Test Code

<form method="POST" accept-charset="UTF-8" action="/form-process.php" class="questionnaire-form" id="inf_form_1e99347d03f7c9bfbd678ccaeaf80ff4">

    <input name="_action" type="hidden" value="https://mx261.infusionsoft.com/app/form/process/1e99347d03f7c9bfbd678ccaeaf80ff4"/>
    <input name="_redirect" type="hidden" value="https://thegotophysio.com"/>

    <input name="inf_form_xid" type="hidden" value="https://mx261.infusionsoft.com/app/form/process/1e99347d03f7c9bfbd678ccaeaf80ff4" />
    <input name="inf_form_name" type="hidden" value="Test Form (Romeo)" />
    <input name="infusionsoft_version" type="hidden" value="1.70.0.613909" />
    
    <ul class="progressbar  progressbar--wider">
        <li class="active"></li>
        <li></li>
        <li></li>
        <li></li>
        <li></li>
        <li></li>
        <li></li>
        <li></li>
        <li></li>
<li></li>
    </ul>

    <!-- STEP 1 CONTAINER -->

    <fieldset class="form-group">
        <div class="field-wrapper">
            <label for="inf_field_FirstName_m" class="name">
                <input id="inf_field_FirstName_m" name="inf_field_FirstName" placeholder="First Name *" type="text" required/>
            </label>
            <label for="inf_field_LastName_m" class="name">
                <input id="inf_field_LastName_m" name="inf_field_LastName" placeholder="Last Name *" type="text" required/>
            </label>
        </div>

        <div class="nav-section">
            <button class="previous btn" type="button" value="Previous">Previous</button>
            <button class="next btn" type="button" value="Next">Next</button>
        </div>
    </fieldset>

    <fieldset class="form-group">
        <div class="field-wrapper">
            <label class="email" for="inf_field_Email_m">
                <input id="inf_field_Email_m" name="inf_field_Email" placeholder="Email *" type="email" required/>
            </label>
            <label class="phone" for="inf_field_Phone1_m">
                <input id="inf_field_Phone1_m" name="inf_field_Phone1" placeholder="Phone *" type="text" required/>
            </label>
        </div>

        <div class="nav-section">
            <button class="previous btn" type="button" value="Previous">Previous</button>
            <button class="next btn" type="button" value="Next">Next</button>
        </div>
    </fieldset>


    <fieldset class="form-group">
        <div class="field-wrapper">
            <label class="questions" for="inf_custom_Whatcountryareyoubasedin">
                <input id="inf_custom_Whatcountryareyoubasedin" name="inf_custom_Whatcountryareyoubasedin" placeholder="What country are you based in *" type="text" required/>
            </label>
        </div>

        <div class="nav-section">
            <button class="previous btn" type="button" value="Previous">Previous</button>
            <button class="next btn" type="button" value="Next">Next</button>
        </div>
    </fieldset>


    <fieldset class="form-group">
        <div class="field-wrapper">
            <label for="inf_custom_Whatisyourprofession1" class="questions">
                <select required id="inf_custom_Whatisyourprofession1" name="inf_custom_Whatisyourprofession1"><option value="">What Is Your Profession?</option><option value="Physio / Physical Therapist / Sports Therapist">Physio / Physical Therapist / Sports Therapist</option><option value="Osteopath / Chiropractor">Osteopath / Chiropractor</option><option value="Personal Trainer / Strength Coach">Personal Trainer / Strength Coach</option><option value="Other Healthcare Professional Working With People In Pain">Other Healthcare Professional Working With People In Pain</option><option value="Student">Student</option><option value="I Don’t Work With People In Pain">I Don’t Work With People In Pain</option><option value="I Have Pain Myself And Looking For Help">I Have Pain Myself And Looking For Help</option></select>
            </label>
            <label class="questions" for="inf_custom_WhatIsYourCurrentWorkingEnvironment1">
                <select required id="inf_custom_WhatIsYourCurrentWorkingEnvironment1" name="inf_custom_WhatIsYourCurrentWorkingEnvironment1"><option value="">What Is Your Current Working Environment?</option><option value="Working In Own Private Practice">Working In Own Private Practice</option><option value="Working For Someone Else In Private Practice">Working For Someone Else In Private Practice</option><option value="Working In ProSport">Working In ProSport</option><option value="National Healthcare System">National Healthcare System</option></select>
            </label>
        </div>

        <div class="nav-section">
            <button class="previous btn" type="button" value="Previous">Previous</button>
            <button class="next btn" type="button" value="Next">Next</button>
        </div>
    </fieldset>


