{"id":3772,"date":"2022-01-25T14:14:24","date_gmt":"2022-01-25T19:14:24","guid":{"rendered":"https:\/\/health.uconn.edu\/occupational-environmental\/?page_id=3772"},"modified":"2022-01-25T15:35:16","modified_gmt":"2022-01-25T20:35:16","slug":"cph-new-survey-of-advisors-and-affiliates","status":"publish","type":"page","link":"https:\/\/health.uconn.edu\/occupational-environmental\/cph-new-survey-of-advisors-and-affiliates\/","title":{"rendered":"CPH-NEW Survey of Advisors and Affiliates"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_18' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">CPH-NEW Survey of Advisors and Affiliates<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_18'  action='\/occupational-environmental\/wp-json\/wp\/v2\/pages\/3772' data-formid='18' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_18' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_18_12\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_12\" ><h3 class=\"gsection_title\">Thank you for completing this brief survey of potential roles you might be willing to provide to support CPH-NEW over the next 2 years:<\/h3><\/div><fieldset id=\"field_18_2\" class=\"gfield gfield--type-name gfield_contains_required 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 gfield_label_before_complex' >1. Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name has_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_18_2'>\n                            \n                            <span id='input_18_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_18_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_18_2_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            <span id='input_18_2_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.4' id='input_18_2_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_18_2_4' class='gform-field-label gform-field-label--type-sub '>Middle Initial<\/label>\n                                                <\/span>\n                            <span id='input_18_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_18_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_18_2_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            <span id='input_18_2_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.8' id='input_18_2_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_18_2_8' class='gform-field-label gform-field-label--type-sub '>Suffix<\/label>\n                                                <\/span>\n                        <\/div><\/fieldset><fieldset id=\"field_18_29\" class=\"gfield gfield--type-radio gfield--type-choice 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_29\" ><legend class='gfield_label gform-field-label' >2. Please indicate your current role with CPH-NEW (choose one):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/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='External Advisory Board Member'  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'>External Advisory Board Member<\/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='Research Affiliate'  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'>Research Affiliate<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_7\" 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_7\" ><label class='gfield_label gform-field-label' for='input_18_7'>3. Please specify your primary areas of interest in occupational health and safety:<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_7' id='input_18_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_18_30\" class=\"gfield gfield--type-radio gfield--type-choice 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_30\" ><legend class='gfield_label gform-field-label' >4. Please indicate if you would no longer like to continue in your role with CPH-NEW:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_30'>\n\t\t\t<div class='gchoice gchoice_18_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Happy to continue my roll'  id='choice_18_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_30_0' id='label_18_30_0' class='gform-field-label gform-field-label--type-inline'>Happy to continue my roll<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Sorry, I must decline my role'  id='choice_18_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_30_1' id='label_18_30_1' class='gform-field-label gform-field-label--type-inline'>Sorry, I must decline my role<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_11\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_11\" ><h3 class=\"gsection_title\">I am interested in supporting the Center\u2019s work through the following activities:<\/h3><\/div><fieldset id=\"field_18_10\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_10\" ><legend class='gfield_label gform-field-label' >5. Contributing to educational outreach and dissemination activities<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_10'>\n\t\t\t<div class='gchoice gchoice_18_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Yes'  id='choice_18_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_10_0' id='label_18_10_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_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='No'  id='choice_18_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_10_1' id='label_18_10_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_13\" ><legend class='gfield_label gform-field-label' >6. Review of draft manuscripts and\/or conference presentations<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_13'>\n\t\t\t<div class='gchoice gchoice_18_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Yes'  id='choice_18_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_13_0' id='label_18_13_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_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='No'  id='choice_18_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_13_1' id='label_18_13_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_14\" ><legend class='gfield_label gform-field-label' >7. Review of survey documents and protocols related to our research<\/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><fieldset id=\"field_18_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_15\" ><legend class='gfield_label gform-field-label' >8. Assist with relevant student training (e.g., mentoring project work)<\/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><fieldset id=\"field_18_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_16\" ><legend class='gfield_label gform-field-label' >9. Attend periodic presentations of works in progress<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_16'>\n\t\t\t<div class='gchoice gchoice_18_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Yes'  id='choice_18_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_16_0' id='label_18_16_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_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='No'  id='choice_18_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_16_1' id='label_18_16_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_17\" ><legend class='gfield_label gform-field-label' >10. Co-author manuscripts or presentations with CPH-NEW investigators.<\/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><fieldset id=\"field_18_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_18\" ><legend class='gfield_label gform-field-label' >11. Serve as a presenter or discussant for our TRENDS webinar series.<\/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><fieldset id=\"field_18_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_19\" ><legend class='gfield_label gform-field-label' >12. Use or disseminate CPH-NEW materials (e.g., Healthy Workplace Participatory Program toolkit or Corrections health mentor toolkit)?<\/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><fieldset id=\"field_18_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_20\" ><legend class='gfield_label gform-field-label' >13. Review or pilot test new Total Worker Health program implementation tools (e.g., organizational readiness materials, senior leader training materials)?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_20'>\n\t\t\t<div class='gchoice gchoice_18_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Yes'  id='choice_18_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_20_0' id='label_18_20_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_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='No'  id='choice_18_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_20_1' id='label_18_20_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_21\" ><legend class='gfield_label gform-field-label' >14. Review or contribute new e-learning modules (self-paced, online learning; narrated presentations for continuing education credit)?