Help ProPublica and The Salt Lake Tribune Investigate Sexual Assault in Utah<\/title>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/propublica.jotform.com\/stylebuilder\/static\/form-common.css?v=8d43c84\n\"\/>\n<style type=\"text\/css\">@media print{*{-webkit-print-color-adjust: exact !important;color-adjust: exact !important;}.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}}<\/style>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/propublica.jotform.com\/themes\/CSS\/5e6b428acc8c4e222d1beb91.css?v=3.3.52542\"\/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/propublica.jotform.com\/css\/styles\/payment\/payment_styles.css?3.3.52542\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/propublica.jotform.com\/css\/styles\/payment\/payment_feature.css?3.3.52542\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/propublica.jotform.com\/stylebuilder\/static\/donationBox.css?v=3.3.52542\">\n<style type=\"text\/css\" id=\"form-designer-style\">\n@import url(\"https:\/\/projects.propublica.org\/static\/jotform\/jotform.css\");\n \/* Injected CSS Code *\/\n\n\n \/* Injected CSS Code *\/\n<\/style>\n\n<script src=\"https:\/\/propublica.jotform.com\/static\/prototype.forms.js?v=3.3.52542\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/propublica.jotform.com\/static\/jotform.forms.js?v=3.3.52542\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/propublica.jotform.com\/js\/punycode-1.4.1.min.js?v=3.3.52542\" type=\"text\/javascript\" defer><\/script>\n<script src=\"https:\/\/propublica.jotform.com\/js\/vendor\/maskedinput_5.0.9.min.js?v=3.3.52542\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/propublica.jotform.com\/js\/vendor\/imageinfo.js?v=3.3.52542\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/propublica.jotform.com\/file-uploader\/fileuploader.js?v=3.3.52542\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/propublica.jotform.com\/js\/vendor\/smoothscroll.min.js?v=3.3.52542\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/propublica.jotform.com\/js\/errorNavigation.js?v=3.3.52542\" type=\"text\/javascript\"><\/script>\n<script type=\"text\/javascript\">\tJotForm.newDefaultTheme = true;\n\tJotForm.extendsNewTheme = false;\n\tJotForm.singleProduct = false;\n\tJotForm.newPaymentUIForNewCreatedForms = true;\n\tJotForm.texts = {\"confirmEmail\":\"E-mail does not match\",\"pleaseWait\":\"Please wait...\",\"validateEmail\":\"You need to validate this e-mail\",\"confirmClearForm\":\"Are you sure you want to clear the form\",\"lessThan\":\"Your score should be less than or equal to\",\"incompleteFields\":\"There are incomplete required fields. 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We are gathering these stories for the purposes of our reporting, and will contact you if we wish to publish any part of your story.<\/div>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line always-hidden\" data-type=\"control_textbox\" id=\"id_117\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_117\" for=\"input_117\" aria-hidden=\"false\"> primary_field <\/label>\n <div id=\"cid_117\" class=\"form-input-wide always-hidden\" data-layout=\"half\"> <input type=\"text\" id=\"input_117\" name=\"q117_primary_field\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_117\" value=\"\" \/> <\/div>\n <\/li>\n <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_116\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_116\" for=\"input_116\" aria-hidden=\"false\"> Name<span class=\"form-required\">*<\/span> <\/label>\n <div id=\"cid_116\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_116\" name=\"q116_nameOneField\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_116\" required=\"\" value=\"\" \/> <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_checkbox\" id=\"id_121\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_121\" aria-hidden=\"false\"> What would you like to tell us about? <\/label>\n <div id=\"cid_121\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_121\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_121\" class=\"form-checkbox\" id=\"input_121_0\" name=\"q121_whatWould[]\" value=\"I have a story about sexual assault or inappropriate behavior involving a Utah health care worker.\" \/><label id=\"label_input_121_0\" for=\"input_121_0\">I have a story about sexual assault or inappropriate behavior involving a Utah health care worker.<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_121\" class=\"form-checkbox\" id=\"input_121_1\" name=\"q121_whatWould[]\" value=\"I am or have been a health care worker, and I have information about inappropriate behavior by health care workers.\" \/><label id=\"label_input_121_1\" for=\"input_121_1\">I am or have been a health care worker, and I have information about inappropriate behavior by health care workers.<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_121\" class=\"form-checkbox\" id=\"input_121_2\" name=\"q121_whatWould[]\" value=\"I might know something else relevant, but I\u2019m not sure.\" \/><label id=\"label_input_121_2\" for=\"input_121_2\">I might know something else relevant, but I\u2019m not sure.