bhl-forms 0.6.7 → 0.6.8
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/dist/bhl-forms.es.js +904 -902
- package/dist/bhl-forms.iife.js +4 -4
- package/dist/bhl-forms.modern.es.js +2043 -2036
- package/dist/bhl-forms.modern.iife.js +6 -6
- package/dist/bhl-forms.modern.umd.js +6 -6
- package/dist/bhl-forms.umd.js +4 -4
- package/dist/forms/accidentsAndInjuries.es.js +26 -0
- package/dist/forms/accidentsAndInjuries.iife.js +1 -1
- package/dist/forms/accidentsAndInjuries.json +1 -1
- package/dist/forms/appraisals.es.js +3 -2
- package/dist/forms/appraisals.iife.js +1 -1
- package/dist/forms/business.es.js +2152 -0
- package/dist/forms/business.iife.js +1 -0
- package/dist/forms/business.json +1 -0
- package/dist/forms/childAndFamilySingle.es.js +3 -3
- package/dist/forms/childAndFamilySingle.iife.js +1 -1
- package/dist/forms/civilLawsuit.es.js +29 -3
- package/dist/forms/civilLawsuit.iife.js +1 -1
- package/dist/forms/civilLawsuit.json +1 -1
- package/dist/forms/coins.es.js +3 -2
- package/dist/forms/coins.iife.js +1 -1
- package/dist/forms/criminal.es.js +29 -3
- package/dist/forms/criminal.iife.js +1 -1
- package/dist/forms/criminal.json +1 -1
- package/dist/forms/employmentAndWorkplace.es.js +29 -3
- package/dist/forms/employmentAndWorkplace.iife.js +1 -1
- package/dist/forms/employmentAndWorkplace.json +1 -1
- package/dist/forms/generalLegal.es.js +26 -0
- package/dist/forms/generalLegal.iife.js +1 -1
- package/dist/forms/generalLegal.json +1 -1
- package/dist/forms/generalLegalPopUnder.es.js +26 -0
- package/dist/forms/generalLegalPopUnder.iife.js +1 -1
- package/dist/forms/generalLegalPopUnder.json +1 -1
- package/dist/forms/generalLegalPopUnderSingle.es.js +29 -3
- package/dist/forms/generalLegalPopUnderSingle.iife.js +1 -1
- package/dist/forms/generalLegalPopUnderSingle.json +1 -1
- package/dist/forms/generalLegalSingle.es.js +29 -3
- package/dist/forms/generalLegalSingle.iife.js +1 -1
- package/dist/forms/generalLegalSingle.json +1 -1
- package/dist/forms/generalLegalThankYou.es.js +26 -0
- package/dist/forms/generalLegalThankYou.iife.js +1 -1
- package/dist/forms/generalLegalThankYou.json +1 -1
- package/dist/forms/malpractice.es.js +26 -0
- package/dist/forms/malpractice.iife.js +1 -1
- package/dist/forms/malpractice.json +1 -1
- package/dist/forms/mechanics.es.js +3 -2
- package/dist/forms/mechanics.iife.js +1 -1
- package/dist/forms/realEstate.es.js +26 -0
- package/dist/forms/realEstate.iife.js +1 -1
- package/dist/forms/realEstate.json +1 -1
- package/dist/forms/repossession.es.js +26 -0
- package/dist/forms/repossession.iife.js +1 -1
- package/dist/forms/repossession.json +1 -1
- package/dist/forms/ssdi.es.js +2 -2
- package/dist/forms/ssdi.iife.js +1 -1
- package/dist/forms/vets.es.js +3 -2
- package/dist/forms/vets.iife.js +1 -1
- package/package.json +1 -1
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var civilLawsuit=function(){"use strict";function e(){return Object.assign({},...arguments)}const t='$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)',a='$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)',r='$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)',n=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},t)),i=e=>(e&&e.legendClass||(e.legendClass="required"),e.fieldsetClass="$reset",e.optionsClass="t-pl-8 md:t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",n(e)),s=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t)),o=e=>(e.legendClass="required