{"id":3457,"date":"2018-04-05T19:38:04","date_gmt":"2018-04-05T19:38:04","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/immunization\/?page_id=3457"},"modified":"2018-06-01T14:57:12","modified_gmt":"2018-06-01T14:57:12","slug":"viistrainersurvey","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/immunization\/viistrainersurvey\/","title":{"rendered":"VIIS Trainer Survey"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_11' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">VIIS Trainer Survey<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_11'  action='\/immunization\/wp-json\/wp\/v2\/pages\/3457' data-formid='11' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_11_1\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_1'>1.  Which Trainer provided training to you and your staff?<\/label><div class='ginput_container ginput_container_select'><select name='input_1' id='input_11_1' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected'>Select One...<\/option><option value='Sateria Jeffress - South Central Region' >Sateria Jeffress - South Central Region<\/option><option value='Kimberly Jones - South West Region' >Kimberly Jones - South West Region<\/option><option value='Reena Patel - West Central Region' >Reena Patel - West Central Region<\/option><option value='Casey Barham - South East Region' >Casey Barham - South East Region<\/option><option value='Theresa Woodyard - Northern Region' >Theresa Woodyard - Northern Region<\/option><\/select><\/div><\/li><li id=\"field_11_30\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Please rate the trainer(s) on the following:<\/h2><\/li><li id=\"field_11_28\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >2.  Knowledge of the subject matter<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_28'>\n\t\t\t<li class='gchoice gchoice_11_28_0'>\n\t\t\t\t<input name='input_28' type='radio' value='Extremely Well'  id='choice_11_28_0'    \/>\n\t\t\t\t<label for='choice_11_28_0' id='label_11_28_0' class='gform-field-label gform-field-label--type-inline'>Extremely Well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_28_1'>\n\t\t\t\t<input name='input_28' type='radio' value='Very Well'  id='choice_11_28_1'    \/>\n\t\t\t\t<label for='choice_11_28_1' id='label_11_28_1' class='gform-field-label gform-field-label--type-inline'>Very Well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_28_2'>\n\t\t\t\t<input name='input_28' type='radio' value='Needs Improvement'  id='choice_11_28_2'    \/>\n\t\t\t\t<label for='choice_11_28_2' id='label_11_28_2' class='gform-field-label gform-field-label--type-inline'>Needs Improvement<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_28_3'>\n\t\t\t\t<input name='input_28' type='radio' value='Poor'  id='choice_11_28_3'    \/>\n\t\t\t\t<label for='choice_11_28_3' id='label_11_28_3' class='gform-field-label gform-field-label--type-inline'>Poor<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_29\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >3.  Ability to explain how the system operates<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_29'>\n\t\t\t<li class='gchoice gchoice_11_29_0'>\n\t\t\t\t<input name='input_29' type='radio' value='Extremely Well'  id='choice_11_29_0'    \/>\n\t\t\t\t<label for='choice_11_29_0' id='label_11_29_0' class='gform-field-label gform-field-label--type-inline'>Extremely Well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_29_1'>\n\t\t\t\t<input name='input_29' type='radio' value='Very Well'  id='choice_11_29_1'    \/>\n\t\t\t\t<label for='choice_11_29_1' id='label_11_29_1' class='gform-field-label gform-field-label--type-inline'>Very Well<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_29_2'>\n\t\t\t\t<input name='input_29' type='radio' value='Needs Improvement'  id='choice_11_29_2'    \/>\n\t\t\t\t<label for='choice_11_29_2' id='label_11_29_2' class='gform-field-label gform-field-label--type-inline'>Needs Improvement<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_29_3'>\n\t\t\t\t<input name='input_29' type='radio' value='Poor'  id='choice_11_29_3'    \/>\n\t\t\t\t<label for='choice_11_29_3' id='label_11_29_3' class='gform-field-label gform-field-label--type-inline'>Poor<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_14\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_14'>4.  What specifically did the trainer do well?<\/label><div class='gfield_description' id='gfield_description_11_14'>For example: Explained Historical Entry well.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_11_14' class='textarea medium'  aria-describedby=\"gfield_description_11_14\" maxlength='1000'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_11_15\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_15'>5.  How can the training be improved?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_11_15' class='textarea medium'   maxlength='1000'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_11_27\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >6.  What did you learn in the training that you have been able to apply to your job?<\/label><div class='gfield_description' id='gfield_description_11_27'>Choose all which apply.