{"id":1405,"date":"2021-03-03T11:14:10","date_gmt":"2021-03-03T11:14:10","guid":{"rendered":"http:\/\/guardianhousing.co.uk\/formulaire-de-reference\/"},"modified":"2021-03-03T11:14:11","modified_gmt":"2021-03-03T11:14:11","slug":"formulaire-de-reference","status":"publish","type":"page","link":"https:\/\/guardianhousing.co.uk\/fr\/formulaire-de-reference\/","title":{"rendered":"Formulaire de r\u00e9f\u00e9rence"},"content":{"rendered":"<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><h1 style=\"text-align: center;\">Guardian Housing Limited &#8211; Formulaire de recommandation<\/h1>\n<\/div><\/section>\n<div  style=' margin-top:10px; margin-bottom:10px;'  class='hr hr-custom hr-center hr-icon-no   avia-builder-el-1  el_after_av_textblock  el_before_av_one_full '><span class='hr-inner  inner-border-av-border-fat' style=' width:300px; border-color:#c9c9c9;' ><span class='hr-inner-style'><\/span><\/span><\/div>\n<div class=\"flex_column av_one_full  flex_column_div av-zero-column-padding first  avia-builder-el-2  el_after_av_hr  el_before_av_one_full  \" style='border-radius:0px; '><section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><style type=\"text\/css\" id=\"100\" data-form-unique-id=\"28155\" ><\/style><div class=\"arf_form ar_main_div_100 arf_form_outer_wrapper \" id=\"arffrm_100_container\"><div id=\"arf_message_error\" class=\"frm_error_style\" style=\"display:none;\"><div class=\"msg-detail\"><div class=\"msg-description-success\">La soumission de formulaire est restreinte<\/div><\/div><\/div><div id=\"arf_message_success_popup\" style=\"display:none;\"><div class=\"msg-detail\"><div class=\"msg-description-success\">Form is successfully submitted. Thank you!<\/div><\/div><\/div><form enctype=\"multipart\/form-data\" method=\"post\" class=\"arfshowmainform arfpagebreakform \" style=\"\" data-form-id=\"form_m2vh9w\"  novalidate=\"\" onsubmit=\"return arf_validate_form_submit()\" arf_form_submit = 0 data-id=\"28155\"  data-random-id=\"100_gWxjxi3a4r\"  data-submission-key=\"Ey3b5HgP\"  data-key-validate=\"false\"  data-popup-id=\"\"><div><script type=\"text\/javascript\" data-cfasync=\"false\">if(window['jQuery']){ if(!window['arf_page_fields']) window['arf_page_fields'] = new Array(); window['arf_page_fields']['100'] = { 0:[72,73,74,75,76,78,79,80,81,82,83,84,85,86,87,88,89,90,91,], 1: [93,], 2: [95,96,97,98,99,100,101,102,103,104,105,106,], 3: [108,109,111,112,113,114,115,116,], 4: [118,125,128,131,134,137,140,144,148,152,156,159,], 5: [240,241,242,243,244,245,246,247,248,249,250,251,252,253,254,255,273,274,275,278,279,280,281,282,283,284,], 6: [296,297,298,], 7: [300,301,302,303,1021,1022,1023,1024,1025,1026,1027,1028,1029,1030,1031,1032,1033,1034,1035,1036,1037,1038,1039,1040,1041,1042,1043,1044,] }; }<\/script><\/div><input type='text' name='arf_filter_input' data-jqvalidate='false' data-random-key='100_gWxjxi3a4r' value='' style='opacity:0 !important;display:none !important;visibility:hidden !important;' \/><input type='hidden' id='arf_ajax_url' value='https:\/\/guardianhousing.co.uk\/wp-admin\/admin-ajax.php' \/><input type=\"hidden\" data-jqvalidate=\"false\" class=\"kpress\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" class=\"stime\" value=\"1787640331\" \/><input type=\"hidden\" data-jqvalidate=\"false\" data-id=\"nonce_start_time\" class=\"nonce_start_time\" value=\"form_filter_st\" \/><input type=\"hidden\" data-jqvalidate=\"false\" data-id=\"nonce_keyboard_press\" class=\"nonce_keyboard_press\" value=\"form_filter_kp\" \/><input type=\"hidden\" data-jqvalidate=\"false\" data-id=\"arm_nonce_check\" name=\"arm_nonce_check\" value=\"7f9c5aecd7\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_redirect_url_to\" id=\"arf_redirect_url_to\" value=\"same_tab\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_browser_name\" data-id=\"arf_browser_name\" data-version=\"unknown\" value=\"Unknown\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arforms_nonce\" id=\"arforms_nonce\" value=\"f7a74debcc\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_file_token_100\" id=\"arf_file_token_100\" value=\"gDOcuoTV04\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"upload_field_id_100_28155\" id=\"upload_field_id_100_28155\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfdecimal_separator\" data-id=\"arfdecimal_separator\" value=\".\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_key_100\" data-id=\"form_key_100\" value=\"m2vh9w\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_success_message_show_time_100\" data-id=\"arf_success_message_show_time_100\" value=\"3\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_form_hide_after_submit_100\" data-id=\"arf_form_hide_after_submit_100\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"is_form_preview_100\" data-id=\"is_form_preview_100\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_validate_outside_100\" data-id=\"arf_validate_outside_100\" data-validate=\"0\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_is_validate_outside_100\" data-id=\"arf_is_validate_outside_100\" data-validate=\"0\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_is_resetform_aftersubmit_100\" data-id=\"arf_is_resetform_aftersubmit_100\" value=\"1\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_is_resetform_outside_100\" data-id=\"arf_is_resetform_outside_100\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_form_enable_cookie_100\" data-id=\"arf_form_enable_cookie_100\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_tooltip_settings_100\" data-id=\"arf_tooltip_settings_100\" class=\"arf_front_tooltip_settings\" data-form-id=\"100\" data-color=\"#FFFFFF\" data-position=\"top\" data-width=\"\" data-bg-color=\"#000000\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfsuccessmsgposition_100\" data-id=\"arfsuccessmsgposition_100\"  value=\"top\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfpagebreakstyle_100\" data-id=\"arfpagebreakstyle_100\"  value=\"number\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfpagebreakaddtimer_100\" data-id=\"arfpagebreakaddtimer_100\" value=\"0\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_tooltip_error_100\" data-id=\"form_tooltip_error_100\" data-color=\"\" data-position=\"bottom\" value=\"advance\" \/><input type=\"text\" data-jqvalidate=\"false\" name=\"fake_text\" data-id=\"fake_text\" value=\"\" style=\"height:0 !important; margin:0 !important; opacity: 0 !important; filter:alpha(opacity=0); padding:0 !important; width:0 !important; float:left;\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfaction\" value=\"create\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_id\" data-id=\"form_id\" value=\"100\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_data_id\" data-id=\"form_data_id\" value=\"28155\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_key\" data-id=\"form_key\" value=\"m2vh9w\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_ajax_url\" value=\"https:\/\/guardianhousing.co.uk\/wp-admin\/admin-ajax.php\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_display_type\" data-id=\"form_display_type\" value=\"0|https:\/\/guardianhousing.co.uk\/fr\/formulaire-de-reference\/\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_submit_type\" data-id=\"form_submit_type\" value=\"1\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_http_referrer_url\" data-id=\"arf_http_referrer_url\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" id=\"arf_image_directory_url_100_28155\" name=\"arf_image_directory_url\" value=\"https:\/\/guardianhousing.co.uk\/wp-content\/plugins\/arforms\/images\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arffiledragurl\" data-id=\"arffiledragurl\" value=\"https:\/\/guardianhousing.co.uk\/wp-content\/plugins\/arforms\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"entry_key\" value=\"\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arf_skip_captcha\" data-id=\"arf_skip_captcha\" value=\"\" \/><input type='hidden' id='arf_pb_field_animation_style_front_100' name='arf_pb_field_animation_style_front_100' value='slideInLeft' \/><input type='hidden' id='arf_pb_field_animation_duration_front_100' name='arf_pb_field_animation_duration_front_100' value='' \/><input type='hidden' id='arf_pb_field_animation_delay_front_100' name='arf_pb_field_animation_delay_front_100' value='' \/><input type='hidden' id='arf_pb_field_animation_inherit_100' name='arf_pb_field_animation_inherit_100' value='0' \/><input type='hidden' id='arf_field_animation_style_front_100' name='arf_field_animation_style_front_100' value='' \/><input type='hidden' id='arf_field_animation_duration_front_100' name='arf_field_animation_duration_front_100' value='' \/><input type='hidden' id='arf_field_animation_delay_front_100' name='arf_field_animation_delay_front_100' value='' \/><input type=\"hidden\" id=\"arf_form_site_wide_100\" value=\"\" \/><div class=\"allfields\" ><div class=\"arf_fieldset arf_standard_form\" id=\"arf_fieldset_28155\"><div class=\"arftitlecontainer\"><div class=\"formtitle_style\">Referral Form<\/div><div class=\"arf_field_description formdescription_style\">REFERRAL FORM FOR SUPPORTED ACCOMMODATION<\/div><\/div><input type='hidden' id='arf_previous_page_clickable_100' name='arf_previous_page_clickable_100' value='0' \/><input type='hidden' id='pagebreak_addtimer_100' name='pagebreak_addtimer_100' value='0' \/><div id=\"arf_wizard_table\" class=\"arf_wizard arf_wizard_style1 arf_wizard_top\"><div class=\"arf_wizard_upper_tab\"><div style=\"width:12.500%;\" id=\"page_nav_1\" class=\"page_break_nav page_nav_selected\">Step1<\/div><div style=\"width:12.500%; \" id=\"page_nav_2\" class=\"page_break_nav\">Step2<\/div><div style=\"width:12.500%; \" id=\"page_nav_3\" class=\"page_break_nav\">Step 3<\/div><div style=\"width:12.500%; \" id=\"page_nav_4\" class=\"page_break_nav\">Step 4<\/div><div style=\"width:12.500%; \" id=\"page_nav_5\" class=\"page_break_nav\">Step 5<\/div><div style=\"width:12.500%; \" id=\"page_nav_6\" class=\"page_break_nav\">Step 6<\/div><div style=\"width:12.500%; \" id=\"page_nav_7\" class=\"page_break_nav\">Step 7<\/div><div style=\"width:12.500%; \" id=\"page_nav_8\" class=\"page_break_nav\">Step 8<\/div><\/div><div class=\"arf_wizard_lower_tab\"><div style=\"width:12.500%; padding:0;\" id=\"page_nav_arrow_1\" class=\"page_break_nav page_nav_selected\"><div