bhl-forms 0.11.14 → 0.11.16

package/dist/forms/ssdi.es.js

@@ -27,29 +27,6 @@ const ensureIds = (cfg) => {
   return cfg
 };
 
-const checkbox = (updates) => {
-  ensureIds(updates);
-  return merge(
-    {
-      $formkit: "checkbox",
-      validation: "required",
-      validationMessages: {
-        required: "Field is required",
-      },
-    },
-    updates
-  )
-};
-
-const sbsCheckbox = (updates) => {
-  updates.legendClass = "legend-left required";
-  updates.fieldsetClass = "$reset side-by-side";
-  updates.optionsClass = "t-pl-1";
-  updates.innerClass = "t-flex t-items-center";
-  updates.wrapperClass = "t-mb-3";
-  return checkbox(updates)
-};
-
 const radio = (updates) => {
   ensureIds(updates);
   return merge(
@@ -147,14 +124,11 @@ const textArea = (updates) => {
   )
 };
 
-const email = (scope, vertical, updates = {}) => {
-  const func = vertical ? verticalText : sbsText;
-  const label = vertical ? updates.label : "Email Address:";
-  return func({
-    $formkit: "email",
+const emailFL = (scope, updates = {}) => {
+  return text({
+    $formkit: "FloatingLabelText",
     name: scope ? scope + ":" + "Email" : "Email",
-    label,
-    placeholder: "email@domain.com",
+    placeholder: "Email Address",
     autocomplete: "email",
     "data-tf-sensitive": "false",
     validation: "required|email",
@@ -162,59 +136,72 @@ const email = (scope, vertical, updates = {}) => {
       required: "Email is required",
       email: "Invalid Email",
     },
+    inputClass: "t-text-center",
+    wrapperClass: "t-flex t-justify-center",
     ...updates,
   })
 };
 
-const firstName = (scope, vertical, updates = {}) => {
-  const func = vertical ? verticalText : sbsText;
-  const label = vertical ? updates.label : "First Name:";
-  return func({
-    label,
+const firstNameFL = (scope, updates = {}) => {
+  return text({
+    $formkit: "FloatingLabelText",
     placeholder: "First Name",
     name: scope ? scope + ":" + "First_Name" : "First_Name",
     autocomplete: "given-name",
     validationMessages: {
       required: "First Name is required",
     },
+    inputClass: "t-text-center",
     ...updates,
   })
 };
 
-const lastName = (scope, vertical, updates = {}) => {
-  const func = vertical ? verticalText : sbsText;
-  const label = vertical ? updates.label : "Last Name:";
-  return func({
-    label,
+const lastNameFL = (scope, updates = {}) => {
+  return text({
+    $formkit: "FloatingLabelText",
     placeholder: "Last Name",
     name: scope ? scope + ":" + "Last_Name" : "Last_Name",
     autocomplete: "family-name",
     validationMessages: {
       required: "Last Name is required",
     },
+    inputClass: "t-text-center",
     ...updates,
   })
 };
 
