{"id":4023,"date":"2026-03-17T12:33:36","date_gmt":"2026-03-17T16:33:36","guid":{"rendered":"https:\/\/sleepconsortium.org\/?page_id=4023"},"modified":"2026-05-08T12:29:56","modified_gmt":"2026-05-08T16:29:56","slug":"illuminate-brain-fog","status":"publish","type":"page","link":"https:\/\/sleepconsortium.org\/pt\/illuminate-brain-fog\/","title":{"rendered":"Iluminar o nevoeiro cerebral"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4023\" class=\"elementor elementor-4023\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-02e073d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"02e073d\" 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-bd56dbf\" data-id=\"bd56dbf\" 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-9cb2622 elementor-widget elementor-widget-image\" data-id=\"9cb2622\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/sleepconsortium.org\/wp-content\/uploads\/elementor\/thumbs\/IlliuminateBrainFog-Logo_ForDarkBkgrd-rknekfhaz0upaj92z1xsg9sd3tqdsdk2b23nu7w13u.png\" title=\"\" alt=\"Illuminate Brain Fog\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b7b6808 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b7b6808\" data-element_type=\"section\" data-e-type=\"section\">\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-8777a9a\" data-id=\"8777a9a\" 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-8365d38 elementor-widget elementor-widget-heading\" data-id=\"8365d38\" 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\">Join us in helping to ILLUMINATE BRAIN FOG<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f9a80c1 elementor-widget elementor-widget-text-editor\" data-id=\"f9a80c1\" 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 class=\"p1\">To leverage learnings from the <a href=\"https:\/\/sleepconsortium.org\/illuminate-hypersomnia\/\"><span class=\"s1\">Illuminate Hypersomnia initiative<\/span><\/a>, Sleep Consortium is excited to launch Illuminate Brain Fog, a new research initiative focused on improving how brain fog is defined, measured, and understood in people living with Central Disorders of Hypersomnolence (CDoH).<\/p><p class=\"p1\">Sleep Consortium has partnered with RARE-X to host this survey series on the <a href=\"https:\/\/rare-x.org\/sleepconsortium\/\"><span class=\"s1\">DREAMS Portal<\/span><\/a> to capture insights from adults affected by narcolepsy (with or without cataplexy) and idiopathic hypersomnia (IH).<\/p><p class=\"p1\">Your survey responses will help evaluate how well current tools capture the true experience of living with brain fog and will guide development of a more comprehensive, patient-centered measurement scale. These learnings will support future therapy development and improve clinical care.<\/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-ff291cb elementor-widget elementor-widget-heading\" data-id=\"ff291cb\" 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\">Who Can Participate?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b6e76ef elementor-widget elementor-widget-text-editor\" data-id=\"b6e76ef\" 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><b>We invite adults aged 18 and older\u00a0affected by narcolepsy (with or without cataplexy) and IH worldwide to enroll in this initiative to deepen our understanding of brain fog by completing a series of short surveys. <\/b>We are committed to representing the full breadth of experiences across these communities. All responses will be confidential.<\/p><p class=\"p1\"><i>Note: Currently, all surveys and materials are available\u00a0<span class=\"gmail-Asgive gmail-ng\">in English only.<\/span><\/i><\/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-4d27cb3 elementor-widget elementor-widget-heading\" data-id=\"4d27cb3\" 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\">Steps to Participate<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-12a37bb elementor-widget elementor-widget-text-editor\" data-id=\"12a37bb\" 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 class=\"p1\"><b>STEP 1: Submit a short questionnaire<\/b><\/p><p class=\"p1\">Complete our interest questionnaire to help us learn a bit more about you. Your responses will help us guide you through the process.<\/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-2545366 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"2545366\" 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=\"#QUESTIONNAIRE\">\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\">START THE QUESTIONNAIRE<\/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<div class=\"elementor-element elementor-element-5dd7084 elementor-widget elementor-widget-text-editor\" data-id=\"5dd7084\" 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 class=\"p1\"><b>STEP 2: Onboarding<\/b><\/p><p class=\"p1\">After submitting the questionnaire, eligible participants will be invited to attend a live, virtual onboarding session to learn how to join the portal, contribute initial health-related information, and access the survey series.