{"id":64605,"date":"2021-07-01T17:47:11","date_gmt":"2021-07-01T15:47:11","guid":{"rendered":"https:\/\/www.calyps.ch\/?page_id=64605"},"modified":"2022-04-16T11:04:15","modified_gmt":"2022-04-16T09:04:15","slug":"qlinik-toolkit","status":"publish","type":"page","link":"https:\/\/calyps.ch\/en\/qlinik-toolkit\/","title":{"rendered":"Qlinik toolkit diagnosis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"64605\" class=\"elementor elementor-64605\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8786e71 elementor-section-stretched elementor-section-height-min-height elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"8786e71\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a18adcb\" data-id=\"a18adcb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-06b03e4 elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"06b03e4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;slideInDown&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wide\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-1c828b7\" data-id=\"1c828b7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-db918f8 elementor-widget elementor-widget-heading\" data-id=\"db918f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QLINIK TOOLKIT<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2ad089d elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2ad089d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-35bb28b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"35bb28b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f1ef5eb\" data-id=\"f1ef5eb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d12b0a4 elementor-widget elementor-widget-wp-widget-gform_widget\" 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#112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_18' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_18' class='survey-form' action='\/en\/wp-json\/wp\/v2\/pages\/64605#gf_18' data-formid='18' novalidate>\n        <div id='gf_progressbar_wrapper_18' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>8<\/span> - Purpose & activity type\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_12' style='width:12%;'><span>12%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_18_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><div id='gform_fields_18' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_18_1\" 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\"  data-js-reload=\"field_18_1\" ><h2>Qlinik toolkit, the suite making health data interoperable<\/h2>\n<p>Since 2013, CALYPS has been developing analytics solutions dedicated to the healthcare ecosystem. The interoperability of information used by a hospital, clinic or medical centre is one of the major challenges to address before accessing the full potential of health data. <\/p>\n<p>With Qlinik toolkit we aim to find the solution tailored to your situation, starting with an assessment. <b>Do you work in the medical ecosystem, with an intention of carrying out a digital transformation to improve the quality of work life for your colleagues, while ensuring the best quality of care for patients? <\/b> The purpose of this survey is to assess your professional context within a healthcare institution and the related information needs.<\/p> \n<p><i>The respect of data confidentiality and information security are at the heart of our concerns. Within the framework of this study, Calyps SA undertakes not to communicate your personal data to external service providers, while ensuring it is processed in accordance with the Swiss Data Protection Act (DPA).<\/i>\n<\/p> <\/div><fieldset id=\"field_18_2\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_2\" ><legend class='gfield_label gform-field-label' >What type of healthcare institution do you work for?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_2'>\n\t\t\t<div class='gchoice gchoice_18_2_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Hospital'  id='choice_18_2_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_2_0' id='label_18_2_0' class='gform-field-label gform-field-label--type-inline'>Hospital<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_2_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Clinic'  id='choice_18_2_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_2_1' id='label_18_2_1' class='gform-field-label gform-field-label--type-inline'>Clinic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_2_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Medical center'  id='choice_18_2_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_2_2' id='label_18_2_2' class='gform-field-label gform-field-label--type-inline'>Medical center<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_2_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Home for seniors'  id='choice_18_2_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_2_3' id='label_18_2_3' class='gform-field-label gform-field-label--type-inline'>Home for seniors<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_2_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Physician\/therapist office'  id='choice_18_2_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_2_4' id='label_18_2_4' class='gform-field-label gform-field-label--type-inline'>Physician\/therapist office<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_2_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='I do not work for a health care institution'  id='choice_18_2_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_2_5' id='label_18_2_5' class='gform-field-label gform-field-label--type-inline'>I do not work for a health care institution<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_2_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='gf_other_choice'  id='choice_18_2_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_2_6' id='label_18_2_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_18_2_other' class='gchoice_other_control' name='input_2_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_5\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_5\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What medical activities are performed in your institution ?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_18_5'><div class='gchoice gchoice_18_5_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.1' type='checkbox'  value='Emergency room'  id='choice_18_5_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_5_1' id='label_18_5_1' class='gform-field-label gform-field-label--type-inline'>Emergency room<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_5_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.2' type='checkbox'  value='Medical appointments'  id='choice_18_5_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_5_2' id='label_18_5_2' class='gform-field-label gform-field-label--type-inline'>Medical appointments<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_5_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.3' type='checkbox'  value='Imaging'  id='choice_18_5_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_5_3' id='label_18_5_3' class='gform-field-label gform-field-label--type-inline'>Imaging<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_5_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.4' type='checkbox'  value='Laboratory analysis'  id='choice_18_5_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_5_4' id='label_18_5_4' class='gform-field-label gform-field-label--type-inline'>Laboratory analysis<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_5_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.5' type='checkbox'  value='Outpatient surgery'  id='choice_18_5_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_5_5' id='label_18_5_5' class='gform-field-label gform-field-label--type-inline'>Outpatient surgery<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_5_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.6' type='checkbox'  value='Surgery with hospitalization'  id='choice_18_5_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_5_6' id='label_18_5_6' class='gform-field-label