-const phone = (scope, vertical, updates = {}) => {
-  const func = vertical ? verticalText : sbsText;
-  const label = vertical ? updates.label : "Phone Number:";
-  return func({
-    $formkit: "tel",
+const fullNameFLMobileCol = (scope, updates = {}) => {
+  return {
+    $el: "div",
+    attrs: {
+      class: "t-flex t-flex-col sm:t-flex-row t-flex-wrap t-gap-x-[2%] t-justify-center  sm:!t-max-w-[70%]",
+    },
+    children: [
+      firstNameFL(scope, { outerClass: "sm:!t-max-w-[49%]", ...updates }),
+      lastNameFL(scope, { outerClass: "sm:!t-max-w-[49%]", ...updates }),
+    ],
+  }
+};
+
+const phoneFL = (scope, updates = {}) => {
+  return text({
+    $formkit: "FloatingLabelText",
+    datatype: "tel",
     name: scope ? scope + ":" + "Primary_Phone" : "Primary_Phone",
-    label,
-    placeholder: updates.placeholder || "###-###-####",
-    maxlength: 12,
-    help: updates.help || "10-digit phone number, hyphens optional",
+    placeholder: updates.placeholder || "Phone Number",
+    maxlength: 14,
+    help: updates.help || null,
     autocomplete: "tel-national",
     "data-tf-sensitive": "false",
-    validation: "required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|valid_phone",
+    validation: "required|matches:/^[0-9]{3}[0-9]{3}[0-9]{4}$/|valid_phone",
     validationMessages: {
       required: "Phone Number is required",
-      matches: "Invalid Phone Format, use ###-###-####",
+      matches: "Invalid Phone Format, use (XXX) YYY-ZZZZ",
       valid_phone: "Invalid Phone Number",
     },
     helpClass: "t-mt-2.5 md:t-text-right md:t-mt-[-2px]",
+    inputClass: "t-text-center",
+    wrapperClass: "t-flex t-justify-center",
     ...updates,
   })
 };
@@ -263,17 +250,6 @@ const applicantAge = (scope, vertical, updates = {}) => {
   )
 };
 
-const bankruptcyCrossSell = (scope) =>
-  sbsCheckbox({
-    label: "I'd also like a consult for bankruptcy or debt elimination (optional)",
-    help: "Note: you will be contacted separately by a bankruptcy/debt expert",
-    name: scope ? scope + ":CrossSell_Bankruptcy" : "CrossSell_Bankruptcy",
-    id: scope ? scope + ":CrossSell_Bankruptcy" : "CrossSell_Bankruptcy",
-    if: '$getVal($get(form), "Type_Of_Legal_Problem") != "Bankruptcy" && ($getVal($get(form), "Degree_Of_Interest") == "Absolutely Can\'t Afford" || $getVal($get(form), "Degree_Of_Interest") == "Maybe" || $getVal($get(form), "Degree_Of_Interest") == "Probably")',
-    validation: null,
-    helpClass: "!t-text-sm",
-  });
-
 // TODO: vertical not supported yet
 const comments = (scope, vertical, updates) =>
   textArea(
@@ -447,6 +423,24 @@ function secureIcon(updates = {}) {
   return merge(secureIconDefault, updates)
 }
 
+function secureIconStandalone(updates = {}) {
+  return {
+    if: "$activeStep === $lastStep()",
+    style: {
+      if: "$activeStep !== $lastStep()",
+      then: "display: none;",
+    },
+    children: [
+      secureIcon({
+        attrs: {
+          class: "t-flex t-justify-center t-items-center t-text-sm t-text-gray-500 t-pb-6 sm:t-pb-8",
+        },
+        ...updates,
+      }),
+    ],
+  }
+}
+
 function verticalStepHeadline(updates) {
   return {
     $el: "h3",
@@ -473,13 +467,6 @@ function commentsStepHeadline(updates) {
   }
 }
 
-function commentsStepHeadlineLegal(updates) {
-  return commentsStepHeadline({
-    headline: updates.headline || "Additional Case Details",
-    headlineClass: updates.headlineClass,
-  })
-}
-
 function firstAndLastStepHeadline(updates) {
   return {
     $el: "h3",
@@ -589,55 +576,75 @@ function step(name, inputs, updates = {}) {
   })
 }
 
-function commentsWithBankruptcy(updates = {}) {
+function commentsLegal(updates = {}) {
+  const mergedUpdates = { ...updates, nextOnEnter: false };
+
   return step(
-    "commentsWithBankruptcy",
+    "comments",
     [
-      commentsStepHeadlineLegal(updates),
+      commentsStepHeadline(updates),
       comments(updates.scope, false, {
         label: typeof updates.label === "undefined" ? DEFAULT_COMMENTS_LABEL_LEGAL : updates.label,
         placeholder: updates.placeholder || DEFAULT_COMMENTS_PLACEHOLDER_DYNAMIC_LEGAL,
         // TODO: this is a mess
         inputClass: typeof updates.inputClass === "undefined" ? "!t-h-32" : updates.inputClass,
+        innerClass: typeof updates.innerClass === "undefined" ? "t-max-w-xl" : updates.innerClass,
+        wrapperClass: typeof updates.wrapperClass === "undefined" ? undefined : updates.wrapperClass,
       }),
-      // TODO: needs scope support
-      bankruptcyCrossSell(),
-      {
-        $el: "div",
-        if: "$get(CrossSell_Bankruptcy).value == true",
-        children: [
-          comments("CrossSell:Bankruptcy", false, {
-            label: "Bankruptcy or debt details:",
-            placeholder: "Please describe your bankrtupcy or debt situation in a few words...",
-            inputClass: "!t-h-16",
-          }),
-        ],
-      },
     ],
-    { nextOnEnter: false }
+    mergedUpdates
   )
 }
 
