{"id":218227,"date":"2018-12-11T07:36:40","date_gmt":"2018-12-11T12:36:40","guid":{"rendered":"http:\/\/brandbuilder.mgsites.net\/home-a\/?page_id=218227"},"modified":"2018-12-19T15:22:00","modified_gmt":"2018-12-19T20:22:00","slug":"schedule-an-appointment","status":"publish","type":"page","link":"http:\/\/brandbuilder.mgsites.net\/home-a\/schedule-an-appointment\/","title":{"rendered":"Schedule an Appointment"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;Breadcrumbs&#8221; _builder_version=&#8221;3.17.6&#8243; background_color=&#8221;#85c226&#8243; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221; saved_tabs=&#8221;all&#8221; next_background_color=&#8221;#ffffff&#8221; collapsed=&#8221;on&#8221; global_module=&#8221;218880&#8243;][et_pb_row global_parent=&#8221;218880&#8243; use_custom_width=&#8221;on&#8221; width_unit=&#8221;off&#8221; _builder_version=&#8221;3.17.6&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text global_parent=&#8221;218880&#8243; _builder_version=&#8221;3.17.6&#8243; text_text_color=&#8221;#222222&#8243; link_text_color=&#8221;#222222&#8243; background_layout=&#8221;dark&#8221; hover_enabled=&#8221;0&#8243; text_font=&#8221;||||||||&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; text_font_size_phone=&#8221;14px&#8221;]<\/p>\n<span><span><a href=\"http:\/\/brandbuilder.mgsites.net\/home-a\/\">Home<\/a><\/span><\/span>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;H1 Section&#8221; _builder_version=&#8221;3.17.6&#8243; custom_padding=&#8221;54px|0px|12px|0px|false|false&#8221; collapsed=&#8221;off&#8221; prev_background_color=&#8221;#85c226&#8243; next_background_color=&#8221;#000000&#8243;][et_pb_row custom_padding=&#8221;5px|0px|11px|0px|false|false&#8221; disabled_on=&#8221;on|on|off&#8221; _builder_version=&#8221;3.17.6&#8243; border_color_bottom=&#8221;rgba(51,51,51,0.1)&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_divider show_divider=&#8221;off&#8221; height=&#8221;30px&#8221; _builder_version=&#8221;3.17.6&#8243; global_module=&#8221;219102&#8243; \/][et_pb_text admin_label=&#8221;H1 Heading Desktop&#8221; disabled_on=&#8221;on|on|off&#8221; _builder_version=&#8221;3.17.6&#8243; link_text_color=&#8221;#fe9100&#8243; header_font=&#8221;|600||on|||||&#8221; header_font_size=&#8221;44px&#8221; header_4_font=&#8221;||on||||||&#8221; header_4_text_color=&#8221;#fe9100&#8243; header_4_font_size=&#8221;20px&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||5px&#8221; custom_padding=&#8221;||&#8221;]<\/p>\n<h1>Schedule an Appointment<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding=&#8221;5px|0px|11px|0px|false|false&#8221; disabled_on=&#8221;off|off|on&#8221; _builder_version=&#8221;3.17.6&#8243; border_color_bottom=&#8221;rgba(51,51,51,0.1)&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;H1 Heading Mobile&#8221; disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;3.17.6&#8243; link_text_color=&#8221;#fe9100&#8243; header_font=&#8221;|600||on|||||&#8221; header_font_size=&#8221;36px&#8221; header_4_font=&#8221;||on||||||&#8221; header_4_text_color=&#8221;#fe9100&#8243; header_4_font_size=&#8221;20px&#8221; custom_margin=&#8221;||5px&#8221; custom_padding=&#8221;||&#8221;]<\/p>\n<h1>Schedule an Appointment<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;Main Section&#8221; use_custom_width=&#8221;on&#8221; width_unit=&#8221;off&#8221; specialty=&#8221;on&#8221; _builder_version=&#8221;3.17.6&#8243; custom_padding=&#8221;11px|0px|54px|0px|false|false&#8221; collapsed=&#8221;off&#8221; prev_background_color=&#8221;#000000&#8243;][et_pb_column type=&#8221;3_4&#8243; specialty_columns=&#8221;3&#8243;][et_pb_row_inner custom_padding=&#8221;16px|0px|25px|0px|false|false&#8221; _builder_version=&#8221;3.17.6&#8243;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;3_4&#8243;][et_pb_text ul_type=&#8221;square&#8221; ul_item_indent=&#8221;45px&#8221; _builder_version=&#8221;3.17.6&#8243; link_text_color=&#8221;#fe9100&#8243; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.7em&#8221; header_2_font_size=&#8221;36px&#8221; header_2_font_size_tablet=&#8221;32px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_2_line_height=&#8221;1.3em&#8221;]<\/p>\n\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_2' ><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/home-a\/wp-json\/wp\/v2\/pages\/218227'>\n                        <div class='gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_1'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_2_1_3' >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_2_1'>\n                            \n                            <span