bhl-forms 0.4.4 → 0.4.6

package/dist/forms/childAndFamily.es.js

@@ -350,6 +350,17 @@ const sbsCheckbox = (updates) => {
   return checkbox(updates)
 };
 
+const col2Checkbox = (updates) => {
+  if (!updates || !updates.legendClass) {
+    updates.legendClass = 'required';
+  }
+  updates.fieldsetClass = '$reset';
+  updates.optionsClass = 't-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2';
+  updates.innerClass = 't-items-start';
+  updates.wrapperClass = '$reset t-flex t-cursor-pointer t-mb-3';
+  return checkbox(updates)
+};
+
 const radio = (updates) => {
   return merge({
     $formkit: 'radio',
@@ -371,6 +382,24 @@ const col2Radio = (updates) => {
   return radio(updates)
 };
 
+const sbsRadio = (updates) => {
+  updates.legendClass = 'legend-left required';
+  updates.fieldsetClass = '$reset side-by-side';
+  updates.optionsClass = 't-pl-1';
+  updates.innerClass = 't-flex t-items-center';
+  updates.wrapperClass = 't-mb-3';
+  return radio(updates)
+};
+
+const sbs2ColRadio = (updates) => {
+  updates.legendClass = 'legend-left-flex md:t-max-w-[40%] required';
+  updates.fieldsetClass = '$reset side-by-side-flex';
+  updates.optionsClass = 'md:t-ml-4 md:t-mt-2 t-grid t-grid-cols-1 md:t-grid-cols-2-125';
+  updates.innerClass = 't-flex t-items-start';
+  updates.wrapperClass = '$reset t-flex t-cursor-pointer t-mb-3';
+  return radio(updates)
+};
+
 const sbs2ItemRadio = (updates) => {
   updates.legendClass = 'legend-left t-pb-1 required';
   updates.fieldsetClass = '$reset side-by-side t-items-center';
@@ -436,6 +465,102 @@ const textArea = (updates) => {
   }, updates)
 };
 
+const date = (updates) => {
+  return merge({
+    $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'
+  }, updates)
+};
+
+const sbsDate = (updates) => {
+  updates.wrapperClass = 'side-by-side t-items-center';
+  return date(updates)
+};
+
+const applicantOccupation = (scope) => sbsText({
+  name: scope ? scope + ':' + 'Applicant_Occupation' : 'Applicant_Occupation',
+  label: "What is the Applicant's Occupation?",
+  placeholder: "Occupation"
+});
+
+
+const applicantAge = (scope) => sbsText({
+  name: scope ? scope + ':' + 'Applicant_Age' : 'Applicant_Age',
+  label: 'Age of Applicant?',
+  placeholder: 'Age between 18 and 65',
+  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',
+  }
+});
+
+const applicantDisabilityHowObtain = (scope) => sbsSelect({
+  name: scope ? scope + ':' + 'Applicant_Disability_How_Obtain' : 'Applicant_Disability_How_Obtain',
+  label: 'How Did Applicant Obtain the Disability Policy?',
+  options: [
+    "Employer",
+    "Self",
+    "Other"
+  ]
+});
+
+const applicantPreviouslyAppliedLtdBenefits = (scope) => sbsRadio({
+  name: scope ? scope + ':' + 'Applicant_Previously_Apply_Ltd_Benefits' : 'Applicant_Previously_Apply_Ltd_Benefits',
+  label: 'Has Applicant Previously Applied for Long Term Disability Benefits?',
+  options: [
+    "Yes, claim pending",
+    "Yes, claim denied",
+    "No"
+  ]
+});
+
+const applicantMonthlySalary = (scope) => sbsSelect({
+  name: scope ? scope + ':' + 'Applicant_Monthly_Salary' : 'Applicant_Monthly_Salary',
+  label: "Applicant's Monthly Salary/Pay When Last at Work:",
+  options: [
+    "< $1,000",
+    "$1,000 - $2,000",
+    "$2,000 - $3,000",
+    "$3,000 - $4,000",
+    "$4,000 - $5,000",
+    "$5,000 - $6,000",
+    "$6,000 - $7,000",
+    "$7,000 - $8,000",
+    "$8,000 - $9,000",
+    "$9,000 - $10,000",
+    ">$10,000"
+  ]
+});
+
+const applicantReceivedDisabilityBenefits = (scope) => sbsRadio({
+  name: scope ? scope + ':' + 'Applicant_Received_Disability_Benefits' : 'Applicant_Received_Disability_Benefits',
+  label: 'Has Applicant Ever Received Long Term Disability Benefits for this Claim?',
+  options: [
+    "Yes, currently receiving",
+    "Yes, appealing a decision to stop payment of benefits",
+    "No"
+  ]
+});
+
+const applicantLTDisabilityPolicy = (scope) => sbsYesNoRadio({
+  name: scope ? scope + ':' + 'Applicant_Lt_Disability_Policy' : 'Applicant_Lt_Disability_Policy',
+  label: 'Does Applicant have a Long Term Disability Policy?'
+});
+
+const atFault = (scope) => sbsYesNoRadio({
+  name: scope ? scope + ':' + 'At_Fault' : 'At_Fault',
+  label: 'Were You at Fault?'
+});
+
 const bankruptcyCrossSell = () => sbsCheckbox({
   label: "I'd also like a separate consultation for bankruptcy and debt elimination",
   help: "Please note: you will be contacted separately by a bankruptcy expert",
@@ -445,6 +570,21 @@ const bankruptcyCrossSell = () => sbsCheckbox({
   helpClass: "!t-text-sm"
 });
 
