row_6_3_121 likert_col_4_3_121'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_121.6' type='radio' value='glikertrowf5bf8b04:glikertcol5889bc84da'  id='choice_3_121_6_5'  tabindex='202'  aria-labelledby='likert_row_6_3_121 likert_col_5_3_121'\/><\/td><\/tr><tr><td id='likert_row_7_3_121' data-label='' class='gsurvey-likert-row-label'><strong>Packaging <\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_121.7' type='radio' value='glikertrowd8cd1709:glikertcol58fe4fa06b'  id='choice_3_121_7_1'  tabindex='203'  aria-labelledby='likert_row_7_3_121 likert_col_1_3_121'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_121.7' type='radio' value='glikertrowd8cd1709:glikertcol58164a60d7'  id='choice_3_121_7_2'  tabindex='204'  aria-labelledby='likert_row_7_3_121 likert_col_2_3_121'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_121.7' type='radio' value='glikertrowd8cd1709:glikertcol58f5f078e0'  id='choice_3_121_7_3'  tabindex='205'  aria-labelledby='likert_row_7_3_121 likert_col_3_3_121'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_121.7' type='radio' value='glikertrowd8cd1709:glikertcol58099d65c7'  id='choice_3_121_7_4'  tabindex='206'  aria-labelledby='likert_row_7_3_121 likert_col_4_3_121'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_121.7' type='radio' value='glikertrowd8cd1709:glikertcol5889bc84da'  id='choice_3_121_7_5'  tabindex='207'  aria-labelledby='likert_row_7_3_121 likert_col_5_3_121'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_3_84\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_84' id='input_3_84' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_94' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='208'>Previous page<\/button> <button type='button' id='gform_next_button_3_94' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='209'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_8' class='gform_page green pourquoi' data-js='page-field-id-94' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_95\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Food<\/li><li id=\"field_3_96\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Food in the restaurant<\/h2><\/li><li id=\"field_3_122\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Food to go<\/h2><\/li><li id=\"field_3_97\" class=\"gfield gfield--type-textarea large field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_97'><span class='gform-field-label__text'>Could you explain to us why you chose somewhat dissatisfied or very dissatisfied?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_97' id='input_3_97' class='textarea large' tabindex='210'   placeholder='Details'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_65' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='211'>Previous page<\/button> <button type='button' id='gform_next_button_3_65' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='212'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_9' class='gform_page conditionnel blue' data-js='page-field-id-65' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_67\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Facilities<\/li><li id=\"field_3_66\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Facilities<\/h2><\/li><li id=\"field_3_68\" class=\"gfield gfield--type-survey gfield--input-type-likert conditionnel gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Facilities<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='Facilities' class='gsurvey-likert' id='input_3_68'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_3_68' scope='col'  class='gsurvey-likert-choice-label'>Very satisfied<\/th><th id='likert_col_2_3_68' scope='col'  class='gsurvey-likert-choice-label'>Somewhat satisfied\/e<\/th><th id='likert_col_3_3_68' scope='col'  class='gsurvey-likert-choice-label'>Neither satisfied or dissatisfied<\/th><th id='likert_col_4_3_68' scope='col'  class='gsurvey-likert-choice-label'>Somewhat dissatisfied<\/th><th id='likert_col_5_3_68' scope='col'  class='gsurvey-likert-choice-label'>Very dissatisfied<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_3_68' data-label='' class='gsurvey-likert-row-label'><strong>Menu<\/strong> clear and easy to understand<\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_68.1' type='radio' value='glikertrowb474507e:glikertcol58fe4fa06b'  id='choice_3_68_1_1'  tabindex='213'  aria-labelledby='likert_row_1_3_68 likert_col_1_3_68'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_68.1' type='radio' value='glikertrowb474507e:glikertcol58164a60d7'  id='choice_3_68_1_2'  tabindex='214'  aria-labelledby='likert_row_1_3_68 likert_col_2_3_68'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_68.1' type='radio' value='glikertrowb474507e:glikertcol58f5f078e0'  id='choice_3_68_1_3'  tabindex='215'  aria-labelledby='likert_row_1_3_68 likert_col_3_3_68'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_68.1' type='radio' value='glikertrowb474507e:glikertcol58099d65c7'  id='choice_3_68_1_4'  tabindex='216'  aria-labelledby='likert_row_1_3_68 likert_col_4_3_68'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_68.1' type='radio' value='glikertrowb474507e:glikertcol5889bc84da'  id='choice_3_68_1_5'  tabindex='217'  aria-labelledby='likert_row_1_3_68 likert_col_5_3_68'\/><\/td><\/tr><tr><td id='likert_row_2_3_68' data-label='' class='gsurvey-likert-row-label'><strong>Variety<\/strong> of the menu<\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_68.2' type='radio' value='glikertrow26e05ecb:glikertcol58fe4fa06b'  id='choice_3_68_2_1'  tabindex='218'  aria-labelledby='likert_row_2_3_68 likert_col_1_3_68'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_68.2' type='radio' value='glikertrow26e05ecb:glikertcol58164a60d7'  id='choice_3_68_2_2'  