{"id":889,"date":"2026-05-12T13:24:30","date_gmt":"2026-05-12T13:24:30","guid":{"rendered":"https:\/\/www.itu.int\/now4wrc27\/?page_id=889"},"modified":"2026-06-04T09:32:09","modified_gmt":"2026-06-04T09:32:09","slug":"mid-term-now4wrc27","status":"publish","type":"page","link":"https:\/\/www.itu.int\/now4wrc27\/mid-term-survey\/","title":{"rendered":"Mid\u2011Term Survey"},"content":{"rendered":"    <div class=\"ituContainer grid\">\n        <div data-span=\"12\">\n                            \n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_5' style='display:none'><style>#gform_wrapper_5[data-form-index=\"0\"].gform-theme,[data-parent-form=\"5_0\"]{--gf-color-primary: #009cd6;--gf-color-primary-rgb: 0, 156, 214;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #006AA4;--gf-color-primary-lighter: #32CEFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(0, 156, 214, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #009cd6;--gf-color-in-ctrl-primary-rgb: 0, 156, 214;--gf-color-in-ctrl-primary-contrast: 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var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #009cd6;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><style>#gform_wrapper_5[data-form-index=\"0\"].gform-theme,[data-parent-form=\"5_0\"]{--gf-survey-field-likert-row-odd-bg-color: rgb(17,35,55,0.08);--gf-survey-icon-control-rank: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='%23112337'\/%3E%3C\/svg%3E\");}<\/style><div id='gf_5' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/now4wrc27\/wp-json\/wp\/v2\/pages\/889#gf_5' data-formid='5' novalidate><div id='gf_page_steps_5' class='gf_page_steps'><div id='gf_step_5_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Contact Information<\/span><\/div><div id='gf_step_5_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>General Experience<\/span><\/div><div id='gf_step_5_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>Program Support &#038; Structure<\/span><\/div><div id='gf_step_5_4' class='gf_step gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>For Mentees Specifically<\/span><\/div><div id='gf_step_5_5' class='gf_step gf_step_pending'><span class='gf_step_number'>5<\/span><span class='gf_step_label'>For Mentors Specifically<\/span><\/div><div id='gf_step_5_6' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>6<\/span><span class='gf_step_label'>Looking Ahead<\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_5_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_117\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_117'>Email<\/label><div class='ginput_container'><input name='input_117' id='input_5_117' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_5_117'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_5_18\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Title<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_18'>\n\t\t\t<div class='gchoice gchoice_5_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Mr'  id='choice_5_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_18_0' id='label_5_18_0' class='gform-field-label gform-field-label--type-inline'>Mr<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Ms'  id='choice_5_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_18_1' id='label_5_18_1' class='gform-field-label gform-field-label--type-inline'>Ms<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_18_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Dr'  id='choice_5_18_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_18_2' id='label_5_18_2' class='gform-field-label gform-field-label--type-inline'>Dr<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_18_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='I prefer not to answer'  id='choice_5_18_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_18_3' id='label_5_18_3' class='gform-field-label gform-field-label--type-inline'>I prefer not to answer<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_5\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >First and Last name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_5'>\n                            \n                            <span id='input_5_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_5_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_5_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_5_5_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_5_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_6\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_6'>Your email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_5_6' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_5_109\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Keep my information anonymous<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_109'>\n\t\t\t<div class='gchoice gchoice_5_109_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='Yes'  id='choice_5_109_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_109_0' id='label_5_109_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_109_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='No' checked='checked' id='choice_5_109_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_109_1' id='label_5_109_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_24\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >You join the Program as<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_24'>\n\t\t\t<div class='gchoice gchoice_5_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Mentor'  id='choice_5_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_24_0' id='label_5_24_0' class='gform-field-label gform-field-label--type-inline'>Mentor<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Mentee'  id='choice_5_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_24_1' id='label_5_24_1' class='gform-field-label gform-field-label--type-inline'>Mentee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_5_65' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_2' class='gform_page' data-js='page-field-id-65' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_57\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How satisfied are you with your mentoring relationship so far?<\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_5_57'><input name='input_57' type='radio' value='grating57ec152f5b'  id='choice_5_57_0'    \/><label for='choice_5_57_0' title='Terrible'><span>Terrible<\/span><\/label><input name='input_57' type='radio' value='grating571b080c0e'  id='choice_5_57_1'    \/><label for='choice_5_57_1' title='Not so great'><span>Not so great<\/span><\/label><input name='input_57' type='radio' value='grating574f85bdca'  id='choice_5_57_2'    \/><label for='choice_5_57_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_57' type='radio' value='grating57fbc42e0e'  id='choice_5_57_3'    \/><label for='choice_5_57_3' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_57' type='radio' value='grating573f76ab62'  id='choice_5_57_4'    \/><label for='choice_5_57_4' title='Excellent'><span>Excellent<\/span><\/label><\/div><\/div><\/div><fieldset id=\"field_5_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How frequently do you and your mentoring partner meet or communicate?