{"id":328,"date":"2024-03-26T17:16:44","date_gmt":"2024-03-26T17:16:44","guid":{"rendered":"https:\/\/embodybc.com\/?post_type=screening-tool&#038;p=328"},"modified":"2024-05-28T20:07:33","modified_gmt":"2024-05-28T20:07:33","slug":"body-image-screening","status":"publish","type":"screening-tool","link":"https:\/\/embodybc.com\/screening-tool\/body-image-screening\/","title":{"rendered":"Body Image Screening"},"content":{"rendered":"\n\n<div id=\"bot-block_18863feed35e73229b8d6840c5f67ba0\" class=\"c-block background_content_block   inner_container_alt standard_wp\">\n\t<div class=\"c-block-content\">\n\t\t<div class=\"m-all t-all d-all\">\n\t\t\t<div id=\"inner-content\">\n\t\t\t\t<div class=\"inner_container\">\n\t\t\t\t\t<div class=\"inline_wrap\">\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<div class=\"content_wrap\" style=\"background:#fef2ff;\">\n\t\t\t\t\t\t\t\t<span class=\"title\">Welcome to Embody&#8217;s online screening for body image attitudes.<\/span>\n\t\t\t\t\t\t\t\t<div class=\"flex\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div><p>Your results will be displayed for you to review and print or email. A reminder that these screenings are designed to evaluate eating and body image concerns only, they do not provide a diagnosis. Health professionals need much more information about you in order to make a diagnosis. Please tick the box that best describes how you&#8217;ve been feeling about your appearance over the past 4 weeks:<\/p>\n<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<div class='inner_container_alt standard_wp'><style type=\"text\/css\">.qsm-progress-bar {\r\n  position: relative;\r\n  flex-grow: 2;\r\n  padding: 0 10px;\r\n}\r\n\r\n.ui-tooltip {\r\n\tmax-width: 500px !important;\r\n}\r\n.ui-tooltip-content {\r\n\tmax-width: 500px !important;\r\n}\r\n.mlw_qmn_hint_link {\r\n\ttext-decoration:underline;\r\n\tcolor:rgb(0,0,255);\r\n}\r\n\r\n@-moz-keyframes spinner-loader {\r\n  0% {\r\n    -moz-transform: rotate(0deg);\r\n    transform: rotate(0deg);\r\n  }\r\n  100% {\r\n    -moz-transform: rotate(360deg);\r\n    transform: rotate(360deg);\r\n  }\r\n}\r\n@-webkit-keyframes spinner-loader {\r\n  0% {\r\n    -webkit-transform: rotate(0deg);\r\n    transform: rotate(0deg);\r\n  }\r\n  100% {\r\n    -webkit-transform: rotate(360deg);\r\n    transform: rotate(360deg);\r\n  }\r\n}\r\n\r\n@keyframes spinner-loader {\r\n  0% {\r\n    -moz-transform: rotate(0deg);\r\n    -ms-transform: rotate(0deg);\r\n    -webkit-transform: rotate(0deg);\r\n    transform: rotate(0deg);\r\n  }\r\n  100% {\r\n    -moz-transform: rotate(360deg);\r\n    -ms-transform: rotate(360deg);\r\n    -webkit-transform: rotate(360deg);\r\n    transform: rotate(360deg);\r\n  }\r\n}\r\n\r\n\/* :not(:required) hides this rule from IE9 and below *\/\r\n.qsm-spinner-loader:not(:required) {\r\n  -moz-animation: spinner-loader 1500ms infinite linear;\r\n  -webkit-animation: spinner-loader 1500ms infinite linear;\r\n  animation: spinner-loader 1500ms infinite linear;\r\n  -moz-border-radius: 0.5em;\r\n  -webkit-border-radius: 0.5em;\r\n  border-radius: 0.5em;\r\n  -moz-box-shadow: rgba(0, 0, 51, 0.3) 1.5em 0 0 0, rgba(0, 0, 51, 0.3) 1.1em 1.1em 0 0, rgba(0, 0, 51, 0.3) 0 1.5em 0 0, rgba(0, 0, 51, 0.3) -1.1em 1.1em 0 0, rgba(0, 0, 51, 0.3) -1.5em 0 0 0, rgba(0, 0, 51, 0.3) -1.1em -1.1em 0 0, rgba(0, 0, 51, 0.3) 0 -1.5em 0 0, rgba(0, 0, 51, 0.3) 1.1em -1.1em 0 0;\r\n  -webkit-box-shadow: rgba(0, 0, 51, 0.3) 1.5em 0 0 0, rgba(0, 0, 51, 0.3) 1.1em 1.1em 0 0, rgba(0, 0, 51, 0.3) 0 1.5em 0 0, rgba(0, 0, 51, 0.3) -1.1em 1.1em 0 0, rgba(0, 0, 51, 0.3) -1.5em 0 0 0, rgba(0, 0, 51, 0.3) -1.1em -1.1em 0 0, rgba(0, 0, 51, 0.3) 0 -1.5em 0 0, rgba(0, 0, 51, 0.3) 1.1em -1.1em 0 0;\r\n  box-shadow: rgba(0, 0, 51, 0.3) 1.5em 0 0 0, rgba(0, 0, 51, 0.3) 1.1em 1.1em 0 0, rgba(0, 0, 51, 0.3) 0 1.5em 0 0, rgba(0, 0, 51, 0.3) -1.1em 1.1em 0 0, rgba(0, 0, 51, 0.3) -1.5em 0 0 