class=\"arforms_current_tab_arrow\"><\/div><\/div><div style=\"width:12.500%;padding:0;\" id=\"page_nav_arrow_2\" class=\"page_break_nav\"><\/div><div style=\"width:12.500%;padding:0;\" id=\"page_nav_arrow_3\" class=\"page_break_nav\"><\/div><div style=\"width:12.500%;padding:0;\" id=\"page_nav_arrow_4\" class=\"page_break_nav\"><\/div><div style=\"width:12.500%;padding:0;\" id=\"page_nav_arrow_5\" class=\"page_break_nav\"><\/div><div style=\"width:12.500%;padding:0;\" id=\"page_nav_arrow_6\" class=\"page_break_nav\"><\/div><div style=\"width:12.500%;padding:0;\" id=\"page_nav_arrow_7\" class=\"page_break_nav\"><\/div><div style=\"width:12.500%;padding:0;\" id=\"page_nav_arrow_8\" class=\"page_break_nav\"><\/div><\/div><\/div><div class='arf_wizard_clear' style='clear:both; height:15px;'><\/div><div id=\"page_0\" class=\"page_break\"><input type=\"hidden\" id=\"arf_repeatable_field_counter_72\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_72\" class=\"arf_heading_div  \"><h2 class='arf_sec_heading_field pos_top  ' style='display:block'; data-field-type='section' >SECTION 1 \u2013 REFERRAL AGENCY DETAILS<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_73_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_73\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"72\" ><label data-type=\"text\" for=\"field_733rk4_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Referral Agency<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_733rk4_28155\"  name=\"item_meta[73]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_74_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_phone  top_container  top_container arfformfield   arf_inline_field_value  arf_field_74\"  style='width: 100%'  data-field-type=\"phone\" data-parent_field=\"72\"><label data-type=\"phone\" for=\"field_pd5p9u_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Phone<\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_pd5p9u_28155\"name=\"item_meta[74]\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_75_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield  arf_field_75\"  style='width: 100%'  data-field-type=\"email\" data-parent_field=\"72\"><label data-type=\"email\" for=\"field_n0ywsp_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Email<\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_n0ywsp_28155\" name=\"item_meta[75]\"  data-validation-regex-regex=\"[\\p{L}0-9._-]+@[\\p{L}0-9.-]+\\.[\\p{L}]+\" data-validation-regex-message=\"Email is invalid\"  \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_76_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_76\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"72\"><label data-type=\"textarea\" for=\"field_nb1xyz_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Reason for Referral<\/label><div class=\"controls\"   ><textarea name=\"item_meta[76]\" id=\"field_nb1xyz_28155\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style='clear:both;height:1px;'>&nbsp;<\/div><\/div><div class=\"arfsubmitbutton arf_submit_div top_container\" id=\"arf_submit_div_0\" ><input type=\"submit\" class=\"next_btn\" name=\"next\" value=\"Next\" \/><\/div><div id=\"page_1\" class=\"page_break\" style=\"display:none;\"><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_78\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_78\" class=\"arf_heading_div  \"><h2 class='arf_sec_heading_field pos_top  ' style='display:block'; data-field-type='section' >SECTION 2 - APPLICANTS DETAILS<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_79_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_79\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"78\" ><label data-type=\"text\" for=\"field_h92xhv_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Name<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_h92xhv_28155\"  name=\"item_meta[79]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_80_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_80\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"78\"><label data-type=\"textarea\" for=\"field_e79l3c_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Address<\/label><div class=\"controls\"   ><textarea name=\"item_meta[80]\" id=\"field_e79l3c_28155\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_81_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_81\"  style='width: 48.34%' data-field-type=\"text\" data-parent_field=\"78\" ><label data-type=\"text\" for=\"field_r6etn3_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Date of Birth<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_r6etn3_28155\"  name=\"item_meta[81]\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_82_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_82\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"78\" ><label data-type=\"text\" for=\"field_2ufzop_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Gender<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_2ufzop_28155\"  name=\"item_meta[82]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_83_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_phone  top_container  top_container arfformfield   arf_inline_field_value  arf_field_83\"  style='width: 100%'  data-field-type=\"phone\" data-parent_field=\"78\"><label data-type=\"phone\" for=\"field_58rpct_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Contact Number<\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_58rpct_28155\"name=\"item_meta[83]\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_84_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_84\"  style='width: 48.34%' data-field-type=\"text\" data-parent_field=\"78\" ><label data-type=\"text\" for=\"field_vqkyhr_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >NINO<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_vqkyhr_28155\"  name=\"item_meta[84]\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_85_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_85\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"78\" ><label data-type=\"text\" for=\"field_yt0k5b_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Benefit Status<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_yt0k5b_28155\"  name=\"item_meta[85]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_86_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_86\"  style='width: 48.34%' data-field-type=\"text\" data-parent_field=\"78\" ><label data-type=\"text\" for=\"field_2qkq3_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Immigration Status<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_2qkq3_28155\"  name=\"item_meta[86]\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_87_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_87\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"78\" ><label data-type=\"text\" for=\"field_ohce5x_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Entry Date to UK<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_ohce5x_28155\"  name=\"item_meta[87]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_88_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_88\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"78\" ><label data-type=\"text\" for=\"field_altp68_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Ethnicity<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_altp68_28155\"  name=\"item_meta[88]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_89_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_89\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"78\" ><label data-type=\"text\" for=\"field_qxsvv8_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Next of Kin \/ Relationship<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_qxsvv8_28155\"  name=\"item_meta[89]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_90_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_90\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"78\"><label data-type=\"textarea\" for=\"field_9s6j1s_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Next of Kin Address<\/label><div class=\"controls\"   ><textarea name=\"item_meta[90]\" id=\"field_9s6j1s_28155\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_91_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_91\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"78\" ><label data-type=\"text\" for=\"field_kcmspp_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Next of Kin Contact Number<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_kcmspp_28155\"  name=\"item_meta[91]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style='clear:both;height:1px;'>&nbsp;<\/div><\/div><div class=\"arfsubmitbutton arf_submit_div top_container\" id=\"arf_submit_div_1\" style=\"display:none;\"><input type=\"button\" name=\"previous\" class=\"previous_btn\" onclick=\"go_previous('0', '100', 'no', 'm2vh9w', '28155');\" value=\"Previous\" \/><input type=\"submit\" class=\"next_btn\" name=\"next\" value=\"Next\" \/><\/div><div id=\"page_2\" class=\"page_break\" style=\"display:none;\"><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_93\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_93\" class=\"arf_heading_div  \"><h2 class='arf_sec_heading_field pos_top  ' style='display:block'; data-field-type='section' >SECTION 3. PREVIOUS ADDRESS HISTORY (INCLUDING SUPPORTED ACCOMMODATION)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_95_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_95\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"93\" ><label data-type=\"text\" for=\"field_h579zj_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Address<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_h579zj_28155\"  name=\"item_meta[95]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_96_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_third  arf_inline_field_value  arf_field_96\"  style='width: 30.978%' data-field-type=\"text\" data-parent_field=\"93\" ><label data-type=\"text\" for=\"field_ag0sar_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Dates \/ Duration<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_ag0sar_28155\"  name=\"item_meta[96]\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_97_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_third  arf_inline_field_value  arf_field_97\"  style='width: 31.298%' data-field-type=\"text\" data-parent_field=\"93\" ><label