if (window.location.protocol != "https:" && window.location.href.indexOf("formulate") == -1 && "False" === "True") { window.location.href = "https:" + window.location.href.substring(window.location.protocol.length); } var fbScriptTag = document.getElementsByClassName("f7c10ba1-8c79-40e7-afce-8c5dea0a2363"), fbBodyTag = document.body, fbHeadTag = document.head, fbIsTestResponse = 'False', fbEnableInstaMedScript = 'False', fbRenderContainer = document.createElement("div"), fbRenderedCssContainer = document.createElement("div"), fbConfigScript = document.createElement("script"), fbRequireJSScript = document.createElement("script"), fbInstaMedJSScript = document.createElement("script"), fbGeoCaptchaCallback = document.createElement("script"), fbGeoReCaptchaCallback = document.createElement("script"), fbFormulateRenderer = document.createElement("script"), fbRenderedIntegrations = document.createElement("script"), fbRenderedScripts = document.createElement("script"), fbAutoPopulateFromQueryString = document.createElement("script"), fbEmbeddedCss = "", renderedScripts = 'var conditionalSectionJs = function () {\ requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\ var fbRequire = fbRequireConfig.fbRequire;\ \ fbRequire([\'jquery\', \'he\'], function ($, he) {\ he.encode.options.decimal = true;\ he.encode.options.allowUnsafeSymbols = true;\ \ var sectionConditions = JSON.parse(\'[{"ElementName":"FormField2_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"}]\');\ var conditionOperator = \'and\';\ \ sectionConditions.forEach(function (sectionCondition) {\ $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\ \ $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\ checkShowHide();\ });\ \ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\ checkShowHide();\ });\ \ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\ checkShowHide();\ });\ });\ \ function checkShowHide() {\ var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\ \ sectionConditions.forEach(function (sectionCondition) {\ checkSelect(sectionCondition); \ checkCheckbox(sectionCondition); \ checkRadio(sectionCondition); \ });\ \ showHideSection(shouldShowSection);\ \ function checkSelect(sectionCondition) {\ var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\ \ if (!matchingSelect) {\ return;\ }\ \ if (matchingSelect.type === \'select-multiple\') {\ var hasOneMatchingValue = false;\ \ for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\ if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\ hasOneMatchingValue = true;\ }\ }\ \ shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\ } else {\ shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\ }\ }\ \ function checkCheckbox(sectionCondition) {\ var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\ \ for (var i = 0; i < matchingCheckboxes.length; i++) {\ if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\ shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\ }\ }\ }\ \ function checkRadio(sectionCondition) {\ var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\ \ for (var i = 0; i < matchingRadios.length; i++) {\ if (encode(matchingRadios[i].value) === sectionCondition.Value) {\ shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\ }\ }\ }\ }\ \ function mergeCondition(overallResult, newResult, element) {\ newResult = newResult && isParentVisible(element);\ \ if (conditionOperator === \'and\') {\ return overallResult && newResult;\ } else {\ return overallResult || newResult;\ }\ }\ \ function isParentVisible(element) {\ var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\ return parentSectionDiv && !parentSectionDiv.is(":hidden");\ }\ \ function encode(myString) {\ myString = he.encode(he.escape(myString));\ \ /* Fixes issues with single quote and backtick encoding */\ var i,\ entities = [\ [\''\', \''\'],\ [\'`\', \'`\']\ ];\ \ for (i = 0; i < entities.length; i++) {\ myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\ }\ \ return myString;\ }\ \ function showHideSection(showSection) {\ if (showSection) {\ $(\'#FormField4_f7c10ba1-8c79-40e7-afce-8c5dea0a2363\').show();\ } else {\ $(\'#FormField4_f7c10ba1-8c79-40e7-afce-8c5dea0a2363\').hide();\ }\ \ $("#FormField4_f7c10ba1-8c79-40e7-afce-8c5dea0a2363 .conditionalSectionListSelection").each(function (i, obj) {\ if (obj.type === \'radio\' || obj.type === \'checkbox\') {\ if (obj.checked) {\ $(\'#\' + obj.id).change();\ }\ } else {\ $(\'#\' + obj.id).change();\ }\ });\ }\ });\ });\ };\ \ fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\ requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\ var fbRequire = fbRequireConfig.fbRequire;\ \ fbRequire([\'jquery\', \'he\'], function ($, he) {\ he.encode.options.decimal = true;\ he.encode.options.allowUnsafeSymbols = true;\ \ var sectionConditions = JSON.parse(\'[{"ElementName":"FormField2_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"},{"ElementName":"FormField5_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"}]\');\ var conditionOperator = \'and\';\ \ sectionConditions.forEach(function (sectionCondition) {\ $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\ \ $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\ checkShowHide();\ });\ \ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\ checkShowHide();\ });\ \ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\ checkShowHide();\ });\ });\ \ function checkShowHide() {\ var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\ \ sectionConditions.forEach(function (sectionCondition) {\ checkSelect(sectionCondition); \ checkCheckbox(sectionCondition); \ checkRadio(sectionCondition); \ });\ \ showHideSection(shouldShowSection);\ \ function checkSelect(sectionCondition) {\ var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\ \ if (!matchingSelect) {\ return;\ }\ \ if (matchingSelect.type === \'select-multiple\') {\ var hasOneMatchingValue = false;\ \ for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\ if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\ hasOneMatchingValue = true;\ }\ }\ \ shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\ } else {\ shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\ }\ }\ \ function checkCheckbox(sectionCondition) {\ var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\ \ for (var i = 0; i < matchingCheckboxes.length; i++) {\ if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\ shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\ }\ }\ }\ \ function checkRadio(sectionCondition) {\ var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\ \ for (var i = 0; i < matchingRadios.length; i++) {\ if (encode(matchingRadios[i].value) === sectionCondition.Value) {\ shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\ }\ }\ }\ }\ \ function mergeCondition(overallResult, newResult, element) {\ newResult = newResult && isParentVisible(element);\ \ if (conditionOperator === \'and\') {\ return overallResult && newResult;\ } else {\ return overallResult || newResult;\ }\ }\ \ function isParentVisible(element) {\ var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\ return parentSectionDiv && !parentSectionDiv.is(":hidden");\ }\ \ function encode(myString) {\ myString = he.encode(he.escape(myString));\ \ /* Fixes issues with single quote and backtick encoding */\ var i,\ entities = [\ [\''\', \''\'],\ [\'`\', \'`\']\ ];\ \ for (i = 0; i < entities.length; i++) {\ myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\ }\ \ return myString;\ }\ \ function showHideSection(showSection) {\ if (showSection) {\ $(\'#FormField7_f7c10ba1-8c79-40e7-afce-8c5dea0a2363\').show();\ } else {\ $(\'#FormField7_f7c10ba1-8c79-40e7-afce-8c5dea0a2363\').hide();\ }\ \ $("#FormField7_f7c10ba1-8c79-40e7-afce-8c5dea0a2363 .conditionalSectionListSelection").each(function (i, obj) {\ if (obj.type === \'radio\' || obj.type === \'checkbox\') {\ if (obj.checked) {\ $(\'#\' + obj.id).change();\ }\ } else {\ $(\'#\' + obj.id).change();\ }\ });\ }\ });\ });\ };\ \ fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\ requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\ var fbRequire = fbRequireConfig.fbRequire;\ \ fbRequire([\'jquery\', \'he\'], function ($, he) {\ he.encode.options.decimal = true;\ he.encode.options.allowUnsafeSymbols = true;\ \ var sectionConditions = JSON.parse(\'[{"ElementName":"FormField2_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"},{"ElementName":"FormField5_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"},{"ElementName":"FormField8_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"}]\');\ var conditionOperator = \'and\';\ \ sectionConditions.forEach(function (sectionCondition) {\ $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\ \ $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\ checkShowHide();\ });\ \ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\ checkShowHide();\ });\ \ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\ checkShowHide();\ });\ });\ \ function checkShowHide() {\ var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\ \ sectionConditions.forEach(function (sectionCondition) {\ checkSelect(sectionCondition); \ checkCheckbox(sectionCondition); \ checkRadio(sectionCondition); \ });\ \ showHideSection(shouldShowSection);\ \ function checkSelect(sectionCondition) {\ var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\ \ if (!matchingSelect) {\ return;\ }\ \ if (matchingSelect.type === \'select-multiple\') {\ var hasOneMatchingValue = false;\ \ for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\ if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\ hasOneMatchingValue = true;\ }\ }\ \ shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\ } else {\ shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\ }\ }\ \ function checkCheckbox(sectionCondition) {\ var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\ \ for (var i = 0; i < matchingCheckboxes.length; i++) {\ if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\ shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\ }\ }\ }\ \ function checkRadio(sectionCondition) {\ var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\ \ for (var i = 0; i < matchingRadios.length; i++) {\ if (encode(matchingRadios[i].value) === sectionCondition.Value) {\ shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\ }\ }\ }\ }\ \ function mergeCondition(overallResult, newResult, element) {\ newResult = newResult && isParentVisible(element);\ \ if (conditionOperator === \'and\') {\ return overallResult && newResult;\ } else {\ return overallResult || newResult;\ }\ }\ \ function isParentVisible(element) {\ var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\ return parentSectionDiv && !parentSectionDiv.is(":hidden");\ }\ \ function encode(myString) {\ myString = he.encode(he.escape(myString));\ \ /* Fixes issues with single quote and backtick encoding */\ var i,\ entities = [\ [\''\', \''\'],\ [\'`\', \'`\']\ ];\ \ for (i = 0; i < entities.length; i++) {\ myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\ }\ \ return myString;\ }\ \ function showHideSection(showSection) {\ if (showSection) {\ $(\'#FormField9_f7c10ba1-8c79-40e7-afce-8c5dea0a2363\').show();\ } else {\ $(\'#FormField9_f7c10ba1-8c79-40e7-afce-8c5dea0a2363\').hide();\ }\ \ $("#FormField9_f7c10ba1-8c79-40e7-afce-8c5dea0a2363 .conditionalSectionListSelection").each(function (i, obj) {\ if (obj.type === \'radio\' || obj.type === \'checkbox\') {\ if (obj.checked) {\ $(\'#\' + obj.id).change();\ }\ } else {\ $(\'#\' + obj.id).change();\ }\ });\ }\ });\ });\ };\ \ fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\ requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\ var fbRequire = fbRequireConfig.fbRequire;\ \ fbRequire([\'jquery\', \'he\'], function ($, he) {\ he.encode.options.decimal = true;\ he.encode.options.allowUnsafeSymbols = true;\ \ var sectionConditions = JSON.parse(\'[{"ElementName":"FormField2_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"},{"ElementName":"FormField5_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"},{"ElementName":"FormField8_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"},{"ElementName":"FormField10_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"}]\');\ var conditionOperator = \'and\';\ \ sectionConditions.forEach(function (sectionCondition) {\ $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\ \ $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\ checkShowHide();\ });\ \ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\ checkShowHide();\ });\ \ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\ checkShowHide();\ });\ });\ \ function checkShowHide() {\ var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\ \ sectionConditions.forEach(function (sectionCondition) {\ checkSelect(sectionCondition); \ checkCheckbox(sectionCondition); \ checkRadio(sectionCondition); \ });\ \ showHideSection(shouldShowSection);\ \ function checkSelect(sectionCondition) {\ var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\ \ if (!matchingSelect) {\ return;\ }\ \ if (matchingSelect.type === \'select-multiple\') {\ var hasOneMatchingValue = false;\ \ for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\ if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\ hasOneMatchingValue = true;\ }\ }\ \ shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\ } else {\ shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\ }\ }\ \ function checkCheckbox(sectionCondition) {\ var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\ \ for (var i = 0; i < matchingCheckboxes.length; i++) {\ if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\ shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\ }\ }\ }\ \ function checkRadio(sectionCondition) {\ var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\ \ for (var i = 0; i < matchingRadios.length; i++) {\ if (encode(matchingRadios[i].value) === sectionCondition.Value) {\ shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\ }\ }\ }\ }\ \ function mergeCondition(overallResult, newResult, element) {\ newResult = newResult && isParentVisible(element);\ \ if (conditionOperator === \'and\') {\ return overallResult && newResult;\ } else {\ return overallResult || newResult;\ }\ }\ \ function isParentVisible(element) {\ var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\ return parentSectionDiv && !parentSectionDiv.is(":hidden");\ }\ \ function encode(myString) {\ myString = he.encode(he.escape(myString));\ \ /* Fixes issues with single quote and backtick encoding */\ var i,\ entities = [\ [\''\', \''\'],\ [\'`\', \'`\']\ ];\ \ for (i = 0; i < entities.length; i++) {\ myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\ }\ \ return myString;\ }\ \ function showHideSection(showSection) {\ if (showSection) {\ $(\'#FormField11_f7c10ba1-8c79-40e7-afce-8c5dea0a2363\').show();\ } else {\ $(\'#FormField11_f7c10ba1-8c79-40e7-afce-8c5dea0a2363\').hide();\ }\ \ $("#FormField11_f7c10ba1-8c79-40e7-afce-8c5dea0a2363 .conditionalSectionListSelection").each(function (i, obj) {\ if (obj.type === \'radio\' || obj.type === \'checkbox\') {\ if (obj.checked) {\ $(\'#\' + obj.id).change();\ }\ } else {\ $(\'#\' + obj.id).change();\ }\ });\ }\ });\ });\ };\ \ fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\ requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\ var fbRequire = fbRequireConfig.fbRequire;\ \ fbRequire([\'jquery\', \'he\'], function ($, he) {\ he.encode.options.decimal = true;\ he.encode.options.allowUnsafeSymbols = true;\ \ var sectionConditions = JSON.parse(\'[{"ElementName":"FormField2_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"Yes"},{"ElementName":"FormField5_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"Yes"},{"ElementName":"FormField8_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"Yes"},{"ElementName":"FormField10_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"Yes"},{"ElementName":"FormField12_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"Yes"}]\');\ var conditionOperator = \'or\';\ \ sectionConditions.forEach(function (sectionCondition) {\ $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\ \ $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\ checkShowHide();\ });\ \ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\ checkShowHide();\ });\ \ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\ checkShowHide();\ });\ });\ \ function checkShowHide() {\ var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\ \ sectionConditions.forEach(function (sectionCondition) {\ checkSelect(sectionCondition); \ checkCheckbox(sectionCondition); \ checkRadio(sectionCondition); \ });\ \ showHideSection(shouldShowSection);\ \ function checkSelect(sectionCondition) {\ var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\ \ if (!matchingSelect) {\ return;\ }\ \ if (matchingSelect.type === \'select-multiple\') {\ var hasOneMatchingValue = false;\ \ for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\ if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\ hasOneMatchingValue = true;\ }\ }\ \ shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\ } else {\ shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\ }\ }\ \ function checkCheckbox(sectionCondition) {\ var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\ \ for (var i = 0; i < matchingCheckboxes.length; i++) {\ if (encode(matchingCheckboxes[i].value) === sectionCondition.Value) {\ shouldShowSection = mergeCondition(shouldShowSection, matchingCheckboxes[i].checked, matchingCheckboxes[i]);\ }\ }\ }\ \ function checkRadio(sectionCondition) {\ var matchingRadios = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']");\ \ for (var i = 0; i < matchingRadios.length; i++) {\ if (encode(matchingRadios[i].value) === sectionCondition.Value) {\ shouldShowSection = mergeCondition(shouldShowSection, matchingRadios[i].checked, matchingRadios[i]);\ }\ }\ }\ }\ \ function mergeCondition(overallResult, newResult, element) {\ newResult = newResult && isParentVisible(element);\ \ if (conditionOperator === \'and\') {\ return overallResult && newResult;\ } else {\ return overallResult || newResult;\ }\ }\ \ function isParentVisible(element) {\ var parentSectionDiv = $(\'#\' + element.id).closest(".fb-section");\ return parentSectionDiv && !parentSectionDiv.is(":hidden");\ }\ \ function encode(myString) {\ myString = he.encode(he.escape(myString));\ \ /* Fixes issues with single quote and backtick encoding */\ var i,\ entities = [\ [\''\', \''\'],\ [\'`\', \'`\']\ ];\ \ for (i = 0; i < entities.length; i++) {\ myString = String(myString).replace(new RegExp(entities[i][0], \'g\'), entities[i][1]);\ }\ \ return myString;\ }\ \ function showHideSection(showSection) {\ if (showSection) {\ $(\'#FormField14_f7c10ba1-8c79-40e7-afce-8c5dea0a2363\').show();\ } else {\ $(\'#FormField14_f7c10ba1-8c79-40e7-afce-8c5dea0a2363\').hide();\ }\ \ $("#FormField14_f7c10ba1-8c79-40e7-afce-8c5dea0a2363 .conditionalSectionListSelection").each(function (i, obj) {\ if (obj.type === \'radio\' || obj.type === \'checkbox\') {\ if (obj.checked) {\ $(\'#\' + obj.id).change();\ }\ } else {\ $(\'#\' + obj.id).change();\ }\ });\ }\ });\ });\ };\ \ fbRequireJSScript.addEventListener("load", conditionalSectionJs);var conditionalSectionJs = function () {\ requirejs([window.formHost + \'/Scripts/require/fbRequire.config.js\'], function (fbRequireConfig) {\ var fbRequire = fbRequireConfig.fbRequire;\ \ fbRequire([\'jquery\', \'he\'], function ($, he) {\ he.encode.options.decimal = true;\ he.encode.options.allowUnsafeSymbols = true;\ \ var sectionConditions = JSON.parse(\'[{"ElementName":"FormField2_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"},{"ElementName":"FormField5_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"},{"ElementName":"FormField8_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"},{"ElementName":"FormField10_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"},{"ElementName":"FormField12_f7c10ba1-8c79-40e7-afce-8c5dea0a2363","Value":"No"}]\');\ var conditionOperator = \'and\';\ \ sectionConditions.forEach(function (sectionCondition) {\ $("select[id=" + sectionCondition.ElementName + "]").addClass(\'conditionalSectionListSelection\');\ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").addClass(\'conditionalSectionListSelection\');\ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").addClass(\'conditionalSectionListSelection\');\ \ $("select[id=" + sectionCondition.ElementName + "]").on(\'change\', function () {\ checkShowHide();\ });\ \ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']").on(\'change\', function () {\ checkShowHide();\ });\ \ $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'radio\']").on(\'change\', function () {\ checkShowHide();\ });\ });\ \ function checkShowHide() {\ var shouldShowSection = conditionOperator === \'and\'; /* set default to true for AND operation and false for OR operation */\ \ sectionConditions.forEach(function (sectionCondition) {\ checkSelect(sectionCondition); \ checkCheckbox(sectionCondition); \ checkRadio(sectionCondition); \ });\ \ showHideSection(shouldShowSection);\ \ function checkSelect(sectionCondition) {\ var matchingSelect = $("select[id=" + sectionCondition.ElementName + "]")[0];\ \ if (!matchingSelect) {\ return;\ }\ \ if (matchingSelect.type === \'select-multiple\') {\ var hasOneMatchingValue = false;\ \ for (var i = 0; i < matchingSelect.selectedOptions.length; i++) {\ if (encode(matchingSelect.selectedOptions[i].value) === sectionCondition.Value) {\ hasOneMatchingValue = true;\ }\ }\ \ shouldShowSection = mergeCondition(shouldShowSection, hasOneMatchingValue, matchingSelect);\ } else {\ shouldShowSection = mergeCondition(shouldShowSection, encode(matchingSelect.value) === sectionCondition.Value, matchingSelect);\ }\ }\ \ function checkCheckbox(sectionCondition) {\ var matchingCheckboxes = $("input[id^=\'" + sectionCondition.ElementName + "\'][type=\'checkbox\']");\ \ for (var i = 0; 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\

