{"id":716,"date":"2019-10-06T21:50:45","date_gmt":"2019-10-07T02:50:45","guid":{"rendered":"https:\/\/www.mesotheliomagroup.com\/blog\/?page_id=716"},"modified":"2019-10-06T22:04:18","modified_gmt":"2019-10-07T03:04:18","slug":"cantriaintro","status":"publish","type":"page","link":"https:\/\/www.mesotheliomagroup.com\/blog\/cantriaintro\/","title":{"rendered":"CANTRIA Intro"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"716\" class=\"elementor elementor-716\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3b8c992 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3b8c992\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-833813e\" data-id=\"833813e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-eb2258a elementor-widget elementor-widget-image\" data-id=\"eb2258a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"226\" height=\"151\" src=\"https:\/\/www.mesotheliomagroup.com\/blog\/wp-content\/uploads\/2019\/04\/CANTRIA_Full-Color-25.png\" class=\"attachment-medium size-medium wp-image-255\" alt=\"mesothelioma clinical trials\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6a96172a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6a96172a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5bd4b6fe\" data-id=\"5bd4b6fe\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6153e16a elementor-widget elementor-widget-shortcode\" data-id=\"6153e16a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_11' style='display:none'><div id='gf_11' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_11' id='gform_11'  action='\/blog\/wp-json\/wp\/v2\/pages\/716#gf_11'>\n                        <div class='gform_body'><div id='gform_page_11_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_3'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Result of Initial Telephone Call Attempt<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_3'><li class='gchoice_11_3_0'><input name='input_3' type='radio' value='Call answered'  id='choice_11_3_0'    \/><label for='choice_11_3_0' id='label_11_3_0'>Call answered<\/label><\/li><li class='gchoice_11_3_1'><input name='input_3' type='radio' value='Call not answered - Voicemail'  id='choice_11_3_1'    \/><label for='choice_11_3_1' id='label_11_3_1'>Call not answered - Voicemail<\/label><\/li><li class='gchoice_11_3_2'><input name='input_3' type='radio' value='Call not answered - No Voicemail'  id='choice_11_3_2'    \/><label for='choice_11_3_2' id='label_11_3_2'>Call not answered - No Voicemail<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_11_11' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"2\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"2\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_2' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_4'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_11_4' >Voice Mail Message<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_11_4' class='textarea medium'    placeholder='This message is for NAME. NAME, my name is Max Spiro; and I am Mesothelioma Clinical Trial Navigator that works with CANTRIA. I received an online request to contact you and was given this telephone number. When it is convenient, please return my call at 303-759-5797. Again, that number is 303-759-5797 and this is Max Spiro, a Mesothelioma Clinical Trials Navigator with CANTRIA. Thank you.'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_12' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"1\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"1\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_12' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"3\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"3\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_3' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_1'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_11_1' >Introduction<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_1' id='input_11_1' class='textarea medium'    placeholder='Hi, my name is Max Spiro; and I am Mesothelioma Clinical Trial Navigator that works with CANTRIA. I received an online request to contact NAME and was given this telephone number. May I please speak to NAME?'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_11_2'  class='gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Target Contact Reached or Not<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_2'><li class='gchoice_11_2_0'><input name='input_2' type='radio' value='Target Contact reached'  id='choice_11_2_0'    \/><label for='choice_11_2_0' id='label_11_2_0'>Target Contact reached<\/label><\/li><li class='gchoice_11_2_1'><input name='input_2' type='radio' value='Target Contact is not available'  id='choice_11_2_1'    \/><label for='choice_11_2_1' id='label_11_2_1'>Target Contact is not available<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_13' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"2\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"2\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_13' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"4\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"4\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_4' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_5'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Request to Leave Message<\/label><div class='gfield_description' id='gfield_description_11_5'>Ok, as I mentioned, my name is Max Spiro and I am a Mesothelioma Clinical Trial Navigator with CANTRIA.  NAME completed an online contact form and requested a call back.  