gform-field-label--type-inline'>Surgery with hospitalization<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_5_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.7' type='checkbox'  value='Intensive care'  id='choice_18_5_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_5_7' id='label_18_5_7' class='gform-field-label gform-field-label--type-inline'>Intensive care<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_5_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.8' type='checkbox'  value='Psychiatric care'  id='choice_18_5_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_5_8' id='label_18_5_8' class='gform-field-label gform-field-label--type-inline'>Psychiatric care<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_5_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.9' type='checkbox'  value='Elderly care'  id='choice_18_5_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_5_9' id='label_18_5_9' class='gform-field-label gform-field-label--type-inline'>Elderly care<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_5_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.11' type='checkbox'  value='Convalescence'  id='choice_18_5_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_5_11' id='label_18_5_11' class='gform-field-label gform-field-label--type-inline'>Convalescence<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_5_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.12' type='checkbox'  value='Palliative care'  id='choice_18_5_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_5_12' id='label_18_5_12' class='gform-field-label gform-field-label--type-inline'>Palliative care<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_54\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_54\" ><label class='gfield_label gform-field-label' for='input_18_54'>What medical activities are performed in your institution ? other<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_18_54' type='text' value='Other' class='small'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_18_52\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_52\" ><label class='gfield_label gform-field-label' for='input_18_52'>What is the name of the healthcare institution you represent ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_18_52' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_18_53\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_53\" ><label class='gfield_label gform-field-label' for='input_18_53'>What is your professional email address ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_53' id='input_18_53' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_18_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_6\" ><legend class='gfield_label gform-field-label' >In which region do you work ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_6'>\n\t\t\t<div class='gchoice gchoice_18_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Switzerland'  id='choice_18_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_6_0' id='label_18_6_0' class='gform-field-label gform-field-label--type-inline'>Switzerland<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Europe'  id='choice_18_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_6_1' id='label_18_6_1' class='gform-field-label gform-field-label--type-inline'>Europe<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_6_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Asia'  id='choice_18_6_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_6_2' id='label_18_6_2' class='gform-field-label gform-field-label--type-inline'>Asia<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_6_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Africa'  id='choice_18_6_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_6_3' id='label_18_6_3' class='gform-field-label gform-field-label--type-inline'>Africa<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_6_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Americas'  id='choice_18_6_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_6_4' id='label_18_6_4' class='gform-field-label gform-field-label--type-inline'>Americas<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_6_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Oceania'  id='choice_18_6_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_6_5' id='label_18_6_5' class='gform-field-label gform-field-label--type-inline'>Oceania<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_18_7' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"2\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"2\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_2' class='gform_page' data-js='page-field-id-7' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_18_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_8\" ><legend class='gfield_label gform-field-label' >Can you estimate the number of emergency admissions in the last 12 months ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_8'>\n\t\t\t<div class='gchoice gchoice_18_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='&lt; 5&#039;000'  id='choice_18_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_8_0' id='label_18_8_0' class='gform-field-label gform-field-label--type-inline'>< 5'000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='5&#039;001 to 15&#039;000'  id='choice_18_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_8_1' id='label_18_8_1' class='gform-field-label gform-field-label--type-inline'>5'001 to 15'000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='15&#039;001 to 30&#039;000'  id='choice_18_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_8_2' id='label_18_8_2' class='gform-field-label gform-field-label--type-inline'>15'001 to 30'000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_8_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='30&#039;001 to 60&#039;000'  id='choice_18_8_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_8_3' id='label_18_8_3' class='gform-field-label gform-field-label--type-inline'>30'001 to 60'000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_8_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='60&#039;001 to 120&#039;000'  id='choice_18_8_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_8_4' id='label_18_8_4' class='gform-field-label gform-field-label--type-inline'>60'001 to 120'000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_8_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='&gt; 120&#039;000'  id='choice_18_8_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_8_5' id='label_18_8_5' class='gform-field-label gform-field-label--type-inline'>> 120'000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_8_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='gf_other_choice'  id='choice_18_8_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_8_6' id='label_18_8_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_18_8_other' class='gchoice_other_control' name='input_8_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_9\" 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\" data-js-reload=\"field_18_9\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >On a scale of 1 to 5, where 1 is the worst and 5 is the best, where would you rank the services provided in your healthcare institution during the last 12 months?<\/label><div class='ginput_container ginput_container_likert'><table aria-label='On a scale of 1 to 5, where 1 is the worst and 5 is the best, where would you rank the services provided in your healthcare institution during the last 12 months?' class='gsurvey-likert' id='input_18_9'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_18_9' scope='col'  class='gsurvey-likert-choice-label'>1 Worst possible performance<\/th><th id='likert_col_2_18_9' scope='col'  class='gsurvey-likert-choice-label'>2<\/th><th id='likert_col_3_18_9' scope='col'  class='gsurvey-likert-choice-label'>3<\/th><th id='likert_col_4_18_9' scope='col'  class='gsurvey-likert-choice-label'>4<\/th><th id='likert_col_5_18_9' scope='col'  class='gsurvey-likert-choice-label'>5 Best possible performance<\/th><th id='likert_col_6_18_9' scope='col'  class='gsurvey-likert-choice-label'>I pass!