{"id":1757,"date":"2025-03-31T13:21:32","date_gmt":"2025-03-31T17:21:32","guid":{"rendered":"https:\/\/research.ohioguidestone.org\/study\/?page_id=1757"},"modified":"2025-03-31T13:21:32","modified_gmt":"2025-03-31T17:21:32","slug":"questionnaires-for-participants-in-the-study","status":"publish","type":"page","link":"https:\/\/research.ohioguidestone.org\/study\/the-maternal-vitality-study\/questionnaires-for-participants-in-the-study\/","title":{"rendered":"Questionnaires for Participants in The Study"},"content":{"rendered":"<p>This page is for participants already enrolled in the Maternal Vitality Study.<\/p>\n<p>Please complete the questionnaires below, making sure to press &#8220;<strong>SUBMIT<\/strong>&#8221; after each section.<\/p>\n<p>Thank you for being a part of our study. If you have any questions please email research@ohioguidestone.org or call 440-260-8865.<\/p>\n<div class=\"wpforms-container wpforms-container-full wpforms-container-save-resume\" id=\"wpforms-1733\"><form id=\"wpforms-form-1733\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1733\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/study\/wp-json\/wp\/v2\/pages\/1757\" data-token=\"e7de6c01b9bb6cfdc135836c46a7f705\" data-token-time=\"1776653338\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1733-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-1733-field_16\">Access ID <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1733-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/div><div id=\"wpforms-1733-field_1-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"1\"><h3 id=\"wpforms-1733-field_1\">Questions about depression<\/h3><\/div><div id=\"wpforms-1733-field_2-container\" class=\"wpforms-field wpforms-field-likert_scale\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Please answer these questions thinking about the last two (2) weeks, how often you have been bothered by any of the following problems. <span class=\"wpforms-required-label\">*<\/span><\/label>\n\t\t<table class=\"wpforms-field-large modern\">\n\t\t\t<thead>\n\t\t\t\t<tr>\n\t\t\t\t\t<th style=\"width:20%;\"><\/th><th style=\"width:20%;\">Not At All (0)<\/th><th style=\"width:20%;\">Several Days (1)<\/th><th style=\"width:20%;\">More than Half the Days (2)<\/th><th style=\"width:20%;\">Nearly Everyday (3)<\/th>\t\t\t\t<\/tr>\n\t\t\t<\/thead>\n\t\t\t<tbody>\n\t\t\t\t<tr><th>Little interest or pleasure in doing things<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_1_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][1]\" value=\"1\" required><label for=\"wpforms-1733-field_2_1_1\"><span class=\"wpforms-screen-reader-element\">Little interest or pleasure in doing things Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_1_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][1]\" value=\"2\" required><label for=\"wpforms-1733-field_2_1_2\"><span class=\"wpforms-screen-reader-element\">Little interest or pleasure in doing things Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_1_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][1]\" value=\"3\" required><label for=\"wpforms-1733-field_2_1_3\"><span class=\"wpforms-screen-reader-element\">Little interest or pleasure in doing things More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_1_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][1]\" value=\"4\" required><label for=\"wpforms-1733-field_2_1_4\"><span class=\"wpforms-screen-reader-element\">Little interest or pleasure in doing things Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Feeling down, depressed, or hopeless<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_2_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][2]\" value=\"1\" required><label for=\"wpforms-1733-field_2_2_1\"><span class=\"wpforms-screen-reader-element\">Feeling down, depressed, or hopeless Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_2_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][2]\" value=\"2\" required><label for=\"wpforms-1733-field_2_2_2\"><span class=\"wpforms-screen-reader-element\">Feeling down, depressed, or hopeless Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_2_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][2]\" value=\"3\" required><label for=\"wpforms-1733-field_2_2_3\"><span class=\"wpforms-screen-reader-element\">Feeling down, depressed, or hopeless More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_2_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][2]\" value=\"4\" required><label for=\"wpforms-1733-field_2_2_4\"><span class=\"wpforms-screen-reader-element\">Feeling down, depressed, or hopeless Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Trouble falling or staying asleep, or Sleeping too much<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_3_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][3]\" value=\"1\" required><label for=\"wpforms-1733-field_2_3_1\"><span class=\"wpforms-screen-reader-element\">Trouble falling or staying asleep, or Sleeping too much Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_3_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][3]\" value=\"2\" required><label for=\"wpforms-1733-field_2_3_2\"><span class=\"wpforms-screen-reader-element\">Trouble falling or staying asleep, or Sleeping too much Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_3_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][3]\" value=\"3\" required><label for=\"wpforms-1733-field_2_3_3\"><span class=\"wpforms-screen-reader-element\">Trouble falling or staying asleep, or Sleeping too much More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_3_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][3]\" value=\"4\" required><label for=\"wpforms-1733-field_2_3_4\"><span class=\"wpforms-screen-reader-element\">Trouble falling or staying asleep, or Sleeping too much Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Feeling tired or having little energy<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_6_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][6]\" value=\"1\" required><label for=\"wpforms-1733-field_2_6_1\"><span class=\"wpforms-screen-reader-element\">Feeling tired or having little energy Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_6_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][6]\" value=\"2\" required><label for=\"wpforms-1733-field_2_6_2\"><span class=\"wpforms-screen-reader-element\">Feeling tired or having little energy Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_6_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][6]\" value=\"3\" required><label for=\"wpforms-1733-field_2_6_3\"><span class=\"wpforms-screen-reader-element\">Feeling tired or having little energy More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_6_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][6]\" value=\"4\" required><label for=\"wpforms-1733-field_2_6_4\"><span class=\"wpforms-screen-reader-element\">Feeling tired or having little energy Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Poor appetite or overeating<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_5_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][5]\" value=\"1\" required><label for=\"wpforms-1733-field_2_5_1\"><span class=\"wpforms-screen-reader-element\">Poor appetite or overeating Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_5_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][5]\" value=\"2\" required><label for=\"wpforms-1733-field_2_5_2\"><span class=\"wpforms-screen-reader-element\">Poor appetite or overeating Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_5_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][5]\" value=\"3\" required><label for=\"wpforms-1733-field_2_5_3\"><span class=\"wpforms-screen-reader-element\">Poor appetite or overeating More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_5_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][5]\" value=\"4\" required><label for=\"wpforms-1733-field_2_5_4\"><span class=\"wpforms-screen-reader-element\">Poor appetite or overeating Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Feeling bad about yourself or that you are a failure or have let yourself or your family down<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_4_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][4]\" value=\"1\" required><label for=\"wpforms-1733-field_2_4_1\"><span class=\"wpforms-screen-reader-element\">Feeling bad about yourself or that you are a failure or have let yourself or your family down Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_4_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][4]\" value=\"2\" required><label for=\"wpforms-1733-field_2_4_2\"><span class=\"wpforms-screen-reader-element\">Feeling bad about yourself or that you are a failure or have let yourself or your family down Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_4_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][4]\" value=\"3\" required><label for=\"wpforms-1733-field_2_4_3\"><span class=\"wpforms-screen-reader-element\">Feeling bad about yourself or that you are a failure or have let yourself or your family down More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_4_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][4]\" value=\"4\" required><label for=\"wpforms-1733-field_2_4_4\"><span class=\"wpforms-screen-reader-element\">Feeling bad about yourself or that you are a failure or have let yourself or your family down Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Trouble concentrating on things, such as reading the newspaper or watching television<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_7_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][7]\" value=\"1\" required><label for=\"wpforms-1733-field_2_7_1\"><span class=\"wpforms-screen-reader-element\">Trouble concentrating on things, such as reading the newspaper or watching television Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_7_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][7]\" value=\"2\" required><label for=\"wpforms-1733-field_2_7_2\"><span class=\"wpforms-screen-reader-element\">Trouble concentrating on things, such as reading the newspaper or watching television Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_7_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][7]\" value=\"3\" required><label for=\"wpforms-1733-field_2_7_3\"><span class=\"wpforms-screen-reader-element\">Trouble concentrating on things, such as reading the newspaper or watching television More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_7_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][7]\" value=\"4\" required><label for=\"wpforms-1733-field_2_7_4\"><span class=\"wpforms-screen-reader-element\">Trouble concentrating on things, such as reading the newspaper or watching television Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Moving or speaking so slowly that other people could have noticed. Or, the opposite, being so fidgety or restless that you have been moving around a lot more than usual.