Would you mind taking a message for NAME?<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_5'><li class='gchoice_11_5_0'><input name='input_5' type='radio' value='No - Contact will accept message'  id='choice_11_5_0'    \/><label for='choice_11_5_0' id='label_11_5_0'>No - Contact will accept message<\/label><\/li><li class='gchoice_11_5_1'><input name='input_5' type='radio' value='Yes- Contact will not accept message'  id='choice_11_5_1'    \/><label for='choice_11_5_1' id='label_11_5_1'>Yes- Contact will not accept message<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_14' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"3\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"3\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_14' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"5\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"5\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_5' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_5' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_10'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_11_10' >Contact Will Not Accept a Message<\/label><div class='gfield_description' id='gfield_description_11_10'>No problem.  I will try NAME back another time.  Thank you. Good bye<\/div><div class='ginput_container ginput_container_text'><input name='input_10' id='input_11_10' type='text' value='' class='medium'  aria-describedby=\"gfield_description_11_10\"    aria-invalid=\"false\" \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_15' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"4\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"4\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_15' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"6\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"6\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_6' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_6' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_6'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Talk Now or Later<\/label><div class='gfield_description' id='gfield_description_11_6'>Hello NAME, as I mentioned, my name is Max Spiro and I am a Mesothelioma Clinical Trial Navigator with CANTRIA.  I received a notification that you completed an online contact form and requested a call back.  Would this be a good time to spend a few minutes with me?<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_6'><li class='gchoice_11_6_0'><input name='input_6' type='radio' value='Yes - Target Contact has time to talk'  id='choice_11_6_0'    \/><label for='choice_11_6_0' id='label_11_6_0'>Yes - Target Contact has time to talk<\/label><\/li><li class='gchoice_11_6_1'><input name='input_6' type='radio' value='No - Target Contact does not have time to talk'  id='choice_11_6_1'    \/><label for='choice_11_6_1' id='label_11_6_1'>No - Target Contact does not have time to talk<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_16' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"5\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"5\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_16' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"7\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"7\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_7' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_7' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_8'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Schedule a Call Back<\/label><div class='gfield_description' id='gfield_description_11_8'>I understand. Would you mind scheduling a call with me for a later day or time?<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_8'><li class='gchoice_11_8_0'><input name='input_8' type='radio' value='No - Schedule call back'  id='choice_11_8_0'    \/><label for='choice_11_8_0' id='label_11_8_0'>No - Schedule call back<\/label><\/li><li class='gchoice_11_8_1'><input name='input_8' type='radio' value='Yes - Unable to schedule a call back'  id='choice_11_8_1'    \/><label for='choice_11_8_1' id='label_11_8_1'>Yes - Unable to schedule a call back<\/label><\/li><li class='gchoice_11_8_2'><input name='input_8' type='radio' value='Yes - Unwilling to schedule a call back'  id='choice_11_8_2'    \/><label for='choice_11_8_2' id='label_11_8_2'>Yes - Unwilling to schedule a call back<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_17' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"6\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"6\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_17' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"8\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"8\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_8' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_8' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_7'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_11_7' >Call Back Date<\/label><div class='gfield_description' id='gfield_description_11_7'>What would be a good day to try you back?<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_7' id='input_11_7' type='text' value='' class='datepicker medium mdy datepicker_with_icon'    aria-describedby='input_11_7_date_format' \/>\n                            <span id='input_11_7_date_format' class='screen-reader-text'>Date Format: MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_11_7' class='gform_hidden' value='https:\/\/www.mesotheliomagroup.com\/blog\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_11_9'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Call Back Time<\/label><div class='gfield_description' id='gfield_description_11_9'>And what time would be best for you?