<\/label><\/span><span class=\"form-checkbox-item formCheckboxOther\" style=\"clear:left\"><input type=\"checkbox\" class=\"form-checkbox-other form-checkbox\" name=\"q121_whatWould[other]\" id=\"other_121\" value=\"other\" tabindex=\"0\" aria-label=\"Other\" \/><label id=\"label_other_121\" style=\"text-indent:0\" for=\"other_121\">Other<\/label><span id=\"other_121_input\" class=\"other-input-container\" style=\"display:none\"><input type=\"text\" class=\"form-checkbox-other-input form-textbox\" name=\"q121_whatWould[other]\" data-otherhint=\"Other\" size=\"15\" id=\"input_121\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/><\/span><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_checkbox\" id=\"id_44\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_44\" aria-hidden=\"false\"> What\u2019s the best way to reach you with follow-up questions? <\/label>\n <div id=\"cid_44\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_44\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_44\" class=\"form-checkbox\" id=\"input_44_0\" name=\"q44_whatsThe[]\" value=\"Email\" \/><label id=\"label_input_44_0\" for=\"input_44_0\">Email<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_44\" class=\"form-checkbox\" id=\"input_44_1\" name=\"q44_whatsThe[]\" value=\"Phone\" \/><label id=\"label_input_44_1\" for=\"input_44_1\">Phone<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_44\" class=\"form-checkbox\" id=\"input_44_2\" name=\"q44_whatsThe[]\" value=\"Signal\" \/><label id=\"label_input_44_2\" for=\"input_44_2\">Signal<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_44\" class=\"form-checkbox\" id=\"input_44_3\" name=\"q44_whatsThe[]\" value=\"WhatsApp\" \/><label id=\"label_input_44_3\" for=\"input_44_3\">WhatsApp<\/label><\/span><span class=\"form-checkbox-item formCheckboxOther\" style=\"clear:left\"><input type=\"checkbox\" class=\"form-checkbox-other form-checkbox\" name=\"q44_whatsThe[other]\" id=\"other_44\" value=\"other\" tabindex=\"0\" aria-label=\"Other\" \/><label id=\"label_other_44\" style=\"text-indent:0\" for=\"other_44\">Other<\/label><span id=\"other_44_input\" class=\"other-input-container\" style=\"display:none\"><input type=\"text\" class=\"form-checkbox-other-input form-textbox\" name=\"q44_whatsThe[other]\" data-otherhint=\"Other\" size=\"15\" id=\"input_44\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/><\/span><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column form-col-1 jf-required\" data-type=\"control_email\" id=\"id_4\"><label class=\"form-label form-label-top\" id=\"label_4\" for=\"input_4\" aria-hidden=\"false\"> Email<span class=\"form-required\">*<\/span> <\/label>\n <div id=\"cid_4\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"email\" id=\"input_4\" name=\"q4_email\" class=\"form-textbox validate[required, Email]\" data-defaultvalue=\"\" autoComplete=\"section-input_4 email\" style=\"width:310px\" size=\"310\" data-component=\"email\" aria-labelledby=\"label_4 sublabel_input_4\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_4\" id=\"sublabel_input_4\" style=\"min-height:13px\">example@example.com<\/label><\/span> <\/div>\n <\/li>\n <li class=\"form-line form-line-column form-col-2\" data-type=\"control_phone\" id=\"id_57\"><label class=\"form-label form-label-top\" id=\"label_57\" for=\"input_57_full\"> Phone Number <\/label>\n <div id=\"cid_57\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" id=\"input_57_full\" name=\"q57_phoneNumber[full]\" data-type=\"mask-number\" class=\"mask-phone-number form-textbox validate[Fill Mask]\" data-defaultvalue=\"\" autoComplete=\"section-input_57 tel-national\" style=\"width:310px\" data-masked=\"true\" placeholder=\"(000) 000-0000\" data-component=\"phone\" aria-labelledby=\"label_57\" value=\"\" \/><\/span> <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_checkbox\" id=\"id_122\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_122\" aria-hidden=\"false\"> Who did the assault involve? <\/label>\n <div id=\"cid_122\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_122\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_122\" class=\"form-checkbox\" id=\"input_122_0\" name=\"q122_whoDid[]\" value=\"A doctor\" \/><label id=\"label_input_122_0\" for=\"input_122_0\">A doctor<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_122\" class=\"form-checkbox\" id=\"input_122_1\" name=\"q122_whoDid[]\" value=\"A nurse or certified nursing assistant (CNA)\" \/><label id=\"label_input_122_1\" for=\"input_122_1\">A nurse or certified nursing assistant (CNA)<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_122\" class=\"form-checkbox\" id=\"input_122_2\" name=\"q122_whoDid[]\" value=\"Another health care professional\" \/><label id=\"label_input_122_2\" for=\"input_122_2\">Another health care professional<\/label><\/span><span class=\"form-checkbox-item formCheckboxOther\" style=\"clear:left\"><input type=\"checkbox\" class=\"form-checkbox-other form-checkbox\" name=\"q122_whoDid[other]\" id=\"other_122\" value=\"other\" tabindex=\"0\" aria-label=\"Other\" \/><label id=\"label_other_122\" style=\"text-indent:0\" for=\"other_122\">Other<\/label><span id=\"other_122_input\" class=\"other-input-container\" style=\"display:none\"><input type=\"text\" class=\"form-checkbox-other-input form-textbox\" name=\"q122_whoDid[other]\" data-otherhint=\"Other\" size=\"15\" id=\"input_122\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/><\/span><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_radio\" id=\"id_123\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_123\" aria-hidden=\"false\"> Did it take place in Utah? <\/label>\n <div id=\"cid_123\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_123\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_123\" class=\"form-radio\" id=\"input_123_0\" name=\"q123_didIt\" value=\"Yes\" \/><label