Headshot Session Questionnaire

","source":"

Thank you!

 

 

 

"},"submissionVerticalAlignment":"","buttonAlignment":"left","submissionMessageTextStyle":"","formName":"Headshot Session Questionnaire","collectionId":"5a97890ff9619ac0c997afe1","submissionAnimation":"","captchaTheme":1,"formId":"5a97890ff9619ac0c997afdf","useLightbox":false,"firstFieldHighlightType":"","useFormsJs":true,"submissionTextAlignment":"","formFieldFormats":{"initialNameOrder":"GIVEN_FIRST","initialPhoneFormat":{"id":0,"type":"PHONE_NUMBER","country":"US","labelLocale":"en-US","fields":[{"type":"SEPARATOR","label":"(","identifier":"LeftParen","length":0,"required":false,"metadata":{}},{"type":"FIELD","label":"1","identifier":"1","length":3,"required":false,"metadata":{}},{"type":"SEPARATOR","label":")","identifier":"RightParen","length":0,"required":false,"metadata":{}},{"type":"SEPARATOR","label":" ","identifier":"Space","length":0,"required":false,"metadata":{}},{"type":"FIELD","label":"2","identifier":"2","length":3,"required":false,"metadata":{}},{"type":"SEPARATOR","label":"-","identifier":"Dash","length":0,"required":false,"metadata":{}},{"type":"FIELD","label":"3","identifier":"3","length":14,"required":false,"metadata":{}}]},"countries":[{"name":"Afghanistan","code":"AF","phoneCode":"+93"},{"name":"Åland Islands","code":"AX","phoneCode":"+358"},{"name":"Albania","code":"AL","phoneCode":"+355"},{"name":"Algeria","code":"DZ","phoneCode":"+213"},{"name":"American Samoa","code":"AS","phoneCode":"+1"},{"name":"Andorra","code":"AD","phoneCode":"+376"},{"name":"Angola","code":"AO","phoneCode":"+244"},{"name":"Anguilla","code":"AI","phoneCode":"+1"},{"name":"Antigua & Barbuda","code":"AG","phoneCode":"+1"},{"name":"Argentina","code":"AR","phoneCode":"+54"},{"name":"Armenia","code":"AM","phoneCode":"+374"},{"name":"Aruba","code":"AW","phoneCode":"+297"},{"name":"Ascension Island","code":"AC","phoneCode":"+247"},{"name":"Australia","code":"AU","phoneCode":"+61"},{"name":"Austria","code":"AT","phoneCode":"+43"},{"name":"Azerbaijan","code":"AZ","phoneCode":"+994"},{"name":"Bahamas","code":"BS","phoneCode":"+1"},{"name":"Bahrain","code":"BH","phoneCode":"+973"},{"name":"Bangladesh","code":"BD","phoneCode":"+880"},{"name":"Barbados","code":"BB","phoneCode":"+1"},{"name":"Belarus","code":"BY","phoneCode":"+375"},{"name":"Belgium","code":"BE","phoneCode":"+32"},{"name":"Belize","code":"BZ","phoneCode":"+501"},{"name":"Benin","code":"BJ","phoneCode":"+229"},{"name":"Bermuda","code":"BM","phoneCode":"+1"},{"name":"Bhutan","code":"BT","phoneCode":"+975"},{"name":"Bolivia","code":"BO","phoneCode":"+591"},{"name":"Bosnia & Herzegovina","code":"BA","phoneCode":"+387"},{"name":"Botswana","code":"BW","phoneCode":"+267"},{"name":"Brazil","code":"BR","phoneCode":"+55"},{"name":"British Indian Ocean Territory","code":"IO","phoneCode":"+246"},{"name":"British Virgin Islands","code":"VG","phoneCode":"+1"},{"name":"Brunei","code":"BN","phoneCode":"+673"},{"name":"Bulgaria","code":"BG","phoneCode":"+359"},{"name":"Burkina Faso","code":"BF","phoneCode":"+226"},{"name":"Burundi","code":"BI","phoneCode":"+257"},{"name":"Cambodia","code":"KH","phoneCode":"+855"},{"name":"Cameroon","code":"CM","phoneCode":"+237"},{"name":"Canada","code":"CA","phoneCode":"+1"},{"name":"Cape Verde","code":"CV","phoneCode":"+238"},{"name":"Caribbean Netherlands","code":"BQ","phoneCode":"+599"},{"name":"Cayman Islands","code":"KY","phoneCode":"+1"},{"name":"Central