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_8_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][8]\" value=\"1\" required><label for=\"wpforms-1733-field_2_8_1\"><span class=\"wpforms-screen-reader-element\">Moving or speaking so slowly that other people could have noticed. Or, the opposite, being so fidgety or restless that you have been moving around a lot more than usual. Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_8_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][8]\" value=\"2\" required><label for=\"wpforms-1733-field_2_8_2\"><span class=\"wpforms-screen-reader-element\">Moving or speaking so slowly that other people could have noticed. Or, the opposite, being so fidgety or restless that you have been moving around a lot more than usual. Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_8_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][8]\" value=\"3\" required><label for=\"wpforms-1733-field_2_8_3\"><span class=\"wpforms-screen-reader-element\">Moving or speaking so slowly that other people could have noticed. Or, the opposite, being so fidgety or restless that you have been moving around a lot more than usual. More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_8_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][8]\" value=\"4\" required><label for=\"wpforms-1733-field_2_8_4\"><span class=\"wpforms-screen-reader-element\">Moving or speaking so slowly that other people could have noticed. Or, the opposite, being so fidgety or restless that you have been moving around a lot more than usual. Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Thoughts that you would be better off dead, or hurting yourself.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_9_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][9]\" value=\"1\" required><label for=\"wpforms-1733-field_2_9_1\"><span class=\"wpforms-screen-reader-element\">Thoughts that you would be better off dead, or hurting yourself. Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_9_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][9]\" value=\"2\" required><label for=\"wpforms-1733-field_2_9_2\"><span class=\"wpforms-screen-reader-element\">Thoughts that you would be better off dead, or hurting yourself. Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_9_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][9]\" value=\"3\" required><label for=\"wpforms-1733-field_2_9_3\"><span class=\"wpforms-screen-reader-element\">Thoughts that you would be better off dead, or hurting yourself. More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_2_9_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][2][9]\" value=\"4\" required><label for=\"wpforms-1733-field_2_9_4\"><span class=\"wpforms-screen-reader-element\">Thoughts that you would be better off dead, or hurting yourself. Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr>\t\t\t<\/tbody>\n\t\t<\/table>\n\t\t<div class=\"wpforms-field-description\">Please note that help is available to you through OhioGuidestone's Crisis line at 440-260-8595\r\n-or- the National Mental Health Hotline by calling or texting 9-8-8. <\/div><\/div><div id=\"wpforms-1733-field_3-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"3\"><h3 id=\"wpforms-1733-field_3\">Questions about anxiety and worry<\/h3><\/div><div id=\"wpforms-1733-field_4-container\" class=\"wpforms-field wpforms-field-likert_scale\" data-field-id=\"4\"><label class=\"wpforms-field-label\">Please answer these questions thinking about the last two (2) weeks, how often you have been bothered by any of the following problems. <span class=\"wpforms-required-label\">*<\/span><\/label>\n\t\t<table class=\"wpforms-field-large modern\">\n\t\t\t<thead>\n\t\t\t\t<tr>\n\t\t\t\t\t<th style=\"width:20%;\"><\/th><th style=\"width:20%;\">Not At All (0)<\/th><th style=\"width:20%;\">Several Days (1)<\/th><th style=\"width:20%;\">More than Half the Days (2)<\/th><th style=\"width:20%;\">Nearly Everyday (3)<\/th>\t\t\t\t<\/tr>\n\t\t\t<\/thead>\n\t\t\t<tbody>\n\t\t\t\t<tr><th>Feeling nervous, anxious, or on edge.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_1_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][1]\" value=\"1\" required><label for=\"wpforms-1733-field_4_1_1\"><span class=\"wpforms-screen-reader-element\">Feeling nervous, anxious, or on edge. Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_1_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][1]\" value=\"2\" required><label for=\"wpforms-1733-field_4_1_2\"><span class=\"wpforms-screen-reader-element\">Feeling nervous, anxious, or on edge. Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_1_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][1]\" value=\"3\" required><label for=\"wpforms-1733-field_4_1_3\"><span class=\"wpforms-screen-reader-element\">Feeling nervous, anxious, or on edge. More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_1_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][1]\" value=\"4\" required><label for=\"wpforms-1733-field_4_1_4\"><span class=\"wpforms-screen-reader-element\">Feeling nervous, anxious, or on edge. Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Not being able to stop or control worrying.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_2_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][2]\" value=\"1\" required><label for=\"wpforms-1733-field_4_2_1\"><span class=\"wpforms-screen-reader-element\">Not being able to stop or control worrying. Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_2_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][2]\" value=\"2\" required><label for=\"wpforms-1733-field_4_2_2\"><span class=\"wpforms-screen-reader-element\">Not being able to stop or control worrying. Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_2_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][2]\" value=\"3\" required><label for=\"wpforms-1733-field_4_2_3\"><span class=\"wpforms-screen-reader-element\">Not being able to stop or control worrying. More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_2_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][2]\" value=\"4\" required><label for=\"wpforms-1733-field_4_2_4\"><span class=\"wpforms-screen-reader-element\">Not being able to stop or control worrying. Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Worrying too much about different things.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_3_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][3]\" value=\"1\" required><label for=\"wpforms-1733-field_4_3_1\"><span class=\"wpforms-screen-reader-element\">Worrying too much about different things. Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_3_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][3]\" value=\"2\" required><label for=\"wpforms-1733-field_4_3_2\"><span class=\"wpforms-screen-reader-element\">Worrying too much about different things. Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_3_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][3]\" value=\"3\" required><label for=\"wpforms-1733-field_4_3_3\"><span class=\"wpforms-screen-reader-element\">Worrying too much about different things. More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_3_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][3]\" value=\"4\" required><label for=\"wpforms-1733-field_4_3_4\"><span class=\"wpforms-screen-reader-element\">Worrying too much about different things. Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Trouble relaxing.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_7_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][7]\" value=\"1\" required><label for=\"wpforms-1733-field_4_7_1\"><span class=\"wpforms-screen-reader-element\">Trouble relaxing. Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_7_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][7]\" value=\"2\" required><label for=\"wpforms-1733-field_4_7_2\"><span class=\"wpforms-screen-reader-element\">Trouble relaxing. Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_7_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][7]\" value=\"3\" required><label for=\"wpforms-1733-field_4_7_3\"><span class=\"wpforms-screen-reader-element\">Trouble relaxing. More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_7_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][7]\" value=\"4\" required><label for=\"wpforms-1733-field_4_7_4\"><span class=\"wpforms-screen-reader-element\">Trouble relaxing. Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Being so restless that it is hard to sit still.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_6_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][6]\" value=\"1\" required><label for=\"wpforms-1733-field_4_6_1\"><span class=\"wpforms-screen-reader-element\">Being so restless that it is hard to sit still. Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_6_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][6]\" value=\"2\" required><label for=\"wpforms-1733-field_4_6_2\"><span class=\"wpforms-screen-reader-element\">Being so restless that it is hard to sit still. Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_6_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][6]\" value=\"3\" required><label for=\"wpforms-1733-field_4_6_3\"><span class=\"wpforms-screen-reader-element\">Being so restless that it is hard to sit still. More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_6_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][6]\" value=\"4\" required><label for=\"wpforms-1733-field_4_6_4\"><span class=\"wpforms-screen-reader-element\">Being so restless that it is hard to sit still. Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Becoming easily annoyed or irritable.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_5_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][5]\" value=\"1\" required><label for=\"wpforms-1733-field_4_5_1\"><span class=\"wpforms-screen-reader-element\">Becoming easily annoyed or irritable. Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_5_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][5]\" value=\"2\" required><label for=\"wpforms-1733-field_4_5_2\"><span class=\"wpforms-screen-reader-element\">Becoming easily annoyed or irritable. Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_5_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][5]\" value=\"3\" required><label for=\"wpforms-1733-field_4_5_3\"><span class=\"wpforms-screen-reader-element\">Becoming easily annoyed or irritable. More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_5_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][5]\" value=\"4\" required><label for=\"wpforms-1733-field_4_5_4\"><span class=\"wpforms-screen-reader-element\">Becoming easily annoyed or irritable. Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr><tr><th>Feeling afraid, as if something awful might happen.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not At All (0)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_4_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][4]\" value=\"1\" required><label for=\"wpforms-1733-field_4_4_1\"><span class=\"wpforms-screen-reader-element\">Feeling afraid, as if something awful might happen. Not At All (0)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Several Days (1)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_4_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][4]\" value=\"2\" required><label for=\"wpforms-1733-field_4_4_2\"><span class=\"wpforms-screen-reader-element\">Feeling afraid, as if something awful might happen. Several Days (1)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than Half the Days (2)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_4_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][4]\" value=\"3\" required><label for=\"wpforms-1733-field_4_4_3\"><span class=\"wpforms-screen-reader-element\">Feeling afraid, as if something awful might happen. More than Half the Days (2)<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Nearly Everyday (3)<\/span><input type=\"radio\" id=\"wpforms-1733-field_4_4_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][4][4]\" value=\"4\" required><label for=\"wpforms-1733-field_4_4_4\"><span class=\"wpforms-screen-reader-element\">Feeling afraid, as if something awful might happen. Nearly Everyday (3)<\/span><\/label><\/div><\/td><\/tr>\t\t\t<\/tbody>\n\t\t<\/table>\n\t\t<\/div><div id=\"wpforms-1733-field_5-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"5\"><h3 id=\"wpforms-1733-field_5\">Questions about mother&#039;s experiences and feelings. <\/h3><div class=\"wpforms-field-description\"><b> Please answer these questions thinking about the past week (7 days). <b><\/div><\/div><div id=\"wpforms-1733-field_6-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"6\"><label class=\"wpforms-field-label\">I have been able to laugh and see the funny side of things.  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1733-field_6\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_6_4\" name=\"wpforms[fields][6]\" value=\"As much as I always could (0)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_6_4\">As much as I always could (0)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_6_5\" name=\"wpforms[fields][6]\" value=\"Not quite so much now (1)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_6_5\">Not quite so much now (1)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_6_6\" name=\"wpforms[fields][6]\" value=\"Definitely not so much now (2)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_6_6\">Definitely not so much now (2)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_6_7\" name=\"wpforms[fields][6]\" value=\"Not at all (3)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_6_7\">Not at all (3)<\/label><\/li><\/ul><\/div><div id=\"wpforms-1733-field_7-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"7\"><label class=\"wpforms-field-label\">I have looked forward with enjoyment to things. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1733-field_7\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_7_4\" name=\"wpforms[fields][7]\" value=\"As much as I always could (0)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_7_4\">As much as I always could (0)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_7_5\" name=\"wpforms[fields][7]\" value=\"Not quite so much now (1)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_7_5\">Not quite so much now (1)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_7_6\" name=\"wpforms[fields][7]\" value=\"Definitely not so much now (2)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_7_6\">Definitely not so much now (2)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_7_7\" name=\"wpforms[fields][7]\" value=\"Not at all (3)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_7_7\">Not at all (3)<\/label><\/li><\/ul><\/div><div id=\"wpforms-1733-field_8-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"8\"><label class=\"wpforms-field-label\">I have blamed myself unnecessarily when things went wrong. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1733-field_8\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_8_4\" name=\"wpforms[fields][8]\" value=\"Yes, most of the time (3)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_8_4\">Yes, most of the time (3)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_8_5\" name=\"wpforms[fields][8]\" value=\"Yes, some of the time (2)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_8_5\">Yes, some of the time (2)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_8_6\" name=\"wpforms[fields][8]\" value=\"Not very often (1)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_8_6\">Not very often (1)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_8_7\" name=\"wpforms[fields][8]\" value=\"No, never (0)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_8_7\">No, never (0)<\/label><\/li><\/ul><\/div><div id=\"wpforms-1733-field_9-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"9\"><label class=\"wpforms-field-label\">I have been anxious or worried for no good reason. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1733-field_9\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_9_4\" name=\"wpforms[fields][9]\" value=\"No, not at all (0)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_9_4\">No, not at all (0)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_9_5\" name=\"wpforms[fields][9]\" value=\"Hardly ever (1)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_9_5\">Hardly ever (1)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_9_6\" name=\"wpforms[fields][9]\" value=\"Yes, sometimes (2)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_9_6\">Yes, sometimes (2)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_9_7\" name=\"wpforms[fields][9]\" value=\"Yes, very often (3)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_9_7\">Yes, very often (3)<\/label><\/li><\/ul><\/div><div id=\"wpforms-1733-field_10-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"10\"><label class=\"wpforms-field-label\">I have felt scared or panicky for no good reason. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1733-field_10\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_10_4\" name=\"wpforms[fields][10]\" value=\"Yes, quite a lot (3)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_10_4\">Yes, quite a lot (3)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_10_5\" name=\"wpforms[fields][10]\" value=\"Yes, sometimes (2)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_10_5\">Yes, sometimes (2)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_10_6\" name=\"wpforms[fields][10]\" value=\"No, not much (1)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_10_6\">No, not much (1)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_10_7\" name=\"wpforms[fields][10]\" value=\"No, not at all (0)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_10_7\">No, not at all (0)<\/label><\/li><\/ul><\/div><div id=\"wpforms-1733-field_11-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"11\"><label class=\"wpforms-field-label\">Things have been getting to me.  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1733-field_11\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_11_4\" name=\"wpforms[fields][11]\" value=\"Yes, most of the time I haven&#039;t been able to cope at all (3)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_11_4\">Yes, most of the time I haven't been able to cope at all (3)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_11_5\" name=\"wpforms[fields][11]\" value=\"Yes, some times I haven&#039;t been coping as well as usual (2)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_11_5\">Yes, some times I haven't been coping as well as usual (2)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_11_6\" name=\"wpforms[fields][11]\" value=\"No, most of the time I have coped quite well (1)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_11_6\">No, most of the time I have coped quite well (1)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_11_7\" name=\"wpforms[fields][11]\" value=\"No, I have been coping as well as ever (0)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_11_7\">No, I have been coping as well as ever (0)<\/label><\/li><\/ul><\/div><div id=\"wpforms-1733-field_12-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"12\"><label class=\"wpforms-field-label\">I have been so unhappy that I have had difficulty sleeping.  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1733-field_12\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_12_4\" name=\"wpforms[fields][12]\" value=\"Yes, most of the time (3)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_12_4\">Yes, most of the time (3)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_12_5\" name=\"wpforms[fields][12]\" value=\"Yes, sometimes (2)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_12_5\">Yes, sometimes (2)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_12_6\" name=\"wpforms[fields][12]\" value=\"No, not very often (1)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_12_6\">No, not very often (1)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_12_7\" name=\"wpforms[fields][12]\" value=\"No, not at all (0)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_12_7\">No, not at all (0)<\/label><\/li><\/ul><\/div><div id=\"wpforms-1733-field_13-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"13\"><label class=\"wpforms-field-label\">I have felt sad or miserable. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1733-field_13\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_13_4\" name=\"wpforms[fields][13]\" value=\"Yes, most of the time (3)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_13_4\">Yes, most of the time (3)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_13_5\" name=\"wpforms[fields][13]\" value=\"Yes, quite often (2)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_13_5\">Yes, quite often (2)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_13_6\" name=\"wpforms[fields][13]\" value=\"Not very often (1)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_13_6\">Not very often (1)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_13_7\" name=\"wpforms[fields][13]\" value=\"No, not at all (0)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_13_7\">No, not at all (0)<\/label><\/li><\/ul><\/div><div id=\"wpforms-1733-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><label class=\"wpforms-field-label\">I have been so unhappy that I have been crying. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1733-field_14\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_14_4\" name=\"wpforms[fields][14]\" value=\"Yes, most of the time (3)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_14_4\">Yes, most of the time (3)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_14_5\" name=\"wpforms[fields][14]\" value=\"Yes, quite often (2)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_14_5\">Yes, quite often (2)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_14_6\" name=\"wpforms[fields][14]\" value=\"Only occasionally (1)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_14_6\">Only occasionally (1)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_14_7\" name=\"wpforms[fields][14]\" value=\"No, never (0)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_14_7\">No, never (0)<\/label><\/li><\/ul><\/div><div id=\"wpforms-1733-field_15-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"15\"><label class=\"wpforms-field-label\">The thought of harming myself has occurred to me. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1733-field_15\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_15_4\" name=\"wpforms[fields][15]\" value=\"Yes, quite often (3)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_15_4\">Yes, quite often (3)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_15_5\" name=\"wpforms[fields][15]\" value=\"Sometimes (2)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_15_5\">Sometimes (2)<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_15_6\" name=\"wpforms[fields][15]\" value=\"Hardly ever (1)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_15_6\">Hardly ever (1)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-1733-field_15_7\" name=\"wpforms[fields][15]\" value=\"Never (0)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1733-field_15_7\">Never (0)<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please note that help is available to you through OhioGuidestone's Crisis line at 440-260-8595\r\n-or- the National Mental Health Hotline by calling or texting 9-8-8. <\/div><\/div><div id=\"wpforms-1733-field_17-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-1733-field_17\">Date <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1733-field_17\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][17][date]\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1733\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/research.ohioguidestone.org\/study\/wp-json\/wp\/v2\/pages\/1757\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1733\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/research.ohioguidestone.org\/study\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<div class=\"wpforms-container wpforms-container-full wpforms-container-save-resume\" id=\"wpforms-1762\"><form id=\"wpforms-form-1762\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1762\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/study\/wp-json\/wp\/v2\/pages\/1757\" data-token=\"6969370a19824dcc36fbefc8f7c4af1f\" data-token-time=\"1776653338\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1762-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-1762-field_24\">Access ID <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1762-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" required><\/div><div id=\"wpforms-1762-field_13-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"13\"><h3 id=\"wpforms-1762-field_13\">Brief Questionnaire Section<\/h3><\/div><div id=\"wpforms-1762-field_14-container\" class=\"wpforms-field wpforms-field-likert_scale\" data-field-id=\"14\"><label class=\"wpforms-field-label\">Index of Race Related Stress \u2013 Brief Version (IRSS-B)\u202f   Please circle the number on the scale (0 to 4) that indicates the reaction you had to the event at the time it happened. Do not leave any items blank. If an event has happened more than once refer to the first time it happened. If an event did not happen mark 0 and go on to the next item.\u202f  <span class=\"wpforms-required-label\">*<\/span><\/label>\n\t\t<table class=\"wpforms-field-large modern\">\n\t\t\t<thead>\n\t\t\t\t<tr>\n\t\t\t\t\t<th style=\"width:20%;\"><\/th><th style=\"width:16%;\">Never Happened 0<\/th><th style=\"width:16%;\">Happened but did not bother me 1<\/th><th style=\"width:16%;\">Happened and I was slightly upset 2<\/th><th style=\"width:16%;\">Happened and I was upset 3<\/th><th style=\"width:16%;\">Happened and I was extremely upset 4<\/th>\t\t\t\t<\/tr>\n\t\t\t<\/thead>\n\t\t\t<tbody>\n\t\t\t\t<tr><th>You notice that crimes committed by White people tend to be romanticized, whereas the same crime committed by a Black person is portrayed as savagery, and the Black person who committed it, as an animal.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_1_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][1]\" value=\"1\" required><label for=\"wpforms-1762-field_14_1_1\"><span class=\"wpforms-screen-reader-element\">You notice that crimes committed by White people tend to be romanticized, whereas the same crime committed by a Black person is portrayed as savagery, and the Black person who committed it, as an animal.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_1_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][1]\" value=\"2\" required><label for=\"wpforms-1762-field_14_1_2\"><span class=\"wpforms-screen-reader-element\">You notice that crimes committed by White people tend to be romanticized, whereas the same crime committed by a Black person is portrayed as savagery, and the Black person who committed it, as an animal.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_1_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][1]\" value=\"3\" required><label for=\"wpforms-1762-field_14_1_3\"><span class=\"wpforms-screen-reader-element\">You notice that crimes committed by White people tend to be romanticized, whereas the same crime committed by a Black person is portrayed as savagery, and the Black person who committed it, as an animal.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_1_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][1]\" value=\"4\" required><label for=\"wpforms-1762-field_14_1_4\"><span class=\"wpforms-screen-reader-element\">You notice that crimes committed by White people tend to be romanticized, whereas the same crime committed by a Black person is portrayed as savagery, and the Black person who committed it, as an animal.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_1_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][1]\" value=\"5\" required><label for=\"wpforms-1762-field_14_1_5\"><span class=\"wpforms-screen-reader-element\">You notice that crimes committed by White people tend to be romanticized, whereas the same crime committed by a Black person is portrayed as savagery, and the Black person who committed it, as an animal.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>Sales people\/clerks did not say thank you or show other forms of courtesy and respect (i.e. put your things in a bag) when you shopped at some White\/non-Black owned businesses.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_2_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][2]\" value=\"1\" required><label for=\"wpforms-1762-field_14_2_1\"><span class=\"wpforms-screen-reader-element\">Sales people\/clerks did not say thank you or show other forms of courtesy and respect (i.e. put your things in a bag) when you shopped at some White\/non-Black owned businesses.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_2_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][2]\" value=\"2\" required><label for=\"wpforms-1762-field_14_2_2\"><span class=\"wpforms-screen-reader-element\">Sales people\/clerks did not say thank you or show other forms of courtesy and respect (i.e. put your things in a bag) when you shopped at some White\/non-Black owned businesses.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_2_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][2]\" value=\"3\" required><label for=\"wpforms-1762-field_14_2_3\"><span class=\"wpforms-screen-reader-element\">Sales people\/clerks did not say thank you or show other forms of courtesy and respect (i.e. put your things in a bag) when you shopped at some White\/non-Black owned businesses.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_2_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][2]\" value=\"4\" required><label for=\"wpforms-1762-field_14_2_4\"><span class=\"wpforms-screen-reader-element\">Sales people\/clerks did not say thank you or show other forms of courtesy and respect (i.e. put your things in a bag) when you shopped at some White\/non-Black owned businesses.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_2_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][2]\" value=\"5\" required><label for=\"wpforms-1762-field_14_2_5\"><span class=\"wpforms-screen-reader-element\">Sales people\/clerks did not say thank you or show other forms of courtesy and respect (i.e. put your things in a bag) when you shopped at some White\/non-Black owned businesses.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You notice that when Black people are killed by the police the media informs the public of the Victim\u2019s criminal record or negative information in their background, suggesting they got what they deserved.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_3_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][3]\" value=\"1\" required><label for=\"wpforms-1762-field_14_3_1\"><span class=\"wpforms-screen-reader-element\">You notice that when Black people are killed by the police the media informs the public of the Victim\u2019s criminal record or negative information in their background, suggesting they got what they deserved.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_3_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][3]\" value=\"2\" required><label for=\"wpforms-1762-field_14_3_2\"><span class=\"wpforms-screen-reader-element\">You notice that when Black people are killed by the police the media informs the public of the Victim\u2019s criminal record or negative information in their background, suggesting they got what they deserved.