0, rgba(0, 0, 51, 0.3) -1.1em -1.1em 0 0, rgba(0, 0, 51, 0.3) 0 -1.5em 0 0, rgba(0, 0, 51, 0.3) 1.1em -1.1em 0 0;\r\n  display: inline-block;\r\n  font-size: 10px;\r\n  width: 1em;\r\n  height: 1em;\r\n  margin: 1.5em;\r\n  overflow: hidden;\r\n  text-indent: 100%;\r\n}\r\n\r\n\r\n.mlw_qmn_message_before {\r\n  color: #666;\r\n  font-size: 18px;\r\n  display: block;\r\n  margin-bottom: 20px;\r\n  padding-bottom: 10px;\r\n  border-bottom: 1px solid #f3f3f3;\r\n}\r\n\r\n.mlw_qmn_message_before p { margin: 0 0 10px 0; }\r\n\r\n.quiz_section {\r\n  display: block;\r\n  border: 1;\r\n  margin: 0;\r\n  padding: 15px 0 15px 0;\r\n  font-size: 16px;\r\n}\r\n\r\n.quiz_section.border {\r\n  border-top: 1px solid #f3f3f3;\r\n}\r\n\r\n.quiz_section label,\r\n.quiz_section .mlw_qmn_question {\r\n  display: block;\r\n  margin: 0 0 5px 0;\r\n  font-weight: bold;\r\n  -webkit-box-sizing: border-box;\r\n   -moz-box-sizing: border-box;\r\n        box-sizing: border-box;\r\n}\r\n\r\n\/*.quiz_section > .mlw_qmn_question,\r\n.quiz_section > .quiz-cat{\r\n    display: inline-block;\r\n}*\/\r\n\r\n.quiz_section > .quiz-cat{\r\n    margin-left: 15px;\r\n    font-size: 14px;\r\n    font-weight: bold;\r\n    float: right;\r\n}\r\n\r\n.qsm_contact_div {\r\n\tmargin: 10px 0;\r\n}\r\n\r\n.quiz_section .qsm-contact-type-checkbox label,\r\n.quiz_section .qsm-contact-type-checkbox input {\r\n\tdisplay: inline;\r\n}\r\n\r\nlabel.inline,\r\nlabel.inline .mlw_qmn_question,\r\n.quiz_section.inline .mlw_horizontal_multiple {\r\n  display: inline-block;\r\n}\r\n\r\n.quiz_section p.form-help {\r\n  margin: 5px 0 0 0;\r\n  font-size: 12px;\r\n  color: #999;\r\n}\r\n\r\n.quiz_section iframe { margin-bottom: 10px; }\r\n\r\n.qmn_mc_answer_wrap {\r\n  display: block;\r\n  margin: 5px 0 5px 0;\r\n}\r\n\r\n.qmn_radio_answers .qmn_mc_answer_wrap {\r\n    cursor: pointer;\r\n}\r\n\r\n.quiz_section .qmn_radio_answers label,\r\n.quiz_section .qmn_check_answers label,\r\n.quiz_section .qmn_accept_answers label {\r\n  display: inline;\r\n  margin: 0 10px 0 5px;\r\n  font-weight: normal;\r\n  font-size: 14px;\r\n  cursor: pointer;\r\n}\r\n\r\n.quiz_section.text-block h2 {\r\n  display: block;\r\n  margin: 0 0 10px 0;\r\n}\r\n\r\n.quiz_section select,\r\n.quiz_section textarea,\r\n.quiz_section input[type=\"text\"],\r\n.quiz_section input[type=\"email\"],\r\n.quiz_section input[type=\"number\"] {\r\nwidth: 100%;\r\nmin-height: 35px;\r\nmargin-bottom:10px;\r\ndisplay: inline-block;\r\npadding: 15px 15px 15px 15px;\r\nfont-size: 14px;\r\ncolor: #555;\r\nbackground: #fff;\r\nborder: 1px solid #e3e3e3;\r\n-webkit-border-radius: 3px;\r\n   -moz-border-radius: 3px;\r\n        border-radius: 3px;\r\n-webkit-box-sizing: border-box;\r\n   -moz-box-sizing: border-box;\r\n        box-sizing: border-box;\r\n-webkit-transition: all .5s ease-in-out;\r\n   -moz-transition: all .5s ease-in-out;\r\n        transition: all .5s ease-in-out;\r\n}\r\n\r\n.quiz_section select { height: 38px; }\r\n\r\n.quiz_section select:hover,\r\n.quiz_section textarea:hover,\r\n.quiz_section input[type=\"text\"]:hover,\r\n.quiz_section input[type=\"email\"]:hover,\r\n.quiz_section input[type=\"number\"]:hover,\r\n.quiz_section select:focus,\r\n.quiz_section textarea:focus,\r\n.quiz_section input[type=\"text\"]:focus,\r\n.quiz_section input[type=\"email\"]:focus,\r\n.quiz_section input[type=\"number\"]:focus {\r\n  outline: 0;\r\n  background: #f7f7f7;\r\n  border: 5px solid #bdc3c7;\r\n  -webkit-box-shadow: 0 0 10px rgba(0,0,0,0.15);\r\n     -moz-box-shadow: 0 0 10px rgba(0,0,0,0.15);\r\n          box-shadow: 0 0 10px rgba(0,0,0,0.15);\r\n}\r\n\r\n.qmn_fill_blank {\r\n  margin: 0 5px 0 5px;\r\n  width: 100px !important;\r\n}\r\n\r\n.qmn_fill_blank.small { width: 50px; }\r\n.qmn_fill_blank.medium { width: 100px; }\r\n.qmn_fill_blank.large { width: 150px; }\r\n\r\n\r\n\/* Alerts and error state *\/\r\n\r\n.qmn_error_message {\r\n  color: #da4f49;\r\n  