{"id":2295,"date":"2023-12-22T06:13:36","date_gmt":"2023-12-22T06:13:36","guid":{"rendered":"https:\/\/caresupportvic.com.au\/?page_id=2295"},"modified":"2023-12-22T06:19:39","modified_gmt":"2023-12-22T06:19:39","slug":"make-a-referral","status":"publish","type":"page","link":"https:\/\/caresupportvic.com.au\/index.php\/make-a-referral\/","title":{"rendered":"Make a Referral"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2295\" class=\"elementor elementor-2295\">\n\t\t\t\t<div class=\"elementor-element elementor-element-da68876 e-flex e-con-boxed e-con e-parent\" data-id=\"da68876\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dfa65eb elementor-widget elementor-widget-heading\" data-id=\"dfa65eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Make A Refferal<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f47b809 e-flex e-con-boxed e-con e-child\" data-id=\"f47b809\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-5b889b5 e-con-full e-flex e-con e-child\" data-id=\"5b889b5\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d9c1352 elementor-widget elementor-widget-metform\" data-id=\"d9c1352\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"metform.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"mf-response-props-id-2214\" data-previous-steps-style=\"\" data-editswitchopen=\"\" data-response_type=\"alert\" data-erroricon=\"fas fa-exclamation-triangle\" data-successicon=\"fas fa-check\" data-messageposition=\"top\" class=\"   mf-scroll-top-no\">\n\t\t<div class=\"formpicker_warper formpicker_warper_editable\" data-metform-formpicker-key=\"2214\" >\n\t\t\t\t\n\t\t\t<div class=\"mf-widget-container\">\n\t\t\t\t\r\n\t\t<div\r\n\t\t\tid=\"metform-wrap-d9c1352-2214\"\r\n\t\t\tclass=\"mf-form-wrapper\"\r\n\t\t\tdata-form-id=\"2214\"\r\n\t\t\tdata-action=\"https:\/\/caresupportvic.com.au\/index.php\/wp-json\/metform\/v1\/entries\/insert\/2214\"\r\n\t\t\tdata-wp-nonce=\"b1fa585b99\"\r\n\t\t\tdata-form-nonce=\"265909250b\"\r\n\t\t\tdata-quiz-summery = \"false\"\r\n\t\t\tdata-save-progress = \"false\"\r\n\t\t\tdata-form-type=\"general-form\"\r\n\t\t\tdata-stop-vertical-effect=\"\"\r\n\t\t\t><\/div>\r\n\r\n\r\n\t\t<!----------------------------- \r\n\t\t\t* controls_data : find the the props passed indie of data attribute\r\n\t\t\t* props.SubmitResponseMarkup : contains the markup of error or success message\r\n\t\t\t* https:\/\/developer.mozilla.org\/en-US\/docs\/Web\/JavaScript\/Reference\/Template_literals\r\n\t\t--------------------------- -->\r\n\r\n\t\t\t\t<script type=\"text\/mf\" class=\"mf-template\">\r\n\t\t\tfunction controls_data (value){\r\n\t\t\t\tlet currentWrapper = \"mf-response-props-id-2214\";\r\n\t\t\t\tlet currentEl = document.getElementById(currentWrapper);\r\n\t\t\t\t\r\n\t\t\t\treturn currentEl ? currentEl.dataset[value] : false\r\n\t\t\t}\r\n\r\n\r\n\t\t\tlet is_edit_mode = '' ? true : false;\r\n\t\t\tlet message_position = controls_data('messageposition') || 'top';\r\n\r\n\t\t\t\r\n\t\t\tlet message_successIcon = controls_data('successicon') || '';\r\n\t\t\tlet message_errorIcon = controls_data('erroricon') || '';\r\n\t\t\tlet message_editSwitch = controls_data('editswitchopen') === 'yes' ? true : false;\r\n\t\t\tlet message_proClass = controls_data('editswitchopen') === 'yes' ? 'mf_pro_activated' : '';\r\n\t\t\t\r\n\t\t\tlet is_dummy_markup = is_edit_mode && message_editSwitch ? true : false;\r\n\r\n\t\t\t\r\n\t\t\treturn html`\r\n\t\t\t\t<form\r\n\t\t\t\t\tclassName=\"metform-form-content\"\r\n\t\t\t\t\tref=${parent.formContainerRef}\r\n\t\t\t\t\tonSubmit=${ validation.handleSubmit( parent.handleFormSubmit ) }\r\n\t\t\t\t\r\n\t\t\t\t\t>\r\n\t\t\t\r\n\t\t\t\r\n\t\t\t\t\t${is_dummy_markup ? message_position === 'top' ?  