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_11_27'><li class='gchoice gchoice_11_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='Search for Patients'  id='choice_11_27_1'   aria-describedby=\"gfield_description_11_27\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_11_27_1' id='label_11_27_1' class='gform-field-label gform-field-label--type-inline'>Search for Patients<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_27_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.2' type='checkbox'  value='Add User(s) Accounts'  id='choice_11_27_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_27_2' id='label_11_27_2' class='gform-field-label gform-field-label--type-inline'>Add User(s) Accounts<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_27_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.3' type='checkbox'  value='Reset Passwords for Users'  id='choice_11_27_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_27_3' id='label_11_27_3' class='gform-field-label gform-field-label--type-inline'>Reset Passwords for Users<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_27_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.4' type='checkbox'  value='Add Historical Vaccines'  id='choice_11_27_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_27_4' id='label_11_27_4' class='gform-field-label gform-field-label--type-inline'>Add Historical Vaccines<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_27_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.5' type='checkbox'  value='Generate Reports'  id='choice_11_27_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_27_5' id='label_11_27_5' class='gform-field-label gform-field-label--type-inline'>Generate Reports<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_27_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.6' type='checkbox'  value='Print Immunization Records'  id='choice_11_27_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_27_6' id='label_11_27_6' class='gform-field-label gform-field-label--type-inline'>Print Immunization Records<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_4\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >7.  The length of the training was appropriate.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_4'>\n\t\t\t<li class='gchoice gchoice_11_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Yes'  id='choice_11_4_0'    \/>\n\t\t\t\t<label for='choice_11_4_0' id='label_11_4_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='No'  id='choice_11_4_1'    \/>\n\t\t\t\t<label for='choice_11_4_1' id='label_11_4_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_11\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_11'>7a.  If No, please explain:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_11_11' class='textarea medium'   maxlength='1500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_11_5\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >8.  Rate the usefulness of the training material.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_5'>\n\t\t\t<li class='gchoice gchoice_11_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Extremely helpful'  id='choice_11_5_0'    \/>\n\t\t\t\t<label for='choice_11_5_0' id='label_11_5_0' class='gform-field-label gform-field-label--type-inline'>Extremely helpful<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='Very helpful'  id='choice_11_5_1'    \/>\n\t\t\t\t<label for='choice_11_5_1' id='label_11_5_1' class='gform-field-label gform-field-label--type-inline'>Very helpful<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_5_2'>\n\t\t\t\t<input name='input_5' type='radio' value='Somewhat helpful'  id='choice_11_5_2'    \/>\n\t\t\t\t<label for='choice_11_5_2' id='label_11_5_2' class='gform-field-label gform-field-label--type-inline'>Somewhat helpful<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_5_3'>\n\t\t\t\t<input name='input_5' type='radio' value='Not at all helpful'  id='choice_11_5_3'    \/>\n\t\t\t\t<label for='choice_11_5_3' id='label_11_5_3' class='gform-field-label gform-field-label--type-inline'>Not at all helpful<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_13\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >9.  What type of VIIS training did you receive?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_13'>\n\t\t\t<li class='gchoice gchoice_11_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='Look-Up'  id='choice_11_13_0'    \/>\n\t\t\t\t<label for='choice_11_13_0' id='label_11_13_0' class='gform-field-label gform-field-label--type-inline'>Look-Up<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='Inventory Only'  id='choice_11_13_1'    \/>\n\t\t\t\t<label for='choice_11_13_1' id='label_11_13_1' class='gform-field-label gform-field-label--type-inline'>Inventory Only<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_13_2'>\n\t\t\t\t<input name='input_13' type='radio' value='Full Training (including Inventory)'  id='choice_11_13_2'    \/>\n\t\t\t\t<label for='choice_11_13_2' id='label_11_13_2' class='gform-field-label gform-field-label--type-inline'>Full Training (including Inventory)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_13_3'>\n\t\t\t\t<input name='input_13' type='radio' value='Refresher with Historical Entry'  id='choice_11_13_3'    \/>\n\t\t\t\t<label for='choice_11_13_3' id='label_11_13_3' class='gform-field-label gform-field-label--type-inline'>Refresher with Historical Entry<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_26\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">General VIIS Questions:<\/h2><\/li><li id=\"field_11_19\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >10.  