https://mdanderson.co1.qualtrics.com/jfe/form/SV_agC1iqvpcBUULTD?Q_DL=utgUEmAV8kJlRUj_agC1iqvpcBUULTD_MLRP_bmcmlY8Y2KLNQd8&Q_CHL=email

Last Checked: Apr 18, 2022, 15:36 EDT

IP Address: 104.87.4.150
ASN #: AS16625 AKAMAI-AS, US
Location: Unknown, Unknown, Unknown
URL Reputation:
  • Unknown This URL is not identified as malicious in the PhishTank Database.
  • Unknown PhishCheck thinks this URL is likely not a phish.
  • Unknown OpenPhish: URL not in feed.

Other submissions on 104.87.4.150:

  • http://bwgstrategy.az1.qualtrics.com/

  • https://paypalxm.sjc1.qualtrics.com/

  • https://tmw.qualtrics.com/CP/Register.php?OptOut=true&RID=CGC_nMjroaVWCZdGnh5&LID=GR_6FmnB1YhxxtoyS9&DID=EMD_PtFSdlL10Yu0lpm&BT=dG13&_=1

  • https://livevox.co1.qualtrics.com/jfe/form/SV_b4akSIdjJ6DIv66?Q_DL=hB5Yt2fhe20QcCC_b4akSIdjJ6DIv66_MLRP_dpzs252hjfmO4MS&Q_CHL=email

  • https://livevox.co1.qualtrics.com/jfe/form/SV_b4akSIdjJ6DIv66?Q_DL=hB5Yt2fhe20QcCC_b4akSIdjJ6DIv66_MLRP_9mKiTAshpcluhpA&Q_CHL=email

  • https://livevox.co1.qualtrics.com/jfe/form/SV_b4akSIdjJ6DIv66?Q_DL=3TbWe5poXMpf94f_b4akSIdjJ6DIv66_MLRP_0Uic6nQlAoYzqqW&Q_CHL=email

  • https://livevox.co1.qualtrics.com/jfe/form/SV_b4akSIdjJ6DIv66?Q_DL=hGnuPsAjves8ItG_b4akSIdjJ6DIv66_MLRP_bOb8qr9rNpiQSh0&Q_CHL=email

  • http://az1.qualtrics.com/

  • https://livevox.co1.qualtrics.com/jfe/form/SV_b4akSIdjJ6DIv66?Q_DL=3DHfwZ3VlB3NAbR_b4akSIdjJ6DIv66_MLRP_4UVRGfby13KhTVQ&Q_CHL=email

  • https://attcx.sjc1.qualtrics.com/jfe/form/SV_bNpL8gH1peRrc5U?ctn=2607504634

Other submissions on qualtrics.com:

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  • http://intuitsocial.az1.qualtrics.com/

  • http://intuitsocial.az1.qualtrics.com/

  • http://intuitsocial.az1.qualtrics.com/

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Previous checks:

                               Domain Name: qualtrics.com
Registry Domain ID: D18999466-COM
Registrar WHOIS Server: whois.eurodns.com
Registrar URL: http://www.eurodns.com
Updated Date: 2021-08-12T20:03:56Z
Creation Date: 2000-03-30T00:00:00Z
Registrar Registration Expiration Date: 2022-10-01T00:00:00Z
Registrar: Eurodns S.A.
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Registrar Abuse Contact Email: legalservices@eurodns.com
Registrar Abuse Contact Phone: +352.27220150
Domain Status: clientTransferProhibited http://www.icann.org/epp#clientTransferProhibited
Registry Registrant ID: 
Registrant Name: Operations Network
Registrant Organization: Qualtrics
Registrant Street: 333 W River Park Dr
Registrant City: Provo
Registrant State/Province:
Registrant Postal Code: 84604
Registrant Country: US
Registrant Phone: +1.8017902169
Registrant Fax: 
Registrant Email: netops@qualtrics.com
Registry Admin ID: 
Admin Name: Operations Network
Admin Organization: Qualtrics
Admin Street: 333 W River Park Dr
Admin City: Provo
Admin State/Province:
Admin Postal Code: 84604
Admin Country: US
Admin Phone: +1.8017902169
Admin Fax: 
Admin Email: netops@qualtrics.com
Registry Tech ID: 
Tech Name: Operations Network
Tech Organization: Qualtrics
Tech Street: 333 W River Park Dr
Tech City: Provo
Tech State/Province:
Tech Postal Code: 84604
Tech Country: US
Tech Phone: +1.8017902169
Tech Fax: 
Tech Email: netops@qualtrics.com
Name Server: dns1.p01.nsone.net
Name Server: dns2.p01.nsone.net
Name Server: dns3.p01.nsone.net
Name Server: dns4.p01.nsone.net
Name Server: pdns111.ultradns.biz
Name Server: pdns111.ultradns.com
Name Server: pdns111.ultradns.net
Name Server: pdns111.ultradns.org
DNSSEC: unsigned
URL of the ICANN Whois Inaccuracy Complaint Form: https://www.icann.org/wicf/
>>> Last update of WHOIS database: 2022-04-18T19:36:06Z <<<

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    200 OK

    https://tracking-protection.cdn.mozilla.net/block-flashsubdoc-digest256/1604686195

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    200 OK

    http://detectportal.firefox.com/canonical.html

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    200 OK

    https://mdanderson.co1.qualtrics.com/jfe/form/SV_agC1iqvpcBUULTD?Q_DL=utgUEmAV8kJlRUj_agC1iqvpcBUULTD_MLRP_bmcmlY8Y2KLNQd8&Q_CHL=email

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    https://tracking-protection.cdn.mozilla.net/except-flashsubdoc-digest256/1517935265

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    http://detectportal.firefox.com/success.txt?ipv4

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    200 OK

    http://detectportal.firefox.com/success.txt?ipv6

  • GET
    200 OK

    http://detectportal.firefox.com/canonical.html

  • GET
    200 OK

    http://detectportal.firefox.com/success.txt?ipv4

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    200 OK

    https://tracking-protection.cdn.mozilla.net/base-fingerprinting-track-digest256/1645727676

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    200 OK

    http://detectportal.firefox.com/success.txt?ipv6

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    https://tracking-protection.cdn.mozilla.net/base-cryptomining-track-digest256/1604686195

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    https://tracking-protection.cdn.mozilla.net/social-tracking-protection-facebook-digest256/1604686195

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    200 OK

    https://tracking-protection.cdn.mozilla.net/social-tracking-protection-linkedin-digest256/1564526481

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    200 OK

    https://tracking-protection.cdn.mozilla.net/social-tracking-protection-twitter-digest256/1604686195

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    200 OK

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    https://mdanderson.co1.qualtrics.com/jfe/themes/base-css/basestylesv2/version-1601327546032-d31537/files/bottomshadow.png

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    https://mdanderson.co1.qualtrics.com/jfe/static/dist/c/matrix.e403b8ac7abc645e41c4.js

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    https://mdanderson.co1.qualtrics.com/jfe/static/dist/c/db.0de5ebd22e5fb37bd752.js

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    https://mdanderson.co1.qualtrics.com/WRQualtricsShared/Brands/mdanderson/favicon.ico