-function contactInfo(updates = {}) {
+function contactInfoV2(updates = {}) {
   return step(
     "contactInfo",
     [
       contactStepHeadline(updates),
       contactStepSubHeadline(updates),
       trustedFormScript(),
-      email(updates.scope),
-      phone(updates.scope),
-      TCPAConsent(updates.scope),
-      secureIcon(),
+      {
+        $el: "div",
+        attrs: {
+          class: "t-flex t-flex-col t-justify-center t-items-center",
+        },
+        children: [
+          emailFL(updates.scope, {
+            outerClass: "!t-max-w-[95%] !t-w-[96%] sm:!t-w-[70%]",
+            innerClass: "!t-w-[98%] !t-max-w-[98%] sm:!t-w-[100%] sm:!t-max-w-[100%]",
+          }),
+          phoneFL(updates.scope, {
+            outerClass: "!t-max-w-[95%] !t-w-[96%] sm:!t-w-[70%]",
+            innerClass: "!t-w-[98%] !t-max-w-[98%] sm:!t-w-[100%] sm:!t-max-w-[100%]",
+          }),
+        ],
+      },
+      TCPAConsent(updates.scope, {
+        outerClass: "!t-flex !t-flex-col !t-justify-center !t-items-center",
+        wrapperClass: "t-w-[95%] sm:t-w-[80%]",
+        messagesClass: "t-w-[95%] sm:t-w-[80%]",
+      }),
     ],
     { nextOnEnter: false }
   )
 }
 
-function firstAndLastV2(updates = {}) {
+function firstAndLastV4(updates = {}) {
   return step(
     "firstAndLast",
-    [firstAndLastStepHeadline(updates), firstName(updates.scope), lastName(updates.scope)],
+    [
+      firstAndLastStepHeadline({
+        headline: updates.headline ?? "Who is looking for help?",
+        headlineClass: updates.headlineClass,
+      }),
+      {
+        $el: "div",
+        attrs: {
+          class: "t-flex t-flex-col t-justify-center t-items-center t-pt-3",
+        },
+        children: [fullNameFLMobileCol(updates.scope)],
+      },
+    ],
     updates
   )
 }
@@ -709,13 +716,17 @@ function ssdiHaveAttorney(updates = {}) {
   )
 }
 