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_60'>\n\t\t\t<div class='gchoice gchoice_5_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Once a month'  id='choice_5_60_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_60_0' id='label_5_60_0' class='gform-field-label gform-field-label--type-inline'>Once a month<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Quarterly'  id='choice_5_60_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_60_1' id='label_5_60_1' class='gform-field-label gform-field-label--type-inline'>Quarterly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_60_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='More than twice a year'  id='choice_5_60_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_60_2' id='label_5_60_2' class='gform-field-label gform-field-label--type-inline'>More than twice a year<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_60_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Twice a year'  id='choice_5_60_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_60_3' id='label_5_60_3' class='gform-field-label gform-field-label--type-inline'>Twice a year<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_60_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Other'  id='choice_5_60_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_60_4' id='label_5_60_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_107\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_107'>If &quot;Other&quot;, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_107' id='input_5_107' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_89\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you feel the communication between you and your partner is effective?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_89'>\n\t\t\t<div class='gchoice gchoice_5_89_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='Yes'  id='choice_5_89_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_89_0' id='label_5_89_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_89_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='No'  id='choice_5_89_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_89_1' id='label_5_89_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_89_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='Could be better'  id='choice_5_89_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_89_2' id='label_5_89_2' class='gform-field-label gform-field-label--type-inline'>Could be better<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_110\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_110'>If &quot;No&quot;, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_110' id='input_5_110' class='textarea small'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_99\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_99'>If &quot;Could be better&quot;, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_99' id='input_5_99' class='textarea small'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_63\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_63'>What has been the most valuable part of your mentoring relationship so far?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_63' id='input_5_63' class='textarea small'   maxlength='500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_64\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_64'>What challenges, if any, have you encountered in your mentoring relationship?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_64' id='input_5_64' class='textarea small'   maxlength='500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_66' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_66' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_3' class='gform_page' data-js='page-field-id-66' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_70\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How supported do you feel by the program team (resources, check-ins, guidance)?<\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_5_70'><input name='input_70' type='radio' value='grating70eac3fbab'  id='choice_5_70_0'    \/><label for='choice_5_70_0' title='Terrible'><span>Terrible<\/span><\/label><input name='input_70' type='radio' value='grating70cd093d91'  id='choice_5_70_1'    \/><label for='choice_5_70_1' title='Not so great'><span>Not so great<\/span><\/label><input name='input_70' type='radio' value='grating70d8ece22c'  id='choice_5_70_2'    \/><label for='choice_5_70_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_70' type='radio' value='grating70f192f84a'  id='choice_5_70_3'    \/><label for='choice_5_70_3' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_70' type='radio' value='grating702348038f'  id='choice_5_70_4'    \/><label for='choice_5_70_4' title='Excellent'><span>Excellent<\/span><\/label><\/div><\/div><\/div><div id=\"field_5_71\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How clear were the program\u2019s objectives and expectations when you started?<\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_5_71'><input name='input_71' type='radio' value='grating70eac3fbab'  id='choice_5_71_0'    \/><label for='choice_5_71_0' title='Terrible'><span>Terrible<\/span><\/label><input name='input_71' type='radio' value='grating70cd093d91'  id='choice_5_71_1'    \/><label for='choice_5_71_1' title='Not so great'><span>Not so great<\/span><\/label><input name='input_71' type='radio' value='grating70d8ece22c'  id='choice_5_71_2'    \/><label for='choice_5_71_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_71' type='radio' value='grating70f192f84a'  id='choice_5_71_3'    \/><label for='choice_5_71_3' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_71' type='radio' value='grating702348038f'  id='choice_5_71_4'    \/><label for='choice_5_71_4' title='Excellent'><span>Excellent<\/span><\/label><\/div><\/div><\/div><fieldset id=\"field_5_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are there any additional tools, training, or resources that would help you in your mentoring journey?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_72'>\n\t\t\t<div class='gchoice gchoice_5_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Yes'  id='choice_5_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_0' id='label_5_72_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='No'  id='choice_5_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_1' id='label_5_72_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_73\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_73'>If &quot;Yes&quot;, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_73' id='input_5_73' class='textarea small'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_74\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >How would you rate the matching process (fit between mentor and mentee)?<\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_5_74'><input name='input_74' type='radio' value='grating74df647fa6'  id='choice_5_74_0'    \/><label for='choice_5_74_0' title='Terrible'><span>Terrible<\/span><\/label><input name='input_74' type='radio' value='grating74bbc9edba'  id='choice_5_74_1'    \/><label for='choice_5_74_1' title='Not so great'><span>Not so great<\/span><\/label><input name='input_74' type='radio' value='grating745824fd00'  id='choice_5_74_2'    \/><label for='choice_5_74_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_74' type='radio' value='grating74e40b86a8'  id='choice_5_74_3'    \/><label for='choice_5_74_3' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_74' type='radio' value='grating74a3a9aced'  id='choice_5_74_4'    \/><label for='choice_5_74_4' title='Excellent'><span>Excellent<\/span><\/label><\/div><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_67' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_67' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_4' class='gform_page' data-js='page-field-id-67' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_76\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you set and worked toward clear goals with your mentor, and what progress have you made since the program began?