id='input_2_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_2_1_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_1_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_2_1_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_1_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_2_2'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_2' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_2' id='input_2_2' type='text' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_3'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_3' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_2_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"\/>\n                        <\/div><\/li><li id='field_2_4'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_2_4_1' >Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change' id='input_2_4' >\n                         <span class='ginput_full address_line_1' id='input_2_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_2_4_1' value=''   \/>\n                                        <label for='input_2_4_1' id='input_2_4_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_2_4_3' value=''   \/>\n                                    <label for='input_2_4_3' id='input_2_4_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_4_4_container' >\n                                        <select name='input_4.4' id='input_2_4_4'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_2_4_4' id='input_2_4_4_label' >State<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_2_4_5' value=''   \/>\n                                    <label for='input_2_4_5' id='input_2_4_5_label' >ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_2_4_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_5'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_5' >What can we help you with?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_2_5'  class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Please Select . . .' >Please Select . . .<\/option><option value='New System Estimate' >New System Estimate<\/option><option value='Service' >Service<\/option><option value='Scheduled Maintenance' >Scheduled Maintenance<\/option><option value='Commercial' >Commercial<\/option><option value='Something else or not sure' >Something else or not sure<\/option><\/select><\/div><\/li><li id='field_2_6'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_6' >Approximate age of your current system?<\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_2_6'  class='medium gfield_select'    aria-invalid=\"false\"><option value='Not sure or NA' >Not sure or NA<\/option><option value='1 - 3 Years Old' >1 - 3 Years Old<\/option><option value='3 - 6 Years Old' >3 - 6 Years Old<\/option><option value='6 - 10 Years Old' >6 - 10 Years Old<\/option><option value='Over 10 Years Old' >Over 10 Years Old<\/option><\/select><\/div><\/li><li id='field_2_7'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_7' >What day is best for you?<\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_2_7'  class='medium gfield_select'    aria-invalid=\"false\"><option value='Please Choose . . .' >Please Choose . . .<\/option><option value='Monday' >Monday<\/option><option value='Tuesday' >Tuesday<\/option><option value='Wednesday' >Wednesday<\/option><option value='Thursday' >Thursday<\/option><option value='Friday' >Friday<\/option><\/select><\/div><\/li><li id='field_2_8'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_8' >Desired appointment time (1)<\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_2_8'  class='medium gfield_select'    aria-invalid=\"false\"><option value='Please Choose . . .' >Please Choose . . .<\/option><option value='Emergency \/ ASAP' >Emergency \/ ASAP<\/option><option value='No preference' >No preference<\/option><option value='As early as possible' >As early as possible<\/option><option value='Early Morning' >Early Morning<\/option><option value='Late Morning' >Late Morning<\/option><option value='Early Afternoon' >Early Afternoon<\/option><option value='Late Afternoon' >Late Afternoon<\/option><option value='As late as possible' >As late as possible<\/option><\/select><\/div><div class='gfield_description'><sup>(1)<\/sup> Appointment dates and times are subject to availability.<\/div><\/li><li id='field_2_9'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_9'><li class='gchoice_2_9_1'>\n\t\t\t\t\t\t\t\t<input name='input_9.1' type='checkbox'  value='Send me HVAC offers and helpful tips' checked='checked' id='choice_2_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_9_1' id='label_2_9_1'>Send me HVAC offers and helpful tips<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_2_10'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_10' >Message \/ Comments \/ Additional Info:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_2_10' class='textarea small'    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<\/script>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243;][et_pb_sidebar _builder_version=&#8221;3.17.6&#8243; \/][\/et_pb_column][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><span><span><a href=\"http:\/\/brandbuilder.mgsites.net\/home-a\/\">Home<\/a><\/span><\/span> Schedule