border: 1px solid #da4f49;\r\n  background: #F2DEDE;\r\n  display: block;\r\n  padding: 10px;\r\n  margin: 10px 0 10px 0;\r\n  -webkit-border-radius: 3px;\r\n     -moz-border-radius: 3px;\r\n          border-radius: 3px;\r\n}\r\n\r\n.quiz_section.qmn_error select,\r\n.quiz_section.qmn_error textarea,\r\n.quiz_section.qmn_error input[type=\"text\"],\r\n.quiz_section.qmn_error input[type=\"number\"],\r\n.quiz_section.qmn_error input[type=\"email\"],\r\n.quiz_section.qmn_error input[type=\"checkbox\"],\r\n.quiz_section.qmn_error input[type=\"file\"],\r\n.quiz_section.qmn_error select:hover,\r\n.quiz_section.qmn_error textarea:hover,\r\n.quiz_section.qmn_error input[type=\"text\"]:hover,\r\n.quiz_section.qmn_error input[type=\"number\"]:hover,\r\n.quiz_section.qmn_error input[type=\"email\"]:hover,\r\n.quiz_section.qmn_error input[type=\"checkbox\"]:hover,\r\n.quiz_section.qmn_error input[type=\"file\"]:hover,\r\n.quiz_section.qmn_error select:focus,\r\n.quiz_section.qmn_error textarea:focus,\r\n.quiz_section.qmn_error input[type=\"text\"]:focus,\r\n.quiz_section.qmn_error input[type=\"number\"]:focus,\r\n.quiz_section.qmn_error input[type=\"email\"]:focus,\r\n.quiz_section.qmn_error input[type=\"checkbox\"]:focus,\r\n.quiz_section.qmn_error input[type=\"file\"]:focus  {\r\n  position: relative;\r\n  border: 1px solid #da4f49;\r\n  background: #F2DEDE;\r\n  -webkit-box-shadow: 0 0 10px rgba(218, 79, 73, .35);\r\n     -moz-box-shadow: 0 0 10px rgba(218, 79, 73, .35);\r\n          box-shadow: 0 0 10px rgba(218, 79, 73, .35);\r\n}\r\n\r\n.quiz_section.qmn_error { position: relative; }\r\n\r\n.quiz_section.qmn_error:after {\r\n  content: '-';\r\n  color: #fff;\r\n  font-size: 20px;\r\n  font-family: 'Helvetica', Arial, sans-serif;\r\n  background: #da4f49;\r\n  text-align: center;\r\n  display: inline-block;\r\n  height: 20px;\r\n  line-height: 20px;\r\n  width: 20px;\r\n  position: absolute;\r\n  right: 0;\r\n  top: 12px;\r\n  -webkit-border-radius: 20px;\r\n   -moz-border-radius: 20px;\r\n        border-radius: 20px;\r\n\r\n}\r\n\r\n.quiz_section.qmn_error .qmn_radio_answers,\r\n.quiz_section.qmn_error .qmn_check_answers,\r\n.quiz_section.qmn_error .qmn_accept_answers {\r\n  border: 1px solid #da4f49;\r\n  background: #F2DEDE;\r\n  padding: 5px;\r\n  -webkit-border-radius: 3px;\r\n   -moz-border-radius: 3px;\r\n        border-radius: 3px;\r\n}\r\n\r\n.qmn_btn, .qmn_quiz_container .btn {\r\n\r\n}\r\n\r\n.qmn_btn:hover, .qmn_quiz_container .btn:hover {\r\n  color: #fff;\r\n  background: #666;\r\n}\r\n\r\n.qmn_pagination {\r\n\tposition: relative;\r\n\tdisplay: flex;\r\n\talign-items: stretch;\r\n\tflex-direction: column;\r\n\tpadding: 15px 0 15px 0;\r\n\tborder-top: 1px solid #f3f3f3;\r\n}\r\n\r\n@media screen and (min-width: 500px) {\r\n\t.qmn_pagination {\r\n\t\tjustify-content: space-between;\r\n\t\talign-items: center;\r\n\t\tflex-direction: row;\r\n\t}\r\n}\r\n\r\n\/* .qmn_page_counter_message {\r\n  font-size: 14px;\r\n  color: #999;\r\n  width: 100px;\r\n  padding: 10px 20px 10px 20px;\r\n  margin: 0 auto;\r\n\ttext-align: center;\r\n} *\/\r\n\r\n.mlw_qmn_timer {\r\n  z-index: 999;\r\n  display: inline-block;\r\n  position: fixed;\r\n  bottom: 20px;\r\n  right: 20px;\r\n  height: 50px;\r\n  line-height: 50px;\r\n  padding: 0 20px;\r\n  background: #34495e;\r\n  color: #fff;\r\n    -webkit-border-radius: 50px;\r\n     -moz-border-radius:  50px;\r\n          border-radius:  50px;\r\n  -webkit-box-shadow:  0 4px 8px rgba(0,0,0,.10);\r\n     -moz-box-shadow:  0 4px 8px rgba(0,0,0,.10);\r\n          box-shadow:  0 4px 8px rgba(0,0,0,.10);\r\n}\r\n\r\n.qmn_quiz_container select,\r\n.qmn_quiz_container textarea,\r\n.qmn_quiz_container input[type=\"text\"],\r\n.qmn_quiz_container input[type=\"email\"],\r\n.qmn_quiz_container input[type=\"number\"] {\r\n  background: #fff;\r\n  border: 1px solid #3498db;\r\n}\r\n\r\n.qmn_quiz_container select:hover,\r\n.qmn_quiz_container