{"id":8881,"date":"2023-06-28T16:08:30","date_gmt":"2023-06-28T21:08:30","guid":{"rendered":"https:\/\/test.tulsa-health.org\/?page_id=8881"},"modified":"2025-10-30T11:15:50","modified_gmt":"2025-10-30T16:15:50","slug":"complaints","status":"publish","type":"page","link":"https:\/\/tulsa-health.org\/ar\/forms\/complaints\/","title":{"rendered":"\u0634\u0643\u0627\u0648\u064a"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8881\" class=\"elementor elementor-8881\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bd818ef elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bd818ef\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-40ea984\" data-id=\"40ea984\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ea0c842 elementor-widget elementor-widget-heading\" data-id=\"ea0c842\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Complaint Form<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fdd48ae elementor-widget elementor-widget-heading\" data-id=\"fdd48ae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Your Input Helps<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e2e13d7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e2e13d7\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d468bbb\" data-id=\"d468bbb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1a5b259 elementor-widget elementor-widget-shortcode\" data-id=\"1a5b259\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_1' style='display:none'><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Complaints<\/h2>\n                            <p class='gform_description'>Complaint form for environmental and food-handling concerns.<\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; \u062a\u062d\u062f\u062f \u0627\u0644\u062d\u0642\u0648\u0644 \u0627\u0644\u0645\u0637\u0644\u0648\u0628\u0629<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/ar\/wp-json\/wp\/v2\/pages\/8881#gf_1' data-formid='1' novalidate>\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">\u0627\u0644\u062e\u0637\u0648\u0629 <span class='gf_step_current_page'>1<\/span> \u0645\u0646 <span class='gf_step_page_count'>2<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_50' style='width:50%;'><span>50%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_1_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_1' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_1_48\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_48'>LinkedIn<\/label><div class='ginput_container'><input name='input_48' id='input_1_48' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_1_48'>\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0644\u0623\u063a\u0631\u0627\u0636 \u0627\u0644\u062a\u062d\u0642\u0642 \u0648\u064a\u062c\u0628 \u062a\u0631\u0643\u0647 \u062f\u0648\u0646 \u062a\u063a\u064a\u064a\u0631.<\/div><\/div><div id=\"field_1_15\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0645\u062e\u0641\u064a \u0639\u0646\u062f \u0639\u0631\u0636 \u0627\u0644\u0646\u0645\u0648\u0630\u062c\"><\/i><span>\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0645\u062e\u0641\u064a \u0639\u0646\u062f \u0639\u0631\u0636 \u0627\u0644\u0646\u0645\u0648\u0630\u062c<\/span><\/div><h3 class=\"gsection_title\">Next Steps: Sync an Email Add-On<\/h3><div class='gsection_description' id='gfield_description_1_15'>To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https:\/\/www.gravityforms.com\/the-8-best-email-plugins-for-wordpress-in-2020\/). Important: Delete this tip before you publish the form.<\/div><\/div><div id=\"field_1_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your Information<\/h3><\/div><fieldset id=\"field_1_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/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_1_1'>\n                            \n                            <span id='input_1_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_1_1_3' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u0648\u0644<\/label>\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_1_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_1_1_6' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u062e\u064a\u0631<\/label>\n                                                            <input type='text' name='input_1.6' id='input_1_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_1_4\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Your Address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_1_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_1_4_1_container' >\n                                        <label for='input_1_4_1' id='input_1_4_1_label' class='gform-field-label gform-field-label--type-sub '>\u0639\u0646\u0648\u0627\u0646 \u0627\u0644\u0634\u0627\u0631\u0639<\/label>\n                                        <input type='text' name='input_4.1' id='input_1_4_1' value=''    aria-required='false'   autocomplete=\"address-line1\" \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_1_4_2_container' >\n                                        <label for='input_1_4_2' id='input_1_4_2_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0639\u0646\u0648\u0627\u0646: \u0627\u0644\u0633\u0637\u0631 \u0627\u0644\u062b\u0627\u0646\u064a<\/label>\n                                        <input type='text' name='input_4.2' id='input_1_4_2' value=''    autocomplete=\"address-line2\" aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_4_3_container' >\n                                    <label for='input_1_4_3' id='input_1_4_3_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0645\u062f\u064a\u0646\u0629<\/label>\n                                    <input type='text' name='input_4.3' id='input_1_4_3' value=''    aria-required='false'   autocomplete=\"address-level2\" \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_1_4_4_container' >\n                                        <label for='input_1_4_4' id='input_1_4_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_4.4' id='input_1_4_4'     