tabindex='219'  aria-labelledby='likert_row_2_3_68 likert_col_2_3_68'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_68.2' type='radio' value='glikertrow26e05ecb:glikertcol58f5f078e0'  id='choice_3_68_2_3'  tabindex='220'  aria-labelledby='likert_row_2_3_68 likert_col_3_3_68'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_68.2' type='radio' value='glikertrow26e05ecb:glikertcol58099d65c7'  id='choice_3_68_2_4'  tabindex='221'  aria-labelledby='likert_row_2_3_68 likert_col_4_3_68'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_68.2' type='radio' value='glikertrow26e05ecb:glikertcol5889bc84da'  id='choice_3_68_2_5'  tabindex='222'  aria-labelledby='likert_row_2_3_68 likert_col_5_3_68'\/><\/td><\/tr><tr><td id='likert_row_3_3_68' data-label='' class='gsurvey-likert-row-label'>DINING ROOM <strong>tidiness<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_68.3' type='radio' value='glikertrowc28a08f0:glikertcol58fe4fa06b'  id='choice_3_68_3_1'  tabindex='223'  aria-labelledby='likert_row_3_3_68 likert_col_1_3_68'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_68.3' type='radio' value='glikertrowc28a08f0:glikertcol58164a60d7'  id='choice_3_68_3_2'  tabindex='224'  aria-labelledby='likert_row_3_3_68 likert_col_2_3_68'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_68.3' type='radio' value='glikertrowc28a08f0:glikertcol58f5f078e0'  id='choice_3_68_3_3'  tabindex='225'  aria-labelledby='likert_row_3_3_68 likert_col_3_3_68'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_68.3' type='radio' value='glikertrowc28a08f0:glikertcol58099d65c7'  id='choice_3_68_3_4'  tabindex='226'  aria-labelledby='likert_row_3_3_68 likert_col_4_3_68'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_68.3' type='radio' value='glikertrowc28a08f0:glikertcol5889bc84da'  id='choice_3_68_3_5'  tabindex='227'  aria-labelledby='likert_row_3_3_68 likert_col_5_3_68'\/><\/td><\/tr><tr><td id='likert_row_4_3_68' data-label='' class='gsurvey-likert-row-label'>BATHROOM <strong>tidiness<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_68.4' type='radio' value='glikertrowfddf0680:glikertcol58fe4fa06b'  id='choice_3_68_4_1'  tabindex='228'  aria-labelledby='likert_row_4_3_68 likert_col_1_3_68'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_68.4' type='radio' value='glikertrowfddf0680:glikertcol58164a60d7'  id='choice_3_68_4_2'  tabindex='229'  aria-labelledby='likert_row_4_3_68 likert_col_2_3_68'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_68.4' type='radio' value='glikertrowfddf0680:glikertcol58f5f078e0'  id='choice_3_68_4_3'  tabindex='230'  aria-labelledby='likert_row_4_3_68 likert_col_3_3_68'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_68.4' type='radio' value='glikertrowfddf0680:glikertcol58099d65c7'  id='choice_3_68_4_4'  tabindex='231'  aria-labelledby='likert_row_4_3_68 likert_col_4_3_68'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_68.4' type='radio' value='glikertrowfddf0680:glikertcol5889bc84da'  id='choice_3_68_4_5'  tabindex='232'  aria-labelledby='likert_row_4_3_68 likert_col_5_3_68'\/><\/td><\/tr><tr><td id='likert_row_5_3_68' data-label='' class='gsurvey-likert-row-label'><strong>Atmosphere<\/strong> (temperature, music, light)<\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_68.5' type='radio' value='glikertrow5eaab48e:glikertcol58fe4fa06b'  id='choice_3_68_5_1'  tabindex='233'  aria-labelledby='likert_row_5_3_68 likert_col_1_3_68'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_68.5' type='radio' value='glikertrow5eaab48e:glikertcol58164a60d7'  id='choice_3_68_5_2'  tabindex='234'  aria-labelledby='likert_row_5_3_68 likert_col_2_3_68'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_68.5' type='radio' value='glikertrow5eaab48e:glikertcol58f5f078e0'  id='choice_3_68_5_3'  tabindex='235'  aria-labelledby='likert_row_5_3_68 likert_col_3_3_68'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_68.5' type='radio' value='glikertrow5eaab48e:glikertcol58099d65c7'  id='choice_3_68_5_4'  tabindex='236'  aria-labelledby='likert_row_5_3_68 likert_col_4_3_68'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_68.5' type='radio' value='glikertrow5eaab48e:glikertcol5889bc84da'  id='choice_3_68_5_5'  tabindex='237'  aria-labelledby='likert_row_5_3_68 likert_col_5_3_68'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_3_85\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_85' id='input_3_85' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_98' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='238'>Previous page<\/button> <button type='button' id='gform_next_button_3_98' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='239'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_10' class='gform_page blue pourquoi' data-js='page-field-id-98' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_99\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Installations<\/li><li id=\"field_3_100\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Facilities<\/h2><\/li><li id=\"field_3_101\" class=\"gfield gfield--type-textarea large field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_101'><span class='gform-field-label__text'>Could you explain to us why you chose somewhat dissatisfied or very dissatisfied?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_101' id='input_3_101' class='textarea large' tabindex='240'   placeholder='Details'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_30' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='241'>Previous page<\/button> <button type='button' id='gform_next_button_3_30' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='242'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_11' class='gform_page gold' data-js='page-field-id-30' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_69\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Information<\/li><li id=\"field_3_31\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Phone call<\/h2><\/li><li id=\"field_3_70\" class=\"gfield gfield--type-radio gfield--type-choice withPhoto col-gf-12 with-label field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Have you ever ordered by phone?