<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_18_9' data-label='' class='gsurvey-likert-row-label'>Reception, including waiting rooms<\/td><td data-label='1 Worst possible performance' class='gsurvey-likert-choice'><input name='input_9.1' type='radio' value='glikertrow32f395db:glikertcol9f5e69356'  id='choice_18_9_1_1'    aria-labelledby='likert_row_1_18_9 likert_col_1_18_9'\/><\/td><td data-label='2' class='gsurvey-likert-choice'><input name='input_9.1' type='radio' value='glikertrow32f395db:glikertcol94c77d36c'  id='choice_18_9_1_2'    aria-labelledby='likert_row_1_18_9 likert_col_2_18_9'\/><\/td><td data-label='3' class='gsurvey-likert-choice'><input name='input_9.1' type='radio' value='glikertrow32f395db:glikertcol9a31ed62a'  id='choice_18_9_1_3'    aria-labelledby='likert_row_1_18_9 likert_col_3_18_9'\/><\/td><td data-label='4' class='gsurvey-likert-choice'><input name='input_9.1' type='radio' value='glikertrow32f395db:glikertcol902c89d1b'  id='choice_18_9_1_4'    aria-labelledby='likert_row_1_18_9 likert_col_4_18_9'\/><\/td><td data-label='5 Best possible performance' class='gsurvey-likert-choice'><input name='input_9.1' type='radio' value='glikertrow32f395db:glikertcol9c86b676b'  id='choice_18_9_1_5'    aria-labelledby='likert_row_1_18_9 likert_col_5_18_9'\/><\/td><td data-label='I pass!' class='gsurvey-likert-choice'><input name='input_9.1' type='radio' value='glikertrow32f395db:glikertcol9102f02e1'  id='choice_18_9_1_6'    aria-labelledby='likert_row_1_18_9 likert_col_6_18_9'\/><\/td><\/tr><tr><td id='likert_row_2_18_9' data-label='' class='gsurvey-likert-row-label'>Nursing care<\/td><td data-label='1 Worst possible performance' class='gsurvey-likert-choice'><input name='input_9.2' type='radio' value='glikertrowc169367b:glikertcol9f5e69356'  id='choice_18_9_2_1'    aria-labelledby='likert_row_2_18_9 likert_col_1_18_9'\/><\/td><td data-label='2' class='gsurvey-likert-choice'><input name='input_9.2' type='radio' value='glikertrowc169367b:glikertcol94c77d36c'  id='choice_18_9_2_2'    aria-labelledby='likert_row_2_18_9 likert_col_2_18_9'\/><\/td><td data-label='3' class='gsurvey-likert-choice'><input name='input_9.2' type='radio' value='glikertrowc169367b:glikertcol9a31ed62a'  id='choice_18_9_2_3'    aria-labelledby='likert_row_2_18_9 likert_col_3_18_9'\/><\/td><td data-label='4' class='gsurvey-likert-choice'><input name='input_9.2' type='radio' value='glikertrowc169367b:glikertcol902c89d1b'  id='choice_18_9_2_4'    aria-labelledby='likert_row_2_18_9 likert_col_4_18_9'\/><\/td><td data-label='5 Best possible performance' class='gsurvey-likert-choice'><input name='input_9.2' type='radio' value='glikertrowc169367b:glikertcol9c86b676b'  id='choice_18_9_2_5'    aria-labelledby='likert_row_2_18_9 likert_col_5_18_9'\/><\/td><td data-label='I pass!' class='gsurvey-likert-choice'><input name='input_9.2' type='radio' value='glikertrowc169367b:glikertcol9102f02e1'  id='choice_18_9_2_6'    aria-labelledby='likert_row_2_18_9 likert_col_6_18_9'\/><\/td><\/tr><tr><td id='likert_row_3_18_9' data-label='' class='gsurvey-likert-row-label'>Medical care<\/td><td data-label='1 Worst possible performance' class='gsurvey-likert-choice'><input name='input_9.3' type='radio' value='glikertrow6272b949:glikertcol9f5e69356'  id='choice_18_9_3_1'    aria-labelledby='likert_row_3_18_9 likert_col_1_18_9'\/><\/td><td data-label='2' class='gsurvey-likert-choice'><input name='input_9.3' type='radio' value='glikertrow6272b949:glikertcol94c77d36c'  id='choice_18_9_3_2'    aria-labelledby='likert_row_3_18_9 likert_col_2_18_9'\/><\/td><td data-label='3' class='gsurvey-likert-choice'><input name='input_9.3' type='radio' value='glikertrow6272b949:glikertcol9a31ed62a'  id='choice_18_9_3_3'    aria-labelledby='likert_row_3_18_9 likert_col_3_18_9'\/><\/td><td data-label='4' class='gsurvey-likert-choice'><input name='input_9.3' type='radio' value='glikertrow6272b949:glikertcol902c89d1b'  id='choice_18_9_3_4'    aria-labelledby='likert_row_3_18_9 likert_col_4_18_9'\/><\/td><td data-label='5 Best possible performance' class='gsurvey-likert-choice'><input name='input_9.3' type='radio' value='glikertrow6272b949:glikertcol9c86b676b'  id='choice_18_9_3_5'    aria-labelledby='likert_row_3_18_9 likert_col_5_18_9'\/><\/td><td data-label='I pass!' class='gsurvey-likert-choice'><input name='input_9.3' type='radio' value='glikertrow6272b949:glikertcol9102f02e1'  id='choice_18_9_3_6'    aria-labelledby='likert_row_3_18_9 likert_col_6_18_9'\/><\/td><\/tr><tr><td id='likert_row_4_18_9' data-label='' class='gsurvey-likert-row-label'>Hospital accommodation<\/td><td data-label='1 Worst possible performance' class='gsurvey-likert-choice'><input name='input_9.4' type='radio' value='glikertrow87b859bd:glikertcol9f5e69356'  id='choice_18_9_4_1'    aria-labelledby='likert_row_4_18_9 likert_col_1_18_9'\/><\/td><td data-label='2' class='gsurvey-likert-choice'><input name='input_9.4' type='radio' value='glikertrow87b859bd:glikertcol94c77d36c'  id='choice_18_9_4_2'    aria-labelledby='likert_row_4_18_9 likert_col_2_18_9'\/><\/td><td data-label='3' class='gsurvey-likert-choice'><input name='input_9.4' type='radio' value='glikertrow87b859bd:glikertcol9a31ed62a'  id='choice_18_9_4_3'    aria-labelledby='likert_row_4_18_9 likert_col_3_18_9'\/><\/td><td data-label='4' class='gsurvey-likert-choice'><input name='input_9.4' type='radio' value='glikertrow87b859bd:glikertcol902c89d1b'  id='choice_18_9_4_4'    aria-labelledby='likert_row_4_18_9 likert_col_4_18_9'\/><\/td><td data-label='5 Best possible performance' class='gsurvey-likert-choice'><input name='input_9.4' type='radio' value='glikertrow87b859bd:glikertcol9c86b676b'  id='choice_18_9_4_5'    aria-labelledby='likert_row_4_18_9 likert_col_5_18_9'\/><\/td><td data-label='I pass!' class='gsurvey-likert-choice'><input name='input_9.4' type='radio' value='glikertrow87b859bd:glikertcol9102f02e1'  id='choice_18_9_4_6'    aria-labelledby='likert_row_4_18_9 likert_col_6_18_9'\/><\/td><\/tr><tr><td id='likert_row_5_18_9' data-label='' class='gsurvey-likert-row-label'>Patient information<\/td><td data-label='1 Worst possible performance' class='gsurvey-likert-choice'><input name='input_9.5' type='radio' value='glikertrow1f5cbead:glikertcol9f5e69356'  id='choice_18_9_5_1'    aria-labelledby='likert_row_5_18_9 likert_col_1_18_9'\/><\/td><td data-label='2' class='gsurvey-likert-choice'><input name='input_9.5' type='radio' value='glikertrow1f5cbead:glikertcol94c77d36c'  id='choice_18_9_5_2'    aria-labelledby='likert_row_5_18_9 likert_col_2_18_9'\/><\/td><td data-label='3' class='gsurvey-likert-choice'><input name='input_9.5' type='radio' value='glikertrow1f5cbead:glikertcol9a31ed62a'  id='choice_18_9_5_3'    aria-labelledby='likert_row_5_18_9 likert_col_3_18_9'\/><\/td><td data-label='4' class='gsurvey-likert-choice'><input name='input_9.5' type='radio' value='glikertrow1f5cbead:glikertcol902c89d1b'  id='choice_18_9_5_4'    aria-labelledby='likert_row_5_18_9 likert_col_4_18_9'\/><\/td><td data-label='5 Best possible performance' class='gsurvey-likert-choice'><input name='input_9.5' type='radio' value='glikertrow1f5cbead:glikertcol9c86b676b'  id='choice_18_9_5_5'    aria-labelledby='likert_row_5_18_9 likert_col_5_18_9'\/><\/td><td data-label='I pass!' class='gsurvey-likert-choice'><input name='input_9.5' type='radio' value='glikertrow1f5cbead:glikertcol9102f02e1'  id='choice_18_9_5_6'    aria-labelledby='likert_row_5_18_9 likert_col_6_18_9'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_18_10' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"1\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"1\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_18_10' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"3\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"3\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_3' class='gform_page' data-js='page-field-id-10' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_18_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_11\" ><legend class='gfield_label gform-field-label' >In