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_3_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][3]\" value=\"3\" required><label for=\"wpforms-1762-field_14_3_3\"><span class=\"wpforms-screen-reader-element\">You notice that when Black people are killed by the police the media informs the public of the Victim\u2019s criminal record or negative information in their background, suggesting they got what they deserved.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_3_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][3]\" value=\"4\" required><label for=\"wpforms-1762-field_14_3_4\"><span class=\"wpforms-screen-reader-element\">You notice that when Black people are killed by the police the media informs the public of the Victim\u2019s criminal record or negative information in their background, suggesting they got what they deserved.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_3_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][3]\" value=\"5\" required><label for=\"wpforms-1762-field_14_3_5\"><span class=\"wpforms-screen-reader-element\">You notice that when Black people are killed by the police the media informs the public of the Victim\u2019s criminal record or negative information in their background, suggesting they got what they deserved.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You have been threatened with physical violence by an individual or group of White\/non-Blacks.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_6_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][6]\" value=\"1\" required><label for=\"wpforms-1762-field_14_6_1\"><span class=\"wpforms-screen-reader-element\">You have been threatened with physical violence by an individual or group of White\/non-Blacks. Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_6_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][6]\" value=\"2\" required><label for=\"wpforms-1762-field_14_6_2\"><span class=\"wpforms-screen-reader-element\">You have been threatened with physical violence by an individual or group of White\/non-Blacks. Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_6_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][6]\" value=\"3\" required><label for=\"wpforms-1762-field_14_6_3\"><span class=\"wpforms-screen-reader-element\">You have been threatened with physical violence by an individual or group of White\/non-Blacks. Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_6_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][6]\" value=\"4\" required><label for=\"wpforms-1762-field_14_6_4\"><span class=\"wpforms-screen-reader-element\">You have been threatened with physical violence by an individual or group of White\/non-Blacks. Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_6_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][6]\" value=\"5\" required><label for=\"wpforms-1762-field_14_6_5\"><span class=\"wpforms-screen-reader-element\">You have been threatened with physical violence by an individual or group of White\/non-Blacks. Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You have observed that White kids who commit violent crimes are portrayed as \u201cboys being boys\u201d, while Black kids who commit similar crimes are wild animals.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_5_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][5]\" value=\"1\" required><label for=\"wpforms-1762-field_14_5_1\"><span class=\"wpforms-screen-reader-element\">You have observed that White kids who commit violent crimes are portrayed as \u201cboys being boys\u201d, while Black kids who commit similar crimes are wild animals. Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_5_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][5]\" value=\"2\" required><label for=\"wpforms-1762-field_14_5_2\"><span class=\"wpforms-screen-reader-element\">You have observed that White kids who commit violent crimes are portrayed as \u201cboys being boys\u201d, while Black kids who commit similar crimes are wild animals. Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_5_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][5]\" value=\"3\" required><label for=\"wpforms-1762-field_14_5_3\"><span class=\"wpforms-screen-reader-element\">You have observed that White kids who commit violent crimes are portrayed as \u201cboys being boys\u201d, while Black kids who commit similar crimes are wild animals. Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_5_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][5]\" value=\"4\" required><label for=\"wpforms-1762-field_14_5_4\"><span class=\"wpforms-screen-reader-element\">You have observed that White kids who commit violent crimes are portrayed as \u201cboys being boys\u201d, while Black kids who commit similar crimes are wild animals. Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_5_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][5]\" value=\"5\" required><label for=\"wpforms-1762-field_14_5_5\"><span class=\"wpforms-screen-reader-element\">You have observed that White kids who commit violent crimes are portrayed as \u201cboys being boys\u201d, while Black kids who commit similar crimes are wild animals. Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You seldom hear or read anything positive about Black people on radio, T.V., newspapers, or in history books.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_4_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][4]\" value=\"1\" required><label for=\"wpforms-1762-field_14_4_1\"><span class=\"wpforms-screen-reader-element\">You seldom hear or read anything positive about Black people on radio, T.V., newspapers, or in history books. Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_4_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][4]\" value=\"2\" required><label for=\"wpforms-1762-field_14_4_2\"><span class=\"wpforms-screen-reader-element\">You seldom hear or read anything positive about Black people on radio, T.V., newspapers, or in history books. Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_4_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][4]\" value=\"3\" required><label for=\"wpforms-1762-field_14_4_3\"><span class=\"wpforms-screen-reader-element\">You seldom hear or read anything positive about Black people on radio, T.V., newspapers, or in history books. Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_4_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][4]\" value=\"4\" required><label for=\"wpforms-1762-field_14_4_4\"><span class=\"wpforms-screen-reader-element\">You seldom hear or read anything positive about Black people on radio, T.V., newspapers, or in history books. Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_4_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][4]\" value=\"5\" required><label for=\"wpforms-1762-field_14_4_5\"><span class=\"wpforms-screen-reader-element\">You seldom hear or read anything positive about Black people on radio, T.V., newspapers, or in history books. Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>While shopping at a store the salesclerk assumed that you couldn\u2019t afford certain items (i.e. you were directed toward the items on sale).\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_7_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][7]\" value=\"1\" required><label for=\"wpforms-1762-field_14_7_1\"><span class=\"wpforms-screen-reader-element\">While shopping at a store the salesclerk assumed that you couldn\u2019t afford certain items (i.e. you were directed toward the items on sale).\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_7_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][7]\" value=\"2\" required><label for=\"wpforms-1762-field_14_7_2\"><span class=\"wpforms-screen-reader-element\">While shopping at a store the salesclerk assumed that you couldn\u2019t afford certain items (i.e. you were directed toward the items on sale).\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_7_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][7]\" value=\"3\" required><label for=\"wpforms-1762-field_14_7_3\"><span class=\"wpforms-screen-reader-element\">While shopping at a store the salesclerk assumed that you couldn\u2019t afford certain items (i.e. you were directed toward the items on sale).\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_7_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][7]\" value=\"4\" required><label for=\"wpforms-1762-field_14_7_4\"><span class=\"wpforms-screen-reader-element\">While shopping at a store the salesclerk assumed that you couldn\u2019t afford certain items (i.e. you were directed toward the items on sale).\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_7_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][7]\" value=\"5\" required><label for=\"wpforms-1762-field_14_7_5\"><span class=\"wpforms-screen-reader-element\">While shopping at a store the salesclerk assumed that you couldn\u2019t afford certain items (i.e. you were directed toward the items on sale).\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You were the victim of a crime, and the police treated you as if you should just accept it as part of being Black.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_10_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][10]\" value=\"1\" required><label for=\"wpforms-1762-field_14_10_1\"><span class=\"wpforms-screen-reader-element\">You were the victim of a crime, and the police treated you as if you should just accept it as part of being Black.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_10_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][10]\" value=\"2\" required><label for=\"wpforms-1762-field_14_10_2\"><span class=\"wpforms-screen-reader-element\">You were the victim of a crime, and the police treated you as if you should just accept it as part of being Black.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_10_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][10]\" value=\"3\" required><label for=\"wpforms-1762-field_14_10_3\"><span class=\"wpforms-screen-reader-element\">You were the victim of a crime, and the police treated you as if you should just accept it as part of being Black.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_10_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][10]\" value=\"4\" required><label for=\"wpforms-1762-field_14_10_4\"><span class=\"wpforms-screen-reader-element\">You were the victim of a crime, and the police treated you as if you should just accept it as part of being Black.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_10_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][10]\" value=\"5\" required><label for=\"wpforms-1762-field_14_10_5\"><span class=\"wpforms-screen-reader-element\">You were the victim of a crime, and the police treated you as if you should just accept it as part of being Black.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You were treated with less respect and courtesy than Whites and other non-Blacks while in a store, restaurant, or other business establishment.