+const bloodContentAlcholTest = (scope) => sbsSelect({
+  name: scope ? scope + ':' + 'Blood_Alcohol_Content_Test' : 'Blood_Alcohol_Content_Test',
+  label: 'Blood Alcohol Content Measured by 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"
+  ]
+});
+
 const childAndFamilyTOLP = () => col2Radio({
   label: 'Type of Help Needed:',
   name: 'Type_Of_Legal_Problem',
@@ -493,10 +633,21 @@ const childRelationship = (scope) => sbsSelect({
   ]
 });
 
-const comments = (updates) => textArea(
+const claimStatus = (scope) => sbsSelect({
+  name: scope ? scope + ':' + 'Claim_Status' : 'Claim_Status',
+  label: "Status of Claim:",
+  options: [
+    "No action taken yet",
+    "Demand for compensation made",
+    "Lawsuit filed",
+    "Other"
+  ]
+});
+
+const comments = (updates, scope) => textArea(
   merge({
+    name: scope ? scope + ':' + 'Comments' : 'Comments',
     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"'
   }, updates)
 );
@@ -516,6 +667,11 @@ const degreeOfInterest = (scope, help) => sbsSelect({
 
 const degreeOfInterestHelp = (scope) => degreeOfInterest(scope, 'No payment necessary to speak with lawyers.');
 
+const doctorTreatment = (scope) => sbsYesNoRadio({
+  name: scope ? scope + ':' + 'Doctor_Treatment' : 'Doctor_Treatment',
+  label: 'Have You Recently Been Treated by a Doctor, Hospital or Clinic?',
+});
+
 const email = () => sbsText({
   $formkit: 'email',
   name: 'Email',
@@ -530,6 +686,19 @@ const email = () => sbsText({
   }
 });
 
+const estateLegalServicesNeeded = (scope) => sbsSelect({
+  name: scope ? scope + ':' + 'Estate_Legal_Services_Needed' : 'Estate_Legal_Services_Needed',
+  label: "Legal Services Needed for Your Estate:",
+  options: [
+    "Charitable Giving",
+    "Contested Wills",
+    "Drafting Wills or Trust",
+    "Estate Administration",
+    "Asset Protection",
+    "Other"
+  ]
+});
+
 const firstName = () => sbsText({
   $formkit: 'text',
   label: 'First Name:',
@@ -550,6 +719,11 @@ const haveChildren = (scope) => sbsYesNoRadio({
   label: 'Do You Have Children?'
 });
 
+const incidentDate = (scope) => sbsDate({
+  name: scope ? scope + ':' + 'Incident_Date' : 'Incident_Date',
+  label: 'Date of Incident:',
+});
+
 const lastName = () => sbsText({
   $formkit: 'text',
   label: 'Last Name:',
@@ -574,6 +748,78 @@ const lawyerPaymentMethod = (scope) => sbsSelect({
   ]
 });
 
