info.entrepreneur.com Open in urlscan Pro
2606:2c40::c73c:671e  Public Scan

URL: https://info.entrepreneur.com/franchise-suppliers-survey
Submission: On March 19 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://forms.hsforms.com/submissions/v3/public/submit/formsnext/multipart/21266006/55c83347-0c2b-4f24-ba15-499f35ea0ce4

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  class="hs-form-private hsForm_55c83347-0c2b-4f24-ba15-499f35ea0ce4 hs-form-55c83347-0c2b-4f24-ba15-499f35ea0ce4 hs-form-55c83347-0c2b-4f24-ba15-499f35ea0ce4_7c7d0bcf-b2eb-4bb5-9cf7-d09d5634f433 hs-form stacked hs-custom-form"
  target="target_iframe_55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" data-instance-id="7c7d0bcf-b2eb-4bb5-9cf7-d09d5634f433" data-form-id="55c83347-0c2b-4f24-ba15-499f35ea0ce4" data-portal-id="21266006"
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  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Thank you for taking the time to help Entrepreneur determine the top companies providing support services to franchisors and their franchisees. The
            survey should only take a few minutes to complete, and your answers will be kept completely confidential. And one participating company will win a $5,000 advertising package with Entrepreneur!</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please note this survey is for <strong style="color: #000;">franchisors only</strong>. Franchisees, non-franchise business opportunities, and
            suppliers should not participate (even on behalf of a franchisor).</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">Your Company</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">To begin, please tell us what franchise company you're with and provide your contact information in case we have any questions. Due to the nature
            of this survey, we ask that it be completed by someone from the franchisor's corporate office, not by any outside agency.</div>
        </div>
      </div>
    </div>
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  <fieldset class="form-columns-1">
    <div class="hs_company hs-company hs-fieldtype-text field hs-form-field"><label id="label-company-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Company name"
        for="company-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Company name</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="company-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="company" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="organization" value=""></div>
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  </fieldset>
  <fieldset class="form-columns-2">
    <div class="hs_firstname hs-firstname hs-fieldtype-text field hs-form-field"><label id="label-firstname-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your First name"
        for="firstname-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>First name</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="firstname-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="firstname" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="given-name" value=""></div>
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    <div class="hs_lastname hs-lastname hs-fieldtype-text field hs-form-field"><label id="label-lastname-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Last name"
        for="lastname-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Last name</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="lastname-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="lastname" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="family-name" value=""></div>
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  <fieldset class="form-columns-1">
    <div class="hs_jobtitle hs-jobtitle hs-fieldtype-text field hs-form-field"><label id="label-jobtitle-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Job title"
        for="jobtitle-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Job title</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="jobtitle-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="jobtitle" placeholder="" type="text" class="hs-input" inputmode="text" autocomplete="organization-title" value=""></div>
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  <fieldset class="form-columns-1">
    <div class="hs_email hs-email hs-fieldtype-text field hs-form-field"><label id="label-email-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Email"
        for="email-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Email</span><span class="hs-form-required">*</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="email-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="email" required="" placeholder="" type="email" class="hs-input" inputmode="email" autocomplete="email" value=""></div>
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  <fieldset class="form-columns-1">
    <div class="hs_phone hs-phone hs-fieldtype-phonenumber field hs-form-field"><label id="label-phone-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Phone number"
        for="phone-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Phone number</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="phone-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="phone" placeholder="" type="tel" class="hs-input" inputmode="tel" autocomplete="tel" value=""></div>
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  <fieldset class="form-columns-1">
    <div class="hs_how_did_you_hear_about_this_survey_ hs-how_did_you_hear_about_this_survey_ hs-fieldtype-text field hs-form-field"><label id="label-how_did_you_hear_about_this_survey_-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your How did you hear about this survey?" for="how_did_you_hear_about_this_survey_-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>How did you hear about this survey?</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="how_did_you_hear_about_this_survey_-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="how_did_you_hear_about_this_survey_" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
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  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 0;">
        <div class="header-text" style="text-align: left; vertical-align: middle;">
          <div class="form-subHeader" style="margin: 0px 0px; color: #000000; font-size: 1.071em;">From this point forward, you may skip over any sections that do not apply to your company, but please fill out as much as you can; the more data you
            can provide, the more valuable it will be to the ranking-- and the more chances you will have to win the raffle. And make sure that you go through the entire survey and hit "Submit" at the bottom of the page in order to have your answers
            recorded.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">Law Firms</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please provide the names of up to three law firms that your company uses/has used, and then rate your satisfaction with each one on a scale of 1 to
            5 in the areas of QUALITY, COST, and VALUE.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_law_firm__1 hs-law_firm__1 hs-fieldtype-text field hs-form-field"><label id="label-law_firm__1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Law Firm #1"
        for="law_firm__1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Law Firm #1</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="law_firm__1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="law_firm__1" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services hs-quality_of_services hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Quality of services"
        for="quality_of_services-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services0-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services0-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services4-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services4-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services hs-cost_of_services hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services"
        for="cost_of_services-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services0-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services0-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services4-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services4-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business hs-value_to_your_business hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Value to your business"
        for="value_to_your_business-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business0-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business0-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business" value="Not Satisfied"><span>1 -Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business4-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business4-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_law_firm__2 hs-law_firm__2 hs-fieldtype-text field hs-form-field"><label id="label-law_firm__2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Law Firm #2"
        for="law_firm__2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Law Firm #2</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="law_firm__2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="law_firm__2" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_2 hs-quality_of_services_2 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Quality of services"
        for="quality_of_services_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_2 hs-cost_of_services_2 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services"
        for="cost_of_services_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_2 hs-value_to_your_business_2 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_law_firm__3 hs-law_firm__3 hs-fieldtype-text field hs-form-field"><label id="label-law_firm__3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Law Firm #3"
        for="law_firm__3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Law Firm #3</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="law_firm__3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="law_firm__3" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_3 hs-quality_of_services_3 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Quality of services"
        for="quality_of_services_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="quality_of_services_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_3 hs-cost_of_services_3 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services"
        for="cost_of_services_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_3 hs-value_to_your_business_3 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">Franchise Brokers</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please provide the names of up to three franchise broker companies (please name companies/organizations, not individual brokers) you or your
            franchisees use/have used, and rate your satisfaction with each one on a scale of 1 to 5 in the areas of QUALITY, COST, and VALUE.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_broker_organization_1 hs-broker_organization_1 hs-fieldtype-text field hs-form-field"><label id="label-broker_organization_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Broker Organization #1"
        for="broker_organization_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Broker Organization #1</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="broker_organization_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="broker_organization_1" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with Broker Organization #1 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_broker_1 hs-quality_of_services_broker_1 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_broker_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services" for="quality_of_services_broker_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_broker_1 hs-cost_of_services_broker_1 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_broker_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services"
        for="cost_of_services_broker_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_broker_1 hs-value_to_your_business_broker_1 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_broker_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_broker_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_broker_organization_2 hs-broker_organization_2 hs-fieldtype-text field hs-form-field"><label id="label-broker_organization_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Broker Organization #2"