data-type=\"text\" for=\"field_s4gjoa_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Occupany Type<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_s4gjoa_28155\"  name=\"item_meta[97]\"   \/><\/div><\/div><div class=\"arf_third_middle\"><\/div><div id=\"arf_field_98_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_third  arf_inline_field_value  arf_field_98\"  style='width: 30.978%' data-field-type=\"text\" data-parent_field=\"93\" ><label data-type=\"text\" for=\"field_yk3boa_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Reason for Leaving<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_yk3boa_28155\"  name=\"item_meta[98]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_99_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_99\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"93\" ><label data-type=\"text\" for=\"field_h579zj2_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Address<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_h579zj2_28155\"  name=\"item_meta[99]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_100_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_third  arf_inline_field_value  arf_field_100\"  style='width: 30.978%' data-field-type=\"text\" data-parent_field=\"93\" ><label data-type=\"text\" for=\"field_ag0sar2_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Dates \/ Duration<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_ag0sar2_28155\"  name=\"item_meta[100]\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_101_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_third  arf_inline_field_value  arf_field_101\"  style='width: 31.298%' data-field-type=\"text\" data-parent_field=\"93\" ><label data-type=\"text\" for=\"field_s4gjoa2_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Occupany Type<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_s4gjoa2_28155\"  name=\"item_meta[101]\"   \/><\/div><\/div><div class=\"arf_third_middle\"><\/div><div id=\"arf_field_105_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_third  arf_inline_field_value  arf_field_105\"  style='width: 30.978%' data-field-type=\"text\" data-parent_field=\"93\" ><label data-type=\"text\" for=\"field_yk3boa2_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Reason for Leaving<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_yk3boa2_28155\"  name=\"item_meta[105]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_102_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_102\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"93\" ><label data-type=\"text\" for=\"field_h579zj22_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Address<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_h579zj22_28155\"  name=\"item_meta[102]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_103_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_first_third  arf_inline_field_value  arf_field_103\"  style='width: 30.978%' data-field-type=\"text\" data-parent_field=\"93\" ><label data-type=\"text\" for=\"field_ag0sar22_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Dates \/ Duration<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_ag0sar22_28155\"  name=\"item_meta[103]\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_104_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_third  arf_inline_field_value  arf_field_104\"  style='width: 31.298%' data-field-type=\"text\" data-parent_field=\"93\" ><label data-type=\"text\" for=\"field_s4gjoa22_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Occupany Type<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_s4gjoa22_28155\"  name=\"item_meta[104]\"   \/><\/div><\/div><div class=\"arf_third_middle\"><\/div><div id=\"arf_field_106_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_third  arf_inline_field_value  arf_field_106\"  style='width: 30.978%' data-field-type=\"text\" data-parent_field=\"93\" ><label data-type=\"text\" for=\"field_yk3boa3_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Reason for Leaving<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_yk3boa3_28155\"  name=\"item_meta[106]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style='clear:both;height:1px;'>&nbsp;<\/div><\/div><div class=\"arfsubmitbutton arf_submit_div top_container\" id=\"arf_submit_div_2\" style=\"display:none;\"><input type=\"button\" name=\"previous\" class=\"previous_btn\" onclick=\"go_previous('1', '100', 'no', 'm2vh9w', '28155');\" value=\"Previous\" \/><input type=\"submit\" class=\"next_btn\" name=\"next\" value=\"Next\" \/><\/div><div id=\"page_3\" class=\"page_break\" style=\"display:none;\"><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_108\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_108\" class=\"arf_heading_div  \"><h2 class='arf_sec_heading_field pos_top  ' style='display:block'; data-field-type='section' >SECTION 4 \u2013 APPLICANT MEDICAL BACKGROUND \/ HISTORY<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_109_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_109\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"108\" ><label data-type=\"text\" for=\"field_ksu44q_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Social Worker \/ CPN \/ Probation Officer\/ Other<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_ksu44q_28155\"  name=\"item_meta[109]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_111_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_111\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"108\" ><label data-type=\"text\" for=\"field_3nqet8_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >GP Name \/ Address - if applicable<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_3nqet8_28155\"  name=\"item_meta[111]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_112_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_112\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"108\" ><label data-type=\"text\" for=\"field_qt1bng_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Has Client ever been detailed \/ sectioned under the Mental Health Act? \/ Details<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_qt1bng_28155\"  name=\"item_meta[112]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_113_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_113\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"108\" ><label data-type=\"text\" for=\"field_is3lxt_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Physical Health History<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_is3lxt_28155\"  name=\"item_meta[113]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_114_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_114\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"108\" ><label data-type=\"text\" for=\"field_bgpobn_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Present medication and \/ or Treatment<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_bgpobn_28155\"  name=\"item_meta[114]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_115_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_115\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"108\" ><label data-type=\"text\" for=\"field_g2las3_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Criminal Convictions \/ Community Order incl DATES<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_g2las3_28155\"  name=\"item_meta[115]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_116_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_116\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"108\"><label data-type=\"textarea\" for=\"field_4pj0r8_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Other Relevant Information<\/label><div class=\"controls\"   ><textarea name=\"item_meta[116]\" id=\"field_4pj0r8_28155\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style='clear:both;height:1px;'>&nbsp;<\/div><\/div><div class=\"arfsubmitbutton arf_submit_div top_container\" id=\"arf_submit_div_3\" style=\"display:none;\"><input type=\"button\" name=\"previous\" class=\"previous_btn\" onclick=\"go_previous('2', '100', 'no', 'm2vh9w', '28155');\" value=\"Previous\" \/><input type=\"submit\" class=\"next_btn\" name=\"next\" value=\"Next\" \/><\/div><div id=\"page_4\" class=\"page_break\" style=\"display:none;\"><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_118\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_118\" class=\"arf_heading_div  \"><h2 class='arf_sec_heading_field pos_top  ' style='display:block'; data-field-type='section' >SECTION 5 \u2013 SUPPORT NEEDS (You MUST tick YES to at least 5 support needs to be considered and accepted for supported accommodation)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_125_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_125\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_cnylh6_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Tenancy failure or losing short term accommodation<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[125]\" data-type=\"radio\" id=\"field_125-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_125-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[125]\" data-type=\"radio\" id=\"field_125-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_125-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1021_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1021\"  style='width: 48.126%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_auuvn7_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Rough Sleeping<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1021]\" data-type=\"radio\" id=\"field_1021-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1021-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1021]\" data-type=\"radio\" id=\"field_1021-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1021-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_128_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_128\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_cnylh62_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Ongoing issues with drugs and alcohol<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[128]\" data-type=\"radio\" id=\"field_128-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_128-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[128]\" data-type=\"radio\" id=\"field_128-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_128-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1022_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1022\"  