\u00a0<\/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-d76d7f4 elementor-widget elementor-widget-text-editor\" data-id=\"d76d7f4\" 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 class=\"p1\"><b>STEP 3: Complete the survey series<\/b><\/p><p class=\"p1\">Once onboarding is completed, participants can begin the survey series in the <a href=\"https:\/\/rare-x.org\/sleepconsortium\/\"><span class=\"s1\">DREAMS Portal<\/span><\/a>. Participants can expect the entire survey series to take about an hour, from account creation through completion of the essential survey set. A \u201csave and return\u201d feature allows participants to pause as needed and return when they\u2019re able. As a series, they are designed to assess the full-body impacts of these sleep disorders, with a special focus on brain fog.<\/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-3b4fb38 elementor-widget elementor-widget-heading\" data-id=\"3b4fb38\" 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\">Frequently Asked Questions<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e469044 elementor-widget elementor-widget-text-editor\" data-id=\"e469044\" 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 class=\"p1\"><i>For more information on data privacy and the RARE-X Data Collection Program in the <\/i><a href=\"https:\/\/rare-x.org\/sleepconsortium\/\"><span class=\"s1\"><i>DREAMS Portal<\/i><\/span><\/a><i>, please visit <\/i><a href=\"https:\/\/rare-x.org\/sleepconsortium\/\"><span class=\"s1\"><i>https:\/\/rare-x.org\/sleepconsortium\/<\/i><\/span><\/a><i> and review the full list of FAQs at the bottom of the page.<\/i><\/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-a2b0ec2 elementor-widget elementor-widget-accordion\" data-id=\"a2b0ec2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1701\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1701\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How long will it take to complete the survey series?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1701\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1701\"><p class=\"p1\">After creating your DREAMS Portal account, you\u2019ll immediately be prompted to complete a brief \u201cHead-to-Toe\u201d survey that inquires about effects on each body system. Account creation and the Head-to-Toe survey together take approximately 35 minutes. Based on your responses to the Head-to-Toe survey, you\u2019ll be assigned additional short surveys specific to the affected body system, which may take up to 5-15 minutes more, depending on your health history.<\/p><p class=\"p1\">Once those steps are complete, participants will take a core series of three short brain fog surveys, which together take about 15 minutes.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1702\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1702\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What is the DREAMS Portal?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1702\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1702\"><p class=\"p1\">The DREAMS Portal data repository is part of the RARE-X research program. RARE-X is a non-profit organization created by leaders in the fields of patient advocacy, medical research, biopharma, and technology. Its mission to accelerate diagnosis, disease understanding, and development of future treatments and cures across rare diseases aligns with Sleep Consortium\u2019s mission to accelerate next generation research, disease understanding and therapy development for those living with Central Disorders of Hypersomnolence (CDoH) and related diseases. Read more about the benefits of our partnership <a href=\"https:\/\/sleepconsortium.org\/benefits\/\"><span class=\"s1\">here<\/span><\/a>.<\/p><p class=\"p1\">In addition, our partnership with Rare-X provides the following services:<\/p><ul class=\"ul1\"><li style=\"list-style-type: none;\"><ul class=\"ul1\"><li class=\"li2\">Data governance and security (exceeding HIPAA standards)<\/li><li class=\"li2\">Legal support<\/li><li class=\"li2\">Inter-connection of data across multiple diseases<\/li><li class=\"li2\">Technical support and portal domain maintenance\/updates<\/li><\/ul><\/li><\/ul><p class=\"p1\">Sleep Consortium collects and stores health-related information (data) about patients with CDoH from patients and caregivers (not doctors). With your permission, your de-identified data will be shared with researchers and patient organizations associated with these conditions worldwide.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1703\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1703\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">I already have a DREAMS Portal account. Do I need to submit a questionnaire or get onboarded? <\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1703\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1703\"><p class=\"p1\">Yes. All participants are asked to follow the three participation steps outlined above, including completing the questionnaire and attending an onboarding session, even if they already have a DREAMS Portal account. The Illuminate Brain Fog survey series is new to the portal, and surveys will be completed in a specific order.