<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_70'>\n\t\t\t<li class='gchoice gchoice_3_70_0'>\n\t\t\t\t<input name='input_70' type='radio' value='Yes'  id='choice_3_70_0' tabindex='243'   \/>\n\t\t\t\t<label for='choice_3_70_0' id='label_3_70_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_70_1'>\n\t\t\t\t<input name='input_70' type='radio' value='No'  id='choice_3_70_1' tabindex='244'   \/>\n\t\t\t\t<label for='choice_3_70_1' id='label_3_70_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_71\" class=\"gfield gfield--type-radio gfield--type-choice withPhoto col-gf-12 with-label restos gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>(if yes) Which restaurant did you contact?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_71'>\n\t\t\t<li class='gchoice gchoice_3_71_0'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri-Piri &lt;strong&gt;Plateau&lt;\/strong&gt;'  id='choice_3_71_0' tabindex='245'   \/>\n\t\t\t\t<label for='choice_3_71_0' id='label_3_71_0' class='gform-field-label gform-field-label--type-inline'>Piri-Piri <strong>Plateau<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_1'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri-Piri &lt;strong&gt;Masson&lt;\/strong&gt;'  id='choice_3_71_1' tabindex='246'   \/>\n\t\t\t\t<label for='choice_3_71_1' id='label_3_71_1' class='gform-field-label gform-field-label--type-inline'>Piri-Piri <strong>Masson<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_2'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri-Piri &lt;strong&gt;Hochelage&lt;\/strong&gt;'  id='choice_3_71_2' tabindex='247'   \/>\n\t\t\t\t<label for='choice_3_71_2' id='label_3_71_2' class='gform-field-label gform-field-label--type-inline'>Piri-Piri <strong>Hochelage<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_3'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri Piri &lt;strong&gt;C\u00f4te-des-neiges&lt;\/strong&gt;'  id='choice_3_71_3' tabindex='248'   \/>\n\t\t\t\t<label for='choice_3_71_3' id='label_3_71_3' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>C\u00f4te-des-neiges<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_4'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri Piri &lt;strong&gt;Longue Pointe&lt;\/strong&gt;'  id='choice_3_71_4' tabindex='249'   \/>\n\t\t\t\t<label for='choice_3_71_4' id='label_3_71_4' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>Longue Pointe<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_5'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri Piri &lt;strong&gt;Boucherville&lt;\/strong&gt;'  id='choice_3_71_5' tabindex='250'   \/>\n\t\t\t\t<label for='choice_3_71_5' id='label_3_71_5' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>Boucherville<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_6'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri Piri &lt;strong&gt;LaSalle&lt;\/strong&gt;'  id='choice_3_71_6' tabindex='251'   \/>\n\t\t\t\t<label for='choice_3_71_6' id='label_3_71_6' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>LaSalle<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_7'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri Piri &lt;strong&gt;March\u00e9-Central&lt;\/strong&gt;'  id='choice_3_71_7' tabindex='252'   \/>\n\t\t\t\t<label for='choice_3_71_7' id='label_3_71_7' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>March\u00e9-Central<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_8'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri Piri &lt;strong&gt;St-Eustache&lt;\/strong&gt;'  id='choice_3_71_8' tabindex='253'   \/>\n\t\t\t\t<label for='choice_3_71_8' id='label_3_71_8' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>St-Eustache<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_9'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri Piri &lt;strong&gt;Complexe Desjardins&lt;\/strong&gt;'  id='choice_3_71_9' tabindex='254'   \/>\n\t\t\t\t<label for='choice_3_71_9' id='label_3_71_9' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>Complexe Desjardins<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_10'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri Piri &lt;strong&gt;Dollard-Des-Ormeaux&lt;\/strong&gt;'  id='choice_3_71_10' tabindex='255'   \/>\n\t\t\t\t<label for='choice_3_71_10' id='label_3_71_10' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>Dollard-Des-Ormeaux<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_11'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri Piri &lt;strong&gt;Anjou&lt;\/strong&gt;'  id='choice_3_71_11' tabindex='256'   \/>\n\t\t\t\t<label for='choice_3_71_11' id='label_3_71_11' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>Anjou<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_12'>\n\t\t\t\t<input name='input_71' type='radio' value='Piri Piri &lt;strong&gt;Place Vertu&lt;\/strong&gt;'  id='choice_3_71_12' tabindex='257'   \/>\n\t\t\t\t<label for='choice_3_71_12' id='label_3_71_12' class='gform-field-label gform-field-label--type-inline'>Piri Piri <strong>Place Vertu<\/strong><\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_71_13'>\n\t\t\t\t<input name='input_71' type='radio' value='A la carte express'  id='choice_3_71_13' tabindex='258'   \/>\n\t\t\t\t<label for='choice_3_71_13' id='label_3_71_13' class='gform-field-label gform-field-label--type-inline'>A