<\/div><div class='clear-multi'>\n                        <div class='gfield_time_hour ginput_container ginput_container_time' id='input_11_9'>\n                            <input type='text' maxlength='2' name='input_9[]' id='input_11_9_1' value=''    \/> <i>:<\/i>\n                            <label for='input_11_9_1' >HH<\/label>\n                        <\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time'>\n                            <input type='text' maxlength='2' name='input_9[]' id='input_11_9_2' value=''    \/>\n                            <label for='input_11_9_2' >MM<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time' >\n                                \n                                <select name='input_9[]' id='input_11_9_3'   aria-label='AM\/PM'>\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select>\n                           <\/div>\n                    <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_18' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"7\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"7\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_18' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"9\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"9\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_9' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_9' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_19'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Cannot Schedule Call Back<\/label><div class='gfield_description' id='gfield_description_11_19'>I understand.  May I leave my call back information with you. so that you may call me back when it's convenient for you?<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_19'><li class='gchoice_11_19_0'><input name='input_19' type='radio' value='Yes - Will accept call back information'  id='choice_11_19_0'    \/><label for='choice_11_19_0' id='label_11_19_0'>Yes - Will accept call back information<\/label><\/li><li class='gchoice_11_19_1'><input name='input_19' type='radio' value='No - will not accept call back information'  id='choice_11_19_1'    \/><label for='choice_11_19_1' id='label_11_19_1'>No - will not accept call back information<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_20' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"8\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"8\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_20' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"10\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"10\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_10' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_10' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_21'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_11_21' >Unwilling to Accept Call Back<\/label><div class='gfield_description' id='gfield_description_11_21'>I understand. I hope you enjoy the rest of your day. Goodbye<\/div><div class='ginput_container ginput_container_text'><input name='input_21' id='input_11_21' type='text' value='' class='medium'  aria-describedby=\"gfield_description_11_21\"    aria-invalid=\"false\" \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_22' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"9\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"9\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_22' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"11\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"11\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_11' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_11' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_23'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_11_23' >Untitled<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_23' id='input_11_23' class='textarea medium'    placeholder='Great. Please allow me to give you some information about who we are and how we may be able to help you. CANTRIA is a free, confidential service that helps connect patients to clinical trials that they may be eligible for, and provides educational information about clinical trials. Clinical trials offer patients access to experimental or new drugs and therapies. The way this works, is that I spend some time with you today; and gather some information about your diagnosis and treatment history. This will allow me to identify clinical trials that you may be eligible to participate in. At the conclusion of this call, I am going to do two things: first, I am going to send you a list of clinical trials that you may be eligible to participate in; and second, I am going to schedule a time for you to speak with Joe Giglio who is the Founder of CANTRIA. Joe is a very knowledgeable resource regarding mesothelioma clinical trials; and he will be able to speak with you in much greater detail than I would be able to today.'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_11_25'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Do you have mesothelioma or did you contact us on behalf of someone else?<\/label><div class='gfield_description' id='gfield_description_11_25'>If someone else:\n\nIs the person with mesothelioma a family member or a friend?