id=\"label_input_123_0\" for=\"input_123_0\">Yes<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_123\" class=\"form-radio\" id=\"input_123_1\" name=\"q123_didIt\" value=\"No\" \/><label id=\"label_input_123_1\" for=\"input_123_1\">No<\/label><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_checkbox\" id=\"id_124\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_124\" aria-hidden=\"false\"> What health care setting did this occur in? <\/label>\n <div id=\"cid_124\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_124\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_124\" class=\"form-checkbox\" id=\"input_124_0\" name=\"q124_whatHealth[]\" value=\"An Intermountain Health hospital or facility\" \/><label id=\"label_input_124_0\" for=\"input_124_0\">An Intermountain Health hospital or facility<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_124\" class=\"form-checkbox\" id=\"input_124_1\" name=\"q124_whatHealth[]\" value=\"A MountainStar Healthcare hospital or facility\" \/><label id=\"label_input_124_1\" for=\"input_124_1\">A MountainStar Healthcare hospital or facility<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_124\" class=\"form-checkbox\" id=\"input_124_2\" name=\"q124_whatHealth[]\" value=\"A Steward hospital or facility\" \/><label id=\"label_input_124_2\" for=\"input_124_2\">A Steward hospital or facility<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_124\" class=\"form-checkbox\" id=\"input_124_3\" name=\"q124_whatHealth[]\" value=\"A University of Utah hospital or facility\" \/><label id=\"label_input_124_3\" for=\"input_124_3\">A University of Utah hospital or facility<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_124\" class=\"form-checkbox\" id=\"input_124_4\" name=\"q124_whatHealth[]\" value=\"Private practice clinic\" \/><label id=\"label_input_124_4\" for=\"input_124_4\">Private practice clinic<\/label><\/span><span class=\"form-checkbox-item formCheckboxOther\" style=\"clear:left\"><input type=\"checkbox\" class=\"form-checkbox-other form-checkbox\" name=\"q124_whatHealth[other]\" id=\"other_124\" value=\"other\" tabindex=\"0\" aria-label=\"Other\" \/><label id=\"label_other_124\" style=\"text-indent:0\" for=\"other_124\">Other<\/label><span id=\"other_124_input\" class=\"other-input-container\" style=\"display:none\"><input type=\"text\" class=\"form-checkbox-other-input form-textbox\" name=\"q124_whatHealth[other]\" data-otherhint=\"Other\" size=\"15\" id=\"input_124\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/><\/span><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_125\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_125\" for=\"input_125\" aria-hidden=\"false\"> Where did this occur? <\/label>\n <div id=\"cid_125\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_125\" name=\"q125_whereDid\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_125 sublabel_input_125\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_125\" id=\"sublabel_input_125\" style=\"min-height:13px\"> [city and state]<\/label><\/span> <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_126\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_126\" for=\"input_126\" aria-hidden=\"false\"> What facility did this occur in? <\/label>\n <div id=\"cid_126\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_126\" name=\"q126_whatFacility\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_126\" value=\"\" \/> <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_127\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_127\" for=\"input_127\" aria-hidden=\"false\"> In what year(s) did this occur? <\/label>\n <div id=\"cid_127\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_127\" name=\"q127_inWhat\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_127\" value=\"\" \/> <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_128\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_128\" for=\"input_128\" aria-hidden=\"false\"> What type of health care were you receiving when you were harmed? <\/label>\n <div id=\"cid_128\" class=\"form-input-wide\" data-layout=\"full\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><textarea id=\"input_128\" class=\"form-textarea\" name=\"q128_whatType\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_128 sublabel_input_128\"><\/textarea><label class=\"form-sub-label\" for=\"input_128\" id=\"sublabel_input_128\" style=\"min-height:13px\">(Example: OB-GYN visit or a surgery that required hospitalization.)<\/label><\/span> <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_130\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_130\" for=\"input_130\" aria-hidden=\"false\"> Help us understand your story. Please share any details you are comfortable with. If you would prefer to discuss this with a reporter instead, just indicate that here. <\/label>\n <div id=\"cid_130\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_130\" class=\"form-textarea\" name=\"q130_helpUs\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_130\"><\/textarea> <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_checkbox\" id=\"id_131\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_131\" aria-hidden=\"false\"> We know that many survivors do not report. If you did report, was it to any of the following sources? <\/label>\n <div id=\"cid_131\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_131\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_131\" class=\"form-checkbox\" id=\"input_131_0\" name=\"q131_weKnow[]\" value=\"Division of Professional Licensing (DOPL)\" \/><label id=\"label_input_131_0\" for=\"input_131_0\">Division of Professional Licensing (DOPL)<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_131\" class=\"form-checkbox\" id=\"input_131_1\" name=\"q131_weKnow[]\" value=\"Hospital or clinic staff (administrators, nurses, etc.)