la carte express<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_107' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='259'>Previous page<\/button> <button type='button' id='gform_next_button_3_107' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='260'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_12' class='gform_page conditionnel red' data-js='page-field-id-107' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_108\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Service<\/li><li id=\"field_3_109\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Phone order<\/h2><\/li><li id=\"field_3_77\" class=\"gfield gfield--type-survey gfield--input-type-likert conditionnel gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Phone order<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='Phone order' class='gsurvey-likert' id='input_3_77'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_3_77' scope='col'  class='gsurvey-likert-choice-label'>Very satisfied<\/th><th id='likert_col_2_3_77' scope='col'  class='gsurvey-likert-choice-label'>Somewhat satisfied<\/th><th id='likert_col_3_3_77' scope='col'  class='gsurvey-likert-choice-label'>Neither satisfied or dissatisfied<\/th><th id='likert_col_4_3_77' scope='col'  class='gsurvey-likert-choice-label'>Somewhat dissatisfied<\/th><th id='likert_col_5_3_77' scope='col'  class='gsurvey-likert-choice-label'>Very dissatisfied<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_3_77' data-label='' class='gsurvey-likert-row-label'><strong>Speed<\/strong> of telephone answer<\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_77.1' type='radio' value='glikertrowb474507e:glikertcol58fe4fa06b'  id='choice_3_77_1_1'  tabindex='261'  aria-labelledby='likert_row_1_3_77 likert_col_1_3_77'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_77.1' type='radio' value='glikertrowb474507e:glikertcol58164a60d7'  id='choice_3_77_1_2'  tabindex='262'  aria-labelledby='likert_row_1_3_77 likert_col_2_3_77'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_77.1' type='radio' value='glikertrowb474507e:glikertcol58f5f078e0'  id='choice_3_77_1_3'  tabindex='263'  aria-labelledby='likert_row_1_3_77 likert_col_3_3_77'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_77.1' type='radio' value='glikertrowb474507e:glikertcol58099d65c7'  id='choice_3_77_1_4'  tabindex='264'  aria-labelledby='likert_row_1_3_77 likert_col_4_3_77'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_77.1' type='radio' value='glikertrowb474507e:glikertcol5889bc84da'  id='choice_3_77_1_5'  tabindex='265'  aria-labelledby='likert_row_1_3_77 likert_col_5_3_77'\/><\/td><\/tr><tr><td id='likert_row_2_3_77' data-label='' class='gsurvey-likert-row-label'>Receptionist <strong>professionalism<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_77.2' type='radio' value='glikertrow26e05ecb:glikertcol58fe4fa06b'  id='choice_3_77_2_1'  tabindex='266'  aria-labelledby='likert_row_2_3_77 likert_col_1_3_77'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_77.2' type='radio' value='glikertrow26e05ecb:glikertcol58164a60d7'  id='choice_3_77_2_2'  tabindex='267'  aria-labelledby='likert_row_2_3_77 likert_col_2_3_77'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_77.2' type='radio' value='glikertrow26e05ecb:glikertcol58f5f078e0'  id='choice_3_77_2_3'  tabindex='268'  aria-labelledby='likert_row_2_3_77 likert_col_3_3_77'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_77.2' type='radio' value='glikertrow26e05ecb:glikertcol58099d65c7'  id='choice_3_77_2_4'  tabindex='269'  aria-labelledby='likert_row_2_3_77 likert_col_4_3_77'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_77.2' type='radio' value='glikertrow26e05ecb:glikertcol5889bc84da'  id='choice_3_77_2_5'  tabindex='270'  aria-labelledby='likert_row_2_3_77 likert_col_5_3_77'\/><\/td><\/tr><tr><td id='likert_row_3_3_77' data-label='' class='gsurvey-likert-row-label'>Receptionist <strong>courtesy<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_77.3' type='radio' value='glikertrowd2f6b83c:glikertcol58fe4fa06b'  id='choice_3_77_3_1'  tabindex='271'  aria-labelledby='likert_row_3_3_77 likert_col_1_3_77'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_77.3' type='radio' value='glikertrowd2f6b83c:glikertcol58164a60d7'  id='choice_3_77_3_2'  tabindex='272'  aria-labelledby='likert_row_3_3_77 likert_col_2_3_77'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_77.3' type='radio' value='glikertrowd2f6b83c:glikertcol58f5f078e0'  id='choice_3_77_3_3'  tabindex='273'  aria-labelledby='likert_row_3_3_77 likert_col_3_3_77'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_77.3' type='radio' value='glikertrowd2f6b83c:glikertcol58099d65c7'  id='choice_3_77_3_4'  tabindex='274'  aria-labelledby='likert_row_3_3_77 likert_col_4_3_77'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_77.3' type='radio' value='glikertrowd2f6b83c:glikertcol5889bc84da'  id='choice_3_77_3_5'  tabindex='275'  aria-labelledby='likert_row_3_3_77 likert_col_5_3_77'\/><\/td><\/tr><tr><td id='likert_row_4_3_77' data-label='' class='gsurvey-likert-row-label'><strong>Answer<\/strong> to your questions<\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_77.4' type='radio' value='glikertrowda3811dc:glikertcol58fe4fa06b'  id='choice_3_77_4_1'  tabindex='276'  aria-labelledby='likert_row_4_3_77 likert_col_1_3_77'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_77.4' type='radio' value='glikertrowda3811dc:glikertcol58164a60d7'  id='choice_3_77_4_2'  tabindex='277'  aria-labelledby='likert_row_4_3_77 likert_col_2_3_77'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_77.4' type='radio' value='glikertrowda3811dc:glikertcol58f5f078e0'  id='choice_3_77_4_3'  tabindex='278'  