which team do you work ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_11'>\n\t\t\t<div class='gchoice gchoice_18_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Direction'  id='choice_18_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_11_0' id='label_18_11_0' class='gform-field-label gform-field-label--type-inline'>Direction<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='IT department'  id='choice_18_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_11_1' id='label_18_11_1' class='gform-field-label gform-field-label--type-inline'>IT department<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Administration'  id='choice_18_11_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_11_2' id='label_18_11_2' class='gform-field-label gform-field-label--type-inline'>Administration<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_11_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Medical executives'  id='choice_18_11_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_11_3' id='label_18_11_3' class='gform-field-label gform-field-label--type-inline'>Medical executives<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_11_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Doctors'  id='choice_18_11_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_11_4' id='label_18_11_4' class='gform-field-label gform-field-label--type-inline'>Doctors<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_11_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Nurses'  id='choice_18_11_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_11_5' id='label_18_11_5' class='gform-field-label gform-field-label--type-inline'>Nurses<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_11_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Care assistants'  id='choice_18_11_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_11_6' id='label_18_11_6' class='gform-field-label gform-field-label--type-inline'>Care assistants<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_11_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Technical specialists (laboratory technician, radio operator, etc.)'  id='choice_18_11_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_11_7' id='label_18_11_7' class='gform-field-label gform-field-label--type-inline'>Technical specialists (laboratory technician, radio operator, etc.)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_11_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='External service provider'  id='choice_18_11_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_11_8' id='label_18_11_8' class='gform-field-label gform-field-label--type-inline'>External service provider<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_11_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='gf_other_choice'  id='choice_18_11_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_11_9' id='label_18_11_9' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_18_11_other' class='gchoice_other_control' name='input_11_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_18_12' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"2\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"2\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_18_12' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"4\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"4\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_4' class='gform_page' data-js='page-field-id-12' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_18_13\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_13\" ><label class='gfield_label gform-field-label' for='input_18_13'>What type of virtual appliance (VA) is supported ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_18_13' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_14\" ><legend class='gfield_label gform-field-label' >Are IT systems able to cope with an external &amp; secure Software as a service (Saas) ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_14'>\n\t\t\t<div class='gchoice gchoice_18_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Yes'  id='choice_18_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_14_0' id='label_18_14_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_18_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='No'  id='choice_18_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_14_1' id='label_18_14_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_56\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_56\" ><label class='gfield_label gform-field-label' for='input_18_56'>Please specify (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_56' id='input_18_56' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_15\" ><legend class='gfield_label gform-field-label' >Is a Directory Service (i.e. Active Directory) used ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_15'>\n\t\t\t<div class='gchoice gchoice_18_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Yes'  id='choice_18_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_15_0' id='label_18_15_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_18_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='No'  id='choice_18_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_15_1' id='label_18_15_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_57\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_57\" ><label class='gfield_label gform-field-label' for='input_18_57'>Please specify (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_57' id='input_18_57' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_16\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_16\" ><label class='gfield_label gform-field-label' for='input_18_16'>How are Authentication, Accounting, Authorization (AAA) managed ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_18_16' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_17\" ><legend class='gfield_label gform-field-label' >Do you use Single Sign On (SSO) authentication ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_17'>\n\t\t\t<div class='gchoice gchoice_18_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Yes'  id='choice_18_17_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_17_0' id='label_18_17_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_18_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='No'  id='choice_18_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_17_1' id='label_18_17_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_58\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_58\" ><label class='gfield_label gform-field-label' for='input_18_58'>Please specify (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_58' id='input_18_58' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_18\" ><legend class='gfield_label gform-field-label' >Do you have real-time interoperable exchange capabilities ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_18'>\n\t\t\t<div class='gchoice gchoice_18_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Yes'  id='choice_18_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_18_0' id='label_18_18_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_18_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='No'  id='choice_18_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_18_1' id='label_18_18_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_59\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_59\" ><label class='gfield_label gform-field-label' for='input_18_59'>Please specify (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_59' id='input_18_59' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_19\" ><legend class='gfield_label gform-field-label' >If so, is there an Enterprise Application Integration (EAI) ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_19'>\n\t\t\t<div class='gchoice gchoice_18_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Yes'  id='choice_18_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_19_0' id='label_18_19_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_18_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='No'  id='choice_18_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_19_1' id='label_18_19_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_60\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_60\" ><label class='gfield_label gform-field-label' for='input_18_60'>Please specify (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_60' id='input_18_60' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_20\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_20\" ><label class='gfield_label gform-field-label' for='input_18_20'>If so, which HL7 standard is supported ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_18_20' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_21\" 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\" data-js-reload=\"field_18_21\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Is it possible to access information about...