<form action="https://docs.google.

com/forms/d/e/1FAIpQLSfe-
8TPpPDS1UmDME0sd_ef8n20eUJMHzNrfE6Iu_7IgVl7rg/formResponse"
target="_self"
id="bootstrapForm"
method="POST">
<fieldset>
<h2>Untitled form<br><small>Welcome to the survey titled &#x27;Practice of
Orthokeratology Lens in India: A Survey of the Current State of
Orthokeratology.This survey aims to gather insights from eye care practitioners
about their experience and practice related to Orthokeratology lenses in India.
Our primary motive for this research is to assess the knowledge, awareness, and
attitudes of practitioners towards Orthokeratology. This study is part of an
M.Optom research project at Sankara College of Optometry in collaboration with CT
University, Ludhiana. By understanding these factors, we can identify areas for
improvement, address challenges faced by practitioners, and ultimately enhance
patient care in this field.
Your participation is crucial, and the survey is anonymous, ensuring that all
responses will be kept confidential. It will take approximately 4-5 min to
complete. If you have any questions or need further information, please contact us
at akhil.2499kumar@gmail.com Thank you for contributing to the advancement of
Orthokeratology in India</small></h2>
</fieldset>

<!-- Field type: "dropdown" id: "1091319381" -->

<fieldset>
<legend for="1091319381">AGE</legend>
<div class="form-group">
<select id="1091319381" name="entry.1932353531" class="form-control">
<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>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="35">35</option>
<option value="36">36</option>
<option value="37">37</option>
<option value="38">38</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="42">42</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
 <option value="48">48</option>
<option value="49">49</option>
<option value="50">50</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="59">59</option>
<option value="60">60</option>
</select>
</div>
</fieldset>

<!-- Field type: "choices" id: "1940647711" -->

<fieldset>
<legend for="1940647711">GENDER</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.711671560" value="Male"
required>
Male
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.711671560" value="Female"
required>
Female
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.711671560" value="Prefer not to
say" required>
Prefer not to say
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "1497896895" -->

<fieldset>
<legend for="1497896895"> Professional designation</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.819736158" value="Optometrist"
required>
Optometrist
</label>
</div>
<div class="radio">
<label>
 <input type="radio" name="entry.819736158"
value="Opthalmologist" required>
Opthalmologist
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.819736158"
value="__other_option__" required>
</label>
<input type="text" name="entry.819736158.other_option_response"
placeholder="custom value">
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "885590036" -->

<fieldset>
<legend for="885590036">Years of practice</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.1642829356" value="Less than 2
years" required>
Less than 2 years
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1642829356" value="2-4years"
required>
2-4years
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1642829356" value="4-6years"
required>
4-6years
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1642829356" value="6 year and
more" required>
6 year and more
</label>
</div>
</div>
</fieldset>

<!-- Field type: "checkboxes" id: "1927076882" -->

<fieldset>
<legend for="1927076882">highest degree of educational
qualification</legend>
<div class="form-group">
<div class="checkbox">
 <label>
<input type="checkbox" name="entry.1991247714" value="Bachelor
of Optometry" required>
Bachelor of Optometry
</label>
</div>
<div class="checkbox">
<label>
<input type="checkbox" name="entry.1991247714"
value="Fellowship in Optometry" required>
Fellowship in Optometry
</label>
</div>
<div class="checkbox">
<label>
<input type="checkbox" name="entry.1991247714" value="Masters
of Optometry" required>
Masters of Optometry
</label>
</div>
<div class="checkbox">
<label>
<input type="checkbox" name="entry.1991247714"
value="M.S/M.D/DNB Ophthalmology" required>
M.S/M.D/DNB Ophthalmology
</label>
</div>
<div class="checkbox">
<label>
<input type="checkbox" name="entry.1991247714" value="Ph.D.
(Optometry)" required>
Ph.D. (Optometry)
</label>
</div>
<div class="checkbox">
<label>
<input type="checkbox" name="entry.1991247714" value="Other:"
required>
Other:
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "95109364" -->

