bhl-forms 0.0.71 → 0.0.73

package/dist/forms/generalLegalPopUnder.es.js

@@ -3,7 +3,7 @@ function merge() {
 }
 
 function JALegalUrl(pageId) {
-  return 'https://justanswer.9pctbx.net/c/2880795/' + pageId + '/9320?sharedid=${properties.vid}'
+  return 'https://justanswer.9pctbx.net/c/2880795/' + pageId + '/9320?sharedid=${properties.vid}&subid1=${post_source}'
 }
 
 var TCPA_LANGUAGE = "By checking this box, I a) agree to the Terms of Use, and b) consent to be contacted by lawyers, lawyer networks, and partners of this website using live, autodialed, pre-recorded, or artificial voice calls, as well as text messages. Your consent is not required as a condition of purchasing any goods or services. To submit this request without this consent, call 878-213-4937.";
@@ -245,6 +245,31 @@ const legalCivilValueOverrideMap = {
   }
 };
 
+const bankruptcyInputMap = {
+  'Asbestos and Mesothelioma': ['bankruptcyCrossSell'],
+  'Child Custody and Support': ['bankruptcyCrossSell'],
+  'Civil Lawsuit': ['bankruptcyCrossSell'],
+  'Criminal and Felony': ['bankruptcyCrossSell'],
+  'Debt and Collections': ['bankruptcyCrossSell'],
+  'Divorce and Separation': ['bankruptcyCrossSell'],
+  'DUI and DWI': ['bankruptcyCrossSell'],
+  'Expungement': ['bankruptcyCrossSell'],
+  'Foreclosure': ['bankruptcyCrossSell'],
+  'Identity Theft': ['bankruptcyCrossSell'],
+  'Immigration and Visas': ['bankruptcyCrossSell'],
+  'Insurance': ['bankruptcyCrossSell'],
+  'Landlord and Tenant': ['bankruptcyCrossSell'],
+  'Lemon Law': ['bankruptcyCrossSell'],
+  'Long Term Disability': ['bankruptcyCrossSell'],
+  'Medical Malpractice': ['bankruptcyCrossSell'],
+  'Real Estate': ['bankruptcyCrossSell'],
+  'Tax and IRS': ['bankruptcyCrossSell'],
+  'Traffic and Tickets': ['bankruptcyCrossSell'],
+  'Unemployment': ['bankruptcyCrossSell'],
+  'Wrongful Termination': ['bankruptcyCrossSell'],
+  'Not Sure or Other': ['bankruptcyCrossSell']
+};
+
 // ------ Common Base Settings
 
 const checkbox = (updates) => {
@@ -533,6 +558,13 @@ const atFault = () => sbsYesNoRadio({
   label: 'Were You at Fault?'
 });
 
+const bankruptcyCrossSell = () => sbsCheckbox({
+  label: "I'd like a free consultation for bankruptcy and eliminating my debt",
+  name: 'CrossSell_Bankruptcy',
+  if: '$get(Degree_Of_Interest).value == "Absolutely Can\'t Afford" && $inputIsEnabled($get(form), $get(Type_Of_Legal_Problem).value, "bankruptcyCrossSell")',
+  validation: null
+});
+
 const bloodContentAlcholTest = () => sbsSelect({
   label: 'Blood Alcohol Content Measured by Test:',
   name: 'Blood_Alcohol_Content_Test',
@@ -669,7 +701,7 @@ const claimStatus = () => sbsSelect({
   ]
 });
 
-const comments$1 = (updates) => textArea(
+const comments = (updates) => textArea(
   merge({
     label: 'Please briefly describe your situation in a few words:',
     name: 'Comments',
@@ -2369,14 +2401,15 @@ function generalLegalTOLPAndZip(updates = {}) {
 const DEFAULT_COMMENTS_PLACEHOLDER = 'For Example: "I\'ve been involved in an auto accident" or "I need Power of Attorney"';
 const DEFAULT_COMMENTS_LABEL = 'Please briefly describe your legal issue in a few words:';
 