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1704\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1704\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How will my data be used?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1704\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1704\"><p class=\"p1\">All participants will need to provide informed consent for RARE-X to share information about their survey progress as a part of the onboarding process. Your personally identifiable information (name and email) will be used solely for administrative purposes, including tracking survey progress.<\/p><p class=\"p1\">Maintaining your privacy is very important to us. Your name and other personal identifiers will be removed from the data and replaced with a unique code number before data is shared with researchers. Data is encrypted (scrambled) when stored for added security.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1705\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1705\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Who can I contact with questions about the initiative?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1705\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1705\"><p class=\"p1\">If you have any questions or need assistance with the survey series, please contact us at <a href=\"mailto:info@sleepconsortium.org\"><span class=\"s1\">info@sleepconsortium.org<\/span><\/a>.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c61335d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c61335d\" data-element_type=\"section\" data-e-type=\"section\" id=\"QUESTIONNAIRE\" 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-bbe31c5\" data-id=\"bbe31c5\" 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-537711b elementor-widget elementor-widget-heading\" data-id=\"537711b\" 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\">Questionnaire<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de70a9b uael-gf-check-yes uael-gf-ajax-true uael-gf-style-box uael-gf-input-size-sm uael-gf-enable-classes-no uael-gf-check-default-no uael-gf-button-left uael-gf-btn-size-sm elementor-widget elementor-widget-uael-gf-styler\" data-id=\"de70a9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"uael-gf-styler.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"uael-gf-style uael-gf-check-style elementor-clickable\">\n\t<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_6' ><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/pt\/wp-json\/wp\/v2\/pages\/4023' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_6_1\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Demographic info<\/h3><\/div><fieldset id=\"field_6_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/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_6_3'>\n                            \n                            <span id='input_6_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_6_3_3' value='' tabindex='2'  aria-required='true'     \/>\n                                                    <label for='input_6_3_3' class='gform-field-label gform-field-label--type-sub '>Primeiro<\/label>\n                                                <\/span>\n                            \n                            <span id='input_6_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_6_3_6' value='' tabindex='4'  aria-required='true'     \/>\n                                                    <label for='input_6_3_6' class='gform-field-label gform-field-label--type-sub '>\u00daltimo<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_6_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-two-thirds gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_4'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_6_4' type='email' value='' class='large' tabindex='6'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_6_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-two-thirds field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_18'>Sex\/gender<\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_6_18' class='large gfield_select' tabindex='7'    aria-invalid=\"false\" ><option value='---' >---<\/option><option value='Female' >Female<\/option><option value='Male' >Male<\/option><option value='Non-binary' >Non-binary<\/option><option value='None of these' >None of these<\/option><option value='Prefer not to answer' >Prefer not to answer<\/option><\/select><\/div><\/div><div id=\"field_6_6\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_6'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_6' id='input_6_6' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' tabindex='8'  placeholder='mm\/dd\/aaaa' aria-describedby=\"input_6_6_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_6_6_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_6' class='gform_hidden' value='https:\/\/sleepconsortium.