textarea:hover,\r\n.qmn_quiz_container input[type=\"text\"]:hover,\r\n.qmn_quiz_container input[type=\"email\"]:hover,\r\n.qmn_quiz_container input[type=\"number\"]:hover,\r\n.qmn_quiz_container select:focus,\r\n.qmn_quiz_container textarea:focus,\r\n.qmn_quiz_container input[type=\"text\"]:focus,\r\n.qmn_quiz_container input[type=\"email\"]:focus,\r\n.qmn_quiz_container input[type=\"number\"]:focus{\r\n  outline: 0;\r\n  background: #fff;\r\n  border: 1px solid #3498db;\r\n  -webkit-box-shadow: 0 0 10px rgba(52, 152, 219, .35);\r\n     -moz-box-shadow: 0 0 10px rgba(52, 152, 219, .35);\r\n          box-shadow: 0 0 10px rgba(52, 152, 219, .35);\r\n}\r\n\r\n.qmn_quiz_container .qmn_btn, .qmn_quiz_container .btn {\r\n  \r\n}\r\n\r\n.qmn_quiz_container .qmn_btn:hover, .qmn_quiz_container .btn:hover { background: #2980b9 !important; }\r\n\r\n.quiz_section.quiz_end .qsm-submit-btn {\r\n\tdisplay: block;\r\n\tmargin: 10px 0;\r\n}\r\n\r\n\/* Helper classes *\/\r\n\r\n.border-none { border: 0; }\r\n.margin-bottom { margin-bottom: 20px; }\r\n\r\n\r\n@media (max-width: 768px) {\r\n\r\n  .quiz_section label,\r\n  .quiz_section .mlw_qmn_question {\r\n    font-size: 18px;\r\n  }\r\n\r\n  .quiz_section .qmn_radio_answers .qmn_mc_answer_wrap label {\r\n    font-size: 18px;\r\n  }\r\n\r\n  .quiz_section p.form-help { font-size: 14px; }\r\n\r\n  .quiz_section select,\r\n  .quiz_section textarea,\r\n  .quiz_section input[type=\"text\"] {\r\n    display: block;\r\n    width: 100%;\r\n    padding: 12px 10px 12px 10px;\r\n    font-size: 16px;\r\n  }\r\n\r\n  .mlw_previous,\r\n  .mlw_next,\r\n  .qmn_page_counter_message {\r\n    display: inline-block;\r\n    text-align: center;\r\n    position: relative;\r\n    top: 0;\r\n    left: 0;\r\n    right: 0;\r\n  }\r\n\r\n  .mlw_qmn_timer { top: 20px; }\r\n\r\n}\r\n\r\n.quick-question-res-p {\r\n    border: 2px solid;\r\n    padding: 5px 10px;\r\n    margin: 0;\r\n    border-radius: 5px;\r\n}\r\n\r\n.mlw_qmn_quiz_link{\r\n    cursor: pointer;\r\n}\r\n\r\n.qsm-results-page .qmn_question_answer{\r\n    margin-bottom: 30px;\r\n}\r\n\r\n.page-timer-wrapper{\r\n    display: flex;\r\n    max-width: 100%;\r\n    box-sizing: border-box;\r\n    text-align: center;\r\n    align-items: center;\r\n    justify-content: space-between;\r\n    margin-bottom: 10px;\r\n}\r\n.page-timer-wrapper .qsm-pagetimer{\r\n    font-size: 18px;\r\n    font-weight: bold;\r\n    line-height: 24px;\r\n    color: #333;\r\n    padding: 5px 10px;\r\n    box-shadow: 0 0 10px 1px #eee;\r\n    border-radius: 5px;\r\n}\r\n.page-timer-wrapper .qsm-pagetimer-warning{\r\n    box-sizing: border-box;\r\n    color: red;\r\n    font-size: 18px;\r\n    line-height: 24px;\r\n}<\/style><script>\n                            if (window.qmn_quiz_data === undefined) {\n                                    window.qmn_quiz_data = new Object();\n                            }\n                    <\/script><script>window.qmn_quiz_data[\"1\"] = {\"quiz_id\":\"1\",\"quiz_name\":\"Body Image Screening\",\"disable_answer\":\"0\",\"ajax_show_correct\":\"0\",\"progress_bar\":\"0\",\"contact_info_location\":\"1\",\"qpages\":{\"1\":{\"id\":\"1\",\"quizID\":\"1\",\"pagekey\":\"6014ab1f34ad0\",\"hide_prevbtn\":\"0\"}},\"skip_validation_time_expire\":\"1\",\"timer_limit_val\":0,\"disable_scroll_next_previous_click\":\"0\",\"disable_first_page\":0,\"enable_result_after_timer_end\":\"0\",\"enable_quick_result_mc\":\"0\",\"end_quiz_if_wrong\":0,\"form_disable_autofill\":0,\"disable_mathjax\":0,\"enable_quick_correct_answer_info\":\"0\",\"quick_result_correct_answer_text\":\"Correct! You have selected correct answer.\",\"quick_result_wrong_answer_text\":\"Wrong! You have selected wrong answer.\",\"quiz_processing_message\":\"\",\"quiz_limit_choice\":\"Limit of choice is reached.\",\"not_allow_after_expired_time\":0,\"scheduled_time_end\":false,\"error_messages\":{\"email_error_text\":\"Not a valid e-mail address!