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_76'>\n\t\t\t<div class='gchoice gchoice_5_76_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='Yes'  id='choice_5_76_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_76_0' id='label_5_76_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_76_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='No'  id='choice_5_76_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_76_1' id='label_5_76_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_76_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='Other'  id='choice_5_76_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_76_2' id='label_5_76_2' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_96\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_96'>If &quot;Other&quot;, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_96' id='input_5_96' class='textarea small'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_77\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_77'>If &quot;no&quot;, please provide explanation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_77' id='input_5_77' class='textarea small'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_78\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_78'>What progress have you made toward your goals since the program began?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_78' id='input_5_78' class='textarea small'   maxlength='500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_5_80\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What skills have you gained so far?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_80'><div class='gchoice gchoice_5_80_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_80.1' type='checkbox'  value='Confidence'  id='choice_5_80_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_80_1' id='label_5_80_1' class='gform-field-label gform-field-label--type-inline'>Confidence<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_80_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_80.2' type='checkbox'  value='Knowledge of ITU-R processes'  id='choice_5_80_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_80_2' id='label_5_80_2' class='gform-field-label gform-field-label--type-inline'>Knowledge of ITU-R processes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_80_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_80.3' type='checkbox'  value='The 4-year rolling period leading to a WRC'  id='choice_5_80_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_80_3' id='label_5_80_3' class='gform-field-label gform-field-label--type-inline'>The 4-year rolling period leading to a WRC<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_80_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_80.4' type='checkbox'  value='Other'  id='choice_5_80_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_80_4' id='label_5_80_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_97\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_97'>If &quot;Other&quot;, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_97' id='input_5_97' class='textarea small'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_5_81\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Are there areas where you would like more support from your mentor?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_81'><div class='gchoice gchoice_5_81_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.1' type='checkbox'  value='Getting more knowledge on WRC process'  id='choice_5_81_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_81_1' id='label_5_81_1' class='gform-field-label gform-field-label--type-inline'>Getting more knowledge on WRC process<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_81_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.2' type='checkbox'  value='More opportunities for connecting with experts'  id='choice_5_81_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_81_2' id='label_5_81_2' class='gform-field-label gform-field-label--type-inline'>More opportunities for connecting with experts<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_81_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.3' type='checkbox'  value='Goal setting'  id='choice_5_81_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_81_3' id='label_5_81_3' class='gform-field-label gform-field-label--type-inline'>Goal setting<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_81_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.4' type='checkbox'  value='Public speaking'  id='choice_5_81_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_81_4' id='label_5_81_4' class='gform-field-label gform-field-label--type-inline'>Public speaking<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_68' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_68' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_5' class='gform_page' data-js='page-field-id-68' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_116\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label' >Do you feel you have the time and resources to support your mentee effectively?<\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_5_116'><input name='input_116' type='radio' value='grating1162661ba1b'  id='choice_5_116_0'    \/><label for='choice_5_116_0' title='Very poor'><span>Very poor<\/span><\/label><input name='input_116' type='radio' value='grating1165d76faea'  id='choice_5_116_1'    \/><label for='choice_5_116_1' title='Poor'><span>Poor<\/span><\/label><input name='input_116' type='radio' value='grating11648bcd498'  id='choice_5_116_2'    \/><label for='choice_5_116_2' title='Fair'><span>Fair<\/span><\/label><input name='input_116' type='radio' value='grating11646da962d'  id='choice_5_116_3'    \/><label for='choice_5_116_3' title='Good'><span>Good<\/span><\/label><input name='input_116' type='radio' value='grating116c3470742'  id='choice_5_116_4'    \/><label for='choice_5_116_4' title='Excellent'><span>Excellent<\/span><\/label><\/div><\/div><\/div><fieldset id=\"field_5_114\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >How has the mentoring experience helped you grow personally or professionally?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_114'><div class='gchoice gchoice_5_114_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.1' type='checkbox'  value='Gaining fresh perspectives'  id='choice_5_114_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_114_1' id='label_5_114_1' class='gform-field-label gform-field-label--type-inline'>Gaining fresh perspectives<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_114_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.2' type='checkbox'  value='Expanded network'  id='choice_5_114_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_114_2' id='label_5_114_2' class='gform-field-label gform-field-label--type-inline'>Expanded network<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_114_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.3' type='checkbox'  value='Cultural awareness'  id='choice_5_114_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_114_3' id='label_5_114_3' class='gform-field-label gform-field-label--type-inline'>Cultural awareness<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_114_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.4' type='checkbox'  value='Other'  id='choice_5_114_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_114_4' id='label_5_114_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_90\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_90'>If &quot;Other&quot;, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_90' id='input_5_90' class='textarea small'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_5_84\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What strategies have been most effective in guiding your mentee\u2019s development?