African Republic","code":"CF","phoneCode":"+236"},{"name":"Chad","code":"TD","phoneCode":"+235"},{"name":"Chile","code":"CL","phoneCode":"+56"},{"name":"China","code":"CN","phoneCode":"+86"},{"name":"Christmas Island","code":"CX","phoneCode":"+61"},{"name":"Cocos (Keeling) Islands","code":"CC","phoneCode":"+61"},{"name":"Colombia","code":"CO","phoneCode":"+57"},{"name":"Comoros","code":"KM","phoneCode":"+269"},{"name":"Congo - Brazzaville","code":"CG","phoneCode":"+242"},{"name":"Congo - Kinshasa","code":"CD","phoneCode":"+243"},{"name":"Cook Islands","code":"CK","phoneCode":"+682"},{"name":"Costa Rica","code":"CR","phoneCode":"+506"},{"name":"Côte d’Ivoire","code":"CI","phoneCode":"+225"},{"name":"Croatia","code":"HR","phoneCode":"+385"},{"name":"Cuba","code":"CU","phoneCode":"+53"},{"name":"Curaçao","code":"CW","phoneCode":"+599"},{"name":"Cyprus","code":"CY","phoneCode":"+357"},{"name":"Czechia","code":"CZ","phoneCode":"+420"},{"name":"Denmark","code":"DK","phoneCode":"+45"},{"name":"Djibouti","code":"DJ","phoneCode":"+253"},{"name":"Dominica","code":"DM","phoneCode":"+1"},{"name":"Dominican Republic","code":"DO","phoneCode":"+1"},{"name":"Ecuador","code":"EC","phoneCode":"+593"},{"name":"Egypt","code":"EG","phoneCode":"+20"},{"name":"El Salvador","code":"SV","phoneCode":"+503"},{"name":"Equatorial Guinea","code":"GQ","phoneCode":"+240"},{"name":"Eritrea","code":"ER","phoneCode":"+291"},{"name":"Estonia","code":"EE","phoneCode":"+372"},{"name":"Eswatini","code":"SZ","phoneCode":"+268"},{"name":"Ethiopia","code":"ET","phoneCode":"+251"},{"name":"Falkland Islands","code":"FK","phoneCode":"+500"},{"name":"Faroe Islands","code":"FO","phoneCode":"+298"},{"name":"Fiji","code":"FJ","phoneCode":"+679"},{"name":"Finland","code":"FI","phoneCode":"+358"},{"name":"France","code":"FR","phoneCode":"+33"},{"name":"French Guiana","code":"GF","phoneCode":"+594"},{"name":"French Polynesia","code":"PF","phoneCode":"+689"},{"name":"Gabon","code":"GA","phoneCode":"+241"},{"name":"Gambia","code":"GM","phoneCode":"+220"},{"name":"Georgia","code":"GE","phoneCode":"+995"},{"name":"Germany","code":"DE","phoneCode":"+49"},{"name":"Ghana","code":"GH","phoneCode":"+233"},{"name":"Gibraltar","code":"GI","phoneCode":"+350"},{"name":"Greece","code":"GR","phoneCode":"+30"},{"name":"Greenland","code":"GL","phoneCode":"+299"},{"name":"Grenada","code":"GD","phoneCode":"+1"},{"name":"Guadeloupe","code":"GP","phoneCode":"+590"},{"name":"Guam","code":"GU","phoneCode":"+1"},{"name":"Guatemala","code":"GT","phoneCode":"+502"},{"name":"Guernsey","code":"GG","phoneCode":"+44"},{"name":"Guinea","code":"GN","phoneCode":"+224"},{"name":"Guinea-Bissau","code":"GW","phoneCode":"+245"},{"name":"Guyana","code":"GY","phoneCode":"+592"},{"name":"Haiti","code":"HT","phoneCode":"+509"},{"name":"Honduras","code":"HN","phoneCode":"+504"},{"name":"Hong Kong SAR China","code":"HK","phoneCode":"+852"},{"name":"Hungary","code":"HU","phoneCode":"+36"},{"name":"Iceland","code":"IS","phoneCode":"+354"},{"name":"India","code":"IN","phoneCode":"+91"},{"name":"Indonesia","code":"ID","phoneCode":"+62"},{"name":"Iran","code":"IR","phoneCode":"+98"},{"name":"Iraq","code":"IQ","phoneCode":"+964"},{"name":"Ireland","code":"IE","phoneCode":"+353"},{"name":"Isle of