\" \/><label id=\"label_input_131_1\" for=\"input_131_1\">Hospital or clinic staff (administrators, nurses, etc.)<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_131\" class=\"form-checkbox\" id=\"input_131_2\" name=\"q131_weKnow[]\" value=\"Law enforcement\" \/><label id=\"label_input_131_2\" for=\"input_131_2\">Law enforcement<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_131\" class=\"form-checkbox\" id=\"input_131_3\" name=\"q131_weKnow[]\" value=\"An ecclesiastical leader\" \/><label id=\"label_input_131_3\" for=\"input_131_3\">An ecclesiastical leader<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_131\" class=\"form-checkbox\" id=\"input_131_4\" name=\"q131_weKnow[]\" value=\"A family member or friend\" \/><label id=\"label_input_131_4\" for=\"input_131_4\">A family member or friend<\/label><\/span><span class=\"form-checkbox-item formCheckboxOther\" style=\"clear:left\"><input type=\"checkbox\" class=\"form-checkbox-other form-checkbox\" name=\"q131_weKnow[other]\" id=\"other_131\" value=\"other\" tabindex=\"0\" aria-label=\"Other\" \/><label id=\"label_other_131\" style=\"text-indent:0\" for=\"other_131\">Other<\/label><span id=\"other_131_input\" class=\"other-input-container\" style=\"display:none\"><input type=\"text\" class=\"form-checkbox-other-input form-textbox\" name=\"q131_weKnow[other]\" data-otherhint=\"Other\" size=\"15\" id=\"input_131\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/><\/span><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_checkbox\" id=\"id_132\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_132\" aria-hidden=\"false\"> What sort of response did you receive to your report? <\/label>\n <div id=\"cid_132\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_132\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_132\" class=\"form-checkbox\" id=\"input_132_0\" name=\"q132_whatSort[]\" value=\"A standard email or other message\" \/><label id=\"label_input_132_0\" for=\"input_132_0\">A standard email or other message<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_132\" class=\"form-checkbox\" id=\"input_132_1\" name=\"q132_whatSort[]\" value=\"A personalized email or other message\" \/><label id=\"label_input_132_1\" for=\"input_132_1\">A personalized email or other message<\/label><\/span><span class=\"form-checkbox-item formCheckboxOther\" style=\"clear:left\"><input type=\"checkbox\" class=\"form-checkbox-other form-checkbox\" name=\"q132_whatSort[other]\" id=\"other_132\" value=\"other\" tabindex=\"0\" aria-label=\"Other\" \/><label id=\"label_other_132\" style=\"text-indent:0\" for=\"other_132\">Other<\/label><span id=\"other_132_input\" class=\"other-input-container\" style=\"display:none\"><input type=\"text\" class=\"form-checkbox-other-input form-textbox\" name=\"q132_whatSort[other]\" data-otherhint=\"Other\" size=\"15\" id=\"input_132\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/><\/span><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_133\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_133\" for=\"input_133\" aria-hidden=\"false\"> What did the response say? <\/label>\n <div id=\"cid_133\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_133\" class=\"form-textarea\" name=\"q133_whatDid\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_133\"><\/textarea> <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_checkbox\" id=\"id_135\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_135\" aria-hidden=\"false\"> Do you have a screenshot or photo or a document of any written response? <\/label>\n <div id=\"cid_135\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_135\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_135\" class=\"form-checkbox\" id=\"input_135_0\" name=\"q135_doYou135[]\" value=\"Yes\" \/><label id=\"label_input_135_0\" for=\"input_135_0\">Yes<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_135\" class=\"form-checkbox\" id=\"input_135_1\" name=\"q135_doYou135[]\" value=\"Yes, I think so, but I\u2019ll have to find it later\" \/><label id=\"label_input_135_1\" for=\"input_135_1\">Yes, I think so, but I\u2019ll have to find it later<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_135\" class=\"form-checkbox\" id=\"input_135_2\" name=\"q135_doYou135[]\" value=\"No\" \/><label id=\"label_input_135_2\" for=\"input_135_2\">No<\/label><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_136\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_136\" for=\"input_136\" aria-hidden=\"false\"> What is or was your role? <\/label>\n <div id=\"cid_136\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_136\" name=\"q136_whatIs\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_136\" value=\"\" \/> <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_checkbox\" id=\"id_137\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_137\" aria-hidden=\"false\"> Who did the behavior involve? <\/label>\n <div id=\"cid_137\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_137\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_137\" class=\"form-checkbox\" id=\"input_137_0\" name=\"q137_whoDid137[]\" value=\"A doctor\" \/><label id=\"label_input_137_0\" for=\"input_137_0\">A