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[class^="wpforms-"]
[class^="wpforms-"]
[gravityforms id="2" title="false" description="false"]
<div class='gf_browser_unknown gform_wrapper gravity-theme' id='gform_wrapper_2' ><form method='post' enctype='multipart/form-data' id='gform_2' action='/tag/chronic-pain/' > <div class='gform_body gform-body'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><div id="field_2_2" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_2"><label class='gfield_label' for='input_2_2' >First Name<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_2' id='input_2_2' type='text' value='' class='large' aria-required="true" aria-invalid="false" /> </div></div><div id="field_2_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_3"><label class='gfield_label' for='input_2_3' >Last Name<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_3' id='input_2_3' type='text' value='' class='large' aria-required="true" aria-invalid="false" /> </div></div><div id="field_2_4" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_4"><label class='gfield_label' for='input_2_4' >Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_4' id='input_2_4' type='text' value='' class='large' aria-required="true" aria-invalid="false" /> </div></div><div id="field_2_5" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_5"><label class='gfield_label' for='input_2_5' >Phone<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_2_5' type='text' value='' class='large' aria-required="true" aria-invalid="false" /></div></div><div id="field_2_6" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_6"><label class='gfield_label' for='input_2_6' >Organization</label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_2_6' type='text' value='' class='large' aria-invalid="false" /> </div></div><div id="field_2_7" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_7"><div class='ginput_container ginput_container_text'><input name='input_7' id='input_2_7' type='hidden' class='gform_hidden' aria-invalid="false" value='NVR-Xalud' /></div></div><fieldset id="field_2_8" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_8"><legend class='gfield_label gfield_label_before_complex' >I am interested in<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_2_8'><div class='gchoice gchoice_2_8_1'> <input class='gfield-choice-input' name='input_8.1' type='checkbox' value='Back Studies' id='choice_2_8_1' /> <label for='choice_2_8_1' id='label_2_8_1'>Back Studies</label> </div><div class='gchoice gchoice_2_8_2'> <input class='gfield-choice-input' name='input_8.2' type='checkbox' value='Knee Studies' id='choice_2_8_2' /> <label for='choice_2_8_2' id='label_2_8_2'>Knee Studies</label> </div><div class='gchoice gchoice_2_8_3'> <input class='gfield-choice-input' name='input_8.3' type='checkbox' value='Alzheimer&#039;s Studies' id='choice_2_8_3' /> <label for='choice_2_8_3' id='label_2_8_3'>Alzheimer's Studies</label> </div><div class='gchoice gchoice_2_8_4'> <input class='gfield-choice-input' name='input_8.4' type='checkbox' value='Select All' id='choice_2_8_4' /> <label for='choice_2_8_4' id='label_2_8_4'>Select All</label> </div><button type="button" id="button_8_select_all" onclick="gformToggleCheckboxes( this )" data-checked="0" data-label-select="Select All" data-label-deselect="Deselect All">Select All</button></div></div></fieldset></div></div> <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_2' class='gform_button button' value='Submit' onclick='if(window["gf_submitting_2"]){return false;} window["gf_submitting_2"]=true; ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_2"]){return false;} window["gf_submitting_2"]=true; jQuery("#gform_2").trigger("submit",[true]); }' /> <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' /> <input type='hidden' class='gform_hidden' name='gform_submit' value='2' /> <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' /> <input type='hidden' class='gform_hidden' name='state_2' value='WyJbXSIsImU5OTUyNzY5OGYwMzAwMGY3ODE4MmExOGQwYWE3ZGJkIl0=' /> <input type='hidden' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_2' value='0' /> <input type='hidden' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_2' value='1' /> <input type='hidden' name='gform_field_values' value='' /> </div> </form> </div>