aria-labelledby='likert_row_4_3_77 likert_col_3_3_77'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_77.4' type='radio' value='glikertrowda3811dc:glikertcol58099d65c7'  id='choice_3_77_4_4'  tabindex='279'  aria-labelledby='likert_row_4_3_77 likert_col_4_3_77'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_77.4' type='radio' value='glikertrowda3811dc:glikertcol5889bc84da'  id='choice_3_77_4_5'  tabindex='280'  aria-labelledby='likert_row_4_3_77 likert_col_5_3_77'\/><\/td><\/tr><tr><td id='likert_row_5_3_77' data-label='' class='gsurvey-likert-row-label'>Additional products <strong>suggestion <\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_77.5' type='radio' value='glikertrowfddf0680:glikertcol58fe4fa06b'  id='choice_3_77_5_1'  tabindex='281'  aria-labelledby='likert_row_5_3_77 likert_col_1_3_77'\/><\/td><td data-label='Somewhat satisfied' class='gsurvey-likert-choice'><input name='input_77.5' type='radio' value='glikertrowfddf0680:glikertcol58164a60d7'  id='choice_3_77_5_2'  tabindex='282'  aria-labelledby='likert_row_5_3_77 likert_col_2_3_77'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_77.5' type='radio' value='glikertrowfddf0680:glikertcol58f5f078e0'  id='choice_3_77_5_3'  tabindex='283'  aria-labelledby='likert_row_5_3_77 likert_col_3_3_77'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_77.5' type='radio' value='glikertrowfddf0680:glikertcol58099d65c7'  id='choice_3_77_5_4'  tabindex='284'  aria-labelledby='likert_row_5_3_77 likert_col_4_3_77'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_77.5' type='radio' value='glikertrowfddf0680:glikertcol5889bc84da'  id='choice_3_77_5_5'  tabindex='285'  aria-labelledby='likert_row_5_3_77 likert_col_5_3_77'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_3_116\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_116' id='input_3_116' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_112' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='286'>Previous page<\/button> <button type='button' id='gform_next_button_3_112' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='287'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_13' class='gform_page red pourquoi' data-js='page-field-id-112' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_113\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Le service<\/li><li id=\"field_3_114\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Phone order\t<\/h2><\/li><li id=\"field_3_115\" class=\"gfield gfield--type-textarea large field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_115'><span class='gform-field-label__text'>Could you explain to us why you chose somewhat dissatisfied or very dissatisfied?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_115' id='input_3_115' class='textarea large' tabindex='288'   placeholder='Details'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_33' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='289'>Previous page<\/button> <button type='button' id='gform_next_button_3_33' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='290'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_14' class='gform_page gold' data-js='page-field-id-33' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_14' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_72\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Informations<\/li><li id=\"field_3_34\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>DELIVERY<\/h2><\/li><li id=\"field_3_48\" class=\"gfield gfield--type-survey gfield--type-choice gfield--input-type-radio clear col-gf-12 withPhoto with-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Have you ever had an order delivered in the past year?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_48'>\n\t\t\t<li class='gchoice gchoice_3_48_0'>\n\t\t\t\t<input name='input_48' type='radio' value='1 \u00e0 3'  id='choice_3_48_0' tabindex='291'   \/>\n\t\t\t\t<label for='choice_3_48_0' id='label_3_48_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_48_1'>\n\t\t\t\t<input name='input_48' type='radio' value='4 \u00e0 8'  id='choice_3_48_1' tabindex='292'   \/>\n\t\t\t\t<label for='choice_3_48_1' id='label_3_48_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_74' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='293'>Previous page<\/button> <button type='button' id='gform_next_button_3_74' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='294'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_15' class='gform_page conditionnel turquoise' data-js='page-field-id-74' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_15' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_76\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Delivery<\/li><li id=\"field_3_75\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>The delivery<\/h2><\/li><li id=\"field_3_110\" class=\"gfield gfield--type-survey gfield--input-type-likert conditionnel gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>The delivery<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='The delivery' class='gsurvey-likert' id='input_3_110'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_3_110' scope='col'  class='gsurvey-likert-choice-label'>Very satisfied<\/th><th id='likert_col_2_3_110' scope='col'  class='gsurvey-likert-choice-label'>Somewhat satisfied\/e<\/th><th id='likert_col_3_3_110' scope='col'  class='gsurvey-likert-choice-label'>Neither satisfied or dissatisfied<\/th><th id='likert_col_4_3_110' scope='col'  class='gsurvey-likert-choice-label'>Somewhat dissatisfied<\/th><th id='likert_col_5_3_110' scope='col'  class='gsurvey-likert-choice-label'>Very