<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_25'><li class='gchoice_11_25_0'><input name='input_25' type='radio' value='Patient'  id='choice_11_25_0'    \/><label for='choice_11_25_0' id='label_11_25_0'>I have mesothelioma<\/label><\/li><li class='gchoice_11_25_1'><input name='input_25' type='radio' value='Family'  id='choice_11_25_1'    \/><label for='choice_11_25_1' id='label_11_25_1'>Family member<\/label><\/li><li class='gchoice_11_25_2'><input name='input_25' type='radio' value='Friend'  id='choice_11_25_2'    \/><label for='choice_11_25_2' id='label_11_25_2'>Friend<\/label><\/li><\/ul><\/div><\/li><li id='field_11_26'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_11_26' >In what year was the original diagnosis made?<\/label><div class='gfield_description' id='gfield_description_11_26'>Leave blank if unknown<\/div><div class='ginput_container ginput_container_text'><input name='input_26' id='input_11_26' type='text' value='' class='medium'  aria-describedby=\"gfield_description_11_26\"    aria-invalid=\"false\" \/><\/div><\/li><li id='field_11_27'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >What type of mesothelioma was diagnosed? (read choices)<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_27'><li class='gchoice_11_27_0'><input name='input_27' type='radio' value='1'  id='choice_11_27_0'    \/><label for='choice_11_27_0' id='label_11_27_0'>Pleural (Malignant Pleural Mesothelioma)<\/label><\/li><li class='gchoice_11_27_1'><input name='input_27' type='radio' value='2'  id='choice_11_27_1'    \/><label for='choice_11_27_1' id='label_11_27_1'>Peritoneal<\/label><\/li><li class='gchoice_11_27_2'><input name='input_27' type='radio' value='3'  id='choice_11_27_2'    \/><label for='choice_11_27_2' id='label_11_27_2'>Pericardial<\/label><\/li><li class='gchoice_11_27_3'><input name='input_27' type='radio' value='4'  id='choice_11_27_3'    \/><label for='choice_11_27_3' id='label_11_27_3'>Testicular<\/label><\/li><li class='gchoice_11_27_4'><input name='input_27' type='radio' value='0'  id='choice_11_27_4'    \/><label for='choice_11_27_4' id='label_11_27_4'>I don't know<\/label><\/li><\/ul><\/div><\/li><li id='field_11_28'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Do you know the cell-type or histology? (read choices)<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_28'><li class='gchoice_11_28_0'><input name='input_28' type='radio' value='1'  id='choice_11_28_0'    \/><label for='choice_11_28_0' id='label_11_28_0'>Epithelial<\/label><\/li><li class='gchoice_11_28_1'><input name='input_28' type='radio' value='2'  id='choice_11_28_1'    \/><label for='choice_11_28_1' id='label_11_28_1'>Sarcomatoid<\/label><\/li><li class='gchoice_11_28_2'><input name='input_28' type='radio' value='3'  id='choice_11_28_2'    \/><label for='choice_11_28_2' id='label_11_28_2'>Biphasic (mixed epithelial and sarcomatoid)<\/label><\/li><li class='gchoice_11_28_3'><input name='input_28' type='radio' value='0'  id='choice_11_28_3'    \/><label for='choice_11_28_3' id='label_11_28_3'>I don't know<\/label><\/li><\/ul><\/div><\/li><li id='field_11_29'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Is surgery a current option?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_29'><li class='gchoice_11_29_0'><input name='input_29' type='radio' value='1'  id='choice_11_29_0'    \/><label for='choice_11_29_0' id='label_11_29_0'>Yes<\/label><\/li><li class='gchoice_11_29_1'><input name='input_29' type='radio' value='2'  id='choice_11_29_1'    \/><label for='choice_11_29_1' id='label_11_29_1'>No<\/label><\/li><li class='gchoice_11_29_2'><input name='input_29' type='radio' value='0'  id='choice_11_29_2'    \/><label for='choice_11_29_2' id='label_11_29_2'>I don't know<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_30' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"10\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"10\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_30' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"12\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"12\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_12' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_12' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_31'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Is surgery planned?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_31'><li class='gchoice_11_31_0'><input name='input_31' type='radio' value='1'  id='choice_11_31_0'    \/><label for='choice_11_31_0' id='label_11_31_0'>Yes<\/label><\/li><li class='gchoice_11_31_1'><input name='input_31' type='radio' value='2'  id='choice_11_31_1'    \/><label for='choice_11_31_1' id='label_11_31_1'>No<\/label><\/li><li class='gchoice_11_31_2'><input name='input_31' type='radio' value='0'  id='choice_11_31_2'    \/><label for='choice_11_31_2' id='label_11_31_2'>I don't know<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_33' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"11\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"11\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_33' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"13\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"13\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_13' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_13' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_34'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Has there been any prior mesothelioma treatment?