bhl-forms 0.9.4 → 0.10.0
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 +3262 -3005
- package/dist/bhl-forms.iife.js +4 -4
- package/dist/bhl-forms.modern.es.js +5189 -4925
- package/dist/bhl-forms.modern.iife.js +7 -7
- package/dist/bhl-forms.modern.umd.js +7 -7
- package/dist/bhl-forms.umd.js +4 -4
- package/dist/forms/accidentsAndInjuries.es.js +13 -8
- package/dist/forms/accidentsAndInjuries.iife.js +1 -1
- package/dist/forms/applianceRepairMinimal.es.js +96 -229
- package/dist/forms/applianceRepairMinimal.iife.js +1 -1
- package/dist/forms/business.es.js +13 -8
- package/dist/forms/business.iife.js +1 -1
- package/dist/forms/childAndFamily.es.js +13 -8
- package/dist/forms/childAndFamily.iife.js +1 -1
- package/dist/forms/childAndFamilySingle.es.js +13 -8
- package/dist/forms/childAndFamilySingle.iife.js +1 -1
- package/dist/forms/civilLawsuit.es.js +13 -8
- package/dist/forms/civilLawsuit.iife.js +1 -1
- package/dist/forms/contracts.es.js +13 -8
- package/dist/forms/contracts.iife.js +1 -1
- package/dist/forms/criminal.es.js +13 -8
- package/dist/forms/criminal.iife.js +1 -1
- package/dist/forms/divorce.es.js +13 -8
- package/dist/forms/divorce.iife.js +1 -1
- package/dist/forms/employmentAndWorkplace.es.js +13 -8
- package/dist/forms/employmentAndWorkplace.iife.js +1 -1
- package/dist/forms/foreclosure.es.js +13 -8
- package/dist/forms/foreclosure.iife.js +1 -1
- package/dist/forms/generalContractors.es.js +14 -9
- package/dist/forms/generalContractors.iife.js +1 -1
- package/dist/forms/generalHomeImprovement.es.js +14 -9
- package/dist/forms/generalHomeImprovement.iife.js +1 -1
- package/dist/forms/generalHomeImprovementThankYou.es.js +14 -9
- package/dist/forms/generalHomeImprovementThankYou.iife.js +1 -1
- package/dist/forms/generalLegal.es.js +13 -8
- package/dist/forms/generalLegal.iife.js +1 -1
- package/dist/forms/generalLegalJustAnswer.es.js +13 -8
- package/dist/forms/generalLegalJustAnswer.iife.js +1 -1
- package/dist/forms/generalLegalPopUnder.es.js +13 -8
- package/dist/forms/generalLegalPopUnder.iife.js +1 -1
- package/dist/forms/generalLegalPopUnderSingle.es.js +13 -8
- package/dist/forms/generalLegalPopUnderSingle.iife.js +1 -1
- package/dist/forms/generalLegalSingle.es.js +13 -8
- package/dist/forms/generalLegalSingle.iife.js +1 -1
- package/dist/forms/generalLegalThankYou.es.js +13 -8
- package/dist/forms/generalLegalThankYou.iife.js +1 -1
- package/dist/forms/generalLegalThankYouConsultation.es.js +13 -8
- package/dist/forms/generalLegalThankYouConsultation.iife.js +1 -1
- package/dist/forms/harassmentAndDiscrimination.es.js +13 -8
- package/dist/forms/harassmentAndDiscrimination.iife.js +1 -1
- package/dist/forms/landlordTenant.es.js +13 -8
- package/dist/forms/landlordTenant.iife.js +1 -1
- package/dist/forms/malpractice.es.js +13 -8
- package/dist/forms/malpractice.iife.js +1 -1
- package/dist/forms/mechanics.es.js +13 -8
- package/dist/forms/mechanics.iife.js +1 -1
- package/dist/forms/patentsAndIP.es.js +13 -8
- package/dist/forms/patentsAndIP.iife.js +1 -1
- package/dist/forms/realEstate.es.js +13 -8
- package/dist/forms/realEstate.iife.js +1 -1
- package/dist/forms/repossession.es.js +13 -8
- package/dist/forms/repossession.iife.js +1 -1
- package/dist/forms/ssdi.es.js +13 -8
- package/dist/forms/ssdi.iife.js +1 -1
- package/dist/forms/testForm.es.js +13 -8
- package/dist/forms/testForm.iife.js +1 -1
- package/dist/forms/willsAndTrusts.es.js +13 -8
- package/dist/forms/willsAndTrusts.iife.js +1 -1
- package/dist/forms/windows.es.js +14 -9
- package/dist/forms/windows.iife.js +1 -1
- package/dist/forms/workersCompensation.es.js +13 -8
- package/dist/forms/workersCompensation.iife.js +1 -1
- package/dist/main.css +1 -1
- package/package.json +2 -2
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@@ -382,7 +382,7 @@ const firstName = (scope, vertical, updates = {}) => {
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const label = vertical ? updates.label : "First Name:";