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_9_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][9]\" value=\"1\" required><label for=\"wpforms-1762-field_14_9_1\"><span class=\"wpforms-screen-reader-element\">You were treated with less respect and courtesy than Whites and other non-Blacks while in a store, restaurant, or other business establishment.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_9_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][9]\" value=\"2\" required><label for=\"wpforms-1762-field_14_9_2\"><span class=\"wpforms-screen-reader-element\">You were treated with less respect and courtesy than Whites and other non-Blacks while in a store, restaurant, or other business establishment.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_9_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][9]\" value=\"3\" required><label for=\"wpforms-1762-field_14_9_3\"><span class=\"wpforms-screen-reader-element\">You were treated with less respect and courtesy than Whites and other non-Blacks while in a store, restaurant, or other business establishment.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_9_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][9]\" value=\"4\" required><label for=\"wpforms-1762-field_14_9_4\"><span class=\"wpforms-screen-reader-element\">You were treated with less respect and courtesy than Whites and other non-Blacks while in a store, restaurant, or other business establishment.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_9_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][9]\" value=\"5\" required><label for=\"wpforms-1762-field_14_9_5\"><span class=\"wpforms-screen-reader-element\">You were treated with less respect and courtesy than Whites and other non-Blacks while in a store, restaurant, or other business establishment.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You were passed over for an important project although you were more qualified and competent than the White\/non-Black person given the task.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_8_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][8]\" value=\"1\" required><label for=\"wpforms-1762-field_14_8_1\"><span class=\"wpforms-screen-reader-element\">You were passed over for an important project although you were more qualified and competent than the White\/non-Black person given the task.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_8_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][8]\" value=\"2\" required><label for=\"wpforms-1762-field_14_8_2\"><span class=\"wpforms-screen-reader-element\">You were passed over for an important project although you were more qualified and competent than the White\/non-Black person given the task.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_8_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][8]\" value=\"3\" required><label for=\"wpforms-1762-field_14_8_3\"><span class=\"wpforms-screen-reader-element\">You were passed over for an important project although you were more qualified and competent than the White\/non-Black person given the task.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_8_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][8]\" value=\"4\" required><label for=\"wpforms-1762-field_14_8_4\"><span class=\"wpforms-screen-reader-element\">You were passed over for an important project although you were more qualified and competent than the White\/non-Black person given the task.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_8_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][8]\" value=\"5\" required><label for=\"wpforms-1762-field_14_8_5\"><span class=\"wpforms-screen-reader-element\">You were passed over for an important project although you were more qualified and competent than the White\/non-Black person given the task.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>Whites\/non-Blacks have stared at you as if you didn\u2019t belong in the same place with them; whether it was at a restaurant, theater, or other place of business.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_12_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][12]\" value=\"1\" required><label for=\"wpforms-1762-field_14_12_1\"><span class=\"wpforms-screen-reader-element\">Whites\/non-Blacks have stared at you as if you didn\u2019t belong in the same place with them; whether it was at a restaurant, theater, or other place of business.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_12_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][12]\" value=\"2\" required><label for=\"wpforms-1762-field_14_12_2\"><span class=\"wpforms-screen-reader-element\">Whites\/non-Blacks have stared at you as if you didn\u2019t belong in the same place with them; whether it was at a restaurant, theater, or other place of business.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_12_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][12]\" value=\"3\" required><label for=\"wpforms-1762-field_14_12_3\"><span class=\"wpforms-screen-reader-element\">Whites\/non-Blacks have stared at you as if you didn\u2019t belong in the same place with them; whether it was at a restaurant, theater, or other place of business.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_12_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][12]\" value=\"4\" required><label for=\"wpforms-1762-field_14_12_4\"><span class=\"wpforms-screen-reader-element\">Whites\/non-Blacks have stared at you as if you didn\u2019t belong in the same place with them; whether it was at a restaurant, theater, or other place of business.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_12_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][12]\" value=\"5\" required><label for=\"wpforms-1762-field_14_12_5\"><span class=\"wpforms-screen-reader-element\">Whites\/non-Blacks have stared at you as if you didn\u2019t belong in the same place with them; whether it was at a restaurant, theater, or other place of business.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You have observed the police treat White\/non-Blacks with more respect and dignity than they do Blacks.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_11_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][11]\" value=\"1\" required><label for=\"wpforms-1762-field_14_11_1\"><span class=\"wpforms-screen-reader-element\">You have observed the police treat White\/non-Blacks with more respect and dignity than they do Blacks.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_11_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][11]\" value=\"2\" required><label for=\"wpforms-1762-field_14_11_2\"><span class=\"wpforms-screen-reader-element\">You have observed the police treat White\/non-Blacks with more respect and dignity than they do Blacks.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_11_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][11]\" value=\"3\" required><label for=\"wpforms-1762-field_14_11_3\"><span class=\"wpforms-screen-reader-element\">You have observed the police treat White\/non-Blacks with more respect and dignity than they do Blacks.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_11_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][11]\" value=\"4\" required><label for=\"wpforms-1762-field_14_11_4\"><span class=\"wpforms-screen-reader-element\">You have observed the police treat White\/non-Blacks with more respect and dignity than they do Blacks.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_11_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][11]\" value=\"5\" required><label for=\"wpforms-1762-field_14_11_5\"><span class=\"wpforms-screen-reader-element\">You have observed the police treat White\/non-Blacks with more respect and dignity than they do Blacks.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You have been subjected to racist jokes by Whites\/non-Blacks in positions of authority and you did not protest for fear they might have held it against you.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_14_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][14]\" value=\"1\" required><label for=\"wpforms-1762-field_14_14_1\"><span class=\"wpforms-screen-reader-element\">You have been subjected to racist jokes by Whites\/non-Blacks in positions of authority and you did not protest for fear they might have held it against you.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_14_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][14]\" value=\"2\" required><label for=\"wpforms-1762-field_14_14_2\"><span class=\"wpforms-screen-reader-element\">You have been subjected to racist jokes by Whites\/non-Blacks in positions of authority and you did not protest for fear they might have held it against you.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_14_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][14]\" value=\"3\" required><label for=\"wpforms-1762-field_14_14_3\"><span class=\"wpforms-screen-reader-element\">You have been subjected to racist jokes by Whites\/non-Blacks in positions of authority and you did not protest for fear they might have held it against you.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_14_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][14]\" value=\"4\" required><label for=\"wpforms-1762-field_14_14_4\"><span class=\"wpforms-screen-reader-element\">You have been subjected to racist jokes by Whites\/non-Blacks in positions of authority and you did not protest for fear they might have held it against you.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_14_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][14]\" value=\"5\" required><label for=\"wpforms-1762-field_14_14_5\"><span class=\"wpforms-screen-reader-element\">You have been subjected to racist jokes by Whites\/non-Blacks in positions of authority and you did not protest for fear they might have held it against you.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>While shopping at a store, or when attempting to make a purchase you were ignored as if you were not a serious customer or didn\u2019t have any money.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_13_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][13]\" value=\"1\" required><label for=\"wpforms-1762-field_14_13_1\"><span class=\"wpforms-screen-reader-element\">While shopping at a store, or when attempting to make a purchase you were ignored as if you were not a serious customer or didn\u2019t have any money.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_13_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][13]\" value=\"2\" required><label for=\"wpforms-1762-field_14_13_2\"><span class=\"wpforms-screen-reader-element\">While shopping at a store, or when attempting to make a purchase you were ignored as if you were not a serious customer or didn\u2019t have any money.