bhl-forms 0.7.5 → 0.8.1
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.iife.js +4 -4
- package/dist/bhl-forms.modern.iife.js +4 -4
- package/dist/bhl-forms.modern.umd.js +4 -4
- package/dist/bhl-forms.umd.js +1 -1
- package/dist/forms/accidentsAndInjuries.es.js +22 -4
- package/dist/forms/accidentsAndInjuries.iife.js +1 -1
- package/dist/forms/accidentsAndInjuries.json +1 -1
- package/dist/forms/business.es.js +22 -4
- package/dist/forms/business.iife.js +1 -1
- package/dist/forms/business.json +1 -1
- package/dist/forms/childAndFamily.es.js +22 -4
- package/dist/forms/childAndFamily.iife.js +1 -1
- package/dist/forms/childAndFamily.json +1 -1
- package/dist/forms/childAndFamilySingle.es.js +22 -4
- package/dist/forms/childAndFamilySingle.iife.js +1 -1
- package/dist/forms/childAndFamilySingle.json +1 -1
- package/dist/forms/civilLawsuit.es.js +22 -4
- package/dist/forms/civilLawsuit.iife.js +1 -1
- package/dist/forms/civilLawsuit.json +1 -1
- package/dist/forms/contracts.es.js +22 -4
- package/dist/forms/contracts.iife.js +1 -1
- package/dist/forms/contracts.json +1 -1
- package/dist/forms/criminal.es.js +22 -4
- package/dist/forms/criminal.iife.js +1 -1
- package/dist/forms/criminal.json +1 -1
- package/dist/forms/divorce.es.js +22 -4
- package/dist/forms/divorce.iife.js +1 -1
- package/dist/forms/divorce.json +1 -1
- package/dist/forms/employmentAndWorkplace.es.js +22 -4
- package/dist/forms/employmentAndWorkplace.iife.js +1 -1
- package/dist/forms/employmentAndWorkplace.json +1 -1
- package/dist/forms/generalHomeImprovement.es.js +36 -11
- package/dist/forms/generalHomeImprovement.iife.js +1 -1
- package/dist/forms/generalHomeImprovement.json +1 -1
- package/dist/forms/generalHomeImprovementThankYou.es.js +33 -8
- package/dist/forms/generalHomeImprovementThankYou.iife.js +1 -1
- package/dist/forms/generalHomeImprovementThankYou.json +1 -1
- package/dist/forms/generalLegal.es.js +22 -4
- package/dist/forms/generalLegal.iife.js +1 -1
- package/dist/forms/generalLegal.json +1 -1
- package/dist/forms/generalLegalJustAnswer.es.js +22 -4
- package/dist/forms/generalLegalJustAnswer.iife.js +1 -1
- package/dist/forms/generalLegalJustAnswer.json +1 -1
- package/dist/forms/generalLegalPopUnder.es.js +22 -4
- package/dist/forms/generalLegalPopUnder.iife.js +1 -1
- package/dist/forms/generalLegalPopUnder.json +1 -1
- package/dist/forms/generalLegalPopUnderSingle.es.js +22 -4
- package/dist/forms/generalLegalPopUnderSingle.iife.js +1 -1
- package/dist/forms/generalLegalPopUnderSingle.json +1 -1
- package/dist/forms/generalLegalSingle.es.js +22 -4
- package/dist/forms/generalLegalSingle.iife.js +1 -1
- package/dist/forms/generalLegalSingle.json +1 -1
- package/dist/forms/generalLegalThankYou.es.js +22 -4
- package/dist/forms/generalLegalThankYou.iife.js +1 -1
- package/dist/forms/generalLegalThankYou.json +1 -1
- package/dist/forms/generalLegalThankYouConsultation.es.js +22 -4
- package/dist/forms/generalLegalThankYouConsultation.iife.js +1 -1
- package/dist/forms/generalLegalThankYouConsultation.json +1 -1
- package/dist/forms/harassmentAndDiscrimination.es.js +22 -4
- package/dist/forms/harassmentAndDiscrimination.iife.js +1 -1
- package/dist/forms/harassmentAndDiscrimination.json +1 -1
- package/dist/forms/landlordTenant.es.js +22 -4
- package/dist/forms/landlordTenant.iife.js +1 -1
- package/dist/forms/landlordTenant.json +1 -1
- package/dist/forms/malpractice.es.js +22 -4
- package/dist/forms/malpractice.iife.js +1 -1
- package/dist/forms/malpractice.json +1 -1
- package/dist/forms/mechanics.es.js +22 -4
- package/dist/forms/mechanics.iife.js +1 -1
- package/dist/forms/mechanics.json +1 -1
- package/dist/forms/patentsAndIP.es.js +22 -4
- package/dist/forms/patentsAndIP.iife.js +1 -1
- package/dist/forms/patentsAndIP.json +1 -1
- package/dist/forms/realEstate.es.js +22 -4
- package/dist/forms/realEstate.iife.js +1 -1
- package/dist/forms/realEstate.json +1 -1
- package/dist/forms/repossession.es.js +22 -4
- package/dist/forms/repossession.iife.js +1 -1
- package/dist/forms/repossession.json +1 -1
- package/dist/forms/ssdi.es.js +22 -4
- package/dist/forms/ssdi.iife.js +1 -1
- package/dist/forms/ssdi.json +1 -1
- package/dist/forms/testForm.es.js +22 -4
- package/dist/forms/testForm.iife.js +1 -1
- package/dist/forms/testForm.json +1 -1
- package/dist/forms/willsAndTrusts.es.js +22 -4
- package/dist/forms/willsAndTrusts.iife.js +1 -1
- package/dist/forms/willsAndTrusts.json +1 -1
- package/dist/main.css +1 -1
- package/package.json +1 -1
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@@ -2097,7 +2097,7 @@ const TCPAConsent = (scope) => ({
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accepted: "Consent is required",
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},
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classes: {
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label: "t-text-xs t-text-slate-500 t-font-normal",
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label: "t-text-xs t-text-slate-500 t-font-normal !t-leading-[0.9rem]",