-const formNavigation = (updates = {}) => ({
+const formNavigationNoFinalBack = (updates = {}) => ({
   $el: "div",
   attrs: {
     class: {
       if: "$activeStep === $firstStep()",
       then: "step-nav " + (updates.firstStepButtonClass || "!t-justify-center sm:!t-justify-between"),
-      else: "step-nav !t-justify-between",
+      else: {
+        if: "$activeStep === $lastStep()",
+        then: "step-nav !t-justify-center ",
+        else: "step-nav !t-justify-between",
+      },
     },
   },
   children: [
@@ -725,12 +736,12 @@ const formNavigation = (updates = {}) => ({
       onClick: "$setPreviousStep($prevStepFunc($get(form)))",
       children: "Back",
       outerClass: {
-        if: "$activeStep === $firstStep()",
+        if: "$fns.eq($activeStep, $firstStep()) || $fns.eq($activeStep, $lastStep())",
         then: "t-hidden sm:t-block",
         else: "",
       },
       style: {
-        if: "$activeStep === $firstStep()",
+        if: "$fns.eq($activeStep, $firstStep()) || $fns.eq($activeStep, $lastStep())",
         then: "display: none;",
       },
       classes: {
@@ -769,7 +780,8 @@ const formNavigation = (updates = {}) => ({
         then: "display: none;",
       },
       classes: {
-        input: (updates.inputClass || "") + " !t-ml-2 sm:!t-ml-auto f-navigation-input",
+        input: (updates.inputClass || "") + " f-navigation-input !t-w-60",
+        outer: "!t-mt-0 !t-mb-0",
       },
     },
   ],
@@ -1642,76 +1654,81 @@ const schema = [
   defaultMetaPropsLegal(),
   formAnchor(),
   {
-    $cmp: 'FormKit',
+    $cmp: "FormKit",
     props: formProps({
-      formId: 'ssdi',
+      formId: "ssdi",
       redirectMap: {
-        '*': LegalRedirectUrl()
+        "*": LegalRedirectUrl(),
       },
     }),
     children: [
       progressBar(),
       headline({
         children: '$urlParam("hl", "Start Your FREE Case Evaluation")',
-        if: '$activeStep === $firstStep()',
-        headlineClass: '!t-text-dark'
+        if: "$activeStep === $firstStep()",
+        headlineClass: "!t-text-dark",
       }),
       subHeadline({
-        children: '$urlParam("shl", "You Could Receive up to $3,148 Per Month!")',
-        if: '$activeStep === $firstStep()',
-        subheadlineClass: '!t-text-[#00428A]'
+        children: '$urlParam("shl", "Receive up to $4,018 Per Month!")',
+        if: "$activeStep === $firstStep()",
+        subheadlineClass: "!t-text-[#00428A]",
       }),
       ...hiddenInputsLegal,
       {
-        $el: 'div',
+        $el: "div",
         attrs: {
-          class: 'form-body'
+          class: "form-body",
         },
         children: [
           ssdiTOLPAndZip(),
           ssdiApplicantAge({
             nextOnInput: true,
-            headline: 'What is the Age of the Applicant?'
+            headline: "What is the Age of the Applicant?",
           }),
           ssdiDisabilityConditionStopWork({
             nextOnInput: true,
-            headline: "Do You Expect To Be Out Of Work For At Least a Year Due To Your Health?"
+            headline: "Do You Expect To Be Out Of Work For At Least a Year Due To Your Health?",
           }),
           ssdiDisabilityWorkHistory({
             nextOnInput: true,
-            headline: "Have You Had a Full-Time Job Within the Past 5 Years?"
+            headline: "Have You Had a Full-Time Job Within the Past 5 Years?",
           }),
           ssdiSocialSecurityDisabilityReceivingBenefits({
             nextOnInput: true,
-            headline: "Are You Currently Receiving Social Security Disability Benefits?"
+            headline: "Are You Currently Receiving Social Security Disability Benefits?",
           }),
           ssdiDoctorTreatment({
             nextOnInput: true,
-            headline: "Have You Recently Been Treated by a Doctor, Hospital or Clinic?"
+            headline: "Have You Recently Been Treated by a Doctor, Hospital or Clinic?",
           }),
           ssdiHaveAttorney({
             nextOnInput: true,
-            headline: "Already Working with An Attorney?"
+            headline: "Already Working with An Attorney?",
           }),
-          commentsWithBankruptcy({
+          commentsLegal({
             label: null,
-            headline: 'Please briefly describe your situation:',
-            headlineClass: '!t-text-dark'
+            headline: "Please briefly describe your situation:",
+            headlineClass: "!t-text-dark",
           }),
-          firstAndLastV2({
-            headlineClass: '!t-text-dark'
+          firstAndLastV4({
+            headlineClass: "!t-text-dark",
           }),
-          contactInfo({
-            headline: 'Submit Your Free Application',
-            headlineClass: '!t-text-[#00428A]',
-            subheadline: 'Based on your input you may qualify for SSDI benefits. Please verify your contact information.',
+          contactInfoV2({
+            headline: "Submit Your Free Application",
+            headlineClass: "!t-text-[#00428A]",
+            subheadline:
+              "Based on your input you may qualify for SSDI benefits. Please verify your contact information.",
           }),
-          formNavigation(),
-          formDetails()
-        ]
-      }
-    ]
-  }
+          formNavigationNoFinalBack({
+            inputClass: "!t-font-extrabold",
+            firstStepButtonClass: "!t-justify-center",
+          }),
+          secureIconStandalone(),
+          formDetails(),
+        ],
+      },
+    ],
+  },
 ];
 