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_6_7\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_7'>Age at onset of symptoms<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_7' id='input_6_7' type='number' step='any'   value='' class='large' tabindex='9'    aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_6_8\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_8'>Year of diagnosis<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_8' id='input_6_8' type='number' step='any'   value='' class='large' tabindex='10'    aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_6_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Which conditions have you ever been diagnosed with?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_10'>(Check all that apply)<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_10'><div class='gchoice gchoice_6_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Narcolepsy with cataplexy (NT1)'  id='choice_6_10_1' tabindex='11'  aria-describedby=\"gfield_description_6_10\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_1' id='label_6_10_1' class='gform-field-label gform-field-label--type-inline'>Narcolepsy with cataplexy (NT1)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='Narcolepsy without cataplexy (NT2)'  id='choice_6_10_2' tabindex='12'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_2' id='label_6_10_2' class='gform-field-label gform-field-label--type-inline'>Narcolepsy without cataplexy (NT2)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.3' type='checkbox'  value='Idiopathic Hypersomnia (IH)'  id='choice_6_10_3' tabindex='13'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_3' id='label_6_10_3' class='gform-field-label gform-field-label--type-inline'>Idiopathic Hypersomnia (IH)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_10_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.4' type='checkbox'  value='None of the above'  id='choice_6_10_4' tabindex='14'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_10_4' id='label_6_10_4' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Which condition do you consider to be the most appropriate diagnosis based on your lived experience?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_11'>Select one<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_11'>\n\t\t\t<div class='gchoice gchoice_6_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Narcolepsy with cataplexy (NT1)'  id='choice_6_11_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_6_11\" tabindex='15'  \/>\n\t\t\t\t\t<label for='choice_6_11_0' id='label_6_11_0' class='gform-field-label gform-field-label--type-inline'>Narcolepsy with cataplexy (NT1)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Narcolepsy without cataplexy (NT2)'  id='choice_6_11_1' onchange='gformToggleRadioOther( this )'  tabindex='16'  \/>\n\t\t\t\t\t<label for='choice_6_11_1' id='label_6_11_1' class='gform-field-label gform-field-label--type-inline'>Narcolepsy without cataplexy (NT2)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Idiopathic Hypersomnia (IH)'  id='choice_6_11_2' onchange='gformToggleRadioOther( this )'  tabindex='17'  \/>\n\t\t\t\t\t<label for='choice_6_11_2' id='label_6_11_2' class='gform-field-label gform-field-label--type-inline'>Idiopathic Hypersomnia (IH)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_11_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Unsure\/I don\u2019t know'  id='choice_6_11_3' onchange='gformToggleRadioOther( this )'  tabindex='18'  \/>\n\t\t\t\t\t<label for='choice_6_11_3' id='label_6_11_3' class='gform-field-label gform-field-label--type-inline'>Unsure\/I don\u2019t know<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_11_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='None of the above'  id='choice_6_11_4' onchange='gformToggleRadioOther( this )'  tabindex='19'  \/>\n\t\t\t\t\t<label for='choice_6_11_4' id='label_6_11_4' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_12\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What is your country of residence?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_country ginput_container_address gform-grid-row' id='input_6_12' >\n                        <input type='hidden' class='gform_hidden' name='input_12.4' id='input_6_12_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_6_12_6_container' >\n                                        <select name='input_12.6' id='input_6_12_6' tabindex='23'  aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afeganist\u00e3o' >Afeganist\u00e3o<\/option><option value='Alb\u00e2nia' >Alb\u00e2nia<\/option><option value='Alemanha' >Alemanha<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Ant\u00e1rtida' >Ant\u00e1rtida<\/option><option value='Ant\u00edgua e Barbuda' >Ant\u00edgua e Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Arg\u00e9lia' >Arg\u00e9lia<\/option><option value='Arm\u00e9nia' >Arm\u00e9nia<\/option><option value='Aruba' >Aruba<\/option><option value='Ar\u00e1bia Saudita' >Ar\u00e1bia Saudita<\/option><option value='Austr\u00e1lia' >Austr\u00e1lia<\/option><option