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return func({
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label,
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placeholder: "First",
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placeholder: "First Name",
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name: scope ? scope + ":" + "First_Name" : "First_Name",
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autocomplete: "given-name",
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validationMessages: {
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@@ -397,7 +397,7 @@ const lastName = (scope, vertical, updates = {}) => {
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const label = vertical ? updates.label : "Last Name:";
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return func({
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label,
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placeholder: "Last",
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placeholder: "Last Name",
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name: scope ? scope + ":" + "Last_Name" : "Last_Name",
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autocomplete: "family-name",
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validationMessages: {
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@@ -414,9 +414,9 @@ const phone = (scope, vertical, updates = {}) => {
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$formkit: "tel",
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name: scope ? scope + ":" + "Primary_Phone" : "Primary_Phone",
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label,
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placeholder: "###-###-####",
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placeholder: updates.placeholder || "###-###-####",
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maxlength: 12,
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help: "10-digit phone number, hyphens optional",
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help: updates.help || "10-digit phone number, hyphens optional",
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autocomplete: "tel-national",
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"data-tf-sensitive": "false",
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validation: "required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|valid_phone",
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@@ -957,7 +957,7 @@ const socialSecurityDisabilityReceivingBenefits = (scope, vertical, updates = {}
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)
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};
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const TCPAConsent = (scope) => ({
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const TCPAConsent = (scope, updates = {}) => ({
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$formkit: "checkbox",
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label: "$meta.tcpaLanguage",
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// Necessary to get links to work in the tcpa language
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@@ -972,7 +972,12 @@ const TCPAConsent = (scope) => ({
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accepted: "Consent is required",
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},
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classes: {
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-
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outer: updates.outerClass ? updates.outerClass : "",
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wrapper: updates.wrapperClass ? updates.wrapperClass : "",
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messages: updates.messagesClass ? updates.messagesClass : "",
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label:
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"t-text-xs t-text-slate-500 t-font-normal !t-leading-[0.9rem]" +