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},
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});
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const formNavigation = (updates = {}) => ({
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$el: "div",
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attrs: {
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class:
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class: {
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if: "$activeStep === $firstStep()",
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then: "step-nav !t-justify-center sm:!t-justify-between",
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else: "step-nav !t-justify-between",
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},
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},
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children: [
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{
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name: "back_button",
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onClick: "$setPreviousStep($prevStepFunc($get(form)))",
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children: "Back",
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outerClass: {
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if: "$activeStep === $firstStep()",
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then: "t-hidden sm:t-block",
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else: "",
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},
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style: {
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if: "$activeStep === $firstStep()",
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then: "
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then: "display: none;",
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},
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classes: {
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input: updates.inputClass || "",
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{
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@@ -3692,7 +3704,7 @@ const formNavigation = (updates = {}) => ({
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onClick: "$setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form)))",
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children: {
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if: "$activeStep === $firstStep()",
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then: "Start",
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then: updates.startText || "Start",
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else: "Next",
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},
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outerClass: {
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if: "$activeStep === $lastStep()",
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then: "display: none;",
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},
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classes: {
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input: updates.inputClass || "",
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},
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},
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{
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$formkit: "submit",
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if: "$activeStep !== $lastStep()",
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then: "display: none;",
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},
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classes: {
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input: (updates.inputClass || "") + " !t-ml-2 sm:!t-ml-auto",
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],
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});
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@@ -1 +1 @@
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-
var generalLegalJustAnswer=function(){"use strict";function e(){return Object.assign({},...arguments)}const t='$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)',a='$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)',i='$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)',n={"Auto and Car Accidents":{"Social Security Disability and Insurance":"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"},"Personal Injury":{"DUI and DWI":"Involved in 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"},"Workers Compensation":{"DUI and DWI":"Involved in 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"},"DUI and DWI":{"Personal Injury":"Personal or Workplace Injury","Wills and Trusts":"Need a Will or Trust","Social Security Disability and Insurance":"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"},"Wills