+
+const legalCrossSells$1 = () => col2Checkbox({
+  id: 'Legal_CrossSells',
+  name: 'Legal_CrossSells',
+  help: 'Note: just hit "Next" if none apply',
+  helpClass: 't-text-center !t-text-sm',
+  validation: null,
+  options: {
+    if: '$getVal($get(form), "Type_Of_Legal_Problem") === "Auto and Car Accidents"',
+    then: {
+      'Long Term Disability': 'Interest in Disability Benefits',
+      'Wills and Trusts': 'Need a Will or Trust',
+      'Workers Compensation': 'Workplace Injury',
+      'Power of Attorney': 'Update Power of Attorney',
+      'Divorce and Separation': 'Need a Divorce or Separation',
+      'Child Custody': 'Need help with Child Custody',
+    },
+    else: {
+      if: '$getVal($get(form), "Type_Of_Legal_Problem") === "Personal Injury" || $getVal($get(form), "Type_Of_Legal_Problem") === "Workers Compensation"',
+      then: {
+        'DUI and DWI': 'Charged with a DUI/DWI',
+        'Wills and Trusts': 'Need a Will or Trust',
+        'Power of Attorney': 'Update Power of Attorney',
+        'Divorce and Separation': 'Need a Divorce or Separation',
+        'Child Custody': 'Need help with Child Custody',
+        // TODO add one more?
+      },
+      else: {
+        if: '$getVal($get(form), "Type_Of_Legal_Problem") === "DUI and DWI"',
+        then: {
+          'Personal Injury': 'Personal or Workplace Injury',
+          'Wills and Trusts': 'Need a Will or Trust',
+          'Long Term Disability': 'Interest in Disability Benefits',
+          'Power of Attorney': 'Update Power of Attorney',
+          'Divorce and Separation': 'Need a Divorce or Separation',
+          'Child Custody': 'Need help with Child Custody',
+        },
+        else: {
+          if: '$getVal($get(form), "Type_Of_Legal_Problem") === "Wills and Trusts" || $getVal($get(form), "Type_Of_Legal_Problem") === "Probate and Estates" || $getVal($get(form), "Type_Of_Legal_Problem") === "Power of Attorney"',
+          then: {
+            'Auto and Car Accidents': 'Injured in a Car Accident',
+            'Personal Injury': 'Personal or Workplace Injury',
+            'DUI and DWI': 'Charged with a DUI/DWI',
+            'Long Term Disability': 'Interest in Disability Benefits',
+            'Divorce and Separation': 'Need a Divorce or Separation',
+            'Child Custody': 'Need help with Child Custody',
+          },
+          else: {
+            if: '$getVal($get(form), "Type_Of_Legal_Problem") === "Long Term Disability" || $getVal($get(form), "Type_Of_Legal_Problem") === "Social Security Disability and Insurance"',
+            then: {
+              'Auto and Car Accidents': 'Injured in a Car Accident',
+              'DUI and DWI': 'Charged with a DUI/DWI',
+              'Wills and Trusts': 'Need a Will or Trust',
+              'Power of Attorney': 'Update Power of Attorney',
+              'Divorce and Separation': 'Need a Divorce or Separation',
+              'Child Custody': 'Need help with Child Custody',
+            },
+            else: {
+              'Auto and Car Accidents': 'Injured in a Car Accident',
+              'Personal Injury': 'Personal or Workplace Injury',
+              'DUI and DWI': 'Charged with a DUI/DWI',
+              'Wills and Trusts': 'Need a Will or Trust',
+              'Power of Attorney': 'Update Power of Attorney',
+              'Long Term Disability': 'Interest in Disability Benefits',
+            }
+          }
+        }
+      }
+    }
+  }
+});
+
 const maritalStatus = (scope) => sbsSelect({
   name: scope ? scope + ':' + 'Marital_Status' : 'Marital_Status',
   label: 'Marital Status:',
@@ -587,6 +833,11 @@ const maritalStatus = (scope) => sbsSelect({
   ]
 });
 
+const pendingCharges = (scope) => sbsYesNoRadio({
+  name: scope ? scope + ':' + 'Pending_Charges' : 'Pending_Charges',
+  label: 'Do you currently have any pending charges?'
+});
+
 const phone = () => sbsText({
   $formkit: 'tel',
   name: 'Primary_Phone',
@@ -605,6 +856,42 @@ const phone = () => sbsText({
   helpClass: "t-mt-2.5 md:t-text-right md:t-mt-[-2px]"
 });
 