 export { schema as default };

package/dist/forms/ssdi.iife.js

@@ -1 +1 @@
-var ssdi=function(){"use strict";function e(){return Object.assign({},...arguments)}const t='$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)',a=e=>(e.name&&!e.id&&(e.id=e.name),e),i=t=>(t.legendClass="legend-left required",t.fieldsetClass="$reset side-by-side",t.optionsClass="t-pl-1",t.innerClass="t-flex t-items-center",t.wrapperClass="t-mb-3",(t=>(a(t),e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},t)))(t)),n=t=>(a(t),e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t)),l=e=>(e.options=["Yes","No"],(e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$reset side-by-side t-items-center",e.optionsClass="t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center",e.innerClass="t-flex t-items-center",e.optionClass="t-pr-1",n(e)))(e)),r=e=>(e.options=["Yes","No"],e.optionsClass="t-flex t-justify-center t-my-3",(e=>(e.legendClass="legend-left",e.fieldsetClass="$reset t-flex t-justify-center t-flex-col-reverse t-items-center",void 0===e.optionsClass&&(e.optionsClass="t-flex t-flex-col sm:t-flex-row t-justify-center t-my-3"),e.optionClass="radiobtn t-my-2 sm:t-my-0 t-mx-2 md:t-mx-5",e.wrapperClass="$reset formkit-wrapper t-mb-0 t-flex t-items-center t-h-[100%]",e.labelClass="t-font-semibold t-text-[#1e448f] t-w-[100%]",e.decoratorIcon=!1,e.messagesClass="t-flex t-justify-center",e.helpClass="t-mt-2.5 !t-text-sm t-text-center",n(e)))(e)),s=t=>(a(t),e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t)),o=e=>(e.wrapperClass="side-by-side t-items-center",s(e)),d=e=>(e.wrapperClass="t-flex t-justify-center",e.messagesClass="t-flex t-justify-center",e.inputClass="t-text-center",e.helpClass="t-mt-2.5 !t-text-sm t-text-center",s(e)),c=(e,t,a={})=>(t?d:o)({$formkit:"email",name:e?e+":Email":"Email",label:t?a.label:"Email Address:",placeholder:"email@domain.com",autocomplete:"email","data-tf-sensitive":"false",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"},...a}),p=(e,t,a={})=>(t?d:o)({label:t?a.label:"First Name:",placeholder:"First Name",name:e?e+":First_Name":"First_Name",autocomplete:"given-name",validationMessages:{required:"First Name is required"},...a}),u=(e,t,a={})=>(t?d:o)({label:t?a.label:"Last Name:",placeholder:"Last Name",name:e?e+":Last_Name":"Last_Name",autocomplete:"family-name",validationMessages:{required:"Last Name is required"},...a}),m=(e,t,a={})=>(t?d:o)({$formkit:"tel",name:e?e+":Primary_Phone":"Primary_Phone",label:t?a.label:"Phone Number:",placeholder:a.placeholder||"###-###-####",maxlength:12,help:a.help||"10-digit phone number, hyphens optional",autocomplete:"tel-national","data-tf-sensitive":"false",validation:"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|valid_phone",validationMessages:{required:"Phone Number is required",matches:"Invalid Phone Format, use ###-###-####",valid_phone:"Invalid Phone Number"},helpClass:"t-mt-2.5 md:t-text-right md:t-mt-[-2px]",...a}),f=(e,t,a={})=>(t?d:o)({label:t?a.label:"Zip Code:",help:t?a.help??"We try to match you with local help":null,placeholder:"#####",name:e?e+":Zip":"Zip",maxlength:5,inputmode:"numeric",autocomplete:"postal-code",validation:"required|matches:/^[0-9]{5}$/",validationMessages:{required:"Zip