and Trusts":{"Auto and Car Accidents":"Injured in a Car Accident","Personal Injury":"Personal or Workplace Injury","DUI and DWI":"Involved in a DUI/DWI","Social Security Disability and Insurance":"Interest in Disability Benefits","Divorce and Separation":"Need a Divorce or Separation","Child Custody":"Need help with Child Custody"},"Probate and Estates":{"Auto and Car Accidents":"Injured in a Car Accident","Personal Injury":"Personal or Workplace Injury","DUI and DWI":"Involved in a DUI/DWI","Social Security Disability and Insurance":"Interest in Disability Benefits","Divorce and Separation":"Need a Divorce or Separation","Child Custody":"Need help with Child Custody"},"Power of Attorney":{"Auto and Car Accidents":"Injured in a Car Accident","Personal Injury":"Personal or Workplace Injury","DUI and DWI":"Involved in a DUI/DWI","Social Security Disability and Insurance":"Interest in Disability Benefits","Divorce and Separation":"Need a Divorce or Separation","Child Custody":"Need help with Child Custody"},"Long Term Disability":{"Auto and Car Accidents":"Injured in a Car Accident","DUI and DWI":"Involved in 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"},"Social Security Disability and Insurance":{"Auto and Car Accidents":"Injured in a Car Accident","DUI and DWI":"Involved in 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"},"*":{"Auto and Car Accidents":"Injured in a Car Accident","Personal Injury":"Personal or Workplace Injury","DUI and DWI":"Involved in a DUI/DWI","Wills and Trusts":"Need a Will or Trust","Power of Attorney":"Update Power of Attorney","Social Security Disability and Insurance":"Interest in Disability Benefits"}},r=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},t)),o=e=>(e&&e.legendClass||(e.legendClass="required"),e.fieldsetClass="$reset",e.optionsClass="t-pl-2 t-pt-3",e.innerClass="t-items-center",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",r(e)),s=e=>(e.legendClass="legend-left required",e.fieldsetClass="$reset side-by-side",e.optionsClass="t-pl-1",e.innerClass="t-flex t-items-center",e.wrapperClass="t-mb-3",r(e)),l=e=>(e&&e.legendClass||(e.legendClass="required"),e.fieldsetClass="$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="$reset t-flex t-cursor-pointer t-mb-3",r(e)),u=e=>(e&&e.legendClass||(e.legendClass="required t-w-[100%] t-text-center"),e.fieldsetClass="$reset t-flex t-justify-center t-flex-col",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",e.optionClass="t-pl-4 md:t-pl-16 md:t-min-w-[200px]",e.optionsClass="t-pl-4 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.messagesClass="t-flex t-justify-center",e.helpClass="t-mt-0 t-mb-4 !t-text-sm t-text-center",r(e)),p=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t)),d=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",p(e)),c=e=>(e.legendClass="required t-w-[100%] t-text-center",void 0===e.fieldsetClass&&(e.fieldsetClass="$reset t-flex t-justify-center"),e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",e.optionClass="t-pl-4 md:t-pl-8 md:t-min-w-[200px]",e.optionsClass="t-pl-4 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.messagesClass="t-flex t-justify-center",e.helpClass="t-mt-0 t-mb-4 !t-text-sm t-text-center",p(e)),m=e=>(e.legendClass="legend-left required",e.fieldsetClass="$reset side-by-side",e.optionsClass="t-pl-1",e.innerClass="t-flex t-items-center",e.wrapperClass="t-mb-3",p(e)),y=e=>(e.legendClass="legend-left-flex md:t-max-w-[40%] required",e.fieldsetClass="$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="$reset t-flex t-cursor-pointer t-mb-3",p(e)),f=e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$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",p(e)),h=e=>(e.options=["Yes","No"],f(e)),b=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",p(e)),g=e=>(e.options=["Yes","No"],e.optionsClass="t-flex t-justify-center t-my-3",b(e)),_=e=>(e.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",p(e)),C=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},t)),v=e=>(e.labelClass="required",e.wrapperClass="side-by-side t-items-center",e.innerClass="select-height-content",e.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",C(e)),I=e=>(e.labelClass="required",e.wrapperClass="t-flex t-justify-center",e.messagesClass="t-flex t-justify-center",e.inputClass="t-min-w-[150px] t-bg-white",e.helpClass="t-mt-2.5 t-text-center",C(e)),P=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t)),D=e=>(e.wrapperClass="side-by-side t-items-center",P(e)),w=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",P(e)),T=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"DatePicker",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required t-block t-mb-3 t-font-semibold t-text-base formkit-invalid:t-text-red-500",innerClass:"t-border t-border-gray-400 formkit-invalid:t-border-red-500 t-rounded t-mb-1 focus-within:t-border-blue-500"},t)),S=e=>(e.wrapperClass="side-by-side t-items-center",T(e)),L=e=>(e.wrapperClass="t-flex