        for="broker_organization_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Broker Organization #2</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="broker_organization_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="broker_organization_2" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with Broker Organization #2 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_broker_2 hs-quality_of_services_broker_2 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_broker_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_broker_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_broker_2 hs-cost_of_services_broker_2 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_broker_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services&nbsp;" for="cost_of_services_broker_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_broker_2 hs-value_to_your_business_broker_2 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_broker_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_broker_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_broker_organization_3 hs-broker_organization_3 hs-fieldtype-text field hs-form-field"><label id="label-broker_organization_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Broker Organization #3"
        for="broker_organization_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Broker Organization #3</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="broker_organization_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="broker_organization_3" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with Broker Organization #3 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_broker_3 hs-quality_of_services_broker_3 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_broker_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_broker_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_broker_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_broker_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_broker_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_broker_3 hs-cost_of_services_broker_3 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_broker_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services"
        for="cost_of_services_broker_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_broker_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_broker_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_broker_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_broker_3 hs-value_to_your_business_broker_3 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_broker_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_broker_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_broker_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_broker_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_broker_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">Franchise Consulting Companies</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please provide the names of up to three franchise business/development consulting companies you have used to start or grow your franchise, (please
            do not list brokers, even if they call themselves "franchise consultants,") and rate your satisfaction with each one on a scale of 1 to 5 in the areas of QUALITY, COST, and VALUE.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_consultant_1 hs-consultant_1 hs-fieldtype-text field hs-form-field"><label id="label-consultant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Consultant #1"
        for="consultant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Consultant #1</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="consultant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="consultant_1" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with Consultant #1 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_consultant_1 hs-quality_of_services_consultant_1 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_consultant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_consultant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_consultant_1 hs-cost_of_services_consultant_1 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_consultant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services&nbsp;" for="cost_of_services_consultant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_consultant_1 hs-value_to_your_business_consultant_1 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_consultant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_consultant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_consultant_2 hs-consultant_2 hs-fieldtype-text field hs-form-field"><label id="label-consultant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Consultant #2"
        for="consultant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Consultant #2</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="consultant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="consultant_2" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with Consultant #2 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_consultant_2 hs-quality_of_services_consultant_2 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_consultant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_consultant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_consultant_2 hs-cost_of_services_consultant_2 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_consultant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services&nbsp;" for="cost_of_services_consultant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_consultant_2 hs-value_to_your_business_consultant_2 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_consultant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_consultant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_consultant_3 hs-consultant_3 hs-fieldtype-text field hs-form-field"><label id="label-consultant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Consultant #3"
        for="consultant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Consultant #3</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="consultant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="consultant_3" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with Consultant #3 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_consultant_3 hs-quality_of_services_consultant_3 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_consultant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_consultant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_consultant_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_consultant_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_consultant_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_consultant_3 hs-cost_of_services_consultant_3 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_consultant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services&nbsp;" for="cost_of_services_consultant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_consultant_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_consultant_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_consultant_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_consultant_3 hs-value_to_your_business_consultant_3 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_consultant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_consultant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_consultant_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_consultant_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_consultant_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">Real Estate</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please provide the names of up to three real estate service companies you and/or your franchisees use/have used, and rate your satisfaction with
            each one on a scale of 1 to 5 in the areas of QUALITY, COST, and VALUE.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_real_estate_company_1 hs-real_estate_company_1 hs-fieldtype-text field hs-form-field"><label id="label-real_estate_company_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Company #1"
        for="real_estate_company_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Company #1</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="real_estate_company_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="real_estate_company_1" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with Company #1 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_real_estate_1 hs-quality_of_services_real_estate_1 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_real_estate_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services" for="quality_of_services_real_estate_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_real_estate_1 hs-cost_of_services_real_estate_1 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_real_estate_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services" for="cost_of_services_real_estate_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_real_estate_1 hs-value_to_your_business_real_estate_1 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_real_estate_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_real_estate_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_real_estate_company_2 hs-real_estate_company_2 hs-fieldtype-text field hs-form-field"><label id="label-real_estate_company_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Company #2"
        for="real_estate_company_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Company #2</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="real_estate_company_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="real_estate_company_2" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with Company #2 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_real_estate_2 hs-quality_of_services_real_estate_2 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_real_estate_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_real_estate_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_real_estate_2 hs-cost_of_services_real_estate_2 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_real_estate_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services&nbsp;" for="cost_of_services_real_estate_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_real_estate_2 hs-value_to_your_business_real_estate_2 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_real_estate_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_real_estate_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_real_estate_company_3 hs-real_estate_company_3 hs-fieldtype-text field hs-form-field"><label id="label-real_estate_company_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Company #3"
        for="real_estate_company_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Company #3</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="real_estate_company_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="real_estate_company_3" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with Company #3 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_real_estate_3 hs-quality_of_services_real_estate_3 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_real_estate_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_real_estate_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_real_estate_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_real_estate_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_real_estate_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_real_estate_3 hs-cost_of_services_real_estate_3 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_real_estate_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services&nbsp;" for="cost_of_services_real_estate_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_real_estate_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_real_estate_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_real_estate_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_real_estate_3 hs-value_to_your_business_real_estate_3 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_real_estate_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_real_estate_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_real_estate_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_real_estate_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_real_estate_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">Merchant Services (Payment Processing) Providers</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please provide the names of up to three merchant service providers/payment processors you use/have used or require or recommend your franchisees to
            use, and rate your satisfaction with each one on a scale of 1 to 5 in the areas of QUALITY, COST, and VALUE.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_merchant_service_provider_1 hs-merchant_service_provider_1 hs-fieldtype-text field hs-form-field"><label id="label-merchant_service_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Merchant Service Provider #1:" for="merchant_service_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Merchant Service Provider #1:</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="merchant_service_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="merchant_service_provider_1" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with MERCHANT SERVICE PROVIDER #1 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_merchant_service_provider_1 hs-quality_of_services_merchant_service_provider_1 hs-fieldtype-radio field hs-form-field"><label
        id="label-quality_of_services_merchant_service_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Quality of services"
        for="quality_of_services_merchant_service_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_1" value="Not Satisfied"><span>1 - Not