Man","code":"IM","phoneCode":"+44"},{"name":"Israel","code":"IL","phoneCode":"+972"},{"name":"Italy","code":"IT","phoneCode":"+39"},{"name":"Jamaica","code":"JM","phoneCode":"+1"},{"name":"Japan","code":"JP","phoneCode":"+81"},{"name":"Jersey","code":"JE","phoneCode":"+44"},{"name":"Jordan","code":"JO","phoneCode":"+962"},{"name":"Kazakhstan","code":"KZ","phoneCode":"+7"},{"name":"Kenya","code":"KE","phoneCode":"+254"},{"name":"Kiribati","code":"KI","phoneCode":"+686"},{"name":"Kosovo","code":"XK","phoneCode":"+383"},{"name":"Kuwait","code":"KW","phoneCode":"+965"},{"name":"Kyrgyzstan","code":"KG","phoneCode":"+996"},{"name":"Laos","code":"LA","phoneCode":"+856"},{"name":"Latvia","code":"LV","phoneCode":"+371"},{"name":"Lebanon","code":"LB","phoneCode":"+961"},{"name":"Lesotho","code":"LS","phoneCode":"+266"},{"name":"Liberia","code":"LR","phoneCode":"+231"},{"name":"Libya","code":"LY","phoneCode":"+218"},{"name":"Liechtenstein","code":"LI","phoneCode":"+423"},{"name":"Lithuania","code":"LT","phoneCode":"+370"},{"name":"Luxembourg","code":"LU","phoneCode":"+352"},{"name":"Macao SAR China","code":"MO","phoneCode":"+853"},{"name":"Madagascar","code":"MG","phoneCode":"+261"},{"name":"Malawi","code":"MW","phoneCode":"+265"},{"name":"Malaysia","code":"MY","phoneCode":"+60"},{"name":"Maldives","code":"MV","phoneCode":"+960"},{"name":"Mali","code":"ML","phoneCode":"+223"},{"name":"Malta","code":"MT","phoneCode":"+356"},{"name":"Marshall Islands","code":"MH","phoneCode":"+692"},{"name":"Martinique","code":"MQ","phoneCode":"+596"},{"name":"Mauritania","code":"MR","phoneCode":"+222"},{"name":"Mauritius","code":"MU","phoneCode":"+230"},{"name":"Mayotte","code":"YT","phoneCode":"+262"},{"name":"Mexico","code":"MX","phoneCode":"+52"},{"name":"Micronesia","code":"FM","phoneCode":"+691"},{"name":"Moldova","code":"MD","phoneCode":"+373"},{"name":"Monaco","code":"MC","phoneCode":"+377"},{"name":"Mongolia","code":"MN","phoneCode":"+976"},{"name":"Montenegro","code":"ME","phoneCode":"+382"},{"name":"Montserrat","code":"MS","phoneCode":"+1"},{"name":"Morocco","code":"MA","phoneCode":"+212"},{"name":"Mozambique","code":"MZ","phoneCode":"+258"},{"name":"Myanmar (Burma)","code":"MM","phoneCode":"+95"},{"name":"Namibia","code":"NA","phoneCode":"+264"},{"name":"Nauru","code":"NR","phoneCode":"+674"},{"name":"Nepal","code":"NP","phoneCode":"+977"},{"name":"Netherlands","code":"NL","phoneCode":"+31"},{"name":"New Caledonia","code":"NC","phoneCode":"+687"},{"name":"New Zealand","code":"NZ","phoneCode":"+64"},{"name":"Nicaragua","code":"NI","phoneCode":"+505"},{"name":"Niger","code":"NE","phoneCode":"+227"},{"name":"Nigeria","code":"NG","phoneCode":"+234"},{"name":"Niue","code":"NU","phoneCode":"+683"},{"name":"Norfolk Island","code":"NF","phoneCode":"+672"},{"name":"Northern Mariana Islands","code":"MP","phoneCode":"+1"},{"name":"North Korea","code":"KP","phoneCode":"+850"},{"name":"North Macedonia","code":"MK","phoneCode":"+389"},{"name":"Norway","code":"NO","phoneCode":"+47"},{"name":"Oman","code":"OM","phoneCode":"+968"},{"name":"Pakistan","code":"PK","phoneCode":"+92"},{"name":"Palau","code":"PW","phoneCode":"+680"},{"name":"Palestinian Territories","code":"PS","phoneCode":"+970"},{"name":"Panama","code":"PA","phoneCode":"+507"},{"name":"Papua New Guinea","code":"PG","phoneCode":"+675"},{"name":"Paraguay","code":"PY","phoneCode":"+595"},{"name":"Peru","code":"PE","phoneCode":"+51"},{"name":"Philippines","code":"PH","phoneCode":"+63"},{"name":"Poland","code":"PL","phoneCode":"+48"},{"name":"Portugal","code":"PT","phoneCode":"+351"},{"name":"Puerto