doctor<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_137\" class=\"form-checkbox\" id=\"input_137_1\" name=\"q137_whoDid137[]\" value=\"A nurse or certified nursing assistant (CNA)\" \/><label id=\"label_input_137_1\" for=\"input_137_1\">A nurse or certified nursing assistant (CNA)<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_137\" class=\"form-checkbox\" id=\"input_137_2\" name=\"q137_whoDid137[]\" value=\"Another health care professional\" \/><label id=\"label_input_137_2\" for=\"input_137_2\">Another health care professional<\/label><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_138\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_138\" for=\"input_138\" aria-hidden=\"false\"> In what year(s) did this occur? <\/label>\n <div id=\"cid_138\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_138\" name=\"q138_inWhat138\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_138\" value=\"\" \/> <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_139\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_139\" for=\"input_139\" aria-hidden=\"false\"> Help us understand what happened. Please share any details you are comfortable with. If you would prefer not to share in writing, just indicate that here. <\/label>\n <div id=\"cid_139\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_139\" class=\"form-textarea\" name=\"q139_helpUs139\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_139\"><\/textarea> <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_checkbox\" id=\"id_140\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_140\" aria-hidden=\"false\"> Did you or someone else report to any of the following sources? <\/label>\n <div id=\"cid_140\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_140\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_140\" class=\"form-checkbox\" id=\"input_140_0\" name=\"q140_didYou[]\" value=\"Division of Professional Licensing (DOPL)\" \/><label id=\"label_input_140_0\" for=\"input_140_0\">Division of Professional Licensing (DOPL)<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_140\" class=\"form-checkbox\" id=\"input_140_1\" name=\"q140_didYou[]\" value=\"Hospital or clinic staff (administrators, nurses, etc.)\" \/><label id=\"label_input_140_1\" for=\"input_140_1\">Hospital or clinic staff (administrators, nurses, etc.)<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_140\" class=\"form-checkbox\" id=\"input_140_2\" name=\"q140_didYou[]\" value=\"Law enforcement\" \/><label id=\"label_input_140_2\" for=\"input_140_2\">Law enforcement<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_140\" class=\"form-checkbox\" id=\"input_140_3\" name=\"q140_didYou[]\" value=\"An ecclesiastical leader\" \/><label id=\"label_input_140_3\" for=\"input_140_3\">An ecclesiastical leader<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_140\" class=\"form-checkbox\" id=\"input_140_4\" name=\"q140_didYou[]\" value=\"A family member or friend\" \/><label id=\"label_input_140_4\" for=\"input_140_4\">A family member or friend<\/label><\/span><span class=\"form-checkbox-item formCheckboxOther\" style=\"clear:left\"><input type=\"checkbox\" class=\"form-checkbox-other form-checkbox\" name=\"q140_didYou[other]\" id=\"other_140\" value=\"other\" tabindex=\"0\" aria-label=\"Other\" \/><label id=\"label_other_140\" style=\"text-indent:0\" for=\"other_140\">Other<\/label><span id=\"other_140_input\" class=\"other-input-container\" style=\"display:none\"><input type=\"text\" class=\"form-checkbox-other-input form-textbox\" name=\"q140_didYou[other]\" data-otherhint=\"Other\" size=\"15\" id=\"input_140\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/><\/span><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_141\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_141\" for=\"input_141\" aria-hidden=\"false\"> What place are you writing to us about? <\/label>\n <div id=\"cid_141\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_141\" class=\"form-textarea\" name=\"q141_whatPlace\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_141\"><\/textarea> <\/div>\n <\/li>\n <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_142\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_142\" for=\"input_142\" aria-hidden=\"false\"> What would you like to tell us about? Please share any details you are comfortable with. If you would prefer to speak to a reporter instead, just indicate that here. <\/label>\n <div id=\"cid_142\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_142\" class=\"form-textarea\" name=\"q142_whatWould142\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_142\"><\/textarea> <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_143\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_143\" for=\"input_143\" aria-hidden=\"false\"> Is there anything else you\u2019d like to share? <\/label>\n <div id=\"cid_143\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_143\" class=\"form-textarea\" name=\"q143_isThere\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_143\"><\/textarea> <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_144\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_144\" for=\"input_144\" aria-hidden=\"false\"> Is there anyone else you think we should talk to? <\/label>\n <div id=\"cid_144\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_144\" class=\"form-textarea\" name=\"q144_isThere144\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_144\"><\/textarea> <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_fileupload\" id=\"id_108\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_108\" for=\"input_108\" aria-hidden=\"false\"> Do