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_34'><li class='gchoice_11_34_0'><input name='input_34' type='radio' value='1'  id='choice_11_34_0'    \/><label for='choice_11_34_0' id='label_11_34_0'>Yes<\/label><\/li><li class='gchoice_11_34_1'><input name='input_34' type='radio' value='2'  id='choice_11_34_1'    \/><label for='choice_11_34_1' id='label_11_34_1'>No<\/label><\/li><li class='gchoice_11_34_2'><input name='input_34' type='radio' value='0'  id='choice_11_34_2'    \/><label for='choice_11_34_2' id='label_11_34_2'>I don't know<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_35' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"12\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"12\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_35' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"14\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"14\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_14' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_14' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_36'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Was standard or standard-of-care chemotherapy refused?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_36'><li class='gchoice_11_36_0'><input name='input_36' type='radio' value='1'  id='choice_11_36_0'    \/><label for='choice_11_36_0' id='label_11_36_0'>Yes<\/label><\/li><li class='gchoice_11_36_1'><input name='input_36' type='radio' value='2'  id='choice_11_36_1'    \/><label for='choice_11_36_1' id='label_11_36_1'>No<\/label><\/li><li class='gchoice_11_36_2'><input name='input_36' type='radio' value='0'  id='choice_11_36_2'    \/><label for='choice_11_36_2' id='label_11_36_2'>I don't know<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_37' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"13\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"13\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_37' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"15\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"15\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_15' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_15' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_38'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >How many different types of chemotherapy have been administered??<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_38'><li class='gchoice_11_38_0'><input name='input_38' type='radio' value='0'  id='choice_11_38_0'    \/><label for='choice_11_38_0' id='label_11_38_0'>Zero (0)<\/label><\/li><li class='gchoice_11_38_1'><input name='input_38' type='radio' value='1'  id='choice_11_38_1'    \/><label for='choice_11_38_1' id='label_11_38_1'>One (1)<\/label><\/li><li class='gchoice_11_38_2'><input name='input_38' type='radio' value='2'  id='choice_11_38_2'    \/><label for='choice_11_38_2' id='label_11_38_2'>Two (2)<\/label><\/li><li class='gchoice_11_38_3'><input name='input_38' type='radio' value='3'  id='choice_11_38_3'    \/><label for='choice_11_38_3' id='label_11_38_3'>Three (3)<\/label><\/li><li class='gchoice_11_38_4'><input name='input_38' type='radio' value='4'  id='choice_11_38_4'    \/><label for='choice_11_38_4' id='label_11_38_4'>Four or more (4+)<\/label><\/li><li class='gchoice_11_38_5'><input name='input_38' type='radio' value='5'  id='choice_11_38_5'    \/><label for='choice_11_38_5' id='label_11_38_5'>I don't know<\/label><\/li><\/ul><\/div><\/li><li id='field_11_39'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Has all chemotherapy treatment ended?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_39'><li class='gchoice_11_39_0'><input name='input_39' type='radio' value='1'  id='choice_11_39_0'    \/><label for='choice_11_39_0' id='label_11_39_0'>No<\/label><\/li><li class='gchoice_11_39_1'><input name='input_39' type='radio' value='2'  id='choice_11_39_1'    \/><label for='choice_11_39_1' id='label_11_39_1'>Yes<\/label><\/li><li class='gchoice_11_39_2'><input name='input_39' type='radio' value='0'  id='choice_11_39_2'    \/><label for='choice_11_39_2' id='label_11_39_2'>I don't know<\/label><\/li><\/ul><\/div><\/li><li id='field_11_40'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >What was the 1st  or 1st-line of chemotherapy used?<\/label><div class='gfield_description' id='gfield_description_11_40'>The two most common would be:\n\nPemetrexed (Alimta) and Cisplatin\n\nor\n\nPemetrexed (Alimta) and Carboplatin<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_40'><li class='gchoice_11_40_0'><input name='input_40' type='radio' value='5'  id='choice_11_40_0'    \/><label for='choice_11_40_0' id='label_11_40_0'>pemetrexed\/cisplatin (combination)<\/label><\/li><li class='gchoice_11_40_1'><input name='input_40' type='radio' value='6'  id='choice_11_40_1'    \/><label for='choice_11_40_1' id='label_11_40_1'>pemetrexed\/carboplatin (combination)<\/label><\/li><li class='gchoice_11_40_2'><input name='input_40' type='radio' value='8'  id='choice_11_40_2'    \/><label for='choice_11_40_2' id='label_11_40_2'>pemetrxed\/cisplatin\/bevacizumab (combination)<\/label><\/li><li class='gchoice_11_40_3'><input name='input_40' type='radio' value='4'  id='choice_11_40_3'    \/><label for='choice_11_40_3' id='label_11_40_3'>gemcitabine\/cisplatin (combination)<\/label><\/li><li class='gchoice_11_40_4'><input name='input_40' type='radio' value='1'  id='choice_11_40_4'    \/><label for='choice_11_40_4' id='label_11_40_4'>carboplatin (alone)<\/label><\/li><li class='gchoice_11_40_5'><input name='input_40' type='radio' value='2'  id='choice_11_40_5'    \/><label for='choice_11_40_5' id='label_11_40_5'>cisplatin (alone)<\/label><\/li><li class='gchoice_11_40_6'><input name='input_40' type='radio' value='3'  id='choice_11_40_6'    \/><label for='choice_11_40_6' id='label_11_40_6'>gemcitabine (alone)<\/label><\/li><li