t-justify-center",e.inputClass="t-text-center",e.messagesClass="t-flex t-justify-center",T(e)),A=(e,t,a={})=>(t?w:D)({$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}),x=(e,t,a={})=>(t?w:D)({label:t?a.label:"First Name:",placeholder:"First",name:e?e+":First_Name":"First_Name",autocomplete:"given-name",validationMessages:{required:"First Name is required"},...a}),O=(e,t,a={})=>(t?w:D)({label:t?a.label:"Last Name:",placeholder:"Last",name:e?e+":Last_Name":"Last_Name",autocomplete:"family-name",validationMessages:{required:"Last Name is required"},...a}),k=(e,t,a={})=>(t?w:D)({$formkit:"tel",name:e?e+":Primary_Phone":"Primary_Phone",label:t?a.label:"Phone Number:",placeholder:"###-###-####",maxlength:12,help:"10-digit phone number, hyphens optional",autocomplete:"tel-national","data-tf-sensitive":"false",validation:"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|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}),$=(t,a,i={})=>(a?w:D)(e({label:a?i.label:"Age of Applicant?",placeholder:"Age between 18 and 65",name:t?t+":Applicant_Age":"Applicant_Age",value:a?i.value??"50":null,maxlength:2,inputmode:"numeric",validation:"required|min:18,max:65",validationMessages:{required:"Applicant Age is required",min:"Invalid Age - must be between 18 and 65",max:"Invalid Age - must be between 18 and 65"},...i})),W=(t,a,i={})=>(a?g:h)(e({label:a?i.label:"Were You at Fault?",name:t?t+":At_Fault":"At_Fault"},i)),E=(t,a,i={})=>(a?I:v)(e({label:a?i.label:"Blood Alcohol Content Measured by Test:",name:t?t+":Blood_Alcohol_Content_Test":"Blood_Alcohol_Content_Test",options:["No 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total monthly income?",t)}(),function(t={}){return Ae("trafficViolations",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"Which Type of Violation?",name:t?t+":Traffic_Violations":"Traffic_Violations",options:["Disregarding a Red Light","Disregarding a Stop Sign","DMV Letter About License","DUI/DWI","Failure to Appear in Court","License Suspended/Revoked","Minor in Possession of Alcohol","No Child Safety Seat","No Liability Insurance","No Seat Belt","Open Container of Alcohol","Parking Ticket","Racing","Speeding","Unpaid Traffic Tickets","Warrant Issue for Arrest","Other Violation"]},i)))(t.scope,!0,t.input),"What type of traffic violation?",t)}(),function(e={}){return Ae("typeOfAlcoholTest",se(e.scope,!0,e.input),"What type of alcohol test was performed?",e)}(),function(e={}){return void 0===e.nextOnInput&&(e.nextOnInput=!1),Ae("typeOfAssets",le(e.scope,!0,e.input),"What type of assets are involved?",e)}(),function(t={}){return Ae("typeOfProperty",((t,a,i={})=>(a?c:v)(e({label:a?i.label:"Type 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var generalLegalJustAnswer=function(){"use strict";function e(){return Object.assign({},...arguments)}const t='$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)',a='$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)',i='$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)',n={"Auto and Car Accidents":{"Social Security Disability and Insurance":"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"},"Personal Injury":{"DUI and DWI":"Involved in 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 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Ae("atFault",W(e.scope,!0,e.input),"Were you at fault?",e)}(),function(e={}){return Ae("bloodContentAlcoholTest",E(e.scope,!0,e.input),"What was your blood alcohol content?",e)}(),function(t={}){return Ae("businessServices",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"Legal Services Needed for Your Business:",name:t?t+":Business_Services":"Business_Services",options:["Business Formation","Contracts","Insurance and Liability","Mergers and Acquisition","Regulatory Compliance","Employee Dispute","Other"]},i)))(t.scope,!0,t.input),"What legal services do you need?",t)}(),function(t={}){return Ae("businessType",((t,a,i={})=>(a?b:y)(e({label:a?i.label:"Is the Business Public or Private?",name:t?t+":Business_Type":"Business_Type",options:["Public","Private"]},i)))(t.scope,!0,t.input),"Is the business public or private?",t)}(),function(t={}){return Ae("causeOfDeath",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"What was the Cause of the Victim's 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Disputes","Defamation and Slander","Dog Bite","Employment and Workplace","Fraud","Medical Malpractice","Personal Injury","Property Damage","Small Claims","Real Estate","Not Sure or Other"]},i)))(t.scope,!0,t.input),"What type of lawsuit would you like to file?",t)}({nextStepMap:Ve}),function(t={}){return Ae("civilRightsType",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"On what basis were your rights violated?",name:t?t+":Civil_Rights_Type":"Civil_Rights_Type",options:["Age","Disability","Gender","Race","Religion","Other"]},i)))(t.scope,!0,t.input),"How were your rights violated?",t)}(),function(e={}){return Ae("claimStatus",R(e.scope,!0,e.input),"What is the status of the claim?",e)}(),function(t={}){return