<fieldset>
<legend for="95109364">Identify yourself with the most appropriate
options</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.1016802312" value="Independent
eye care practitioner" required>
Independent eye care practitioner
</label>
</div>
<div class="radio">
<label>
 <input type="radio" name="entry.1016802312" value="Working at
hospital based practice" required>
Working at hospital based practice
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1016802312" value="Working in
association with an Optometrist/Ophthalmologist" required>
Working in association with an Optometrist/Ophthalmologist
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1016802312" value="Educators"
required>
Educators
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1016802312" value="Researcher"
required>
Researcher
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1016802312" value="Retail
optical store" required>
Retail optical store
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1016802312" value="Other"
required>
Other
</label>
</div>
</div>
</fieldset>

<!-- Field type: "dropdown" id: "2126888570" -->

<fieldset>
<legend for="2126888570">Location of your work place</legend>
<div class="form-group">
<select id="2126888570" name="entry.1033436540" class="form-control">
<option value="Andhra Pradesh">Andhra Pradesh</option>
<option value="Arunachal Pradesh">Arunachal Pradesh</option>
<option value="Assam">Assam</option>
<option value="Bihar">Bihar</option>
<option value="Chhattisgarh">Chhattisgarh</option>
<option value="Delhi">Delhi</option>
<option value="Goa">Goa</option>
<option value="Gujarat">Gujarat</option>
<option value="Haryana">Haryana</option>
<option value="Himachal Pradesh">Himachal Pradesh</option>
 <option value="Jammu &amp; Kashmir">Jammu &amp; Kashmir</option>
<option value="Jharkhand">Jharkhand</option>
<option value="Karnataka">Karnataka</option>
<option value="Kerala">Kerala</option>
<option value="Maharashtra">Maharashtra</option>
<option value="Madhya Pradesh">Madhya Pradesh</option>
<option value="Manipur">Manipur</option>
<option value="Meghalaya">Meghalaya</option>
<option value="Mizoram">Mizoram</option>
<option value="Nagaland">Nagaland</option>
<option value="Odisha">Odisha</option>
<option value="Punjab">Punjab</option>
<option value="Rajasthan">Rajasthan</option>
<option value="Sikkim">Sikkim</option>
<option value="Tamil Nadu">Tamil Nadu</option>
<option value="Tripura">Tripura</option>
<option value="Telangana">Telangana</option>
<option value="Uttar Pradesh">Uttar Pradesh</option>
<option value="Uttarakhand">Uttarakhand</option>
<option value="West Bengal">West Bengal</option>
<option value="Andaman &amp; Nicobar (UT)">Andaman &amp; Nicobar
(UT)</option>
<option value="Chandigarh (UT)">Chandigarh (UT)</option>
<option value="Dadra &amp; Nagar Haveli (UT)">Dadra &amp; Nagar
Haveli (UT)</option>
<option value="Daman &amp; Diu (UT)">Daman &amp; Diu (UT)</option>
<option value="Lakshadweep (UT)">Lakshadweep (UT)</option>
<option value="Puducherry (UT)">Puducherry (UT)</option>
</select>
</div>
</fieldset>

<!-- Field type: "section" id: "126916833" -->

<fieldset>
<legend for="126916833">Attitude towards OrthoK</legend>
<div class="form-group">
</div>
</fieldset>

<!-- Field type: "choices" id: "1805623424" -->

<fieldset>
<legend for="1805623424">Orthokeratology lens better than other regular
contact lenses for refractive correction </legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.1413525843" value="Strongly
Disagree" required>
Strongly Disagree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1413525843" value="Disagree"
required>
Disagree
</label>
 </div>
<div class="radio">
<label>
<input type="radio" name="entry.1413525843" value="Neutral"
required>
Neutral
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1413525843" value="Agree"
required>
Agree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1413525843" value="Strongly
Agree" required>
Strongly Agree
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "973022146" -->

<fieldset>
<legend for="973022146">Orthokeratology lens can be prescribe to all type
of refractive errors</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.1347273385" value="Strongly
Disagree" required>
Strongly Disagree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1347273385" value="Disagree"
required>
Disagree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1347273385" value="Neutral"
required>
Neutral
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1347273385" value="Agree"
required>
Agree
</label>
</div>
 <div class="radio">
<label>
<input type="radio" name="entry.1347273385" value="Strongly
Agree" required>
Strongly Agree
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "910486600" -->

