{"id":719,"date":"2022-03-30T15:25:34","date_gmt":"2022-03-30T22:25:34","guid":{"rendered":"https:\/\/www.yakimawa.gov\/services\/wastewater-treatment-plant\/?page_id=719"},"modified":"2022-03-30T15:25:34","modified_gmt":"2022-03-30T22:25:34","slug":"car-wash-survey-english","status":"publish","type":"page","link":"https:\/\/www.yakimawa.gov\/services\/wastewater-treatment-plant\/car-wash-survey-english\/","title":{"rendered":"Car Wash Survey &#8211; English"},"content":{"rendered":"<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 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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 gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_5' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/services\/wastewater-treatment-plant\/wp-json\/wp\/v2\/pages\/719' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_2\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Where do you live?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_2'>\n\t\t\t<div class='gchoice gchoice_5_2_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='City of Yakima'  id='choice_5_2_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_2_0' id='label_5_2_0' class='gform-field-label gform-field-label--type-inline'>City of Yakima<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_2_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Outside of City of Yakima limits, but within Yakima County?'  id='choice_5_2_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_2_1' id='label_5_2_1' class='gform-field-label gform-field-label--type-inline'>Outside of City of Yakima limits, but within Yakima County?<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_2_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Other'  id='choice_5_2_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_2_2' id='label_5_2_2' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_4\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Do you drive a personal vehicle?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_4'>\n\t\t\t<div class='gchoice gchoice_5_4_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='Yes'  id='choice_5_4_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_4_0' id='label_5_4_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_4_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='No'  id='choice_5_4_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_4_1' id='label_5_4_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_5\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Have you seen information on environmentally friendly car washing methods from the City of Yakima, and if so, where did you see it?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_5'>\n\t\t\t<div class='gchoice gchoice_5_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='City of Yakima website'  id='choice_5_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_5_0' id='label_5_5_0' class='gform-field-label gform-field-label--type-inline'>City of Yakima website<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='City of Yakima social media (Facebook, Instagram, Twitter)'  id='choice_5_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_5_1' id='label_5_5_1' class='gform-field-label gform-field-label--type-inline'>City of Yakima social media (Facebook, Instagram, Twitter)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='I received a brochure at my home'  id='choice_5_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_5_2' id='label_5_5_2' class='gform-field-label gform-field-label--type-inline'>I received a brochure at my home<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='No'  id='choice_5_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_5_3' id='label_5_5_3' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_5_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Other'  id='choice_5_5_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_5_4' id='label_5_5_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_6\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield--width-full 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'>How frequently do you use these methods? Select all that apply.<\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='How frequently do you use these methods? Select all that apply.' class='gsurvey-likert' id='input_5_6'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_5_6' scope='col'  class='gsurvey-likert-choice-label'>Always<\/th><th id='likert_col_2_5_6' scope='col'  class='gsurvey-likert-choice-label'>Sometimes<\/th><th id='likert_col_3_5_6' scope='col'  class='gsurvey-likert-choice-label'>Never<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_5_6' data-label='' class='gsurvey-likert-row-label'>Wash car at home<\/td><td data-label='Always' class='gsurvey-likert-choice'><input name='input_6.1' type='radio' value='glikertrow9b806c27:glikertcol69a727e64'  id='choice_5_6_1_1'    aria-labelledby='likert_row_1_5_6 likert_col_1_5_6'\/><\/td><td data-label='Sometimes' class='gsurvey-likert-choice'><input name='input_6.1' type='radio' value='glikertrow9b806c27:glikertcol655af5676'  id='choice_5_6_1_2'    aria-labelledby='likert_row_1_5_6 likert_col_2_5_6'\/><\/td><td data-label='Never' class='gsurvey-likert-choice'><input name='input_6.1' type='radio' value='glikertrow9b806c27:glikertcol688702431'  