Required fields are marked with *

\ \ \ \ \ \ \ \ \

In the past 21 days, have you tested positive for COVID-19 or are you currently waiting on the results of a COVID-19 test?


In the past 14 days, have you had:

New or uncommon


In the past 14 days, have you been in close physical contact (6 feet or closer for at least 10 minutes) with a person who is known to have laboratory-confirmed COVID-19 or anyone who has any symptoms consistent with COVID-19?


Are you currently in quarantine or isolation because you may have been exposed to a person with COVID-19?  Do you live with someone who is currently in quarantine or isolation because they have been exposed to COVID-19?


Have you traveled recently?

\'Orange

Please show this to the screening staff when you arrive.

Masks are required in our facilities.
If you have a medical condition that prevents you from wearing a mask, please contact your physician to make arrangements to enter safely.

Your temperature will be checked when you arrive.

Valid: [Insert Date Here]

This tool was developed by LMH Health for use by LMH Health. The tool is provided “as-is”; LMH Health accepts no liability for the use by an external entity. The external entity assumes all risks and liabilities associated with the recreation, utilization and adaption of the tool for external entitys use. LMH Health, with regard to this tool, makes no other representations, warranties, express or implied, and hereby disclaims all implied representation and warranties, including any warranty of merchantability and warranty of fitness for a particular purpose.

\'Blue

Please show this to the screening staff when you arrive.

Masks are required in our facilities.
If you have a medical condition that prevents you from wearing a mask, please contact your physician to make arrangements to enter safely.

Your temperature will be checked when you arrive.

Valid: [Insert Date Here]

This tool was developed by LMH Health for use by LMH Health. The tool is provided “as-is”; LMH Health accepts no liability for the use by an external entity. The external entity assumes all risks and liabilities associated with the recreation, utilization and adaption of the tool for external entitys use. LMH Health, with regard to this tool, makes no other representations, warranties, express or implied, and hereby disclaims all implied representation and warranties, including any warranty of merchantability and warranty of fitness for a particular purpose.

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