<\/label><div class='ginput_container ginput_container_likert'><table aria-label='Is it possible to access information about...' class='gsurvey-likert' id='input_18_21'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_18_21' scope='col'  class='gsurvey-likert-choice-label'>Yes<\/th><th id='likert_col_2_18_21' scope='col'  class='gsurvey-likert-choice-label'>No<\/th><th id='likert_col_3_18_21' scope='col'  class='gsurvey-likert-choice-label'>I pass!<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_18_21' data-label='' class='gsurvey-likert-row-label'>the patient (i.e. unique ID, demographic data) ?<\/td><td data-label='Yes' class='gsurvey-likert-choice'><input name='input_21.1' type='radio' value='glikertrowb4d0b76e:glikertcol216aa0f3c2'  id='choice_18_21_1_1'    aria-labelledby='likert_row_1_18_21 likert_col_1_18_21'\/><\/td><td data-label='No' class='gsurvey-likert-choice'><input name='input_21.1' type='radio' value='glikertrowb4d0b76e:glikertcol21a25aa8d1'  id='choice_18_21_1_2'    aria-labelledby='likert_row_1_18_21 likert_col_2_18_21'\/><\/td><td data-label='I pass!' class='gsurvey-likert-choice'><input name='input_21.1' type='radio' value='glikertrowb4d0b76e:glikertcol21d6560e4e'  id='choice_18_21_1_3'    aria-labelledby='likert_row_1_18_21 likert_col_3_18_21'\/><\/td><\/tr><tr><td id='likert_row_2_18_21' data-label='' class='gsurvey-likert-row-label'>the stay (i.e. start date, end date) ?<\/td><td data-label='Yes' class='gsurvey-likert-choice'><input name='input_21.2' type='radio' value='glikertrow94bd63b5:glikertcol216aa0f3c2'  id='choice_18_21_2_1'    aria-labelledby='likert_row_2_18_21 likert_col_1_18_21'\/><\/td><td data-label='No' class='gsurvey-likert-choice'><input name='input_21.2' type='radio' value='glikertrow94bd63b5:glikertcol21a25aa8d1'  id='choice_18_21_2_2'    aria-labelledby='likert_row_2_18_21 likert_col_2_18_21'\/><\/td><td data-label='I pass!' class='gsurvey-likert-choice'><input name='input_21.2' type='radio' value='glikertrow94bd63b5:glikertcol21d6560e4e'  id='choice_18_21_2_3'    aria-labelledby='likert_row_2_18_21 likert_col_3_18_21'\/><\/td><\/tr><tr><td id='likert_row_3_18_21' data-label='' class='gsurvey-likert-row-label'>the reason for the stay (i.e. diagnosis, pathology, severity) ?<\/td><td data-label='Yes' class='gsurvey-likert-choice'><input name='input_21.3' type='radio' value='glikertrow3841dc64:glikertcol216aa0f3c2'  id='choice_18_21_3_1'    aria-labelledby='likert_row_3_18_21 likert_col_1_18_21'\/><\/td><td data-label='No' class='gsurvey-likert-choice'><input name='input_21.3' type='radio' value='glikertrow3841dc64:glikertcol21a25aa8d1'  id='choice_18_21_3_2'    aria-labelledby='likert_row_3_18_21 likert_col_2_18_21'\/><\/td><td data-label='I pass!' class='gsurvey-likert-choice'><input name='input_21.3' type='radio' value='glikertrow3841dc64:glikertcol21d6560e4e'  id='choice_18_21_3_3'    aria-labelledby='likert_row_3_18_21 likert_col_3_18_21'\/><\/td><\/tr><tr><td id='likert_row_4_18_21' data-label='' class='gsurvey-likert-row-label'>movements during the stay (i.e. room used, bed used) ?<\/td><td data-label='Yes' class='gsurvey-likert-choice'><input name='input_21.4' type='radio' value='glikertrowf6915ceb:glikertcol216aa0f3c2'  id='choice_18_21_4_1'    aria-labelledby='likert_row_4_18_21 likert_col_1_18_21'\/><\/td><td data-label='No' class='gsurvey-likert-choice'><input name='input_21.4' type='radio' value='glikertrowf6915ceb:glikertcol21a25aa8d1'  id='choice_18_21_4_2'    aria-labelledby='likert_row_4_18_21 likert_col_2_18_21'\/><\/td><td data-label='I pass!' class='gsurvey-likert-choice'><input name='input_21.4' type='radio' value='glikertrowf6915ceb:glikertcol21d6560e4e'  id='choice_18_21_4_3'    aria-labelledby='likert_row_4_18_21 likert_col_3_18_21'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><fieldset id=\"field_18_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_22\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Are there any data export possibilities? If so, what formats are supported ?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_18_22'><div class='gchoice gchoice_18_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='CSV'  id='choice_18_22_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_22_1' id='label_18_22_1' class='gform-field-label gform-field-label--type-inline'>CSV<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='XLSX'  id='choice_18_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_22_2' id='label_18_22_2' class='gform-field-label gform-field-label--type-inline'>XLSX<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_22_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.3' type='checkbox'  value='HL7'  id='choice_18_22_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_22_3' id='label_18_22_3' class='gform-field-label gform-field-label--type-inline'>HL7<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_22_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.4' type='checkbox'  value='JSON'  id='choice_18_22_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_22_4' id='label_18_22_4' class='gform-field-label gform-field-label--type-inline'>JSON<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_61\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_61\" ><label class='gfield_label gform-field-label' for='input_18_61'>Please specify (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_61' id='input_18_61' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_23\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_23\" ><label class='gfield_label gform-field-label' for='input_18_23'>Which IT solution is used for personnel management?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_23' id='input_18_23' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_24\" ><legend class='gfield_label gform-field-label' >If any, is there an API to connect to your personnel management solution ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_24'>\n\t\t\t<div class='gchoice gchoice_18_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Yes'  id='choice_18_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_24_0' id='label_18_24_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_18_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='No'  id='choice_18_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_24_1' id='label_18_24_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_62\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_62\" ><label class='gfield_label gform-field-label' for='input_18_62'>Please specify (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_62' id='input_18_62' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_25\" ><legend class='gfield_label gform-field-label' >Does your personnel management solution capture all events related to the employee&#039;s history ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_25'>\n\t\t\t<div class='gchoice gchoice_18_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Yes'  id='choice_18_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_25_0' id='label_18_25_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_18_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='No'  id='choice_18_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_25_1' id='label_18_25_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_63\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_63\" ><label class='gfield_label gform-field-label' for='input_18_63'>If the answer is No, please provide details:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_63' id='input_18_63' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_26\" ><legend class='gfield_label gform-field-label' >Does your personnel management solution include all employees in an exhaustive way?