Rico","code":"PR","phoneCode":"+1"},{"name":"Qatar","code":"QA","phoneCode":"+974"},{"name":"Réunion","code":"RE","phoneCode":"+262"},{"name":"Romania","code":"RO","phoneCode":"+40"},{"name":"Russia","code":"RU","phoneCode":"+7"},{"name":"Rwanda","code":"RW","phoneCode":"+250"},{"name":"Samoa","code":"WS","phoneCode":"+685"},{"name":"San Marino","code":"SM","phoneCode":"+378"},{"name":"São Tomé & Príncipe","code":"ST","phoneCode":"+239"},{"name":"Saudi Arabia","code":"SA","phoneCode":"+966"},{"name":"Senegal","code":"SN","phoneCode":"+221"},{"name":"Serbia","code":"RS","phoneCode":"+381"},{"name":"Seychelles","code":"SC","phoneCode":"+248"},{"name":"Sierra Leone","code":"SL","phoneCode":"+232"},{"name":"Singapore","code":"SG","phoneCode":"+65"},{"name":"Sint Maarten","code":"SX","phoneCode":"+1"},{"name":"Slovakia","code":"SK","phoneCode":"+421"},{"name":"Slovenia","code":"SI","phoneCode":"+386"},{"name":"Solomon Islands","code":"SB","phoneCode":"+677"},{"name":"Somalia","code":"SO","phoneCode":"+252"},{"name":"South Africa","code":"ZA","phoneCode":"+27"},{"name":"South Korea","code":"KR","phoneCode":"+82"},{"name":"South Sudan","code":"SS","phoneCode":"+211"},{"name":"Spain","code":"ES","phoneCode":"+34"},{"name":"Sri Lanka","code":"LK","phoneCode":"+94"},{"name":"St. Barthélemy","code":"BL","phoneCode":"+590"},{"name":"St. Helena","code":"SH","phoneCode":"+290"},{"name":"St. Kitts & Nevis","code":"KN","phoneCode":"+1"},{"name":"St. Lucia","code":"LC","phoneCode":"+1"},{"name":"St. Martin","code":"MF","phoneCode":"+590"},{"name":"St. Pierre & Miquelon","code":"PM","phoneCode":"+508"},{"name":"St. Vincent & Grenadines","code":"VC","phoneCode":"+1"},{"name":"Sudan","code":"SD","phoneCode":"+249"},{"name":"Suriname","code":"SR","phoneCode":"+597"},{"name":"Svalbard & Jan Mayen","code":"SJ","phoneCode":"+47"},{"name":"Sweden","code":"SE","phoneCode":"+46"},{"name":"Switzerland","code":"CH","phoneCode":"+41"},{"name":"Syria","code":"SY","phoneCode":"+963"},{"name":"Taiwan","code":"TW","phoneCode":"+886"},{"name":"Tajikistan","code":"TJ","phoneCode":"+992"},{"name":"Tanzania","code":"TZ","phoneCode":"+255"},{"name":"Thailand","code":"TH","phoneCode":"+66"},{"name":"Timor-Leste","code":"TL","phoneCode":"+670"},{"name":"Togo","code":"TG","phoneCode":"+228"},{"name":"Tokelau","code":"TK","phoneCode":"+690"},{"name":"Tonga","code":"TO","phoneCode":"+676"},{"name":"Trinidad & Tobago","code":"TT","phoneCode":"+1"},{"name":"Tristan da Cunha","code":"TA","phoneCode":"+290"},{"name":"Tunisia","code":"TN","phoneCode":"+216"},{"name":"Türkiye","code":"TR","phoneCode":"+90"},{"name":"Turkmenistan","code":"TM","phoneCode":"+993"},{"name":"Turks & Caicos Islands","code":"TC","phoneCode":"+1"},{"name":"Tuvalu","code":"TV","phoneCode":"+688"},{"name":"U.S. Virgin Islands","code":"VI","phoneCode":"+1"},{"name":"Uganda","code":"UG","phoneCode":"+256"},{"name":"Ukraine","code":"UA","phoneCode":"+380"},{"name":"United Arab Emirates","code":"AE","phoneCode":"+971"},{"name":"United Kingdom","code":"GB","phoneCode":"+44"},{"name":"United States","code":"US","phoneCode":"+1"},{"name":"Uruguay","code":"UY","phoneCode":"+598"},{"name":"Uzbekistan","code":"UZ","phoneCode":"+998"},{"name":"Vanuatu","code":"VU","phoneCode":"+678"},{"name":"Vatican City","code":"VA","phoneCode":"+39"},{"name":"Venezuela","code":"VE","phoneCode":"+58"},{"name":"Vietnam","code":"VN","phoneCode":"+84"},{"name":"Wallis & Futuna","code":"WF","phoneCode":"+681"},{"name":"Western