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"Before submitting, you may wish to keep a copy for your files.<br>Press the &quot;Print&quot; button.","Submit the survey to ESRR for processing.<br>Press the &quot;Submit&quot; button","1. &nbsp;I have owned a dog before:","2. &nbsp;The last time I had a dog was:","3. &nbsp;My dog needs to get along with my other dogs.","If Yes, list the other dog(s) name, age, gender and breed:","4. &nbsp;My dog needs to be good with (check all that apply):","5. &nbsp;My dog will primarily be an:","6. &nbsp;How many hours will your dog spend outside per day?",
"(D)","7. &nbsp;My dog needs to be able to be alone:","8. &nbsp;When I'm at home, I want my dog to be by my side:","10. &nbsp;I want a guard dog.","11. I want my dog to hunt or herd with me.","12. &nbsp;I want my dog to be the type that is very enthusiastic in the way s/he shows s/he loves people.","13. &nbsp;I want my dog to be playful.","14. &nbsp;I want my dog to be laid back:","15. &nbsp;I am comfortable doing some training with my dog to improve manners such as jumping, stealing food, and pulling on the leash.",
"16. &nbsp;I (or my children) want to compete in Agility, Flyball, or Obedience with our dog.","17. &nbsp;I am interested in a dog with &quot;special needs&quot; (medical or behavioral).","18. &nbsp;How much do you think you'll spend yearly for the care of your dog (food, medical care, boarding, toys, etc) ?","$","This ends the ESRR Adoption Survey. &nbsp;English Springer Rescue of the Rockies thanks you for taking the time and consideration in filling out this survey. &nbsp;It ensures a better chance of finding the right &quot;English Springer of your life&quot;. &nbsp;",
"INSTRUCTIONS:<br>If something is uncertain or not applicable, leave it blank."," &nbsp;FOR OFFICE USE ONLY - Side 1 of 2","City:","9. &nbsp;When I'm not home, my dog will spend his/her time:","N","Yes &nbsp;(N)","M","No &nbsp;(M)","2 - 10 years ago &nbsp;(N)","More than 10 years ago &nbsp;(M)","D","Within the last year &nbsp;(D)","No &nbsp;(N)","Yes &nbsp;(D)","Children over 8 years old &nbsp;(N)","Children under 8 years old &nbsp;(M)","M-L","Elderly people &nbsp;(M-L)","Cats &nbsp;(D)","Animals other than dogs or cats &nbsp;(D)",
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}function q_a7(eX,eY,v47){if(this.vr||!this.vq)return true;q_5n(this.index);this.v36(0);if(v47.indexOf("i_"+this.index+"_ich")==0){var i=parseInt(v47.substring(("i_"+this.index+"_ich").length));if(i>=0&&i<this.v3u){this.v41=i;this.v42=eX;this.v43=eY;q_1t("i_"+this.index+"_ch"+i,"i_"+this.index+"_ich"+i).src=q_25[this.v3s+parseInt(this.v1l[this.v41].checked?1:0)+2].src;q_6s(this.index);return false;}}return true;}function q_a8(eX,eY){var pic=parseInt(this.v1l[this.v41].checked?1:0);if(Math.abs(eX-this.v42)<this.v3r&&Math.abs(eY-this.v43)<this.v3r)