aria-required='false'   autocomplete=\"address-level1\" ><option value='' ><\/option><option value='\u0623\u0644\u0627\u0628\u0627\u0645\u0627' >\u0623\u0644\u0627\u0628\u0627\u0645\u0627<\/option><option value='\u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a 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value='\u0643\u0648\u0644\u0648\u0631\u0627\u062f\u0648' >\u0643\u0648\u0644\u0648\u0631\u0627\u062f\u0648<\/option><option value='\u0643\u0648\u0646\u064a\u062a\u064a\u0643\u062a' >\u0643\u0648\u0646\u064a\u062a\u064a\u0643\u062a<\/option><option value='\u062f\u064a\u0644\u0627\u0648\u064a\u0631' >\u062f\u064a\u0644\u0627\u0648\u064a\u0631<\/option><option value='\u0645\u0642\u0627\u0637\u0639\u0629 \u0643\u0648\u0644\u0648\u0645\u0628\u064a\u0627' >\u0645\u0642\u0627\u0637\u0639\u0629 \u0643\u0648\u0644\u0648\u0645\u0628\u064a\u0627<\/option><option value='\u0641\u0644\u0648\u0631\u064a\u062f\u0627' >\u0641\u0644\u0648\u0631\u064a\u062f\u0627<\/option><option value='\u062c\u0648\u0631\u062c\u064a\u0627' >\u062c\u0648\u0631\u062c\u064a\u0627<\/option><option value='\u063a\u0648\u0627\u0645' >\u063a\u0648\u0627\u0645<\/option><option value='\u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629\/\u0647\u0627\u0648\u0627\u064a' >\u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629\/\u0647\u0627\u0648\u0627\u064a<\/option><option value='\u0627\u064a\u062f\u0627\u0647\u0648' >\u0627\u064a\u062f\u0627\u0647\u0648<\/option><option value='\u0625\u0644\u064a\u0646\u0648\u064a' >\u0625\u0644\u064a\u0646\u0648\u064a<\/option><option value='\u0625\u0646\u062f\u064a\u0627\u0646\u0627' >\u0625\u0646\u062f\u064a\u0627\u0646\u0627<\/option><option value='\u0622\u064a\u0648\u0627' >\u0622\u064a\u0648\u0627<\/option><option value='\u0643\u0627\u0646\u0633\u0627\u0633' >\u0643\u0627\u0646\u0633\u0627\u0633<\/option><option value='\u0643\u0646\u062a\u0627\u0643\u064a' >\u0643\u0646\u062a\u0627\u0643\u064a<\/option><option value='\u0648\u0644\u0627\u064a\u0629 \u0644\u0648\u064a\u0632\u064a\u0627\u0646\u0627' >\u0648\u0644\u0627\u064a\u0629 \u0644\u0648\u064a\u0632\u064a\u0627\u0646\u0627<\/option><option value='\u0648\u0644\u0627\u064a\u0629 \u0645\u064a\u0646' >\u0648\u0644\u0627\u064a\u0629 \u0645\u064a\u0646<\/option><option value='\u0645\u064a\u0631\u064a\u0644\u0627\u0646\u062f' >\u0645\u064a\u0631\u064a\u0644\u0627\u0646\u062f<\/option><option value='\u0645\u0627\u0633\u0627\u062a\u0634\u0648\u0633\u062a\u0633' >\u0645\u0627\u0633\u0627\u062a\u0634\u0648\u0633\u062a\u0633<\/option><option value='\u0645\u064a\u0634\u064a\u063a\u0627\u0646' >\u0645\u064a\u0634\u064a\u063a\u0627\u0646<\/option><option value='\u0645\u064a\u0646\u064a\u0633\u0648\u062a\u0627' >\u0645\u064a\u0646\u064a\u0633\u0648\u062a\u0627<\/option><option value='\u0645\u064a\u0633\u064a\u0633\u064a\u0628\u064a' >\u0645\u064a\u0633\u064a\u0633\u064a\u0628\u064a<\/option><option value='\u0645\u064a\u0633\u0648\u0631\u064a' >\u0645\u064a\u0633\u0648\u0631\u064a<\/option><option value='\u0645\u0648\u0646\u062a\u0627\u0646\u0627' >\u0645\u0648\u0646\u062a\u0627\u0646\u0627<\/option><option value='\u0646\u0628\u0631\u0627\u0633\u0643\u0627' >\u0646\u0628\u0631\u0627\u0633\u0643\u0627<\/option><option value='\u0646\u064a\u0641\u0627\u062f\u0627' >\u0646\u064a\u0641\u0627\u062f\u0627<\/option><option value='\u0646\u064a\u0648 \u0647\u0627\u0645\u0628\u0634\u0627\u064a\u0631' >\u0646\u064a\u0648 \u0647\u0627\u0645\u0628\u0634\u0627\u064a\u0631<\/option><option value='\u0646\u064a\u0648 \u062c\u064a\u0631\u0633\u064a' >\u0646\u064a\u0648 \u062c\u064a\u0631\u0633\u064a<\/option><option value='\u0646\u064a\u0648 \u0645\u064a\u0643\u0633\u064a\u0643\u0648' >\u0646\u064a\u0648 \u0645\u064a\u0643\u0633\u064a\u0643\u0648<\/option><option value='\u0646\u064a\u0648\u064a\u0648\u0631\u0643' >\u0646\u064a\u0648\u064a\u0648\u0631\u0643<\/option><option value='\u0643\u0627\u0631\u0648\u0644\u0627\u064a\u0646\u0627 \u0627\u0644\u0634\u0645\u0627\u0644\u064a\u0629' >\u0643\u0627\u0631\u0648\u0644\u0627\u064a\u0646\u0627 \u0627\u0644\u0634\u0645\u0627\u0644\u064a\u0629<\/option><option value='\u062f\u0627\u0643\u0648\u062a\u0627 \u0627\u0644\u0634\u0645\u0627\u0644\u064a\u0629' >\u062f\u0627\u0643\u0648\u062a\u0627 \u0627\u0644\u0634\u0645\u0627\u0644\u064a\u0629<\/option><option value='\u062c\u0632\u0631 \u0645\u0627\u0631\u064a\u0627\u0646\u0627 \u0627\u0644\u0634\u0645\u0627\u0644\u064a\u0629' >\u062c\u0632\u0631 \u0645\u0627\u0631\u064a\u0627\u0646\u0627 \u0627\u0644\u0634\u0645\u0627\u0644\u064a\u0629<\/option><option value='\u0627\u0648\u0647\u0627\u064a\u0648' >\u0627\u0648\u0647\u0627\u064a\u0648<\/option><option value='\u0623\u0648\u0643\u0644\u0627\u0647\u0648\u0645\u0627' >\u0623\u0648\u0643\u0644\u0627\u0647\u0648\u0645\u0627<\/option><option value='\u0623\u0648\u0631\u064a\u062c\u0648\u0646' >\u0623\u0648\u0631\u064a\u062c\u0648\u0646<\/option><option value='\u0628\u0646\u0633\u0644\u0641\u0627\u0646\u064a\u0627' >\u0628\u0646\u0633\u0644\u0641\u0627\u0646\u064a\u0627<\/option><option value='\u0628\u0648\u0631\u062a\u0648\u0631\u064a\u0643\u0648' >\u0628\u0648\u0631\u062a\u0648\u0631\u064a\u0643\u0648<\/option><option value='\u0631\u0648\u062f \u0627\u064a\u0644\u0627\u0646\u062f' >\u0631\u0648\u062f \u0627\u064a\u0644\u0627\u0646\u062f<\/option><option value='\u0643\u0627\u0631\u0648\u0644\u064a\u0646\u0627 \u0627\u0644\u062c\u0646\u0648\u0628\u064a\u0629' >\u0643\u0627\u0631\u0648\u0644\u064a\u0646\u0627 \u0627\u0644\u062c\u0646\u0648\u0628\u064a\u0629<\/option><option value='\u062f\u0627\u0643\u0648\u062a\u0627 \u0627\u0644\u062c\u0646\u0648\u0628\u064a\u0629' >\u062f\u0627\u0643\u0648\u062a\u0627 \u0627\u0644\u062c\u0646\u0648\u0628\u064a\u0629<\/option><option value='\u062a\u064a\u0646\u064a\u0633\u064a' >\u062a\u064a\u0646\u064a\u0633\u064a<\/option><option value='\u062a\u0643\u0633\u0627\u0633' >\u062a\u0643\u0633\u0627\u0633<\/option><option