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_1" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_1" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_1" value="Satisfied"><span>4 - Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_1" value="Very Satisfied"><span>5 - Very
                Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_merchant_service_provider_1 hs-cost_of_services_merchant_service_provider_1 hs-fieldtype-radio field hs-form-field"><label
        id="label-cost_of_services_merchant_service_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services"
        for="cost_of_services_merchant_service_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_1" value="Not Satisfied"><span>1 - Not
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_1" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_1" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_1" value="Very Satisfied"><span>5 - Very
                Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_merchant_service_provider_1 hs-value_to_your_business_merchant_service_provider_1 hs-fieldtype-radio field hs-form-field"><label
        id="label-value_to_your_business_merchant_service_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Value to your business"
        for="value_to_your_business_merchant_service_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_1" value="Not Satisfied"><span>1 - Not
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_1" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_1" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_1" value="Satisfied"><span>4 -
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_1" value="Very Satisfied"><span>5 - Very
                Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_merchant_service_provider_2 hs-merchant_service_provider_2 hs-fieldtype-text field hs-form-field"><label id="label-merchant_service_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Merchant Service Provider #2" for="merchant_service_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Merchant Service Provider #2</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="merchant_service_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="merchant_service_provider_2" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with MERCHANT SERVICE PROVIDER #2 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_merchant_service_provider_2 hs-quality_of_services_merchant_service_provider_2 hs-fieldtype-radio field hs-form-field"><label
        id="label-quality_of_services_merchant_service_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Quality of services&nbsp;"
        for="quality_of_services_merchant_service_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_2" value="Not Satisfied"><span>1 - Not
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_2" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_2" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_2" value="Satisfied"><span>4 - Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_2" value="Very Satisfied"><span>5 - Very
                Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_merchant_service_provider_2 hs-cost_of_services_merchant_service_provider_2 hs-fieldtype-radio field hs-form-field"><label
        id="label-cost_of_services_merchant_service_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services"
        for="cost_of_services_merchant_service_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_2" value="Not Satisfied"><span>1 - Not
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_2" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_2" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_2" value="Very Satisfied"><span>5 - Very
                Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_merchant_service_provider_2 hs-value_to_your_business_merchant_service_provider_2 hs-fieldtype-radio field hs-form-field"><label
        id="label-value_to_your_business_merchant_service_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Value to your business"
        for="value_to_your_business_merchant_service_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_2" value="Not Satisfied"><span>1 - Not
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_2" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_2" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_2" value="Satisfied"><span>4 -
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_2" value="Very Satisfied"><span>5 - Very
                Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_merchant_service_provider_3 hs-merchant_service_provider_3 hs-fieldtype-text field hs-form-field"><label id="label-merchant_service_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Merchant Service Provider #3" for="merchant_service_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Merchant Service Provider #3</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="merchant_service_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="merchant_service_provider_3" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with MERCHANT SERVICE PROVIDER #3 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_merchant_service_provider_3 hs-quality_of_services_merchant_service_provider_3 hs-fieldtype-radio field hs-form-field"><label
        id="label-quality_of_services_merchant_service_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Quality of services"
        for="quality_of_services_merchant_service_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_3" value="Not Satisfied"><span>1 - Not
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_3" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_3" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_3" value="Satisfied"><span>4 - Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_merchant_service_provider_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_merchant_service_provider_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_merchant_service_provider_3" value="Very Satisfied"><span>5 - Very
                Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_merchant_service_provider_3 hs-cost_of_services_merchant_service_provider_3 hs-fieldtype-radio field hs-form-field"><label
        id="label-cost_of_services_merchant_service_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services"
        for="cost_of_services_merchant_service_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_3" value="Not Satisfied"><span>1 - Not
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_3" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_3" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_merchant_service_provider_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_merchant_service_provider_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_merchant_service_provider_3" value="Very Satisfied"><span>5 - Very
                Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_merchant_service_provider_3 hs-value_to_your_business_merchant_service_provider_3 hs-fieldtype-radio field hs-form-field"><label
        id="label-value_to_your_business_merchant_service_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Value to your business&nbsp;"
        for="value_to_your_business_merchant_service_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_3" value="Not Satisfied"><span>1 - Not
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_3" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_3" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_3" value="Satisfied"><span>4 -
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_merchant_service_provider_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_merchant_service_provider_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_merchant_service_provider_3" value="Very Satisfied"><span>5 - Very
                Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">CRM and Other Technology Providers</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please provide the names of up to three technology providers you use/have used or require or recommend your franchisees to use, and rate your
            satisfaction with each one on a scale of 1 to 5 in the areas of QUALITY, COST, and VALUE.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_technology_provider_1 hs-technology_provider_1 hs-fieldtype-text field hs-form-field"><label id="label-technology_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Technology Provider #1"
        for="technology_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Technology Provider #1</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="technology_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="technology_provider_1" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with TECHNOLOGY PROVIDER #1 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_tech_provider_1 hs-quality_of_services_tech_provider_1 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_tech_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_tech_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_tech_provider_1 hs-cost_of_services_tech_provider_1 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_tech_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services" for="cost_of_services_tech_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_tech_provider_1 hs-value_to_your_business_tech_provider_1 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_tech_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_tech_provider_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_technology_provider_2 hs-technology_provider_2 hs-fieldtype-text field hs-form-field"><label id="label-technology_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Technology Provider #2"
        for="technology_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Technology Provider #2</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="technology_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="technology_provider_2" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with TECHNOLOGY PROVIDER #2 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_tech_provider_2 hs-quality_of_services_tech_provider_2 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_tech_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_tech_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_tech_provider_2 hs-cost_of_services_tech_provider_2 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_tech_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services" for="cost_of_services_tech_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_tech_provider_2 hs-value_to_your_business_tech_provider_2 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_tech_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_tech_provider_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_technology_provider__3 hs-technology_provider__3 hs-fieldtype-text field hs-form-field"><label id="label-technology_provider__3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Technology Provider #3"
        for="technology_provider__3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Technology Provider #3</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="technology_provider__3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="technology_provider__3" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with TECHNOLOGY PROVIDER #3 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_tech_provider_3 hs-quality_of_services_tech_provider_3 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_tech_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services" for="quality_of_services_tech_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_tech_provider_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_tech_provider_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_tech_provider_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_tech_provider_3 hs-cost_of_services_tech_provider_3 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_tech_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services" for="cost_of_services_tech_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_tech_provider_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_tech_provider_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_tech_provider_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_tech_provider_3 hs-value_to_your_business_tech_provider_3 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_tech_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_tech_provider_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_tech_provider_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_tech_provider_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_tech_provider_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">Financial Institutions/Banks</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please provide the names of up to three financial institutions that you refer franchisees to, and rate your satisfaction with each one on a scale