{pic+=2;}q_1t("i_"+this.index+"_ch"+this.v41,"i_"+this.index+"_ich"+this.v41).src=q_25[this.v3s+pic].src;return false;}function q_a9(eX,eY){var i=this.v41;if(Math.abs(eX-this.v42)<this.v3r&&Math.abs(eY-this.v43)<this.v3r){if(this.v3o==0){this.v1l[i].checked=!this.v1l[i].checked;if(this.v1l[i].checked){for(var j=0;j<this.v3u;j++)if(j!=i&&this.v1l[j].checked){this.v1l[j].checked=false;q_1t("i_"+this.index+"_ch"+j,"i_"+this.index+"_ich"+j).src=q_25[parseInt(this.v3s)].src;}}}else{if(this.v3o==2){var v48=0;
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this.vn|=128;}function q_9n(s){this.vf=s;q_1p("i_"+this.index+"_d",s&this.vt);for(var i=0;i<this.v3u;i++)q_1p("i_"+this.index+"_ch"+i,s&this.vt);}function q_9t(t){q_20("i_"+this.index+"_d",t);for(var i=0;i<this.v3u;i++)q_20("i_"+this.index+"_ch"+i,t);this.vu=t;this.vn|=512;}function q_9u(){var v48=0;for(var j=0;j<this.v3u;j++)if(this.v1l[j].checked)v48++;return!(this.vq&&((v48==0&&this.v2n)||(this.v3o==2&&v48<this.v3p)));}function q_9v(){if(this.v3o==0){var d=new Array(1);for(var i=0;i<this.v3u;i++)
if(this.v1l[i].checked){d[0]=this.v15+"|"+this.v1l[i].value;return d;}d[0]=this.v15+"|";return d;}else{var v49=0;var d=new Array();for(var i=0;i<this.v3u;i++)if(this.v1l[i].checked||this.v1l[i].v40)d[v49++]=this.v15[i]+"|"+parseInt(this.v1l[i].checked?1:0);if(v49>0)return d;else return null;}}function q_a0(fn,v){if(this.v3o==0){if(fn!=this.v15)return false;else{for(var i=0;i<this.v3u;i++){this.v1l[i].checked=(v==this.v1l[i].value);q_1t("i_"+this.index+"_ch"+i,"i_"+this.index+"_ich"+i).src=q_25[parseInt(this.v3s)+parseInt(this.v1l[i].checked?1:0)].src;
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}this.v13=null;}function q_a2(i){if(i<1||i>this.v3u)return null;return this.v1l[i-1].checked;}function q_a3(i,b){if(i<1||i>this.v3u)return;i--;if(this.v3o==0&&b){for(var j=0;j<this.v3u;j++){this.v1l[j].checked=(i==j);q_1t("i_"+this.index+"_ch"+j,"i_"+this.index+"_ich"+j).src=q_25[parseInt(this.v3s)+parseInt(this.v1l[j].checked?1:0)].src;}}else{this.v1l[i].checked=b;q_1t("i_"+this.index+"_ch"+i,"i_"+this.index+"_ich"+i).src=q_25[parseInt(this.v3s)+parseInt(this.v1l[i].checked?1:0)].src;if(b){this.v13=i;
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if(this.v3o==0){for(var i=0;i<this.v3u;i++)if(this.v1l[i].checked)return q_6a(this.v1l[i].value);return null;}else{for(var i=0;i<this.v3u;i++){if(this.v1l[i].checked){if(this.v1l[this.v13].checked)return q_6a(this.v1l[this.v13].value);else return q_6a(this.v1l[i].value);}}return null;}}function q_a6(){if(this.v3o==0){for(var i=0;i<this.v3u;i++)if(this.v1l[i].checked)return this.v1l[i].v3v;return null;}else{for(var i=0;i<this.v3u;i++){if(this.v1l[i].checked){if(this.v1l[this.v13].checked)return this.v1l[this.v13].v3v;
