{"id":5732,"date":"2025-04-11T14:20:00","date_gmt":"2025-04-11T19:20:00","guid":{"rendered":"https:\/\/periproxy.com\/portail-de-selection-proxy240813\/"},"modified":"2026-07-09T17:58:45","modified_gmt":"2026-07-09T21:58:45","slug":"screening-portal-sar","status":"publish","type":"page","link":"https:\/\/periproxy.com\/en\/screening-portal-sar\/","title":{"rendered":"Screening Portal &#8211; Ryaltris"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5732\" class=\"elementor elementor-5732 elementor-5716\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2d3b2c9 elementor-section-height-min-height elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"2d3b2c9\" data-element_type=\"section\" data-e-type=\"section\" 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class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0014b6e\" data-id=\"0014b6e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-721c5cb elementor-widget elementor-widget-heading\" data-id=\"721c5cb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Screening Questionnaire<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9b9f0e4 elementor-section-stretched elementor-section-boxed 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                   if (q7 === \"Not-started\" || q7 === \"Today\" || q7 === \"1-5\") {\n                        eligible = 1; \/\/ Si q7 est vrai, on met \u00e9ligible \u00e0 1\n    \n                        \/\/ V\u00e9rification de q8 : 3 months?\n                        if (q8 === undefined) {\n                            jQuery(\"#input_273_22\").val(eligible).change();\n                            return;\n                        }\n                        if (q8 === \"No-3-months\") {\n                            eligible = 1; \/\/ Si q8 est vrai, on met \u00e9ligible \u00e0 1\n    \n                            if (q9 === undefined) {\n                                jQuery(\"#input_273_22\").val(eligible).change();\n                                return;\n                            }\n                            if (q9 === \"No-clinical-trial\") {\n                                eligible = 1; \/\/ Si q9 est vrai, on met \u00e9ligible \u00e0 1\n                            }\n  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    jQuery(\"#input_273_22\").val(eligible).change();\n                return;\n            }\n        });\n        jQuery(\"#input_273_22\").val(eligible).change();\n    });\n    <\/script>\n    <\/div><div id=\"field_273_22\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_22' id='input_273_22' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='0' \/><\/div><\/div><div id=\"field_273_30\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full no_margin_top no_margin_bottom no_number gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><script>\ndocument.addEventListener(\"DOMContentLoaded\", function () {\n    jQuery(document).on(\"change\", \"input[name='input_1'], input[name='input_5'], input[name='input_7'], input[name='input_8'], input[name='input_9']\", function () {\n\n        setTimeout(function () {\n\n            const checks = {\n                input_1: \"moins-14\",\n                input_5: \"No-prescription\",\n                input_7: \"5-plus\",\n                input_8: \"Yes-3-months\",\n                input_9: \"Yes-clinical-trial\"\n            };\n\n            let exclusionReasons = [];\n\n            for (const [inputName, excludedValue] of Object.entries(checks)) {\n                const value = jQuery(`input[name='${inputName}']:checked`).val();\n                if (value === excludedValue) {\n                    exclusionReasons.push(value);\n                }\n            }\n\n            jQuery(\"#input_273_31\").val(exclusionReasons.join(\", \")).change();\n\n        }, 50);\n\n    });\n});\n<\/script><\/div><div id=\"field_273_31\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_31' id='input_273_31' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><fieldset id=\"field_273_28\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full no_number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_28.1' id='input_273_28_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_273_28_1' ><span class='gform-field-label__text'>By checking this box, I accept the site\u2019s privacy policy<\/span><\/label><input type='hidden' name='input_28.2' value='By checking this box, I accept the site\u2019s privacy policy' class='gform_hidden' \/><input type='hidden' name='input_28.3' value='26' class='gform_hidden' \/><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_273_29' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_273_2' class='gform_page' data-js='page-field-id-29' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_273_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_273_1\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full no_number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>1. What is your age group?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_273_1'>\n\t\t\t<div class='gchoice gchoice_273_1_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='moins-14'  id='choice_273_1_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_1_0' id='label_273_1_0' class='gform-field-label gform-field-label--type-inline'>Under 14<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_273_1_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='14-17'  id='choice_273_1_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_1_1' id='label_273_1_1' class='gform-field-label gform-field-label--type-inline'>14-17<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_273_1_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='18-plus'  id='choice_273_1_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_1_2' id='label_273_1_2' class='gform-field-label gform-field-label--type-inline'>18 or older<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_273_2' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_273_2' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_273_3' class='gform_page' data-js='page-field-id-2' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_273_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_273_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full no_number gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>2. Have you recently received a prescription of Ryaltris\u00ae (mometasone furoate\/olopatadine hydrochloride) nasal spray for seasonal allergy\/hay fever?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_273_5'>\n\t\t\t<div class='gchoice gchoice_273_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Yes-prescription'  id='choice_273_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_5_0' id='label_273_5_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_273_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='No-prescription'  id='choice_273_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_5_1' id='label_273_5_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_273_26' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_273_26' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_273_4' class='gform_page' data-js='page-field-id-26' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_273_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_273_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full no_number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>3. When did you take your first dose of Ryaltris\u00ae (mometasone furoate\/olopatadine hydrochloride) during the current allergy season?