value='\u064a\u0648\u062a\u0627' >\u064a\u0648\u062a\u0627<\/option><option value='\u062c\u0632\u0631 \u0641\u064a\u0631\u062c\u0646 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629' >\u062c\u0632\u0631 \u0641\u064a\u0631\u062c\u0646 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629<\/option><option value='\u0641\u064a\u0631\u0645\u0648\u0646\u062a' >\u0641\u064a\u0631\u0645\u0648\u0646\u062a<\/option><option value='\u0641\u0631\u062c\u064a\u0646\u064a\u0627' >\u0641\u0631\u062c\u064a\u0646\u064a\u0627<\/option><option value='\u0648\u0627\u0634\u0646\u0637\u0646' >\u0648\u0627\u0634\u0646\u0637\u0646<\/option><option value='\u0641\u0631\u062c\u064a\u0646\u064a\u0627 \u0627\u0644\u063a\u0631\u0628\u064a\u0629' >\u0641\u0631\u062c\u064a\u0646\u064a\u0627 \u0627\u0644\u063a\u0631\u0628\u064a\u0629<\/option><option value='\u0648\u064a\u0633\u0643\u0648\u0646\u0633\u0646' >\u0648\u064a\u0633\u0643\u0648\u0646\u0633\u0646<\/option><option value='\u0648\u0627\u064a\u0648\u0645\u0646\u063a' >\u0648\u0627\u064a\u0648\u0645\u0646\u063a<\/option><option value='\u0627\u0644\u0642\u0648\u0627\u062a \u0627\u0644\u0645\u0633\u0644\u062d\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u062a\u064a\u0646' >\u0627\u0644\u0642\u0648\u0627\u062a \u0627\u0644\u0645\u0633\u0644\u062d\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u062a\u064a\u0646<\/option><option value='\u0627\u0644\u0642\u0648\u0627\u062a \u0627\u0644\u0645\u0633\u0644\u062d\u0629 \u0627\u0644\u0623\u0648\u0631\u0648\u0628\u064a\u0629' >\u0627\u0644\u0642\u0648\u0627\u062a \u0627\u0644\u0645\u0633\u0644\u062d\u0629 \u0627\u0644\u0623\u0648\u0631\u0648\u0628\u064a\u0629<\/option><option value='\u0627\u0644\u0642\u0648\u0627\u062a \u0627\u0644\u0645\u0633\u0644\u062d\u0629 \u0641\u064a \u0627\u0644\u0645\u062d\u064a\u0637 \u0627\u0644\u0647\u0627\u062f\u0626' >\u0627\u0644\u0642\u0648\u0627\u062a \u0627\u0644\u0645\u0633\u0644\u062d\u0629 \u0641\u064a \u0627\u0644\u0645\u062d\u064a\u0637 \u0627\u0644\u0647\u0627\u062f\u0626<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_1_4_5_container' >\n                                    <label for='input_1_4_5' id='input_1_4_5_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0631\u0645\u0632 \u0627\u0644\u0628\u0631\u064a\u062f\u0649<\/label>\n                                    <input type='text' name='input_4.5' id='input_1_4_5' value=''    aria-required='false'   autocomplete=\"postal-code\" \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_1_4_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_1_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Your Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_1_2_container'>\n                                <span id='input_1_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_1_2' class='gform-field-label gform-field-label--type-sub '>\u0627\u062f\u062e\u0644 \u0627\u0644\u0628\u0631\u064a\u062f \u0627\u0644\u0627\u0644\u0643\u062a\u0631\u0648\u0646\u0649<\/label>\n                                    <input class='' type='email' name='input_2' id='input_1_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_1_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_1_2_2' class='gform-field-label gform-field-label--type-sub '>\u062a\u0627\u0643\u064a\u062f \u0627\u0644\u0628\u0631\u064a\u062f \u0627\u0644\u0627\u0644\u0643\u062a\u0631\u0648\u0646\u0649<\/label>\n                                    <input class='' type='email' name='input_2_2' id='input_1_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_1_5\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_5'>Your Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_1_5' type='tel' value='' class='small'   aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"tel\" \/><\/div><\/div><div id=\"field_1_25\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_25'>Nature of Complaint<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_1_25' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected'>Select Nature of Complaint<\/option><option value='Food Establishment \/ Restaurant' >Food Establishment \/ Restaurant<\/option><option value='Mosquito Breeding and\/or Stagnant Water' >Mosquito Breeding and\/or Stagnant Water<\/option><option value='Housing Property in Poor Repair (Tulsa City Limits Only)' >Housing Property in Poor Repair (Tulsa City Limits Only)<\/option><option value='Junk, Trash and\/or Debris' >Junk, Trash and\/or Debris<\/option><option value='High Grass and\/or Weeds' >High Grass and\/or Weeds<\/option><option value='Dilapidated Structures' >Dilapidated Structures<\/option><option value='Pest Control' >Pest Control<\/option><option value='Sewage' >Sewage<\/option><option value='Excessive Animal Feces' >Excessive Animal Feces<\/option><\/select><\/div><\/div><fieldset id=\"field_1_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >STOP: Did anyone get sick?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_26'>\n\t\t\t<div class='gchoice gchoice_1_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='Yes_Sick'  id='choice_1_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_26_0' id='label_1_26_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_1_26_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='No_Sick'  id='choice_1_26_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_26_1' id='label_1_26_1' class='gform-field-label gform-field-label--type-inline'>No<\/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_1_32' 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_1_2' class='gform_page' data-js='page-field-id-32' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_2' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_1_23\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Complaint Information<\/h3><\/div><fieldset id=\"field_1_30\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Date of Visit<\/legend><div id='input_1_30' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_1_30_1_container'><label