Ae("consumerLawyerType",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"What best describes your issue?",name:t?t+":Consumer_Lawyer_Type":"Consumer_Lawyer_Type",options:["Unsafe Environment","Unsafe Products","Auto Fraud","Credit Reporting Issues","Debt Collection Abuse","Identity Theft","Lemon Law","Military Consumer Rights","Predatory Lending","Student Loans","Other"]},i)))(t.scope,!0,t.input),"What best describes your issue?",t)}(),function(t={}){return Ae("countryOfCitizenship",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"What is Your Current Country of Citizenship?",name:t?t+":Country_Of_Citizenship":"Country_Of_Citizenship",options:["Afghanistan","Albania","Algeria","Andorra","Angola","Antigua and Barbuda","Argentina","Armenia","Australia","Austria","Azerbaijan","Bahamas","The Bahrain","Bangladesh","Barbados","Belarus","Belgium","Belize","Benin","Bhutan","Bolivia","Bosnia and Herzegovina","Botswana","Brazil","Brunei","Bulgaria","Burkina Faso","Burundi","Cambodia","Cameroon","Canada","Cape Verde","Central African Republic","Chad","Chile","China","Colombia","Comoros","Congo (Congoâ Kinshasa)","Congo (Congoâ Brazzaville)","Costa Rica","Coted'Ivoire (Ivory Coast)","Croatia","Cuba","Cyprus","Czech Republic","Denmark","Djibouti","Dominica","Dominican Republic","Ecuador","Egypt","El Salvador","Equatorial Guinea","Eritrea","Estonia","Ethiopia","Fiji","Finland","France","Gabon","Gambia","Georgia","Germany","Ghana","Greece","Grenada","Guatemala","Guinea","Guinea-Bissau","Guyana","Haiti","Honduras","Hungary","Iceland","India","Indonesia","Iran","Iraq","Ireland","Israel","Italy","Jamaica","Japan","Jordan","Kazakhstan","Kenya","Kiribati","Korea (North Korea)","Korea (South Korea)","Kuwait","Kyrgyzstan","Laos","Latvia","Lebanon","Lesotho","Liberia","Libya","Liechtenstein","Lithuania","Luxembourg","Macedonia","Madagascar","Malawi","Malaysia","Maldives","Mali","Malta","Marshall Islands","Mauritania","Mauritius","Mexico","Micronesia","Moldova","Monaco","Mongolia","Montenegro","Morocco","Mozambique","Myanmar (Burma)","Namibia","Nauru","Nepal","Netherlands","New Zealand","Nicaragua","Niger","Nigeria","Norway","Oman","Pakistan","Palau","Panama","Papua New Guinea","Paraguay","Peru","Philippines","Poland","Portugal","Qatar","Romania","Russia","Rwanda","Saint Kitts and Nevis","SaintLucia","Saint Vincent and the Grenadines","Samoa","San Marino","Sao Tome and Principe","Saudi Arabia","Senegal","Serbia","Seychelles","Sierra Leone","Singapore","Slovakia","Slovenia","Solomon Islands","Somalia","South Africa","Spain","SriLanka","Sudan","Suriname","Swaziland","Sweden","Switzerland","Syria","Tajikistan","Tanzania","Thailand","Timor-Leste (East Timor)","Togo","Tonga","Trinidad and Tobago","Tunisia","Turkey","Turkmenistan","Tuvalu","Uganda","Ukraine","United Arab Emirates","United Kingdom","United States","Uruguay","Uzbekistan","Vanuatu","Vatican City","Venezuela","Vietnam","Yemen","Zambia","Zimbabwe"]},i)))(t.scope,!0,t.input),"What is your current country of citizenship?",t)}(),function(t={}){return Ae("crimeCommittedDate",((t,a,i={})=>(a?L:S)(e({label:a?i.label:"When was the Alleged Crime?",name:t?t+":Crime_Committed_Date":"Crime_Committed_Date"},i)))(t.scope,!0,t.input),"When was the alleged crime?",t)}({nextOnInput:!1}),function(t={}){return Ae("criminalChargeType",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"What Type of Charge?",name:t?t+":Criminal_Charge_Type":"Criminal_Charge_Type",options:["Felony","Misdemeanor","Juvenile","Other"]},i)))(t.scope,!0,t.input),"What type of criminal charge?",t)}(),function(t={}){return Ae("criminalChargesFiled",((t,a,i={})=>(a?_:m)(e({label:a?i.label:"Were Criminal Charges Filed?",name:t?t+":Criminal_Charges_Filed":"Criminal_Charges_Filed",options:["Yes","No","Not Sure"]},i)))(t.scope,!0,t.input),"Have criminal charges been filed?",t)}(),function(t={}){return Ae("criminalTOLPDisplay",((t,a,i={})=>(a?d:c)(e({label:a?i.label:"Select The Criminal Issue:",if:a?i.if:'$get(Type_Of_Legal_Problem).value == "Criminal and Felony"',name:t?t+":Type_Of_Legal_Problem_Display":"Type_Of_Legal_Problem_Display",options:["Criminal Defense","Victim of a Crime","DUI and DWI","Expungement","Harassment","Not Sure or Other"]},i)))(t.scope,!0,t.input),"Which type of criminal issue?",t)}({nextStepMap:Ke}),function(t={}){return Ae("defaultNotice",((t,a,i={})=>(a?g:h)(e({name:t?t+":Default_Notice":"Default_Notice",label:a?i.label:"Have You Received a Notice of Default from the Lender?"