t-w-[100%] t-text-center",void 0===e.fieldsetClass&&(e.fieldsetClass="$reset t-flex t-justify-center"),e.optionsClass="t-pl-4 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",e.optionClass="t-pl-4 md:t-pl-8 md:t-min-w-[200px]",e.messagesClass="t-flex t-justify-center",e.helpClass="t-mt-0 t-mb-4 !t-text-sm t-text-center",s(e)),l=e=>(e.options=["Yes","No"],(e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$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",s(e)))(e)),d=e=>(e.legendClass="legend-left",e.fieldsetClass="$reset t-flex t-justify-center t-items-center",void 0===e.optionsClass&&(e.optionsClass="t-flex t-flex-col sm:t-flex-row t-justify-center t-my-3"),e.optionClass="radiobtn t-my-2 sm:t-my-0 t-mx-2 md:t-mx-5",e.wrapperClass="$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",s(e)),u=e=>(e.options=["Yes","No"],e.optionsClass="t-flex t-justify-center t-my-3",d(e)),c=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},t)),p=e=>(e.labelClass="required",e.wrapperClass="side-by-side t-items-center",e.innerClass="select-height-content",e.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",c(e)),m=e=>(e.labelClass="required",e.wrapperClass="t-flex t-justify-center",e.messagesClass="t-flex t-justify-center",e.inputClass="t-min-w-[150px] t-bg-white",e.helpClass="t-mt-2.5 t-text-center",c(e)),f=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t)),y=e=>(e.wrapperClass="side-by-side t-items-center",f(e)),h=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"DatePicker",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required t-block t-mb-3 t-font-semibold t-text-base formkit-invalid:t-text-red-500",innerClass:"t-border t-border-gray-400 formkit-invalid:t-border-red-500 t-rounded t-mb-1 focus-within:t-border-blue-500"},t)),g=e=>y({name:e?e+":Applicant_Age":"Applicant_Age",label:"Age of Applicant?",placeholder:"Age between 18 and 65",maxlength:2,inputmode:"numeric",validation:"required|min:18,max:65",validationMessages:{required:"Applicant Age is required",min:"Invalid Age - must be between 18 and 65",max:"Invalid Age - must be between 18 and 65"}}),_=e=>l({name:e?e+":At_Fault":"At_Fault",label:"Were You at Fault?"}),b=()=>{return(e={label:"I'd also like a consult for bankruptcy or debt elimination (optional)",help:"Note: you will be contacted separately by a bankruptcy/debt expert",name:"CrossSell_Bankruptcy",id:"CrossSell_Bankruptcy",if:'$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"}).legendClass="legend-left required",e.fieldsetClass="$reset side-by-side",e.optionsClass="t-pl-1",e.innerClass="t-flex t-items-center",e.wrapperClass="t-mb-3",n(e);var e},C=e=>p({name:e?e+":Blood_Alcohol_Content_Test":"Blood_Alcohol_Content_Test",label:"Blood Alcohol Content Measured by Test:",options:["No Test","0.00% - 0.04%","0.05% - 0.08%","0.09% - 0.12%","0.13% - 0.16%","0.17% - 0.20%","More than 0.20%","Don't know"]}),v=e=>p({name:e?e+":Cause_Of_Injury":"Cause_Of_Injury",label:"Cause of Injury:",options:["Traumatic Physical Injury (Accident)","Repeated Trauma Injury","Mental Injury","Occupational Disease","Not Sure"]}),w=t=>d(e({name:"Type_Of_Legal_Problem",id:"Type_Of_Legal_Problem",options:{"Defend a Lawsuit":"Defend Lawsuit","File a Lawsuit":"File Lawsuit"}},t)),P=e=>p({name:e?e+":Child_Home":"Child_Home",label:"With Whom Do the Children Currently Live?",options:["Mother","Father","Grandparents","Other"]}),x=e=>p({name:e?e+":Child_Primary_Caregiver":"Child_Primary_Caregiver",label:"Who