style='width: 48.126%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_kg5bm0_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Money Management and Budgeting<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1022]\" data-type=\"radio\" id=\"field_1022-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1022-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1022]\" data-type=\"radio\" id=\"field_1022-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1022-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_131_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_131\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_cnylh622_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Access to Local Services<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[131]\" data-type=\"radio\" id=\"field_131-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_131-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[131]\" data-type=\"radio\" id=\"field_131-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_131-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1023_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1023\"  style='width: 48.126%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_pwzotw_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Reduce Social Isolation<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1023]\" data-type=\"radio\" id=\"field_1023-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1023-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1023]\" data-type=\"radio\" id=\"field_1023-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1023-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_134_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_134\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_cnylh6222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Skills to eat healthily<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[134]\" data-type=\"radio\" id=\"field_134-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_134-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[134]\" data-type=\"radio\" id=\"field_134-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_134-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1024_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1024\"  style='width: 48.126%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_idl64q_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Developing Interpersonal Skills<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1024]\" data-type=\"radio\" id=\"field_1024-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1024-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1024]\" data-type=\"radio\" id=\"field_1024-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1024-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_137_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_137\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_cnylh62222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Ability to manage Personal Hygiene<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[137]\" data-type=\"radio\" id=\"field_137-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_137-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[137]\" data-type=\"radio\" id=\"field_137-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_137-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1025_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1025\"  style='width: 48.126%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_4boglc_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Maintaining your Tenancy, avoiding Eviction<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1025]\" data-type=\"radio\" id=\"field_1025-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1025-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1025]\" data-type=\"radio\" id=\"field_1025-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1025-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_140_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_140\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_cnylh622222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Improve Social and Community Networks<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[140]\" data-type=\"radio\" id=\"field_140-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_140-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[140]\" data-type=\"radio\" id=\"field_140-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_140-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1026_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1026\"  style='width: 48.126%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_dtzf91_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Applying for the correct Benefits<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1026]\" data-type=\"radio\" id=\"field_1026-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1026-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1026]\" data-type=\"radio\" id=\"field_1026-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1026-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_144_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_144\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_cnylh6222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Unplanned Hospital Admissions<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[144]\" data-type=\"radio\" id=\"field_144-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_144-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[144]\" data-type=\"radio\" id=\"field_144-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_144-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1027_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1027\"  style='width: 48.126%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_h5m77e_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Re-establishing Family Links<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1027]\" data-type=\"radio\" id=\"field_1027-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1027-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1027]\" data-type=\"radio\" id=\"field_1027-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1027-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_148_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_148\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_cnylh62222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Accessing Drug and Alcohol Services<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[148]\" data-type=\"radio\" id=\"field_148-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_148-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[148]\" data-type=\"radio\" id=\"field_148-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_148-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1028_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1028\"  style='width: 48.126%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_jnqrnk_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Access to Health Services<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1028]\" data-type=\"radio\" id=\"field_1028-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1028-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1028]\" data-type=\"radio\" id=\"field_1028-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1028-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_152_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_152\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_cnylh622222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Maintain a Healthy Lifestyle<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[152]\" data-type=\"radio\" id=\"field_152-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_152-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[152]\" data-type=\"radio\" id=\"field_152-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_152-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1029_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1029\"  style='width: 48.126%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_k4fbsw_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Managing and Maintaining Nutrition<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1029]\" data-type=\"radio\" id=\"field_1029-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1029-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1029]\" data-type=\"radio\" id=\"field_1029-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1029-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_156_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_156\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_cnylh6222222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Reduce Risk of Debt<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[156]\" data-type=\"radio\" id=\"field_156-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_156-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[156]\" data-type=\"radio\" id=\"field_156-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_156-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1030_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1030\"  style='width: 48.126%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_xfl6th_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Being Appropriately Clothed<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1030]\" data-type=\"radio\" id=\"field_1030-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1030-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1030]\" data-type=\"radio\" id=\"field_1030-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1030-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_159_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_159\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_cnylh62222222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Risk of Domestic Abuse<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[159]\" data-type=\"radio\" id=\"field_159-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_159-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[159]\" data-type=\"radio\" id=\"field_159-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_159-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1031_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1031\"  