for='input_1_30_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_30[]' id='input_1_30_1'   aria-required='false'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_1_30_2_container'><label for='input_1_30_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_30[]' id='input_1_30_2'   aria-required='false'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_1_30_3_container'><label for='input_1_30_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_30[]' id='input_1_30_3'   aria-required='false'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_1_31\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Time of Visit<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_1_31'>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_1_31_1'>\u0633\u0627\u0639\u0627\u062a<\/label>\n                            <input type='number' name='input_31[]' id='input_1_31_1' value=''  min='0' max='12' step='1'  placeholder='\u0627\u0644\u0633\u0627\u0639\u0629' aria-required='false'   \/> \n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_1_31_2'>\u062f\u0642\u0627\u0626\u0642<\/label>\n                            <input type='number' name='input_31[]' id='input_1_31_2' value=''  min='0' max='59' step='1'  placeholder='\u0627\u0644\u062f\u0642\u064a\u0642\u0629' aria-required='false'  \/>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_31[]' id='input_1_31_3'  >\n                                    <option value='am' >\u0635\u0628\u0627\u062d\u0627\u064b<\/option>\n                                    <option value='pm' >\u0645\u0633\u0627\u0621\u0627\u064b<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_1_31_3'>\u0635\u0628\u0627\u062d\u0627\/\u0645\u0633\u0627\u0621<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_1_3\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_3'>Description of Complaint<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_1_3' class='textarea medium'    placeholder='What did you see or experience that prompted you to file this complaint?' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_1_19\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Property or Establishment Owner&#039;s Name (if known)<\/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_1_19'>\n                            \n                            <span id='input_1_19_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_1_19_3' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u0648\u0644<\/label>\n                                                    <input type='text' name='input_19.3' id='input_1_19_3' value=''   aria-required='false'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_1_19_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_1_19_6' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0627\u062e\u064a\u0631<\/label>\n                                                            <input type='text' name='input_19.6' id='input_1_19_6' value=''   aria-required='false'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_1_21\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_21'>Property or Establishment Owner&#039;s Phone Number (if known)<\/label><div class='ginput_container ginput_container_phone'><input name='input_21' id='input_1_21' type='tel' value='' class='small'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_16\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Property or Establishment Address\/Apartment #<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_1_16' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_1_16_1_container' >\n                                        <label for='input_1_16_1' id='input_1_16_1_label' class='gform-field-label gform-field-label--type-sub '>\u0639\u0646\u0648\u0627\u0646 \u0627\u0644\u0634\u0627\u0631\u0639<\/label>\n                                        <input type='text' name='input_16.1' id='input_1_16_1' value=''    aria-required='false'   autocomplete=\"address-line1\" \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_1_16_2_container' >\n                                        <label for='input_1_16_2' id='input_1_16_2_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0639\u0646\u0648\u0627\u0646: \u0627\u0644\u0633\u0637\u0631 \u0627\u0644\u062b\u0627\u0646\u064a<\/label>\n                                        <input type='text' name='input_16.2' id='input_1_16_2' value=''    autocomplete=\"address-line2\" aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_16_3_container' >\n                                    <label for='input_1_16_3' id='input_1_16_3_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0645\u062f\u064a\u0646\u0629<\/label>\n                                    <input type='text' name='input_16.3' id='input_1_16_3' value=''    aria-required='false'   autocomplete=\"address-level2\" \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_1_16_4_container' >\n                                        <label for='input_1_16_4' id='input_1_16_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_16.4' id='input_1_16_4'     aria-required='false'   autocomplete=\"address-level1\" ><option value='' ><\/option><option value='\u0623\u0644\u0627\u0628\u0627\u0645\u0627' >\u0623\u0644\u0627\u0628\u0627\u0645\u0627<\/option><option value='\u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629\/\u0623\u0644\u0627\u0633\u0643\u0627' >\u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629\/\u0623\u0644\u0627\u0633\u0643\u0627<\/option><option value='\u0633\u0627\u0645\u0648\u0627 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629' >\u0633\u0627\u0645\u0648\u0627 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629<\/option><option value='\u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629\/\u0623\u0631\u064a\u0632\u0648\u0646\u0627' >\u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629\/\u0623\u0631\u064a\u0632\u0648\u0646\u0627<\/option><option value='\u0623\u0631\u0643\u0646\u0633\u0627\u0633' >\u0623\u0631\u0643\u0646\u0633\u0627\u0633<\/option><option