+const primaryInjury = (scope) => sbs2ColRadio({
+  name: scope ? scope + ':' + 'Primary_Injury' : 'Primary_Injury',
+  label: 'Primary Injury:',
+  options: [
+    "Anxiety",
+    "Back or Neck Pain",
+    "Broken Bones",
+    "Cuts and Bruises",
+    "Headaches",
+    "Memory Loss",
+    "Loss of Limb",
+    "Other (describe on next page)"
+  ]
+});
+
+const priorAlcoholOffenses = (scope) => sbsYesNoRadio({
+  name: scope ? scope + ':' + 'Prior_Alcohol_Offenses' : 'Prior_Alcohol_Offenses',
+  label: 'Any Prior Alcohol Related Offenses?'
+});
+
+const policeReportFiled = (scope) => sbsYesNoRadio({
+  name: scope ? scope + ':' + 'Police_Report_Filed' : 'Police_Report_Filed',
+  label: 'Was a Police Report Filed?'
+});
+
+const roleInMatterProbate = (scope) => sbsSelect({
+  name: scope ? scope + ':' + 'Role_In_Matter_Probate' : 'Role_In_Matter_Probate',
+  label: "What Is Your Role in this Matter?",
+  options: [
+    "Preparing My Will",
+    "Executor",
+    "Heir",
+    "Other"
+  ]
+});
+
 const TCPAConsent = () => ({
   $formkit: 'checkbox',
   label: '$meta.tcpaLanguage',
@@ -620,6 +907,46 @@ const TCPAConsent = () => ({
   }
 });
 
+const typeOfAlcoholTest = (scope) => sbsSelect({
+  name: scope ? scope + ':' + 'Type_Of_Alcohol_Test' : 'Type_Of_Alcohol_Test',
+  label: 'Type of Alcohol Test Performed?',
+  options: [
+    "No Test",
+    "Refused Test",
+    "Breath Test",
+    "Blood Test",
+    "Urine Test",
+    "Don't Know"
+  ]
+});
+
+const typeOfAssets = (scope) => col2Checkbox({
+  name: scope ? scope + ':' + 'Type_Of_Assets' : 'Type_Of_Assets',
+  label: 'Type of Assets:',
+  options: [
+    "Business Interests",
+    "Cash",
+    "Life Insurance Policies",
+    "Pensions/Retirement",
+    "Personal Possessions",
+    "Property",
+    "Stock/Bonds"
+  ]
+});
+
+const valueOfAssets = (scope) => sbsSelect({
+  name: scope ? scope + ':' + 'Value_Of_Assets' : 'Value_Of_Assets',
+  label: 'Value of Your Assets?',
+  options: [
+    "Less than 50K",
+    "50K to 100K",
+    "100K to 250K",
+    "250K to 500K",
+    "500K to 1M",
+    "More than 1M"
+  ]
+});
+
 const zipcode = () => sbsText({
   label: 'Zip Code:',
   placeholder: '#####',
@@ -664,6 +991,21 @@ const AdoptionQuestions = () => group(
   }
 );
 
+const AutoAndCarAccidentsQuestions = (condition, scope) => group(
+  'AutoAndCarAccidentsQuestions',
+  {
+    if: (condition || '$get(Type_Of_Legal_Problem).value == "Auto and Car Accidents"'),
+    children: [
+      haveAttorney(scope),
+      incidentDate(scope),
+      atFault(scope),
+      primaryInjury(scope),
+      doctorTreatment(scope),
+      policeReportFiled(scope)
+    ]
+  }
+);
+
 const ChildCustodyAndSupportQuestions = (condition, scope) => group(
   'ChildCustodyAndSupportQuestions',
   {
@@ -723,6 +1065,22 @@ const DivorceQuestions = (condition, scope) => group(
   }
 );
 
+const DUIAndDWIQuestions = (condition, scope) => group(
+  'DUIAndDWIQuestions',
+  {
+    if: (condition || '$get(Type_Of_Legal_Problem).value == "DUI and DWI"'),
+    children: [
+      haveAttorney(scope),
+      incidentDate(scope),
+      priorAlcoholOffenses(scope),
+      typeOfAlcoholTest(scope),
+      bloodContentAlcholTest(scope),
+      pendingCharges(scope),
+      degreeOfInterestHelp(scope)
+    ]
+  }
+);
+
 const FamilyIssuesQuestions = () => group(
   'FamilyIssuesQuestions',
   {
@@ -751,6 +1109,64 @@ const GuardianshipQuestions = () => group(
   }
 );
 