style='width: 48.126%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_uedi4y_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Having Access to Food Banks<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1031]\" data-type=\"radio\" id=\"field_1031-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1031-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1031]\" data-type=\"radio\" id=\"field_1031-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1031-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_1032_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_1032\"  style='width: 48.233%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_u8l1qy_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Access Voluntary Services<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1032]\" data-type=\"radio\" id=\"field_1032-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1032-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1032]\" data-type=\"radio\" id=\"field_1032-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1032-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1033_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1033\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_uygpg_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Accessing and Engaging in Work<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1033]\" data-type=\"radio\" id=\"field_1033-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1033-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1033]\" data-type=\"radio\" id=\"field_1033-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1033-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_1034_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_1034\"  style='width: 48.233%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_lokpkc_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Ongoing Health Conditions<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1034]\" data-type=\"radio\" id=\"field_1034-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1034-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1034]\" data-type=\"radio\" id=\"field_1034-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1034-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1035_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1035\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_dvpaju_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Application for Council Residence<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1035]\" data-type=\"radio\" id=\"field_1035-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1035-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1035]\" data-type=\"radio\" id=\"field_1035-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1035-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_1036_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_1036\"  style='width: 48.233%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_722pfv_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Risk of Self Harm<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1036]\" data-type=\"radio\" id=\"field_1036-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1036-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1036]\" data-type=\"radio\" id=\"field_1036-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1036-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1037_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1037\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_zsvxqc_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Risk of Harm from Others<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1037]\" data-type=\"radio\" id=\"field_1037-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1037-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1037]\" data-type=\"radio\" id=\"field_1037-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1037-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_1038_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_1038\"  style='width: 48.233%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_ftrype_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Developing Problem Solving Skills<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1038]\" data-type=\"radio\" id=\"field_1038-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1038-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1038]\" data-type=\"radio\" id=\"field_1038-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1038-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1039_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1039\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_q0ydnl_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Accessing and Engaging in Voluntary Work<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1039]\" data-type=\"radio\" id=\"field_1039-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1039-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1039]\" data-type=\"radio\" id=\"field_1039-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1039-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_1040_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_1040\"  style='width: 48.233%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_h3p16e_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Risk of Offending and Re-Offending<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1040]\" data-type=\"radio\" id=\"field_1040-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1040-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1040]\" data-type=\"radio\" id=\"field_1040-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1040-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1041_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1041\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_oyiomr_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Liasing with Probation Services<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1041]\" data-type=\"radio\" id=\"field_1041-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1041-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1041]\" data-type=\"radio\" id=\"field_1041-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1041-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_1042_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_1042\"  style='width: 48.233%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_cqhay8_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Risk of Long Term Unemployment<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1042]\" data-type=\"radio\" id=\"field_1042-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1042-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1042]\" data-type=\"radio\" id=\"field_1042-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1042-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_1043_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_last_half arf_field_1043\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_v6v30k_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Accessing and Engaging in Training<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1043]\" data-type=\"radio\" id=\"field_1043-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1043-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1043]\" data-type=\"radio\" id=\"field_1043-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1043-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_1044_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_1044\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"118\"><label data-type=\"radio\" for=\"field_9trsoq_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Accessing and Engaging in Education<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1044]\" data-type=\"radio\" id=\"field_1044-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1044-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[1044]\" data-type=\"radio\" id=\"field_1044-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_1044-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style='clear:both;height:1px;'>&nbsp;<\/div><\/div><div class=\"arfsubmitbutton arf_submit_div top_container\" id=\"arf_submit_div_4\" style=\"display:none;\"><input type=\"button\" name=\"previous\" class=\"previous_btn\" onclick=\"go_previous('3', '100', 'no', 'm2vh9w', '28155');\" value=\"Previous\" \/><input type=\"submit\" class=\"next_btn\" name=\"next\" value=\"Next\" \/><\/div><div id=\"page_5\" class=\"page_break\" style=\"display:none;\"><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_240\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_240\" class=\"arf_heading_div  \"><h2 class='arf_sec_heading_field pos_top  ' style='display:block'; data-field-type='section' >SECTION 6 \u2013 RISK ASSESSMENT - *RISK ASSESSMENT (WE WILL NOT ACCEPT REFERRALS WITHOUT A CURRENT RISK ASSEESSMENT) PLEASE PROVIDE INFORMATION BELOW (OR SEND CURRENT RISK ASSESSMENT)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_241_28155_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_241\" data-field-type=\"html\" data-parent_field=\"240\" style='width: 100%'><div class=\"arf_htmlfield_control\">DOES APPLICANT HAVE A HISTORY OF BEHAVIOURAL ISSUES - IF SO PLEASE INDICATE RISK LEVEL ASLOW\/MEDIUM\/HIGH\tAND POTENTIAL TRIGGERS \/ POTENTIAL VICTIMS<\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_242_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_242\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"240\"><label data-type=\"radio\" for=\"field_9kifl4_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >VIOLENCE, AGGRESSIVE BEHAVIOUR<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[242]\" data-type=\"radio\" id=\"field_242-0-28155\" data-unique-id=\"28155\" value=\"LOW\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_242-0-28155\" class=\"\">LOW<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[242]\" data-type=\"radio\" id=\"field_242-1-28155\" data-unique-id=\"28155\" value=\"MEDIUM\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_242-1-28155\" class=\"\">MEDIUM<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[242]\" data-type=\"radio\" id=\"field_242-2-28155\" data-unique-id=\"28155\" value=\"HIGH\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_242-2-28155\" class=\"\">HIGH<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_243_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_243\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"240\" ><label data-type=\"text\" for=\"field_dfyc19_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Triggers \/ Potential Victims etc.