value='\u0643\u0627\u0644\u064a\u0641\u0648\u0631\u0646\u064a\u0627' >\u0643\u0627\u0644\u064a\u0641\u0648\u0631\u0646\u064a\u0627<\/option><option value='\u0643\u0648\u0644\u0648\u0631\u0627\u062f\u0648' >\u0643\u0648\u0644\u0648\u0631\u0627\u062f\u0648<\/option><option value='\u0643\u0648\u0646\u064a\u062a\u064a\u0643\u062a' >\u0643\u0648\u0646\u064a\u062a\u064a\u0643\u062a<\/option><option value='\u062f\u064a\u0644\u0627\u0648\u064a\u0631' >\u062f\u064a\u0644\u0627\u0648\u064a\u0631<\/option><option value='\u0645\u0642\u0627\u0637\u0639\u0629 \u0643\u0648\u0644\u0648\u0645\u0628\u064a\u0627' >\u0645\u0642\u0627\u0637\u0639\u0629 \u0643\u0648\u0644\u0648\u0645\u0628\u064a\u0627<\/option><option value='\u0641\u0644\u0648\u0631\u064a\u062f\u0627' >\u0641\u0644\u0648\u0631\u064a\u062f\u0627<\/option><option value='\u062c\u0648\u0631\u062c\u064a\u0627' >\u062c\u0648\u0631\u062c\u064a\u0627<\/option><option value='\u063a\u0648\u0627\u0645' >\u063a\u0648\u0627\u0645<\/option><option value='\u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629\/\u0647\u0627\u0648\u0627\u064a' >\u0627\u0644\u0648\u0644\u0627\u064a\u0627\u062a \u0627\u0644\u0645\u062a\u062d\u062f\u0629\/\u0647\u0627\u0648\u0627\u064a<\/option><option value='\u0627\u064a\u062f\u0627\u0647\u0648' >\u0627\u064a\u062f\u0627\u0647\u0648<\/option><option value='\u0625\u0644\u064a\u0646\u0648\u064a' >\u0625\u0644\u064a\u0646\u0648\u064a<\/option><option value='\u0625\u0646\u062f\u064a\u0627\u0646\u0627' >\u0625\u0646\u062f\u064a\u0627\u0646\u0627<\/option><option value='\u0622\u064a\u0648\u0627' >\u0622\u064a\u0648\u0627<\/option><option value='\u0643\u0627\u0646\u0633\u0627\u0633' >\u0643\u0627\u0646\u0633\u0627\u0633<\/option><option value='\u0643\u0646\u062a\u0627\u0643\u064a' >\u0643\u0646\u062a\u0627\u0643\u064a<\/option><option value='\u0648\u0644\u0627\u064a\u0629 \u0644\u0648\u064a\u0632\u064a\u0627\u0646\u0627' >\u0648\u0644\u0627\u064a\u0629 \u0644\u0648\u064a\u0632\u064a\u0627\u0646\u0627<\/option><option value='\u0648\u0644\u0627\u064a\u0629 \u0645\u064a\u0646' >\u0648\u0644\u0627\u064a\u0629 \u0645\u064a\u0646<\/option><option value='\u0645\u064a\u0631\u064a\u0644\u0627\u0646\u062f' >\u0645\u064a\u0631\u064a\u0644\u0627\u0646\u062f<\/option><option value='\u0645\u0627\u0633\u0627\u062a\u0634\u0648\u0633\u062a\u0633' >\u0645\u0627\u0633\u0627\u062a\u0634\u0648\u0633\u062a\u0633<\/option><option value='\u0645\u064a\u0634\u064a\u063a\u0627\u0646' >\u0645\u064a\u0634\u064a\u063a\u0627\u0646<\/option><option value='\u0645\u064a\u0646\u064a\u0633\u0648\u062a\u0627' >\u0645\u064a\u0646\u064a\u0633\u0648\u062a\u0627<\/option><option value='\u0645\u064a\u0633\u064a\u0633\u064a\u0628\u064a' >\u0645\u064a\u0633\u064a\u0633\u064a\u0628\u064a<\/option><option value='\u0645\u064a\u0633\u0648\u0631\u064a' >\u0645\u064a\u0633\u0648\u0631\u064a<\/option><option value='\u0645\u0648\u0646\u062a\u0627\u0646\u0627' >\u0645\u0648\u0646\u062a\u0627\u0646\u0627<\/option><option value='\u0646\u0628\u0631\u0627\u0633\u0643\u0627' >\u0646\u0628\u0631\u0627\u0633\u0643\u0627<\/option><option value='\u0646\u064a\u0641\u0627\u062f\u0627' >\u0646\u064a\u0641\u0627\u062f\u0627<\/option><option value='\u0646\u064a\u0648 \u0647\u0627\u0645\u0628\u0634\u0627\u064a\u0631' >\u0646\u064a\u0648 \u0647\u0627\u0645\u0628\u0634\u0627\u064a\u0631<\/option><option value='\u0646\u064a\u0648 \u062c\u064a\u0631\u0633\u064a' >\u0646\u064a\u0648 \u062c\u064a\u0631\u0633\u064a<\/option><option value='\u0646\u064a\u0648 \u0645\u064a\u0643\u0633\u064a\u0643\u0648' >\u0646\u064a\u0648 \u0645\u064a\u0643\u0633\u064a\u0643\u0648<\/option><option value='\u0646\u064a\u0648\u064a\u0648\u0631\u0643' >\u0646\u064a\u0648\u064a\u0648\u0631\u0643<\/option><option value='\u0643\u0627\u0631\u0648\u0644\u0627\u064a\u0646\u0627 \u0627\u0644\u0634\u0645\u0627\u0644\u064a\u0629' >\u0643\u0627\u0631\u0648\u0644\u0627\u064a\u0646\u0627 \u0627\u0644\u0634\u0645\u0627\u0644\u064a\u0629<\/option><option value='\u062f\u0627\u0643\u0648\u062a\u0627 \u0627\u0644\u0634\u0645\u0627\u0644\u064a\u0629' >\u062f\u0627\u0643\u0648\u062a\u0627 \u0627\u0644\u0634\u0645\u0627\u0644\u064a\u0629<\/option><option value='\u062c\u0632\u0631 \u0645\u0627\u0631\u064a\u0627\u0646\u0627 \u0627\u0644\u0634\u0645\u0627\u0644\u064a\u0629' >\u062c\u0632\u0631 \u0645\u0627\u0631\u064a\u0627\u0646\u0627 \u0627\u0644\u0634\u0645\u0627\u0644\u064a\u0629<\/option><option value='\u0627\u0648\u0647\u0627\u064a\u0648' >\u0627\u0648\u0647\u0627\u064a\u0648<\/option><option value='\u0623\u0648\u0643\u0644\u0627\u0647\u0648\u0645\u0627' >\u0623\u0648\u0643\u0644\u0627\u0647\u0648\u0645\u0627<\/option><option value='\u0623\u0648\u0631\u064a\u062c\u0648\u0646' >\u0623\u0648\u0631\u064a\u062c\u0648\u0646<\/option><option value='\u0628\u0646\u0633\u0644\u0641\u0627\u0646\u064a\u0627' >\u0628\u0646\u0633\u0644\u0641\u0627\u0646\u064a\u0627<\/option><option value='\u0628\u0648\u0631\u062a\u0648\u0631\u064a\u0643\u0648' >\u0628\u0648\u0631\u062a\u0648\u0631\u064a\u0643\u0648<\/option><option value='\u0631\u0648\u062f \u0627\u064a\u0644\u0627\u0646\u062f' >\u0631\u0648\u062f \u0627\u064a\u0644\u0627\u0646\u062f<\/option><option value='\u0643\u0627\u0631\u0648\u0644\u064a\u0646\u0627 \u0627\u0644\u062c\u0646\u0648\u0628\u064a\u0629' >\u0643\u0627\u0631\u0648\u0644\u064a\u0646\u0627 \u0627\u0644\u062c\u0646\u0648\u0628\u064a\u0629<\/option><option value='\u062f\u0627\u0643\u0648\u062a\u0627 \u0627\u0644\u062c\u0646\u0648\u0628\u064a\u0629' >\u062f\u0627\u0643\u0648\u062a\u0627 \u0627\u0644\u062c\u0646\u0648\u0628\u064a\u0629<\/option><option value='\u062a\u064a\u0646\u064a\u0633\u064a' >\u062a\u064a\u0646\u064a\u0633\u064a<\/option><option value='\u062a\u0643\u0633\u0627\u0633' >\u062a\u0643\u0633\u0627\u0633<\/option><option value='\u064a\u0648\u062a\u0627' >\u064a\u0648\u062a\u0627<\/option><option value='\u062c\u0632\u0631 \u0641\u064a\u0631\u062c\u0646 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629' >\u062c\u0632\u0631 \u0641\u064a\u0631\u062c\u0646 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629<\/option><option value='\u0641\u064a\u0631\u0645\u0648\u0646\u062a' >\u0641\u064a\u0631\u0645\u0648\u0646\u062a<\/option><option value='\u0641\u0631\u062c\u064a\u0646\u064a\u0627' >\u0641\u0631\u062c\u064a\u0646\u064a\u0627<\/option><option value='\u0648\u0627\u0634\u0646\u0637\u0646' >\u0648\u0627\u0634\u0646\u0637\u0646<\/option><option value='\u0641\u0631\u062c\u064a\u0646\u064a\u0627 \u0627\u0644\u063a\u0631\u0628\u064a\u0629' >\u0641\u0631\u062c\u064a\u0646\u064a\u0627 \u0627\u0644\u063a\u0631\u0628\u064a\u0629<\/option><option value='\u0648\u064a\u0633\u0643\u0648\u0646\u0633\u0646' >\u0648\u064a\u0633\u0643\u0648\u0646\u0633\u0646<\/option><option value='\u0648\u0627\u064a\u0648\u0645\u0646\u063a' >\u0648\u0627\u064a\u0648\u0645\u0646\u063a<\/option><option value='\u0627\u0644\u0642\u0648\u0627\u062a \u0627\u0644\u0645\u0633\u0644\u062d\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u062a\u064a\u0646' >\u0627\u0644\u0642\u0648\u0627\u062a \u0627\u0644\u0645\u0633\u0644\u062d\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u062a\u064a\u0646<\/option><option value='\u0627\u0644\u0642\u0648\u0627\u062a \u0627\u0644\u0645\u0633\u0644\u062d\u0629 \u0627\u0644\u0623\u0648\u0631\u0648\u0628\u064a\u0629' >\u0627\u0644\u0642\u0648\u0627\u062a \u0627\u0644\u0645\u0633\u0644\u062d\u0629 \u0627\u0644\u0623\u0648\u0631\u0648\u0628\u064a\u0629<\/option><option value='\u0627\u0644\u0642\u0648\u0627\u062a \u0627\u0644\u0645\u0633\u0644\u062d\u0629 \u0641\u064a \u0627\u0644\u0645\u062d\u064a\u0637 \u0627\u0644\u0647\u0627\u062f\u0626' >\u0627\u0644\u0642\u0648\u0627\u062a \u0627\u0644\u0645\u0633\u0644\u062d\u0629 \u0641\u064a \u0627\u0644\u0645\u062d\u064a\u0637 \u0627\u0644\u0647\u0627\u062f\u0626<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_1_16_5_container' >\n                                    <label for='input_1_16_5' id='input_1_16_5_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0631\u0645\u0632 \u0627\u0644\u0628\u0631\u064a\u062f\u0649<\/label>\n                                    <input type='text' name='input_16.5' id='input_1_16_5' value=''    aria-required='false'   autocomplete=\"postal-code\" \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_16.6' id='input_1_16_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_1_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Should We Follow Up With You?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_22'>\n\t\t\t<div class='gchoice gchoice_1_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Yes, please contact me.'  id='choice_1_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_22_0' id='label_1_22_0' class='gform-field-label gform-field-label--type-inline'>Yes, please contact me.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='No, no follow up necessary.'  id='choice_1_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_22_1' id='label_1_22_1' class='gform-field-label gform-field-label--type-inline'>No, no follow up necessary.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_34\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Foodborne Illness Complaint<\/h3><\/div><div id=\"field_1_45\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >The Tulsa Health Department takes all consumer complaints regarding foodborne illness seriously. Our staff investigates complaints suspected of causing foodborne illness as a result of eating in a food establishment in Tulsa County. If you are filing a complaint because you became ill after eating and\/or drinking at a food service establishment in Tulsa County, please be prepared to answer specific questions about your experience. The questionnaire may take up to 10 minutes. Your identity and any personal information you provide will remain strictly confidential. Reporting foodborne illnesses helps us to identify potential foodborne disease outbreaks. By investigating foodborne illness complaints, we are provided an opportunity to assist the food service industry with identifying the best food safety practices to prevent foodborne disease outbreaks.<\/div><fieldset id=\"field_1_35\" class=\"gfield gfield--type-list gfield--input-type-list gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Top 5 symptoms experienced<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Description<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Onset Date<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Onset Time<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">End Date<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">End Time<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Is Symptom Ongoing (Yes\/No)<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_35_cell1 gform-grid-col' data-label='Description'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_1_35\" aria-label='Description\u060c \u0627\u0644\u0635\u0641 1' data-aria-label-template='Description\u060c \u0627\u0644\u0635\u0641 {0}' type='text' name='input_35[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_35_cell2 gform-grid-col' data-label='Onset Date'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_1_35\" aria-label='Onset Date\u060c \u0627\u0644\u0635\u0641 1' data-aria-label-template='Onset Date\u060c \u0627\u0644\u0635\u0641 {0}' type='text' name='input_35[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_35_cell3 gform-grid-col' data-label='Onset Time'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_1_35\" aria-label='Onset Time\u060c \u0627\u0644\u0635\u0641 1' data-aria-label-template='Onset Time\u060c \u0627\u0644\u0635\u0641 {0}' type='text' name='input_35[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_35_cell4 gform-grid-col' data-label='End Date'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_1_35\" aria-label='End Date\u060c \u0627\u0644\u0635\u0641 