dissatisfied<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_3_110' data-label='' class='gsurvey-likert-row-label'>Food<strong>temperature<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_110.1' type='radio' value='glikertrowb474507e:glikertcol58fe4fa06b'  id='choice_3_110_1_1'  tabindex='295'  aria-labelledby='likert_row_1_3_110 likert_col_1_3_110'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_110.1' type='radio' value='glikertrowb474507e:glikertcol58164a60d7'  id='choice_3_110_1_2'  tabindex='296'  aria-labelledby='likert_row_1_3_110 likert_col_2_3_110'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_110.1' type='radio' value='glikertrowb474507e:glikertcol58f5f078e0'  id='choice_3_110_1_3'  tabindex='297'  aria-labelledby='likert_row_1_3_110 likert_col_3_3_110'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_110.1' type='radio' value='glikertrowb474507e:glikertcol58099d65c7'  id='choice_3_110_1_4'  tabindex='298'  aria-labelledby='likert_row_1_3_110 likert_col_4_3_110'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_110.1' type='radio' value='glikertrowb474507e:glikertcol5889bc84da'  id='choice_3_110_1_5'  tabindex='299'  aria-labelledby='likert_row_1_3_110 likert_col_5_3_110'\/><\/td><\/tr><tr><td id='likert_row_2_3_110' data-label='' class='gsurvey-likert-row-label'>Food <strong>quality<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_110.2' type='radio' value='glikertrow26e05ecb:glikertcol58fe4fa06b'  id='choice_3_110_2_1'  tabindex='300'  aria-labelledby='likert_row_2_3_110 likert_col_1_3_110'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_110.2' type='radio' value='glikertrow26e05ecb:glikertcol58164a60d7'  id='choice_3_110_2_2'  tabindex='301'  aria-labelledby='likert_row_2_3_110 likert_col_2_3_110'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_110.2' type='radio' value='glikertrow26e05ecb:glikertcol58f5f078e0'  id='choice_3_110_2_3'  tabindex='302'  aria-labelledby='likert_row_2_3_110 likert_col_3_3_110'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_110.2' type='radio' value='glikertrow26e05ecb:glikertcol58099d65c7'  id='choice_3_110_2_4'  tabindex='303'  aria-labelledby='likert_row_2_3_110 likert_col_4_3_110'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_110.2' type='radio' value='glikertrow26e05ecb:glikertcol5889bc84da'  id='choice_3_110_2_5'  tabindex='304'  aria-labelledby='likert_row_2_3_110 likert_col_5_3_110'\/><\/td><\/tr><tr><td id='likert_row_3_3_110' data-label='' class='gsurvey-likert-row-label'>Order<strong>accuracy<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_110.3' type='radio' value='glikertrowe0db399d:glikertcol58fe4fa06b'  id='choice_3_110_3_1'  tabindex='305'  aria-labelledby='likert_row_3_3_110 likert_col_1_3_110'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_110.3' type='radio' value='glikertrowe0db399d:glikertcol58164a60d7'  id='choice_3_110_3_2'  tabindex='306'  aria-labelledby='likert_row_3_3_110 likert_col_2_3_110'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_110.3' type='radio' value='glikertrowe0db399d:glikertcol58f5f078e0'  id='choice_3_110_3_3'  tabindex='307'  aria-labelledby='likert_row_3_3_110 likert_col_3_3_110'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_110.3' type='radio' value='glikertrowe0db399d:glikertcol58099d65c7'  id='choice_3_110_3_4'  tabindex='308'  aria-labelledby='likert_row_3_3_110 likert_col_4_3_110'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_110.3' type='radio' value='glikertrowe0db399d:glikertcol5889bc84da'  id='choice_3_110_3_5'  tabindex='309'  aria-labelledby='likert_row_3_3_110 likert_col_5_3_110'\/><\/td><\/tr><tr><td id='likert_row_4_3_110' data-label='' class='gsurvey-likert-row-label'>Delivery person<strong>professionalism<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_110.4' type='radio' value='glikertrowc28a08f0:glikertcol58fe4fa06b'  id='choice_3_110_4_1'  tabindex='310'  aria-labelledby='likert_row_4_3_110 likert_col_1_3_110'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_110.4' type='radio' value='glikertrowc28a08f0:glikertcol58164a60d7'  id='choice_3_110_4_2'  tabindex='311'  aria-labelledby='likert_row_4_3_110 likert_col_2_3_110'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_110.4' type='radio' value='glikertrowc28a08f0:glikertcol58f5f078e0'  id='choice_3_110_4_3'  tabindex='312'  aria-labelledby='likert_row_4_3_110 likert_col_3_3_110'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_110.4' type='radio' value='glikertrowc28a08f0:glikertcol58099d65c7'  id='choice_3_110_4_4'  tabindex='313'  aria-labelledby='likert_row_4_3_110 likert_col_4_3_110'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_110.4' type='radio' value='glikertrowc28a08f0:glikertcol5889bc84da'  id='choice_3_110_4_5'  tabindex='314'  aria-labelledby='likert_row_4_3_110 likert_col_5_3_110'\/><\/td><\/tr><tr><td id='likert_row_5_3_110' data-label='' class='gsurvey-likert-row-label'>delivery person<strong>courtesy<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_110.5' type='radio' value='glikertrowd2f6b83c:glikertcol58fe4fa06b'  id='choice_3_110_5_1'  tabindex='315'  aria-labelledby='likert_row_5_3_110 likert_col_1_3_110'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_110.5' type='radio' value='glikertrowd2f6b83c:glikertcol58164a60d7'  id='choice_3_110_5_2'  tabindex='316'  aria-labelledby='likert_row_5_3_110 likert_col_2_3_110'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_110.5' type='radio' value='glikertrowd2f6b83c:glikertcol58f5f078e0'  id='choice_3_110_5_3'  tabindex='317'  aria-labelledby='likert_row_5_3_110 likert_col_3_3_110'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_110.5' type='radio' value='glikertrowd2f6b83c:glikertcol58099d65c7'  id='choice_3_110_5_4'  tabindex='318'  aria-labelledby='likert_row_5_3_110 