            of 1 to 5 in the areas of QUALITY, COST, and VALUE.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_financial_institution_1 hs-financial_institution_1 hs-fieldtype-text field hs-form-field"><label id="label-financial_institution_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Financial Institution #1" for="financial_institution_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Financial Institution #1</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="financial_institution_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="financial_institution_1" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with FINANCIAL INSTITUTION #1 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_banks_1 hs-quality_of_services_banks_1 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_banks_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services" for="quality_of_services_banks_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_banks_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_banks_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_banks_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_banks_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_banks_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_banks_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_banks_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_banks_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_banks_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_banks_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_banks_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_banks_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_banks_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_banks_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_banks_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_bank_1 hs-cost_of_services_bank_1 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_bank_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services"
        for="cost_of_services_bank_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_bank_1 hs-value_to_your_business_bank_1 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_bank_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_bank_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_financial_institution_2 hs-financial_institution_2 hs-fieldtype-text field hs-form-field"><label id="label-financial_institution_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Financial Institution #2" for="financial_institution_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Financial Institution #2</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="financial_institution_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="financial_institution_2" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with FINANCIAL INSTITUTION #2 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_banks_2 hs-quality_of_services_banks_2 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_banks_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services" for="quality_of_services_banks_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_banks_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_banks_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_banks_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_banks_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_banks_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_banks_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_banks_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_banks_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_banks_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_banks_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_banks_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_banks_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_banks_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_banks_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_banks_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_bank_2 hs-cost_of_services_bank_2 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_bank_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services"
        for="cost_of_services_bank_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_bank_2 hs-value_to_your_business_bank_2 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_bank_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_bank_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_financial_institution_3 hs-financial_institution_3 hs-fieldtype-text field hs-form-field"><label id="label-financial_institution_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Financial Institution #3" for="financial_institution_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Financial Institution #3</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="financial_institution_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="financial_institution_3" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with FINANCIAL INSTITUTION #3 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_bank_3 hs-quality_of_services_bank_3 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_bank_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_bank_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_bank_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_bank_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_bank_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_bank_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_bank_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_bank_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_bank_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_bank_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_bank_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_bank_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_bank_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_bank_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_bank_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_bank_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_bank_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_bank_3 hs-cost_of_services_bank_3 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_bank_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services"
        for="cost_of_services_bank_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_bank_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_bank_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_bank_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_bank_3 hs-value_to_your_business_bank_3 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_bank_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_bank_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_bank_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_bank_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_bank_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">PR Agencies</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please provide the names of up to three PR firms you use/have used, and rate your satisfaction with each one on a scale of 1 to 5 in the areas of
            QUALITY, COST, and VALUE. If you don't currently use any PR firm, simply leave all fields blank.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_pr_firm_1 hs-pr_firm_1 hs-fieldtype-text field hs-form-field"><label id="label-pr_firm_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your PR Firm #1"
        for="pr_firm_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>PR Firm #1</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="pr_firm_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="pr_firm_1" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with PR FIRM #1 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_pr_1 hs-quality_of_services_pr_1 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_pr_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Quality of services"
        for="quality_of_services_pr_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_pr_1 hs-cost_of_services_pr_1 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_pr_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services&nbsp;"
        for="cost_of_services_pr_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_pr_1 hs-value_to_your_business_pr_1 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_pr_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_pr_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_pr_firm_2 hs-pr_firm_2 hs-fieldtype-text field hs-form-field"><label id="label-pr_firm_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your PR Firm #2"
        for="pr_firm_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>PR Firm #2</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="pr_firm_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="pr_firm_2" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with PR FIRM #2 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_pr_2 hs-quality_of_services_pr_2 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_pr_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_pr_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_pr_2 hs-cost_of_services_pr_2 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_pr_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services"
        for="cost_of_services_pr_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_pr_2 hs-value_to_your_business_pr_2 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_pr_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_pr_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_pr_firm_3 hs-pr_firm_3 hs-fieldtype-text field hs-form-field"><label id="label-pr_firm_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your PR Firm #3"
        for="pr_firm_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>PR Firm #3</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="pr_firm_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="pr_firm_3" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with PR FIRM #3 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_pr_3 hs-quality_of_services_pr_3 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_pr_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_pr_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_pr_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="quality_of_services_pr_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="quality_of_services_pr_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_pr_3 hs-cost_of_services_pr_3 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_pr_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Cost of services&nbsp;"
        for="cost_of_services_pr_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_pr_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_pr_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input"
                type="radio" name="cost_of_services_pr_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_pr_3 hs-value_to_your_business_pr_3 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_pr_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_pr_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_pr_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="value_to_your_business_pr_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="value_to_your_business_pr_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">Franchise Events</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please provide the names of up to three franchise events/conferences you have attended, and rate your satisfaction with each one on a scale of 1 to
            5 in the areas of QUALITY, COST, and VALUE. If you haven't attended any events, simply leave all fields blank.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_franchise_event_1 hs-franchise_event_1 hs-fieldtype-text field hs-form-field"><label id="label-franchise_event_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Franchise Event #1"
        for="franchise_event_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Franchise Event #1</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="franchise_event_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="franchise_event_1" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with FRANCHISE EVENT #1 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_franchise_event_1 hs-quality_of_services_franchise_event_1 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_franchise_event_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services" for="quality_of_services_franchise_event_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_franchise_event_1 hs-cost_of_services_franchise_event_1 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_franchise_event_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services" for="cost_of_services_franchise_event_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_franchise_event_1 hs-value_to_your_business_franchise_event_1 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_franchise_event_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
        class="" placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_franchise_event_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_1" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_1" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_franchise_event_2 hs-franchise_event_2 hs-fieldtype-text field hs-form-field"><label id="label-franchise_event_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Franchise Event #2"