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(updates.labelClass ? " " + updates.labelClass : ""),
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},
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});
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@@ -1239,7 +1244,7 @@ const secureIconDefault = {
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],
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};
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function secureIcon(updates) {
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function secureIcon(updates = {}) {
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return merge(secureIconDefault, updates)
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}
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@@ -1352,7 +1357,7 @@ function contactStepSubHeadline(updates) {
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children: updates.subheadline || DEFAULT_FINAL_SUBHEADLINE_DYNAMIC_LEGAL,
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attrs: {
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class:
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"t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-
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"t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-6 t-pt-0 t-px-3" +
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" " +
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(updates.subheadlineClass || "") +
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" f-contact-info-subheadline",
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@@ -1 +1 @@
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1
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-
var malpractice=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, $meta.defaultFinalSubHeadline)',i=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},t)),n=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",i(e)),s=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",i(e)),l=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.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",e.optionClass="t-pl-4 md:t-pl-8 md:t-min-w-[200px]",e.optionsClass="t-pl-4 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.messagesClass="t-flex t-justify-center",e.helpClass="t-mt-0 t-mb-4 !t-text-sm t-text-center",l(e)),d=e=>(e.legendClass="legend-left required",e.fieldsetClass="$reset side-by-side",e.optionsClass="t-pl-1",e.innerClass="t-flex t-items-center",e.wrapperClass="t-mb-3",l(e)),c=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",l(e)),u=e=>(e.options=["Yes","No"],(e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$reset side-by-side t-items-center",e.optionsClass="t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center",e.innerClass="t-flex t-items-center",e.optionClass="t-pr-1",l(e)))(e)),p=e=>(e.legendClass="legend-left",e.fieldsetClass="$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="$reset formkit-wrapper t-mb-0 t-flex t-items-center t-h-[100%]",e.labelClass="t-font-semibold t-text-[#1e448f] t-w-[100%]",e.decoratorIcon=!1,e.messagesClass="t-flex t-justify-center",e.helpClass="t-mt-2.5 !t-text-sm t-text-center",l(e)),m=e=>(e.options=["Yes","No"],e.optionsClass="t-flex t-justify-center t-my-3",p(e)),f=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},t)),y=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]",f(e)),h=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",f(e)),b=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t)),_=e=>(e.wrapperClass="side-by-side t-items-center",b(e)),g=e=>(e.wrapperClass="t-flex t-justify-center",e.messagesClass="t-flex t-justify-center",e.inputClass="t-text-center",e.helpClass="t-mt-2.5 !t-text-sm t-text-center",b(e)),C=t=>(t.name&&!t.id&&(t.id=t.name),e({$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)),v=e=>(e.wrapperClass="side-by-side t-items-center",C(e)),I=e=>(e.wrapperClass="t-flex