value='Azerbeij\u00e3o' >Azerbeij\u00e3o<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermudas' >Bermudas<\/option><option value='Bielorr\u00fassia' >Bielorr\u00fassia<\/option><option value='Birm\u00e2nia' >Birm\u00e2nia<\/option><option value='Bol\u00edvia' >Bol\u00edvia<\/option><option value='Bonaire, Santo Eust\u00e1quio e Saba' >Bonaire, Santo Eust\u00e1quio e Saba<\/option><option value='Botsuana' >Botsuana<\/option><option value='Brasil' >Brasil<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulg\u00e1ria' >Bulg\u00e1ria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='But\u00e3o' >But\u00e3o<\/option><option value='B\u00e9lgica' >B\u00e9lgica<\/option><option value='B\u00f3snia e Hezergovina' >B\u00f3snia e Hezergovina<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Camar\u00f5es' >Camar\u00f5es<\/option><option value='Cambodja' >Cambodja<\/option><option value='Canad\u00e1' >Canad\u00e1<\/option><option value='Cazaquist\u00e3o' >Cazaquist\u00e3o<\/option><option value='Chade' >Chade<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Chipre' >Chipre<\/option><option value='Ch\u00e9quia' >Ch\u00e9quia<\/option><option value='Col\u00f4mbia' >Col\u00f4mbia<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Congo, Rep\u00fablica Democr\u00e1tica' >Congo, Rep\u00fablica Democr\u00e1tica<\/option><option value='Coreia, Rep\u00fablica Popular da' >Coreia, Rep\u00fablica Popular da<\/option><option value='Coreia, Rep\u00fablica da' >Coreia, Rep\u00fablica da<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Costa do Marfim' >Costa do Marfim<\/option><option value='Cro\u00e1cia' >Cro\u00e1cia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7\u00e3o' >Cura\u00e7\u00e3o<\/option><option value='Dinamarca' >Dinamarca<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Egito' >Egito<\/option><option value='El Salvador' >El Salvador<\/option><option value='Emirados \u00c1rabes Unidos' >Emirados \u00c1rabes Unidos<\/option><option value='Equador' >Equador<\/option><option value='Eritreia' >Eritreia<\/option><option value='Eslov\u00e1quia' >Eslov\u00e1quia<\/option><option value='Eslov\u00e9nia' >Eslov\u00e9nia<\/option><option value='Espanha' >Espanha<\/option><option value='Essuat\u00edni' >Essuat\u00edni<\/option><option value='Estado da Palestina' >Estado da Palestina<\/option><option value='Estados Unidos' >Estados Unidos<\/option><option value='Est\u00f3nia' >Est\u00f3nia<\/option><option value='Eti\u00f3pia' >Eti\u00f3pia<\/option><option value='Federa\u00e7\u00e3o Russa' >Federa\u00e7\u00e3o Russa<\/option><option value='Fiji' >Fiji<\/option><option value='Filipinas' >Filipinas<\/option><option value='Finl\u00e2ndia' >Finl\u00e2ndia<\/option><option value='Fran\u00e7a' >Fran\u00e7a<\/option><option value='Gab\u00e3o' >Gab\u00e3o<\/option><option value='Gana' >Gana<\/option><option value='Ge\u00f3rgia' >Ge\u00f3rgia<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Granada' >Granada<\/option><option value='Gronel\u00e2ndia' >Gronel\u00e2ndia<\/option><option value='Gr\u00e9cia' >Gr\u00e9cia<\/option><option value='Guadalupe' >Guadalupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guiana' >Guiana<\/option><option value='Guiana Francesa' >Guiana Francesa<\/option><option value='Guin\u00e9' >Guin\u00e9<\/option><option value='Guin\u00e9 Equatorial' >Guin\u00e9 Equatorial<\/option><option value='Guin\u00e9-Bissau' >Guin\u00e9-Bissau<\/option><option value='G\u00e2mbia' >G\u00e2mbia<\/option><option value='Haiti' >Haiti<\/option><option value='Holanda' >Holanda<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungria' >Hungria<\/option><option value='Ilha Bouvet' >Ilha Bouvet<\/option><option value='Ilha Heard e Ilhas McDonald' >Ilha Heard e Ilhas McDonald<\/option><option value='Ilha Norfolk' >Ilha Norfolk<\/option><option value='Ilha de Man' >Ilha de Man<\/option><option value='Ilha do Natal' >Ilha do Natal<\/option><option value='Ilhas Caim\u00e3o' >Ilhas Caim\u00e3o<\/option><option value='Ilhas Cocos' >Ilhas Cocos<\/option><option value='Ilhas Cook' >Ilhas Cook<\/option><option value='Ilhas Faro\u00e9' >Ilhas Faro\u00e9<\/option><option value='Ilhas Ge\u00f3rgia do Sul e Sandwich do Sul' >Ilhas Ge\u00f3rgia do Sul e Sandwich do Sul<\/option><option value='Ilhas Malvinas' >Ilhas Malvinas<\/option><option value='Ilhas Marianas do Norte' >Ilhas Marianas do Norte<\/option><option value='Ilhas Marshall' >Ilhas Marshall<\/option><option value='Ilhas Maur\u00edcias' >Ilhas Maur\u00edcias<\/option><option value='Ilhas Menores Afastadas dos Estados Unidos' >Ilhas Menores Afastadas dos Estados Unidos<\/option><option value='Ilhas Salom\u00e3o' >Ilhas Salom\u00e3o<\/option><option value='Ilhas Turcas e Caicos' >Ilhas Turcas e Caicos<\/option><option value='Ilhas Virgens Brit\u00e2nicas' >Ilhas Virgens Brit\u00e2nicas<\/option><option value='Ilhas Virgens, EUA' >Ilhas Virgens, EUA<\/option><option value='Ilhas de Alanda' >Ilhas de Alanda<\/option><option value='Indon\u00e9sia' >Indon\u00e9sia<\/option><option value='Iraque' >Iraque<\/option><option value='Irlanda' >Irlanda<\/option><option