+const LongTermDisabilityQuestions = (condition, scope) => group(
+  'LongTermDisabilityQuestions',
+  {
+    if: (condition || '$get(Type_Of_Legal_Problem).value == "Long Term Disability"'),
+    children: [
+      haveAttorney(scope),
+      applicantOccupation(scope),
+      applicantAge(scope),
+      applicantLTDisabilityPolicy(scope),
+      applicantDisabilityHowObtain(scope),
+      applicantPreviouslyAppliedLtdBenefits(scope),
+      applicantReceivedDisabilityBenefits(scope),
+      applicantMonthlySalary(scope)
+    ]
+  }
+);
+
+const PersonalInjuryQuestions = (condition, scope) => group(
+  'PersonalInjuryQuestions',
+  {
+    if: (condition || '$get(Type_Of_Legal_Problem).value == "Personal Injury"'),
+    children: [
+      haveAttorney(scope),
+      incidentDate(scope),
+      claimStatus(scope),
+      atFault(scope),
+      primaryInjury(scope),
+      doctorTreatment(scope)
+    ]
+  }
+);
+
+const PowerofAttorneyQuestions = (condition, scope) => group(
+  'PowerofAttorneyQuestions',
+  {
+    if: (condition || '$get(Type_Of_Legal_Problem).value == "Power of Attorney"'),
+    children: [
+      haveAttorney(scope),
+      degreeOfInterestHelp(scope)
+    ]
+  }
+);
+
+const WillsAndTrustsQuestions = (condition, scope) => group(
+  'WillsAndTrustsQuestions',
+  {
+    if: (condition || '$get(Type_Of_Legal_Problem).value == "Wills and Trusts"'),
+    children: [
+      haveAttorney(scope),
+      valueOfAssets(scope),
+      typeOfAssets(scope),
+      roleInMatterProbate(scope),
+      estateLegalServicesNeeded(scope),
+      degreeOfInterestHelp(scope)
+    ]
+  }
+);
+
 const NotSureOrOtherQuestions = () => group(
   'NotSureOrOtherQuestions',
   {
@@ -797,6 +1213,26 @@ function questionsStepHeadline(updates) {
   }
 }
 
+function crossSellQuestionsStepHeadline(updates) {
+  return {
+    $el: 'h3',
+    children: updates.headline || 'Tell Us About Your Situation',
+    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-1'
+    }
+  }
+}
+
+function crossSellQuestionsStepSubHeadline(updates) {
+  return {
+    $el: 'h5',
+    children: updates.subheadline || 'Tell us about your situation:',
+    attrs: {
+      class: 't-flex t-justify-center t-text-dark t-text-center !t-text-lg t-font-semibold t-pb-4 t-pt-0 t-px-3'
+    }
+  }
+}
+
 
 function commentsStepHeadline(updates) {
   return {
@@ -818,6 +1254,16 @@ function firstAndLastStepHeadline(updates) {
   }
 }
 
+function legalCrossSellsStepHeadline(updates) {
+  return {
+    $el: 'h3',
+    children: updates.headline || 'Do any of the following situations apply?',
+    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-1' + ' ' + (updates.headlineClass || '')
+    }
+  }
+}
+
 function contactStepHeadline(updates) {
   return {
     $el: 'h3',
@@ -957,6 +1403,124 @@ function firstAndLastV2(updates = {}) {
   )
 }
 