t-justify-center",e.inputClass="t-text-center",e.messagesClass="t-flex t-justify-center",C(e)),w=(e,t,a={})=>(t?g:_)({$formkit:"email",name:e?e+":Email":"Email",label:t?a.label:"Email Address:",placeholder:"email@domain.com",autocomplete:"email","data-tf-sensitive":"false",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"},...a}),x=(e,t,a={})=>(t?g:_)({label:t?a.label:"First Name:",placeholder:"First",name:e?e+":First_Name":"First_Name",autocomplete:"given-name",validationMessages:{required:"First Name is required"},...a}),P=(e,t,a={})=>(t?g:_)({label:t?a.label:"Last Name:",placeholder:"Last",name:e?e+":Last_Name":"Last_Name",autocomplete:"family-name",validationMessages:{required:"Last Name is required"},...a}),S=(e,t,a={})=>(t?g:_)({$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}$/|valid_phone",validationMessages:{required:"Phone Number is required",matches:"Invalid Phone Format, use ###-###-####",valid_phone:"Invalid Phone Number"},helpClass:"t-mt-2.5 md:t-text-right md:t-mt-[-2px]",...a}),T=(e,t,a={})=>(t?g:_)({label:t?a.label:"Zip Code:",help:t?a.help??"We try to match you with local help":null,placeholder:"#####",name:e?e+":Zip":"Zip",maxlength:5,inputmode:"numeric",autocomplete:"postal-code",validation:"required|matches:/^[0-9]{5}$/",validationMessages:{required:"Zip Code is required",matches:"Invalid Zip Code"},...a}),D=(t,a,r={})=>(a?g:_)(e({label:a?r.label:"Age of Applicant?",placeholder:"Age between 18 and 65",name:t?t+":Applicant_Age":"Applicant_Age",value:a?r.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"},...r})),k=(t,a,r={})=>(a?m:u)(e({label:a?r.label:"Were You at Fault?",name:t?t+":At_Fault":"At_Fault"},r)),L=e=>{return(t={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:e?e+":CrossSell_Bankruptcy":"CrossSell_Bankruptcy",id:e?e+":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"}).legendClass="legend-left required",t.fieldsetClass="$reset side-by-side",t.optionsClass="t-pl-1",t.innerClass="t-flex t-items-center",t.wrapperClass="t-mb-3",i(t);var t},$=(t,a,r={})=>(a?h:y)(e({label:a?r.label:"Blood Alcohol Content Measured by Test:",name:t?t+":Blood_Alcohol_Content_Test":"Blood_Alcohol_Content_Test",options:["No Test","0.00% - 0.04%","0.05% - 0.08%","0.09% - 0.12%","0.13% - 0.16%","0.17% - 0.20%","More than 0.20%","Don't know"]},r)),A=(t,a,r={})=>(a?o:y)(e({label:a?r.label:"Cause of Injury:",name:t?t+":Cause_Of_Injury":"Cause_Of_Injury",options:["Traumatic Physical Injury (Accident)","Repeated Trauma Injury","Mental Injury","Occupational Disease","Not Sure"]},r)),O=(t,a,r={})=>(a?o:y)(e({label:a?r.label:"With Whom Do the Children Currently Live?",name:t?t+":Child_Home":"Child_Home",options:["Mother","Father","Grandparents","Other"]},r)),E=(t,a,r={})=>(a?p:y)(e({label:a?r.label:"Who is the Primary Caregiver?",name:t?t+":Child_Primary_Caregiver":"Child_Primary_Caregiver",options:["Mother","Father","Other"]},r)),W=(t,a,r={})=>(a?o:y)(e({label:a?r.label:"Your Relationship to Child(ren):",name:t?t+":Child_Relationship":"Child_Relationship",options:["Father","Mother","Grandparent","Aunt/Uncle","Other"]},r)),j=(t,a,r={})=>(a?o:y)(e({label:a?r.label:"Status of Claim:",name:t?t+":Claim_Status":"Claim_Status",options:["No action taken yet","Demand for compensation made","Lawsuit filed","Other"]},r)),M=(t,a,r)=>(t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},innerClass:"t-max-w-xl",labelClass:"required"},t)))(e({name:t?t+":Comments":"Comments",label:"Please briefly describe your situation in a few words:",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"'},r)),B=(t,a,r={})=>(a?o:y)(e({name:t?t+":Degree_Of_Interest":"Degree_Of_Interest",id:t?t+":Degree_Of_Interest":"Degree_Of_Interest",label:a?r.label:"How Likely Are You to Pay if Your Issue Could be Resolved?",help:a?r.help:"No payment necessary to speak with lawyers.",options:["Definitely","Probably","Maybe","Absolutely Can't Afford"]},r)),N=(t,a,r={})=>B(t,a,e(r,{help:"No payment necessary to speak with lawyers."