class='gchoice_11_40_7'><input name='input_40' type='radio' value='7'  id='choice_11_40_7'    \/><label for='choice_11_40_7' id='label_11_40_7'>pemetrexed (alone)<\/label><\/li><li class='gchoice_11_40_8'><input name='input_40' type='radio' value='9'  id='choice_11_40_8'    \/><label for='choice_11_40_8' id='label_11_40_8'>vinorelbine (alone)<\/label><\/li><li class='gchoice_11_40_9'><input name='input_40' type='radio' value='0'  id='choice_11_40_9'    \/><label for='choice_11_40_9' id='label_11_40_9'>I don't know<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_41' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"14\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"14\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_41' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"16\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"16\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_16' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_16' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_42'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >What was the 2nd  or 2nd-line of chemotherapy used?<\/label><div class='gfield_description' id='gfield_description_11_42'>The two most common would be:\n\nPemetrexed (Alimta) and Cisplatin\n\nor\n\nPemetrexed (Alimta) and Carboplatin<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_42'><li class='gchoice_11_42_0'><input name='input_42' type='radio' value='5'  id='choice_11_42_0'    \/><label for='choice_11_42_0' id='label_11_42_0'>pemetrexed\/cisplatin (combination)<\/label><\/li><li class='gchoice_11_42_1'><input name='input_42' type='radio' value='6'  id='choice_11_42_1'    \/><label for='choice_11_42_1' id='label_11_42_1'>pemetrexed\/carboplatin (combination)<\/label><\/li><li class='gchoice_11_42_2'><input name='input_42' type='radio' value='8'  id='choice_11_42_2'    \/><label for='choice_11_42_2' id='label_11_42_2'>pemetrxed\/cisplatin\/bevacizumab (combination)<\/label><\/li><li class='gchoice_11_42_3'><input name='input_42' type='radio' value='4'  id='choice_11_42_3'    \/><label for='choice_11_42_3' id='label_11_42_3'>gemcitabine\/cisplatin (combination)<\/label><\/li><li class='gchoice_11_42_4'><input name='input_42' type='radio' value='1'  id='choice_11_42_4'    \/><label for='choice_11_42_4' id='label_11_42_4'>carboplatin (alone)<\/label><\/li><li class='gchoice_11_42_5'><input name='input_42' type='radio' value='2'  id='choice_11_42_5'    \/><label for='choice_11_42_5' id='label_11_42_5'>cisplatin (alone)<\/label><\/li><li class='gchoice_11_42_6'><input name='input_42' type='radio' value='3'  id='choice_11_42_6'    \/><label for='choice_11_42_6' id='label_11_42_6'>gemcitabine (alone)<\/label><\/li><li class='gchoice_11_42_7'><input name='input_42' type='radio' value='7'  id='choice_11_42_7'    \/><label for='choice_11_42_7' id='label_11_42_7'>pemetrexed (alone)<\/label><\/li><li class='gchoice_11_42_8'><input name='input_42' type='radio' value='9'  id='choice_11_42_8'    \/><label for='choice_11_42_8' id='label_11_42_8'>vinorelbine (alone)<\/label><\/li><li class='gchoice_11_42_9'><input name='input_42' type='radio' value='0'  id='choice_11_42_9'    \/><label for='choice_11_42_9' id='label_11_42_9'>I don't know<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_43' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"15\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"15\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_43' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"17\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"17\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_17' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_17' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_44'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >What was the 3rd  or 3rd-line of chemotherapy used?<\/label><div class='gfield_description' id='gfield_description_11_44'>The two most common would be:\n\nPemetrexed (Alimta) and Cisplatin\n\nor\n\nPemetrexed (Alimta) and Carboplatin<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_44'><li class='gchoice_11_44_0'><input name='input_44' type='radio' value='5'  id='choice_11_44_0'    \/><label for='choice_11_44_0' id='label_11_44_0'>pemetrexed\/cisplatin (combination)<\/label><\/li><li class='gchoice_11_44_1'><input name='input_44' type='radio' value='6'  id='choice_11_44_1'    \/><label for='choice_11_44_1' id='label_11_44_1'>pemetrexed\/carboplatin (combination)<\/label><\/li><li class='gchoice_11_44_2'><input name='input_44' type='radio' value='8'  id='choice_11_44_2'    \/><label for='choice_11_44_2' id='label_11_44_2'>pemetrxed\/cisplatin\/bevacizumab (combination)<\/label><\/li><li class='gchoice_11_44_3'><input name='input_44' type='radio' value='4'  id='choice_11_44_3'    \/><label for='choice_11_44_3' id='label_11_44_3'>gemcitabine\/cisplatin (combination)<\/label><\/li><li class='gchoice_11_44_4'><input name='input_44' type='radio' value='1'  id='choice_11_44_4'    \/><label for='choice_11_44_4' id='label_11_44_4'>carboplatin (alone)<\/label><\/li><li class='gchoice_11_44_5'><input name='input_44' type='radio' value='2'  id='choice_11_44_5'    \/><label for='choice_11_44_5' id='label_11_44_5'>cisplatin (alone)<\/label><\/li><li class='gchoice_11_44_6'><input name='input_44' type='radio' value='3'  id='choice_11_44_6'    \/><label for='choice_11_44_6' id='label_11_44_6'>gemcitabine (alone)<\/label><\/li><li class='gchoice_11_44_7'><input name='input_44' type='radio' value='7'  id='choice_11_44_7'    \/><label