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					<div id="Questions" role="main"><div id="QID32Separator" class="Separator" data-runtime-show="runtime.SeparatorDisplayed"></div><div class="QuestionOuter BorderColor DB  QID32" id="QID32" questionid="QID32" posttag="QID32" data-runtime-remove-class-hidden="runtime.Displayed"> <div id="QR~QID32~VALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.ErrorMsg" data-runtime-html="runtime.ErrorMsg" style="display: none;"></div> <div id="QR~QID32~SDPVALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.PDPErrorMsg" data-runtime-html="runtime.PDPErrorMsg" style="display: none;"></div> <div class="Inner BorderColor TB"> <div class="InnerInner BorderColor">  <div class="QuestionText BorderColor"><strong>INSTRUCTIONS: </strong>The Centers for Medicare &amp; Medicaid Services now requires a counseling and shared decision making visit with a decision aid for patients considering lung cancer screening. Please indicate your level of agreement to the statements below regarding the required counseling and shared decision making visit for lung cancer screening.</div><div class="QuestionBody"></div>  </div> </div>  </div><div id="QID10Separator" class="Separator" data-runtime-show="runtime.SeparatorDisplayed"></div><div class="QuestionOuter BorderColor Matrix mf QID10" id="QID10" questionid="QID10" posttag="QID10" data-runtime-remove-class-hidden="runtime.Displayed"> <div id="QR~QID10~VALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.ErrorMsg" data-runtime-html="runtime.ErrorMsg" style="display: none;"></div> <div id="QR~QID10~SDPVALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.PDPErrorMsg" data-runtime-html="runtime.PDPErrorMsg" style="display: none;"></div> <div class="Inner BorderColor Likert"> <div class="InnerInner BorderColor SingleAnswer"> <fieldset aria-describedby="QR~QID10~VALIDATION QR~QID10~SDPVALIDATION">  <legend> <label class="QuestionText BorderColor"><strong>AIM</strong></label></legend><div class="QuestionBody  q-matrix desktop"> <table class="ChoiceStructure" cellspacing="0" cellpadding="0"> <caption class="QuestionText BorderColor"><strong>AIM</strong></caption>  <thead>  <tr class="Answers" aria-hidden="true">  <td class="c1 BorderColor" width="25%">  &nbsp;  </td>    <th scope="col" class="Selection BorderColor c4" id="header~QID10~1~4" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Completely disagree</span>  </span> </th>  <th scope="col" class="Selection BorderColor c5" id="header~QID10~2~5" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Disagree</span>  </span> </th>  <th scope="col" class="Selection BorderColor c6" id="header~QID10~3~6" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Neither agree nor disagree</span>  </span> </th>  <th scope="col" class="Selection BorderColor c7" id="header~QID10~4~7" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Agree</span>  </span> </th>  <th scope="col" class="Selection BorderColor c8 last" id="header~QID10~5~8" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Completely agree</span>  </span> </th>  </tr> </thead>  <tbody>       <tr class="ChoiceRow  "> <th scope="row" class="c1" id="header~QID10~1" tabindex="-1" role="rowheader">  <span class="LabelWrapper table">  <div class="table-cell" id="header~QID10~1~mobile">  <label>  <span>1. The required counseling and shared decision making visit for lung cancer screening meets my approval.</span> </label>   </div> <div class="dropdown-arrow mobile"> <span class="dropdown-down">&nbsp;</span> </div>  </span>  <div class="answered-indicator mobile"> <span data-runtime-html="runtime.Choices.1.SelectedDisplay"></span> </div>  </th>     <td class="c4   ">   <input type="radio" class="QR-QID10-1-1" aria-labelledby="header~QID10~1~mobile QID10-1-1-col-label" id="QR~QID10~1~1" name="QR~QID10~1" data-runtime-checked="runtime.Choices.1.Selected" value="1"> <label for="QR~QID10~1~1" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.1.Selected" aria-labelledby="header~QID10~1~mobile QID10-1-1-col-label"></label>  <label for="QR~QID10~1~1" class="single-answer mobile" id="QID10-1-1-col-label" aria-labelledby="header~QID10~1~mobile QID10-1-1-col-label" tabindex="-1">  <span>Completely disagree</span> </label>  </td>   <td class="c5   ">   <input type="radio" class="QR-QID10-1-2" aria-labelledby="header~QID10~1~mobile QID10-1-2-col-label" id="QR~QID10~1~2" name="QR~QID10~1" data-runtime-checked="runtime.Choices.1.Selected" value="2"> <label for="QR~QID10~1~2" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.2.Selected" aria-labelledby="header~QID10~1~mobile QID10-1-2-col-label"></label>  <label for="QR~QID10~1~2" class="single-answer mobile" id="QID10-1-2-col-label" aria-labelledby="header~QID10~1~mobile QID10-1-2-col-label" tabindex="-1">  <span>Disagree</span> </label>  </td>   <td class="c6   ">   <input type="radio" class="QR-QID10-1-3" aria-labelledby="header~QID10~1~mobile QID10-1-3-col-label" id="QR~QID10~1~3" name="QR~QID10~1" data-runtime-checked="runtime.Choices.1.Selected" value="3"> <label for="QR~QID10~1~3" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.3.Selected" aria-labelledby="header~QID10~1~mobile QID10-1-3-col-label"></label>  <label for="QR~QID10~1~3" class="single-answer mobile" id="QID10-1-3-col-label" aria-labelledby="header~QID10~1~mobile QID10-1-3-col-label" tabindex="-1">  <span>Neither agree nor disagree</span> </label>  </td>   <td class="c7   ">   <input type="radio" class="QR-QID10-1-4" aria-labelledby="header~QID10~1~mobile QID10-1-4-col-label" id="QR~QID10~1~4" name="QR~QID10~1" data-runtime-checked="runtime.Choices.1.Selected" value="4"> <label for="QR~QID10~1~4" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.4.Selected" aria-labelledby="header~QID10~1~mobile QID10-1-4-col-label"></label>  <label for="QR~QID10~1~4" class="single-answer mobile" id="QID10-1-4-col-label" aria-labelledby="header~QID10~1~mobile QID10-1-4-col-label" tabindex="-1">  <span>Agree</span> </label>  </td>   <td class="c8 last  ">   <input type="radio" class="QR-QID10-1-5" aria-labelledby="header~QID10~1~mobile QID10-1-5-col-label" id="QR~QID10~1~5" name="QR~QID10~1" data-runtime-checked="runtime.Choices.1.Selected" value="5"> <label for="QR~QID10~1~5" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.5.Selected" aria-labelledby="header~QID10~1~mobile QID10-1-5-col-label"></label>  <label for="QR~QID10~1~5" class="single-answer mobile" id="QID10-1-5-col-label" aria-labelledby="header~QID10~1~mobile QID10-1-5-col-label" tabindex="-1">  <span>Completely agree</span> </label>  </td>   </tr>      <tr class="ChoiceRow ReadableAlt "> <th scope="row" class="c1" id="header~QID10~2" tabindex="-1" role="rowheader">  <span class="LabelWrapper table">  <div class="table-cell" id="header~QID10~2~mobile">  <label>  <span>2. The required counseling and shared decision making visit for lung cancer screening is appealing to me.