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_26'>\n\t\t\t<div class='gchoice gchoice_18_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='Yes'  id='choice_18_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_26_0' id='label_18_26_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_18_26_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='No'  id='choice_18_26_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_26_1' id='label_18_26_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_64\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_64\" ><label class='gfield_label gform-field-label' for='input_18_64'>If the answer is No, please provide details:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_64' id='input_18_64' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_27\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_27\" ><label class='gfield_label gform-field-label' for='input_18_27'>With which IT solution is the bed reservation assured ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_27' id='input_18_27' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_28\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_28\" ><legend class='gfield_label gform-field-label' >If so, is there an API to connect to your bed reservation solution ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_28'>\n\t\t\t<div class='gchoice gchoice_18_28_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='Yes'  id='choice_18_28_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_28_0' id='label_18_28_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_18_28_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='No'  id='choice_18_28_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_28_1' id='label_18_28_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_67\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_67\" ><label class='gfield_label gform-field-label' for='input_18_67'>Please specify (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_67' id='input_18_67' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_29\" ><legend class='gfield_label gform-field-label' >Is there a link between your bed reservation solution and the anticipated length of stay for each bed ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_29'>\n\t\t\t<div class='gchoice gchoice_18_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Yes'  id='choice_18_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_29_0' id='label_18_29_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_18_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='No'  id='choice_18_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_29_1' id='label_18_29_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_66\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_66\" ><label class='gfield_label gform-field-label' for='input_18_66'>If the answer is No, please provide details:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_66' id='input_18_66' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_30\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_30\" ><label class='gfield_label gform-field-label' for='input_18_30'>How is a bed allocated: on what basis and according to what accommodation rules ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_30' id='input_18_30' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_31\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_31\" ><label class='gfield_label gform-field-label' for='input_18_31'>How is a stay set by default ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_18_31' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_32\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_32\" ><label class='gfield_label gform-field-label' for='input_18_32'>How is the length of stay generated ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_32' id='input_18_32' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_33\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_33\" ><label class='gfield_label gform-field-label' for='input_18_33'>Which IT solution is used for cleaning ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_33' id='input_18_33' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_34\" ><legend class='gfield_label gform-field-label' >If so, is there an API to connect to your cleaning management solution?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_34'>\n\t\t\t<div class='gchoice gchoice_18_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='Yes'  id='choice_18_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_34_0' id='label_18_34_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_18_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='No'  id='choice_18_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_34_1' id='label_18_34_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_69\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_69\" ><label class='gfield_label gform-field-label' for='input_18_69'>Please specify (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_69' id='input_18_69' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_35\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_35\" ><label class='gfield_label gform-field-label' for='input_18_35'>Which IT solution is used to transport patients ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_35' id='input_18_35' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_36\" ><legend class='gfield_label gform-field-label' >If so, is there an API to connect to your transportation management solution ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_36'>\n\t\t\t<div class='gchoice gchoice_18_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Yes'  id='choice_18_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_36_0' id='label_18_36_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_18_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='No'  id='choice_18_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_36_1' id='label_18_36_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_70\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_70\" ><label class='gfield_label gform-field-label' for='input_18_70'>Please specify (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_70' id='input_18_70' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_37\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_37\" ><label class='gfield_label gform-field-label' for='input_18_37'>Which IT solution is used to manage patient journeys: before the stay ? during the stay ? after the stay ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_37' id='input_18_37' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_18_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_38\" ><legend class='gfield_label gform-field-label' >If so, is there an API to connect to your patient journey management solution ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_38'>\n\t\t\t<div class='gchoice gchoice_18_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Yes'  id='choice_18_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_38_0' id='label_18_38_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_18_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='No'  id='choice_18_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_38_1' id='label_18_38_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_71\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_71\" ><label class='gfield_label gform-field-label' for='input_18_71'>Please specify (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_71' id='input_18_71' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_18_39' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"3\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"3\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_18_39' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"5\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"5\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_5' class='gform_page' data-js='page-field-id-39' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_18_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_40\" ><legend class='gfield_label gform-field-label' >Can you provide an estimate of the absenteeism rate in your institution during the last 12 months?