value='Ir\u00e3o' >Ir\u00e3o<\/option><option value='Isl\u00e2ndia' >Isl\u00e2ndia<\/option><option value='Israel' >Israel<\/option><option value='It\u00e1lia' >It\u00e1lia<\/option><option value='I\u00eamen' >I\u00eamen<\/option><option value='Jamaica' >Jamaica<\/option><option value='Jap\u00e3o' >Jap\u00e3o<\/option><option value='Jersey' >Jersey<\/option><option value='Jord\u00e2nia' >Jord\u00e2nia<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='Laos' >Laos<\/option><option value='Lesoto' >Lesoto<\/option><option value='Let\u00f3nia' >Let\u00f3nia<\/option><option value='Lib\u00e9ria' >Lib\u00e9ria<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Litu\u00e2nia' >Litu\u00e2nia<\/option><option value='Luxemburgo' >Luxemburgo<\/option><option value='L\u00edbano' >L\u00edbano<\/option><option value='L\u00edbia' >L\u00edbia<\/option><option value='Macau' >Macau<\/option><option value='Maced\u00f3nia do Norte' >Maced\u00f3nia do Norte<\/option><option value='Madag\u00e1scar' >Madag\u00e1scar<\/option><option value='Malawi' >Malawi<\/option><option value='Maldivas' >Maldivas<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Mal\u00e1sia' >Mal\u00e1sia<\/option><option value='Marrocos' >Marrocos<\/option><option value='Martinica' >Martinica<\/option><option value='Maurit\u00e2nia' >Maurit\u00e2nia<\/option><option value='Mayotte' >Mayotte<\/option><option value='Micron\u00e9sia' >Micron\u00e9sia<\/option><option value='Mold\u00e1via' >Mold\u00e1via<\/option><option value='Mong\u00f3lia' >Mong\u00f3lia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mo\u00e7ambique' >Mo\u00e7ambique<\/option><option value='M\u00e9xico' >M\u00e9xico<\/option><option value='M\u00f3naco' >M\u00f3naco<\/option><option value='Nam\u00edbia' >Nam\u00edbia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Nicar\u00e1gua' >Nicar\u00e1gua<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='Noruega' >Noruega<\/option><option value='Nova Caled\u00f3nia' >Nova Caled\u00f3nia<\/option><option value='Nova Zel\u00e2ndia' >Nova Zel\u00e2ndia<\/option><option value='N\u00edger' >N\u00edger<\/option><option value='Om\u00e3' >Om\u00e3<\/option><option value='Palau' >Palau<\/option><option value='Panam\u00e1' >Panam\u00e1<\/option><option value='Papua Nova Guin\u00e9' >Papua Nova Guin\u00e9<\/option><option value='Paquist\u00e3o' >Paquist\u00e3o<\/option><option value='Paraguai' >Paraguai<\/option><option value='Per\u00fa' >Per\u00fa<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Polin\u00e9sia francesa' >Polin\u00e9sia francesa<\/option><option value='Pol\u00f3nia' >Pol\u00f3nia<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='Qatar' >Qatar<\/option><option value='Quirguist\u00e3o' >Quirguist\u00e3o<\/option><option value='Qu\u00e9nia' >Qu\u00e9nia<\/option><option value='Reino Unido' >Reino Unido<\/option><option value='Rep\u00fablica Centro Africana' >Rep\u00fablica Centro Africana<\/option><option value='Rep\u00fablica Dominicana' >Rep\u00fablica Dominicana<\/option><option value='Reuni\u00e3o' >Reuni\u00e3o<\/option><option value='Rom\u00e9nia' >Rom\u00e9nia<\/option><option value='Ruanda' >Ruanda<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa Americana' >Samoa Americana<\/option><option value='Santa Helena, Ascens\u00e3o e Trist\u00e3o da Cunha' >Santa Helena, Ascens\u00e3o e Trist\u00e3o da Cunha<\/option><option value='Santa L\u00facia' >Santa L\u00facia<\/option><option value='Santa S\u00e9' >Santa S\u00e9<\/option><option value='Sara Ocidental' >Sara Ocidental<\/option><option value='Seicheles' >Seicheles<\/option><option value='Senegal' >Senegal<\/option><option value='Serra Leoa' >Serra Leoa<\/option><option value='Singapura' >Singapura<\/option><option value='Som\u00e1lia' >Som\u00e1lia<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sud\u00e3o' >Sud\u00e3o<\/option><option value='Sud\u00e3o do Sul' >Sud\u00e3o do Sul<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e9cia' >Su\u00e9cia<\/option><option value='Su\u00ed\u00e7a' >Su\u00ed\u00e7a<\/option><option value='Svalbard e Jan Mayen' >Svalbard e Jan Mayen<\/option><option value='S\u00e3o Bartolomeu' >S\u00e3o Bartolomeu<\/option><option value='S\u00e3o Crist\u00f3v\u00e3o e N\u00e9vis' >S\u00e3o Crist\u00f3v\u00e3o e N\u00e9vis<\/option><option value='S\u00e3o Marino' >S\u00e3o Marino<\/option><option value='S\u00e3o Martinho' >S\u00e3o Martinho<\/option><option value='S\u00e3o Pedro e Miguel\u00e3o' >S\u00e3o Pedro e Miguel\u00e3o<\/option><option value='S\u00e3o Tom\u00e9 e Pr\u00edncipe' >S\u00e3o Tom\u00e9 e Pr\u00edncipe<\/option><option value='S\u00e3o Vicente e Granadinas' >S\u00e3o Vicente e Granadinas<\/option><option value='S\u00e9rvia' >S\u00e9rvia<\/option><option value='S\u00edria, Rep\u00fablica \u00c1rabe' >S\u00edria, Rep\u00fablica \u00c1rabe<\/option><option value='Tadjiquist\u00e3o' >Tadjiquist\u00e3o<\/option><option value='Tail\u00e2ndia' >Tail\u00e2ndia<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tanz\u00e2nia, Rep\u00fablica Unida da' >Tanz\u00e2nia, Rep\u00fablica Unida