</span> </label>   </div> <div class="dropdown-arrow mobile"> <span class="dropdown-down">&nbsp;</span> </div>  </span>  <div class="answered-indicator mobile"> <span data-runtime-html="runtime.Choices.2.SelectedDisplay"></span> </div>  </th>     <td class="c4   ">   <input type="radio" class="QR-QID10-2-1" aria-labelledby="header~QID10~2~mobile QID10-2-1-col-label" id="QR~QID10~2~1" name="QR~QID10~2" data-runtime-checked="runtime.Choices.2.Selected" value="1"> <label for="QR~QID10~2~1" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.1.Selected" aria-labelledby="header~QID10~2~mobile QID10-2-1-col-label"></label>  <label for="QR~QID10~2~1" class="single-answer mobile" id="QID10-2-1-col-label" aria-labelledby="header~QID10~2~mobile QID10-2-1-col-label" tabindex="-1">  <span>Completely disagree</span> </label>  </td>   <td class="c5   ">   <input type="radio" class="QR-QID10-2-2" aria-labelledby="header~QID10~2~mobile QID10-2-2-col-label" id="QR~QID10~2~2" name="QR~QID10~2" data-runtime-checked="runtime.Choices.2.Selected" value="2"> <label for="QR~QID10~2~2" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.2.Selected" aria-labelledby="header~QID10~2~mobile QID10-2-2-col-label"></label>  <label for="QR~QID10~2~2" class="single-answer mobile" id="QID10-2-2-col-label" aria-labelledby="header~QID10~2~mobile QID10-2-2-col-label" tabindex="-1">  <span>Disagree</span> </label>  </td>   <td class="c6   ">   <input type="radio" class="QR-QID10-2-3" aria-labelledby="header~QID10~2~mobile QID10-2-3-col-label" id="QR~QID10~2~3" name="QR~QID10~2" data-runtime-checked="runtime.Choices.2.Selected" value="3"> <label for="QR~QID10~2~3" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.3.Selected" aria-labelledby="header~QID10~2~mobile QID10-2-3-col-label"></label>  <label for="QR~QID10~2~3" class="single-answer mobile" id="QID10-2-3-col-label" aria-labelledby="header~QID10~2~mobile QID10-2-3-col-label" tabindex="-1">  <span>Neither agree nor disagree</span> </label>  </td>   <td class="c7   ">   <input type="radio" class="QR-QID10-2-4" aria-labelledby="header~QID10~2~mobile QID10-2-4-col-label" id="QR~QID10~2~4" name="QR~QID10~2" data-runtime-checked="runtime.Choices.2.Selected" value="4"> <label for="QR~QID10~2~4" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.4.Selected" aria-labelledby="header~QID10~2~mobile QID10-2-4-col-label"></label>  <label for="QR~QID10~2~4" class="single-answer mobile" id="QID10-2-4-col-label" aria-labelledby="header~QID10~2~mobile QID10-2-4-col-label" tabindex="-1">  <span>Agree</span> </label>  </td>   <td class="c8 last  ">   <input type="radio" class="QR-QID10-2-5" aria-labelledby="header~QID10~2~mobile QID10-2-5-col-label" id="QR~QID10~2~5" name="QR~QID10~2" data-runtime-checked="runtime.Choices.2.Selected" value="5"> <label for="QR~QID10~2~5" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.5.Selected" aria-labelledby="header~QID10~2~mobile QID10-2-5-col-label"></label>  <label for="QR~QID10~2~5" class="single-answer mobile" id="QID10-2-5-col-label" aria-labelledby="header~QID10~2~mobile QID10-2-5-col-label" tabindex="-1">  <span>Completely agree</span> </label>  </td>   </tr>      <tr class="ChoiceRow  "> <th scope="row" class="c1" id="header~QID10~3" tabindex="-1" role="rowheader">  <span class="LabelWrapper table">  <div class="table-cell" id="header~QID10~3~mobile">  <label>  <span>3. I like the required counseling and shared decision making visit for lung cancer screening.</span> </label>   </div> <div class="dropdown-arrow mobile"> <span class="dropdown-down">&nbsp;</span> </div>  </span>  <div class="answered-indicator mobile"> <span data-runtime-html="runtime.Choices.3.SelectedDisplay"></span> </div>  </th>     <td class="c4   ">   <input type="radio" class="QR-QID10-3-1" aria-labelledby="header~QID10~3~mobile QID10-3-1-col-label" id="QR~QID10~3~1" name="QR~QID10~3" data-runtime-checked="runtime.Choices.3.Selected" value="1"> <label for="QR~QID10~3~1" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.1.Selected" aria-labelledby="header~QID10~3~mobile QID10-3-1-col-label"></label>  <label for="QR~QID10~3~1" class="single-answer mobile" id="QID10-3-1-col-label" aria-labelledby="header~QID10~3~mobile QID10-3-1-col-label" tabindex="-1">  <span>Completely disagree</span> </label>  </td>   <td class="c5   ">   <input type="radio" class="QR-QID10-3-2" aria-labelledby="header~QID10~3~mobile QID10-3-2-col-label" id="QR~QID10~3~2" name="QR~QID10~3" data-runtime-checked="runtime.Choices.3.Selected" value="2"> <label for="QR~QID10~3~2" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.2.Selected" aria-labelledby="header~QID10~3~mobile QID10-3-2-col-label"></label>  <label for="QR~QID10~3~2" class="single-answer mobile" id="QID10-3-2-col-label" aria-labelledby="header~QID10~3~mobile QID10-3-2-col-label" tabindex="-1">  <span>Disagree</span> </label>  </td>   <td class="c6   ">   <input type="radio" class="QR-QID10-3-3" aria-labelledby="header~QID10~3~mobile QID10-3-3-col-label" id="QR~QID10~3~3" name="QR~QID10~3" data-runtime-checked="runtime.Choices.3.Selected" value="3"> <label for="QR~QID10~3~3" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.3.Selected" aria-labelledby="header~QID10~3~mobile QID10-3-3-col-label"></label>  <label for="QR~QID10~3~3" class="single-answer mobile" id="QID10-3-3-col-label" aria-labelledby="header~QID10~3~mobile QID10-3-3-col-label" tabindex="-1">  <span>Neither agree nor disagree</span> </label>  </td>   <td class="c7   ">   <input type="radio" class="QR-QID10-3-4" aria-labelledby="header~QID10~3~mobile QID10-3-4-col-label" id="QR~QID10~3~4" name="QR~QID10~3" data-runtime-checked="runtime.Choices.3.Selected" value="4"> <label for="QR~QID10~3~4" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.4.Selected" aria-labelledby="header~QID10~3~mobile QID10-3-4-col-label"></label>  <label for="QR~QID10~3~4" class="single-answer mobile" id="QID10-3-4-col-label" aria-labelledby="header~QID10~3~mobile QID10-3-4-col-label" tabindex="-1">  <span>Agree</span> </label>  </td>   <td class="c8 last  ">   <input type="radio" class="QR-QID10-3-5" aria-labelledby="header~QID10~3~mobile QID10-3-5-col-label" id="QR~QID10~3~5" name="QR~QID10~3" data-runtime-checked="runtime.Choices.3.Selected" value="5"> <label for="QR~QID10~3~5" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.5.Selected" aria-labelledby="header~QID10~3~mobile QID10-3-5-col-label"></label>  <label for="QR~QID10~3~5" class="single-answer mobile" id="QID10-3-5-col-label" aria-labelledby="header~QID10~3~mobile QID10-3-5-col-label" tabindex="-1">  <span>Completely agree</span> </label>  </td>   </tr>      <tr class="ChoiceRow ReadableAlt  bottom "> <th scope="row" class="c1" id="header~QID10~4" tabindex="-1" role="rowheader">  <span class="LabelWrapper table">  <div class="table-cell" id="header~QID10~4~mobile">  <label>  <span>4. I welcome the required counseling and shared decision making visit for lung cancer screening.