-function comments(updates = {}) {
+function commentsWithBankruptcy(updates = {}) {
   return step(
-    'comments',
+    'commentsWithBankruptcy',
     [
-      comments$1({
+      comments({
         label: updates.label || DEFAULT_COMMENTS_LABEL,
         placeholder: updates.placeholder || DEFAULT_COMMENTS_PLACEHOLDER
-      })
+      }),
+      bankruptcyCrossSell()
     ],
     updates.nextOnEnter
   )
@@ -2571,7 +2604,8 @@ const schema = [
       redirectMap: legalRedirectMap(),
       popUnder: '/thank-you',
       anchorElement: 'form-anchor',
-      valueOverrideMap: legalCivilValueOverrideMap
+      valueOverrideMap: legalCivilValueOverrideMap,
+      inputMap: bankruptcyInputMap
     }),
     children: [
       headline({
@@ -2591,7 +2625,7 @@ const schema = [
         children: [
           generalLegalTOLPAndZip(),
           generalLegalTOLPQuestions(),
-          comments({
+          commentsWithBankruptcy({
             nextOnEnter: false
           }),
           firstAndLast(),

package/dist/forms/generalLegalPopUnder.iife.js

@@ -1 +1 @@
-var generalLegalPopUnder=function(){"use strict";function e(){return Object.assign({},...arguments)}function a(e){return"https://justanswer.9pctbx.net/c/2880795/"+e+"/9320?sharedid=${properties.vid}"}const t={type:"form",id:"form",config:{validationVisibility:"submit"},onSubmit:'$submit("https://httpbin.org/post", $prepData, $handleRedirect)',plugins:"$plugins",actions:!1,prepop:{fromURL:!0},errorCodes:{403:"An Error Occurred",409:{abort:!1},429:"An Error Occurred"},formClass:"!t-max-w-[38rem]"};const i={type:"meta",data:{tcpaLanguage:"By checking this box, I a) agree to the Terms of Use, and b) consent to be contacted by lawyers, lawyer networks, and partners of this website using live, autodialed, pre-recorded, or artificial voice calls, as well as text messages. Your consent is not required as a condition of purchasing any goods or services. To submit this request without this consent, call 878-213-4937."}};const n={$el:"div",children:[{$el:"div",attrs:{id:"form-anchor",class:"t-absolute",style:{top:"-30px",left:0}}}],attrs:{class:"t-relative"}};const r={$el:"h1",attrs:{class:"t-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3"}};const o={$el:"h3",attrs:{class:"t-flex t-justify-center t-text-center !t-text-base t-font-medium t-text-blue-500 t-px-10"}};const l={$el:"div",if:"$activeStep === $lastStep()",attrs:{class:"t-flex t-justify-center"},children:[{$el:"img",attrs:{loading:"lazy",alt:"",style:{border:0},src:"https://d27hmee62k45vz.cloudfront.net/form-secure-privacy.png",width:"320",height:"100"}}]};function s(a){return e(l,a)}const d={"properties.Type_Of_Legal_Problem":{Adoption:a("565949"),Bankruptcy:a("1147978"),"Child Custody and Support":a("565949"),"Civil Lawsuit":a("897042"),"Consumer Lawyers":a("897042"),"Criminal and Felony":a("897012"),"Debt and Collections":a("1147978"),"Divorce and Separation":a("966410"),"DUI and DWI":a("897012"),"Elder Law":a("565949"),"Employment and Workplace":a("897014"),Expungement:a("897012"),Foreclosure:a("565923"),Guardianship:a("565949"),"Landlord and Tenant":a("1315025"),"Power of Attorney":a("1097602"),"Probate and Estates":a("1097602"),"Product Liability":a("897042"),"Property Damage":a("897042"),"Real Estate":a("565923"),"Social Security Disability and Insurance":a("897033"),"Tax and IRS":a("1147978"),"Traffic and Tickets":a("808601"),Unemployment:a("897014"),"Victim of a Crime":a("897012"),"Wills and Trusts":a("1097602"),"Workers Compensation":a("897014"),"Wrongful Termination":a("897014")},"*":a("808601")};const u=a=>e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},a),m=a=>e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},a),c=e=>(e.legendClass="legend-left required",e.fieldsetClass="$reset side-by-side",e.optionsClass="t-pl-1",e.innerClass="t-flex t-items-center",e.wrapperClass="t-mb-3",m(e)),p=e=>(e.legendClass="legend-left-flex md:t-max-w-[40%] required",e.fieldsetClass="$reset side-by-side-flex",e.optionsClass="md:t-ml-4 md:t-mt-2 t-grid t-grid-cols-1 md:t-grid-cols-2-125",e.innerClass="t-flex t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",m(e)),h=e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$reset side-by-side t-items-center",e.optionsClass="t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center",e.innerClass="t-flex t-items-center",e.optionClass="t-pr-1",m(e)),f=e=>(e.options=["Yes","No"],h(e)),y=a=>(a.labelClass="required",a.wrapperClass="side-by-side t-items-center",a.innerClass="select-height-content",a.