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_273_7'>\n\t\t\t<div class='gchoice gchoice_273_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Not-started'  id='choice_273_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_7_0' id='label_273_7_0' class='gform-field-label gform-field-label--type-inline'>I haven't started Ryaltris\u00ae yet<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_273_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Today'  id='choice_273_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_7_1' id='label_273_7_1' class='gform-field-label gform-field-label--type-inline'>Today<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_273_7_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='1-5'  id='choice_273_7_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_7_2' id='label_273_7_2' class='gform-field-label gform-field-label--type-inline'>Between 1 to 5 days ago<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_273_7_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='5-plus'  id='choice_273_7_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_7_3' id='label_273_7_3' class='gform-field-label gform-field-label--type-inline'>More than 5 days ago<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_273_6' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_273_6' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_273_5' class='gform_page' data-js='page-field-id-6' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_273_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_273_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full no_number gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>4. Did you use Ryaltris\u00ae (mometasone furoate\/olopatadine hydrochloride) at any time in the 3 months before this dose?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_273_8'>\n\t\t\t<div class='gchoice gchoice_273_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Yes-3-months'  id='choice_273_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_8_0' id='label_273_8_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_273_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='No-3-months'  id='choice_273_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_8_1' id='label_273_8_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_273_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_273_27' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_273_6' class='gform_page' data-js='page-field-id-27' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_273_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_273_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full no_number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>5. Are you currently participating in a clinical trial for allergies ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_273_9'>\n\t\t\t<div class='gchoice gchoice_273_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Yes-clinical-trial'  id='choice_273_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_9_0' id='label_273_9_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_273_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='No-clinical-trial'  id='choice_273_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_273_9_1' id='label_273_9_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_273_10' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_273_10' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_273_7' class='gform_page' data-js='page-field-id-10' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_273_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_273_24\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full no_number gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Good news! You are eligible to participate in our study.\n\nPlease fill in the fields below to create your account and gain access to the study questionnaires.\n\n<b>An email with instructions on how to access the study will be sent to you.<\/b> Don\u2019t forget to check your spam or junk folder!<\/div><div id=\"field_273_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half no_number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_273_11'><span class='gform-field-label__text'>First Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_273_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_273_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half no_number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_273_12'><span class='gform-field-label__text'>Last Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_273_12' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_273_15\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full no_margin_top no_number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_273_15'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_273_15' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_273_32\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield--width-full no_margin_top no_number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_273_32'><span class='gform-field-label__text'>Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_32' id='input_273_32' type='tel' value='' class='large'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><fieldset id=\"field_273_25\" class=\"gfield gfield--type-password gfield--input-type-password gfield--width-full no_margin_top legend-standard no_number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Password<\/span><\/legend><div class='ginput_complex ginput_container ginput_container_password gform-grid-row' id='input_273_25_container'>\n\t\t\t\t\t\t<span id='input_273_25_1_container' class='ginput_password ginput_left gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_25' id='input_273_25'    value=''    aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_273_25' class='gform-field-label gform-field-label--type-sub '>Enter Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span id='input_273_25_2_container' class='ginput_password ginput_right gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_25_2' id='input_273_25_2'   value=''    aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_273_25_2' class='gform-field-label gform-field-label--type-sub '>Confirm Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<div class='gf_clear gf_clear_complex'><\/div>\n\t\t\t\t\t<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_273_33' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' 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