1' data-aria-label-template='End Date\u060c \u0627\u0644\u0635\u0641 {0}' type='text' name='input_35[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_35_cell5 gform-grid-col' data-label='End Time'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_1_35\" aria-label='End Time\u060c \u0627\u0644\u0635\u0641 1' data-aria-label-template='End Time\u060c \u0627\u0644\u0635\u0641 {0}' type='text' name='input_35[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_35_cell6 gform-grid-col' data-label='Is Symptom Ongoing (Yes\/No)'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_1_35\" aria-label='Is Symptom Ongoing (Yes\/No)\u060c \u0627\u0644\u0635\u0641 1' data-aria-label-template='Is Symptom Ongoing (Yes\/No)\u060c \u0627\u0644\u0635\u0641 {0}' type='text' name='input_35[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='\u0627\u0636\u0641 \u0635\u0641 \u0627\u062e\u0631' onclick='gformAddListItem(this, 5)'>\u0625\u0636\u0627\u0641\u0629<\/button>   <button type='button'  class='delete_list_item' aria-label='\u062d\u0630\u0641 \u0627\u0644\u0633\u0637\u0631 1' data-aria-label-template='\u062d\u0630\u0641 \u0627\u0644\u0633\u0637\u0631 {0}' onclick='gformDeleteListItem(this, 5)' style=\"visibility:hidden;\">\u0625\u0632\u0627\u0644\u0629<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_1_35'>Symptoms might include diarrhea, vomiting, nausea, fever, abdominal cramps, headaches, etc.\nTo add more symptoms click the \"+\" sign.<\/div><\/fieldset><div id=\"field_1_37\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_37'>Date of Visit<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_37' id='input_1_37' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='\u064a\u0648\u0645\/\u0634\u0647\u0631\/\u0633\u0646\u0629' aria-describedby=\"input_1_37_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_37_date_format' class='screen-reader-text'>\u0634\u0647\u0631 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u064a\u0648\u0645 \u0634\u0631\u0637\u0629 \u0645\u0627\u0626\u0644\u0629 \u0633\u0646\u0629<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_37' class='gform_hidden' value='https:\/\/tulsa-health.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_1_38\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Time of Visit<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_1_38'>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_1_38_1'>\u0633\u0627\u0639\u0627\u062a<\/label>\n                            <input type='number' name='input_38[]' id='input_1_38_1' value=''  min='0' max='12' step='1'  placeholder='\u0627\u0644\u0633\u0627\u0639\u0629' aria-required='false'   \/> \n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_1_38_2'>\u062f\u0642\u0627\u0626\u0642<\/label>\n                            <input type='number' name='input_38[]' id='input_1_38_2' value=''  min='0' max='59' step='1'  placeholder='\u0627\u0644\u062f\u0642\u064a\u0642\u0629' aria-required='false'  \/>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_38[]' id='input_1_38_3'  >\n                                    <option value='am' >\u0635\u0628\u0627\u062d\u0627\u064b<\/option>\n                                    <option value='pm' >\u0645\u0633\u0627\u0621\u0627\u064b<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_1_38_3'>\u0635\u0628\u0627\u062d\u0627\/\u0645\u0633\u0627\u0621<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_1_39\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_39'>How many people in your party ate the food?<\/label><div class='ginput_container ginput_container_number'><input name='input_39' id='input_1_39' type='number' step='any'   value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_1_39\" \/><\/div><div class='gfield_description' id='gfield_description_1_39'>Include yourself<\/div><\/div><div id=\"field_1_40\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_40'>How many people in your party felt ill?<\/label><div class='ginput_container ginput_container_number'><input name='input_40' id='input_1_40' type='number' step='any'   value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_1_40\" \/><\/div><div class='gfield_description' id='gfield_description_1_40'>Include yourself<\/div><\/div><fieldset id=\"field_1_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Was the food<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_41'>\n\t\t\t<div class='gchoice gchoice_1_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Purchased at a restaurant\/food establishment'  id='choice_1_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_41_0' id='label_1_41_0' class='gform-field-label gform-field-label--type-inline'>Purchased at a restaurant\/food establishment<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Purchased at a grocery store'  id='choice_1_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_41_1' id='label_1_41_1' class='gform-field-label gform-field-label--type-inline'>Purchased at a grocery store<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_41_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Purchased at a convenience store'  id='choice_1_41_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_41_2' id='label_1_41_2' class='gform-field-label gform-field-label--type-inline'>Purchased at a convenience store<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_41_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Purchased from a food truck'  id='choice_1_41_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_41_3' id='label_1_41_3' class='gform-field-label gform-field-label--type-inline'>Purchased from a food truck<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_42\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0645\u062e\u0641\u064a \u0639\u0646\u062f \u0639\u0631\u0636 \u0627\u0644\u0646\u0645\u0648\u0630\u062c\"><\/i><span>\u0647\u0630\u0627 \u0627\u0644\u062d\u0642\u0644 \u0645\u062e\u0641\u064a \u0639\u0646\u062f \u0639\u0631\u0636 \u0627\u0644\u0646\u0645\u0648\u0630\u062c<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_42'>Establishment Name\/Address<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_42' id='input_1_42' class='textarea large'    placeholder='Name of establishment Address City State, Zip'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_47\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_47'>Establishment Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_1_47' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_46\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Establishment Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_1_46' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_1_46_1_container' >\n                                        <label for='input_1_46_1' id='input_1_46_1_label' class='gform-field-label gform-field-label--type-sub '>\u0639\u0646\u0648\u0627\u0646 \u0627\u0644\u0634\u0627\u0631\u0639<\/label>\n                                        <input type='text' name='input_46.1' id='input_1_46_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_1_46_2_container' >\n                                        <label for='input_1_46_2' id='input_1_46_2_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0639\u0646\u0648\u0627\u0646: \u0627\u0644\u0633\u0637\u0631 \u0627\u0644\u062b\u0627\u0646\u064a<\/label>\n                                        <input type='text' name='input_46.2' id='input_1_46_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_46_3_container' >\n                                    <label for='input_1_46_3' id='input_1_46_3_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0645\u062f\u064a\u0646\u0629<\/label>\n                                    <input type='text' name='input_46.3' id='input_1_46_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_1_46_4_container' >\n                                        <label for='input_1_46_4' id='input_1_46_4_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0648\u0644\u0627\u064a\u0629 \/ \u0627\u0644\u0645\u0646\u0637\u0642\u0629 \/ \u0627\u0644\u0627\u0642\u0644\u064a\u0645<\/label>\n                                        <input type='text' name='input_46.4' id='input_1_46_4' value=''      aria-required='true'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_1_46_5_container' >\n                                    <label for='input_1_46_5' id='input_1_46_5_label' class='gform-field-label gform-field-label--type-sub '>\u0627\u0644\u0631\u0645\u0632 \u0627\u0644\u0628\u0631\u064a\u062f\u0649<\/label>\n                                    <input type='text' name='input_46.5' id='input_1_46_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_46.6' id='input_1_46_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_1_43\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_43'>List everything you ate and please note anything unusual about the meal, such as the temperature, taste, etc.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_43' id='input_1_43' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_36\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >NOTE:\nPeople often associate their illness with the last food or meal they consumed. While there are some germs that can cause illness to develop in a short amount of time, there are many that can take up to 72 hours (3 days) or longer to develop. When reporting your foodborne illness keep in mind your food history. It is helpful for the inspector to review the food and places you have eaten at over the last few days. Enter from the most recent to past food establishments you have eaten or purchased food from.<\/div><div id=\"field_1_44\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_44'>*Have you eaten at other establishments in the last three days?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_44' id='input_1_44' class='textarea large'  aria-describedby=\"gfield_description_1_44\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_1_44'>Please share more<\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_1' class='gform_previous_button gform-theme-button gform-theme-button--secondary 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elementor-element-7c2cd51 elementor-widget elementor-widget-shortcode\" data-id=\"7c2cd51\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\t\t<div data-elementor-type=\"section\" data-elementor-id=\"4934\" class=\"elementor elementor-4934\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4469b59d elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4469b59d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-615ea353\" data-id=\"615ea353\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bdb2691 elementor-widget elementor-widget-heading\" data-id=\"bdb2691\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">LOCATIONS<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-00f74f9 elementor-widget elementor-widget-text-editor\" data-id=\"00f74f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We have 9 locations across Tulsa County that offer a variety of services to help you and your family stay healthy.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fd63501 elementor-align-center secondary elementor-widget elementor-widget-button\" data-id=\"fd63501\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/locations\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Find Yours<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u0646\u0645\u0648\u0630\u062c \u0627\u0644\u0634\u0643\u0648\u0649 \u0645\u0633\u0627\u0647\u0645\u062a\u0643 \u062a\u0633\u0627\u0639\u062f<\/p>","protected":false},"author":1,"featured_media":13661,"parent":8843,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8881","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Complaints - Tulsa Health Department<\/title>\n<meta name=\"description\" content=\"Your input and concerns are important to THD. 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