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_40'>\n\t\t\t<div class='gchoice gchoice_18_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='&lt; 1%'  id='choice_18_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_40_0' id='label_18_40_0' class='gform-field-label gform-field-label--type-inline'>< 1%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='between 1% - 3%'  id='choice_18_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_40_1' id='label_18_40_1' class='gform-field-label gform-field-label--type-inline'>between 1% - 3%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='between 3% - 6%'  id='choice_18_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_40_2' id='label_18_40_2' class='gform-field-label gform-field-label--type-inline'>between 3% - 6%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='&gt; 6%'  id='choice_18_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_40_3' id='label_18_40_3' class='gform-field-label gform-field-label--type-inline'>> 6%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_40_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='gf_other_choice'  id='choice_18_40_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_40_4' id='label_18_40_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_18_40_other' class='gchoice_other_control' name='input_40_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_41\" class=\"gfield gfield--type-slider gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_41\" ><label class='gfield_label gform-field-label' for='input_18_41'>Which medical staff management strategy do you most often follow between &#039;understaffing&#039; and &#039;overstaffing&#039; ?<\/label><div class='ginput_container ginput_container_slider'><input name='input_41' id='input_18_41' type='number' step='1' min='0' max='10' data-value-visibility='hidden' data-connect=false value='5' class='slider large' data-min-relation='Understaffing' data-max-relation='Overstaffing' data-value-format='decimal_dot'     \/><div id='gsfslider_41' class='slider-display gform-theme__disable-reset'><\/div><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_18_42' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"4\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"4\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_18_42' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"6\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"6\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_6' class='gform_page' data-js='page-field-id-42' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_18_43\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_43\" ><label class='gfield_label gform-field-label' for='input_18_43'>How are patient journeys managed in your institution ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_43' id='input_18_43' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_44\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_44\" ><label class='gfield_label gform-field-label' for='input_18_44'>How is a bed allocated: on what basis and according to what accommodation rules ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_44' id='input_18_44' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_45\" 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\" data-js-reload=\"field_18_45\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Who decides when...<\/label><div class='ginput_container ginput_container_likert'><table aria-label='Who decides when...' class='gsurvey-likert' id='input_18_45'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_18_45' scope='col'  class='gsurvey-likert-choice-label'>Nurse<\/th><th id='likert_col_2_18_45' scope='col'  class='gsurvey-likert-choice-label'>Doctor<\/th><th id='likert_col_3_18_45' scope='col'  class='gsurvey-likert-choice-label'>Lead doctor<\/th><th id='likert_col_4_18_45' scope='col'  class='gsurvey-likert-choice-label'>Head of department<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_18_45' data-label='' class='gsurvey-likert-row-label'>a trade-off between upstream and downstream becomes necessary ?<\/td><td data-label='Nurse' class='gsurvey-likert-choice'><input name='input_45.1' type='radio' value='glikertrow5afb5099:glikertcol457f3400df'  id='choice_18_45_1_1'    aria-labelledby='likert_row_1_18_45 likert_col_1_18_45'\/><\/td><td data-label='Doctor' class='gsurvey-likert-choice'><input name='input_45.1' type='radio' value='glikertrow5afb5099:glikertcol45dbe388b9'  id='choice_18_45_1_2'    aria-labelledby='likert_row_1_18_45 likert_col_2_18_45'\/><\/td><td data-label='Lead doctor' class='gsurvey-likert-choice'><input name='input_45.1' type='radio' value='glikertrow5afb5099:glikertcol455266c41c'  id='choice_18_45_1_3'    aria-labelledby='likert_row_1_18_45 likert_col_3_18_45'\/><\/td><td data-label='Head of department' class='gsurvey-likert-choice'><input name='input_45.1' type='radio' value='glikertrow5afb5099:glikertcol453b2ce917'  id='choice_18_45_1_4'    aria-labelledby='likert_row_1_18_45 likert_col_4_18_45'\/><\/td><\/tr><tr><td id='likert_row_2_18_45' data-label='' class='gsurvey-likert-row-label'>a discharge is effective ?<\/td><td data-label='Nurse' class='gsurvey-likert-choice'><input name='input_45.2' type='radio' value='glikertrow755b23ca:glikertcol457f3400df'  id='choice_18_45_2_1'    aria-labelledby='likert_row_2_18_45 likert_col_1_18_45'\/><\/td><td data-label='Doctor' class='gsurvey-likert-choice'><input name='input_45.2' type='radio' value='glikertrow755b23ca:glikertcol45dbe388b9'  id='choice_18_45_2_2'    aria-labelledby='likert_row_2_18_45 likert_col_2_18_45'\/><\/td><td data-label='Lead doctor' class='gsurvey-likert-choice'><input name='input_45.2' type='radio' value='glikertrow755b23ca:glikertcol455266c41c'  id='choice_18_45_2_3'    aria-labelledby='likert_row_2_18_45 likert_col_3_18_45'\/><\/td><td data-label='Head of department' class='gsurvey-likert-choice'><input name='input_45.2' type='radio' value='glikertrow755b23ca:glikertcol453b2ce917'  id='choice_18_45_2_4'    aria-labelledby='likert_row_2_18_45 likert_col_4_18_45'\/><\/td><\/tr><tr><td id='likert_row_3_18_45' data-label='' class='gsurvey-likert-row-label'>the room cleaning is ordered ?<\/td><td data-label='Nurse' class='gsurvey-likert-choice'><input name='input_45.3' type='radio' value='glikertrow9e403a27:glikertcol457f3400df'  id='choice_18_45_3_1'    aria-labelledby='likert_row_3_18_45 likert_col_1_18_45'\/><\/td><td data-label='Doctor' class='gsurvey-likert-choice'><input name='input_45.3' type='radio' value='glikertrow9e403a27:glikertcol45dbe388b9'  id='choice_18_45_3_2'    aria-labelledby='likert_row_3_18_45 likert_col_2_18_45'\/><\/td><td data-label='Lead doctor' class='gsurvey-likert-choice'><input name='input_45.3' type='radio' value='glikertrow9e403a27:glikertcol455266c41c'  id='choice_18_45_3_3'    aria-labelledby='likert_row_3_18_45 likert_col_3_18_45'\/><\/td><td data-label='Head of department' class='gsurvey-likert-choice'><input name='input_45.3' type='radio' value='glikertrow9e403a27:glikertcol453b2ce917'  id='choice_18_45_3_4'    aria-labelledby='likert_row_3_18_45 likert_col_4_18_45'\/><\/td><\/tr><\/tbody><\/table><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_18_46' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"5\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"5\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_18_46' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"7\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"7\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_7' class='gform_page' data-js='page-field-id-46' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_18_47\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full collapse-next-field field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_47\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Which of the following software types are used within your institution ?