for='choice_11_44_7' id='label_11_44_7'>pemetrexed (alone)<\/label><\/li><li class='gchoice_11_44_8'><input name='input_44' type='radio' value='9'  id='choice_11_44_8'    \/><label for='choice_11_44_8' id='label_11_44_8'>vinorelbine (alone)<\/label><\/li><li class='gchoice_11_44_9'><input name='input_44' type='radio' value='0'  id='choice_11_44_9'    \/><label for='choice_11_44_9' id='label_11_44_9'>I don't know<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_45' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"16\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"16\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_45' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"18\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"18\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_18' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_18' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_46'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >What were the results of your last Scan or PET Scan?<\/label><div class='gfield_description' id='gfield_description_11_46'>Please answer this question based on the results of the last scan done.  We recognize that you may have another scan scheduled or may be awaiting the results of a recent scan.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_46'><li class='gchoice_11_46_0'><input name='input_46' type='radio' value='1'  id='choice_11_46_0'    \/><label for='choice_11_46_0' id='label_11_46_0'>There was less mesothelioma than the prior scan<\/label><\/li><li class='gchoice_11_46_1'><input name='input_46' type='radio' value='1'  id='choice_11_46_1'    \/><label for='choice_11_46_1' id='label_11_46_1'>There was no progression since the prior scan (stable)<\/label><\/li><li class='gchoice_11_46_2'><input name='input_46' type='radio' value='2'  id='choice_11_46_2'    \/><label for='choice_11_46_2' id='label_11_46_2'>The mesothelioma had progressed<\/label><\/li><li class='gchoice_11_46_3'><input name='input_46' type='radio' value='0'  id='choice_11_46_3'    \/><label for='choice_11_46_3' id='label_11_46_3'>I don't know<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_11_47' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"17\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"17\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_11_47' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_11\").val(\"19\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_11\").val(\"19\");  jQuery(\"#gform_11\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_19' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_11_19' class='gform_fields top_label form_sublabel_below description_above'><li id='field_11_48'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Which of the following would best describe you?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_48'><li class='gchoice_11_48_0'><input name='input_48' type='radio' value='1'  id='choice_11_48_0'    \/><label for='choice_11_48_0' id='label_11_48_0'>Fully active, able to carry on all pre-disease performance without restriction<\/label><\/li><li class='gchoice_11_48_1'><input name='input_48' type='radio' value='2'  id='choice_11_48_1'    \/><label for='choice_11_48_1' id='label_11_48_1'>Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work<\/label><\/li><li class='gchoice_11_48_2'><input name='input_48' type='radio' value='3'  id='choice_11_48_2'    \/><label for='choice_11_48_2' id='label_11_48_2'>Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours<\/label><\/li><li class='gchoice_11_48_3'><input name='input_48' type='radio' value='4'  id='choice_11_48_3'    \/><label for='choice_11_48_3' id='label_11_48_3'>Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours<\/label><\/li><li class='gchoice_11_48_4'><input name='input_48' type='radio' value='5'  id='choice_11_48_4'    \/><label for='choice_11_48_4' id='label_11_48_4'>Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair<\/label><\/li><li class='gchoice_11_48_5'><input name='input_48' type='radio' value='0'  id='choice_11_48_5'    \/><label for='choice_11_48_5' id='label_11_48_5'>I don't know<\/label><\/li><\/ul><\/div><\/li><li id='field_11_50'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Has a legal case ever been pursued?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_50'><li class='gchoice_11_50_0'><input name='input_50' type='radio' value='1'  id='choice_11_50_0'    \/><label for='choice_11_50_0' id='label_11_50_0'>Yes<\/label><\/li><li class='gchoice_11_50_1'><input name='input_50' type='radio' value='2'  id='choice_11_50_1'    \/><label for='choice_11_50_1' id='label_11_50_1'>No<\/label><\/li><li class='gchoice_11_50_2'><input name='input_50' type='radio' value='0'  id='choice_11_50_2'    \/><label for='choice_11_50_2' id='label_11_50_2'>I don't know<\/label><\/li><\/ul><\/div><\/li><li id='field_11_51'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Is there a legal case currently pending?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_51'><li class='gchoice_11_51_0'><input name='input_51' type='radio' value='1'  id='choice_11_51_0'    \/><label for='choice_11_51_0' id='label_11_51_0'>Yes<\/label><\/li><li class='gchoice_11_51_1'><input name='input_51' type='radio' value='2'  id='choice_11_51_1'    \/><label for='choice_11_51_1' id='label_11_51_1'>No<\/label><\/li><li class='gchoice_11_51_2'><input name='input_51' type='radio' value='0'  id='choice_11_51_2'    \/><label for='choice_11_51_2' id='label_11_51_2'>I don't know<\/label><\/li><\/ul><\/div><\/li><li id='field_11_52'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >What is (the patients) zip code?