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_21'>\n\t\t\t<div class='gchoice gchoice_18_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Yes'  id='choice_18_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_21_0' id='label_18_21_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_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='No'  id='choice_18_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_21_1' id='label_18_21_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_22\" ><legend class='gfield_label gform-field-label' >15. Deliver a webinar presentation for our quarterly CPH-NEW TRENDS series?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_22'>\n\t\t\t<div class='gchoice gchoice_18_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Yes'  id='choice_18_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_22_0' id='label_18_22_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_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='No'  id='choice_18_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\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'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_31\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_31\" ><label class='gfield_label gform-field-label' for='input_18_31'>If yes, please suggest topics you would like to speak about:<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_31' id='input_18_31' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_18_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_23\" ><legend class='gfield_label gform-field-label' >16. Author a CPH-NEW \u201cNews &amp; Views\u201d emerging topic brief?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_23'>\n\t\t\t<div class='gchoice gchoice_18_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Yes'  id='choice_18_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_23_0' id='label_18_23_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_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='No'  id='choice_18_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_23_1' id='label_18_23_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_32\" 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_32\" ><label class='gfield_label gform-field-label' for='input_18_32'>If yes, please suggest topics you would like to write about:<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_32' id='input_18_32' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_18_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_24\" ><legend class='gfield_label gform-field-label' >17. Other contributions:<\/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_33\" 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_33\" ><label class='gfield_label gform-field-label' for='input_18_33'>If yes, please specify:<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_33' id='input_18_33' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_18_25\" class=\"gfield gfield--type-radio gfield--type-choice 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' >18. Please let us know how much time you can contribute to CPH-NEW activities overall?<\/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='No time'  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'>No time<\/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='1-2 hours\/month'  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'>1-2 hours\/month<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_25_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='3-4 hours\/month'  id='choice_18_25_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_25_2' id='label_18_25_2' class='gform-field-label gform-field-label--type-inline'>3-4 hours\/month<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_25_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='5-10 hours\/month'  id='choice_18_25_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_18_25_3' id='label_18_25_3' class='gform-field-label gform-field-label--type-inline'>5-10 hours\/month<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_26\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_26\" ><label class='gfield_label gform-field-label' for='input_18_26'>19. Please describe any ways that CPH-NEW could be more helpful to you in your work?<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_18_26' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_18_27\" class=\"gfield gfield--type-text 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'>20. Are there any other comments or information you would like to share with us?<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_18_27' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_18_28\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_28\" ><h3 class=\"gsection_title\">Thank you very much for your responses!<\/h3><\/div><div id=\"field_18_34\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_18_34\" ><label class='gfield_label gform-field-label' for='input_18_34'>Comments<\/label><div class='ginput_container'><input name='input_34' id='input_18_34' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_18_34'>This field is for validation purposes and should be left unchanged.<\/div><\/div><\/div><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_18' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_18\"]){return false;}  if( !jQuery(\"#gform_18\")[0].checkValidity || jQuery(\"#gform_18\")[0].checkValidity()){window[\"gf_submitting_18\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_18\"]){return false;} if( !jQuery(\"#gform_18\")[0].checkValidity || jQuery(\"#gform_18\")[0].checkValidity()){window[\"gf_submitting_18\"]=true;}  jQuery(\"#gform_18\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_18' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='18' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_18' value='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' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_18' id='gform_target_page_number_18' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_18' id='gform_source_page_number_18' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 18, 'https:\/\/health.uconn.edu\/occupational-environmental\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_18').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_18');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_18').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_18').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_18').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_18').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_18').val();gformInitSpinner( 18, 'https:\/\/health.uconn.edu\/occupational-environmental\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [18, current_page]);window['gf_submitting_18'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_18').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [18]);window['gf_submitting_18'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_18').text());}else{jQuery('#gform_18').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"18\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);                if (event && event.defaultPrevented) {                return;         }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_18\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_18\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_18\" );        let postRenderFired = false;                function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            jQuery( document ).trigger( 'gform_post_render', [18, current_page] );            gform.utils.trigger( { event: 'gform\/postRender', native: false, data: { formId: 18, currentPage: current_page } } );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":210,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-02 03:04:08","action":"change-status","newStatus":"draft","terms":[],"taxonomy":""},"_links":{"self":[{"href":"https:\/\/health.uconn.edu\/occupational-environmental\/wp-json\/wp\/v2\/pages\/3772"}],"collection":[{"href":"https:\/\/health.uconn.edu\/occupational-environmental\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/health.uconn.edu\/occupational-environmental\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/health.uconn.edu\/occupational-environmental\/wp-json\/wp\/v2\/users\/210"}],"replies":[{"embeddable":true,"href":"https:\/\/health.uconn.edu\/occupational-environmental\/wp-json\/wp\/v2\/comments?post=3772"}],"version-history":[{"count":7,"href":"https:\/\/health.uconn.edu\/occupational-environmental\/wp-json\/wp\/v2\/pages\/3772\/revisions"}],"predecessor-version":[{"id":3779,"href":"https:\/\/health.uconn.edu\/occupational-environmental\/wp-json\/wp\/v2\/pages\/3772\/revisions\/3779"}],"wp:attachment":[{"href":"https:\/\/health.uconn.edu\/occupational-environmental\/wp-json\/wp\/v2\/media?parent=3772"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}