</span> </label>   </div> <div class="dropdown-arrow mobile"> <span class="dropdown-down">&nbsp;</span> </div>  </span>  <div class="answered-indicator mobile"> <span data-runtime-html="runtime.Choices.4.SelectedDisplay"></span> </div>  </th>     <td class="c4   ">   <input type="radio" class="QR-QID10-4-1" aria-labelledby="header~QID10~4~mobile QID10-4-1-col-label" id="QR~QID10~4~1" name="QR~QID10~4" data-runtime-checked="runtime.Choices.4.Selected" value="1"> <label for="QR~QID10~4~1" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.1.Selected" aria-labelledby="header~QID10~4~mobile QID10-4-1-col-label"></label>  <label for="QR~QID10~4~1" class="single-answer mobile" id="QID10-4-1-col-label" aria-labelledby="header~QID10~4~mobile QID10-4-1-col-label" tabindex="-1">  <span>Completely disagree</span> </label>  </td>   <td class="c5   ">   <input type="radio" class="QR-QID10-4-2" aria-labelledby="header~QID10~4~mobile QID10-4-2-col-label" id="QR~QID10~4~2" name="QR~QID10~4" data-runtime-checked="runtime.Choices.4.Selected" value="2"> <label for="QR~QID10~4~2" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.2.Selected" aria-labelledby="header~QID10~4~mobile QID10-4-2-col-label"></label>  <label for="QR~QID10~4~2" class="single-answer mobile" id="QID10-4-2-col-label" aria-labelledby="header~QID10~4~mobile QID10-4-2-col-label" tabindex="-1">  <span>Disagree</span> </label>  </td>   <td class="c6   ">   <input type="radio" class="QR-QID10-4-3" aria-labelledby="header~QID10~4~mobile QID10-4-3-col-label" id="QR~QID10~4~3" name="QR~QID10~4" data-runtime-checked="runtime.Choices.4.Selected" value="3"> <label for="QR~QID10~4~3" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.3.Selected" aria-labelledby="header~QID10~4~mobile QID10-4-3-col-label"></label>  <label for="QR~QID10~4~3" class="single-answer mobile" id="QID10-4-3-col-label" aria-labelledby="header~QID10~4~mobile QID10-4-3-col-label" tabindex="-1">  <span>Neither agree nor disagree</span> </label>  </td>   <td class="c7   ">   <input type="radio" class="QR-QID10-4-4" aria-labelledby="header~QID10~4~mobile QID10-4-4-col-label" id="QR~QID10~4~4" name="QR~QID10~4" data-runtime-checked="runtime.Choices.4.Selected" value="4"> <label for="QR~QID10~4~4" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.4.Selected" aria-labelledby="header~QID10~4~mobile QID10-4-4-col-label"></label>  <label for="QR~QID10~4~4" class="single-answer mobile" id="QID10-4-4-col-label" aria-labelledby="header~QID10~4~mobile QID10-4-4-col-label" tabindex="-1">  <span>Agree</span> </label>  </td>   <td class="c8 last  ">   <input type="radio" class="QR-QID10-4-5" aria-labelledby="header~QID10~4~mobile QID10-4-5-col-label" id="QR~QID10~4~5" name="QR~QID10~4" data-runtime-checked="runtime.Choices.4.Selected" value="5"> <label for="QR~QID10~4~5" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.5.Selected" aria-labelledby="header~QID10~4~mobile QID10-4-5-col-label"></label>  <label for="QR~QID10~4~5" class="single-answer mobile" id="QID10-4-5-col-label" aria-labelledby="header~QID10~4~mobile QID10-4-5-col-label" tabindex="-1">  <span>Completely agree</span> </label>  </td>   </tr>    </tbody> </table></div> </fieldset> </div> </div>  </div><div id="QID11Separator" class="Separator" data-runtime-show="runtime.SeparatorDisplayed"></div><div class="QuestionOuter BorderColor Matrix mf QID11" id="QID11" questionid="QID11" posttag="QID11" data-runtime-remove-class-hidden="runtime.Displayed"> <div id="QR~QID11~VALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.ErrorMsg" data-runtime-html="runtime.ErrorMsg" style="display: none;"></div> <div id="QR~QID11~SDPVALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.PDPErrorMsg" data-runtime-html="runtime.PDPErrorMsg" style="display: none;"></div> <div class="Inner BorderColor Likert"> <div class="InnerInner BorderColor SingleAnswer"> <fieldset aria-describedby="QR~QID11~VALIDATION QR~QID11~SDPVALIDATION">  <legend> <label class="QuestionText BorderColor"><div><strong>IAM</strong></div></label></legend><div class="QuestionBody  q-matrix desktop"> <table class="ChoiceStructure" cellspacing="0" cellpadding="0"> <caption class="QuestionText BorderColor"><div><strong>IAM</strong></div></caption>  <thead>  <tr class="Answers" aria-hidden="true">  <td class="c1 BorderColor" width="25%">  &nbsp;  </td>    <th scope="col" class="Selection BorderColor c4" id="header~QID11~1~4" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Completely disagree</span>  </span> </th>  <th scope="col" class="Selection BorderColor c5" id="header~QID11~2~5" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Disagree</span>  </span> </th>  <th scope="col" class="Selection BorderColor c6" id="header~QID11~3~6" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Neither agree nor disagree</span>  </span> </th>  <th scope="col" class="Selection BorderColor c7" id="header~QID11~4~7" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Agree</span>  </span> </th>  <th scope="col" class="Selection BorderColor c8 last" id="header~QID11~5~8" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Completely agree</span>  </span> </th>  </tr> </thead>  <tbody>       <tr class="ChoiceRow  "> <th scope="row" class="c1" id="header~QID11~1" tabindex="-1" role="rowheader">  <span class="LabelWrapper table">  <div class="table-cell" id="header~QID11~1~mobile">  <label>  <span>1. The required counseling and shared decision making visit for lung cancer screening seems fitting.</span> </label>   </div> <div class="dropdown-arrow mobile"> <span class="dropdown-down">&nbsp;</span> </div>  </span>  <div class="answered-indicator mobile"> <span data-runtime-html="runtime.Choices.1.SelectedDisplay"></span> </div>  </th>     <td class="c4   ">   <input type="radio" class="QR-QID11-1-1" aria-labelledby="header~QID11~1~mobile QID11-1-1-col-label" id="QR~QID11~1~1" name="QR~QID11~1" data-runtime-checked="runtime.Choices.1.Selected" value="1"> <label for="QR~QID11~1~1" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.1.Selected" aria-labelledby="header~QID11~1~mobile QID11-1-1-col-label"></label>  <label for="QR~QID11~1~1" class="single-answer mobile" id="QID11-1-1-col-label" aria-labelledby="header~QID11~1~mobile QID11-1-1-col-label" tabindex="-1">  <span>Completely disagree</span> </label>  </td>   <td class="c5   ">   <input type="radio" class="QR-QID11-1-2" aria-labelledby="header~QID11~1~mobile QID11-1-2-col-label" id="QR~QID11~1~2" name="QR~QID11~1" data-runtime-checked="runtime.Choices.1.Selected" value="2"> <label for="QR~QID11~1~2" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.2.Selected" aria-labelledby="header~QID11~1~mobile QID11-1-2-col-label"></label>  <label for="QR~QID11~1~2" class="single-answer mobile" id="QID11-1-2-col-label" aria-labelledby="header~QID11~1~mobile QID11-1-2-col-label" tabindex="-1">  <span>Disagree</span> </label>  </td>   <td class="c6   ">   <input type="radio" class="QR-QID11-1-3" aria-labelledby="header~QID11~1~mobile QID11-1-3-col-label" id="QR~QID11~1~3" name="QR~QID11~1" data-runtime-checked="runtime.Choices.1.Selected" value="3"> <label for="QR~QID11~1~3" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.3.Selected" aria-labelledby="header~QID11~1~mobile