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_13_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][13]\" value=\"3\" required><label for=\"wpforms-1762-field_14_13_3\"><span class=\"wpforms-screen-reader-element\">While shopping at a store, or when attempting to make a purchase you were ignored as if you were not a serious customer or didn\u2019t have any money.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_13_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][13]\" value=\"4\" required><label for=\"wpforms-1762-field_14_13_4\"><span class=\"wpforms-screen-reader-element\">While shopping at a store, or when attempting to make a purchase you were ignored as if you were not a serious customer or didn\u2019t have any money.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_13_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][13]\" value=\"5\" required><label for=\"wpforms-1762-field_14_13_5\"><span class=\"wpforms-screen-reader-element\">While shopping at a store, or when attempting to make a purchase you were ignored as if you were not a serious customer or didn\u2019t have any money.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You have observed situations where other Blacks were treated harshly or unfairly by Whites\/non-Blacks due to their race.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_15_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][15]\" value=\"1\" required><label for=\"wpforms-1762-field_14_15_1\"><span class=\"wpforms-screen-reader-element\">You have observed situations where other Blacks were treated harshly or unfairly by Whites\/non-Blacks due to their race.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_15_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][15]\" value=\"2\" required><label for=\"wpforms-1762-field_14_15_2\"><span class=\"wpforms-screen-reader-element\">You have observed situations where other Blacks were treated harshly or unfairly by Whites\/non-Blacks due to their race.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_15_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][15]\" value=\"3\" required><label for=\"wpforms-1762-field_14_15_3\"><span class=\"wpforms-screen-reader-element\">You have observed situations where other Blacks were treated harshly or unfairly by Whites\/non-Blacks due to their race.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_15_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][15]\" value=\"4\" required><label for=\"wpforms-1762-field_14_15_4\"><span class=\"wpforms-screen-reader-element\">You have observed situations where other Blacks were treated harshly or unfairly by Whites\/non-Blacks due to their race.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_15_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][15]\" value=\"5\" required><label for=\"wpforms-1762-field_14_15_5\"><span class=\"wpforms-screen-reader-element\">You have observed situations where other Blacks were treated harshly or unfairly by Whites\/non-Blacks due to their race.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You have heard reports of White people\/non-Blacks who have committed crimes, and in an effort to cover up their deeds falsely reported that a Black man was responsible for the crime.\u202f\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_16_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][16]\" value=\"1\" required><label for=\"wpforms-1762-field_14_16_1\"><span class=\"wpforms-screen-reader-element\">You have heard reports of White people\/non-Blacks who have committed crimes, and in an effort to cover up their deeds falsely reported that a Black man was responsible for the crime.\u202f\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_16_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][16]\" value=\"2\" required><label for=\"wpforms-1762-field_14_16_2\"><span class=\"wpforms-screen-reader-element\">You have heard reports of White people\/non-Blacks who have committed crimes, and in an effort to cover up their deeds falsely reported that a Black man was responsible for the crime.\u202f\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_16_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][16]\" value=\"3\" required><label for=\"wpforms-1762-field_14_16_3\"><span class=\"wpforms-screen-reader-element\">You have heard reports of White people\/non-Blacks who have committed crimes, and in an effort to cover up their deeds falsely reported that a Black man was responsible for the crime.\u202f\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_16_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][16]\" value=\"4\" required><label for=\"wpforms-1762-field_14_16_4\"><span class=\"wpforms-screen-reader-element\">You have heard reports of White people\/non-Blacks who have committed crimes, and in an effort to cover up their deeds falsely reported that a Black man was responsible for the crime.\u202f\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_16_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][16]\" value=\"5\" required><label for=\"wpforms-1762-field_14_16_5\"><span class=\"wpforms-screen-reader-element\">You have heard reports of White people\/non-Blacks who have committed crimes, and in an effort to cover up their deeds falsely reported that a Black man was responsible for the crime.\u202f\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You notice that the media plays up those stories that cast Blacks in negative ways (child, abusers, rapists, muggers, etc. [or as savages] Wild Man of 96th St., Wolf Pack, etc.), usually accompanied by a large picture of a Black person looking angry or disturbed.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_17_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][17]\" value=\"1\" required><label for=\"wpforms-1762-field_14_17_1\"><span class=\"wpforms-screen-reader-element\">You notice that the media plays up those stories that cast Blacks in negative ways (child, abusers, rapists, muggers, etc. [or as savages] Wild Man of 96th St., Wolf Pack, etc.), usually accompanied by a large picture of a Black person looking angry or disturbed. Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_17_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][17]\" value=\"2\" required><label for=\"wpforms-1762-field_14_17_2\"><span class=\"wpforms-screen-reader-element\">You notice that the media plays up those stories that cast Blacks in negative ways (child, abusers, rapists, muggers, etc. [or as savages] Wild Man of 96th St., Wolf Pack, etc.), usually accompanied by a large picture of a Black person looking angry or disturbed. Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_17_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][17]\" value=\"3\" required><label for=\"wpforms-1762-field_14_17_3\"><span class=\"wpforms-screen-reader-element\">You notice that the media plays up those stories that cast Blacks in negative ways (child, abusers, rapists, muggers, etc. [or as savages] Wild Man of 96th St., Wolf Pack, etc.), usually accompanied by a large picture of a Black person looking angry or disturbed. Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_17_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][17]\" value=\"4\" required><label for=\"wpforms-1762-field_14_17_4\"><span class=\"wpforms-screen-reader-element\">You notice that the media plays up those stories that cast Blacks in negative ways (child, abusers, rapists, muggers, etc. [or as savages] Wild Man of 96th St., Wolf Pack, etc.), usually accompanied by a large picture of a Black person looking angry or disturbed. Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_17_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][17]\" value=\"5\" required><label for=\"wpforms-1762-field_14_17_5\"><span class=\"wpforms-screen-reader-element\">You notice that the media plays up those stories that cast Blacks in negative ways (child, abusers, rapists, muggers, etc. [or as savages] Wild Man of 96th St., Wolf Pack, etc.), usually accompanied by a large picture of a Black person looking angry or disturbed. Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You have heard racists remarks or comments about Black people spoken with impunity by White public officials or other influential White people.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_19_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][19]\" value=\"1\" required><label for=\"wpforms-1762-field_14_19_1\"><span class=\"wpforms-screen-reader-element\">You have heard racists remarks or comments about Black people spoken with impunity by White public officials or other influential White people. Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_19_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][19]\" value=\"2\" required><label for=\"wpforms-1762-field_14_19_2\"><span class=\"wpforms-screen-reader-element\">You have heard racists remarks or comments about Black people spoken with impunity by White public officials or other influential White people. Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_19_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][19]\" value=\"3\" required><label for=\"wpforms-1762-field_14_19_3\"><span class=\"wpforms-screen-reader-element\">You have heard racists remarks or comments about Black people spoken with impunity by White public officials or other influential White people. Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_19_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][19]\" value=\"4\" required><label for=\"wpforms-1762-field_14_19_4\"><span class=\"wpforms-screen-reader-element\">You have heard racists remarks or comments about Black people spoken with impunity by White public officials or other influential White people. Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_19_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][19]\" value=\"5\" required><label for=\"wpforms-1762-field_14_19_5\"><span class=\"wpforms-screen-reader-element\">You have heard racists remarks or comments about Black people spoken with impunity by White public officials or other influential White people. Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You have been given more work, or the most undesirable jobs at your place of employment while the White\/non-Blacks of equal or less seniority and credentials is given less work, and more desirable tasks.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_18_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][18]\" value=\"1\" required><label for=\"wpforms-1762-field_14_18_1\"><span class=\"wpforms-screen-reader-element\">You have been given more work, or the most undesirable jobs at your place of employment while the White\/non-Blacks of equal or less seniority and credentials is given less work, and more desirable tasks.