\",\"number_error_text\":\"This field must be a number!\",\"incorrect_error_text\":\"The entered text is not correct!\",\"empty_error_text\":\"Please complete all required fields!\",\"url_error_text\":\"The entered URL is not valid!\",\"minlength_error_text\":\"Required atleast %minlength% characters.\",\"maxlength_error_text\":\"Maximum %maxlength% characters allowed.\",\"recaptcha_error_text\":\"ReCaptcha is missing\"}}\n                    <\/script><div class='qsm-quiz-container qsm-quiz-container-1 qmn_quiz_container mlw_qmn_quiz  quiz_theme_default  '>\n\t\t\t\t\t<form name=\"quizForm1\" id=\"quizForm1\" action=\"\/wp-json\/wp\/v2\/screening-tool\/328\" method=\"POST\" class=\"qsm-quiz-form qmn_quiz_form mlw_quiz_form\" novalidate enctype=\"multipart\/form-data\">\n\t\t\t\t<input type=\"hidden\" name=\"qsm_hidden_questions\" id=\"qsm_hidden_questions\" value=\"\">\n\t\t\t\t<input type=\"hidden\" name=\"qsm_nonce\" id=\"qsm_nonce_1\" value=\"fc083b8144\">\n\t\t\t\t<input type=\"hidden\" name=\"qsm_unique_key\" id=\"qsm_unique_key_1\" value=\"6664b1445765a\">\n\t\t\t\t<div id=\"mlw_error_message\" class=\"qsm-error-message qmn_error_message_section\"><\/div>\n\t\t\t\t<span id=\"mlw_top_of_quiz\"><\/span>\n\t\t\t\t\t\t\t<section class=\"qsm-page \">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-1 question-section-id-1 \" data-qid=\"1\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Have your felt badly about yourself because of your body shape? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class=\"qmn_radio_answers qmn_radio_horizontal_answers mlwRequiredRadio\">\n\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question1\" id=\"question1_1\" value=\"0\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1_1\">\n\t\t\t\t\t\t\tNever\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question1\" id=\"question1_2\" value=\"1\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1_2\">\n\t\t\t\t\t\t\tRarely\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question1\" id=\"question1_3\" value=\"2\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1_3\">\n\t\t\t\t\t\t\tSometimes\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question1\" id=\"question1_4\" value=\"3\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1_4\">\n\t\t\t\t\t\t\tOften\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question1\" id=\"question1_5\" value=\"4\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1_5\">\n\t\t\t\t\t\t\tAlmost always\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<label style=\"display: none;\" for=\"question1_none\">question1<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1\" id=\"question1_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-1 question-section-id-3 \" data-qid=\"3\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Have you focused on your weight or flaws you think your body has? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class=\"qmn_radio_answers qmn_radio_horizontal_answers mlwRequiredRadio\">\n\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question3\" id=\"question3_1\" value=\"0\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question3_1\">\n\t\t\t\t\t\t\tNever\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question3\" id=\"question3_2\" value=\"1\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question3_2\">\n\t\t\t\t\t\t\tRarely\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question3\" id=\"question3_3\" value=\"2\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question3_3\">\n\t\t\t\t\t\t\tSometimes\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question3\" id=\"question3_4\" value=\"3\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question3_4\">\n\t\t\t\t\t\t\tOften\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question3\" id=\"question3_5\" value=\"4\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question3_5\">\n\t\t\t\t\t\t\tAlmost always\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<label style=\"display: none;\" for=\"question3_none\">question3<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question3\" id=\"question3_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-1 question-section-id-4 \" data-qid=\"4\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Have you felt so badly about your body image that you have cried or felt very upset? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class=\"qmn_radio_answers qmn_radio_horizontal_answers mlwRequiredRadio\">\n\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question4\" id=\"question4_1\" value=\"0\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question4_1\">\n\t\t\t\t\t\t\tNever\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question4\" id=\"question4_2\" value=\"1\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question4_2\">\n\t\t\t\t\t\t\tRarely\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question4\" id=\"question4_3\" value=\"2\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question4_3\">\n\t\t\t\t\t\t\tSometimes\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question4\" id=\"question4_4\" value=\"3\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question4_4\">\n\t\t\t\t\t\t\tOften\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question4\" id=\"question4_5\" value=\"4\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question4_5\">\n\t\t\t\t\t\t\tAlmost always\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<label style=\"display: none;\" for=\"question4_none\">question4<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question4\" id=\"question4_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-1 question-section-id-5 \" data-qid=\"5\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Have you avoided activities because you are concerned about how your body will look? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p>Avoided going swimming or participating in sports for fear of how you will look doing it.<\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class=\"qmn_radio_answers qmn_radio_horizontal_answers mlwRequiredRadio\">\n\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question5\" id=\"question5_1\" value=\"0\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question5_1\">\n\t\t\t\t\t\t\tNever\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question5\" id=\"question5_2\" value=\"1\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question5_2\">\n\t\t\t\t\t\t\tRarely\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question5\" id=\"question5_3\" value=\"2\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question5_3\">\n\t\t\t\t\t\t\tSometimes\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question5\" id=\"question5_4\" value=\"3\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question5_4\">\n\t\t\t\t\t\t\tOften\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question5\" id=\"question5_5\" value=\"4\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question5_5\">\n\t\t\t\t\t\t\tAlmost always\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<label style=\"display: none;\" for=\"question5_none\">question5<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question5\" id=\"question5_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-1 question-section-id-6 \" data-qid=\"6\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Has being around thin, fit or athletic people made you feel self-conscious about your body? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class=\"qmn_radio_answers qmn_radio_horizontal_answers mlwRequiredRadio\">\n\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question6\" id=\"question6_1\" value=\"0\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question6_1\">\n\t\t\t\t\t\t\tNever\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question6\" id=\"question6_2\" value=\"1\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question6_2\">\n\t\t\t\t\t\t\tRarely\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question6\" id=\"question6_3\" value=\"2\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question6_3\">\n\t\t\t\t\t\t\tSometimes\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question6\" id=\"question6_4\" value=\"3\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question6_4\">\n\t\t\t\t\t\t\tOften\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question6\" id=\"question6_5\" value=\"4\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question6_5\">\n\t\t\t\t\t\t\tAlmost always\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<label style=\"display: none;\" for=\"question6_none\">question6<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question6\" id=\"question6_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-1 question-section-id-7 \" data-qid=\"7\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Have you worried about what your body looks like in front of others? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p>Worrying about how your thighs look or if your stomach sticks out when you sit down.<\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class=\"qmn_radio_answers qmn_radio_horizontal_answers mlwRequiredRadio\">\n\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question7\" id=\"question7_1\" value=\"0\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question7_1\">\n\t\t\t\t\t\t\tNever\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question7\" id=\"question7_2\" value=\"1\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question7_2\">\n\t\t\t\t\t\t\tRarely\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question7\" id=\"question7_3\" value=\"2\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question7_3\">\n\t\t\t\t\t\t\tSometimes\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question7\" id=\"question7_4\" value=\"3\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question7_4\">\n\t\t\t\t\t\t\tOften\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question7\" id=\"question7_5\" value=\"4\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question7_5\">\n\t\t\t\t\t\t\tAlmost always\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<label style=\"display: none;\" for=\"question7_none\">question7<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question7\" id=\"question7_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-1 question-section-id-8 \" data-qid=\"8\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Have you felt that your life would be better if your body looked differently? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p>Like things in your life would be easier or you would be happier if you were thinner, more athletic or muscular.<\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class=\"qmn_radio_answers qmn_radio_horizontal_answers mlwRequiredRadio\">\n\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question8\" id=\"question8_1\" value=\"0\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question8_1\">\n\t\t\t\t\t\t\tNever\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question8\" id=\"question8_2\" value=\"1\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question8_2\">\n\t\t\t\t\t\t\tRarely\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question8\" id=\"question8_3\" value=\"2\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question8_3\">\n\t\t\t\t\t\t\tSometimes\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question8\" id=\"question8_4\" value=\"3\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question8_4\">\n\t\t\t\t\t\t\tOften\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question8\" id=\"question8_5\" value=\"4\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question8_5\">\n\t\t\t\t\t\t\tAlmost