        for="franchise_event_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Franchise Event #2</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="franchise_event_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="franchise_event_2" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with FRANCHISE EVENT #2 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_franchise_event_2 hs-quality_of_services_franchise_event_2 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_franchise_event_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_franchise_event_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_franchise_event_2 hs-cost_of_services_franchise_event_2 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_franchise_event_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services&nbsp;" for="cost_of_services_franchise_event_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_franchise_event_2 hs-value_to_your_business_franchise_event_2 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_franchise_event_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
        class="" placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_franchise_event_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_2" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_2" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_franchise_event_3 hs-franchise_event_3 hs-fieldtype-text field hs-form-field"><label id="label-franchise_event_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Franchise Event #3"
        for="franchise_event_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Franchise Event #3</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="franchise_event_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="franchise_event_3" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with FRANCHISE EVENT #3 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_franchise_event_3 hs-quality_of_services_franchise_event_3 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_franchise_event_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_franchise_event_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label>
          </li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_franchise_event_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_franchise_event_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_franchise_event_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_franchise_event_3 hs-cost_of_services_franchise_event_3 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_franchise_event_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services" for="cost_of_services_franchise_event_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_franchise_event_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_franchise_event_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_franchise_event_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_franchise_event_3 hs-value_to_your_business_franchise_event_3 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_franchise_event_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
        class="" placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_franchise_event_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_3" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_3" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_franchise_event_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_franchise_event_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_franchise_event_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">Marketing/Social Media Agencies</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please provide the names of up to three marketing and/or social media agencies you use/have used, and rate your satisfaction with each one on a
            scale of 1 to 5 in the areas of QUALITY, COST, and VALUE. If you don't currently use any marketing or social media agencies, simply leave all fields blank.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_marketing_social_media_agency_1 hs-marketing_social_media_agency_1 hs-fieldtype-text field hs-form-field"><label id="label-marketing_social_media_agency_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Marketing/Social Media Agency #1" for="marketing_social_media_agency_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Marketing/Social Media Agency #1</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="marketing_social_media_agency_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="marketing_social_media_agency_1" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with Marketing/Social media agency #1 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_marketing_1 hs-quality_of_services_marketing_1 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_marketing_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services" for="quality_of_services_marketing_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_marketing_1 hs-cost_of_services_marketing_1 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_marketing_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services" for="cost_of_services_marketing_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_marketing_1 hs-value_to_your_business_marketing_1 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_marketing_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_marketing_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_marketing_social_media_agency_2 hs-marketing_social_media_agency_2 hs-fieldtype-text field hs-form-field"><label id="label-marketing_social_media_agency_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Marketing/Social Media Agency #2" for="marketing_social_media_agency_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Marketing/Social Media Agency #2</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="marketing_social_media_agency_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="marketing_social_media_agency_2" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with Marketing/Social media agency #2 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_marketing_2 hs-quality_of_services_marketing_2 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_marketing_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_marketing_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_marketing_2 hs-cost_of_services_marketing_2 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_marketing_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services" for="cost_of_services_marketing_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_marketing_2 hs-value_to_your_business_marketing_2 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_marketing_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_marketing_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_marketing_social_media_agency_3 hs-marketing_social_media_agency_3 hs-fieldtype-text field hs-form-field"><label id="label-marketing_social_media_agency_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Marketing/Social Media Agency #3" for="marketing_social_media_agency_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Marketing/Social Media Agency #3</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="marketing_social_media_agency_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="marketing_social_media_agency_3" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with Marketing/Social media agency #3 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_marketing_3 hs-quality_of_services_marketing_3 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_marketing_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services" for="quality_of_services_marketing_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_marketing_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_marketing_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_marketing_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_marketing_3 hs-cost_of_services_marketing_3 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_marketing_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services" for="cost_of_services_marketing_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_marketing_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_marketing_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_marketing_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_marketing_3 hs-value_to_your_business_marketing_3 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_marketing_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_marketing_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_marketing_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_marketing_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_marketing_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">Accountants</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please provide the names of up to three accountants or accounting firms you use/have used, and rate your satisfaction with each one on a scale of 1
            to 5 in the areas of QUALITY, COST, and VALUE. If you don't use any accounting firms, simply leave all fields blank.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_accountant_1 hs-accountant_1 hs-fieldtype-text field hs-form-field"><label id="label-accountant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Accountant #1"
        for="accountant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Accountant #1</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="accountant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="accountant_1" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with ACCOUNTANT #1 in the following areas:<span style="background-color: #ffffff; text-align: left; font-weight: bold; color: #000000;"><span>&nbsp;</span></span></h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_accountant_1 hs-quality_of_services_accountant_1 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_accountant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_accountant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_accountant_1 hs-cost_of_services_accountant_1 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_accountant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services&nbsp;" for="cost_of_services_accountant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_accountant_1 hs-value_to_your_business_accountant_1 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_accountant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_accountant_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_accountant_2 hs-accountant_2 hs-fieldtype-text field hs-form-field"><label id="label-accountant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Accountant #2"
        for="accountant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Accountant #2</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="accountant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="accountant_2" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with ACCOUNTANT #2 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_accountant_2 hs-quality_of_services_accountant_2 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_accountant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services" for="quality_of_services_accountant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_accountant_2 hs-cost_of_services_accountant_2 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_accountant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services" for="cost_of_services_accountant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_accountant_2 hs-value_to_your_business_accountant_2 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_accountant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_accountant_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_accountant_3 hs-accountant_3 hs-fieldtype-text field hs-form-field"><label id="label-accountant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Accountant #3"
        for="accountant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Accountant #3</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="accountant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="accountant_3" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with ACCOUNTANT #3 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_accountant_3 hs-quality_of_services_accountant_3 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_accountant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_accountant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_accountant_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_accountant_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_accountant_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_accountant_3 hs-cost_of_services_accountant_3 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_accountant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services&nbsp;" for="cost_of_services_accountant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_accountant_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input id="cost_of_services_accountant_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"