else return this.v1l[i].v3v;}}return null;}}function q_9o(x){if(x>=0&&x<=q_r-this.width){this.x=x;q_1m("i_"+this.index+"_d",x+q_33);for(var i=0;i<this.v3u;i++)q_1m("i_"+this.index+"_ch"+i,x+q_33+this.v1l[i].x);this.vn|=1;}}function q_9p(y){if(y>=0&&y<=q_s-this.height){this.y=y;q_1o("i_"+this.index+"_d",y+q_34);for(var i=0;i<this.v3u;i++)q_1o("i_"+this.index+"_ch"+i,y+q_34+this.v1l[i].y);this.vn|=2;}}function q_9r(z){if(z>=0&&z<3276){this.vo=z;q_1r("i_"+this.index+"_d",z*10);for(var i=0;i<this.v3u;i++)
q_1r("i_"+this.index+"_ch"+i,z*10+1);this.vn|=4;}}function q_9s(e){this.vq=e;var g=e?0:2;for(var i=0;i<this.v3u;i++){q_1t("i_"+this.index+"_ch"+i,"i_"+this.index+"_ich"+i).src=q_25[parseInt(this.v3s)+parseInt(this.v1l[i].checked?1:0)+g].src;}this.vn|=16;}function q_7c(index,a){var n=q_7m(this,index,a);this.date=a[n];this.v4a=q_19[a[n+1]];this.v3i=a[n+2];this.v4b=a[n+3];this.v4c=parseInt(a[n+4]);this.v4d=parseInt(a[n+5]);this.v15=a[n+6];this.v2g=a[n+7];if(this.v4c*0!=0)this.v4c=2000;if(this.v4d*0!=0)this.v4d=2010;
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this.v4k=this.v4a.substring(0,4);}if(!this.date&&this.v4a.length>=8){this.v4l=this.v4a.substring(0,2);this.v4m=this.v4a.substring(3,5);this.v4n=this.v4a.substring(6,8);}}this.v9=q_aa;this.vb=q_ab;this.v1c=q_ac;this.vc=q_ad;this.v1d=q_ae;this.v1e=q_af;this.vk=q_ag;this.vl=q_ah;this.vm=q_ai;this.v16=q_aj;this.v14=q_ak;this.OnChange=q_al;this.OnFocus=q_am;this.v4o=q_an;}function q_aa(){var c;if(this.date){var day=q_ao(1,31,this.v4i,this.index,this.v4b,"D:",false,this.tab);var v4p=q_ao(1,12,this.v4j,this.index,this.v4b,"M:",false,this.tab);
var v4q=q_ao(this.v4c,this.v4d,this.v4k,this.index,this.v4b,"Y:",false,this.tab);switch(this.v3i){case 1:c=day+v4p+v4q;break;case 2:c=v4p+day;break;case 3:c=day+v4p;break;default:c=v4p+day+v4q;break;}}else{var v4r=q_ao(0,23,this.v4l,this.index,this.v4b,"H:",true,this.tab);var v4s=q_ao(0,59,this.v4m,this.index,this.v4b,"M:",true,this.tab);var v4t=q_ao(0,59,this.v4n,this.index,this.v4b,"S:",true,this.tab);switch(this.v3i){case 1:c=v4r+v4s;break;default:c=v4r+v4s+v4t;break;}}q_6b(this,"<table cellspacing=0 cellpadding=0 border=0><tr>"+c+"</tr></table>",
true);}function q_ab(){document.write(".st_"+this.index+"_dtl {color: #"+this.v2m+"; "+q_2r(this.font)+"; background-image: none}\n"+".st_"+this.index+"_dtb {height: "+q_2c(this.v2p)+"px; background-color: #"+this.vp+"; color: #"+this.v2m+"; "+q_2q(this.font)+"; background-image: none}\n");}function q_ac(c){this.vp=c;q_1q("i_"+this.index+"_d",c);q_1v(q_6f("i_"+this.index+"_d",0),c);q_1v(q_6f("i_"+this.index+"_d",1),c);if(this.v4h)q_1v(q_6f("i_"+this.index+"_d",2),c);this.vn|=8;}function q_ad(r){