always\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<label style=\"display: none;\" for=\"question8_none\">question8<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question8\" id=\"question8_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-1 question-section-id-9 \" data-qid=\"9\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Has worry about your body shape made you feel you should exercise in order to change your appearance? <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class=\"qmn_radio_answers qmn_radio_horizontal_answers mlwRequiredRadio\">\n\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question9\" id=\"question9_1\" value=\"0\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question9_1\">\n\t\t\t\t\t\t\tNever\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question9\" id=\"question9_2\" value=\"1\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question9_2\">\n\t\t\t\t\t\t\tRarely\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question9\" id=\"question9_3\" value=\"2\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question9_3\">\n\t\t\t\t\t\t\tSometimes\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question9\" id=\"question9_4\" value=\"3\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question9_4\">\n\t\t\t\t\t\t\tOften\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"mlw_horizontal_choice  mrq_checkbox_class\">\n\t\t\t\t\t\t<input type=\"radio\" class=\"qmn_quiz_radio qmn-multiple-choice-input \" name=\"question9\" id=\"question9_5\" value=\"4\" \/>\n\t\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question9_5\">\n\t\t\t\t\t\t\tAlmost always\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<label style=\"display: none;\" for=\"question9_none\">question9<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question9\" id=\"question9_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section\">\n\t\t\t\t\t\t<div class='qsm-after-message mlw_qmn_message_end'>\n\t\t\t\t\t\t\t<p>If you'd like the results emailed to you, you can optionally enter your email and name before submitting your screening. <\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-text\">\n\t\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_0\">Name<\/label><\/span>\n\t\t\t\t\t\t\t\t<input type='text' class=''  name='contact_field_0' id='contact_field_0'  value=''  placeholder='Name'  \/>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-email\">\n\t\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_1\">Email<\/label><\/span>\n\t\t\t\t\t\t\t\t<input type='email' class='mlwEmail '  name='contact_field_1' id='contact_field_1'  value=''  placeholder='Email'  \/>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t<input type=\"hidden\" name=\"qmn_question_list\" value=\"1Q3Q4Q5Q6Q7Q8Q9Q\" \/>\n\t\t\t\t\t\t\t<div id=\"mlw_error_message_bottom\" class=\"qsm-error-message qmn_error_message_section\"><\/div>\n\t\t\t\t\t<input type=\"hidden\" name=\"qmn_all_questions_count\" id=\"qmn_all_questions_count\" value=\"8\" \/>\n\t\t\t\t\t<input type=\"hidden\" name=\"total_questions\" id=\"total_questions\" value=\"8\" \/>\n\t\t\t\t\t<input type=\"hidden\" name=\"timer\" id=\"timer\" value=\"0\" \/>\n\t\t\t\t\t<input type=\"hidden\" name=\"timer_ms\" id=\"timer_ms\" value=\"0\"\/>\n\t\t\t\t\t<input type=\"hidden\" class=\"qmn_quiz_id\" name=\"qmn_quiz_id\" id=\"qmn_quiz_id\" value=\"1\" \/>\n\t\t\t\t\t<input type='hidden' name='complete_quiz' value='confirmation' \/>\n\t\t\t\t\t\t\t\t\t<\/form>\n\t\t<\/div>\n\t\t<div style=\"display: none;\" class=\"qsm-popup qsm-popup-slide\" id=\"modal-4\" aria-hidden=\"false\"><div class=\"qsm-popup__overlay\" tabindex=\"-1\" data-micromodal-close=\"\"><div class=\"qsm-popup__container qmn_quiz_container\" role=\"dialog\" aria-modal=\"true\"><div 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