},i)))(t.scope,!0,t.input),"Have you received a default notice from the lender?",t)}(),function(e={}){return Ae("degreeOfInterest",H(e.scope,!0,e.input),"Could you pay if your issue could be resolved?",e)}(),function(e={}){return Ae("disabilityConditionStopWork",Y(e.scope,!0,e.input),"Do you expect to be out of work for at least a year?",e)}(),function(e={}){return Ae("disabilityWorkHistory",q(e.scope,!0,e.input),"Have you had a full-time job in the past 5 years?",e)}(),function(e={}){return Ae("doctorTreatment",V(e.scope,!0,e.input),"Have you seen a doctor about this?",e)}(),function(t={}){return Ae("driversLicenseType",((t,a,i={})=>(a?b:f)(e({name:t?t+":Drivers_License_Type":"Drivers_License_Type",label:a?i.label:"Type of Driver's License:",options:["Private","Commercial"]},i)))(t.scope,!0,t.input),"What type of license do you have?",t)}(),function(e={}){return Ae("estateLegalServicesNeeded",K(e.scope,!0,e.input),"What legal services are needed?",e)}(),function(t={}){return Ae("employerType",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"The Employer Is a:",name:t?t+":Employer_Type":"Employer_Type",options:["Sole proprietorship (mom and pop)","Partnership","Franchise","Privately held company","Public corporation","Government Agency","Don't know"]},i)))(t.scope,!0,t.input),"What type of employer is it?",t)}(),function(t={}){return Ae("employeeAtCompany",((t,a,i={})=>(a?g:h)(e({name:t?t+":Employee_At_Company":"Employee_At_Company",label:a?i.label:"Do You Still Work at the Company?"},i)))(t.scope,!0,t.input),"Do you/they still work at the company?",t)}(),function(t={}){return Ae("employmentAndWorkplaceTOLPDisplay",((t,a,i={})=>(a?d:c)(e({label:a?i.label:"Select The Workplace Issue:",if:'$get(Type_Of_Legal_Problem).value == "Employment and Workplace"',name:t?t+":Type_Of_Legal_Problem_Display":"Type_Of_Legal_Problem_Display",options:["Workplace Harassment","Workplace Discrimination","Wrongful Termination","Payment Disputes","Workers Compensation","Personal Injury","Unemployment","Other Workplace Issues"]},i)))(t.scope,!0,t.input),"What type of workplace issue?",t)}({nextStepMap:ze}),function(e={}){return Ae("haveAttorney",G(e.scope,!0,e.input),"Already working with an attorney?",e)}(),function(e={}){return Ae("haveChildren",Z(e.scope,!0,e.input),"Do you have children?",e)}(),function(t={}){return Ae("haveCourtDate",((t,a,i={})=>(a?g:h)(e({name:t?t+":Have_Court_Date":"Have_Court_Date",label:a?i.label:"Do You Have a Court Date?"},i)))(t.scope,!0,t.input),"Do you have a court date?",t)}(),function(t={}){return Ae("immigrationDetails",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"Where is the Person Seeking Immigration Located?",name:t?t+":Immigration_Details":"Immigration_Details",options:["In the USA with proper documentation","In the USA without proper documentation","Not in the USA","In Deportation/Removal Proceedings","Currently Detained (friend or family submitting this request)","Out on Bond","None Apply"]},i)))(t.scope,!0,t.input),"Where is the person seeking immigration located?",t)}(),function(t={}){return Ae("immigrationEntry",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"How are you Trying to Enter the Country?",name:t?t+":Immigration_Entry":"Immigration_Entry",options:["With Proper Documents/Visa and Inspection through Customs Border Patrol","Illegally","No Entry","Other"]},i)))(t.scope,!0,t.input),"How are you trying to enter the country?",t)}(),function(t={}){return Ae("immigrationLocation",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"Where Are You Migrating To?",name:t?t+":Immigration_Location":"Immigration_Location",options:["In the USA","Outside the USA"]},i)))(t.scope,!0,t.input),"Where are you migrating to?",t)}(),function(t={}){return Ae("immigrationStatus",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"What is the Current Status of the Immigration Case?",name:t?t+":Immigration_Status":"Immigration_Status",options:["Out of Status (overstayed my visa)","Current Visa Holder (in status)","Lawful Permanent Resident (green card)","Not Applicable (outside the USA)","Other"]},i)))(t.scope,!0,t.input),"Current statue of the immigration case:",t)}(),function(t={}){return Ae("immigrationType",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"What Type of Immigration Issue?",name:t?t+":Immigration_Type":"Immigration_Type",options:["Citizenship (for current green card holders)","Permanent Visa Family Based (green cards)","Permanent Visa Business Based (green cards)","Temporary Business Visa","Temporary Tourist Visa","Investor","Asylum","Self Petition (violence & abuse victims)","Removal/Deportation Proceeding","Other"]},i)))(t.scope,!0,t.input),"What type of immigration issue?",t)}(),function(e={}){return Ae("incidentDate",J(e.scope,!0,e.input),"When did the incident occur?",e)}({nextOnInput:!1}),function(t={}){return Ae("landlordTenantIssue",((t,a,i={})=>(a?d:c)(e({label:a?i.label:"What is the Landlord / Tenant Issue?",if:a?i.if:'$get(Type_Of_Legal_Problem).value == "Landlord and Tenant"',id:t?t+":Landlord_Tenant_Issue":"Landlord_Tenant_Issue",name:t?t+":Landlord_Tenant_Issue":"Landlord_Tenant_Issue",options:["Eviction","Repairs and Maintenance","Lease and Rental Agreements","Discrimination","Right of Entry and Privacy","Screening and Applications","Environmental Hazards","Other Dispute"]},i)))(t.scope,!0,t.input),"What is the landlord / tenant issue?",t)}(),function(t={}){return Ae("landlordTenantParty",((t,a,i={})=>(a?b:v)(e({label:a?i.label:"I am