this.vr=r;this.v4o();this.vn|=32;}function q_ae(e){this.vq=e;q_6f("i_"+this.index+"_d",0).disabled=!e;q_6f("i_"+this.index+"_d",1).disabled=!e;if(this.v4h)q_6f("i_"+this.index+"_d",2).disabled=!e;this.v4o();this.vn|=16;}function q_af(r){this.vs=r;var c=this.vp;if(r)c=q_6e(c);q_1q("i_"+this.index+"_d",c);q_1v(q_6f("i_"+this.index+"_d",0),c);q_1v(q_6f("i_"+this.index+"_d",1),c);if(this.v4h)q_1v(q_6f("i_"+this.index+"_d",2),c);this.vn|=64;}function q_an(){this.v4e=q_6i("i_"+this.index+"_d",0);this.v4f=q_6i("i_"+this.index+"_d",1);
if(this.v4h)this.v4g=q_6i("i_"+this.index+"_d",2);}function q_ag(){if(this.date){var v=this.v37();if(v!=null){v=q_5f(v+"",8);var y=v.substring(0,4)*1;var m=v.substring(4,6)*1;var d=v.substring(6,8)*1;if(((d>30)&&((m==4)||(m==6)||(m==9)||(m==11)))||((m==2)&&(d>29))||((m==2)&&!((y%4==0)||(y%100==0)||(y%400==0))&&(d>28)))return q_1d[19];}}return null;}function q_ah(){return!(this.v2n&&this.vq&&this.vm()==null);}function q_ai(){var v;if(this.date){switch(this.v3i){case 1:v=q_5f(q_6k("i_"+this.index+"_d",2),4)+q_5f(q_6k("i_"+this.index+"_d",1),2)+q_5f(q_6k("i_"+this.index+"_d",0),2);break;
case 2:v="0000"+q_5f(q_6k("i_"+this.index+"_d",0),2)+q_5f(q_6k("i_"+this.index+"_d",1),2);break;case 3:v="0000"+q_5f(q_6k("i_"+this.index+"_d",1),2)+q_5f(q_6k("i_"+this.index+"_d",0),2);break;default:v=q_5f(q_6k("i_"+this.index+"_d",2),4)+q_5f(q_6k("i_"+this.index+"_d",0),2)+q_5f(q_6k("i_"+this.index+"_d",1),2);break;}}else{switch(this.v3i){case 1:v=q_5f(q_6k("i_"+this.index+"_d",0),2)+":"+q_5f(q_6k("i_"+this.index+"_d",1),2)+":00";break;default:v=q_5f(q_6k("i_"+this.index+"_d",0),2)+":"+q_5f(q_6k("i_"+this.index+"_d",1),2)+":"+q_5f(q_6k("i_"+this.index+"_d",2),2);break;
}}if(v.indexOf("-1")>=0)return null;else{var d=new Array(1);d[0]=this.v15+"|"+v;return d;}}function q_aj(fn,v){if(fn!=this.v15)return false;else{if(this.date){var v4p,day,v4q;if(v=="_"){var dt=new Date();day=dt.getDate()-1;v4p=dt.getMonth();v4q=dt.getFullYear()-this.v4c;}else{if(v.length<8){v4p=-1;day=-1;v4q=-1;}else{day=parseInt(v.substring(6,8),10)-1;v4p=parseInt(v.substring(4,6),10)-1;if(this.v4h)v4q=parseInt(v.substring(0,4),10)-this.v4c;else v4q=-1;}}var v4u=0;if(this.v4a<0){day++;v4p++;v4q++;
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break;}}else{var v4r,v4s,v4t;if(v=="_"){var dt=new Date();v4r=dt.getHours();v4s=dt.getMinutes();v4t=dt.getSeconds();}else{var s=v.split(":");if(s.length<2){v4r=-1;v4s=-1;v4t=-1;}else{v4r=1*s[0];v4s=1*s[1];if(s.length>2)v4t=1*s[2];else v4t=-1;}}var v4u=0;if(this.v4a<0){v4r++;v4s++;v4t++;v4u=1;}if(v4r<0||v4r>(23+v4u))v4r=0;if(v4s<0||v4s>(59+v4u))v4s=0;if(v4t<0||v4t>(59+v4u))v4t=0;q_52("i_"+this.index+"_d",0,v4r);q_52("i_"+this.index+"_d",1,v4s);if(this.v3i==0)q_52("i_"+this.index+"_d",2,v4t);}this.v4o();