is the Primary Caregiver?",options:["Mother","Father","Other"]}),I=e=>p({name:e?e+":Child_Relationship":"Child_Relationship",label:"Your Relationship to Child(ren):",options:["Father","Mother","Grandparent","Aunt/Uncle","Other"]}),T=e=>p({name:e?e+":Claim_Status":"Claim_Status",label:"Status of Claim:",options:["No action taken yet","Demand for compensation made","Lawsuit filed","Other"]}),D=(t,a)=>(t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},innerClass:"t-max-w-xl",labelClass:"required"},t)))(e({name:a?a+":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"'},t)),L=(e,t)=>p({name:e?e+":Degree_Of_Interest":"Degree_Of_Interest",id:e?e+":Degree_Of_Interest":"Degree_Of_Interest",label:"How Likely Are You to Pay if Your Issue Could be Resolved?",help:t,options:["Definitely","Probably","Maybe","Absolutely Can't Afford"]}),S=e=>L(e,"No payment necessary to speak with lawyers."),O=e=>l({name:e?e+":Disability_Condition_Stop_Work":"Disability_Condition_Stop_Work",label:"Do You Expect To Be Out Of Work For At Least a Year Due To Your Health?"}),k=e=>l({name:e?e+":Disability_Work_History":"Disability_Work_History",label:"Have You Had a Full-Time Job Within the Past 5 Years?"}),A=e=>l({name:e?e+":Doctor_Treatment":"Doctor_Treatment",label:"Have You Recently Been Treated by a Doctor, Hospital or Clinic?"}),$=e=>p({name:e?e+":Estate_Legal_Services_Needed":"Estate_Legal_Services_Needed",label:"Legal Services Needed for Your Estate:",options:["Charitable Giving","Contested Wills","Drafting Wills or Trust","Estate Administration","Asset Protection","Other"]}),E=e=>l({name:e?e+":Have_Attorney":"Have_Attorney",label:"Already Working with An Attorney?"}),W=e=>l({name:e?e+":Have_Children":"Have_Children",label:"Do You Have Children?"}),j=e=>{return(t={name:e?e+":Incident_Date":"Incident_Date",label:"Date of Incident:"}).wrapperClass="side-by-side t-items-center",h(t);var t},M=e=>{return(t={name:e?e+":Incident_Date":"Incident_Date"}).wrapperClass="t-flex t-justify-center",t.inputClass="t-text-center",t.messagesClass="t-flex t-justify-center",h(t);var t},B=e=>p({name:e?e+":Lawyer_Payment_Method":"Lawyer_Payment_Method",label:"How Will You Pay for Legal Fees if You Hire a Lawyer?",help:"No payment necessary to speak with lawyers.",options:["Cash","Check","Credit Card","Friend","Family","Other"]}),F=e=>p({name:e?e+":Marital_Status":"Marital_Status",label:"Marital Status:",options:["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"]}),N=e=>l({name:e?e+":Pending_Charges":"Pending_Charges",label:"Do you currently have any pending charges?"}),R=e=>{return(t={name:e?e+":Primary_Injury":"Primary_Injury",label:"Primary Injury:",options:["Anxiety","Back or Neck Pain","Broken Bones","Cuts and Bruises","Headaches","Memory Loss","Loss of Limb","Not Sure or Other"]}).legendClass="legend-left-flex md:t-max-w-[40%] required",t.fieldsetClass="$reset side-by-side-flex",t.optionsClass="md:t-ml-4 md:t-mt-2 t-grid t-grid-cols-1 md:t-grid-cols-2-125",t.innerClass="t-flex t-items-start",t.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",s(t);var t},q=e=>l({name:e?e+":Prior_Alcohol_Offenses":"Prior_Alcohol_Offenses",label:"Any Prior Alcohol Related Offenses?"}),Y=e=>l({name:e?e+":Police_Report_Filed":"Police_Report_Filed",label:"Was a Police Report Filed?"}),U=e=>p({name:e?e+":Role_In_Matter_Probate":"Role_In_Matter_Probate",label:"What Is Your Role in this Matter?",options:["Preparing My Will","Executor","Heir","Other"]}),H=e=>l({name:e?e+":Social_Security_Disability_Receiving_Benefits":"Social_Security_Disability_Receiving_Benefits",label:"Are You Currently Receiving Social Security Disability Benefits?"