the:",name:t?t+":Landlord_Tenant_Party":"Landlord_Tenant_Party",options:["Landlord","Tenant","Other"]},i)))(t.scope,!0,t.input),"I am the:",t)}(),function(t={}){return Ae("lawsuitOtherParty",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"The Other Party is a:",name:t?t+":Lawsuit_Other_Party":"Lawsuit_Other_Party",options:["Individual","Small Business","Large Corporation","Government Entity"]},i)))(t.scope,!0,t.input),"What describes the other party in the lawsuit?",t)}(),function(e={}){return Ae("lawyerPaymentMethod",X(e.scope,!0,e.input),"How would you pay if a solution required it?",e)}(),function(t={}){return Ae("loanAmount",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"Total Amount of Loan?",name:t?t+":Loan_Amount":"Loan_Amount",options:["Less than $10,000","$10,000 - $24,999","$25,000 - $49,999","$50,000 - $99,999","$100,000 - $199,999","$200,000 - $299,999","$300,000 - $399,999","$400,000 - $499,999","$500,000 - $599,999","More than $600,000"]},i)))(t.scope,!0,t.input),"Total amount of the loan:",t)}(),function(e={}){return Ae("maritalStatus",ee(e.scope,!0,e.input),"What is your marital status?",e)}(),function(t={}){return Ae("medicalMalpracticeInjuries",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"Injuries from Medical Malpractice:",name:t?t+":Medical_Malpractice_Injuries":"Medical_Malpractice_Injuries",options:["No Injury","Minor Injury","Disfigurement or cosmetic injury","Short term loss of physical ability","Long term loss of physical injury","Possibility of future harm","Death of Patient"]},i)))(t.scope,!0,t.input),"What injuries did you suffer?",t)}(),function(t={}){return Ae("numEmployeesOfBusiness",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"Total Employees of Business? (estimated)",name:t?t+":Num_Employees_Of_Business":"Num_Employees_Of_Business",options:["1-5","6-20","21-50","51-100","101-500","501-1,000","More than 1,000"]},i)))(t.scope,!0,t.input),"How many employees does the business have?",t)}(),function(t={}){return Ae("ownRealEstate",((t,a,i={})=>(a?g:h)(e({name:t?t+":Own_Real_Estate":"Own_Real_Estate",label:a?i.label:"Do You Own Real Estate?"},i)))(t.scope,!0,t.input),"Do you own real estate?",t)}(),function(t={}){return Ae("patentAssistanceType",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"Legal Assistance Needed:",name:t?t+":Patent_Assistance_Type":"Patent_Assistance_Type",options:["Obtaining a Patent","Avoiding Patent Infringement","Suing for Patent Infringement","Defending Against a Claim of Patent Infringement","Other"]},i)))(t.scope,!0,t.input),"What type of assistance do you need?",t)}(),function(t={}){return Ae("patentFor",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"The Patent is for a:",name:t?t+":Patent_For":"Patent_For",options:["Product or Machine","Process","Computer Software","Living Organism or Plant","Ornamental Design","Other"]},i)))(t.scope,!0,t.input),"What is the patent for?",t)}(),function(e={}){return Ae("pendingCharges",te(e.scope,!0,e.input),"Do you have any pending charges?",e)}(),function(e={}){return Ae("policeReportFiled",ne(e.scope,!0,e.input),"Was a police report filed?",e)}(),function(e={}){return Ae("primaryInjury",ae(e.scope,!0,e.input),"What was the primary injury?",e)}(),function(e={}){return Ae("priorAlcoholOffenses",ie(e.scope,!0,e.input),"Do you have prior alcohol offenses?",e)}(),function(t={}){return Ae("realEstateArea",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"Area of Real Estate:",name:t?t+":Real_Estate_Area":"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"]},i)))(t.scope,!0,t.input),"What area of real estate?",t)}(),function(t={}){return Ae("realEstateTOLPDisplay",((t,a,i={})=>(a?d:c)(e({label:a?i.label:"Select The Real Estate Issue:",if:a?i.if:'$get(Type_Of_Legal_Problem).value == "Real Estate"',name:t?t+":Type_Of_Legal_Problem_Display":"Type_Of_Legal_Problem_Display",options:["Contracts and Agreements","Deeds, Liens, and Titles","Foreclosure","Insurance","Landlord and Tenant","Loans and Mortgages","Wills, Trusts, and Estates","Property Damage","Not Sure or Other"]},i)))(t.scope,!0,t.input),"What type of real estate issue?",t)}({nextStepMap:Qe}),function(t={}){return Ae("relationshipToVictim",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"Relationship to the Victim:",name:t?t+":Relationship_To_Victim":"Relationship_To_Victim",options:["Parent","Spouse","Sibling","Friend","Other"]},i)))(t.scope,!0,t.input),"What is your relationship to the victim?",t)}(),function(t={}){return Ae("roleInMatterCriminal",((t,a,i={})=>(a?