you have any documents you are able to share with us? You can upload them here. <\/label>\n <div id=\"cid_108\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"jfQuestion-fields\" data-wrapper-react=\"true\">\n <div class=\"jfField isFilled\">\n <div class=\"jfUpload-wrapper\">\n <div class=\"jfUpload-container\">\n <div class=\"jfUpload-button-container\">\n <div class=\"jfUpload-button\" aria-hidden=\"true\" tabindex=\"0\" style=\"display:none\" data-version=\"v2\">Browse Files<div class=\"jfUpload-heading forDesktop\">Drag and drop files here<\/div>\n <div class=\"jfUpload-heading forMobile\">Choose a file<\/div>\n <\/div>\n <\/div>\n <\/div>\n <div class=\"jfUpload-files-container\">\n <div class=\"validate[multipleUpload]\"><input type=\"file\" id=\"input_108\" name=\"q108_doYou108[]\" multiple=\"\" class=\"form-upload-multiple\" data-imagevalidate=\"yes\" data-file-accept=\"pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif\" data-file-maxsize=\"10854\" data-file-minsize=\"0\" data-file-limit=\"\" data-component=\"fileupload\" aria-label=\"Browse Files\" \/><\/div>\n <\/div>\n <\/div><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_108\" id=\"sublabel_input_108\" style=\"min-height:13px\">Collecting evidence is part of our process. Please reach out if you want more information. If you\u2019d like to text or email this to us later, just send a message to Jessica Miller, at jmiller@sltrib.com.<\/label><\/span>\n <\/div><span style=\"display:none\" class=\"cancelText\">Cancel<\/span><span style=\"display:none\" class=\"ofText\">of<\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_text\" id=\"id_92\">\n <div id=\"cid_92\" class=\"form-input-wide\" data-layout=\"full\">\n <div id=\"text_92\" class=\"form-html\" data-component=\"text\" tabindex=\"0\">\n <p><span style=\"font-size: 10pt;\"><em>The following questions are completely optional. ProPublica is committed to maintaining a diverse and representative body of sources. We ask these next questions to understand who we\u2019re reaching and who is affected by the issues we cover.<\/em><\/span><\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_checkbox\" id=\"id_118\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_118\" aria-hidden=\"false\"> Which race or ethnicity do you identify as? Select all that apply. <\/label>\n <div id=\"cid_118\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_118\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_118\" class=\"form-checkbox\" id=\"input_118_0\" name=\"q118_whichRace[]\" value=\"Asian or Asian American\" \/><label id=\"label_input_118_0\" for=\"input_118_0\">Asian or Asian American<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_118\" class=\"form-checkbox\" id=\"input_118_1\" name=\"q118_whichRace[]\" value=\"Black or African American\" \/><label id=\"label_input_118_1\" for=\"input_118_1\">Black or African American<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_118\" class=\"form-checkbox\" id=\"input_118_2\" name=\"q118_whichRace[]\" value=\"Hispanic or Latina\/o\/x\" \/><label id=\"label_input_118_2\" for=\"input_118_2\">Hispanic or Latina\/o\/x<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_118\" class=\"form-checkbox\" id=\"input_118_3\" name=\"q118_whichRace[]\" value=\"Middle Eastern or North African\" \/><label id=\"label_input_118_3\" for=\"input_118_3\">Middle Eastern or North African<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_118\" class=\"form-checkbox\" id=\"input_118_4\" name=\"q118_whichRace[]\" value=\"Native American or Indigenous\" \/><label id=\"label_input_118_4\" for=\"input_118_4\">Native American or Indigenous<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_118\" class=\"form-checkbox\" id=\"input_118_5\" name=\"q118_whichRace[]\" value=\"Native Hawaiian or Pacific Islander\" \/><label id=\"label_input_118_5\" for=\"input_118_5\">Native Hawaiian or Pacific Islander<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_118\" class=\"form-checkbox\" id=\"input_118_6\" name=\"q118_whichRace[]\" value=\"White\" \/><label id=\"label_input_118_6\" for=\"input_118_6\">White<\/label><\/span><span class=\"form-checkbox-item formCheckboxOther\" style=\"clear:left\"><input type=\"checkbox\" class=\"form-checkbox-other form-checkbox\" name=\"q118_whichRace[other]\" id=\"other_118\" value=\"other\" tabindex=\"0\" aria-label=\"Another option not listed\" \/><label id=\"label_other_118\" style=\"text-indent:0\" for=\"other_118\">Another option not listed<\/label><span id=\"other_118_input\" class=\"other-input-container\" style=\"display:none\"><input type=\"text\" class=\"form-checkbox-other-input form-textbox\" name=\"q118_whichRace[other]\" data-otherhint=\"Another option not listed\" size=\"15\" id=\"input_118\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/><\/span><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_address\" id=\"id_83\" data-compound-hint=\",,,,Please Select,,Please Select,\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_83\" for=\"input_83_city\" aria-hidden=\"false\"> Where do you live? <\/label>\n <div id=\"cid_83\" class=\"form-input-wide\" data-layout=\"full\">\n <div summary=\"\" class=\"form-address-table jsTest-addressField\">\n <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\" style=\"display:none\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_83_addr_line1\" name=\"q83_whereDo[addr_line1]\" class=\"form-textbox