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",(a=>e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},a))(a)),g=a=>(a.wrapperClass="side-by-side t-items-center",(a=>e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},a))(a)),_=a=>(a.wrapperClass="side-by-side t-items-center",(a=>e({$formkit:"DatePicker",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required t-block t-mb-3 t-font-semibold t-text-base formkit-invalid:t-text-red-500",innerClass:"t-border t-border-gray-400 formkit-invalid:t-border-red-500 t-rounded t-mb-1 focus-within:t-border-blue-500"},a))(a)),b=()=>y({label:"Age of Applicant?",name:"Applicant_Age",options:["18","19","20","21","22","23","24","25","26","27","28","29","30","31","32","33","34","35","36","37","38","39","40","41","42","43","44","45","46","47","48","49","50","51","52","53","54","55","56","57","58","59","60","61","62","63","64","65"]}),v=()=>f({name:"At_Fault",label:"Were You at Fault?"}),C=a=>h(e({name:"Civil_Defense",id:"Civil_Defense",if:'$get(Type_Of_Legal_Problem).value == "Civil Lawsuit"',label:"Do You Need Representation to File a Lawsuit or Defend One?",options:{Yes:"Defend a Lawsuit",No:"File a Lawsuit"}},a)),P=a=>(e=>(e.legendClass="required",e.fieldsetClass="$reset",e.optionsClass="t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",m(e)))(e({name:"Type_Of_Legal_Problem_Display",if:'$get(Type_Of_Legal_Problem).value == "Civil Lawsuit" && $get(Civil_Defense).value == "No"',label:"Select The Type of Lawsuit You Would Like to File:",options:["Automobile Accident","Contract Disputes","Defamation and Slander","Dog Bite","Employment and Workplace","Fraud","Medical Malpractice","Personal Injury","Property Damage","Small Claims","Real Estate","Other (describe on next page)"]},a)),L=()=>y({label:"Status of Claim:",name:"Claim_Status",options:["No action taken yet","Demand for compensation made","Lawsuit filed","Other"]}),T=a=>(a=>e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},a))(e({label:"Please briefly describe your situation in a few words:",name:"Comments",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"'},a)),$=()=>_({label:"When was the Alleged Crime?",name:"Crime_Committed_Date"}),A=e=>y({label:"How Likely Are You to Pay if Your Issue Could be Resolved?",id:"Degree_Of_Interest",name:"Degree_Of_Interest",help:e,options:["Definitely","Probably","Maybe","Absolutely Can't Afford"]}),O=()=>A("No payment necessary to speak with lawyers."),D=()=>f({name:"Doctor_Treatment",label:"Have You Recently Been Treated by a Doctor, Hospital or Clinic?"}),S=()=>y({label:"The Employer Is a:",name:"Employer_Type",options:["Sole proprietorship (mom and pop)","Partnership","Franchise","Privately held company","Public corporation","Government Agency","Don't know"]}),I=()=>y({label:"Legal Services Needed for Your Estate:",name:"Estate_Legal_Services_Needed",options:["Charitable Giving","Contested Wills","Drafting Wills or Trust","Estate Administration","Asset Protection","Other"]}),x=a=>y(e({label:"Type of Help Needed:",name:"Type_Of_Legal_Problem",id:"Type_Of_Legal_Problem",options:["Adoption","Asbestos and Mesothelioma","Auto and Car Accidents","Bankruptcy","Birth Certificate and Name Change","Business Lawyers","Child Custody and Support","Civil Rights and Discrimination","Civil Lawsuit","Consumer Lawyers","Copyrights and Trademarks","Criminal and Felony","Debt and Collections","Divorce and Separation","DUI and DWI","Elder Law","Employment and Workplace","Expungement","Family Issues","Foreclosure","Guardianship","Harassment and Discrimination","Identity Theft","Immigration and Visas","Insurance","Landlord and Tenant","Lemon Law","Long Term Disability","Medical Malpractice","Nursing Home Abuse","Patents and Intellectual Property","Personal Injury","Power of Attorney","Probate and Estates","Product Liability","Property Damage","Real Estate","Social Security Disability and Insurance","Tax and IRS","Traffic and Tickets","Unemployment","Vaccination Injury","Veteran's Disability","Victim of a Crime","Wills and Trusts","Workers Compensation","Wrongful Death","Wrongful Termination","Not Sure or Other"]},a)),w=()=>f({name:"Have_Attorney",label:"Are You Currently Working with An Attorney?"