likert_col_4_3_110'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_110.5' type='radio' value='glikertrowd2f6b83c:glikertcol5889bc84da'  id='choice_3_110_5_5'  tabindex='319'  aria-labelledby='likert_row_5_3_110 likert_col_5_3_110'\/><\/td><\/tr><tr><td id='likert_row_6_3_110' data-label='' class='gsurvey-likert-row-label'><strong>Speed <\/strong> of delivery<\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_110.6' type='radio' value='glikertrowda3811dc:glikertcol58fe4fa06b'  id='choice_3_110_6_1'  tabindex='320'  aria-labelledby='likert_row_6_3_110 likert_col_1_3_110'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_110.6' type='radio' value='glikertrowda3811dc:glikertcol58164a60d7'  id='choice_3_110_6_2'  tabindex='321'  aria-labelledby='likert_row_6_3_110 likert_col_2_3_110'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_110.6' type='radio' value='glikertrowda3811dc:glikertcol58f5f078e0'  id='choice_3_110_6_3'  tabindex='322'  aria-labelledby='likert_row_6_3_110 likert_col_3_3_110'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_110.6' type='radio' value='glikertrowda3811dc:glikertcol58099d65c7'  id='choice_3_110_6_4'  tabindex='323'  aria-labelledby='likert_row_6_3_110 likert_col_4_3_110'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_110.6' type='radio' value='glikertrowda3811dc:glikertcol5889bc84da'  id='choice_3_110_6_5'  tabindex='324'  aria-labelledby='likert_row_6_3_110 likert_col_5_3_110'\/><\/td><\/tr><tr><td id='likert_row_7_3_110' data-label='' class='gsurvey-likert-row-label'>Food<strong>taste <\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_110.7' type='radio' value='glikertrowfddf0680:glikertcol58fe4fa06b'  id='choice_3_110_7_1'  tabindex='325'  aria-labelledby='likert_row_7_3_110 likert_col_1_3_110'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_110.7' type='radio' value='glikertrowfddf0680:glikertcol58164a60d7'  id='choice_3_110_7_2'  tabindex='326'  aria-labelledby='likert_row_7_3_110 likert_col_2_3_110'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_110.7' type='radio' value='glikertrowfddf0680:glikertcol58f5f078e0'  id='choice_3_110_7_3'  tabindex='327'  aria-labelledby='likert_row_7_3_110 likert_col_3_3_110'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_110.7' type='radio' value='glikertrowfddf0680:glikertcol58099d65c7'  id='choice_3_110_7_4'  tabindex='328'  aria-labelledby='likert_row_7_3_110 likert_col_4_3_110'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_110.7' type='radio' value='glikertrowfddf0680:glikertcol5889bc84da'  id='choice_3_110_7_5'  tabindex='329'  aria-labelledby='likert_row_7_3_110 likert_col_5_3_110'\/><\/td><\/tr><tr><td id='likert_row_8_3_110' data-label='' class='gsurvey-likert-row-label'><strong>Portion<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_110.8' type='radio' value='glikertrow5eaab48e:glikertcol58fe4fa06b'  id='choice_3_110_8_1'  tabindex='330'  aria-labelledby='likert_row_8_3_110 likert_col_1_3_110'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_110.8' type='radio' value='glikertrow5eaab48e:glikertcol58164a60d7'  id='choice_3_110_8_2'  tabindex='331'  aria-labelledby='likert_row_8_3_110 likert_col_2_3_110'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_110.8' type='radio' value='glikertrow5eaab48e:glikertcol58f5f078e0'  id='choice_3_110_8_3'  tabindex='332'  aria-labelledby='likert_row_8_3_110 likert_col_3_3_110'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_110.8' type='radio' value='glikertrow5eaab48e:glikertcol58099d65c7'  id='choice_3_110_8_4'  tabindex='333'  aria-labelledby='likert_row_8_3_110 likert_col_4_3_110'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_110.8' type='radio' value='glikertrow5eaab48e:glikertcol5889bc84da'  id='choice_3_110_8_5'  tabindex='334'  aria-labelledby='likert_row_8_3_110 likert_col_5_3_110'\/><\/td><\/tr><tr><td id='likert_row_9_3_110' data-label='' class='gsurvey-likert-row-label'><strong>Price<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_110.9' type='radio' value='glikertrowf5bf8b04:glikertcol58fe4fa06b'  id='choice_3_110_9_1'  tabindex='335'  aria-labelledby='likert_row_9_3_110 likert_col_1_3_110'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_110.9' type='radio' value='glikertrowf5bf8b04:glikertcol58164a60d7'  id='choice_3_110_9_2'  tabindex='336'  aria-labelledby='likert_row_9_3_110 likert_col_2_3_110'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_110.9' type='radio' value='glikertrowf5bf8b04:glikertcol58f5f078e0'  id='choice_3_110_9_3'  tabindex='337'  aria-labelledby='likert_row_9_3_110 likert_col_3_3_110'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_110.9' type='radio' value='glikertrowf5bf8b04:glikertcol58099d65c7'  id='choice_3_110_9_4'  tabindex='338'  aria-labelledby='likert_row_9_3_110 likert_col_4_3_110'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_110.9' type='radio' value='glikertrowf5bf8b04:glikertcol5889bc84da'  id='choice_3_110_9_5'  tabindex='339'  aria-labelledby='likert_row_9_3_110 likert_col_5_3_110'\/><\/td><\/tr><tr><td id='likert_row_10_3_110' data-label='' class='gsurvey-likert-row-label'><strong>Packaging<\/strong><\/td><td data-label='Very satisfied' class='gsurvey-likert-choice'><input name='input_110.11' type='radio' value='glikertrowdc613de5:glikertcol58fe4fa06b'  id='choice_3_110_11_1'  tabindex='340'  aria-labelledby='likert_row_10_3_110 likert_col_1_3_110'\/><\/td><td data-label='Somewhat satisfied\/e' class='gsurvey-likert-choice'><input name='input_110.11' type='radio' value='glikertrowdc613de5:glikertcol58164a60d7'  id='choice_3_110_11_2'  tabindex='341'  aria-labelledby='likert_row_10_3_110 likert_col_2_3_110'\/><\/td><td data-label='Neither satisfied or dissatisfied' class='gsurvey-likert-choice'><input name='input_110.11' type='radio' value='glikertrowdc613de5:glikertcol58f5f078e0'  