})),F=(t,a,r={})=>(a?m:u)(e({name:t?t+":Disability_Condition_Stop_Work":"Disability_Condition_Stop_Work",label:a?r.label:"Do You Expect To Be Out Of Work For At Least a Year Due To Your 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Please verify your contact information.",finalSubHeadlines:n})}}();Fe.data.dynamicSchema=[function(e={}){return De("TOLPQuestions",[be(e),oe("MedicalMalpracticeQuestions",{if:t||'$get(Type_Of_Legal_Problem).value == "Medical Malpractice"',children:[R(a),Q(a),j(a),U(a),G(a),N(a)]}),de(),ce()],e);var t,a}(),function(e={}){return De("commentsWithBankruptcy",[ve(e),M(e.scope,0,{label:void 0===e.label?"Please briefly describe your legal issue in a few words:":e.label,placeholder:e.placeholder||t,inputClass:void 0===e.inputClass?"!t-h-32":e.inputClass}),L(),{$el:"div",if:"$get(CrossSell_Bankruptcy).value == true",children:[M("CrossSell:Bankruptcy",0,{label:"Bankruptcy or debt details:",placeholder:"Please describe your bankrtupcy or debt situation in a few words...",inputClass:"!t-h-16"})]}],{nextOnEnter:!1})}({placeholder:'Example: "My doctor or attorney was negligent in providing care."'}),function(e={}){return e.nextOnInput=!1,e.stepKey="$get(Type_Of_Legal_Problem).value",De("legalCrossSells",[we(e),n({id:"Legal_CrossSells",name:"Legal_CrossSells",help:'Just hit "Next" if none apply',helpClass:"t-text-center !t-text-sm",validation:null,options:'$getCrossSellOptions($get(form), $getVal($get(form), "Type_Of_Legal_Problem"))'})],e)}({headlineClass:"!t-text-dark",nextStepMap:{values:{Legal_CrossSells:{"Auto and Car Accidents":["autoAndCarAccidentCrossSellQuestions"],"Personal Injury":["personalInjuryCrossSellQuestions"],"Workers Compensation":["workersCompensationCrossSellQuestions"],"DUI and DWI":["duiAndDWICrossSellQuestions"],"Long Term Disability":["longTermDisabilityCrossSellQuestions"],"Social Security Disability and Insurance":["ssdiCrossSellQuestions"],Bankruptcy:["bankruptcyCrossSellQuestions"],"Power of Attorney":["powerOfAttorneyCrossSellQuestions"],"Wills and Trusts":["willsAndTrustsCrossSellQuestions"],"Divorce and Separation":["divorceAndSeparationCrossSellQuestions"],"Child Custody":["childCustodyCrossSellQuestions"]},"*":["firstAndLast","contactInfo"]},appendSteps:["firstAndLast","contactInfo"],matchesAllowed:1}}),function(e={}){return De("autoAndCarAccidentCrossSellQuestions",[_e({headline:"You May Be Entitled To Compensation"}),ge({subheadline:"Tell us about your accident:"}),(t="true",a="CrossSell:Auto_and_Car_Accidents",oe("AutoAndCarAccidentsQuestions",{if:t||'$get(Type_Of_Legal_Problem).value == "Auto and Car Accidents"',children:[R(a),Q(a),k(a),X(a),U(a),te(a)]})),M("CrossSell:Auto_and_Car_Accidents",0,{label:"Accident Description:",placeholder:"Please describe your accident in a few words...",inputClass:"!t-h-16"})],e);var t,a}(),function(e={}){return De("personalInjuryCrossSellQuestions",[_e({headline:"You May Be Entitled To Compensation"}),ge({subheadline:"Tell us about your injury:"}),(t="true",a="CrossSell:Personal_Injury",oe("PersonalInjuryQuestions",{if:t||'$get(Type_Of_Legal_Problem).value == "Personal Injury"',children:[R(a),Q(a),j(a),k(a),X(a),U(a)]})),M("CrossSell:Personal_Injury",0,{label:"Injury Description:",placeholder:"Please describe your injury in a few words...",inputClass:"!t-h-16"})],e);var t,a}(),function(e={}){return De("workersCompensationCrossSellQuestions",[_e({headline:"You May Be Entitled To Benefits"}),ge({subheadline:"Tell us about your injury:"}),(t="true",a="CrossSell:Workers_Compensation",oe("WorkersCompensationQuestions",{if:t||'$get(Type_Of_Legal_Problem).value == "Workers Compensation"',children:[R(a),Q(a),j(a),X(a),A(a),U(a)]})),M("CrossSell:Workers_Compensation",0,{label:"Injury Description:",placeholder:"Please describe your injury in a few words...",inputClass:"!t-h-16"})],e);var t,a}(),function(e={}){return De("duiAndDWICrossSellQuestions",[_e({headline:"About Your DUI/DWI"}),(t="true",a="CrossSell:DUI_and_DWI",oe("DUIAndDWIQuestions",{if:t||'$get(Type_Of_Legal_Problem).value == "DUI and DWI"',children:[R(a),Q(a),ee(a),ne(a),$(a),J(a),N(a)]})),M("CrossSell:DUI_and_DWI",0,{label:"Incident Description:",placeholder:"Please describe your incident in a few words...",inputClass:"!t-h-16"})],e);var t,a}(),function(e={}){return De("ssdiCrossSellQuestions",[_e({headline:"You May Be Entitled To Benefits"}),ge({subheadline:"Tell us about your disability:"}),(t="true",a="CrossSell:Social_Security_Disability_and_Insurance",oe("SocialSecurityDisabilityAndInsuranceQuestions",{if:t||'$get(Type_Of_Legal_Problem).value == "Social Security Disability and Insurance"',children:[R(a),D(a),F(a),q(a),re(a),U(a)]})),M("CrossSell:Social_Security_Disability_and_Insurance",0,{label:"Description:",placeholder:"Please describe your situation in a few words...",inputClass:"!t-h-16"})],e);var t,a}(),function(e={}){return De("powerOfAttorneyCrossSellQuestions",[_e({headline:"Power of Attorney Information"}),(t="true",a="CrossSell:Power_of_Attorney",oe("PowerofAttorneyQuestions",{if:t||'$get(Type_Of_Legal_Problem).value == "Power of Attorney"',children:[R(a),N(a)]})),M("CrossSell:Power_of_Attorney",0,{label:"Description:",placeholder:"Please describe your situation in a few words...",inputClass:"!t-h-16"})],e);var t,a}(),function(e={}){return De("willsAndTrustsCrossSellQuestions",[_e({headline:"Will or Trust Information"}),(t="true",a="CrossSell:Wills_and_Trusts",oe("WillsAndTrustsQuestions",{if:t||'$get(Type_Of_Legal_Problem).value == "Wills and Trusts"',children:[R(a),le(a),se(a),ae(a),Y(a),N(a)]})),M("CrossSell:Wills_and_Trusts",0,{label:"Description:",placeholder:"Please describe your situation in a few words...",inputClass:"!t-h-16"})],e);var t,a}(),function(e={}){return De("divorceAndSeparationCrossSellQuestions",[_e({headline:"Divorce or Separation Information"}),(t="true",a="CrossSell:Divorce_and_Separation",oe("DivorceQuestions",{if:t||'$get(Type_Of_Legal_Problem).value == "Divorce and Separation"',children:[R(a),z(a),H(a),B(a),V(a)]})),M("CrossSell:Divorce_and_Separation",0,{label:"Description:",placeholder:"Please describe your situation in a few words...",inputClass:"!t-h-16"})],e);var t,a}(),function(e={}){return De("childCustodyCrossSellQuestions",[_e({headline:"Child Custody Information"}),(t="true",a="CrossSell:Child_Custody",oe("ChildCustodyQuestions",{if:t||'$get(Type_Of_Legal_Problem).value == "Child Custody"',children:[R(a),W(a),O(a),E(a),B(a),V(a)]})),M("CrossSell:Child_Custody",0,{label:"Description:",placeholder:"Please describe your situation in a few words...",inputClass:"!t-h-16"})],e);var t,a}(),function(e={}){return De("firstAndLast",[Ie({headline:e.headline??"Who is looking for help?",headlineClass:e.headlineClass}),Ce({subheadline:e.subheadline??"Note: we never share info without consent",subheadlineClass:"!t-text-sm !t-text-gray-500"}),x(e.scope),P(e.scope)],e)}({headlineClass:"!t-text-dark"})];const qe=[Fe,e(Ae,Ue),{$cmp:"FormKit",props:function(t){const a=e(ke,t);return a.formId&&!a.name&&(a.name=a.formId),a}({formId:"malpractice",redirectMap:function(t){return e(Ee,t)}(),valueOverrideMap:We,crossSellOptionMap:Ne}),children:[function(t={}){return e(function(e={}){return{$el:"h1",attrs:{class:"t-flex t-justify-center t-text-center t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3 "+(e.headlineClass||"")+" f-first-headline"}}}(t),t)}({children:'$urlParam("hl", "Get Justice for Malpractice!")',if:"$activeStep === $firstStep()"}),function(t={}){return e(function(e={}){return{$el:"h3",attrs:{class:"t-flex t-justify-center t-text-center t-text-[1.1rem] md:t-text-[1.2rem] t-font-medium t-text-blue-500 t-px-10 "+(e.subheadlineClass||"")+" f-first-subheadline"}}}(t),t)}({children:'$urlParam("shl", "Our Service is Fast, Easy, and Free")',if:"$activeStep === $firstStep()"}),...Oe,{$el:"div",attrs:{class:"form-body"},children:[function(e={}){return De("malpracticeTOLPAndZip",[{$formkit:"hidden",name:"Type_Of_Legal_Problem",id:"Type_Of_Legal_Problem",value:"Medical