How often do you use VIIS?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_19'>\n\t\t\t<li class='gchoice gchoice_11_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Every day'  id='choice_11_19_0'    \/>\n\t\t\t\t<label for='choice_11_19_0' id='label_11_19_0' class='gform-field-label gform-field-label--type-inline'>Every day<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='Once a week'  id='choice_11_19_1'    \/>\n\t\t\t\t<label for='choice_11_19_1' id='label_11_19_1' class='gform-field-label gform-field-label--type-inline'>Once a week<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_19_2'>\n\t\t\t\t<input name='input_19' type='radio' value='2 to 3 times a week'  id='choice_11_19_2'    \/>\n\t\t\t\t<label for='choice_11_19_2' id='label_11_19_2' class='gform-field-label gform-field-label--type-inline'>2 to 3 times a week<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_19_3'>\n\t\t\t\t<input name='input_19' type='radio' value='Once a month'  id='choice_11_19_3'    \/>\n\t\t\t\t<label for='choice_11_19_3' id='label_11_19_3' class='gform-field-label gform-field-label--type-inline'>Once a month<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_19_4'>\n\t\t\t\t<input name='input_19' type='radio' value='2 to 3 times a month'  id='choice_11_19_4'    \/>\n\t\t\t\t<label for='choice_11_19_4' id='label_11_19_4' class='gform-field-label gform-field-label--type-inline'>2 to 3 times a month<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_19_5'>\n\t\t\t\t<input name='input_19' type='radio' value='Less than once a month'  id='choice_11_19_5'    \/>\n\t\t\t\t<label for='choice_11_19_5' id='label_11_19_5' class='gform-field-label gform-field-label--type-inline'>Less than once a month<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_20\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >11.  How satisfied are you with VIIS?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_20'>\n\t\t\t<li class='gchoice gchoice_11_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='Very Satisfied'  id='choice_11_20_0'    \/>\n\t\t\t\t<label for='choice_11_20_0' id='label_11_20_0' class='gform-field-label gform-field-label--type-inline'>Very Satisfied<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='Satisfied'  id='choice_11_20_1'    \/>\n\t\t\t\t<label for='choice_11_20_1' id='label_11_20_1' class='gform-field-label gform-field-label--type-inline'>Satisfied<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_20_2'>\n\t\t\t\t<input name='input_20' type='radio' value='Neutral'  id='choice_11_20_2'    \/>\n\t\t\t\t<label for='choice_11_20_2' id='label_11_20_2' class='gform-field-label gform-field-label--type-inline'>Neutral<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_20_3'>\n\t\t\t\t<input name='input_20' type='radio' value='Dissatisfied'  id='choice_11_20_3'    \/>\n\t\t\t\t<label for='choice_11_20_3' id='label_11_20_3' class='gform-field-label gform-field-label--type-inline'>Dissatisfied<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_11_20_4'>\n\t\t\t\t<input name='input_20' type='radio' value='Very Dissatisfied'  id='choice_11_20_4'    \/>\n\t\t\t\t<label for='choice_11_20_4' id='label_11_20_4' class='gform-field-label gform-field-label--type-inline'>Very Dissatisfied<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_21\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_21'>12.  What enhancement(s) would you like to see added to VIIS?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_11_21' class='textarea medium'   maxlength='1500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_11_22\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Optional Information:<\/h2><\/li><li id=\"field_11_10\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_10'>What is your Org Code?<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_11_10' type='text' value='' class='medium' maxlength='10'     aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_11_2\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_2'>Date of your training?<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_2' id='input_11_2' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_11_2_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_11_2_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_11_2' class='gform_hidden' value='https:\/\/www.vdh.virginia.gov\/content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_11_23\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_11_23'>\n                            \n                            <span id='input_11_23_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.3' id='input_11_23_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_11_23_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_11_23_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_23.6' id='input_11_23_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_11_23_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_11_24\" class=\"gfield gfield--type-phone gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_24'>Phone<\/label><div class='ginput_container 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