}),k=()=>f({name:"Have_Children",label:"Do You Have Children?"}),M=()=>_({label:"Date of Incident:",name:"Incident_Date"}),E=()=>y({label:"The Other Party is a:",name:"Lawsuit_Other_Party",options:["Individual","Small Business","Large Corporation","Government Entity"]}),B=()=>y({label:"How Will You Pay for Legal Fees if You Hire a Lawyer?",name:"Lawyer_Payment_Method",help:"No payment necessary to speak with lawyers.",options:["Cash","Check","Credit Card","Friend","Family","Other"]}),R=()=>y({label:"Marital Status:",name:"Marital_Status",options:["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"]}),N=()=>y({label:"Total Employees of Business? (estimated)",name:"Num_Employees_Of_Business",options:["1-5","6-20","21-50","51-100","101-500","501-1,000","More than 1,000"]}),W=()=>f({name:"Own_Real_Estate",label:"Do You Own Real Estate?"}),F=()=>f({name:"Pending_Charges",label:"Do you currently have any pending charges?"}),q=()=>p({label:"Primary Injury:",name:"Primary_Injury",options:["Anxiety","Back or Neck Pain","Broken Bones","Cuts and Bruises","Headaches","Memory Loss","Loss of Limb","Other (describe on next page)"]}),Q=()=>y({label:"Area of Real Estate:",name:"Real_Estate_Area",options:["Condos and Coops","Construction Disputes","Purchase/Sale Contract","Refinancing Agreement","Title and Boundary Disputes","Zoning, Planning and Land Use","Property Deeds and Transfers","Liens","Other"]}),K=()=>c({label:"What is Your Role in this Matter?",name:"Role_In_Matter_Criminal",options:["I have been accused","I am acting on behalf of someone who has been accused","Other"]}),H=()=>y({label:"What Is Your Role in this Matter?",name:"Role_In_Matter_Probate",options:["Preparing My Will","Executor","Heir","Other"]}),Y=()=>y({label:"Total Debt?",name:"Total_Debt",options:["Less than 5K","5K to 10K","10K to 20K","20K to 50K","More than 50K"]}),V=()=>y({label:"Total Monthly Income?",name:"Total_Monthly_Income",options:["Less than 1K","1K to 2K","2K to 3K","3K to 4K","4K to 5K","5K to 7K","7K to 10K","10K to 15K","More than 15K"]}),j=()=>{return(e={label:"Type of Assets:",name:"Type_Of_Assets",options:["Business Interests","Cash","Life Insurance Policies","Pensions/Retirement","Personal Possessions","Property","Stock/Bonds"]}).legendClass="required",e.fieldsetClass="$reset",e.optionsClass="t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",u(e);var e},U=()=>y({label:"Value of Your Assets?",name:"Value_Of_Assets",options:["Less than 50K","50K to 100K","100K to 250K","250K to 500K","500K to 1M","More than 1M"]}),G=()=>{return(e={label:"What Service Connected Conditions Does the Applicant Have? (select all that apply)",name:"Veterans_Disability_Conditions",options:["Traumatic Physical Injury (broken bones, loss of limb)","Mental Injury","Occupational Disease","Repeated Trauma Injury","Other"]}).legendClass="legend-left required",e.fieldsetClass="$reset side-by-side",e.optionsClass="t-pl-1",e.innerClass="t-flex t-items-center",e.wrapperClass="t-mb-3",u(e);var e},z=()=>c({label:"I Would Like a Lawyer to:",name:"Would_Like_Lawyer_To",options:["Give me general advice to protect my interests","Act as my agent in the transaction","Assist me in the remaining stages of the transaction","Bring a lawsuit against another party","Defend against a lawsuit filed by another party","Other"]}),Z=(a,t)=>e({$cmp:"FormKit",props:{type:"group",key:a,id:a,name:a}},t),J=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,X=e=>{if(J(e))return e;for(var a=e.children.length-1;a>=0;a--){const t=e.children[a];if(J(t))return t;const i=X(t);if(i)return i}return null};function ee(a,t,i=!0){if(void 0===i&&(i=!0),t&&t.length&&i){X(t[t.length-1]).onKeypress="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}return e((e=>({$el:"section",if:'$stepIsEnabled("'+e+'")',attrs:{style:{if:'$activeStep !