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_84'>\n\t\t\t<div class='gchoice gchoice_5_84_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='Time management'  id='choice_5_84_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_84_0' id='label_5_84_0' class='gform-field-label gform-field-label--type-inline'>Time management<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_84_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='Structured explanation of the processes leading to the WRC-27'  id='choice_5_84_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_84_1' id='label_5_84_1' class='gform-field-label gform-field-label--type-inline'>Structured explanation of the processes leading to the WRC-27<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_84_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='Other'  id='choice_5_84_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_84_2' id='label_5_84_2' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_94\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_94'>If &quot;Other&quot;, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_94' id='input_5_94' class='textarea small'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_5_115\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Are there challenges you\u2019ve experienced in supporting your mentee?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_115'><div class='gchoice gchoice_5_115_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_115.1' type='checkbox'  value='Mentee does not initiate contact'  id='choice_5_115_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_115_1' id='label_5_115_1' class='gform-field-label gform-field-label--type-inline'>Mentee does not initiate contact<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_115_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_115.2' type='checkbox'  value='Not being able to follow a schedule for meetings'  id='choice_5_115_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_115_2' id='label_5_115_2' class='gform-field-label gform-field-label--type-inline'>Not being able to follow a schedule for meetings<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_115_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_115.3' type='checkbox'  value='Not aligning the goals and expectations'  id='choice_5_115_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_115_3' id='label_5_115_3' class='gform-field-label gform-field-label--type-inline'>Not aligning the goals and expectations<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_115_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_115.4' type='checkbox'  value='Other'  id='choice_5_115_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_115_4' id='label_5_115_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_95\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_95'>If &quot;Other&quot;, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_95' id='input_5_95' class='textarea small'   maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_33' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_33' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_6' class='gform_page' data-js='page-field-id-33' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_86\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What would you like to achieve in the second half of the program?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_86'><div class='gchoice gchoice_5_86_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.1' type='checkbox'  value='Be more prepared for WRC-27'  id='choice_5_86_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_1' id='label_5_86_1' class='gform-field-label gform-field-label--type-inline'>Be more prepared for WRC-27<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_86_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.2' type='checkbox'  value='Continue to strengthen leadership'  id='choice_5_86_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_2' id='label_5_86_2' class='gform-field-label gform-field-label--type-inline'>Continue to strengthen leadership<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_86_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.3' type='checkbox'  value='Build more confidence'  id='choice_5_86_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_3' id='label_5_86_3' class='gform-field-label gform-field-label--type-inline'>Build more confidence<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_86_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.4' type='checkbox'  value='Public speaking'  id='choice_5_86_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_4' id='label_5_86_4' class='gform-field-label gform-field-label--type-inline'>Public speaking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_86_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.5' type='checkbox'  value='Networking opportunities'  id='choice_5_86_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_5' id='label_5_86_5' class='gform-field-label gform-field-label--type-inline'>Networking opportunities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_86_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.6' type='checkbox'  value='Mentoring Networking'  id='choice_5_86_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_6' id='label_5_86_6' class='gform-field-label gform-field-label--type-inline'>Mentoring Networking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_86_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.7' type='checkbox'  value='Knowledge sharing'  id='choice_5_86_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_7' id='label_5_86_7' class='gform-field-label gform-field-label--type-inline'>Knowledge sharing<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_87\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_87'>What changes or improvements would you suggest for the program going?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_87' id='input_5_87' class='textarea small'   maxlength='500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_5_111\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Keep my information anonymous<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_111'>\n\t\t\t<div class='gchoice gchoice_5_111_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_111' type='radio' value='Yes'  id='choice_5_111_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_111_0' id='label_5_111_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_111_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_111' type='radio' value='No'  id='choice_5_111_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_111_1' id='label_5_111_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_112\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >First and Last name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_112'>\n                            \n                            <span id='input_5_112_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_112.3' id='input_5_112_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                    <label for='input_5_112_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_112_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_112.6' id='input_5_112_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                    <label for='input_5_112_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_113\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_113'>Your email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_113' id='input_5_113' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                        <\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_5' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' 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