Code is required",matches:"Invalid Zip Code"},...a}),y=(t,a,i={})=>(a?d:o)(e({label:a?i.label:"Age of Applicant?",placeholder:"Age between 18 and 65",name:t?t+":Applicant_Age":"Applicant_Age",value:a?i.value??"50":null,maxlength:2,inputmode:"numeric",validation:"required|min:18,max:65",validationMessages:{required:"Applicant Age is required",min:"Invalid Age - must be between 18 and 65",max:"Invalid Age - must be between 18 and 65"},...i})),h=(t,i,n)=>(t=>(a(t),e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},innerClass:"t-max-w-xl",labelClass:"required"},t)))(e({name:t?t+":Comments":"Comments",label:"Please briefly describe your situation in a few words:",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"'},n)),g=(t,a,i={})=>(a?r:l)(e({name:t?t+":Disability_Condition_Stop_Work":"Disability_Condition_Stop_Work",label:a?i.label:"Do You Expect To Be Out Of Work For At Least a Year Due To Your Health?"},i)),b=(t,a,i={})=>(a?r:l)(e({name:t?t+":Disability_Work_History":"Disability_Work_History",label:a?i.label:"Have You Had a Full-Time Job Within the Past 5 Years?"},i)),C=(t,a,i={})=>(a?r:l)(e({name:t?t+":Doctor_Treatment":"Doctor_Treatment",label:a?i.label:"Have You Recently Been Treated by a Doctor, Hospital or Clinic?"},i)),x=(t,a,i={})=>(a?r:l)(e({label:a?i.label:"Already Working with An Attorney?",name:t?t+":Have_Attorney":"Have_Attorney"},i)),v=(t,a,i={})=>(a?r:l)(e({name:t?t+":Social_Security_Disability_Receiving_Benefits":"Social_Security_Disability_Receiving_Benefits",label:a?i.label:"Are You Currently Receiving Social Security Disability Benefits?"},i)),w=(e,t={})=>({$formkit:"checkbox",label:"$meta.tcpaLanguage",__raw__sectionsSchema:{label:{attrs:{innerHTML:"$label"}}},name:e?e+":TCPA_Opt_In":"TCPA_Opt_In","data-tf-sensitive":"false",validation:"required|accepted",validationMessages:{required:"Consent is required",accepted:"Consent is required"},classes:{outer:t.outerClass?t.outerClass:"",wrapper:t.wrapperClass?t.wrapperClass:"",messages:t.messagesClass?t.messagesClass:"",label:"!t-text-[0.7rem] t-text-slate-500 t-font-normal !t-leading-[0.9rem]"+(t.labelClass?" "+t.labelClass:"")}}),I=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,$=e=>{if(I(e))return e;for(var t=e.children.length-1;t>=0;t--){if("string"==typeof e.children)continue;const a=e.children[t];if(I(a))return a;const i=$(a);if(i)return i}return null},S={$el:"div",if:"$activeStep === $lastStep()",attrs:{class:"t-flex t-justify-center t-items-center t-text-sm t-text-gray-500"},children:[{$el:"img",attrs:{loading:"lazy",alt:"",style:{border:0},width:"25",height:"25",src:"https://d27hmee62k45vz.cloudfront.net/lock_icon_1.jpeg"}},{$el:"span",children:"Secure & Encrypted",attrs:{class:"t-pl-2 t-pt-1 t-font-medium"}}]};function k(t={}){return e(S,t)}function P(e){return{$el:"h3",children:e.headline||"Tell Us About Your Situation",attrs:{class:"t-flex t-justify-center t-text-center t-text-lg sm:t-text-xl t-font-bold t-text-dark t-pb-5 t-pt-0 t-px-1 "+(e.headlineClass||"")}}}function D(e){return 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