                class="hs-input" type="radio" name="cost_of_services_accountant_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_accountant_3 hs-value_to_your_business_accountant_3 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_accountant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_accountant_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_31-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_3" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_32-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_3" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_33-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_3" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_accountant_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_accountant_34-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_accountant_3" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <div class="form-header-group  header-default" style="text-align: left; margin: 12px 36px;">
        <div class="header-text" style="text-align: center; vertical-align: middle;">
          <h2 id="header_10" class="form-header" style="font-weight: 600; margin: 0px; color: #000000; font-size: 1.714em;">Other Services/Products</h2>
          <div class="form-subHeader" style="margin: 3px 0px 0px; color: #000000; font-size: 1.071em;">Please provide the names of up to three suppliers you use/have used that do not fit into any of the other categories, and rate your satisfaction
            with each one on a scale of 1 to 5 in the areas of QUALITY, COST, and VALUE.</div>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_other_supplier_1 hs-other_supplier_1 hs-fieldtype-text field hs-form-field"><label id="label-other_supplier_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Other Supplier #1"
        for="other_supplier_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Other Supplier #1</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="other_supplier_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="other_supplier_1" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with OTHER SUPPLIER #1 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_other_supplier_1 hs-quality_of_services_other_supplier_1 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_other_supplier_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services&nbsp;" for="quality_of_services_other_supplier_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_other_supplier_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_other_supplier_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_other_supplier_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_other_supplier_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_other_supplier_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_other_supplier_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_other_supplier_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_other_supplier_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_other_supplier_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_other_supplier_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_other_supplier_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_other_supplier_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_other_supplier_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_other_supplier_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_other_supplier_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_other_supplier_1 hs-cost_of_services_other_supplier_1 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_other_supplier_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services&nbsp;" for="cost_of_services_other_supplier_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_other_supplier_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_other_supplier_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_other_supplier_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_other_supplier_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_other_supplier_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_other_supplier_1" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_other_supplier_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_other_supplier_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_other_supplier_1" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_other_supplier_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_other_supplier_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_other_supplier_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_other_supplier_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_other_supplier_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_other_supplier_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_other_supplier_1 hs-value_to_your_business_other_supplier_1 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_other_supplier_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business&nbsp;" for="value_to_your_business_other_supplier_1-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business&nbsp;</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_other_supplier_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_other_supplier_10-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_other_supplier_1" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_other_supplier_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_other_supplier_11-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_other_supplier_1" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_other_supplier_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_other_supplier_12-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_other_supplier_1" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_other_supplier_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_other_supplier_13-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_other_supplier_1" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_other_supplier_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_other_supplier_14-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_other_supplier_1" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_other_supplier_2 hs-other_supplier_2 hs-fieldtype-text field hs-form-field"><label id="label-other_supplier_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Other Supplier #2"
        for="other_supplier_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Other Supplier #2</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="other_supplier_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="other_supplier_2" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with OTHER SUPPLIER #2 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_other_supplier_2 hs-quality_of_services_other_supplier_2 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_other_supplier_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services" for="quality_of_services_other_supplier_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_other_supplier_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_other_supplier_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_other_supplier_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_other_supplier_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_other_supplier_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_other_supplier_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_other_supplier_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_other_supplier_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_other_supplier_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_other_supplier_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_other_supplier_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_other_supplier_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_other_supplier_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_other_supplier_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_other_supplier_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_cost_of_services_other_supplier_2 hs-cost_of_services_other_supplier_2 hs-fieldtype-radio field hs-form-field"><label id="label-cost_of_services_other_supplier_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Cost of services" for="cost_of_services_other_supplier_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Cost of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_other_supplier_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_other_supplier_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_other_supplier_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_other_supplier_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_other_supplier_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_other_supplier_2" value="Not Very Satisfied"><span>2 - Not Very Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_other_supplier_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_other_supplier_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_other_supplier_2" value="Somewhat Satisfied"><span>3 - Somewhat Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_other_supplier_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_other_supplier_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_other_supplier_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="cost_of_services_other_supplier_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="cost_of_services_other_supplier_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="cost_of_services_other_supplier_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
    <div class="hs_value_to_your_business_other_supplier_2 hs-value_to_your_business_other_supplier_2 hs-fieldtype-radio field hs-form-field"><label id="label-value_to_your_business_other_supplier_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Value to your business" for="value_to_your_business_other_supplier_2-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Value to your business</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_other_supplier_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_other_supplier_20-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_other_supplier_2" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_other_supplier_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_other_supplier_21-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_other_supplier_2" value="Not Very Satisfied"><span>2 - Not Very
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_other_supplier_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_other_supplier_22-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_other_supplier_2" value="Somewhat Satisfied"><span>3 - Somewhat
                Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_other_supplier_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_other_supplier_23-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_other_supplier_2" value="Satisfied"><span>4 - Satisfied</span></label></li>
          <li class="hs-form-radio" role="radio"><label for="value_to_your_business_other_supplier_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="value_to_your_business_other_supplier_24-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="value_to_your_business_other_supplier_2" value="Very Satisfied"><span>5 - Very Satisfied</span></label></li>
        </ul>
      </div>
    </div>
  </fieldset>
  <fieldset class="form-columns-1">
    <div class="hs_other_supplier_3 hs-other_supplier_3 hs-fieldtype-text field hs-form-field"><label id="label-other_supplier_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="" placeholder="Enter your Other Supplier #3"
        for="other_supplier_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Other Supplier #3</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input"><input id="other_supplier_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" name="other_supplier_3" placeholder="" type="text" class="hs-input" inputmode="text" value=""></div>
    </div>
  </fieldset>
  <fieldset class="form-columns-0">
    <div class="hs-richtext hs-main-font-element">
      <h6>Rate your satisfaction with OTHER SUPPLIER #3 in the following areas:</h6>
    </div>
  </fieldset>
  <fieldset class="form-columns-3">
    <div class="hs_quality_of_services_other_supplier_3 hs-quality_of_services_other_supplier_3 hs-fieldtype-radio field hs-form-field"><label id="label-quality_of_services_other_supplier_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class=""
        placeholder="Enter your Quality of services" for="quality_of_services_other_supplier_3-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057"><span>Quality of services</span></label>
      <legend class="hs-field-desc" style="display: none;"></legend>
      <div class="input">
        <ul role="checkbox" class="inputs-list multi-container">
          <li class="hs-form-radio" role="radio"><label for="quality_of_services_other_supplier_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-form-radio-display"><input
                id="quality_of_services_other_supplier_30-55c83347-0c2b-4f24-ba15-499f35ea0ce4_4057" class="hs-input" type="radio" name="quality_of_services_other_supplier_3" value="Not Satisfied"><span>1 - Not Satisfied</span></label></li>
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Thank you for taking the time to help Entrepreneur determine the top companies
providing support services to franchisors and their franchisees. The survey
should only take a few minutes to complete, and your answers will be kept
completely confidential. And one participating company will win a $5,000
advertising package with Entrepreneur!
Please note this survey is for franchisors only. Franchisees, non-franchise
business opportunities, and suppliers should not participate (even on behalf of
a franchisor).