id='choice_5_6_1_3'    aria-labelledby='likert_row_1_5_6 likert_col_3_5_6'\/><\/td><\/tr><tr><td id='likert_row_2_5_6' data-label='' class='gsurvey-likert-row-label'>Use a commercial car wash<\/td><td data-label='Always' class='gsurvey-likert-choice'><input name='input_6.2' type='radio' value='glikertrowe8d00afb:glikertcol69a727e64'  id='choice_5_6_2_1'    aria-labelledby='likert_row_2_5_6 likert_col_1_5_6'\/><\/td><td data-label='Sometimes' class='gsurvey-likert-choice'><input name='input_6.2' type='radio' value='glikertrowe8d00afb:glikertcol655af5676'  id='choice_5_6_2_2'    aria-labelledby='likert_row_2_5_6 likert_col_2_5_6'\/><\/td><td data-label='Never' class='gsurvey-likert-choice'><input name='input_6.2' type='radio' value='glikertrowe8d00afb:glikertcol688702431'  id='choice_5_6_2_3'    aria-labelledby='likert_row_2_5_6 likert_col_3_5_6'\/><\/td><\/tr><tr><td id='likert_row_3_5_6' data-label='' class='gsurvey-likert-row-label'>Wash car on pavement<\/td><td data-label='Always' class='gsurvey-likert-choice'><input name='input_6.3' type='radio' value='glikertrowf60fe876:glikertcol69a727e64'  id='choice_5_6_3_1'    aria-labelledby='likert_row_3_5_6 likert_col_1_5_6'\/><\/td><td data-label='Sometimes' class='gsurvey-likert-choice'><input name='input_6.3' type='radio' value='glikertrowf60fe876:glikertcol655af5676'  id='choice_5_6_3_2'    aria-labelledby='likert_row_3_5_6 likert_col_2_5_6'\/><\/td><td data-label='Never' class='gsurvey-likert-choice'><input name='input_6.3' type='radio' value='glikertrowf60fe876:glikertcol688702431'  id='choice_5_6_3_3'    aria-labelledby='likert_row_3_5_6 likert_col_3_5_6'\/><\/td><\/tr><tr><td id='likert_row_4_5_6' data-label='' class='gsurvey-likert-row-label'>Wash car on grass or gravel<\/td><td data-label='Always' class='gsurvey-likert-choice'><input name='input_6.4' type='radio' value='glikertrow2d0ba568:glikertcol69a727e64'  id='choice_5_6_4_1'    aria-labelledby='likert_row_4_5_6 likert_col_1_5_6'\/><\/td><td data-label='Sometimes' class='gsurvey-likert-choice'><input name='input_6.4' type='radio' value='glikertrow2d0ba568:glikertcol655af5676'  id='choice_5_6_4_2'    aria-labelledby='likert_row_4_5_6 likert_col_2_5_6'\/><\/td><td data-label='Never' class='gsurvey-likert-choice'><input name='input_6.4' type='radio' value='glikertrow2d0ba568:glikertcol688702431'  id='choice_5_6_4_3'    aria-labelledby='likert_row_4_5_6 likert_col_3_5_6'\/><\/td><\/tr><tr><td id='likert_row_5_5_6' data-label='' class='gsurvey-likert-row-label'>Use waterless car washing products<\/td><td data-label='Always' class='gsurvey-likert-choice'><input name='input_6.5' type='radio' value='glikertrow477c6e4f:glikertcol69a727e64'  id='choice_5_6_5_1'    aria-labelledby='likert_row_5_5_6 likert_col_1_5_6'\/><\/td><td data-label='Sometimes' class='gsurvey-likert-choice'><input name='input_6.5' type='radio' value='glikertrow477c6e4f:glikertcol655af5676'  id='choice_5_6_5_2'    aria-labelledby='likert_row_5_5_6 likert_col_2_5_6'\/><\/td><td data-label='Never' class='gsurvey-likert-choice'><input name='input_6.5' type='radio' value='glikertrow477c6e4f:glikertcol688702431'  id='choice_5_6_5_3'    aria-labelledby='likert_row_5_5_6 likert_col_3_5_6'\/><\/td><\/tr><tr><td id='likert_row_6_5_6' data-label='' class='gsurvey-likert-row-label'>Use environmentally friendly soap<\/td><td data-label='Always' class='gsurvey-likert-choice'><input name='input_6.6' type='radio' value='glikertrow28921c74:glikertcol69a727e64'  id='choice_5_6_6_1'    aria-labelledby='likert_row_6_5_6 likert_col_1_5_6'\/><\/td><td data-label='Sometimes' class='gsurvey-likert-choice'><input name='input_6.6' type='radio' value='glikertrow28921c74:glikertcol655af5676'  id='choice_5_6_6_2'    aria-labelledby='likert_row_6_5_6 likert_col_2_5_6'\/><\/td><td data-label='Never' class='gsurvey-likert-choice'><input name='input_6.6' type='radio' value='glikertrow28921c74:glikertcol688702431'  id='choice_5_6_6_3'    aria-labelledby='likert_row_6_5_6 likert_col_3_5_6'\/><\/td><\/tr><tr><td id='likert_row_7_5_6' data-label='' class='gsurvey-likert-row-label'>Drain\/hose water and soap onto the street<\/td><td data-label='Always' class='gsurvey-likert-choice'><input name='input_6.7' type='radio' value='glikertrowc8e1a2a7:glikertcol69a727e64'  id='choice_5_6_7_1'    aria-labelledby='likert_row_7_5_6 likert_col_1_5_6'\/><\/td><td data-label='Sometimes' class='gsurvey-likert-choice'><input name='input_6.7' type='radio' value='glikertrowc8e1a2a7:glikertcol655af5676'  id='choice_5_6_7_2'    aria-labelledby='likert_row_7_5_6 likert_col_2_5_6'\/><\/td><td data-label='Never' class='gsurvey-likert-choice'><input name='input_6.7' type='radio' value='glikertrowc8e1a2a7:glikertcol688702431'  id='choice_5_6_7_3'    aria-labelledby='likert_row_7_5_6 likert_col_3_5_6'\/><\/td><\/tr><tr><td id='likert_row_8_5_6' data-label='' class='gsurvey-likert-row-label'>Prevent soap spills from entering storm drain<\/td><td data-label='Always' class='gsurvey-likert-choice'><input name='input_6.8' type='radio' value='glikertrow3c302517:glikertcol69a727e64'  id='choice_5_6_8_1'    aria-labelledby='likert_row_8_5_6 likert_col_1_5_6'\/><\/td><td data-label='Sometimes' class='gsurvey-likert-choice'><input name='input_6.8' type='radio' value='glikertrow3c302517:glikertcol655af5676'  id='choice_5_6_8_2'    aria-labelledby='likert_row_8_5_6 likert_col_2_5_6'\/><\/td><td