_:m)(e({label:a?i.label:"What is Your Role in this Matter?",name:t?t+":Role_In_Matter_Criminal":"Role_In_Matter_Criminal",options:["I have been accused","I am acting on behalf of someone who has been accused","Other"]},i)))(t.scope,!0,t.input),"What is your role in this matter?",t)}(),function(e={}){return Ae("roleInMatterProbate",re(e.scope,!0,e.input),"What is your role in this matter?",e)}(),function(e={}){return Ae("socialSecurityDisabilityReceivingBenefits",oe(e.scope,!0,e.input),"Are you receiving Social Security Disability benefits?",e)}(),function(t={}){return Ae("taxIssueType",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"Type of Tax Issue:",name:t?t+":Tax_Issue_Type":"Tax_Issue_Type",options:["Income","Property","Corporate"]},i)))(t.scope,!0,t.input),"What type of tax issue?",t)}(),function(t={}){return Ae("taxLevel",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"Which Level of Tax Issue?",name:t?t+":Tax_Level":"Tax_Level",options:["Federal","State","Local"]},i)))(t.scope,!0,t.input),"What level of tax issue?",t)}(),function(t={}){return Ae("taxProblemDetails",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"Details of Tax Problem:",name:t?t+":Tax_Problem_Details":"Tax_Problem_Details",options:["Assets Seized","Bank Account Levied","Cannot Pay Taxes","Innocent Spouse","Lien Filed","Received Audit Notice","Unpaid Interest","Wage Garnishment","Other"]},i)))(t.scope,!0,t.input),"Details of the tax problem:",t)}(),function(t={}){return Ae("totalDebt",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"Total Debt?",name:t?t+":Total_Debt":"Total_Debt",options:["Less than 5K","5K to 10K","10K to 20K","20K to 50K","More than 50K"]},i)))(t.scope,!0,t.input),"What is your total debt?",t)}(),function(t={}){return Ae("totalMonthlyIncome",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"Total Monthly Income?",name:t?t+":Total_Monthly_Income":"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"]},i)))(t.scope,!0,t.input),"What is your total monthly income?",t)}(),function(t={}){return Ae("trafficViolations",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"Which Type of Violation?",name:t?t+":Traffic_Violations":"Traffic_Violations",options:["Disregarding a Red Light","Disregarding a Stop Sign","DMV Letter About License","DUI/DWI","Failure to Appear in Court","License Suspended/Revoked","Minor in Possession of Alcohol","No Child Safety Seat","No Liability Insurance","No Seat Belt","Open Container of Alcohol","Parking Ticket","Racing","Speeding","Unpaid Traffic Tickets","Warrant Issue for Arrest","Other Violation"]},i)))(t.scope,!0,t.input),"What type of traffic violation?",t)}(),function(e={}){return Ae("typeOfAlcoholTest",se(e.scope,!0,e.input),"What type of alcohol test was performed?",e)}(),function(e={}){return void 0===e.nextOnInput&&(e.nextOnInput=!1),Ae("typeOfAssets",le(e.scope,!0,e.input),"What type of assets are involved?",e)}(),function(t={}){return Ae("typeOfProperty",((t,a,i={})=>(a?d:v)(e({label:a?i.label:"Type of Property:",name:t?t+":Type_Of_Property":"Type_Of_Property",options:["Residential","Commercial","Industrial","Agricultural","Recreational","Other"]},i)))(t.scope,!0,t.input),"What type of property is involved?",t)}(),function(e={}){return Ae("valueOfAssets",ue(e.scope,!0,e.input),"What is the value of your assets?",e)}(),function(t={}){return Ae("veteransDisabilityApplied",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"Has the Applicant Applied for VA Disability Compensation?",name:t?t+":Veterans_Disability_Applied":"Veterans_Disability_Applied",options:["Yes, Claim filed and awaiting decision","Yes, Claim denied","Yes, Claim on appeal","Yes, Claim approved","Yes, Benefits awarded","No, Claim has not been filed"]},i)))(t.scope,!0,t.input),"Has the applicant applied for VA disability benefits?",t)}(),function(t={}){return Ae("veteransDisabilityConditions",((t,a,i={})=>(a?o:s)(e({label:a?i.label:"What Service Connected Conditions Does the Applicant Have?",name:t?t+":Veterans_Disability_Conditions":"Veterans_Disability_Conditions",options:["Traumatic Physical Injury (broken bones, loss of limb)","Mental Injury","Occupational Disease","Repeated Trauma Injury","Other"]},i)))(t.scope,!0,t.input),"What conditions or injuries are applicable?",t)}(),function(t={}){return Ae("veteransDisabilityInjured",((t,a,i={})=>(a?g:h)(e({name:t?t+":Veterans_Disability_Injured":"Veterans_Disability_Injured",label:a?i.label:"Was the Applicant Hurt While on Duty or is the Condition Related to Military Service?"},i)))(t.scope,!0,t.input),"Is the condition or injury related to military service?",t)}(),function(t={}){return Ae("veteransDisabilityRelationship",((t,a,i={})=>(a?I:v)(e({label:a?i.label:"What is Your Relationship to the Applicant?",name:t?t+":Veterans_Disability_Relationship":"Veterans_Disability_Relationship",options:["Self, Active Duty","Self, Active Reserve","Self, Discharged from Active Duty","Self, Discharged as Reservist","Surviving Family Member","Other"]},i)))(t.scope,!0,t.input),"What is your relationship to the applicant?",t)}(),function(t={}){return Ae("wouldLikeLawyerTo",((t,a,i={})=>(a?_:m)(e({label:a?i.label:"I Would Like a Lawyer to:",name:t?t+":Would_Like_Lawyer_To":"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"]},i)))(t.scope,!0,t.input),"I would like the lawyer to:",t)}(),function(e={}){return Ae("zipcode",((e,t,a={})=>(t?w:D)({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}))(e.scope,!0,e.input),"Please verify your Zip 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