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_18_47'><div class='gchoice gchoice_18_47_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='Electronic patient record (EPR)'  id='choice_18_47_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_1' id='label_18_47_1' class='gform-field-label gform-field-label--type-inline'>Electronic patient record (EPR)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='Patient Administrative Management (SAM)'  id='choice_18_47_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_2' id='label_18_47_2' class='gform-field-label gform-field-label--type-inline'>Patient Administrative Management (SAM)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.3' type='checkbox'  value='Payroll management'  id='choice_18_47_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_3' id='label_18_47_3' class='gform-field-label gform-field-label--type-inline'>Payroll management<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.4' type='checkbox'  value='Employees&#039; schedules management'  id='choice_18_47_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_4' id='label_18_47_4' class='gform-field-label gform-field-label--type-inline'>Employees' schedules management<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.5' type='checkbox'  value='Absenteeism management'  id='choice_18_47_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_5' id='label_18_47_5' class='gform-field-label gform-field-label--type-inline'>Absenteeism management<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.6' type='checkbox'  value='Room schedule management'  id='choice_18_47_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_6' id='label_18_47_6' class='gform-field-label gform-field-label--type-inline'>Room schedule management<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.7' type='checkbox'  value='Management of medical facilities (machines, instruments, etc.)'  id='choice_18_47_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_7' id='label_18_47_7' class='gform-field-label gform-field-label--type-inline'>Management of medical facilities (machines, instruments, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.8' type='checkbox'  value='Laboratory analysis'  id='choice_18_47_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_8' id='label_18_47_8' class='gform-field-label gform-field-label--type-inline'>Laboratory analysis<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.9' type='checkbox'  value='Transportation management (internal and\/or external)'  id='choice_18_47_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_9' id='label_18_47_9' class='gform-field-label gform-field-label--type-inline'>Transportation management (internal and\/or external)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.11' type='checkbox'  value='Bio-cleaning management'  id='choice_18_47_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_11' id='label_18_47_11' class='gform-field-label gform-field-label--type-inline'>Bio-cleaning management<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.12' type='checkbox'  value='Emergencies management'  id='choice_18_47_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_12' id='label_18_47_12' class='gform-field-label gform-field-label--type-inline'>Emergencies management<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.13' type='checkbox'  value='Budget management'  id='choice_18_47_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_13' id='label_18_47_13' class='gform-field-label gform-field-label--type-inline'>Budget management<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.14' type='checkbox'  value='Management of flows and\/or stays'  id='choice_18_47_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_14' id='label_18_47_14' class='gform-field-label gform-field-label--type-inline'>Management of flows and\/or stays<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.15' type='checkbox'  value='Invoice management'  id='choice_18_47_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_15' id='label_18_47_15' class='gform-field-label gform-field-label--type-inline'>Invoice management<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_47_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.16' type='checkbox'  value='On-call duty management'  id='choice_18_47_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_47_16' id='label_18_47_16' class='gform-field-label gform-field-label--type-inline'>On-call duty management<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_72\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_72\" ><label class='gfield_label gform-field-label' for='input_18_72'>Other (please specify)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_72' id='input_18_72' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_18_48' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"6\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"6\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_18_48' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_18\").val(\"8\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_18\").val(\"8\");  jQuery(\"#gform_18\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_8' class='gform_page' data-js='page-field-id-48' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_18_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_49\" ><legend class='gfield_label gform-field-label' >How old are you ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_49'>\n\t\t\t<div class='gchoice gchoice_18_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Under 18 years'  id='choice_18_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_49_0' id='label_18_49_0' class='gform-field-label gform-field-label--type-inline'>Under 18 years<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='18 - 29 years'  id='choice_18_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_49_1' id='label_18_49_1' class='gform-field-label gform-field-label--type-inline'>18 - 29 years<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_49_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='30 - 44 years'  id='choice_18_49_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_49_2' id='label_18_49_2' class='gform-field-label gform-field-label--type-inline'>30 - 44 years<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_49_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='45 - 59 years'  id='choice_18_49_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_49_3' id='label_18_49_3' class='gform-field-label gform-field-label--type-inline'>45 - 59 years<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_49_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='60 years or older'  id='choice_18_49_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_49_4' id='label_18_49_4' class='gform-field-label gform-field-label--type-inline'>60 years or older<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_50\" ><legend class='gfield_label gform-field-label' >What is your gender ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_50'>\n\t\t\t<div class='gchoice gchoice_18_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Female'  id='choice_18_50_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_50_0' id='label_18_50_0' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Male'  id='choice_18_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_50_1' id='label_18_50_1' class='gform-field-label 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