<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfyc19_28155\"  name=\"item_meta[243]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_244_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_244\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"240\"><label data-type=\"radio\" for=\"field_9kifl42_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >SELF-HARM \/ SUICIDE \/ MENTAL HEALTH FORMAL DIAGNOSIS<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[244]\" data-type=\"radio\" id=\"field_244-0-28155\" data-unique-id=\"28155\" value=\"LOW\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_244-0-28155\" class=\"\">LOW<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[244]\" data-type=\"radio\" id=\"field_244-1-28155\" data-unique-id=\"28155\" value=\"MEDIUM\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_244-1-28155\" class=\"\">MEDIUM<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[244]\" data-type=\"radio\" id=\"field_244-2-28155\" data-unique-id=\"28155\" value=\"HIGH\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_244-2-28155\" class=\"\">HIGH<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_245_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_245\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"240\" ><label data-type=\"text\" for=\"field_dfyc192_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Triggers \/ Potential Victims etc.<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfyc192_28155\"  name=\"item_meta[245]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_246_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_246\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"240\"><label data-type=\"radio\" for=\"field_9kifl422_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >DRUG \/ ALCOHOL MISUSE<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[246]\" data-type=\"radio\" id=\"field_246-0-28155\" data-unique-id=\"28155\" value=\"LOW\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_246-0-28155\" class=\"\">LOW<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[246]\" data-type=\"radio\" id=\"field_246-1-28155\" data-unique-id=\"28155\" value=\"MEDIUM\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_246-1-28155\" class=\"\">MEDIUM<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[246]\" data-type=\"radio\" id=\"field_246-2-28155\" data-unique-id=\"28155\" value=\"HIGH\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_246-2-28155\" class=\"\">HIGH<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_247_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_247\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"240\" ><label data-type=\"text\" for=\"field_dfyc1922_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Triggers \/ Potential Victims etc.<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfyc1922_28155\"  name=\"item_meta[247]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_248_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_248\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"240\"><label data-type=\"radio\" for=\"field_9kifl4222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >CHILD PROETECTION ISSUES<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[248]\" data-type=\"radio\" id=\"field_248-0-28155\" data-unique-id=\"28155\" value=\"LOW\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_248-0-28155\" class=\"\">LOW<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[248]\" data-type=\"radio\" id=\"field_248-1-28155\" data-unique-id=\"28155\" value=\"MEDIUM\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_248-1-28155\" class=\"\">MEDIUM<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[248]\" data-type=\"radio\" id=\"field_248-2-28155\" data-unique-id=\"28155\" value=\"HIGH\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_248-2-28155\" class=\"\">HIGH<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_249_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_249\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"240\" ><label data-type=\"text\" for=\"field_dfyc19222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Triggers \/ Potential Victims etc.<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfyc19222_28155\"  name=\"item_meta[249]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_250_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_250\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"240\"><label data-type=\"radio\" for=\"field_9kifl42222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >SEXUAL OR SCHEDULE 1 OFFENCE<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[250]\" data-type=\"radio\" id=\"field_250-0-28155\" data-unique-id=\"28155\" value=\"LOW\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_250-0-28155\" class=\"\">LOW<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[250]\" data-type=\"radio\" id=\"field_250-1-28155\" data-unique-id=\"28155\" value=\"MEDIUM\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_250-1-28155\" class=\"\">MEDIUM<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[250]\" data-type=\"radio\" id=\"field_250-2-28155\" data-unique-id=\"28155\" value=\"HIGH\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_250-2-28155\" class=\"\">HIGH<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_251_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_251\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"240\" ><label data-type=\"text\" for=\"field_dfyc192222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Triggers \/ Potential Victims etc.<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfyc192222_28155\"  name=\"item_meta[251]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_252_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_252\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"240\"><label data-type=\"radio\" for=\"field_9kifl422222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >CRIMINAL CONVICTIONS \/ OFFENCES<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[252]\" data-type=\"radio\" id=\"field_252-0-28155\" data-unique-id=\"28155\" value=\"LOW\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_252-0-28155\" class=\"\">LOW<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[252]\" data-type=\"radio\" id=\"field_252-1-28155\" data-unique-id=\"28155\" value=\"MEDIUM\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_252-1-28155\" class=\"\">MEDIUM<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[252]\" data-type=\"radio\" id=\"field_252-2-28155\" data-unique-id=\"28155\" value=\"HIGH\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_252-2-28155\" class=\"\">HIGH<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_253_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_253\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"240\" ><label data-type=\"text\" for=\"field_dfyc1922222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Triggers \/ Potential Victims etc.<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfyc1922222_28155\"  name=\"item_meta[253]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_254_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_254\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"240\"><label data-type=\"radio\" for=\"field_9kifl4222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >SELF-NEGLECT \/ NEGLECT OF OTHERS<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[254]\" data-type=\"radio\" id=\"field_254-0-28155\" data-unique-id=\"28155\" value=\"LOW\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_254-0-28155\" class=\"\">LOW<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[254]\" data-type=\"radio\" id=\"field_254-1-28155\" data-unique-id=\"28155\" value=\"MEDIUM\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_254-1-28155\" class=\"\">MEDIUM<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[254]\" data-type=\"radio\" id=\"field_254-2-28155\" data-unique-id=\"28155\" value=\"HIGH\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_254-2-28155\" class=\"\">HIGH<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_255_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_255\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"240\" ><label data-type=\"text\" for=\"field_dfyc19222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Triggers \/ Potential Victims etc.<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfyc19222222_28155\"  name=\"item_meta[255]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_273_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_273\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"240\"><label data-type=\"radio\" for=\"field_9kifl42222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >ANTISOCIAL BEHAVIOUR<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[273]\" data-type=\"radio\" id=\"field_273-0-28155\" data-unique-id=\"28155\" value=\"LOW\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_273-0-28155\" class=\"\">LOW<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[273]\" data-type=\"radio\" id=\"field_273-1-28155\" data-unique-id=\"28155\" value=\"MEDIUM\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_273-1-28155\" class=\"\">MEDIUM<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[273]\" data-type=\"radio\" id=\"field_273-2-28155\" data-unique-id=\"28155\" value=\"HIGH\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_273-2-28155\" class=\"\">HIGH<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_274_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_274\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"240\" ><label data-type=\"text\" for=\"field_dfyc192222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Triggers \/ Potential Victims etc.