2*:*id*:*type_text*:*type*:*Name*:*w_field_label*:**:*w_field_label_size*:*top*:*w_field_label_pos*:*no*:*w_hide_label*:*300*:*w_size*:**:*w_first_val*:**:*w_title*:*yes*:*w_required*:*no*:*w_regExp_status*:**:*w_regExp_value*:**:*w_regExp_common*:**:*w_regExp_arg*:*Incorrect Value*:*w_regExp_alert*:*no*:*w_unique*:*no*:*w_readonly*:**:*new_field*:*3*:*id*:*type_text*:*type*:*Best phone number to reach you*:*w_field_label*:**:*w_field_label_size*:*top*:*w_field_label_pos*:*no*:*w_hide_label*:*300*:*w_size*:**:*w_first_val*:**:*w_title*:*yes*:*w_required*:*no*:*w_regExp_status*:**:*w_regExp_value*:**:*w_regExp_common*:**:*w_regExp_arg*:*Incorrect Value*:*w_regExp_alert*:*no*:*w_unique*:*no*:*w_readonly*:**:*new_field*:*5*:*id*:*type_text*:*type*:*Practice location*:*w_field_label*:**:*w_field_label_size*:*top*:*w_field_label_pos*:*no*:*w_hide_label*:**:*w_size*:**:*w_first_val*:**:*w_title*:*yes*:*w_required*:*no*:*w_regExp_status*:**:*w_regExp_value*:**:*w_regExp_common*:**:*w_regExp_arg*:*Incorrect Value*:*w_regExp_alert*:*no*:*w_unique*:*no*:*w_readonly*:**:*new_field*:*9*:*id*:*type_matrix*:*type*:*Practice hours*:*w_field_label*:**:*w_field_label_size*:*top*:*w_field_label_pos*:*no*:*w_hide_label*:*text*:*w_field_input_type*:****Monday***Tuesday***Wednesday***Thursday***Friday***Saturday***Sunday*:*w_rows*:****AM***PM*:*w_columns*:*no*:*w_required*:*wdform_matrix*:*w_class*:*100*:*w_textbox_size*:**:*new_field*:*10*:*id*:*type_spinner*:*type*:*How many weeks of  personal vacation taken annually?*:*w_field_label*:**:*w_field_label_size*:*left*:*w_field_label_pos*:*no*:*w_hide_label*:*40*:*w_field_width*:*0*:*w_field_min_value*:**:*w_field_max_value*:*1*:*w_field_step*:*null*:*w_field_value*:*no*:*w_required*:*left-label*:*w_class*:**:*new_field*:*11*:*id*:*type_text*:*type*:*How many ops for restorative?*:*w_field_label*:**:*w_field_label_size*:*top*:*w_field_label_pos*:*no*:*w_hide_label*:*300*:*w_size*:**:*w_first_val*:**:*w_title*:*no*:*w_required*:*no*:*w_regExp_status*:**:*w_regExp_value*:**:*w_regExp_common*:**:*w_regExp_arg*:*Incorrect Value*:*w_regExp_alert*:*no*:*w_unique*:*no*:*w_readonly*:**:*new_field*:*12*:*id*:*type_text*:*type*:*How many ops for hygiene?*:*w_field_label*:**:*w_field_label_size*:*top*:*w_field_label_pos*:*no*:*w_hide_label*:*300*:*w_size*:**:*w_first_val*:**:*w_title*:*no*:*w_required*:*no*:*w_regExp_status*:**:*w_regExp_value*:**:*w_regExp_common*:**:*w_regExp_arg*:*Incorrect Value*:*w_regExp_alert*:*no*:*w_unique*:*no*:*w_readonly*:**:*new_field*:*13*:*id*:*type_text*:*type*:*How long have you been practicing?*:*w_field_label*:**:*w_field_label_size*:*top*:*w_field_label_pos*:*no*:*w_hide_label*:*300*:*w_size*:**:*w_first_val*:**:*w_title*:*no*:*w_required*:*no*:*w_regExp_status*:**:*w_regExp_value*:**:*w_regExp_common*:**:*w_regExp_arg*:*Incorrect Value*:*w_regExp_alert*:*no*:*w_unique*:*no*:*w_readonly*:**:*new_field*:*15*:*id*:*type_own_select*:*type*:*Do you own the practice? *:*w_field_label*:**:*w_field_label_size*:*left*:*w_field_label_pos*:*no*:*w_hide_label*:**:*w_size*:*Select***Y***N*:*w_choices*:*true***false***false*:*w_choices_checked*:*false***false***false*:*w_choices_disabled*:*no*:*w_required*:*no*:*w_value_disabled*:*Select***Y***N*:*w_choices_value*:********:*w_choices_params*:*wdform_select*:*w_class*:**:*new_field*:*16*:*id*:*type_text*:*type*:*-If yes, how long?*:*w_field_label*:**:*w_field_label_size*:*left*:*w_field_label_pos*:*no*:*w_hide_label*:**:*w_size*:**:*w_first_val*:**:*w_title*:*no*:*w_required*:*no*:*w_regExp_status*:**:*w_regExp_value*:**:*w_regExp_common*:**:*w_regExp_arg*:*Incorrect Value*:*w_regExp_alert*:*no*:*w_unique*:*no*:*w_readonly*:**:*new_field*:*17*:*id*:*type_text*:*type*:*-If yes, do you feel like a ‘Business Owner’ or ‘Business Operator?*:*w_field_label*:**:*w_field_label_size*:*left*:*w_field_label_pos*:*no*:*w_hide_label*:**:*w_size*:**:*w_first_val*:**:*w_title*:*no*:*w_required*:*no*:*w_regExp_status*:**:*w_regExp_value*:**:*w_regExp_common*:**:*w_regExp_arg*:*Incorrect Value*:*w_regExp_alert*:*no*:*w_unique*:*no*:*w_readonly*:**:*new_field*:*18*:*id*:*type_own_select*:*type*:*Does the practice have a clear VISION Statement? *:*w_field_label*:**:*w_field_label_size*:*left*:*w_field_label_pos*:*no*:*w_hide_label*:**:*w_size*:*Select***Y***N*:*w_choices*:*true***false***false*:*w_choices_checked*:*false***false***false*:*w_choices_disabled*:*no*:*w_required*:*no*:*w_value_disabled*:*Select***Y***N*:*w_choices_value*:********:*w_choices_params*:*wdform_select*:*w_class*:**:*new_field*:*19*:*id*:*type_textarea*:*type*:*If yes- please share *:*w_field_label*:**:*w_field_label_size*:*top*:*w_field_label_pos*:*no*:*w_hide_label*:**:*w_size_w*:*100*:*w_size_h*:**:*w_first_val*:**:*w_title*:*no*:*w_required*:*no*:*w_unique*:**:*w_class*:**:*new_field*:*1*:*id*:*type_submit_reset*:*type*:*type_submit_reset_1*:*w_field_label*:*Submit*:*w_submit_title*:*Reset*:*w_reset_title*:**:*w_class*:*false*:*w_act*:**:*new_field*:*