Sahara","code":"EH","phoneCode":"+212"},{"name":"Yemen","code":"YE","phoneCode":"+967"},{"name":"Zambia","code":"ZM","phoneCode":"+260"},{"name":"Zimbabwe","code":"ZW","phoneCode":"+263"}],"initialAddressFormat":{"id":0,"type":"ADDRESS","country":"US","labelLocale":"en","fields":[{"type":"FIELD","label":"Address Line 1","identifier":"Line1","length":0,"required":true,"metadata":{"autocomplete":"address-line1"}},{"type":"SEPARATOR","label":"\n","identifier":"Newline","length":0,"required":false,"metadata":{}},{"type":"FIELD","label":"Address Line 2","identifier":"Line2","length":0,"required":false,"metadata":{"autocomplete":"address-line2"}},{"type":"SEPARATOR","label":"\n","identifier":"Newline","length":0,"required":false,"metadata":{}},{"type":"FIELD","label":"City","identifier":"City","length":0,"required":true,"metadata":{"autocomplete":"address-level2"}},{"type":"SEPARATOR","label":",","identifier":"Comma","length":0,"required":false,"metadata":{}},{"type":"SEPARATOR","label":" ","identifier":"Space","length":0,"required":false,"metadata":{}},{"type":"FIELD","label":"State","identifier":"State","length":0,"required":true,"metadata":{"autocomplete":"address-level1"}},{"type":"SEPARATOR","label":" ","identifier":"Space","length":0,"required":false,"metadata":{}},{"type":"FIELD","label":"ZIP Code","identifier":"Zip","length":0,"required":true,"metadata":{"autocomplete":"postal-code"}}]}},"showTitle":false,"captchaEnabled":false,"buttonVariant":"","objectName":"page-5a97890ff9619ac0c997afe1","formFields":[{"type":"name","id":"name-yui_3_17_2_3_1519329969131_3935","locked":false,"title":"Name:","description":"","required":true,"name":true},{"type":"email","id":"email-yui_3_17_2_3_1519329969131_3936","locked":false,"title":"Email Address:","description":"","placeholder":"","required":true,"email":true},{"type":"address","id":"address-yui_3_17_2_1_1519329969131_18344","locked":false,"title":"Address:","description":"","required":true,"address":true},{"type":"phone","id":"phone-yui_3_17_2_1_1519872450087_80403","locked":false,"title":"Phone:","description":"(A number we can use to contact you the day of your session)","showCountryCode":false,"required":true,"phone":true},{"type":"textarea","id":"textarea-yui_3_17_2_1_1519872450087_82204","locked":false,"title":"The location for your session sets the tone for the images that will be captured. Travel up to 15 miles from Darien, IL is included in your Headshot Session package. Please indicate whether you would like the session in-studio (Hinsdale, IL) or an alternate location, such as your place of business, or one of our recommended locations (within 15 miles), or a location outside 15 miles (subject to additional fee and availability):","description":"Great possibly locations include suburban downtown locations, in front of homes, parks, exposed brick walls, etc.","placeholder":"Example: Downtown Hinsdale, IL","required":false,"textarea":true},{"type":"textarea","id":"textarea-yui_3_17_2_1_1519872450087_83018","locked":false,"title":"Are there any special circumstances or situations that we should know ahead of time:","description":"","placeholder":"","required":false,"textarea":true},{"type":"textarea","id":"textarea-yui_3_17_2_1_1519872450087_84604","locked":false,"title":"Enter your Instagram handle for a sneak peek following your session:","description":"And don't forget to \"Like\" us on Facebook for a sneak peek