YOUR COMPANY

To begin, please tell us what franchise company you're with and provide your
contact information in case we have any questions. Due to the nature of this
survey, we ask that it be completed by someone from the franchisor's corporate
office, not by any outside agency.
Company name

First name

Last name

Job title

Email*

Phone number

How did you hear about this survey?

From this point forward, you may skip over any sections that do not apply to
your company, but please fill out as much as you can; the more data you can
provide, the more valuable it will be to the ranking-- and the more chances you
will have to win the raffle. And make sure that you go through the entire survey
and hit "Submit" at the bottom of the page in order to have your answers
recorded.


LAW FIRMS

Please provide the names of up to three law firms that your company uses/has
used, and then rate your satisfaction with each one on a scale of 1 to 5 in the
areas of QUALITY, COST, and VALUE.
Law Firm #1

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 -Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Law Firm #2

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Law Firm #3

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied


FRANCHISE BROKERS

Please provide the names of up to three franchise broker companies (please name
companies/organizations, not individual brokers) you or your franchisees
use/have used, and rate your satisfaction with each one on a scale of 1 to 5 in
the areas of QUALITY, COST, and VALUE.
Broker Organization #1


RATE YOUR SATISFACTION WITH BROKER ORGANIZATION #1 IN THE FOLLOWING AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Broker Organization #2


RATE YOUR SATISFACTION WITH BROKER ORGANIZATION #2 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Broker Organization #3


RATE YOUR SATISFACTION WITH BROKER ORGANIZATION #3 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied


FRANCHISE CONSULTING COMPANIES

Please provide the names of up to three franchise business/development
consulting companies you have used to start or grow your franchise, (please do
not list brokers, even if they call themselves "franchise consultants,") and
rate your satisfaction with each one on a scale of 1 to 5 in the areas of
QUALITY, COST, and VALUE.
Consultant #1


RATE YOUR SATISFACTION WITH CONSULTANT #1 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Consultant #2


RATE YOUR SATISFACTION WITH CONSULTANT #2 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Consultant #3


RATE YOUR SATISFACTION WITH CONSULTANT #3 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied


REAL ESTATE

Please provide the names of up to three real estate service companies you and/or
your franchisees use/have used, and rate your satisfaction with each one on a
scale of 1 to 5 in the areas of QUALITY, COST, and VALUE.
Company #1


RATE YOUR SATISFACTION WITH COMPANY #1 IN THE FOLLOWING AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Company #2