id='choice_3_110_11_3'  tabindex='342'  aria-labelledby='likert_row_10_3_110 likert_col_3_3_110'\/><\/td><td data-label='Somewhat dissatisfied' class='gsurvey-likert-choice'><input name='input_110.11' type='radio' value='glikertrowdc613de5:glikertcol58099d65c7'  id='choice_3_110_11_4'  tabindex='343'  aria-labelledby='likert_row_10_3_110 likert_col_4_3_110'\/><\/td><td data-label='Very dissatisfied' class='gsurvey-likert-choice'><input name='input_110.11' type='radio' value='glikertrowdc613de5:glikertcol5889bc84da'  id='choice_3_110_11_5'  tabindex='344'  aria-labelledby='likert_row_10_3_110 likert_col_5_3_110'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_3_117\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_117' id='input_3_117' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_36' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='345'>Previous page<\/button> <button type='button' id='gform_next_button_3_36' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='346'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_16' class='gform_page turquoise pourquoi' data-js='page-field-id-36' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_16' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_103\" class=\"gfield gfield--type-html info gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Livraison<\/li><li id=\"field_3_106\" class=\"gfield gfield--type-html titre gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>The delivery<\/h2><\/li><li id=\"field_3_111\" class=\"gfield gfield--type-textarea large field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_111'><span class='gform-field-label__text'>Could you explain to us why you chose somewhat dissatisfied or very dissatisfied?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_111' id='input_3_111' class='textarea large' tabindex='347'   placeholder='Details'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_3_105' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='348'>Previous page<\/button> <button type='button' id='gform_next_button_3_105' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' tabindex='349'>Next page<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_17' class='gform_page pourquoi' data-js='page-field-id-105' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_17' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_37\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/li><li id=\"field_3_73\" class=\"gfield gfield--type-radio gfield--type-choice withPhoto with-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you recommend Piri Piri to your friends?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_73'>\n\t\t\t<li class='gchoice gchoice_3_73_0'>\n\t\t\t\t<input name='input_73' type='radio' value='Yes'  id='choice_3_73_0' tabindex='350'   \/>\n\t\t\t\t<label for='choice_3_73_0' id='label_3_73_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_73_1'>\n\t\t\t\t<input name='input_73' type='radio' value='No'  id='choice_3_73_1' tabindex='351'   \/>\n\t\t\t\t<label for='choice_3_73_1' id='label_3_73_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_78\" class=\"gfield gfield--type-textarea details field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_78'><span class='gform-field-label__text'>Details<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_78' id='input_3_78' class='textarea large' tabindex='352'   placeholder='Details'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_123\" class=\"gfield gfield--type-html form_col12 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>If you wish to be contacted, please complete the following information:<\/h3><\/li><li id=\"field_3_124\" class=\"gfield gfield--type-text form_col4 no_label field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_124'><span class='gform-field-label__text'>First name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_124' id='input_3_124' type='text' value='' class='large'   tabindex='353' placeholder='First name'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_125\" class=\"gfield gfield--type-text form_col4 no_label field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_125'><span class='gform-field-label__text'>Phone<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_3_125' type='text' value='' class='large'   tabindex='354' placeholder='Phone'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_126\" class=\"gfield gfield--type-email no_label form_col4 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_126'><span class='gform-field-label__text'>Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_126' id='input_3_126' type='email' value='' class='large' tabindex='355'  placeholder='Email'  aria-invalid=\"false\"  \/>\n                        <\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><button type='submit' id='gform_previous_button_3' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' tabindex='356'>Restaurants visited<\/button> <button type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' tabindex='357'>Submit<\/button> <input type='hidden' name='gform_ajax' value='form_id=3&amp;title=&amp;description=&amp;tabindex=49&amp;theme=legacy&amp;styles=[]&amp;hash=fea44d397ad11f2de7009a1224035638' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_3' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_3' id='gform_theme_3' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_3' id='gform_style_settings_3' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='upwrw4Kmngl6m3ohiHllicGWAacU\/RP8PLsnDaja7Nu7r+E0LKIblXmixELUdrl1HRrHkkjT80XdIzTm1uoSH6ynedlTG+A77MUekC\/7sD4BVUA=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' 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