{"id":449,"date":"2026-04-02T23:21:29","date_gmt":"2026-04-02T23:21:29","guid":{"rendered":"https:\/\/victorandjulie-wordpress.178.18.244.43.sslip.io\/?page_id=449"},"modified":"2026-06-08T11:43:55","modified_gmt":"2026-06-08T11:43:55","slug":"assessment","status":"publish","type":"page","link":"https:\/\/victorandjulie.com\/index.php\/assessment\/","title":{"rendered":"Assessment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"449\" class=\"elementor elementor-449\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8fe45a4 e-con-full e-flex e-con e-parent\" data-id=\"8fe45a4\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;waves&quot;}\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M421.9,6.5c22.6-2.5,51.5,0.4,75.5,5.3c23.6,4.9,70.9,23.5,100.5,35.7c75.8,32.2,133.7,44.5,192.6,49.7\n\tc23.6,2.1,48.7,3.5,103.4-2.5c54.7-6,106.2-25.6,106.2-25.6V0H0v30.3c0,0,72,32.6,158.4,30.5c39.2-0.7,92.8-6.7,134-22.4\n\tc21.2-8.1,52.2-18.2,79.7-24.2C399.3,7.9,411.6,7.5,421.9,6.5z\"\/>\n<\/svg>\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-207d5ce e-con-full e-flex e-con e-child\" data-id=\"207d5ce\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-48b86f8 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"48b86f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:500}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Personalized Assessment<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b767fe elementor-widget__width-initial elementor-widget-tablet__width-inherit elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"7b767fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:500}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Is your loved one getting the right level of support right now?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc8ebf0 elementor-widget__width-initial elementor-widget-tablet__width-inherit elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"dc8ebf0\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:500}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Answer a few quick questions to receive personalized recommendations, practical next steps and a support toolkit tailored to your current needs<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6bbb4e0 elementor-widget__width-inherit elementor-mobile-align-justify elementor-widget-mobile__width-inherit elementor-invisible elementor-widget elementor-widget-button\" data-id=\"6bbb4e0\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;zoomIn&quot;,&quot;_animation_delay&quot;:600}\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-float\" href=\"#assess\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Start Care Clarity Check<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f2b400 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-invisible elementor-widget elementor-widget-icon-list\" data-id=\"8f2b400\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:500}\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-clock\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8zm0 448c-110.5 0-200-89.5-200-200S145.5 56 256 56s200 89.5 200 200-89.5 200-200 200zm61.8-104.4l-84.9-61.7c-3.1-2.3-4.9-5.9-4.9-9.7V116c0-6.6 5.4-12 12-12h32c6.6 0 12 5.4 12 12v141.7l66.8 48.6c5.4 3.9 6.5 11.4 2.6 16.8L334.6 349c-3.9 5.3-11.4 6.5-16.8 2.6z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Six questions. Three minutes.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7c760c0 e-con-full e-flex e-con e-parent\" data-id=\"7c760c0\" data-element_type=\"container\" data-e-type=\"container\" id=\"assess\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;opacity-fan&quot;}\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 283.5 19.6\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.33\" d=\"M0 0L0 18.8 141.8 4.1 283.5 18.8 283.5 0z\"\/>\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.33\" d=\"M0 0L0 12.6 141.8 4 283.5 12.6 283.5 0z\"\/>\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.33\" d=\"M0 0L0 6.4 141.8 4 283.5 6.4 283.5 0z\"\/>\n\t<path class=\"elementor-shape-fill\" d=\"M0 0L0 1.2 141.8 4 283.5 1.2 283.5 0z\"\/>\n<\/svg>\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-57f380b e-con-full e-flex e-con e-child\" data-id=\"57f380b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f931557 elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"f931557\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInDown&quot;,&quot;_animation_delay&quot;:500}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Clarity Check<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c9a7a7 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"1c9a7a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInDown&quot;,&quot;_animation_delay&quot;:500}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Answer honestly. This reflects real life, not perfection.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-572d036 fluentform-widget-submit-button-right elementor-widget__width-initial elementor-widget-mobile__width-inherit elementor-widget-tablet__width-initial fluent-form-widget-step-progressbar-yes fluentform-widget-submit-button-custom elementor-invisible elementor-widget elementor-widget-fluent-form-widget\" data-id=\"572d036\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:500}\" data-widget_type=\"fluent-form-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n            <div class=\"fluentform-widget-wrapper fluentform-widget-align-center\">\n\n                            <div class=\"fluentform-widget-heading\">\n                                                        <\/div>\n            \n            <div class='fluentform ff-default fluentform_wrapper_4 ffs_default_wrap'><form data-form_id=\"4\" id=\"fluentform_4\" class=\"frm-fluent-form fluent_form_4 ff-el-form-top ff_form_instance_4_1 ff-form-loading ff-form-has-steps ffs_default\" data-form_instance=\"ff_form_instance_4_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Quiz Assessment<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='449' \/><input type=\"hidden\" id=\"_fluentform_4_fluentformnonce\" name=\"_fluentform_4_fluentformnonce\" value=\"0d74e62d26\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/449\" \/><div class='ff-step-container' data-name=\"step_start-4_8\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" data-progress_layout=\"top\" data-progress_indicator=\"progress-bar\" ><div class='ff-step-header ff-step-header--progress'><div class='ff-step-progress-wrap'><div class='ff-el-progress-status' aria-live='polite'><\/div><div class='ff-el-progress'><div role='progressbar' class='ff-el-progress-bar'><span><\/span><\/div><\/div><ul style='display: none' class='ff-el-progress-title'><li>Step 1<\/li><li>Step 2<\/li><li>Step 3<\/li><li>Step 4<\/li><li>Step 5<\/li><li>Step 6<\/li><li>Step 7<\/li><li>Step 8<\/li><\/ul><\/div><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-4_8\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" data-progress_layout=\"top\" data-progress_indicator=\"progress-bar\" ><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"In the past 3 months, how often has your loved one needed reminders or support with everyday tasks like appointments, taking items, or keeping track of plans?\">In the past 3 months, how often has your loved one needed reminders or support with everyday tasks like appointments, taking items, or keeping track of plans?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_c33fcf6cdd0cd0ee19865ca331e6055f'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Never\"  id='input_radio_c33fcf6cdd0cd0ee19865ca331e6055f' aria-label='Never' aria-invalid='false' aria-required=true> <span>Never<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_d268789372b3016f3d98ba72c99c08db'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Occasionally, no impact on daily life\"  id='input_radio_d268789372b3016f3d98ba72c99c08db' aria-label='Occasionally, no impact on daily life' aria-invalid='false' aria-required=true> <span>Occasionally, no impact on daily life<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2d63f9525443a7915ac3655399df3f36'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Weekly, causes some disruption\"  id='input_radio_2d63f9525443a7915ac3655399df3f36' aria-label='Weekly, causes some disruption' aria-invalid='false' aria-required=true> <span>Weekly, causes some disruption<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_49ab2acf9e7a4926cb5674aec0eba937'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Daily, needs regular support\"  id='input_radio_49ab2acf9e7a4926cb5674aec0eba937' aria-label='Daily, needs regular support' aria-invalid='false' aria-required=true> <span>Daily, needs regular support<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_57218656eb5db2f866c82ff649f15cf0'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Fully dependent on others\"  id='input_radio_57218656eb5db2f866c82ff649f15cf0' aria-label='Fully dependent on others' aria-invalid='false' aria-required=true> <span>Fully dependent on others<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-4_1\" ><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"How confident do you feel about their safety when they are alone at home?\">How confident do you feel about their safety when they are alone at home?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_00fc72335e0d040eb034fbac3069d9d7'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Fully confident\"  id='input_radio_1_00fc72335e0d040eb034fbac3069d9d7' aria-label='Fully confident' aria-invalid='false' aria-required=true> <span>Fully confident<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_af7101767c120f65ca300ce0f9ff0e9b'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Mostly confident with small concerns\"  id='input_radio_1_af7101767c120f65ca300ce0f9ff0e9b' aria-label='Mostly confident with small concerns' aria-invalid='false' aria-required=true> <span>Mostly confident with small concerns<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_58c0602434d1295eff312bda44f6900c'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Some concerns, needs occasional checking\"  id='input_radio_1_58c0602434d1295eff312bda44f6900c' aria-label='Some concerns, needs occasional checking' aria-invalid='false' aria-required=true> <span>Some concerns, needs occasional checking<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_6e9ae737df3c26475bed04f236ccfc59'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Frequent concerns, needs regular supervision\"  id='input_radio_1_6e9ae737df3c26475bed04f236ccfc59' aria-label='Frequent concerns, needs regular supervision' aria-invalid='false' aria-required=true> <span>Frequent concerns, needs regular supervision<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_c76b33699e5f52746fc4354314bef7f9'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Not safe to be alone\"  id='input_radio_1_c76b33699e5f52746fc4354314bef7f9' aria-label='Not safe to be alone' aria-invalid='false' aria-required=true> <span>Not safe to be alone<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-4_2\" ><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Over the past 6 months, have there been any concerns about handling money, payments, or responding to calls or messages about finances?\">Over the past 6 months, have there been any concerns about handling money, payments, or responding to calls or messages about finances?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_6654f569ff5eceecd6f1a6d370252f9f'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No concerns\"  id='input_radio_2_6654f569ff5eceecd6f1a6d370252f9f' aria-label='No concerns' aria-invalid='false' aria-required=true> <span>No concerns<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_ef386748b66d87bedcda136f949f5f20'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Small mistakes, quickly corrected\"  id='input_radio_2_ef386748b66d87bedcda136f949f5f20' aria-label='Small mistakes, quickly corrected' aria-invalid='false' aria-required=true> <span>Small mistakes, quickly corrected<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_ec469de386dc5e0691926977dda2b10e'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Repeated confusion or missed payments\"  id='input_radio_2_ec469de386dc5e0691926977dda2b10e' aria-label='Repeated confusion or missed payments' aria-invalid='false' aria-required=true> <span>Repeated confusion or missed payments<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_14bd08e7520040a9354f3deb4b3d9160'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"At risk of being taken advantage of\"  id='input_radio_2_14bd08e7520040a9354f3deb4b3d9160' aria-label='At risk of being taken advantage of' aria-invalid='false' aria-required=true> <span>At risk of being taken advantage of<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_2da016e94f66a070d5110edb59fd2a61'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Someone else now manages finances\"  id='input_radio_2_2da016e94f66a070d5110edb59fd2a61' aria-label='Someone else now manages finances' aria-invalid='false' aria-required=true> <span>Someone else now manages finances<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-4_3\" ><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Which of the following best describes your current situation around future planning (wills, power of attorney, decision making)?