RATE YOUR SATISFACTION WITH COMPANY #2 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Company #3


RATE YOUR SATISFACTION WITH COMPANY #3 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied


MERCHANT SERVICES (PAYMENT PROCESSING) PROVIDERS

Please provide the names of up to three merchant service providers/payment
processors you use/have used or require or recommend your franchisees to use,
and rate your satisfaction with each one on a scale of 1 to 5 in the areas of
QUALITY, COST, and VALUE.
Merchant Service Provider #1:


RATE YOUR SATISFACTION WITH MERCHANT SERVICE PROVIDER #1 IN THE FOLLOWING AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Merchant Service Provider #2


RATE YOUR SATISFACTION WITH MERCHANT SERVICE PROVIDER #2 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Merchant Service Provider #3


RATE YOUR SATISFACTION WITH MERCHANT SERVICE PROVIDER #3 IN THE FOLLOWING AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied


CRM AND OTHER TECHNOLOGY PROVIDERS

Please provide the names of up to three technology providers you use/have used
or require or recommend your franchisees to use, and rate your satisfaction with
each one on a scale of 1 to 5 in the areas of QUALITY, COST, and VALUE.
Technology Provider #1


RATE YOUR SATISFACTION WITH TECHNOLOGY PROVIDER #1 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Technology Provider #2


RATE YOUR SATISFACTION WITH TECHNOLOGY PROVIDER #2 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Technology Provider #3


RATE YOUR SATISFACTION WITH TECHNOLOGY PROVIDER #3 IN THE FOLLOWING AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied


FINANCIAL INSTITUTIONS/BANKS

Please provide the names of up to three financial institutions that you refer
franchisees to, and rate your satisfaction with each one on a scale of 1 to 5 in
the areas of QUALITY, COST, and VALUE.
Financial Institution #1


RATE YOUR SATISFACTION WITH FINANCIAL INSTITUTION #1 IN THE FOLLOWING AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Financial Institution #2


RATE YOUR SATISFACTION WITH FINANCIAL INSTITUTION #2 IN THE FOLLOWING AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Financial Institution #3


RATE YOUR SATISFACTION WITH FINANCIAL INSTITUTION #3 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied


PR AGENCIES

Please provide the names of up to three PR firms you use/have used, and rate
your satisfaction with each one on a scale of 1 to 5 in the areas of QUALITY,
COST, and VALUE. If you don't currently use any PR firm, simply leave all fields
blank.
PR Firm #1


RATE YOUR SATISFACTION WITH PR FIRM #1 IN THE FOLLOWING AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

PR Firm #2


RATE YOUR SATISFACTION WITH PR FIRM #2 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

PR Firm #3


RATE YOUR SATISFACTION WITH PR FIRM #3 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied


FRANCHISE EVENTS

Please provide the names of up to three franchise events/conferences you have
attended, and rate your satisfaction with each one on a scale of 1 to 5 in the
areas of QUALITY, COST, and VALUE. If you haven't attended any events, simply
leave all fields blank.
Franchise Event #1


RATE YOUR SATISFACTION WITH FRANCHISE EVENT #1 IN THE FOLLOWING AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Franchise Event #2


RATE YOUR SATISFACTION WITH FRANCHISE EVENT #2 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Franchise Event #3


RATE YOUR SATISFACTION WITH FRANCHISE EVENT #3 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied


MARKETING/SOCIAL MEDIA AGENCIES

Please provide the names of up to three marketing and/or social media agencies
you use/have used, and rate your satisfaction with each one on a scale of 1 to 5
in the areas of QUALITY, COST, and VALUE. If you don't currently use any
marketing or social media agencies, simply leave all fields blank.
Marketing/Social Media Agency #1


RATE YOUR SATISFACTION WITH MARKETING/SOCIAL MEDIA AGENCY #1 IN THE FOLLOWING
AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Marketing/Social Media Agency #2


RATE YOUR SATISFACTION WITH MARKETING/SOCIAL MEDIA AGENCY #2 IN THE FOLLOWING
AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Marketing/Social Media Agency #3


RATE YOUR SATISFACTION WITH MARKETING/SOCIAL MEDIA AGENCY #3 IN THE FOLLOWING
AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied


ACCOUNTANTS

Please provide the names of up to three accountants or accounting firms you
use/have used, and rate your satisfaction with each one on a scale of 1 to 5 in
the areas of QUALITY, COST, and VALUE. If you don't use any accounting firms,
simply leave all fields blank.
Accountant #1


RATE YOUR SATISFACTION WITH ACCOUNTANT #1 IN THE FOLLOWING AREAS: 

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Accountant #2


RATE YOUR SATISFACTION WITH ACCOUNTANT #2 IN THE FOLLOWING AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Accountant #3


RATE YOUR SATISFACTION WITH ACCOUNTANT #3 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied


OTHER SERVICES/PRODUCTS

Please provide the names of up to three suppliers you use/have used that do not
fit into any of the other categories, and rate your satisfaction with each one
on a scale of 1 to 5 in the areas of QUALITY, COST, and VALUE.
Other Supplier #1


RATE YOUR SATISFACTION WITH OTHER SUPPLIER #1 IN THE FOLLOWING AREAS:

Quality of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Other Supplier #2


RATE YOUR SATISFACTION WITH OTHER SUPPLIER #2 IN THE FOLLOWING AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Other Supplier #3


RATE YOUR SATISFACTION WITH OTHER SUPPLIER #3 IN THE FOLLOWING AREAS:

Quality of services
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Cost of services 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

Value to your business 
 * 1 - Not Satisfied
 * 2 - Not Very Satisfied
 * 3 - Somewhat Satisfied
 * 4 - Satisfied
 * 5 - Very Satisfied

I understand that the data I am submitting will be used to provide me with the
above-described products and/or services and communications in connection
therewith.

 * I confirm that I am over the age of 16 and consent the above-described data
   and its use by Entrepreneur Media, Inc.*


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