+
+function autoAndCarAccidentCrossSellQuestions(updates = {}) {
+  return step(
+    'autoAndCarAccidentCrossSellQuestions',
+    [
+      crossSellQuestionsStepHeadline({ headline: 'You May Be Entitled To Compensation' }),
+      crossSellQuestionsStepSubHeadline({ subheadline: 'Tell us about your accident:' }),
+      AutoAndCarAccidentsQuestions("true", 'CrossSell:Auto_and_Car_Accidents'),
+      comments(
+        {
+          label: 'Accident Description:',
+          placeholder: 'Please describe your accident in a few words...',
+          inputClass: '!t-h-16'
+        },
+        'CrossSell:Auto_and_Car_Accidents'
+      )
+    ],
+    updates.nextOnEnter
+  )
+}
+
+function duiAndDWICrossSellQuestions(updates = {}) {
+  return step(
+    'duiAndDWICrossSellQuestions',
+    [
+      crossSellQuestionsStepHeadline({ headline: 'About Your DUI/DWI' }),
+      DUIAndDWIQuestions("true", 'CrossSell:DUI_and_DWI'),
+      comments(
+        {
+          label: 'Incident Description:',
+          placeholder: 'Please describe your incident in a few words...',
+          inputClass: '!t-h-16'
+        },
+        'CrossSell:DUI_and_DWI'
+      )
+    ],
+    updates.nextOnEnter
+  )
+}
+
+function longTermDisabilityCrossSellQuestions(updates = {}) {
+  return step(
+    'longTermDisabilityCrossSellQuestions',
+    [
+      crossSellQuestionsStepHeadline({ headline: 'You May Be Entitled To Benefits' }),
+      crossSellQuestionsStepSubHeadline({ subheadline: 'Tell us about your disability:' }),
+      LongTermDisabilityQuestions("true", 'CrossSell:Long_Term_Disability'),
+      comments(
+        {
+          label: 'Description:',
+          placeholder: 'Please describe your situation in a few words...',
+          inputClass: '!t-h-16'
+        },
+        'CrossSell:Long_Term_Disability'
+      )
+    ],
+    updates.nextOnEnter
+  )
+}
+
+function personalInjuryCrossSellQuestions(updates = {}) {
+  return step(
+    'personalInjuryCrossSellQuestions',
+    [
+      crossSellQuestionsStepHeadline({ headline: 'You May Be Entitled To Compensation' }),
+      crossSellQuestionsStepSubHeadline({ subheadline: 'Tell us about your injury:' }),
+      PersonalInjuryQuestions("true", 'CrossSell:Personal_Injury'),
+      comments(
+        {
+          label: 'Injury Description:',
+          placeholder: 'Please describe your injury in a few words...',
+          inputClass: '!t-h-16'
+        },
+        'CrossSell:Personal_Injury'
+      )
+    ],
+    updates.nextOnEnter
+  )
+}
+
+function powerOfAttorneyCrossSellQuestions(updates = {}) {
+  return step(
+    'powerOfAttorneyCrossSellQuestions',
+    [
+      crossSellQuestionsStepHeadline({ headline: 'Power of Attorney Information' }),
+      PowerofAttorneyQuestions("true", 'CrossSell:Power_of_Attorney'),
+      comments(
+        {
+          label: 'Description:',
+          placeholder: 'Please describe your situation in a few words...',
+          inputClass: '!t-h-16'
+        },
+        'CrossSell:Power_of_Attorney'
+      )
+    ],
+    updates.nextOnEnter
+  )
+}
+
+function willsAndTrustsCrossSellQuestions(updates = {}) {
+  return step(
+    'willsAndTrustsCrossSellQuestions',
+    [
+      crossSellQuestionsStepHeadline({ headline: 'Will or Trust Information' }),
+      WillsAndTrustsQuestions("true", 'CrossSell:Wills_and_Trusts'),
+      comments(
+        {
+          label: 'Description:',
+          placeholder: 'Please describe your situation in a few words...',
+          inputClass: '!t-h-16'
+        },
+        'CrossSell:Wills_and_Trusts'
+      )
+    ],
+    updates.nextOnEnter
+  )
+}
+
 function childAndFamilyTOLPQuestions(updates = {}) {
   return step(
     'TOLPQuestions',
@@ -975,6 +1539,19 @@ function childAndFamilyTOLPQuestions(updates = {}) {
   )
 }
 
+function legalCrossSells(updates = {}) {
+  return step(
+    'legalCrossSells',
+    [
+      legalCrossSellsStepHeadline(updates),
+      legalCrossSells$1(),
+    ],
+    updates.nextOnEnter,
+    false,
+    '$get(Type_Of_Legal_Problem).value'
+  )
+}
+
 const formNavigationV2 = () => ({
   $el: 'div',
   attrs: {
@@ -1100,6 +1677,16 @@ const schema = [
           commentsWithBankruptcyV2({
             nextOnEnter: false
           }),
+          legalCrossSells(),
+          // Note: this is purposefully limited to a subset of values
+          // that could show up in the Legal_CrossSells input because
+          // this form only allows a handful of TOLPs on stage 1!
+          autoAndCarAccidentCrossSellQuestions(),
+          personalInjuryCrossSellQuestions(),
+          duiAndDWICrossSellQuestions(),
+          longTermDisabilityCrossSellQuestions(),
+          powerOfAttorneyCrossSellQuestions(),
+          willsAndTrustsCrossSellQuestions(),
           firstAndLastV2(),
           contactInfoTF({
             nextOnEnter: false