Malpractice"},Z(e.scope),T(e.scope)],e)}({nextStepMap:{values:{"*":["TOLPQuestions","commentsWithBankruptcy","legalCrossSells","firstAndLast","contactInfo"]}}}),function(e="Type_Of_Legal_Problem"){return{$cmp:"FormKitSchema",if:"$get("+e+").value",props:{schema:"$meta.dynamicSchema",data:"$buildData($meta)"}}}(),function(e={}){return De("contactInfo",[xe(e),Pe(e),{$el:"script",if:"$activeStep === $lastStep()",children:Se},w(e.scope),S(e.scope),ie(e.scope),he()],{nextOnEnter:!1})}(),((e={})=>({$el:"div",attrs:{class:{if:"$activeStep === $firstStep()",then:"step-nav "+(e.firstStepButtonClass||"!t-justify-center sm:!t-justify-between"),else:"step-nav !t-justify-between"}},children:[{$formkit:"button",name:"back_button",onClick:"$setPreviousStep($prevStepFunc($get(form)))",children:"Back",outerClass:{if:"$activeStep === $firstStep()",then:"t-hidden sm:t-block",else:""},style:{if:"$activeStep === $firstStep()",then:"display: none;"},classes:{input:(e.inputClass||"")+" f-navigation-input"}},{$formkit:"button",name:"next_button",onClick:"$setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form)))",children:{if:"$activeStep === $firstStep()",then:e.startText||"Start",else:"Next"},outerClass:{if:"$activeStep === $lastStep()",then:"t-hidden",else:""},style:{if:"$activeStep === $lastStep()",then:"display: none;"},classes:{input:(e.inputClass||"")+" f-navigation-input"}},{$formkit:"submit",name:"submit_button",label:e.submitLabel||"Submit",if:"$activeStep === $lastStep()",style:{if:"$activeStep !== $lastStep()",then:"display: none;"},classes:{input:(e.inputClass||"")+" !t-ml-2 sm:!t-ml-auto f-navigation-input"}}]}))(),{$el:"pre",if:'$urlParam("fdbg", "") == 1',children:[{$el:"pre",children:"$stringify( $get(form).value )",attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["activeStep: ","$activeStep"],attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["stepHistory: ","$stepHistory"],attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["stepQueue: ","$stepQueue"],attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["steps: ","$stepKeys()"],attrs:{class:"t-text-xs",style:"overflow: scroll"}}]}]}]}];var Ue;return qe}();
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"t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-6 t-pt-0 t-px-3" +
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@@ -1 +1 @@
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-
var mechanics=function(){"use strict";function e(){return Object.assign({},...arguments)}function t(e,t,a,n=4){return"https://listings."+e+"/api/v1/redirect?zone_id="+n+"&sub_id=${properties.vid}&vertical="+encodeURIComponent(t)+"&category="+encodeURIComponent(a)}const a="Please briefly describe your issue in a few words:",n='$getKey($meta, "commentsPlaceholders." + $get(Category).value, $meta.defaultCommentsPlaceholder)',i='$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)',r='$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)',o=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t)),s=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",o(e)),l=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",o(e)),d=e=>(e.options=["Yes","No"],(e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$reset side-by-side t-items-center",e.optionsClass="t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center",e.innerClass="t-flex t-items-center",e.optionClass="t-pr-1",o(e)))(e)),c=e=>(e.options=["Yes","No"],e.optionsClass="t-flex t-justify-center t-my-3",(e=>(e.legendClass="legend-left",e.fieldsetClass="$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="$reset formkit-wrapper t-mb-0 t-flex t-items-center t-h-[100%]",e.labelClass="t-font-semibold t-text-[#1e448f] t-w-[100%]",e.decoratorIcon=!1,e.messagesClass="t-flex t-justify-center",e.helpClass="t-mt-2.5 !t-text-sm t-text-center",o(e)))(e)),m=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t)),p=e=>(e.wrapperClass="side-by-side t-items-center",m(e)),u=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 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