form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_83 off\" data-component=\"address_line_1\" aria-labelledby=\"label_83 sublabel_83_addr_line1\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_83_addr_line1\" id=\"sublabel_83_addr_line1\" style=\"min-height:13px\">Street Address<\/label><\/span><\/span><\/div>\n <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\" style=\"display:none\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_83_addr_line2\" name=\"q83_whereDo[addr_line2]\" class=\"form-textbox form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_83 off\" data-component=\"address_line_2\" aria-labelledby=\"label_83 sublabel_83_addr_line2\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_83_addr_line2\" id=\"sublabel_83_addr_line2\" style=\"min-height:13px\">Street Address Line 2<\/label><\/span><\/span><\/div>\n <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-city-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_83_city\" name=\"q83_whereDo[city]\" class=\"form-textbox form-address-city\" data-defaultvalue=\"\" autoComplete=\"section-input_83 address-level2\" data-component=\"city\" aria-labelledby=\"label_83 sublabel_83_city\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_83_city\" id=\"sublabel_83_city\" style=\"min-height:13px\">City<\/label><\/span><\/span><span class=\"form-address-line form-address-state-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><select class=\"form-dropdown form-address-state\" name=\"q83_whereDo[state]\" id=\"input_83_state\" data-component=\"state\" required=\"\" aria-labelledby=\"label_83 sublabel_83_state\" autoComplete=\"section-input_83 address-level1\">\n <option selected=\"\" value=\"\">Please Select<\/option>\n <option value=\"Alabama\">Alabama<\/option>\n <option value=\"Alaska\">Alaska<\/option>\n <option value=\"Arizona\">Arizona<\/option>\n <option value=\"Arkansas\">Arkansas<\/option>\n <option value=\"California\">California<\/option>\n <option value=\"Colorado\">Colorado<\/option>\n <option value=\"Connecticut\">Connecticut<\/option>\n <option value=\"Delaware\">Delaware<\/option>\n <option value=\"District of Columbia\">District of Columbia<\/option>\n <option value=\"Florida\">Florida<\/option>\n <option value=\"Georgia\">Georgia<\/option>\n <option value=\"Hawaii\">Hawaii<\/option>\n <option value=\"Idaho\">Idaho<\/option>\n <option value=\"Illinois\">Illinois<\/option>\n <option value=\"Indiana\">Indiana<\/option>\n <option value=\"Iowa\">Iowa<\/option>\n <option value=\"Kansas\">Kansas<\/option>\n <option value=\"Kentucky\">Kentucky<\/option>\n <option value=\"Louisiana\">Louisiana<\/option>\n <option value=\"Maine\">Maine<\/option>\n <option value=\"Maryland\">Maryland<\/option>\n <option value=\"Massachusetts\">Massachusetts<\/option>\n <option value=\"Michigan\">Michigan<\/option>\n <option value=\"Minnesota\">Minnesota<\/option>\n <option value=\"Mississippi\">Mississippi<\/option>\n <option value=\"Missouri\">Missouri<\/option>\n <option value=\"Montana\">Montana<\/option>\n <option value=\"Nebraska\">Nebraska<\/option>\n <option value=\"Nevada\">Nevada<\/option>\n <option value=\"New Hampshire\">New Hampshire<\/option>\n <option value=\"New Jersey\">New Jersey<\/option>\n <option value=\"New Mexico\">New Mexico<\/option>\n <option value=\"New York\">New York<\/option>\n <option value=\"North Carolina\">North Carolina<\/option>\n <option value=\"North Dakota\">North Dakota<\/option>\n <option value=\"Ohio\">Ohio<\/option>\n <option value=\"Oklahoma\">Oklahoma<\/option>\n <option value=\"Oregon\">Oregon<\/option>\n <option value=\"Pennsylvania\">Pennsylvania<\/option>\n <option value=\"Rhode Island\">Rhode Island<\/option>\n <option value=\"South Carolina\">South Carolina<\/option>\n <option value=\"South Dakota\">South Dakota<\/option>\n <option value=\"Tennessee\">Tennessee<\/option>\n <option value=\"Texas\">Texas<\/option>\n <option value=\"Utah\">Utah<\/option>\n <option value=\"Vermont\">Vermont<\/option>\n <option value=\"Virginia\">Virginia<\/option>\n <option value=\"Washington\">Washington<\/option>\n <option value=\"West Virginia\">West Virginia<\/option>\n <option value=\"Wisconsin\">Wisconsin<\/option>\n <option value=\"Wyoming\">Wyoming<\/option>\n <\/select><label class=\"form-sub-label\" for=\"input_83_state\" id=\"sublabel_83_state\" style=\"min-height:13px\">State<\/label><\/span><\/span><\/div>\n <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\" style=\"display:none\"><span class=\"form-address-line form-address-zip-line jsTest-address-lineField form-address-hiddenLine\" style=\"display:none\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_83_postal\" name=\"q83_whereDo[postal]\" class=\"form-textbox form-address-postal\" data-defaultvalue=\"\" autoComplete=\"section-input_83 off\" data-component=\"zip\" aria-labelledby=\"label_83 sublabel_83_postal\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_83_postal\" id=\"sublabel_83_postal\" style=\"min-height:13px\">Zip Code<\/label><\/span><\/span><\/div>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_checkbox\" id=\"id_85\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_85\" aria-hidden=\"false\"> How do you identify? Please select all that apply: <\/label>\n <div id=\"cid_85\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_85\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_85\" class=\"form-checkbox\" id=\"input_85_0\" name=\"q85_howDo[]\" value=\"Woman\" \/><label