<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfyc192222222_28155\"  name=\"item_meta[274]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_275_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_275\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"240\"><label data-type=\"radio\" for=\"field_9kifl422222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >DAMAGE TO PROPERTY<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[275]\" data-type=\"radio\" id=\"field_275-0-28155\" data-unique-id=\"28155\" value=\"LOW\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_275-0-28155\" class=\"\">LOW<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[275]\" data-type=\"radio\" id=\"field_275-1-28155\" data-unique-id=\"28155\" value=\"MEDIUM\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_275-1-28155\" class=\"\">MEDIUM<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[275]\" data-type=\"radio\" id=\"field_275-2-28155\" data-unique-id=\"28155\" value=\"HIGH\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_275-2-28155\" class=\"\">HIGH<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_278_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_278\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"240\" ><label data-type=\"text\" for=\"field_dfyc1922222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Triggers \/ Potential Victims etc.<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfyc1922222222_28155\"  name=\"item_meta[278]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_279_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_279\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"240\"><label data-type=\"radio\" for=\"field_9kifl4222222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >ARSON<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[279]\" data-type=\"radio\" id=\"field_279-0-28155\" data-unique-id=\"28155\" value=\"LOW\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_279-0-28155\" class=\"\">LOW<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[279]\" data-type=\"radio\" id=\"field_279-1-28155\" data-unique-id=\"28155\" value=\"MEDIUM\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_279-1-28155\" class=\"\">MEDIUM<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[279]\" data-type=\"radio\" id=\"field_279-2-28155\" data-unique-id=\"28155\" value=\"HIGH\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_279-2-28155\" class=\"\">HIGH<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_280_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_280\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"240\" ><label data-type=\"text\" for=\"field_dfyc19222222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Triggers \/ Potential Victims etc.<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfyc19222222222_28155\"  name=\"item_meta[280]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_281_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_281\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"240\"><label data-type=\"radio\" for=\"field_9kifl42222222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >ANY OTHER INFORMATION<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[281]\" data-type=\"radio\" id=\"field_281-0-28155\" data-unique-id=\"28155\" value=\"LOW\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_281-0-28155\" class=\"\">LOW<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[281]\" data-type=\"radio\" id=\"field_281-1-28155\" data-unique-id=\"28155\" value=\"MEDIUM\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_281-1-28155\" class=\"\">MEDIUM<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[281]\" data-type=\"radio\" id=\"field_281-2-28155\" data-unique-id=\"28155\" value=\"HIGH\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_281-2-28155\" class=\"\">HIGH<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_282_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_282\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"240\" ><label data-type=\"text\" for=\"field_dfyc192222222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Triggers \/ Potential Victims etc.<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfyc192222222222_28155\"  name=\"item_meta[282]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_283_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield frm_first_half arf_field_283\"  style='width: 48.34%'  data-field-type=\"radio\" data-parent_field=\"240\"><label data-type=\"radio\" for=\"field_9kifl422222222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >IS THE APPLICANT AT RISK OF HARM FROM OTHERS? IF YES PLEASE STATE BY WHOM AND PROVIDE DETAILS<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[283]\" data-type=\"radio\" id=\"field_283-0-28155\" data-unique-id=\"28155\" value=\"LOW\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_283-0-28155\" class=\"\">LOW<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[283]\" data-type=\"radio\" id=\"field_283-1-28155\" data-unique-id=\"28155\" value=\"MEDIUM\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_283-1-28155\" class=\"\">MEDIUM<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[283]\" data-type=\"radio\" id=\"field_283-2-28155\" data-unique-id=\"28155\" value=\"HIGH\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_283-2-28155\" class=\"\">HIGH<\/label><\/div><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_284_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_text  top_container top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_284\"  style='width: 48.126%' data-field-type=\"text\" data-parent_field=\"240\" ><label data-type=\"text\" for=\"field_dfyc1922222222222_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Triggers \/ Potential Victims etc.<\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfyc1922222222222_28155\"  name=\"item_meta[284]\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style='clear:both;height:1px;'>&nbsp;<\/div><\/div><div class=\"arfsubmitbutton arf_submit_div top_container\" id=\"arf_submit_div_5\" style=\"display:none;\"><input type=\"button\" name=\"previous\" class=\"previous_btn\" onclick=\"go_previous('4', '100', 'no', 'm2vh9w', '28155');\" value=\"Previous\" \/><input type=\"submit\" class=\"next_btn\" name=\"next\" value=\"Next\" \/><\/div><div id=\"page_6\" class=\"page_break\" style=\"display:none;\"><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_296\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_296\" class=\"arf_heading_div  \"><h2 class='arf_sec_heading_field pos_top  ' style='display:block'; data-field-type='section' >SECTION 7 \u2013 AUTHORISATION - APPLICANT \/ REFERRAL AGENCY<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_297_28155_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_297\" data-field-type=\"html\" data-parent_field=\"296\" style='width: 100%'><div class=\"arf_htmlfield_control\">I give my consent to the disclosure of this information for the purpose of finding accommodation and to the disclosure of any supplementary information attached for housing purposes\r\nI give my permission for the outcome of this referral to be explained to the referral agency\r\nI agree to participate in a support package including support planning and assessment<\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_298_28155_container\" class=\"      arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_298\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"296\"><label data-type=\"radio\" for=\"field_zvl9zp_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >I would \/ would not like a copy of this referral (Delete as appropriate)<\/label><div class=\"setting_radio controls arf_standard_radio \" style=\"padding-top:5px;\"><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[298]\" data-type=\"radio\" id=\"field_298-0-28155\" data-unique-id=\"28155\" value=\"YES\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_298-0-28155\" class=\"\">YES<\/label><\/div><div class=\"arf_radiobutton \"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[298]\" data-type=\"radio\" id=\"field_298-1-28155\" data-unique-id=\"28155\" value=\"NO\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_298-1-28155\" class=\"\">NO<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style='clear:both;height:1px;'>&nbsp;<\/div><\/div><div class=\"arfsubmitbutton arf_submit_div top_container\" id=\"arf_submit_div_6\" style=\"display:none;\"><input type=\"button\" name=\"previous\" class=\"previous_btn\" onclick=\"go_previous('5', '100', 'no', 'm2vh9w', '28155');\" value=\"Previous\" \/><input type=\"submit\" class=\"next_btn\" name=\"next\" value=\"Next\" \/><\/div><div id=\"page_7\" class=\"page_break\" style=\"display:none;\"><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_300\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_300\" class=\"arf_heading_div  \"><h2 class='arf_sec_heading_field pos_top  ' style='display:block'; data-field-type='section' >SECTION 8 - SUPPORTING DOCUMENTATION \/ ADDITIONAL INFORMATION<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_301_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_301\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"300\"><label data-type=\"textarea\" for=\"field_cvwy4o_28155\" class=\"arf_main_label arf_main_label_16px\" aria-label = >Additional Information<\/label><div class=\"controls\"   ><textarea name=\"item_meta[301]\" id=\"field_cvwy4o_28155\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_302_28155_container\" class=\"    arfformfield control-group arfmainformfield  arf_field_type_file  top_container  top_container arfformfield  arf_field_302\"  style='width: 100%' data-field-type=\"file\" data-parent_field=\"300\"><label data-type=\"file\"  class=\"arf_main_label arf_main_label_16px\" aria-label = >FILE ATTACMENTS<\/label><div class=\"controls\"   ><div class=\"file_main_control\" style=\"display:inline-block; \"><div class=\"arf_file_field\" style=\"display:inline-block;\"><div class=\" arfajax-file-upload\" data-type=\"file\" id=\"div_yxfuxp_28155\" data-id=\"302\" data-form-data-id=\"28155\" data-form-id=\"100\" style=\"position: relative; overflow: hidden; cursor:pointer;\"><div class=\"arfajax-file-upload-img\" style=\"float:left;\"><svg width=\"10\" height=\"10\" viewBox=\"0 0 100 100\"><path xmlns=\"http:\/\/www.w3.org\/2000\/svg\" d=\"M77.656,56.25c2.396,0,4.531-0.625,6.406-1.875c1.822-1.303,3.385-2.865,4.688-4.688c1.25-1.875,1.875-4.037,1.875-6.484  