this.v36(1);return true;}}function q_ak(){this.v35();var v1,v2,v3;if(this.date){if(this.v3i==1||this.v3i==3){v1=this.v4i-1;v2=this.v4j-1;}else{v2=this.v4i-1;v1=this.v4j-1;}if(this.v4i<0)v1=v2=0;if(this.v3i==0||this.v3i==1){if(this.v4k<0||this.v4k>this.v4d)v3=0;else v3=this.v4k-this.v4c;}else{v3=-1;}}else{v1=this.v4l;v2=this.v4m;if(this.v4l<0)v1=v2=0;if(this.v3i==0){if(this.v4n<0)v3=0;else v3=this.v4n;}else{v3=-1;}}q_52("i_"+this.index+"_d",0,v1);q_52("i_"+this.index+"_d",1,v2);if(v3>=0)q_52("i_"+this.index+"_d",2,v3);
this.v4o();}function q_al(){if(this.vr||!this.vq){q_52("i_"+this.index+"_d",0,this.v4e);q_52("i_"+this.index+"_d",1,this.v4f);if(this.v4h)q_52("i_"+this.index+"_d",2,this.v4g);}else{this.v36(1);}}function q_am(){this.v36(0);}function q_ao(a,b,s,i,l,ln,d,t){var v4v="";if(l)v4v="<td class=st_"+i+"_dtl valign=center>"+ln+"</td>";v4v=v4v+"<td class=st_"+i+"_dtb><select tabindex="+t+" size=1 class=st_"+i+"_dtb onchange='return q_OnChange(event, "+i+");' onfocus='q_OnFocus(event, "+i+");'>";if(s<0)v4v=v4v+'<option value="-1" selected>&nbsp;</option>';
for(var i=a;i<=b;i++){var v=i;if(d&&v<10)v="0"+v;v4v=v4v+'<option value="'+v+'"';if(i==s)v4v=v4v+" selected ";v4v=v4v+'>'+v+'</option>';}return v4v+"</select>";}function q_7e(index,a){var n=q_7m(this,index,a);this.v50=a[n];this.v3v=(this.v50)?a[n+1]:q_19[a[n+1]];this.action=a[n+2];this.v1p=a[n+3];this.v2g=a[n+4];this.v9=q_ap;this.vb=q_aq;this.v1c=q_ar;this.v1d=q_as;this.OnFocus=q_at;if(this.v50)this.OnMouseDown=q_au;else this.OnChange=q_au;}function q_ap(){var h;if(this.v50)h='<img src="'+q_25[this.v3v].src+'" width='+this.v2o+' height='+this.v2p+' name="i_'+this.index+'_pc" galleryimg=no class=st_p>';
else h='<input type=button tabindex='+this.tab+' width='+q_2b(this.v2o)+' height='+q_2a(this.v2p)+' value="'+this.v3v+'" class=st_'+this.index+'_bu onclick="return q_OnChange(event, '+this.index+');" onfocus="q_OnFocus(event, '+this.index+');">';q_6b(this,h,true);}function q_aq(){if(!this.v50)document.write(".st_"+this.index+"_bu {width: "+q_2b(this.v2o)+"px; height: "+q_2a(this.v2p)+"px; background-color: #"+this.vp+"; color: #"+this.v2m+"; "+q_2t(this.font)+"}\n");}function q_ar(c){this.vp=c;q_1q("i_"+this.index+"_d",c);
if(!this.v50)q_1v(q_6f("i_"+this.index+"_d",0),c);this.vn|=8;}function q_as(r){this.vq=r;if(!this.v50)q_6f("i_"+this.index+"_d",0).disabled=!r;this.vn|=16;}function q_au(t){if(!this.vq)return;this.v36(1);switch(this.action){case 1:if(!this.vr)q_1b();break;case 2:if(!this.vr)q_5g();break;case 3:q_1c(this.v1p);break;case 4:if(this.v1p=="")q_57();else q_59(this.v1p);break;case 5:q_58();break;case 7:q_5i();break;case 8:q_57();break;case 9:q_56();break;}return true;}function q_at(){this.v36(0);}q_4k();
q_4g();