an Appointment Schedule an Appointment \n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_2' ><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/home-a\/wp-json\/wp\/v2\/pages\/218227'>\n                        <div class='gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_1'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_2_1_3' >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_2_1'>\n                            \n                            <span id='input_2_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_2_1_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_1_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_2_1_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_1_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_2_2'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_2' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_2' id='input_2_2' type='text' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_3'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_3' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_2_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"\/>\n                        <\/div><\/li><li id='field_2_4'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_2_4_1' >Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change' id='input_2_4' >\n                         <span class='ginput_full address_line_1' id='input_2_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_2_4_1' value=''   \/>\n                                        <label for='input_2_4_1' id='input_2_4_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_2_4_3' value=''   \/>\n                                    <label for='input_2_4_3' id='input_2_4_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_4_4_container' >\n                                        <select name='input_4.4' id='input_2_4_4'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_2_4_4' id='input_2_4_4_label' >State<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_2_4_5' value=''   \/>\n                                    <label for='input_2_4_5' id='input_2_4_5_label' >ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_2_4_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_5'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_5' >What can we help you with?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_2_5'  class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Please Select . . .' >Please Select . . .<\/option><option value='New System Estimate' >New System Estimate<\/option><option value='Service' >Service<\/option><option value='Scheduled Maintenance' >Scheduled Maintenance<\/option><option value='Commercial' >Commercial<\/option><option value='Something else or not sure' >Something else or not sure<\/option><\/select><\/div><\/li><li id='field_2_6'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_6' >Approximate age of your current system?<\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_2_6'  class='medium gfield_select'    aria-invalid=\"false\"><option value='Not sure or NA' >Not sure or NA<\/option><option value='1 - 3 Years Old' >1 - 3 Years Old<\/option><option value='3 - 6 Years Old' >3 - 6 Years Old<\/option><option value='6 - 10 Years Old' >6 - 10 Years Old<\/option><option value='Over 10 Years Old' >Over 10 Years Old<\/option><\/select><\/div><\/li><li id='field_2_7'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_7' >What day is best for you?<\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_2_7'  class='medium gfield_select'    aria-invalid=\"false\"><option value='Please Choose . . .' >Please Choose . . .<\/option><option value='Monday' >Monday<\/option><option value='Tuesday' >Tuesday<\/option><option value='Wednesday' >Wednesday<\/option><option value='Thursday' >Thursday<\/option><option value='Friday' >Friday<\/option><\/select><\/div><\/li><li id='field_2_8'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_8' >Desired appointment time (1)<\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_2_8'  class='medium gfield_select'    aria-invalid=\"false\"><option value='Please Choose . . .' >Please Choose . . .<\/option><option value='Emergency \/ ASAP' >Emergency \/ ASAP<\/option><option value='No preference' >No preference<\/option><option value='As early as possible' >As early as possible<\/option><option value='Early Morning' >Early Morning<\/option><option value='Late Morning' >Late Morning<\/option><option value='Early Afternoon' >Early Afternoon<\/option><option value='Late Afternoon' >Late Afternoon<\/option><option value='As late as possible' >As late as possible<\/option><\/select><\/div><div class='gfield_description'><sup>(1)<\/sup> Appointment dates and times are subject to availability.<\/div><\/li><li id='field_2_9'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' 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