<fieldset>
<legend for="910486600">Orthokeratology lenses can Control or Slow
progression of myopia</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.1684402353" value="Strongly
Disagree" required>
Strongly Disagree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1684402353" value="Disagree"
required>
Disagree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1684402353" value="Neutral"
required>
Neutral
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1684402353" value="Agree"
required>
Agree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1684402353" value="Strongly
Agree" required>
Strongly Agree
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "1787727689" -->

<fieldset>
<legend for="1787727689">Orthokeratology lens change Quality of life
</legend>
 <div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.454474024" value="Strongly
Disagree" required>
Strongly Disagree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.454474024" value="Disagree"
required>
Disagree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.454474024" value="Neutral"
required>
Neutral
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.454474024" value="Agree"
required>
Agree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.454474024" value="Strongly
Agree" required>
Strongly Agree
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "2002784728" -->

<fieldset>
<legend for="2002784728">Orthokeratology lens can be consider as Vision
Correction option</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.1413777150" value="Strongly
Disagree" required>
Strongly Disagree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1413777150" value="Disagree"
required>
Disagree
</label>
</div>
 <div class="radio">
<label>
<input type="radio" name="entry.1413777150" value="Neutral"
required>
Neutral
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1413777150" value="Agree"
required>
Agree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1413777150" value="Strongly
Agree" required>
Strongly Agree
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "785952789" -->

<fieldset>
<legend for="785952789">Orthokeratology lens better for children</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.815978213" value="Strongly
disagree" required>
Strongly disagree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.815978213" value="Disagree"
required>
Disagree
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.815978213" value="Neutral"
required>
Neutral
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.815978213" value="Agree"
required>
Agree
</label>
</div>
<div class="radio">
<label>
 <input type="radio" name="entry.815978213" value="Strongly
agree" required>
Strongly agree
</label>
</div>
</div>
</fieldset>

<!-- Field type: "section" id: "1915913100" -->

<fieldset>
<legend for="1915913100">Awareness of OrthoK</legend>
<div class="form-group">
</div>
</fieldset>

<!-- Field type: "choices" id: "1423224530" -->

<fieldset>
<legend for="1423224530">Orthokeratology lenses used for? </legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.1677707576" value="Controlling
myopia progression" required>
Controlling myopia progression
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1677707576" value="Reducing
myopia temporarily" required>
Reducing myopia temporarily
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1677707576" value="Correcting
refractive errors" required>
Correcting refractive errors
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1677707576" value="All of the
above" required>
All of the above
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "1395161543" -->

<fieldset>
<legend for="1395161543"> Orthokeratology lenses should be worn ?</legend>
<div class="form-group">
<div class="radio">
<label>
 <input type="radio" name="entry.1448139241" value="At night
only" required>
At night only
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1448139241" value="During the
day only" required>
During the day only
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1448139241"
value="Intermittently during the day and night" required>
Intermittently during the day and night
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1448139241" value="Based on the
severity of refractive error" required>
Based on the severity of refractive error
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "852818144" -->

<fieldset>
<legend for="852818144">Do Orthokeratology lens help in, retarding the
progression of myopia?</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.731873265" value="Yes"
required>
Yes
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.731873265" value="No" required>
No
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.731873265" value="Maybe"
required>
Maybe
</label>
</div>
</div>
</fieldset>
 <!-- Field type: "choices" id: "1814126271" -->
<fieldset>
<legend for="1814126271">The primary reason for the limited practice of
Orthokeratology lens in India is ?</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.415130953" value="Low Awareness
among practitioners" required>
Low Awareness among practitioners
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.415130953" value="Lack of
Awareness among patients" required>
Lack of Awareness among patients
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.415130953" value="High cost of
lenses" required>
High cost of lenses
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.415130953" value="Perceived
risk associated with the lenses" required>
Perceived risk associated with the lenses
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.415130953" value="Difficulty to
managing the lenses" required>
Difficulty to managing the lenses
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "413154039" -->

<fieldset>
<legend for="413154039">Is Orthokeratology lens treatment
permanent?</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.897229498" value="Yes"
required>
Yes
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.897229498" value="No" required>
 No
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "1201980254" -->

<fieldset>
<legend for="1201980254">If someone discontinues Orthokeratology lenses ,
vision typically returns to its original state within ?</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.1336959006" value="2-4 days"
required>
2-4 days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1336959006" value="5-7 days"
required>
5-7 days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1336959006" value="7-10 days"
required>
7-10 days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1336959006" value="10-14 days"
required>
10-14 days
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "427879893" -->