QID11-1-3-col-label"></label>  <label for="QR~QID11~1~3" class="single-answer mobile" id="QID11-1-3-col-label" aria-labelledby="header~QID11~1~mobile QID11-1-3-col-label" tabindex="-1">  <span>Neither agree nor disagree</span> </label>  </td>   <td class="c7   ">   <input type="radio" class="QR-QID11-1-4" aria-labelledby="header~QID11~1~mobile QID11-1-4-col-label" id="QR~QID11~1~4" name="QR~QID11~1" data-runtime-checked="runtime.Choices.1.Selected" value="4"> <label for="QR~QID11~1~4" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.4.Selected" aria-labelledby="header~QID11~1~mobile QID11-1-4-col-label"></label>  <label for="QR~QID11~1~4" class="single-answer mobile" id="QID11-1-4-col-label" aria-labelledby="header~QID11~1~mobile QID11-1-4-col-label" tabindex="-1">  <span>Agree</span> </label>  </td>   <td class="c8 last  ">   <input type="radio" class="QR-QID11-1-5" aria-labelledby="header~QID11~1~mobile QID11-1-5-col-label" id="QR~QID11~1~5" name="QR~QID11~1" data-runtime-checked="runtime.Choices.1.Selected" value="5"> <label for="QR~QID11~1~5" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.5.Selected" aria-labelledby="header~QID11~1~mobile QID11-1-5-col-label"></label>  <label for="QR~QID11~1~5" class="single-answer mobile" id="QID11-1-5-col-label" aria-labelledby="header~QID11~1~mobile QID11-1-5-col-label" tabindex="-1">  <span>Completely agree</span> </label>  </td>   </tr>      <tr class="ChoiceRow ReadableAlt "> <th scope="row" class="c1" id="header~QID11~2" tabindex="-1" role="rowheader">  <span class="LabelWrapper table">  <div class="table-cell" id="header~QID11~2~mobile">  <label>  <span>2. The required counseling and shared decision making visit for lung cancer screening seems suitable.</span> </label>   </div> <div class="dropdown-arrow mobile"> <span class="dropdown-down">&nbsp;</span> </div>  </span>  <div class="answered-indicator mobile"> <span data-runtime-html="runtime.Choices.2.SelectedDisplay"></span> </div>  </th>     <td class="c4   ">   <input type="radio" class="QR-QID11-2-1" aria-labelledby="header~QID11~2~mobile QID11-2-1-col-label" id="QR~QID11~2~1" name="QR~QID11~2" data-runtime-checked="runtime.Choices.2.Selected" value="1"> <label for="QR~QID11~2~1" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.1.Selected" aria-labelledby="header~QID11~2~mobile QID11-2-1-col-label"></label>  <label for="QR~QID11~2~1" class="single-answer mobile" id="QID11-2-1-col-label" aria-labelledby="header~QID11~2~mobile QID11-2-1-col-label" tabindex="-1">  <span>Completely disagree</span> </label>  </td>   <td class="c5   ">   <input type="radio" class="QR-QID11-2-2" aria-labelledby="header~QID11~2~mobile QID11-2-2-col-label" id="QR~QID11~2~2" name="QR~QID11~2" data-runtime-checked="runtime.Choices.2.Selected" value="2"> <label for="QR~QID11~2~2" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.2.Selected" aria-labelledby="header~QID11~2~mobile QID11-2-2-col-label"></label>  <label for="QR~QID11~2~2" class="single-answer mobile" id="QID11-2-2-col-label" aria-labelledby="header~QID11~2~mobile QID11-2-2-col-label" tabindex="-1">  <span>Disagree</span> </label>  </td>   <td class="c6   ">   <input type="radio" class="QR-QID11-2-3" aria-labelledby="header~QID11~2~mobile QID11-2-3-col-label" id="QR~QID11~2~3" name="QR~QID11~2" data-runtime-checked="runtime.Choices.2.Selected" value="3"> <label for="QR~QID11~2~3" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.3.Selected" aria-labelledby="header~QID11~2~mobile QID11-2-3-col-label"></label>  <label for="QR~QID11~2~3" class="single-answer mobile" id="QID11-2-3-col-label" aria-labelledby="header~QID11~2~mobile QID11-2-3-col-label" tabindex="-1">  <span>Neither agree nor disagree</span> </label>  </td>   <td class="c7   ">   <input type="radio" class="QR-QID11-2-4" aria-labelledby="header~QID11~2~mobile QID11-2-4-col-label" id="QR~QID11~2~4" name="QR~QID11~2" data-runtime-checked="runtime.Choices.2.Selected" value="4"> <label for="QR~QID11~2~4" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.4.Selected" aria-labelledby="header~QID11~2~mobile QID11-2-4-col-label"></label>  <label for="QR~QID11~2~4" class="single-answer mobile" id="QID11-2-4-col-label" aria-labelledby="header~QID11~2~mobile QID11-2-4-col-label" tabindex="-1">  <span>Agree</span> </label>  </td>   <td class="c8 last  ">   <input type="radio" class="QR-QID11-2-5" aria-labelledby="header~QID11~2~mobile QID11-2-5-col-label" id="QR~QID11~2~5" name="QR~QID11~2" data-runtime-checked="runtime.Choices.2.Selected" value="5"> <label for="QR~QID11~2~5" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.5.Selected" aria-labelledby="header~QID11~2~mobile QID11-2-5-col-label"></label>  <label for="QR~QID11~2~5" class="single-answer mobile" id="QID11-2-5-col-label" aria-labelledby="header~QID11~2~mobile QID11-2-5-col-label" tabindex="-1">  <span>Completely agree</span> </label>  </td>   </tr>      <tr class="ChoiceRow  "> <th scope="row" class="c1" id="header~QID11~3" tabindex="-1" role="rowheader">  <span class="LabelWrapper table">  <div class="table-cell" id="header~QID11~3~mobile">  <label>  <span>3. The required counseling and shared decision making visit for lung cancer screening seems applicable.</span> </label>   </div> <div class="dropdown-arrow mobile"> <span class="dropdown-down">&nbsp;</span> </div>  </span>  <div class="answered-indicator mobile"> <span data-runtime-html="runtime.Choices.3.SelectedDisplay"></span> </div>  </th>     <td class="c4   ">   <input type="radio" class="QR-QID11-3-1" aria-labelledby="header~QID11~3~mobile QID11-3-1-col-label" id="QR~QID11~3~1" name="QR~QID11~3" data-runtime-checked="runtime.Choices.3.Selected" value="1"> <label for="QR~QID11~3~1" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.1.Selected" aria-labelledby="header~QID11~3~mobile QID11-3-1-col-label"></label>  <label for="QR~QID11~3~1" class="single-answer mobile" id="QID11-3-1-col-label" aria-labelledby="header~QID11~3~mobile QID11-3-1-col-label" tabindex="-1">  <span>Completely disagree</span> </label>  </td>   <td class="c5   ">   <input type="radio" class="QR-QID11-3-2" aria-labelledby="header~QID11~3~mobile QID11-3-2-col-label" id="QR~QID11~3~2" name="QR~QID11~3" data-runtime-checked="runtime.Choices.3.Selected" value="2"> <label for="QR~QID11~3~2" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.2.Selected" aria-labelledby="header~QID11~3~mobile QID11-3-2-col-label"></label>  <label for="QR~QID11~3~2" class="single-answer mobile" id="QID11-3-2-col-label" aria-labelledby="header~QID11~3~mobile QID11-3-2-col-label" tabindex="-1">  <span>Disagree</span> </label>  </td>   <td class="c6   ">   <input type="radio" class="QR-QID11-3-3" aria-labelledby="header~QID11~3~mobile QID11-3-3-col-label" id="QR~QID11~3~3" name="QR~QID11~3" data-runtime-checked="runtime.Choices.3.Selected" value="3"> <label for="QR~QID11~3~3" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.3.Selected" aria-labelledby="header~QID11~3~mobile QID11-3-3-col-label"></label>  <label for="QR~QID11~3~3" class="single-answer