too! (@LylaLanePhotography)","placeholder":"Example: @lylalanephoto","required":false,"textarea":true},{"type":"textarea","id":"textarea-yui_3_17_2_1_1531886507664_262444","locked":false,"title":"Enter your Facebook username to be tagged in a sneak peek following your session:","description":"\"Like\" our page so you can be tagged! @lylalanephotography ","placeholder":"","required":false,"textarea":true},{"type":"textarea","id":"textarea-yui_3_17_2_1_1519958535524_29464","locked":false,"title":"What line of work are you in:","description":"","placeholder":"Example: I'm a stand-up comic.","required":false,"textarea":true},{"type":"textarea","id":"textarea-yui_3_17_2_1_1519958535524_28065","locked":false,"title":"Tell us a little about yourself - professionally and personally:","description":"","placeholder":"Example: I'm a local realtor and mom to three boys. I love hiking and golfing and have an ETSY business where I sell jewelry. ","required":false,"textarea":true},{"type":"textarea","id":"textarea-yui_3_17_2_1_1519958535524_28770","locked":false,"title":"How would you describe your professional style:","description":"Are you a more casual person? Exuberant? Reserved? Buttoned-up? ","placeholder":"Example: I'm very buttoned up, fashion-forward and serious.","required":false,"textarea":true},{"type":"textarea","id":"textarea-yui_3_17_2_1_1519958535524_30146","locked":false,"title":"For what purpose are these headshots:","description":"","placeholder":"Example: my website, LinkedIn, stage bill, business cards","required":false,"textarea":true},{"type":"textarea","id":"textarea-yui_3_17_2_1_1519958535524_30822","locked":false,"title":"What do you hope for these images to convey:","description":"","placeholder":"Example: A sense of approachability and friendliness, or a sense of power and strength...","required":false,"textarea":true},{"type":"checkbox","id":"checkbox-yui_3_17_2_1_1519872450087_85976","locked":false,"title":"Please indicate the following:","description":"That you understand and agree to our pricing.","options":["I agree"],"required":true,"checkbox":true,"followUpQuestions":[]},{"type":"checkbox","id":"checkbox-yui_3_17_2_1_1519872450087_86752","locked":false,"title":"","description":"That you have read our Welcome Guide in its entirety and understand its contents regarding image sharing and reproduction, outfit changes, session duration, final image limits, editing and ordering timelines, weather, illness, and payment.","options":["I have"],"required":true,"checkbox":true,"followUpQuestions":[]},{"type":"checkbox","id":"checkbox-yui_3_17_2_1_1519872450087_87474","locked":false,"title":"","description":"That you grant us the right to use all digital negatives and/or reproductions from your photo session for display, publication, related website and blog use, contest entry, and/or peer review. Although you have the option to purchase the rights to print and share the images which result from your session, they remain our intellectual property and are our copyrighted material. They may not be used for any commercial use without our explicit permission.","options":["I agree"],"required":true,"checkbox":true,"followUpQuestions":[]},{"type":"checkbox","id":"checkbox-yui_3_17_2_1_1519872450087_88183","locked":false,"title":"","description":"That you agree to our policies and accept our terms.","options":["I