 <fieldset class="form-group">
        <div class="field-wrapper">
            <label class="questions" for="inf_custom_Howmanyyearsareyouqualifiedasatherapist">
                <select required id="inf_Howmanyyearsareyouqualifiedasatherapist" name="inf_custom_Howmanyyearsareyouqualifiedasatherapist"><option value="">How many years are you qualified as a therapist?</option><option value="Still a student ">Still a student </option><option value="0-2 years ">0-2 years</option><option value="2- 5 years">2- 5 years</option><option value="5-9 years">5-9 years</option><option value="10 years +">10 years +</option></select>
            </label>
        </div>

        <div class="nav-section">
            <button class="previous btn" type="button" value="Previous">Previous</button>
            <button class="next btn" type="button" value="Next">Next</button>
        </div>
    </fieldset>


 <fieldset class="form-group">
        <div class="field-wrapper">
            <label class="questions" for="inf_custom_HowlonghaveyouknownaboutDaveOSullivanthequotGoToPhysi">
                <select required id="inf_custom_HowlonghaveyouknownaboutDaveOSullivanthequotGoToPhysi" name="inf_custom_HowlonghaveyouknownaboutDaveOSullivanthequotGoToPhysi"><option value="">How long have you known about Dave O'Sullivan & the "Go-To Physio" brand?
</option><option value="Less than a week ">Less than a week</option><option value="1 week to 1 month">1 week to 1 month</option><option value="1 month to 3 months ">1 month to 3 months </option><option value="3+ months">3+ months</option></select>
            </label>
        </div>

        <div class="nav-section">
            <button class="previous btn" type="button" value="Previous">Previous</button>
            <button class="next btn" type="button" value="Next">Next</button>
        </div>
    </fieldset>


<fieldset class="form-group">
        <div class="field-wrapper">
            <label class="wider questions" for="inf_custom_Haveyoutriedanyothermentorshipprogramscoursesorresourc">
                <textarea id="inf_custom_inf_custom_Haveyoutriedanyothermentorshipprogramscoursesorresourc" name="inf_custom_Haveyoutriedanyothermentorshipprogramscoursesorresourc" placeholder="Have you tried any other mentorship programs, courses or resources for improving as a therapist? What were the results?" required></textarea>
            </label>
        </div>

        <div class="nav-section">
            <button class="previous btn" type="button" value="Previous">Previous</button>
            <button class="next btn" type="button" value="Next">Next</button>
        </div>
    </fieldset>



<fieldset class="form-group">
        <div class="field-wrapper">
            <label class="wider questions" for="inf_custom_WhatappealstoyoumostaboutDavesmethodologyandapproach">
                <textarea id="inf_custom_WhatappealstoyoumostaboutDavesmethodologyandapproach" name="inf_custom_WhatappealstoyoumostaboutDavesmethodologyandapproach" placeholder="What appeals to you most about Dave's methodology and approach?" required></textarea>
            </label>
        </div>

        <div class="nav-section">
            <button class="previous btn" type="button" value="Previous">Previous</button>
            <button class="next btn" type="button" value="Next">Next</button>
        </div>
    </fieldset>


<fieldset class="form-group">
        <div class="field-wrapper">
            <label class="wider questions" for="inf_custom_Specificallywhatgoalsareyoulookingtoachievefromworking">
                <textarea id="inf_custom_Specificallywhatgoalsareyoulookingtoachievefromworking" name="inf_custom_Specificallywhatgoalsareyoulookingtoachievefromworking" placeholder="Specifically, what goals are you looking to achieve from working with Dave and the Mentorship program? " required></textarea>
            </label>
        </div>

        <div class="nav-section">
            <button class="previous btn" type="button" value="Previous">Previous</button>
            <button class="next btn" type="button" value="Next">Next</button>
        </div>
    </fieldset>

    
    <!-- STEP 4 CONTAINER -->
    <fieldset class="form-group">
        <div class="field-wrapper">
            <label class="questions" for="inf_custom_Onascaleof110howurgentareyourgoalsforgrowingyourr">
<label for="inf_custom_Onascaleof110howurgentareyourgoalsforgrowingyourr">On a scale of 1-10, how urgent are your goals for growing your reputation and enhancing your skills?</label></br>
                <select required id="inf_custom_Onascaleof110howurgentareyourgoalsforgrowingyourr" name="inf_custom_Onascaleof110howurgentareyourgoalsforgrowingyourr"><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></select>
            </label>

            <div class="submit-section">
                <button class="_submit btn" type="submit">UNLOCK THE TREATMENT PLAN FOR FREE</button>
                <button class="previous" type="button" value="Previous">Go Back</button>
            </div>
        </div>
    </fieldset>
</form>