mobile" id="QID11-3-3-col-label" aria-labelledby="header~QID11~3~mobile QID11-3-3-col-label" tabindex="-1">  <span>Neither agree nor disagree</span> </label>  </td>   <td class="c7   ">   <input type="radio" class="QR-QID11-3-4" aria-labelledby="header~QID11~3~mobile QID11-3-4-col-label" id="QR~QID11~3~4" name="QR~QID11~3" data-runtime-checked="runtime.Choices.3.Selected" value="4"> <label for="QR~QID11~3~4" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.4.Selected" aria-labelledby="header~QID11~3~mobile QID11-3-4-col-label"></label>  <label for="QR~QID11~3~4" class="single-answer mobile" id="QID11-3-4-col-label" aria-labelledby="header~QID11~3~mobile QID11-3-4-col-label" tabindex="-1">  <span>Agree</span> </label>  </td>   <td class="c8 last  ">   <input type="radio" class="QR-QID11-3-5" aria-labelledby="header~QID11~3~mobile QID11-3-5-col-label" id="QR~QID11~3~5" name="QR~QID11~3" data-runtime-checked="runtime.Choices.3.Selected" value="5"> <label for="QR~QID11~3~5" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.5.Selected" aria-labelledby="header~QID11~3~mobile QID11-3-5-col-label"></label>  <label for="QR~QID11~3~5" class="single-answer mobile" id="QID11-3-5-col-label" aria-labelledby="header~QID11~3~mobile QID11-3-5-col-label" tabindex="-1">  <span>Completely agree</span> </label>  </td>   </tr>      <tr class="ChoiceRow ReadableAlt  bottom "> <th scope="row" class="c1" id="header~QID11~4" tabindex="-1" role="rowheader">  <span class="LabelWrapper table">  <div class="table-cell" id="header~QID11~4~mobile">  <label>  <span>4. The required counseling and shared decision making visit for lung cancer screening seems like a good match.</span> </label>   </div> <div class="dropdown-arrow mobile"> <span class="dropdown-down">&nbsp;</span> </div>  </span>  <div class="answered-indicator mobile"> <span data-runtime-html="runtime.Choices.4.SelectedDisplay"></span> </div>  </th>     <td class="c4   ">   <input type="radio" class="QR-QID11-4-1" aria-labelledby="header~QID11~4~mobile QID11-4-1-col-label" id="QR~QID11~4~1" name="QR~QID11~4" data-runtime-checked="runtime.Choices.4.Selected" value="1"> <label for="QR~QID11~4~1" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.1.Selected" aria-labelledby="header~QID11~4~mobile QID11-4-1-col-label"></label>  <label for="QR~QID11~4~1" class="single-answer mobile" id="QID11-4-1-col-label" aria-labelledby="header~QID11~4~mobile QID11-4-1-col-label" tabindex="-1">  <span>Completely disagree</span> </label>  </td>   <td class="c5   ">   <input type="radio" class="QR-QID11-4-2" aria-labelledby="header~QID11~4~mobile QID11-4-2-col-label" id="QR~QID11~4~2" name="QR~QID11~4" data-runtime-checked="runtime.Choices.4.Selected" value="2"> <label for="QR~QID11~4~2" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.2.Selected" aria-labelledby="header~QID11~4~mobile QID11-4-2-col-label"></label>  <label for="QR~QID11~4~2" class="single-answer mobile" id="QID11-4-2-col-label" aria-labelledby="header~QID11~4~mobile QID11-4-2-col-label" tabindex="-1">  <span>Disagree</span> </label>  </td>   <td class="c6   ">   <input type="radio" class="QR-QID11-4-3" aria-labelledby="header~QID11~4~mobile QID11-4-3-col-label" id="QR~QID11~4~3" name="QR~QID11~4" data-runtime-checked="runtime.Choices.4.Selected" value="3"> <label for="QR~QID11~4~3" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.3.Selected" aria-labelledby="header~QID11~4~mobile QID11-4-3-col-label"></label>  <label for="QR~QID11~4~3" class="single-answer mobile" id="QID11-4-3-col-label" aria-labelledby="header~QID11~4~mobile QID11-4-3-col-label" tabindex="-1">  <span>Neither agree nor disagree</span> </label>  </td>   <td class="c7   ">   <input type="radio" class="QR-QID11-4-4" aria-labelledby="header~QID11~4~mobile QID11-4-4-col-label" id="QR~QID11~4~4" name="QR~QID11~4" data-runtime-checked="runtime.Choices.4.Selected" value="4"> <label for="QR~QID11~4~4" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.4.Selected" aria-labelledby="header~QID11~4~mobile QID11-4-4-col-label"></label>  <label for="QR~QID11~4~4" class="single-answer mobile" id="QID11-4-4-col-label" aria-labelledby="header~QID11~4~mobile QID11-4-4-col-label" tabindex="-1">  <span>Agree</span> </label>  </td>   <td class="c8 last  ">   <input type="radio" class="QR-QID11-4-5" aria-labelledby="header~QID11~4~mobile QID11-4-5-col-label" id="QR~QID11~4~5" name="QR~QID11~4" data-runtime-checked="runtime.Choices.4.Selected" value="5"> <label for="QR~QID11~4~5" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.5.Selected" aria-labelledby="header~QID11~4~mobile QID11-4-5-col-label"></label>  <label for="QR~QID11~4~5" class="single-answer mobile" id="QID11-4-5-col-label" aria-labelledby="header~QID11~4~mobile QID11-4-5-col-label" tabindex="-1">  <span>Completely agree</span> </label>  </td>   </tr>    </tbody> </table></div> </fieldset> </div> </div>  </div><div id="QID12Separator" class="Separator" data-runtime-show="runtime.SeparatorDisplayed"></div><div class="QuestionOuter BorderColor Matrix mf QID12" id="QID12" questionid="QID12" posttag="QID12" data-runtime-remove-class-hidden="runtime.Displayed"> <div id="QR~QID12~VALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.ErrorMsg" data-runtime-html="runtime.ErrorMsg" style="display: none;"></div> <div id="QR~QID12~SDPVALIDATION" class="ValidationError" role="alert" data-runtime-show="runtime.PDPErrorMsg" data-runtime-html="runtime.PDPErrorMsg" style="display: none;"></div> <div class="Inner BorderColor Likert"> <div class="InnerInner BorderColor SingleAnswer"> <fieldset aria-describedby="QR~QID12~VALIDATION QR~QID12~SDPVALIDATION">  <legend> <label class="QuestionText BorderColor"><strong>FIM</strong></label></legend><div class="QuestionBody  q-matrix desktop"> <table class="ChoiceStructure" cellspacing="0" cellpadding="0"> <caption class="QuestionText BorderColor"><strong>FIM</strong></caption>  <thead>  <tr class="Answers" aria-hidden="true">  <td class="c1 BorderColor" width="25%">  &nbsp;  </td>    <th scope="col" class="Selection BorderColor c4" id="header~QID12~1~4" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Completely disagree</span>  </span> </th>  <th scope="col" class="Selection BorderColor c5" id="header~QID12~2~5" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Disagree</span>  </span> </th>  <th scope="col" class="Selection BorderColor c6" id="header~QID12~3~6" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Neither agree nor disagree</span>  </span> </th>  <th scope="col" class="Selection BorderColor c7" id="header~QID12~4~7" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Agree</span>  </span> </th>  <th scope="col" class="Selection BorderColor c8 last" id="header~QID12~5~8" tabindex="-1" role="columnheader" width="15%">  <span class="LabelWrapper">  <span>Completely agree</span>  </span> </th>  </tr> </thead>  <tbody>       <tr class="ChoiceRow  "> <th scope="row" class="c1" id="header~QID12~1" tabindex="-1" role="rowheader">  <span class="LabelWrapper table">  <div class="table-cell" id="header~QID12~1~mobile">  <label>  <span>1. The required counseling and shared decision making visit for lung cancer screening seems implementable.