}),V=e=>p({name:e?e+":Type_Of_Alcohol_Test":"Type_Of_Alcohol_Test",label:"Type of Alcohol Test Performed?",options:["No Test","Refused Test","Breath Test","Blood Test","Urine Test","Don't Know"]}),Q=e=>i({name:e?e+":Type_Of_Assets":"Type_Of_Assets",label:"Type of Assets:",options:["Business Interests","Cash","Life Insurance Policies","Pensions/Retirement","Personal Possessions","Property","Stock/Bonds"]}),K=e=>p({name:e?e+":Value_Of_Assets":"Value_Of_Assets",label:"Value of Your Assets?",options:["Less than 50K","50K to 100K","100K to 250K","250K to 500K","500K to 1M","More than 1M"]}),z=()=>{return(e={name:"Would_Like_Lawyer_To",options:["Give me general advice to protect my interests","Act as my agent in the transaction","Assist me in the remaining stages of the transaction","Bring a lawsuit against another party","Defend against a lawsuit filed by another party","Other"]}).legendClass="required",e.fieldsetClass="$reset t-flex t-justify-center",e.optionsClass="t-pl-2 t-pt-3",e.innerClass="t-items-center",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",e.optionClass="t-pl-4 md:t-pl-12",e.messagesClass="t-flex t-justify-center",s(e);var e},G=(t,a)=>e({$cmp:"FormKit",props:{type:"group",key:t,id:t,name:t}},a),Z="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))",J="$onInput($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))",X=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,ee=e=>{if(X(e))return e;for(var t=e.children.length-1;t>=0;t--){if("string"==typeof e.children)continue;const a=e.children[t];if(X(a))return a;const r=ee(a);if(r)return r}return null},te={$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"}},{$el:"span",children:"Secure & Encrypted",attrs:{class:"t-pl-2 t-pt-1 t-font-medium"}}]};function ae(t){return e(te,t)}function re(e){return{$el:"h3",children:e.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 ne(e){return{$el:"h5",children:e.subheadline||"Tell us about your situation:",attrs:{class:"t-flex t-justify-center t-text-dark t-text-center !t-text-lg t-font-semibold t-pb-4 t-pt-0 t-px-3"}}}function ie(e){return{$el:"h3",children:e.headline||"Tell Us About Your Situation",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-dark t-pb-5 t-pt-0 t-px-1 "+(e.headlineClass||"")}}}function se(e){return{$el:"h5",children:e.subheadline||"",attrs:{class:"t-flex t-justify-center t-text-center !t-text-lg t-font-normal t-text-dark t-pb-5 t-pt-0 t-px-1 "+(e.subheadlineClass||"")}}}function oe(e){return{$el:"h3",children:e.headline||"Additional Case Details",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 "+(e.headlineClass||"")}}}function le(e){return{$el:"h3",children:e.headline||"Please Provide a Contact Name",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1 "+(e.headlineClass||"")}}}function de(e){return{$el:"h3",children:e.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 "+(e.headlineClass||"")}}}function ue(e){return{$el:"h3",children:e.headline||a,attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-3 t-pt-0 t-px-1 "+(e.headlineClass||"")}}}function ce(e){return{$el:"h5",children:e.subheadline||r,attrs:{class:"t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-7 t-pt-0 t-px-3 "+(e.subheadlineClass||"")}}}const pe="(function() {\n if (window.xxTrustedFormLoaded) {\n return\n }\n var vid = '';\n if (typeof window.zar !