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_18_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][18]\" value=\"2\" required><label for=\"wpforms-1762-field_14_18_2\"><span class=\"wpforms-screen-reader-element\">You have been given more work, or the most undesirable jobs at your place of employment while the White\/non-Blacks of equal or less seniority and credentials is given less work, and more desirable tasks.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_18_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][18]\" value=\"3\" required><label for=\"wpforms-1762-field_14_18_3\"><span class=\"wpforms-screen-reader-element\">You have been given more work, or the most undesirable jobs at your place of employment while the White\/non-Blacks of equal or less seniority and credentials is given less work, and more desirable tasks.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_18_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][18]\" value=\"4\" required><label for=\"wpforms-1762-field_14_18_4\"><span class=\"wpforms-screen-reader-element\">You have been given more work, or the most undesirable jobs at your place of employment while the White\/non-Blacks of equal or less seniority and credentials is given less work, and more desirable tasks.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_18_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][18]\" value=\"5\" required><label for=\"wpforms-1762-field_14_18_5\"><span class=\"wpforms-screen-reader-element\">You have been given more work, or the most undesirable jobs at your place of employment while the White\/non-Blacks of equal or less seniority and credentials is given less work, and more desirable tasks.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You have heard or seen other Black people express the desire to be White or to have White physical characteristics because they disliked being Black or thought it was ugly.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_20_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][20]\" value=\"1\" required><label for=\"wpforms-1762-field_14_20_1\"><span class=\"wpforms-screen-reader-element\">You have heard or seen other Black people express the desire to be White or to have White physical characteristics because they disliked being Black or thought it was ugly. Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_20_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][20]\" value=\"2\" required><label for=\"wpforms-1762-field_14_20_2\"><span class=\"wpforms-screen-reader-element\">You have heard or seen other Black people express the desire to be White or to have White physical characteristics because they disliked being Black or thought it was ugly. Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_20_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][20]\" value=\"3\" required><label for=\"wpforms-1762-field_14_20_3\"><span class=\"wpforms-screen-reader-element\">You have heard or seen other Black people express the desire to be White or to have White physical characteristics because they disliked being Black or thought it was ugly. Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_20_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][20]\" value=\"4\" required><label for=\"wpforms-1762-field_14_20_4\"><span class=\"wpforms-screen-reader-element\">You have heard or seen other Black people express the desire to be White or to have White physical characteristics because they disliked being Black or thought it was ugly. Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_20_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][20]\" value=\"5\" required><label for=\"wpforms-1762-field_14_20_5\"><span class=\"wpforms-screen-reader-element\">You have heard or seen other Black people express the desire to be White or to have White physical characteristics because they disliked being Black or thought it was ugly. Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>White people or other non-Blacks have treated you as if you were unintelligent and needed things explained to you slowly or numerous times.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_21_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][21]\" value=\"1\" required><label for=\"wpforms-1762-field_14_21_1\"><span class=\"wpforms-screen-reader-element\">White people or other non-Blacks have treated you as if you were unintelligent and needed things explained to you slowly or numerous times.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_21_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][21]\" value=\"2\" required><label for=\"wpforms-1762-field_14_21_2\"><span class=\"wpforms-screen-reader-element\">White people or other non-Blacks have treated you as if you were unintelligent and needed things explained to you slowly or numerous times.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_21_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][21]\" value=\"3\" required><label for=\"wpforms-1762-field_14_21_3\"><span class=\"wpforms-screen-reader-element\">White people or other non-Blacks have treated you as if you were unintelligent and needed things explained to you slowly or numerous times.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_21_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][21]\" value=\"4\" required><label for=\"wpforms-1762-field_14_21_4\"><span class=\"wpforms-screen-reader-element\">White people or other non-Blacks have treated you as if you were unintelligent and needed things explained to you slowly or numerous times.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_21_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][21]\" value=\"5\" required><label for=\"wpforms-1762-field_14_21_5\"><span class=\"wpforms-screen-reader-element\">White people or other non-Blacks have treated you as if you were unintelligent and needed things explained to you slowly or numerous times.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr><tr><th>You were refused an apartment or other housing; you suspect it was because you are Black.\u202f<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never Happened 0<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_22_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][22]\" value=\"1\" required><label for=\"wpforms-1762-field_14_22_1\"><span class=\"wpforms-screen-reader-element\">You were refused an apartment or other housing; you suspect it was because you are Black.\u202f Never Happened 0<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened but did not bother me 1<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_22_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][22]\" value=\"2\" required><label for=\"wpforms-1762-field_14_22_2\"><span class=\"wpforms-screen-reader-element\">You were refused an apartment or other housing; you suspect it was because you are Black.\u202f Happened but did not bother me 1<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was slightly upset 2<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_22_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][22]\" value=\"3\" required><label for=\"wpforms-1762-field_14_22_3\"><span class=\"wpforms-screen-reader-element\">You were refused an apartment or other housing; you suspect it was because you are Black.\u202f Happened and I was slightly upset 2<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was upset 3<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_22_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][22]\" value=\"4\" required><label for=\"wpforms-1762-field_14_22_4\"><span class=\"wpforms-screen-reader-element\">You were refused an apartment or other housing; you suspect it was because you are Black.\u202f Happened and I was upset 3<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Happened and I was extremely upset 4<\/span><input type=\"radio\" id=\"wpforms-1762-field_14_22_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][14][22]\" value=\"5\" required><label for=\"wpforms-1762-field_14_22_5\"><span class=\"wpforms-screen-reader-element\">You were refused an apartment or other housing; you suspect it was because you are Black.\u202f Happened and I was extremely upset 4<\/span><\/label><\/div><\/td><\/tr>\t\t\t<\/tbody>\n\t\t<\/table>\n\t\t<\/div><div id=\"wpforms-1762-field_25-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-1762-field_25\">Date <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1762-field_25\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][25][date]\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1762\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/research.ohioguidestone.org\/study\/wp-json\/wp\/v2\/pages\/1757\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1762\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/research.ohioguidestone.org\/study\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This page is for participants already enrolled in the Maternal Vitality Study. Please complete the questionnaires below, making sure to press &#8220;SUBMIT&#8221; after each section. Thank you for being a part of our study. If you have any questions please email research@ohioguidestone.org or call 440-260-8865. &nbsp;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":1225,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"neve_meta_sidebar":"full-width","neve_meta_container":"","neve_meta_enable_content_width":"on","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"class_list":["post-1757","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/research.ohioguidestone.org\/study\/wp-json\/wp\/v2\/pages\/1757","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/research.ohioguidestone.org\/study\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/research.ohioguidestone.org\/study\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/research.ohioguidestone.org\/study\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/research.ohioguidestone.org\/study\/wp-json\/wp\/v2\/comments?post=1757"}],"version-history":[{"count":6,"href":"https:\/\/research.ohioguidestone.org\/study\/wp-json\/wp\/v2\/pages\/1757\/revisions"}],"predecessor-version":[{"id":1772,"href":"https:\/\/research.ohioguidestone.org\/study\/wp-json\/wp\/v2\/pages\/1757\/revisions\/1772"}],"up":[{"embeddable":true,"href":"https:\/\/research.ohioguidestone.org\/study\/wp-json\/wp\/v2\/pages\/1225"}],"wp:attachment":[{"href":"https:\/\/research.ohioguidestone.org\/study\/wp-json\/wp\/v2\/media?parent=1757"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}