</span> </label>   </div> <div class="dropdown-arrow mobile"> <span class="dropdown-down">&nbsp;</span> </div>  </span>  <div class="answered-indicator mobile"> <span data-runtime-html="runtime.Choices.1.SelectedDisplay"></span> </div>  </th>     <td class="c4   ">   <input type="radio" class="QR-QID12-1-1" aria-labelledby="header~QID12~1~mobile QID12-1-1-col-label" id="QR~QID12~1~1" name="QR~QID12~1" data-runtime-checked="runtime.Choices.1.Selected" value="1"> <label for="QR~QID12~1~1" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.1.Selected" aria-labelledby="header~QID12~1~mobile QID12-1-1-col-label"></label>  <label for="QR~QID12~1~1" class="single-answer mobile" id="QID12-1-1-col-label" aria-labelledby="header~QID12~1~mobile QID12-1-1-col-label" tabindex="-1">  <span>Completely disagree</span> </label>  </td>   <td class="c5   ">   <input type="radio" class="QR-QID12-1-2" aria-labelledby="header~QID12~1~mobile QID12-1-2-col-label" id="QR~QID12~1~2" name="QR~QID12~1" data-runtime-checked="runtime.Choices.1.Selected" value="2"> <label for="QR~QID12~1~2" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.2.Selected" aria-labelledby="header~QID12~1~mobile QID12-1-2-col-label"></label>  <label for="QR~QID12~1~2" class="single-answer mobile" id="QID12-1-2-col-label" aria-labelledby="header~QID12~1~mobile QID12-1-2-col-label" tabindex="-1">  <span>Disagree</span> </label>  </td>   <td class="c6   ">   <input type="radio" class="QR-QID12-1-3" aria-labelledby="header~QID12~1~mobile QID12-1-3-col-label" id="QR~QID12~1~3" name="QR~QID12~1" data-runtime-checked="runtime.Choices.1.Selected" value="3"> <label for="QR~QID12~1~3" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.3.Selected" aria-labelledby="header~QID12~1~mobile QID12-1-3-col-label"></label>  <label for="QR~QID12~1~3" class="single-answer mobile" id="QID12-1-3-col-label" aria-labelledby="header~QID12~1~mobile QID12-1-3-col-label" tabindex="-1">  <span>Neither agree nor disagree</span> </label>  </td>   <td class="c7   ">   <input type="radio" class="QR-QID12-1-4" aria-labelledby="header~QID12~1~mobile QID12-1-4-col-label" id="QR~QID12~1~4" name="QR~QID12~1" data-runtime-checked="runtime.Choices.1.Selected" value="4"> <label for="QR~QID12~1~4" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.4.Selected" aria-labelledby="header~QID12~1~mobile QID12-1-4-col-label"></label>  <label for="QR~QID12~1~4" class="single-answer mobile" id="QID12-1-4-col-label" aria-labelledby="header~QID12~1~mobile QID12-1-4-col-label" tabindex="-1">  <span>Agree</span> </label>  </td>   <td class="c8 last  ">   <input type="radio" class="QR-QID12-1-5" aria-labelledby="header~QID12~1~mobile QID12-1-5-col-label" id="QR~QID12~1~5" name="QR~QID12~1" data-runtime-checked="runtime.Choices.1.Selected" value="5"> <label for="QR~QID12~1~5" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.1.Answers.5.Selected" aria-labelledby="header~QID12~1~mobile QID12-1-5-col-label"></label>  <label for="QR~QID12~1~5" class="single-answer mobile" id="QID12-1-5-col-label" aria-labelledby="header~QID12~1~mobile QID12-1-5-col-label" tabindex="-1">  <span>Completely agree</span> </label>  </td>   </tr>      <tr class="ChoiceRow ReadableAlt "> <th scope="row" class="c1" id="header~QID12~2" tabindex="-1" role="rowheader">  <span class="LabelWrapper table">  <div class="table-cell" id="header~QID12~2~mobile">  <label>  <span>2. The required counseling and shared decision making visit for lung cancer screening seems possible.</span> </label>   </div> <div class="dropdown-arrow mobile"> <span class="dropdown-down">&nbsp;</span> </div>  </span>  <div class="answered-indicator mobile"> <span data-runtime-html="runtime.Choices.2.SelectedDisplay"></span> </div>  </th>     <td class="c4   ">   <input type="radio" class="QR-QID12-2-1" aria-labelledby="header~QID12~2~mobile QID12-2-1-col-label" id="QR~QID12~2~1" name="QR~QID12~2" data-runtime-checked="runtime.Choices.2.Selected" value="1"> <label for="QR~QID12~2~1" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.1.Selected" aria-labelledby="header~QID12~2~mobile QID12-2-1-col-label"></label>  <label for="QR~QID12~2~1" class="single-answer mobile" id="QID12-2-1-col-label" aria-labelledby="header~QID12~2~mobile QID12-2-1-col-label" tabindex="-1">  <span>Completely disagree</span> </label>  </td>   <td class="c5   ">   <input type="radio" class="QR-QID12-2-2" aria-labelledby="header~QID12~2~mobile QID12-2-2-col-label" id="QR~QID12~2~2" name="QR~QID12~2" data-runtime-checked="runtime.Choices.2.Selected" value="2"> <label for="QR~QID12~2~2" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.2.Selected" aria-labelledby="header~QID12~2~mobile QID12-2-2-col-label"></label>  <label for="QR~QID12~2~2" class="single-answer mobile" id="QID12-2-2-col-label" aria-labelledby="header~QID12~2~mobile QID12-2-2-col-label" tabindex="-1">  <span>Disagree</span> </label>  </td>   <td class="c6   ">   <input type="radio" class="QR-QID12-2-3" aria-labelledby="header~QID12~2~mobile QID12-2-3-col-label" id="QR~QID12~2~3" name="QR~QID12~2" data-runtime-checked="runtime.Choices.2.Selected" value="3"> <label for="QR~QID12~2~3" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.3.Selected" aria-labelledby="header~QID12~2~mobile QID12-2-3-col-label"></label>  <label for="QR~QID12~2~3" class="single-answer mobile" id="QID12-2-3-col-label" aria-labelledby="header~QID12~2~mobile QID12-2-3-col-label" tabindex="-1">  <span>Neither agree nor disagree</span> </label>  </td>   <td class="c7   ">   <input type="radio" class="QR-QID12-2-4" aria-labelledby="header~QID12~2~mobile QID12-2-4-col-label" id="QR~QID12~2~4" name="QR~QID12~2" data-runtime-checked="runtime.Choices.2.Selected" value="4"> <label for="QR~QID12~2~4" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.4.Selected" aria-labelledby="header~QID12~2~mobile QID12-2-4-col-label"></label>  <label for="QR~QID12~2~4" class="single-answer mobile" id="QID12-2-4-col-label" aria-labelledby="header~QID12~2~mobile QID12-2-4-col-label" tabindex="-1">  <span>Agree</span> </label>  </td>   <td class="c8 last  ">   <input type="radio" class="QR-QID12-2-5" aria-labelledby="header~QID12~2~mobile QID12-2-5-col-label" id="QR~QID12~2~5" name="QR~QID12~2" data-runtime-checked="runtime.Choices.2.Selected" value="5"> <label for="QR~QID12~2~5" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.2.Answers.5.Selected" aria-labelledby="header~QID12~2~mobile QID12-2-5-col-label"></label>  <label for="QR~QID12~2~5" class="single-answer mobile" id="QID12-2-5-col-label" aria-labelledby="header~QID12~2~mobile QID12-2-5-col-label" tabindex="-1">  <span>Completely agree</span> </label>  </td>   </tr>      <tr class="ChoiceRow  "> <th scope="row" class="c1" id="header~QID12~3" tabindex="-1" role="rowheader">  <span class="LabelWrapper table">  <div class="table-cell" id="header~QID12~3~mobile">  <label>  <span>3. The required counseling and shared decision making visit for lung cancer screening seems doable.