da<\/option><option value='Terras Austrais e Ant\u00e1rticas Francesas' >Terras Austrais e Ant\u00e1rticas Francesas<\/option><option value='Territ\u00f3rio Brit\u00e2nico do Oceano \u00cdndico' >Territ\u00f3rio Brit\u00e2nico do Oceano \u00cdndico<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Toquelao' >Toquelao<\/option><option value='Trinidade e Tobago' >Trinidade e Tobago<\/option><option value='Tun\u00edsia' >Tun\u00edsia<\/option><option value='Turquemenist\u00e3o' >Turquemenist\u00e3o<\/option><option value='Turquia' >Turquia<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ucr\u00e2nia' >Ucr\u00e2nia<\/option><option value='Uganda' >Uganda<\/option><option value='Uruguai' >Uruguai<\/option><option value='Uzbequist\u00e3o' >Uzbequist\u00e3o<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietname' >Vietname<\/option><option value='Wallis e Futuna' >Wallis e Futuna<\/option><option value='Zimbabue' >Zimbabue<\/option><option value='Z\u00e2mbia' >Z\u00e2mbia<\/option><option value='\u00c1frica do Sul' >\u00c1frica do Sul<\/option><option value='\u00c1ustria' >\u00c1ustria<\/option><option value='\u00cdndia' >\u00cdndia<\/option><\/select>\n                                        <label for='input_6_12_6' id='input_6_12_6_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Pa\u00eds<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_6_13\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-seven-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_13'>In which time zone do you live?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_6_13' class='large gfield_select' tabindex='24'   aria-required=\"true\" aria-invalid=\"false\" ><option value='(GMT -12:00) Eniwetok, Kwajalein' >(GMT -12:00) Eniwetok, Kwajalein<\/option><option value='(GMT -11:00) Midway Island, Samoa' >(GMT -11:00) Midway Island, Samoa<\/option><option value='(GMT -10:00) Hawaii' >(GMT -10:00) Hawaii<\/option><option value='(GMT -9:00) Alaska' >(GMT -9:00) Alaska<\/option><option value='(GMT -8:00) Pacific Time (US &amp; Canada)' >(GMT -8:00) Pacific Time (US &amp; Canada)<\/option><option value='(GMT -7:00) Mountain Time (US &amp; Canada)' >(GMT -7:00) Mountain Time (US &amp; Canada)<\/option><option value='(GMT -6:00) Central Time (US &amp; Canada), Mexico City' >(GMT -6:00) Central Time (US &amp; Canada), Mexico City<\/option><option value='(GMT -5:00) Eastern Time (US &amp; Canada), New York, Bogota, Lima' selected='selected'>(GMT -5:00) Eastern Time (US &amp; Canada), New York, Bogota, Lima<\/option><option value='(GMT -4:00) Atlantic Time (Canada), Caracas, La Paz' >(GMT -4:00) Atlantic Time (Canada), Caracas, La Paz<\/option><option value='(GMT -3:30) Newfoundland' >(GMT -3:30) Newfoundland<\/option><option value='(GMT -3:00) Brazil, Buenos Aires, Georgetown' >(GMT -3:00) Brazil, Buenos Aires, Georgetown<\/option><option value='(GMT -2:00) Mid-Atlantic' >(GMT -2:00) Mid-Atlantic<\/option><option value='(GMT -1:00 hour) Azores, Cape Verde Islands' >(GMT -1:00 hour) Azores, Cape Verde Islands<\/option><option value='(GMT) Western Europe Time, London, Lisbon, Casablanca' >(GMT) Western Europe Time, London, Lisbon, Casablanca<\/option><option value='(GMT +1:00 hour) Brussels, Copenhagen, Madrid, Paris' >(GMT +1:00 hour) Brussels, Copenhagen, Madrid, Paris<\/option><option value='(GMT +2:00) Kaliningrad, South Africa' >(GMT +2:00) Kaliningrad, South Africa<\/option><option value='(GMT +3:00) Baghdad, Riyadh, Moscow, St. Petersburg' >(GMT +3:00) Baghdad, Riyadh, Moscow, St. Petersburg<\/option><option value='(GMT +3:30) Tehran' >(GMT +3:30) Tehran<\/option><option value='(GMT +4:00) Abu Dhabi, Muscat, Baku, Tbilisi' >(GMT +4:00) Abu Dhabi, Muscat, Baku, Tbilisi<\/option><option value='(GMT +4:30) Kabul' >(GMT +4:30) Kabul<\/option><option value='(GMT +5:00) Ekaterinburg, Islamabad, Karachi, Tashkent' >(GMT +5:00) Ekaterinburg, Islamabad, Karachi, Tashkent<\/option><option value='(GMT +5:30) Bombay, Calcutta, Madras, New Delhi' >(GMT +5:30) Bombay, Calcutta, Madras, New Delhi<\/option><option value='(GMT +5:45) Kathmandu' >(GMT +5:45) Kathmandu<\/option><option value='(GMT +6:00) Almaty, Dhaka, Colombo' >(GMT +6:00) Almaty, Dhaka, Colombo<\/option><option value='(GMT +7:00) Bangkok, Hanoi, Jakarta' >(GMT +7:00) Bangkok, Hanoi, Jakarta<\/option><option value='(GMT +8:00) Beijing, Perth, Singapore, Hong Kong' >(GMT +8:00) Beijing, Perth, Singapore, Hong Kong<\/option><option value='(GMT +9:00) Tokyo, Seoul, Osaka, Sapporo, Yakutsk' >(GMT +9:00) Tokyo, Seoul, Osaka, Sapporo, Yakutsk<\/option><option value='(GMT +9:30) Adelaide, Darwin' >(GMT +9:30) Adelaide, Darwin<\/option><option value='(GMT +10:00) Eastern Australia, Guam, Vladivostok' >(GMT +10:00) Eastern Australia, Guam, Vladivostok<\/option><option value='(GMT +11:00) Magadan, Solomon Islands, New Caledonia' >(GMT +11:00) Magadan, Solomon Islands, New Caledonia<\/option><option value='(GMT +12:00) Auckland, Wellington, Fiji, Kamchatka' >(GMT +12:00) Auckland, Wellington, Fiji, Kamchatka<\/option><\/select><\/div><\/div><div id=\"field_6_14\" class=\"gfield gfield--type-section gfield--input-type-section gsection fog-desc field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Brain fog<\/h3><div class='gsection_description' id='gfield_description_6_14'>Brain fog is a feeling that your thinking isn\u2019t as clear or sharp as usual. It can feel like your mind is slow, cloudy, or hard to focus. You might have trouble concentrating, remembering things, finding the right words, or keeping track of what you are doing.