agree"],"required":true,"checkbox":true,"followUpQuestions":[]},{"type":"checkbox","id":"checkbox-yui_3_17_2_1_1519872450087_89112","locked":false,"title":"Would you like to subscribe to the Lyla Lane Photography newsletter?","description":"Get the latest news, photography tips, exclusive contests, giveaways and blog posts...that may feature your beautiful family!","options":["Sign me up!"],"required":false,"checkbox":true,"followUpQuestions":[]},{"type":"textarea","id":"textarea-yui_3_17_2_1_1519872450087_89924","locked":false,"title":"How did you hear about us?","description":"If it's a referral, may we ask who helped us find each other so we can thank them?","placeholder":"Example: Facebook or a Friend","required":false,"textarea":true}],"captchaAlignment":1,"lightboxHandleText":"","localizedStrings":{"validation":{"noValidSelection":"A valid selection must be made.","invalidUrl":"Must be a valid URL.","stringTooLong":"Value should have a length no longer than {0}.","containsInvalidKey":"{0} contains an invalid key.","invalidTwitterUsername":"Must be a valid Twitter username.","valueOutsideRange":"Value must be in the range {0} to {1}.","invalidPassword":"Passwords should not contain whitespace.","missingRequiredSubfields":"{0} is missing required subfields: {1}","invalidCurrency":"Currency value should be formatted like 1234 or 123.99.","invalidMapSize":"Value should contain exactly {0} elements.","subfieldsRequired":"All fields in {0} are required.","formSubmissionFailed":"Form submission failed. Review the following information: {0}.","invalidCountryCode":"Country code should have an optional plus and up to 4 digits.","invalidDate":"This is not a real date.","required":"{0} is required.","invalidStringLength":"Value should be {0} characters long.","invalidEmail":"Email addresses should follow the format user@domain.com.","invalidListLength":"Value should be {0} elements long.","allEmpty":"Please fill out at least one form field.","missingRequiredQuestion":"Missing a required question.","invalidQuestion":"Contained an invalid question.","captchaFailure":"Captcha validation failed. Please try again.","stringTooShort":"Value should have a length of at least {0}.","invalid":"{0} is not valid.","formErrors":"Form Errors","containsInvalidValue":"{0} contains an invalid value.","invalidUnsignedNumber":"Numbers must contain only digits and no other characters.","invalidName":"Valid names contain only letters, numbers, spaces, ', or - characters."},"submit":"Submit","status":{"title":"{@} Block","learnMore":"Learn more"},"name":{"firstName":"First Name","lastName":"Last Name"},"lightbox":{"openForm":"Open Form"},"likert":{"agree":"Agree","stronglyDisagree":"Strongly Disagree","disagree":"Disagree","stronglyAgree":"Strongly Agree","neutral":"Neutral"},"time":{"am":"AM","second":"Second","pm":"PM","minute":"Minute","amPm":"AM/PM","hour":"Hour"},"notFound":"Form not found.","date":{"yyyy":"YYYY","year":"Year","mm":"MM","day":"Day","month":"Month","dd":"DD"},"phone":{"country":"Country","number":"Number","prefix":"Prefix","areaCode":"Area Code","line":"Line"},"submitError":"Unable to submit form. Please try again later.","address":{"stateProvince":"State/Province","country":"Country","zipPostalCode":"Zip/Postal Code","address2":"Address 2","address1":"Address 1","city":"City"},"email":{"signUp":"Sign up for news and updates"},"cannotSubmitDemoForm":"This is a demo form and cannot be submitted.","required":"(required)","invalidData":"Invalid form data."}}