id=\"label_input_85_0\" for=\"input_85_0\">Woman<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_85\" class=\"form-checkbox\" id=\"input_85_1\" name=\"q85_howDo[]\" value=\"Man\" \/><label id=\"label_input_85_1\" for=\"input_85_1\">Man<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_85\" class=\"form-checkbox\" id=\"input_85_2\" name=\"q85_howDo[]\" value=\"Nonbinary\" \/><label id=\"label_input_85_2\" for=\"input_85_2\">Nonbinary<\/label><\/span><span class=\"form-checkbox-item formCheckboxOther\" style=\"clear:left\"><input type=\"checkbox\" class=\"form-checkbox-other form-checkbox\" name=\"q85_howDo[other]\" id=\"other_85\" value=\"other\" tabindex=\"0\" aria-label=\"Another option not listed:\" \/><label id=\"label_other_85\" style=\"text-indent:0\" for=\"other_85\">Another option not listed:<\/label><span id=\"other_85_input\" class=\"other-input-container\" style=\"display:none\"><input type=\"text\" class=\"form-checkbox-other-input form-textbox\" name=\"q85_howDo[other]\" data-otherhint=\"Another option not listed:\" size=\"15\" id=\"input_85\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/><\/span><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_radio\" id=\"id_86\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_86\" aria-hidden=\"false\"> Do you identify as LGBTQ+? <\/label>\n <div id=\"cid_86\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_86\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_86\" class=\"form-radio\" id=\"input_86_0\" name=\"q86_doYou9\" value=\"Yes\" \/><label id=\"label_input_86_0\" for=\"input_86_0\">Yes<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_86\" class=\"form-radio\" id=\"input_86_1\" name=\"q86_doYou9\" value=\"No\" \/><label id=\"label_input_86_1\" for=\"input_86_1\">No<\/label><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_radio\" id=\"id_87\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_87\" aria-hidden=\"false\"> Do you identify as transgender? <\/label>\n <div id=\"cid_87\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_87\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_87\" class=\"form-radio\" id=\"input_87_0\" name=\"q87_doYou\" value=\"Yes\" \/><label id=\"label_input_87_0\" for=\"input_87_0\">Yes<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_87\" class=\"form-radio\" id=\"input_87_1\" name=\"q87_doYou\" value=\"No\" \/><label id=\"label_input_87_1\" for=\"input_87_1\">No<\/label><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_radio\" id=\"id_94\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_94\" aria-hidden=\"false\"> ProPublica works with a trusted network of local and national partners around the country. If we\u2019re unable to follow up on your tip, can we share your tip with a journalist from another news organization who may be able to follow up sooner? <\/label>\n <div id=\"cid_94\" class=\"form-input-wide\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_94\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_0\" name=\"q94_propublicaWorks\" value=\"Yes\" \/><label id=\"label_input_94_0\" for=\"input_94_0\">Yes<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_1\" name=\"q94_propublicaWorks\" value=\"No\" \/><label id=\"label_input_94_1\" for=\"input_94_1\">No<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_2\" name=\"q94_propublicaWorks\" value=\"Maybe; please ask me first\" \/><label id=\"label_input_94_2\" for=\"input_94_2\">Maybe; please ask me first<\/label><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_46\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_46\" aria-hidden=\"false\"> Do you want to be notified when ProPublica publishes big investigations?<span class=\"form-required\">*<\/span> <\/label>\n <div id=\"cid_46\" class=\"form-input-wide jf-required\" data-layout=\"full\">\n <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_46\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_46\" class=\"form-radio validate[required]\" id=\"input_46_0\" name=\"q46_doYou46\" checked=\"\" value=\"Yes\" required=\"\" \/><label id=\"label_input_46_0\" for=\"input_46_0\">Yes<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_46\" class=\"form-radio validate[required]\" id=\"input_46_1\" name=\"q46_doYou46\" value=\"No\" required=\"\" \/><label id=\"label_input_46_1\" for=\"input_46_1\">No<\/label><\/span><\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" data-type=\"control_button\" id=\"id_2\">\n <div id=\"cid_2\" class=\"form-input-wide\" data-layout=\"full\">\n <div data-align=\"auto\" class=\"form-buttons-wrapper form-buttons-auto jsTest-button-wrapperField\"><button id=\"input_2\" type=\"submit\" class=\"form-submit-button submit-button jf-form-buttons jsTest-submitField\" data-component=\"button\" data-content=\"\">Submit<\/button><\/div>\n <\/div>\n <\/li>\n <li style=\"clear:both\"><\/li>\n <li style=\"display:none\">Should be Empty: <input type=\"text\" name=\"website\" value=\"\" type=\"hidden\" \/><\/li>\n <\/ul>\n <\/div>\n <script>\n JotForm.showJotFormPowered = \"0\";\n <\/script>\n <script>\n JotForm.poweredByText = \"Powered by Jotform\";\n <\/script><input type=\"hidden\" class=\"simple_spc\" id=\"simple_spc\" name=\"simple_spc\" value=\"231775788659176\" \/>\n <script type=\"text\/javascript\">\n var all_spc = document.querySelectorAll(\"form[id='231775788659176'] .si\" + \"mple\" + \"_spc\");\n for (var i = 0; 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