</span> </label>   </div> <div class="dropdown-arrow mobile"> <span class="dropdown-down">&nbsp;</span> </div>  </span>  <div class="answered-indicator mobile"> <span data-runtime-html="runtime.Choices.3.SelectedDisplay"></span> </div>  </th>     <td class="c4   ">   <input type="radio" class="QR-QID12-3-1" aria-labelledby="header~QID12~3~mobile QID12-3-1-col-label" id="QR~QID12~3~1" name="QR~QID12~3" data-runtime-checked="runtime.Choices.3.Selected" value="1"> <label for="QR~QID12~3~1" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.1.Selected" aria-labelledby="header~QID12~3~mobile QID12-3-1-col-label"></label>  <label for="QR~QID12~3~1" class="single-answer mobile" id="QID12-3-1-col-label" aria-labelledby="header~QID12~3~mobile QID12-3-1-col-label" tabindex="-1">  <span>Completely disagree</span> </label>  </td>   <td class="c5   ">   <input type="radio" class="QR-QID12-3-2" aria-labelledby="header~QID12~3~mobile QID12-3-2-col-label" id="QR~QID12~3~2" name="QR~QID12~3" data-runtime-checked="runtime.Choices.3.Selected" value="2"> <label for="QR~QID12~3~2" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.2.Selected" aria-labelledby="header~QID12~3~mobile QID12-3-2-col-label"></label>  <label for="QR~QID12~3~2" class="single-answer mobile" id="QID12-3-2-col-label" aria-labelledby="header~QID12~3~mobile QID12-3-2-col-label" tabindex="-1">  <span>Disagree</span> </label>  </td>   <td class="c6   ">   <input type="radio" class="QR-QID12-3-3" aria-labelledby="header~QID12~3~mobile QID12-3-3-col-label" id="QR~QID12~3~3" name="QR~QID12~3" data-runtime-checked="runtime.Choices.3.Selected" value="3"> <label for="QR~QID12~3~3" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.3.Selected" aria-labelledby="header~QID12~3~mobile QID12-3-3-col-label"></label>  <label for="QR~QID12~3~3" class="single-answer mobile" id="QID12-3-3-col-label" aria-labelledby="header~QID12~3~mobile QID12-3-3-col-label" tabindex="-1">  <span>Neither agree nor disagree</span> </label>  </td>   <td class="c7   ">   <input type="radio" class="QR-QID12-3-4" aria-labelledby="header~QID12~3~mobile QID12-3-4-col-label" id="QR~QID12~3~4" name="QR~QID12~3" data-runtime-checked="runtime.Choices.3.Selected" value="4"> <label for="QR~QID12~3~4" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.4.Selected" aria-labelledby="header~QID12~3~mobile QID12-3-4-col-label"></label>  <label for="QR~QID12~3~4" class="single-answer mobile" id="QID12-3-4-col-label" aria-labelledby="header~QID12~3~mobile QID12-3-4-col-label" tabindex="-1">  <span>Agree</span> </label>  </td>   <td class="c8 last  ">   <input type="radio" class="QR-QID12-3-5" aria-labelledby="header~QID12~3~mobile QID12-3-5-col-label" id="QR~QID12~3~5" name="QR~QID12~3" data-runtime-checked="runtime.Choices.3.Selected" value="5"> <label for="QR~QID12~3~5" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.3.Answers.5.Selected" aria-labelledby="header~QID12~3~mobile QID12-3-5-col-label"></label>  <label for="QR~QID12~3~5" class="single-answer mobile" id="QID12-3-5-col-label" aria-labelledby="header~QID12~3~mobile QID12-3-5-col-label" tabindex="-1">  <span>Completely agree</span> </label>  </td>   </tr>      <tr class="ChoiceRow ReadableAlt  bottom "> <th scope="row" class="c1" id="header~QID12~4" tabindex="-1" role="rowheader">  <span class="LabelWrapper table">  <div class="table-cell" id="header~QID12~4~mobile">  <label>  <span>4. The required counseling and shared decision making visit for lung cancer screening seems easy to use.</span> </label>   </div> <div class="dropdown-arrow mobile"> <span class="dropdown-down">&nbsp;</span> </div>  </span>  <div class="answered-indicator mobile"> <span data-runtime-html="runtime.Choices.4.SelectedDisplay"></span> </div>  </th>     <td class="c4   ">   <input type="radio" class="QR-QID12-4-1" aria-labelledby="header~QID12~4~mobile QID12-4-1-col-label" id="QR~QID12~4~1" name="QR~QID12~4" data-runtime-checked="runtime.Choices.4.Selected" value="1"> <label for="QR~QID12~4~1" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.1.Selected" aria-labelledby="header~QID12~4~mobile QID12-4-1-col-label"></label>  <label for="QR~QID12~4~1" class="single-answer mobile" id="QID12-4-1-col-label" aria-labelledby="header~QID12~4~mobile QID12-4-1-col-label" tabindex="-1">  <span>Completely disagree</span> </label>  </td>   <td class="c5   ">   <input type="radio" class="QR-QID12-4-2" aria-labelledby="header~QID12~4~mobile QID12-4-2-col-label" id="QR~QID12~4~2" name="QR~QID12~4" data-runtime-checked="runtime.Choices.4.Selected" value="2"> <label for="QR~QID12~4~2" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.2.Selected" aria-labelledby="header~QID12~4~mobile QID12-4-2-col-label"></label>  <label for="QR~QID12~4~2" class="single-answer mobile" id="QID12-4-2-col-label" aria-labelledby="header~QID12~4~mobile QID12-4-2-col-label" tabindex="-1">  <span>Disagree</span> </label>  </td>   <td class="c6   ">   <input type="radio" class="QR-QID12-4-3" aria-labelledby="header~QID12~4~mobile QID12-4-3-col-label" id="QR~QID12~4~3" name="QR~QID12~4" data-runtime-checked="runtime.Choices.4.Selected" value="3"> <label for="QR~QID12~4~3" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.3.Selected" aria-labelledby="header~QID12~4~mobile QID12-4-3-col-label"></label>  <label for="QR~QID12~4~3" class="single-answer mobile" id="QID12-4-3-col-label" aria-labelledby="header~QID12~4~mobile QID12-4-3-col-label" tabindex="-1">  <span>Neither agree nor disagree</span> </label>  </td>   <td class="c7   ">   <input type="radio" class="QR-QID12-4-4" aria-labelledby="header~QID12~4~mobile QID12-4-4-col-label" id="QR~QID12~4~4" name="QR~QID12~4" data-runtime-checked="runtime.Choices.4.Selected" value="4"> <label for="QR~QID12~4~4" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.4.Selected" aria-labelledby="header~QID12~4~mobile QID12-4-4-col-label"></label>  <label for="QR~QID12~4~4" class="single-answer mobile" id="QID12-4-4-col-label" aria-labelledby="header~QID12~4~mobile QID12-4-4-col-label" tabindex="-1">  <span>Agree</span> </label>  </td>   <td class="c8 last  ">   <input type="radio" class="QR-QID12-4-5" aria-labelledby="header~QID12~4~mobile QID12-4-5-col-label" id="QR~QID12~4~5" name="QR~QID12~4" data-runtime-checked="runtime.Choices.4.Selected" value="5"> <label for="QR~QID12~4~5" class="q-radio" aria-hidden="true" data-runtime-class-q-checked="runtime.Choices.4.Answers.5.Selected" aria-labelledby="header~QID12~4~mobile QID12-4-5-col-label"></label>  <label for="QR~QID12~4~5" class="single-answer mobile" id="QID12-4-5-col-label" aria-labelledby="header~QID12~4~mobile QID12-4-5-col-label" tabindex="-1">  <span>Completely agree</span> </label>  </td>   </tr>    </tbody> </table></div> </fieldset> </div> </div>  </div></div>
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	</tbody></table>
</div>

</form></div></div></body></html>

                             

Screenshot: