{"id":1470,"date":"2020-05-01T10:39:22","date_gmt":"2020-05-01T15:39:22","guid":{"rendered":"https:\/\/firstfiveems.com\/test4128\/?page_id=1470"},"modified":"2021-08-21T10:38:11","modified_gmt":"2021-08-21T15:38:11","slug":"covidhealth","status":"publish","type":"page","link":"https:\/\/firstfiveems.com\/test4128\/covidhealth\/","title":{"rendered":"Covid19health"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1470\" class=\"elementor elementor-1470\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5b32c58d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5b32c58d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5ba5725a\" data-id=\"5ba5725a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f1944e4 elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-image\" data-id=\"f1944e4\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;bounceIn&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"\/home\">\n\t\t\t\t\t\t\t<img width=\"300\" height=\"294\" src=\"https:\/\/firstfiveems.com\/test4128\/wp-content\/uploads\/2021\/08\/FF-New-logo-Blk-Patch-300x294.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/firstfiveems.com\/test4128\/wp-content\/uploads\/2021\/08\/FF-New-logo-Blk-Patch-300x294.jpg 300w, https:\/\/firstfiveems.com\/test4128\/wp-content\/uploads\/2021\/08\/FF-New-logo-Blk-Patch-1024x1004.jpg 1024w, https:\/\/firstfiveems.com\/test4128\/wp-content\/uploads\/2021\/08\/FF-New-logo-Blk-Patch-768x753.jpg 768w, https:\/\/firstfiveems.com\/test4128\/wp-content\/uploads\/2021\/08\/FF-New-logo-Blk-Patch.jpg 1389w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-fc41e72\" data-id=\"fc41e72\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-671b58fe elementor-widget elementor-widget-heading\" data-id=\"671b58fe\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">COVID-19 HEALTH FORM<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3e7b507c elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"3e7b507c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-799d3e69\" data-id=\"799d3e69\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-27b155da elementor-widget__width-inherit elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"27b155da\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6b5270ad elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"6b5270ad\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-145fba74\" data-id=\"145fba74\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-513dc31 elementor-hidden-phone elementor-widget elementor-widget-shortcode\" data-id=\"513dc31\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\r\n<style type=\"text\/css\">\r\n\r\n\r\n\r\n\tbody #wpforms-1469 .wpforms-head-container .wpforms-title {\r\n\t\t}\r\n\r\n\r\n\r\n\tbody #wpforms-1469 .wpforms-submit-container .wpforms-submit, body #wpforms-1469 .wpforms-field-pagebreak button.wpforms-page-button {\r\n\t\tfont-weight: bold;text-transform: uppercase;font-weight: bold;text-transform: uppercase;background-color:#eeee22 ;font-size:30px;\t\tborder-width: 0px;\t}\r\n\tbody #wpforms-1469 .wpforms-submit-container .wpforms-submit:hover, body #wpforms-1469 .wpforms-field-pagebreak button.wpforms-page-button:hover {\r\n\tbackground-color:#dd3333;\t\t}\r\n\tbody #wpforms-1469 .wpforms-submit-container,body #wpforms-1469 .wpforms-field-pagebreak .wpforms-pagebreak-left{\r\n\t\t}\r\n\r\n\r\n\r\n\r\n\r\n\r\n \r\n\tbody #wpforms-1469 .wpforms-form .wpforms-field .wpforms-field-description {\r\n\r\n\t\t\t}\r\n \r\n\tbody #wpforms-1469 .wpforms-form .wpforms-field label.wpforms-field-label {\r\n\t\tcolor:#ffffff ;font-size:20px;\t}\r\n\r\n\/* Styling for Tablets *\/\r\n@media only screen and (max-width: 800px) and (min-width:481px) {\r\n\t\r\n\r\n\r\n\t   body #wpforms-1469 .wpforms-submit-container .wpforms-submit,body #wpforms-1469 .wpforms-field-pagebreak button.wpforms-page-button {\r\n\t\t font-size:30px ;\t\t}     \r\n\t   body #wpforms-1469 .wpforms-form .wpforms-field label.wpforms-field-label{\r\n\t\t font-size:20px ;\t\t}       \r\n\r\n}\r\n\r\n@media only screen and (max-width: 480px){\r\n\t\r\n\r\n\r\n\tbody #wpforms-1469 .wpforms-submit-container .wpforms-submit, body #wpforms-1469 .wpforms-field-pagebreak button.wpforms-page-button {\r\n\t\tfont-size:15px ;\t\t}\r\n\t   body #wpforms-1469 .wpforms-form .wpforms-field label.wpforms-field-label{\r\n\t\t font-size:12px ;\t\t}       \r\n\r\n}\r\n\/*Option to add custom CSS *\/\r\n\r\n\r\n\r\n\r\n\t\t<\/style>\r\n\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1469\"><form id=\"wpforms-form-1469\" class=\"wpforms-validate wpforms-form\" data-formid=\"1469\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/test4128\/wp-json\/wp\/v2\/pages\/1470\" data-token=\"2258d48b5cca750a31c444c0b67ef775\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1469-field_18-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_18\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1469-field_18\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][18][first]\" placeholder=\"First\" required><label for=\"wpforms-1469-field_18\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1469-field_18-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][18][last]\" placeholder=\"Last\" required><label for=\"wpforms-1469-field_18-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1469-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_16\">Student\/Employee ID Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1469-field_16\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/div><div id=\"wpforms-1469-field_20-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_20\">Are you in good health? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1469-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_20_1\" name=\"wpforms[fields][20]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_20_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_20_2\" name=\"wpforms[fields][20]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_20_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-1469-field_21-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_21\">Do you think you have a temperature above 100 degrees? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1469-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_21_1\" name=\"wpforms[fields][21]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_21_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_21_2\" name=\"wpforms[fields][21]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_21_2\">No<\/label><\/li><\/ul><div class=\"wpforms-field-description\">You can still report to work\/school as long as your temperature is below 100.0, and no subjective fever or any other signs of illness.<\/div><\/div><div id=\"wpforms-1469-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_17\">What is your temperature?<\/label><input type=\"text\" id=\"wpforms-1469-field_17\" class=\"wpforms-field-small\" name=\"wpforms[fields][17]\" ><div class=\"wpforms-field-description\">You can still report to work\/school as long as you temperature is below 100.0, and no subjective fever or any other signs of illness.<\/div><\/div><div id=\"wpforms-1469-field_22-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_22\">Have you been feeling sick? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1469-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_22_1\" name=\"wpforms[fields][22]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_22_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_22_2\" name=\"wpforms[fields][22]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_22_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-1469-field_9-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-one-half wpforms-first\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_9\">Do you have any of the following symptoms?<\/label><ul id=\"wpforms-1469-field_9\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_9_1\" name=\"wpforms[fields][9][]\" value=\"Cough\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_9_1\">Cough<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_9_2\" name=\"wpforms[fields][9][]\" value=\"Sore Throat\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_9_2\">Sore Throat<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_9_3\" name=\"wpforms[fields][9][]\" value=\"Shortness of Breath\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_9_3\">Shortness of Breath<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_9_4\" name=\"wpforms[fields][9][]\" value=\"Congested\/Runny Nose*\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_9_4\">Congested\/Runny Nose*<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_9_6\" name=\"wpforms[fields][9][]\" value=\"Chills\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_9_6\">Chills<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_9_5\" name=\"wpforms[fields][9][]\" value=\"Unexplained Muscle Aches\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_9_5\">Unexplained Muscle Aches<\/label><\/li><\/ul><div class=\"wpforms-field-description\">*different from pre-existing allergies<\/div><\/div><div id=\"wpforms-1469-field_12-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-one-half\" data-field-id=\"12\"><ul id=\"wpforms-1469-field_12\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_12_1\" name=\"wpforms[fields][12][]\" value=\"Headaches\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_12_1\">Headaches<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_12_2\" name=\"wpforms[fields][12][]\" value=\"Unexplained Fatigue\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_12_2\">Unexplained Fatigue<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_12_3\" name=\"wpforms[fields][12][]\" value=\"Abdominal Pain\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_12_3\">Abdominal Pain<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_12_4\" name=\"wpforms[fields][12][]\" value=\"Nausea or Vomitting\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_12_4\">Nausea or Vomitting<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_12_6\" name=\"wpforms[fields][12][]\" value=\"Diarrhea\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_12_6\">Diarrhea<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_12_5\" name=\"wpforms[fields][12][]\" value=\"Loss of Smell or Taste\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_12_5\">Loss of Smell or Taste<\/label><\/li><\/ul><\/div><div id=\"wpforms-1469-field_23-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_23\">Have YOU tested postive for COVID-19 in the last 30 days? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1469-field_23\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_23_1\" name=\"wpforms[fields][23]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_23_1\">No<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_23_2\" name=\"wpforms[fields][23]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_23_2\">Yes<\/label><\/li><\/ul><\/div><div id=\"wpforms-1469-field_24-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"24\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_24\">What date did YOU test positive for COVID-19?<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1469-field_24\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][24][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-1469-field_25-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_25\">Has ANYONE YOU LIVE WITH tested positive for COVID-19 in the last 30 days?<\/label><ul id=\"wpforms-1469-field_25\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_25_1\" name=\"wpforms[fields][25]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_25_1\">No<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_25_2\" name=\"wpforms[fields][25]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_25_2\">Yes<\/label><\/li><\/ul><\/div><div id=\"wpforms-1469-field_26-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"26\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_26\">Are you self quarantined?<\/label><ul id=\"wpforms-1469-field_26\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_26_1\" name=\"wpforms[fields][26]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_26_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_26_2\" name=\"wpforms[fields][26]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_26_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-1469-field_27-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"27\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_27\">Date YOU started your self-quarantine?<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1469-field_27\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][27][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-1469-field_15-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_15\">Other Health Issues<\/label><textarea id=\"wpforms-1469-field_15\" class=\"wpforms-field-small\" name=\"wpforms[fields][15]\" ><\/textarea><\/div><div id=\"wpforms-1469-field_19-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_19\">Contact Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-1469-field_19\" class=\"wpforms-field-small wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-1469-field_14-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_14\">Signature <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-signature-wrap wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-1469-field_14-signature\" data-color=\"#000000\"><\/canvas><button class=\"wpforms-signature-clear\" title=\"Clear Signature\">Clear Signature<\/button><\/div><input type=\"text\" id=\"wpforms-1469-field_14\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" name=\"wpforms[fields][14]\" required><\/div><\/div><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-1469-field-hp\" class=\"wpforms-field-label\">Name<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-1469-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"1469\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"2\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1469\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4172d98 elementor-hidden-desktop elementor-hidden-tablet elementor-widget elementor-widget-shortcode\" data-id=\"4172d98\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\r\n<style type=\"text\/css\">\r\n\r\n\r\n\r\n\tbody #wpforms-1469 .wpforms-head-container .wpforms-title {\r\n\t\t}\r\n\r\n\r\n\r\n\tbody #wpforms-1469 .wpforms-submit-container .wpforms-submit, body #wpforms-1469 .wpforms-field-pagebreak button.wpforms-page-button {\r\n\t\tfont-weight: bold;text-transform: uppercase;font-weight: bold;text-transform: uppercase;background-color:#eeee22 ;font-size:30px;\t\tborder-width: 0px;\t}\r\n\tbody #wpforms-1469 .wpforms-submit-container .wpforms-submit:hover, body #wpforms-1469 .wpforms-field-pagebreak button.wpforms-page-button:hover {\r\n\tbackground-color:#dd3333;\t\t}\r\n\tbody #wpforms-1469 .wpforms-submit-container,body #wpforms-1469 .wpforms-field-pagebreak .wpforms-pagebreak-left{\r\n\t\t}\r\n\r\n\r\n\r\n\r\n\r\n\r\n \r\n\tbody #wpforms-1469 .wpforms-form .wpforms-field .wpforms-field-description {\r\n\r\n\t\t\t}\r\n \r\n\tbody #wpforms-1469 .wpforms-form .wpforms-field label.wpforms-field-label {\r\n\t\tcolor:#ffffff ;font-size:20px;\t}\r\n\r\n\/* Styling for Tablets *\/\r\n@media only screen and (max-width: 800px) and (min-width:481px) {\r\n\t\r\n\r\n\r\n\t   body #wpforms-1469 .wpforms-submit-container .wpforms-submit,body #wpforms-1469 .wpforms-field-pagebreak button.wpforms-page-button {\r\n\t\t font-size:30px ;\t\t}     \r\n\t   body #wpforms-1469 .wpforms-form .wpforms-field label.wpforms-field-label{\r\n\t\t font-size:20px ;\t\t}       \r\n\r\n}\r\n\r\n@media only screen and (max-width: 480px){\r\n\t\r\n\r\n\r\n\tbody #wpforms-1469 .wpforms-submit-container .wpforms-submit, body #wpforms-1469 .wpforms-field-pagebreak button.wpforms-page-button {\r\n\t\tfont-size:15px ;\t\t}\r\n\t   body #wpforms-1469 .wpforms-form .wpforms-field label.wpforms-field-label{\r\n\t\t font-size:12px ;\t\t}       \r\n\r\n}\r\n\/*Option to add custom CSS *\/\r\n\r\n\r\n\r\n\r\n\t\t<\/style>\r\n\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1469\"><form id=\"wpforms-form-1469\" class=\"wpforms-validate wpforms-form\" data-formid=\"1469\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/test4128\/wp-json\/wp\/v2\/pages\/1470\" data-token=\"2258d48b5cca750a31c444c0b67ef775\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1469-field_18-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_18\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1469-field_18\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][18][first]\" placeholder=\"First\" required><label for=\"wpforms-1469-field_18\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1469-field_18-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][18][last]\" placeholder=\"Last\" required><label for=\"wpforms-1469-field_18-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1469-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_16\">Student\/Employee ID Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1469-field_16\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/div><div id=\"wpforms-1469-field_20-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_20\">Are you in good health? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1469-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_20_1\" name=\"wpforms[fields][20]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_20_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_20_2\" name=\"wpforms[fields][20]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_20_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-1469-field_21-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_21\">Do you think you have a temperature above 100 degrees? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1469-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_21_1\" name=\"wpforms[fields][21]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_21_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_21_2\" name=\"wpforms[fields][21]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_21_2\">No<\/label><\/li><\/ul><div class=\"wpforms-field-description\">You can still report to work\/school as long as your temperature is below 100.0, and no subjective fever or any other signs of illness.<\/div><\/div><div id=\"wpforms-1469-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_17\">What is your temperature?<\/label><input type=\"text\" id=\"wpforms-1469-field_17\" class=\"wpforms-field-small\" name=\"wpforms[fields][17]\" ><div class=\"wpforms-field-description\">You can still report to work\/school as long as you temperature is below 100.0, and no subjective fever or any other signs of illness.<\/div><\/div><div id=\"wpforms-1469-field_22-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_22\">Have you been feeling sick? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1469-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_22_1\" name=\"wpforms[fields][22]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_22_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_22_2\" name=\"wpforms[fields][22]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_22_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-1469-field_9-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-one-half wpforms-first\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_9\">Do you have any of the following symptoms?<\/label><ul id=\"wpforms-1469-field_9\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_9_1\" name=\"wpforms[fields][9][]\" value=\"Cough\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_9_1\">Cough<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_9_2\" name=\"wpforms[fields][9][]\" value=\"Sore Throat\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_9_2\">Sore Throat<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_9_3\" name=\"wpforms[fields][9][]\" value=\"Shortness of Breath\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_9_3\">Shortness of Breath<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_9_4\" name=\"wpforms[fields][9][]\" value=\"Congested\/Runny Nose*\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_9_4\">Congested\/Runny Nose*<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_9_6\" name=\"wpforms[fields][9][]\" value=\"Chills\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_9_6\">Chills<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_9_5\" name=\"wpforms[fields][9][]\" value=\"Unexplained Muscle Aches\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_9_5\">Unexplained Muscle Aches<\/label><\/li><\/ul><div class=\"wpforms-field-description\">*different from pre-existing allergies<\/div><\/div><div id=\"wpforms-1469-field_12-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-one-half\" data-field-id=\"12\"><ul id=\"wpforms-1469-field_12\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_12_1\" name=\"wpforms[fields][12][]\" value=\"Headaches\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_12_1\">Headaches<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_12_2\" name=\"wpforms[fields][12][]\" value=\"Unexplained Fatigue\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_12_2\">Unexplained Fatigue<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_12_3\" name=\"wpforms[fields][12][]\" value=\"Abdominal Pain\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_12_3\">Abdominal Pain<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_12_4\" name=\"wpforms[fields][12][]\" value=\"Nausea or Vomitting\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_12_4\">Nausea or Vomitting<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_12_6\" name=\"wpforms[fields][12][]\" value=\"Diarrhea\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_12_6\">Diarrhea<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-1469-field_12_5\" name=\"wpforms[fields][12][]\" value=\"Loss of Smell or Taste\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_12_5\">Loss of Smell or Taste<\/label><\/li><\/ul><\/div><div id=\"wpforms-1469-field_23-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_23\">Have YOU tested postive for COVID-19 in the last 30 days? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1469-field_23\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_23_1\" name=\"wpforms[fields][23]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_23_1\">No<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_23_2\" name=\"wpforms[fields][23]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_23_2\">Yes<\/label><\/li><\/ul><\/div><div id=\"wpforms-1469-field_24-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"24\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_24\">What date did YOU test positive for COVID-19?<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1469-field_24\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][24][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-1469-field_25-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_25\">Has ANYONE YOU LIVE WITH tested positive for COVID-19 in the last 30 days?<\/label><ul id=\"wpforms-1469-field_25\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_25_1\" name=\"wpforms[fields][25]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_25_1\">No<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_25_2\" name=\"wpforms[fields][25]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_25_2\">Yes<\/label><\/li><\/ul><\/div><div id=\"wpforms-1469-field_26-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"26\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_26\">Are you self quarantined?<\/label><ul id=\"wpforms-1469-field_26\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_26_1\" name=\"wpforms[fields][26]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_26_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1469-field_26_2\" name=\"wpforms[fields][26]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1469-field_26_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-1469-field_27-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"27\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_27\">Date YOU started your self-quarantine?<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1469-field_27\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][27][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-1469-field_15-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_15\">Other Health Issues<\/label><textarea id=\"wpforms-1469-field_15\" class=\"wpforms-field-small\" name=\"wpforms[fields][15]\" ><\/textarea><\/div><div id=\"wpforms-1469-field_19-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_19\">Contact Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-1469-field_19\" class=\"wpforms-field-small wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-1469-field_14-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-1469-field_14\">Signature <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-signature-wrap wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-1469-field_14-signature\" data-color=\"#000000\"><\/canvas><button class=\"wpforms-signature-clear\" title=\"Clear Signature\">Clear Signature<\/button><\/div><input type=\"text\" id=\"wpforms-1469-field_14\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" name=\"wpforms[fields][14]\" required><\/div><\/div><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-1469-field-hp\" class=\"wpforms-field-label\">Name<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-1469-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"1469\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"2\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1469\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-35b7060c elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"35b7060c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3e74d7df\" data-id=\"3e74d7df\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4b11dd14 elementor-widget elementor-widget-image\" data-id=\"4b11dd14\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"\/\">\n\t\t\t\t\t\t\t<img width=\"246\" height=\"56\" src=\"https:\/\/firstfiveems.com\/test4128\/wp-content\/uploads\/2019\/09\/Home.png\" class=\"attachment-large size-large\" alt=\"\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5fd15b9c elementor-widget__width-inherit elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"5fd15b9c\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-193100c2 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"193100c2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1f2041ac\" data-id=\"1f2041ac\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-76e0a1e elementor-widget elementor-widget-heading\" data-id=\"76e0a1e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Contact<\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-229ab662 elementor-widget elementor-widget-heading\" data-id=\"229ab662\" data-element_type=\"widget\" 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