data-label='Never' class='gsurvey-likert-choice'><input name='input_6.8' type='radio' value='glikertrow3c302517:glikertcol688702431'  id='choice_5_6_8_3'    aria-labelledby='likert_row_8_5_6 likert_col_3_5_6'\/><\/td><\/tr><tr><td id='likert_row_9_5_6' data-label='' class='gsurvey-likert-row-label'>Wash vehicle engine, undercarriage, or tires<\/td><td data-label='Always' class='gsurvey-likert-choice'><input name='input_6.9' type='radio' value='glikertrowdb52c6b4:glikertcol69a727e64'  id='choice_5_6_9_1'    aria-labelledby='likert_row_9_5_6 likert_col_1_5_6'\/><\/td><td data-label='Sometimes' class='gsurvey-likert-choice'><input name='input_6.9' type='radio' value='glikertrowdb52c6b4:glikertcol655af5676'  id='choice_5_6_9_2'    aria-labelledby='likert_row_9_5_6 likert_col_2_5_6'\/><\/td><td data-label='Never' class='gsurvey-likert-choice'><input name='input_6.9' type='radio' value='glikertrowdb52c6b4:glikertcol688702431'  id='choice_5_6_9_3'    aria-labelledby='likert_row_9_5_6 likert_col_3_5_6'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><fieldset id=\"field_5_7\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Which of the following do you consider to be environmentally friendly practices? Select all that apply.<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_7'><div class='gchoice gchoice_5_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='Wash car at home'  id='choice_5_7_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_7_1' id='label_5_7_1' class='gform-field-label gform-field-label--type-inline'>Wash car at home<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_7_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.2' type='checkbox'  value='Use a commercial car wash'  id='choice_5_7_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_7_2' id='label_5_7_2' class='gform-field-label gform-field-label--type-inline'>Use a commercial car wash<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_7_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.3' type='checkbox'  value='Wash car on pavement'  id='choice_5_7_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_7_3' id='label_5_7_3' class='gform-field-label gform-field-label--type-inline'>Wash car on pavement<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_7_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.4' type='checkbox'  value='Wash car on grass or gravel'  id='choice_5_7_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_7_4' id='label_5_7_4' class='gform-field-label gform-field-label--type-inline'>Wash car on grass or gravel<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_7_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.5' type='checkbox'  value='Use waterless car washing products'  id='choice_5_7_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_7_5' id='label_5_7_5' class='gform-field-label gform-field-label--type-inline'>Use waterless car washing products<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_7_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.6' type='checkbox'  value='Use environmentally friendly soap'  id='choice_5_7_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_7_6' id='label_5_7_6' class='gform-field-label gform-field-label--type-inline'>Use environmentally friendly soap<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_7_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.7' type='checkbox'  value='Drain\/hose water and soap into the street'  id='choice_5_7_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_7_7' id='label_5_7_7' class='gform-field-label gform-field-label--type-inline'>Drain\/hose water and soap into the street<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_7_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.8' type='checkbox'  value='Prevent soap spills from entering the storm drain'  id='choice_5_7_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_7_8' id='label_5_7_8' class='gform-field-label gform-field-label--type-inline'>Prevent soap spills from entering the storm drain<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_7_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.9' type='checkbox'  value='Wash vehicle engine, undercarriage, or tires'  id='choice_5_7_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_7_9' id='label_5_7_9' class='gform-field-label gform-field-label--type-inline'>Wash vehicle engine, undercarriage, or tires<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_9\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Which of these are barriers that keep you from using environmentally friendly car wash methods? 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class='gchoice gchoice_5_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='English'  id='choice_5_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_10_0' id='label_5_10_0' class='gform-field-label gform-field-label--type-inline'>English<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Spanish'  id='choice_5_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_10_1' id='label_5_10_1' class='gform-field-label gform-field-label--type-inline'>Spanish<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Other'  id='choice_5_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_10_2' id='label_5_10_2' class='gform-field-label 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