== 'undefined') {\n vid = window.zar.getVID();\n }\n window.xxTrustedFormLoaded = true;\n var sandbox = document.location.hostname.indexOf('localhost') > -1 ? 'true' : 'false'\n var tf = document.createElement('script');\n tf.type = 'text/javascript'; tf.async = true;\n tf.src = (\"https:\" == document.location.protocol ? 'https' : 'http') + \"://api.trustedform.com/trustedform.js?field=xxTrustedFormCertUrl&identifier=\" + vid + \"&ping_field=xxTrustedFormPingUrl&provideReferrer=false&invert_field_sensitivity=true&sandbox=\" + sandbox + \"&l=\" + new Date().getTime() + Math.random();\n var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(tf, s);\n})();";const me=(e,t)=>({$el:"section",if:'$stepEnabled("'+e+'")',attrs:{hidden:'$activeStep !== "'+e+'"',key:t||e}});function fe(t,a,r=!0,n=!1,i=void 0,s=void 0,o=void 0){if(void 0===r&&(r=!0),a&&a.length&&(r||n)){const e=ee(a[a.length-1]);e&&!0===r&&(e.onKeypress=Z),e&&!0===n&&(e.onInput=J)}return e(me(t,i),{children:[{$formkit:"group",id:t,name:t,nextStepMap:s,autoFocus:o,children:a}]})}function ye(e,t,a,r={}){return fe(e,[ie({headline:r.headline??a,headlineClass:r.headlineClass}),...Array.isArray(t)?t:[t]],r.nextOnEnter,void 0===r.nextOnInput||r.nextOnInput,r.stepKey,r.nextStepMap)}const he={type:"form",id:"form",config:{validationVisibility:"submit"},onSubmit:'$submit($submitUrl, $prepData, $handleRedirect, "text/plain; charset=UTF-8")',plugins:"$plugins",actions:!1,anchorElement:"form-anchor",useLocalStorage:!0,prepop:{fromURL:!0},errorCodes:{403:{message:"An Error Occurred",abort:!1},409:{abort:!1},429:"An Error Occurred",504:{message:"An Error Occurred",abort:!1}},formClass:"!t-max-w-[40rem]"};const ge={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 _e={$el:"div",children:[{$el:"div",attrs:{id:"form-anchor",class:"t-absolute",style:{top:"-30px",left:0}}}],attrs:{class:"t-relative"}};const be={$el:"div",attrs:{class:"t-mt-7 t-mb-5 t-w-full t-flex t-flex-col t-justify-center t-items-center",style:{if:"$fns.eq($activeStep, $firstStep()) || $fns.eq($activeStep, $lastStep())",then:"display: none"}},children:[{$el:"div",attrs:{class:"t-flex t-justify-center"},children:[{$el:"span",attrs:{id:"progress-bar-text",class:"t-text-sm t-mb-1"},children:["0% Complete"]}]},{$el:"div",attrs:{class:"t-bg-gray-100 t-w-9/12 t-rounded"},children:[{$el:"div",attrs:{id:"progress-bar",class:"t-flex t-flex-col t-justify-center t-text-center t-whitespace-nowrap t-w-[10%] t-h-1.5 t-rounded t-text-white t-bg-[#007bff]",style:{transition:"width 0.5s ease"}}}]}]};const Ce=[{$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},{$formkit:"hidden",name:"s",value:null}],ve={"*":"https://listings.ziplawyer.com/api/v1/redirect?zone_id=4&vertical=Legal&category=${properties.Type_Of_Legal_Problem}&Degree_Of_Interest=${properties.Degree_Of_Interest}&zip_code=${properties.Zip}&sub_id=${properties.vid}"};const we={Adoption:'Example: "I need help with adoption forms"',"Asbestos and Mesothelioma":'Example: "I was exposed to asbestos at work and would like to file a claim"',"Auto and Car Accidents":'Example: "A truck crashed into my car on the highway" or "I\'ve been involved in a hit and run accident"',Bankruptcy:'Example: "I need help filing for bankruptcy"',"Birth Certificate and Name Change":'Example: "Just married and would like to change my last name"',"Business Lawyers":'Example: "I need help 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