\">Which of the following best describes your current situation around future planning (wills, power of attorney, decision making)?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_3b6aeee393f450e24aaabc358f84968b'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Everything is clearly arranged\"  id='input_radio_3_3b6aeee393f450e24aaabc358f84968b' aria-label='Everything is clearly arranged' aria-invalid='false' aria-required=true> <span>Everything is clearly arranged<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_cab83f86b07e3dda2161a2d3103b1c07'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Some plans in place\"  id='input_radio_3_cab83f86b07e3dda2161a2d3103b1c07' aria-label='Some plans in place' aria-invalid='false' aria-required=true> <span>Some plans in place<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_918fb253a63ebfc6bc4348537a128719'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Thought about it, not yet arranged\"  id='input_radio_3_918fb253a63ebfc6bc4348537a128719' aria-label='Thought about it, not yet arranged' aria-invalid='false' aria-required=true> <span>Thought about it, not yet arranged<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_ad7f1fc5f4e26e4d0cce157395de19d0'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Urgent need to put plans in place\"  id='input_radio_3_ad7f1fc5f4e26e4d0cce157395de19d0' aria-label='Urgent need to put plans in place' aria-invalid='false' aria-required=true> <span>Urgent need to put plans in place<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_f44e080a120ee219e914822ded52c0b1'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Decisions already being made by others\"  id='input_radio_3_f44e080a120ee219e914822ded52c0b1' aria-label='Decisions already being made by others' aria-invalid='false' aria-required=true> <span>Decisions already being made by others<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-4_4\" ><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Have you noticed any changes in mood, behaviour, or how they relate to others?\">Have you noticed any changes in mood, behaviour, or how they relate to others?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_13a0879f15a8af904953b680fa24bb52'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No changes\"  id='input_radio_4_13a0879f15a8af904953b680fa24bb52' aria-label='No changes' aria-invalid='false' aria-required=true> <span>No changes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_e66211e3fa11b5545ad864125f2295ef'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Mild changes, manageable\"  id='input_radio_4_e66211e3fa11b5545ad864125f2295ef' aria-label='Mild changes, manageable' aria-invalid='false' aria-required=true> <span>Mild changes, manageable<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_02419a13fa76e3d84dc8dd7be34ef714'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Noticeable changes affecting relationships\"  id='input_radio_4_02419a13fa76e3d84dc8dd7be34ef714' aria-label='Noticeable changes affecting relationships' aria-invalid='false' aria-required=true> <span>Noticeable changes affecting relationships<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_1cedcd74ffa36a3d65f7415a75690898'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Frequent distress or difficult situations\"  id='input_radio_4_1cedcd74ffa36a3d65f7415a75690898' aria-label='Frequent distress or difficult situations' aria-invalid='false' aria-required=true> <span>Frequent distress or difficult situations<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_3782d2cff75d9d139e4231645091a6bc'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Requires ongoing support to manage situations\"  id='input_radio_4_3782d2cff75d9d139e4231645091a6bc' aria-label='Requires ongoing support to manage situations' aria-invalid='false' aria-required=true> <span>Requires ongoing support to manage situations<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-4_5\" ><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"How are you coping with the demands of supporting them?\">How are you coping with the demands of supporting them?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_b7b6d3dc9026e03403207c7f50d44a4b'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Fully in control\"  id='input_radio_5_b7b6d3dc9026e03403207c7f50d44a4b' aria-label='Fully in control' aria-invalid='false' aria-required=true> <span>Fully in control<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_cef3a9e6109b4eb9b4f35eb1662336f1'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Managing with some strain\"  id='input_radio_5_cef3a9e6109b4eb9b4f35eb1662336f1' aria-label='Managing with some strain' aria-invalid='false' aria-required=true> <span>Managing with some strain<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_f9b17eccff3a8f8805ad0c5f9f3f716b'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Often overwhelmed\"  id='input_radio_5_f9b17eccff3a8f8805ad0c5f9f3f716b' aria-label='Often overwhelmed' aria-invalid='false' aria-required=true> <span>Often overwhelmed<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_66fc98c5302b83b10f88ad3a26a574ba'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Struggling most days\"  id='input_radio_5_66fc98c5302b83b10f88ad3a26a574ba' aria-label='Struggling most days' aria-invalid='false' aria-required=true> <span>Struggling most days<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_4eeadbbb78385a4267c58746f8354fc3'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Burnt out, need urgent support\"  id='input_radio_5_4eeadbbb78385a4267c58746f8354fc3' aria-label='Burnt out, need urgent support' aria-invalid='false' 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