s-1.275-5-3.828-7.656l-6.328-6.484c-6.719-6.927-13.49-13.646-20.312-20.156L50-0.781L39.844,8.906  c-6.823,6.51-13.594,13.229-20.312,20.156l-6.719,6.953c-2.292,2.344-3.438,4.609-3.438,6.797v0.781  c0,1.667,0.208,3.021,0.625,4.062s1.042,2.083,1.875,3.125c0.885,1.094,1.875,2.084,2.969,2.969  c1.042,0.834,2.083,1.459,3.125,1.875s2.344,0.625,3.906,0.625s2.865-0.209,3.906-0.625c1.094-0.469,2.24-1.197,3.438-2.188  c1.25-0.99,2.682-2.344,4.297-4.062l3.984-4.141v41.562c0,2.553,0.417,4.557,1.25,6.016c0.885,1.459,1.719,2.604,2.5,3.438  c0.833,0.781,1.979,1.615,3.438,2.5C46.146,99.584,47.917,100,50,100c2.084,0,3.854-0.416,5.312-1.25  c1.459-0.885,2.604-1.719,3.438-2.5c0.781-0.834,1.615-1.979,2.5-3.438c0.834-1.459,1.25-3.463,1.25-6.016V45.859l7.422,6.719  C72.631,55.025,75.209,56.25,77.656,56.25\"\/><\/svg><\/div>&nbsp;Upload<input type=\"file\"  class=\"file original\" data-max-file-upload-size=\"64M\" name=\"file302\" data-is-insecure-file=\"false\" data-insecure-file-message=\"Le fichier n&#039;a pas pu \u00eatre t\u00e9l\u00e9charg\u00e9 pour des raisons de s\u00e9curit\u00e9 car il contient du code malveillant\" data-type=\"file\" id=\"field_yxfuxp_28155_0\" data-invalid-message=\"File is invalid\" data-size-invalid-message=\"Invalid File Size\" data-form-data-id=\"28155\" data-field-id=\"302\" data-form-id=\"100\" data-file-valid=\"true\"style=\"position: absolute; cursor: pointer; top: 0px; padding:0; margin:0; height:100%; outline:none; right:0; z-index: 100; opacity: 0; width:100%\"  accept=\".jpg, .jpeg, .jpe, .gif, .png, .bmp, .tiff, .tif, .webp, .avif, .ico, .heic, .heif, .heics, .heifs, .asf, .asx, .wmv, .wmx, .wm, .avi, .divx, .flv, .mov, .qt, .mpeg, .mpg, .mpe, .mp4, .m4v, .mp4, .ogv, .webm, .mkv, .3gp, .3gpp, .3g2, .3gp2, .txt, .asc, .c, .cc, .h, .srt, .txt, .csv, .tsv, .ics, .rtx, .css, .vtt, .dfxp, .mp3, .m4a, .m4b, .aac, .ra, .ram, .wav, .ogg, .oga, .flac, .mid, .midi, .wma, .wax, .mka, .rtf, .pdf, .class, .tar, .zip, .gz, .gzip, .rar, .7z, .psd, .xcf, .psd, .xcf, .doc, .pot, .pps, .ppt, .wri, .xla, .xls, .xlt, .xlw, .mdb, .mpp, .docx, .docm, .dotx, .dotm, .xlsx, .xlsm, .xlsb, .xltx, .xltm, .xlam, .pptx, .pptm, .ppsx, .ppsm, .potx, .potm, .ppam, .sldx, .sldm, .onetoc, .onetoc2, .onetmp, .onepkg, .oxps, .xps, .odt, .odp, .ods, .odg, .odc, .odb, .odf, .wp, .wpd, .key, .numbers, .pages, .mp4, .m4v, .mp4, .txt, .asc, .c, .cc, .h, .srt, .txt, \" \/><input type=\"hidden\" data-type=\"file\" id=\"type_yxfuxp_28155_0\" name=\"type_yxfuxp\" value=\"0\" ><input type=\"hidden\" value=\"jpg|jpeg|jpe, gif, png, bmp, tiff|tif, webp, avif, ico, heic, heif, heics, heifs, asf|asx, wmv, wmx, wm, avi, divx, flv, mov|qt, mpeg|mpg|mpe, mp4|m4v, mp4, ogv, webm, mkv, 3gp|3gpp, 3g2|3gp2, txt|asc|c|cc|h|srt, txt, csv, tsv, ics, rtx, css, vtt, dfxp, mp3|m4a|m4b, aac, ra|ram, wav, ogg|oga, flac, mid|midi, wma, wax, mka, rtf, pdf, class, tar, zip, gz|gzip, rar, 7z, psd, xcf, psd, xcf, doc, pot|pps|ppt, wri, xla|xls|xlt|xlw, mdb, mpp, docx, docm, dotx, dotm, xlsx, xlsm, xlsb, xltx, xltm, xlam, pptx, pptm, ppsx, ppsm, potx, potm, ppam, sldx, sldm, onetoc|onetoc2|onetmp|onepkg, oxps, xps, odt, odp, ods, odg, odc, odb, odf, wp|wpd, key, numbers, pages, mp4|m4v, mp4, txt|asc|c|cc|h|srt, txt, \" id=\"file_types_yxfuxp_28155_0\" name=\"field_types_yxfuxp\" \/><input type=\"hidden\" value=\"auto\" id=\"file_size_yxfuxp_28155_0\" name=\"file_size_yxfuxp\" ><input type=\"hidden\" name=\"item_meta[302]\" id=\"item_meta_300_302_0\" value=\"\"><input type=\"hidden\" data-jqvalidate=\"false\" name=\"uploaded_file_name_100_28155_302\" id=\"uploaded_file_name_100_28155_302\" class=\"uploaded_field_name\" value=\"\" \/><\/div><div id=\"progress_yxfuxp_28155\" class=\"arfprogress progress-striped active\"><div class=\"bar\" style=\"width:0%;\"><\/div><\/div><div id=\"info_yxfuxp_28155\" class=\"arf_info\" style=\"display:none;\"><span class=\"percent\">% Termin\u00e9<\/span><span id=\"percent\" class=\"percent\">0<\/span><\/div><\/div><div id=\"arf_multi_file_uploader_yxfuxp_28155_0\" class=\"arf_multi_file_info_container arf_file_field\" style=\"display:none; margin-top: 0px;\"><\/div><div id=\"arf_multi_file_info_yxfuxp_28155_0\" class=\"arf_multi_file_info_container arf_file_field\" style=\"display:none;\"><\/div><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_303_28155_container\" class=\"    arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_303\" data-field-type=\"html\" data-parent_field=\"300\" style='width: 100%'><div class=\"arf_htmlfield_control\">PLEASE NOTE: CAPITA HOUSING IS AN EQUAL OPPORTUNITIES HOUSING PROVIDER. HOWEVER, WE RESERVE THE RIGHT TO REFUSE REFERRALS WITH A HISTORY OF ARSON (INSURANCE REGULATIONS) AND SEX OFFENCES AGAINST CHILDREN.<\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style=\"clear:both;height:1px;\">&nbsp;<\/div><\/div><!-- page_break && page_0--><div class=\"arfsubmitbutton top_container\" id=\"page_last\" style=\"display:none;\"><div class=\"arf_submit_div  top_container\"><input type=\"button\" value=\"Previous\" style=\"display:none;\" name=\"previous\" data-id=\"previous_last\" class=\"previous_btn\" onclick=\"go_previous('6', '100', 'no', 'm2vh9w', '28155');\"  \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\"7\" name=\"last_page_id\" data-id=\"last_page_id\" \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\"1\" name=\"is_submit_form_100\" data-id=\"is_submit_form_100\" \/><input type=\"hidden\" data-jqvalidate=\"false\" data-last=\"7\" value=\"7\" name=\"last_show_page_100\" data-id=\"last_show_page_100\" \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\"1\" data-val=\"1\" data-hide=\",\" data-max=\"7\" name=\"submit_form_100\" data-id=\"submit_form_100\" \/><input type=\"hidden\" data-jqvalidate=\"false\" value=\",\" name=\"get_hidden_pages_100\" data-id=\"get_hidden_pages_100\" \/><button class=\"arf_submit_btn  arf_submit_btn_border   btn-info arfstyle-button  unknown\"  id=\"arf_submit_btn_28155\" name=\"arf_submit_btn_28155\" data-style=\"zoom-in\"  ><span class=\"arfsubmitloader\"><\/span><span class=\"arfstyle-label\">Submit<\/span><\/button><\/div><\/div><div style=\"clear:both\"><\/div><div id=\"brand-div\" class=\"brand-div top_container\" style=\"margin-top:30px; font-size:12px !important; color: #444444 !important; display:block !important; visibility: visible !important;\">Propuls\u00e9 par&#32;<a href=\"https:\/\/codecanyon.net\/item\/arforms-exclusive-wordpress-form-builder-plugin\/6023165?ref=reputeinfosystems\" target=\"_blank\" style=\"color:#0066cc !important; font-size:12px !important; display:inline !important; visibility:visible !important;\" rel=\"noopener\">ARForms<\/a><span style=\"color:#FF0000 !important; font-size:12px !important; display:inline !important; visibility: visible !important;\">&nbsp;&nbsp;(Unlicensed)<\/span><\/div><\/div><!-- arf_fieldset --><\/div><!-- allfields --><\/form><script type='text\/javascript' data-cfasync='false'>if(!window['arf_conditional_logic']){window['arf_conditional_logic'] = new Array();}window['arf_conditional_logic'][28155] = {\"logic\":[],\"dependents\":[],\"defaults\":[]};if(!window['arf_pages_fields']){window['arf_pages_fields'] = new Array();}window['arf_pages_fields'][28155] = [{\"field_id\":\"72\",\"field_key\":\"xc9n95\",\"default_value\":\"\",\"field_type\":\"section\",\"page_no\":0,\"heading_id\":\"72\",\"repeater_id\":0},{\"field_id\":\"92\",\"field_key\":\"15a445\",\"default_value\":\"\",\"field_type\":\"break\",\"page_no\":1,\"heading_id\":0,\"repeater_id\":0},{\"field_id\":\"78\",\"field_key\":\"zgeomw\",\"default_value\":\"\",\"field_type\":\"section\",\"page_no\":1,\"heading_id\":\"78\",\"repeater_id\":0},{\"field_id\":\"94\",\"field_key\":\"mtz17m\",\"default_value\":\"\",\"field_type\":\"break\",\"page_no\":2,\"heading_id\":0,\"repeater_id\":0},{\"field_id\":\"93\",\"field_key\":\"ebob0a\",\"default_value\":\"\",\"field_type\":\"section\",\"page_no\":2,\"heading_id\":\"93\",\"repeater_id\":0},{\"field_id\":\"107\",\"field_key\":\"361k1c\",\"default_value\":\"\",\"field_type\":\"break\",\"page_no\":3,\"heading_id\":0,\"repeater_id\":0},{\"field_id\":\"108\",\"field_key\":\"spxc4v\",\"default_value\":\"\",\"field_type\":\"section\",\"page_no\":3,\"heading_id\":\"108\",\"repeater_id\":0},{\"field_id\":\"117\",\"field_key\":\"2smama\",\"default_value\":\"\",\"field_type\":\"break\",\"page_no\":4,\"heading_id\":0,\"repeater_id\":0},{\"field_id\":\"118\",\"field_key\":\"s7cf0u\",\"default_value\":\"\",\"field_type\":\"section\",\"page_no\":4,\"heading_id\":\"118\",\"repeater_id\":0},{\"field_id\":\"239\",\"field_key\":\"v06mzq\",\"default_value\":\"\",\"field_type\":\"break\",\"page_no\":5,\"heading_id\":0,\"repeater_id\":0},{\"field_id\":\"240\",\"field_key\":\"98m9bd\",\"default_value\":\"\",\"field_type\":\"section\",\"page_no\":5,\"heading_id\":\"240\",\"repeater_id\":0},{\"field_id\":\"295\",\"field_key\":\"amoje8\",\"default_value\":\"\",\"field_type\":\"break\",\"page_no\":6,\"heading_id\":0,\"repeater_id\":0},{\"field_id\":\"296\",\"field_key\":\"rc3kfp\",\"default_value\":\"\",\"field_type\":\"section\",\"page_no\":6,\"heading_id\":\"296\",\"repeater_id\":0},{\"field_id\":\"299\",\"field_key\":\"w9p18o\",\"default_value\":\"\",\"field_type\":\"break\",\"page_no\":7,\"heading_id\":0,\"repeater_id\":0},{\"field_id\":\"300\",\"field_key\":\"nr1sjv\",\"default_value\":\"\",\"field_type\":\"section\",\"page_no\":7,\"heading_id\":\"300\",\"repeater_id\":0}];<\/script><\/div><!--arf_form_outer_wrapper --><div class=\"brand-div\"><\/div><div class=\"\"><input type=\"hidden\" data-jqvalidate=\"false\" name=\"form_id\" data-id=\"form_id\" value=\"100\" \/><input type=\"hidden\" data-jqvalidate=\"false\" name=\"arfmainformurl\" data-id=\"arfmainformurl\" value=\"https:\/\/guardianhousing.co.uk\/wp-content\/plugins\/arforms\" \/><\/div>\n<\/div><\/section><\/div>\n<div class=\"flex_column av_one_full  flex_column_div av-zero-column-padding first  avia-builder-el-4  el_after_av_one_full  el_before_av_hr  column-top-margin\" style='border-radius:0px; '><section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><p><strong>T\u00c9L\u00c9CHARGEMENTS<\/strong><\/p>\n<p><a href=\"\/wp-content\/uploads\/2019\/02\/Guardian-Referral-Form.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Formulaire de recommandation de tuteur<\/a><\/p>\n<\/div><\/section><\/div><div  style='height:1px; 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