\n\nSome people describe it as:\n<ul style=\"padding: 15px 0 0 30px\"><li style=\"list-style-type: disc\">Thinking through mud or a fog<\/li>\n<li style=\"list-style-type: disc\">Losing your train of thought mid-sentence<\/li>\n<li style=\"list-style-type: disc\">Needing extra time to understand and respond<\/li>\n<li style=\"list-style-type: disc\">Forgetting simple things, like why you walked into a room<\/li><\/ul>\nIt deals with attention, memory, and mental clarity.<\/div><\/div><div id=\"field_6_15\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-seven-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_15'>How often do you experience brain fog?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_6_15' class='large gfield_select' tabindex='25'   aria-required=\"true\" aria-invalid=\"false\" ><option value='---' >---<\/option><option value='6-7 days per week on average' >6-7 days per week on average<\/option><option value='4-5 days per week on average' >4-5 days per week on average<\/option><option value='2-3 days per week on average' >2-3 days per week on average<\/option><option value='1 day per week on average' >1 day per week on average<\/option><\/select><\/div><\/div><div id=\"field_6_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-seven-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_16'>How long does your brain fog typically last?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_6_16' class='large gfield_select' tabindex='26'   aria-required=\"true\" aria-invalid=\"false\" ><option value='---' >---<\/option><option value='Less than 1 hour per day on average' >Less than 1 hour per day on average<\/option><option value='1-2 hours per day on average' >1-2 hours per day on average<\/option><option value='2-3 hours per week on average' >2-3 hours per week on average<\/option><option value='3-6 hours per day on average' >3-6 hours per day on average<\/option><option value='7-10 hours per day on average' >7-10 hours per day on average<\/option><option value='More than 10 hours per day on average' >More than 10 hours per day on average<\/option><\/select><\/div><\/div><fieldset id=\"field_6_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How much does brain fog affect your daily functioning?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obrigat\u00f3rio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_19'>Please consider not only your current day-to-day experience, but also any changes, coping strategies, or adjustments you have made because of your symptoms (for example: reducing activities, needing reminders, avoiding tasks, changing work\/school routines, or relying on extra support).<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_19'>\n\t\t\t<div class='gchoice gchoice_6_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Severe - Brain fog frequently limits my ability to work, study, manage responsibilities, socialize, or complete everyday tasks without significant support or adjustments.'  id='choice_6_19_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_6_19\" tabindex='27'  \/>\n\t\t\t\t\t<label for='choice_6_19_0' id='label_6_19_0' class='gform-field-label gform-field-label--type-inline'><b>Severe<\/b> - Brain fog frequently limits my ability to work, study, manage responsibilities, socialize, or complete everyday tasks without significant support or adjustments.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Moderate - Brain fog causes noticeable difficulties in daily life and I often need coping strategies, extra effort, or adjustments to function.'  id='choice_6_19_1' onchange='gformToggleRadioOther( this )'  tabindex='28'  \/>\n\t\t\t\t\t<label for='choice_6_19_1' id='label_6_19_1' class='gform-field-label gform-field-label--type-inline'><b>Moderate<\/b> - Brain fog causes noticeable difficulties in daily life and I often need coping strategies, extra effort, or adjustments to function.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_19_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Mild - Brain fog causes occasional or manageable difficulties, but I can usually complete daily activities without major changes.'  id='choice_6_19_2' onchange='gformToggleRadioOther( this )'  tabindex='29'  \/>\n\t\t\t\t\t<label for='choice_6_19_2' id='label_6_19_2' class='gform-field-label gform-field-label--type-inline'><b>Mild<\/b> - Brain fog causes occasional or manageable difficulties, but I can usually complete daily activities without major changes.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_19_3'>\n\t\t\t\t\t<input 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