<fieldset>
<legend for="427879893">The typical lifespan of a pair of Orthokeratology
lenses is ?</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.795410360" value="3 Months"
required>
3 Months
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.795410360" value="6 months"
required>
6 months
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.795410360" value="1 year"
required>
1 year
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.795410360" value="1-2 year"
required>
1-2 year
</label>
</div>
</div>
</fieldset>

<!-- Field type: "section" id: "1589523799" -->

<fieldset>
<legend for="1589523799">knowledge of Orthokeratology lens</legend>
<div class="form-group">
</div>
</fieldset>

<!-- Field type: "choices" id: "1899000223" -->

<fieldset>
<legend for="1899000223">The most suitable candidate for Orthokeratology
lenses are ?</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.850648826" value="1. Children
aged 6-12 years with myopia" required>
1. Children aged 6-12 years with myopia
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.850648826" value="2. Teenagers
with rapidly progressing myopia" required>
2. Teenagers with rapidly progressing myopia
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.850648826" value="3. Adults
seeking an alternative to laser surgery" required>
3. Adults seeking an alternative to laser surgery
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.850648826" value="4. Patients
with high degree of astigmatism" required>
4. Patients with high degree of astigmatism
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "1791004093" -->

<fieldset>
<legend for="1791004093">Orthokeratology lenses are effective for
temporary correction of myopia up to ?</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.803833604" value="-2.00D"
required>
-2.00D
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.803833604" value="-4.00D"
required>
-4.00D
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.803833604" value="-6.00D"
required>
-6.00D
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.803833604" value="Beyond -
6.00D" required>
Beyond -6.00D
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "1510479346" -->

<fieldset>
<legend for="1510479346">Can Dry eye patient wear Orthokeratology lens
?</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.439721604" value="Yes"
required>
Yes
</label>
</div>
<div class="radio">
<label>
 <input type="radio" name="entry.439721604" value="No" required>
No
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "57382641" -->

<fieldset>
<legend for="57382641"> The minimum wearing time for Orthokeratology lens
to achieve effective correction is ? </legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.47069557" value="2-4 hours"
required>
2-4 hours
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.47069557" value="4-6 hours"
required>
4-6 hours
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.47069557" value="6-8 hours"
required>
6-8 hours
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.47069557" value="8 -10 hours"
required>
8 -10 hours
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "969531507" -->

<fieldset>
<legend for="969531507">Orthokeratology lenses are typically manufactured
using ?</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.176667510" value="Rigid Gas
permeable materials" required>
Rigid Gas permeable materials
</label>
</div>
<div class="radio">
<label>
 <input type="radio" name="entry.176667510" value="Soft Contact
Lens materials" required>
Soft Contact Lens materials
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.176667510" value="Scleral Lens
materials" required>
Scleral Lens materials
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.176667510" value="Hybrid lens
materials" required>
Hybrid lens materials
</label>
</div>
</div>
</fieldset>

<!-- Field type: "choices" id: "1839493838" -->

<fieldset>
<legend for="1839493838">Orthokeratology lenses are ideal for correcting
astigmatism up to ?</legend>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="entry.1567747786" value="-0.50 cyl"
required>
-0.50 cyl
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1567747786" value="-1.00 to -
1.75cyl" required>
-1.00 to -1.75cyl
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1567747786" value="-2.00 to -
2.50cyl" required>
-2.00 to -2.50cyl
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="entry.1567747786" value="Greater than
-2.50cyl" required>
Greater than -2.50cyl
</label>
</div>
</div>
</fieldset>
 <input type="hidden" name="fvv" value="1">
<input type="hidden" name="fbzx" value="-2390776904360574838">
<!--
CAVEAT: In multipages (multisection) forms, *pageHistory* field tells to
google what sections we've currently completed.
This usually starts as "0" for the first page, then "0,1" in the second
page... up to "0,1,2..N" in n-th page.
Keep this in mind if you plan to change this code to recreate any sort of
multipage-feature in your exported form.
We're setting this to the total number of pages in this form because we're
sending all fields from all the section together.
-->
<input type="hidden" name="pageHistory" value="0,1,2,3">

<input class="btn btn-primary" type="submit" value="Submit">

</form>
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