<\/label><div class='gfield_description' id='gfield_description_11_52'>If zip code is unknown, capture city and state<\/div>    \n                    <div class='ginput_complex ginput_container has_city has_state has_zip ginput_container_address' id='input_11_52' >\n                        <span class='ginput_left address_city' id='input_11_52_3_container' >\n                                    <input type='text' name='input_52.3' id='input_11_52_3' value=''    \/>\n                                    <label for='input_11_52_3' id='input_11_52_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_11_52_4_container' >\n                                        <select name='input_52.4' id='input_11_52_4'     ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_11_52_4' id='input_11_52_4_label' >State<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_11_52_5_container' >\n                                    <input type='text' name='input_52.5' id='input_11_52_5' value=''    \/>\n                                    <label for='input_11_52_5' id='input_11_52_5_label' >ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_52.6' id='input_11_52_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_11_54'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_11_54' >Wrap Up<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_54' id='input_11_54' class='textarea medium'    placeholder='Great, that gives me what I need to run an initial clinical trial search. At the conclusion of this call, I am going to email you a list of clinical trials. As I mentioned, the next step is to schedule a call with CANTRIA&#039;s Founder, Joe Giglio'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_11_55'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >May we schedule that follow-up call now?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_55'><li class='gchoice_11_55_0'><input name='input_55' type='radio' value='1'  id='choice_11_55_0'    \/><label for='choice_11_55_0' id='label_11_55_0'>Yes<\/label><\/li><li class='gchoice_11_55_1'><input name='input_55' type='radio' value='2'  id='choice_11_55_1'    \/><label for='choice_11_55_1' id='label_11_55_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_11_56'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_11_56' >Great, what would be the best day for a follow-up call?<\/label><div class='gfield_description' id='gfield_description_11_56'>Try to schedule something approximately 24-48 hours from today.<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_56' id='input_11_56' type='text' value='' class='datepicker medium mdy datepicker_with_icon'    aria-describedby='input_11_56_date_format' \/>\n                            <span id='input_11_56_date_format' class='screen-reader-text'>Date Format: MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_11_56' class='gform_hidden' value='https:\/\/www.mesotheliomagroup.com\/blog\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_11_57'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >And what would be the best time of day for that?<\/label><div class='gfield_description' id='gfield_description_11_57'>Make sure to schedule using Mountain Time<\/div><div class='clear-multi'>\n                        <div class='gfield_time_hour ginput_container ginput_container_time' id='input_11_57'>\n                            <input type='text' maxlength='2' name='input_57[]' id='input_11_57_1' value=''    \/> <i>:<\/i>\n                            <label for='input_11_57_1' >HH<\/label>\n                        <\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time'>\n                            <input type='text' maxlength='2' name='input_57[]' id='input_11_57_2' value=''    \/>\n                            <label for='input_11_57_2' >MM<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time' >\n                                \n                                <select name='input_57[]' id='input_11_57_3'   aria-label='AM\/PM'>\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select>\n                           <\/div>\n                    <\/div><\/li><li id='field_11_60'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >You indicated that a legal case has not been pursued in this matter.  Is this something that you might be interested in pursuing? I ask because we are funded by a great legal firm and if your interested, I could have someone contact you about legal options. Would you be interested in hearing from someone?<\/label><div class='gfield_description' id='gfield_description_11_60'>If asked, the name of the firm is Maune Raichle Hartley French & Mudd<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_11_60'><li class='gchoice_11_60_0'><input name='input_60' type='radio' value='1'  id='choice_11_60_0'    \/><label for='choice_11_60_0' id='label_11_60_0'>Yes - Contact me<\/label><\/li><li class='gchoice_11_60_1'><input name='input_60' type='radio' value='2'  id='choice_11_60_1'    \/><label for='choice_11_60_1' id='label_11_60_1'>No - don't contact me<\/label><\/li><\/ul><\/div><\/li><li id='field_11_59'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_11_59' >Unable to Schedule Follow-up<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_59' id='input_11_59' class='textarea medium'    placeholder='Ok, well let me give you my telephone number so that you may give me a call back when your able to schedule something with Joe. 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