== "'+e+'"',then:"display: none;"}}}))(a),{children:[{$formkit:"group",id:a,name:a,children:t}]})}const ae=[e(i,te),function(a){return e(n,a)}(),{$cmp:"FormKit",props:function(a){return e(t,a)}({formId:"generalLegalPopUnder",onSubmit:"$submit($submitUrl, $prepData, $handleRedirect)",redirectMap:function(a){return e(d,a)}(),popUnder:"/thank-you",anchorElement:"form-anchor",valueOverrideMap:{Civil_Defense:{Yes:{Type_Of_Legal_Problem:"Civil Lawsuit"}},Type_Of_Legal_Problem_Display:{"Automobile Accident":{Type_Of_Legal_Problem:"Auto and Car Accidents"},"Contract Disputes":{Type_Of_Legal_Problem:"Consumer Lawyers"},"Defamation and Slander":{Type_Of_Legal_Problem:"Consumer Lawyers"},"Dog Bite":{Type_Of_Legal_Problem:"Personal Injury"},"Employment and Workplace":{Type_Of_Legal_Problem:"Employment and Workplace"},Fraud:{Type_Of_Legal_Problem:"Consumer Lawyers"},"Medical Malpractice":{Type_Of_Legal_Problem:"Medical Malpractice"},"Personal Injury":{Type_Of_Legal_Problem:"Personal Injury"},"Property Damage":{Type_Of_Legal_Problem:"Property Damage"},"Small Claims":{Type_Of_Legal_Problem:"Consumer Lawyers"},"Real Estate":{Type_Of_Legal_Problem:"Real Estate"},"Other (describe on next page)":{Type_Of_Legal_Problem:"Not Sure or Other"}}}}),children:[function(a){return e(r,a)}({children:"Need Legal Help? Start Here!",if:"$activeStep === $firstStep()"}),function(a){return e(o,a)}({children:"Get Your Questions Answered Today!",if:"$activeStep === $firstStep()"}),{$formkit:"hidden",name:"vertical",value:"Legal"},{$formkit:"hidden",name:"TCPA_Language",value:"$meta.tcpaLanguage"},{$formkit:"hidden",name:"gclid",value:null},{$formkit:"hidden",name:"campaignid",value:null},{$formkit:"hidden",name:"s",value:null},{$el:"div",attrs:{class:"form-body"},children:[function(e={}){return ee("generalLegalTOLPAndZip",[x(),C(),P(),g({label:"Zip Code:",placeholder:"#####",name:"Zip",maxlength:5,inputmode:"numeric",autocomplete:"postal-code",validation:"required|matches:/^[0-9]{5}$/",validationMessages:{required:"Zip Code is required",matches:"Invalid Zip Code"}})],e.nextOnEnter)}(),function(e={}){return ee("TOLPQuestions",[{$el:"h3",children:"Please Complete the Following:",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}},Z("AdoptionQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Adoption"',children:[w(),R(),k(),A(),B()]}),Z("AsbestosAndMesotheliomaQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Asbestos and Mesothelioma"',children:[M(),D()]}),Z("AutoAndCarAccidentsQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Auto and Car Accidents"',children:[w(),M(),v(),q(),D(),f({name:"Police_Report_Filed",label:"Was a Police Report Filed?"})]}),Z("BankruptcyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Bankruptcy"',children:[w(),V(),Y(),W(),U(),O()]}),Z("BirthCertificateAndNameChangeQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Birth Certificate and Name Change"',children:[w(),O()]}),Z("BusinessLawyersQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Business Lawyers"',children:[w(),y({label:"Legal Services Needed for Your Business:",name:"Business_Services",options:["Business Formation","Contracts","Insurance and Liability","Mergers and Acquisition","Regulatory Compliance","Employee Dispute","Other"]}),p({label:"Is the Business Public or Private?",name:"Business_Type",options:["Public","Private"]}),N(),O()]}),Z("ChildCustodyAndSupportQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Custody and Support"',children:[w(),y({label:"Your Relationship to Child(ren):",name:"Child_Relationship",options:["Father","Mother","Grandparent","Aunt/Uncle","Other"]}),y({label:"With Whom Do the Children Currently Live?",name:"Child_Home",options:["Mother","Father","Grandparents","Other"]}),y({label:"Who is the Primary Caregiver?",name:"Child_Primary_Caregiver",options:["Mother","Father","Other"]}),A(),B()]}),Z("CivilRightsAndDiscriminationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Civil Rights and Discrimination"',children:[w(),O()]}),Z("CivilLawsuitQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Civil Lawsuit"',children:[w(),M(),E(),O()]}),Z("ConsumerLawyersQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Consumer Lawyers"',children:[w(),M(),E(),O()]}),Z("CopyrightsAndTrademarksQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Copyrights and Trademarks"',children:[w(),O()]}),Z("CriminalAndFelonyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Criminal and Felony"',children:[w(),$(),K(),F(),A(),B()]}),Z("DebtAndCollectionsQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Debt and Collections"',children:[w(),V(),Y(),W(),U(),O()]}),Z("DivorceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Divorce and Separation"',children:[w(),R(),k(),A(),B()]}),Z("DUIAndDWIQuestions",{if:'$get(Type_Of_Legal_Problem).value == "DUI and DWI"',children:[w(),M(),f({name:"Prior_Alcohol_Offenses",label:"Any Prior Alcohol Related Offenses?"}),y({label:"Type of Alcohol Test Performed?",name:"Type_Of_Alcohol_Test",options:["No Test","Refused Test","Breath Test","Blood Test","Urine Test","Don't Know"]}),y({label:"Blood Alcohol Content Measured by Test:",name:"Blood_Alcohol_Content_Test",options:["No Test","0.00% - 0.04%","0.05% - 0.08%","0.09% - 0.12%","0.13% - 0.16%","0.17% - 0.20%","More than 0.20%","Don't know"]}),F(),O()]}),Z("ElderLawQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Elder Law"',children:[w(),O()]}),Z("EmploymentAndWorkplaceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Employment and Workplace"',children:[w(),N(),S(),A(),B()]}),Z("ExpungementQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Expungement"',children:[w(),M(),y({label:"What Type of Charge?",name:"Criminal_Charge_Type",options:["Felony","Misdemeanor","Juvenile","Other"]}),A(),B()]}),Z("FamilyIssuesQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Family Issues"',children:[w(),R(),k(),A(),B()]}),Z("ForeclosureQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Foreclosure"',children:[w(),W(),y({label:"Type of Property:",name:"Type_Of_Property",options:["Residential","Commercial","Industrial","Agricultural","Recreational","Other"]}),y({label:"Total Amount of Payments that are 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Please verify your contact information.",attrs:{class:"t-flex t-justify-center t-text-center t-text-lg t-font-bold t-pb-5 t-pt-0 t-px-3"}},b({$formkit:"email",name:"Email",label:"Email Address:",placeholder:"email@domain.com",autocomplete:"email",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"}}),b({$formkit:"tel",name:"Primary_Phone",label:"Phone Number:",placeholder:"xxx-xxx-xxxx",maxlength:12,help:"10-digit phone number, hyphens optional",autocomplete:"tel-national",validation:"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/",validationMessages:{required:"Field is required",matches:"Invalid Phone Number, use xxx-xxx-xxxx format"},helpClass:"t-mt-2.5 md:t-text-right md:t-mt-[-2px]"}),{$formkit:"checkbox",label:"$meta.tcpaLanguage",name:"TCPA_Opt_In",validation:"required|accepted",validationMessages:{required:"Consent is required",accepted:"Consent is required"},classes:{label:"t-text-xs t-text-slate-500 t-font-normal"}},s()],e.nextOnEnter)}({nextOnEnter:!1}),{$el:"div",attrs:{class:"step-nav"},children:[{$formkit:"button",name:"back_button",onClick:"$setPreviousStep($scrollAnchor($get(form)))",children:"Back",style:{if:"$activeStep === $firstStep()",then:"visibility: hidden;"}},{$formkit:"button",name:"next_button",onClick:"$setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form)))",children:"Next",style:{if:"$activeStep === $lastStep()",then:"display: none;"}},{$formkit:"submit",name:"submit_button",label:"Submit",if:"$activeStep === $lastStep()",style:{if:"$activeStep !== $lastStep()",then:"display: none;"}}]},{$el:"pre",if:'$urlParam("fdbg", "") == 1',children:[{$el:"pre",children:"$stringify( $get(form).value )",attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["activeStep: ","$activeStep"],attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["stepHistory: ","$stepHistory"],attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["stepQueue: ","$stepQueue"],attrs:{class:"t-text-xs",style:"overflow: scroll"}}]}]}]}];var te;return ae}();