props.ResponseDummyMarkup(message_successIcon, message_proClass) : '' : ''}\r\n\t\t\t\t\t${is_dummy_markup ? ' ' :  message_position === 'top' ? props.SubmitResponseMarkup`${parent}${state}${message_successIcon}${message_errorIcon}${message_proClass}` : ''}\r\n\r\n\t\t\t\t\t<!--------------------------------------------------------\r\n\t\t\t\t\t*** IMPORTANT \/ DANGEROUS ***\r\n\t\t\t\t\t${html``} must be used as in immediate child of \"metform-form-main-wrapper\"\r\n\t\t\t\t\tclass otherwise multistep form will not run at all\r\n\t\t\t\t\t---------------------------------------------------------->\r\n\r\n\t\t\t\t\t<div className=\"metform-form-main-wrapper\" key=${'hide-form-after-submit'} ref=${parent.formRef}>\r\n\t\t\t\t\t${html`\r\n\t\t\t\t\t\t\t\t<div data-elementor-type=\"wp-post\" key=\"2\" data-elementor-id=\"2214\" className=\"elementor elementor-2214\">\n\t\t\t\t\t\t<section className=\"elementor-section elementor-top-section elementor-element elementor-element-3c49050c elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"3c49050c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-505faecf\" data-id=\"505faecf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-f875c02 elementor-widget elementor-widget-heading\" data-id=\"f875c02\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t<h3 className=\"elementor-heading-title elementor-size-default\">Make a Referral<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-9fd3a86 elementor-widget elementor-widget-text-editor\" data-id=\"9fd3a86\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Your recommendation can make a positive impact in someone&#8217;s life!<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section className=\"elementor-section elementor-inner-section elementor-element elementor-element-5f173e59 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"5f173e59\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-23150c78\" data-id=\"23150c78\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-f23635f elementor-widget elementor-widget-mf-select\" data-id=\"f23635f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;I am completing this for&quot;,&quot;mf_input_list&quot;:[{&quot;mf_input_option_text&quot;:&quot;Myself as the Participant&quot;,&quot;mf_input_option_value&quot;:&quot;Myself as the Participant&quot;,&quot;_id&quot;:&quot;0430404&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;Someone I am referring to&quot;,&quot;mf_input_option_value&quot;:&quot;Someone I am referring to&quot;,&quot;_id&quot;:&quot;8f3bcef&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;}]}\" data-widget_type=\"mf-select.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t\n\t\t<div className=\"mf-input-wrapper\">\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-select-f23635f\">\n\t\t\t\t\t${ parent.decodeEntities(`I am completing this for`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\"><\/span>\n\t\t\t\t<\/label>\n            \n            <${props.Select}\n                className=${\"mf-input mf-input-select  \" + ( validation.errors['I am completing this for'] ? 'mf-invalid' : '' )}\n                classNamePrefix=\"mf_select\"\n                name=\"I am completing this for\"\n                placeholder=\"${ parent.decodeEntities(`Select your option`) } \"\n                isSearchable=${false}\n                options=${[{\"label\":\"Myself as the Participant\",\"value\":\"Myself as the Participant\",\"isDisabled\":false},{\"label\":\"Someone I am referring to\",\"value\":\"Someone I am referring to\",\"isDisabled\":false}]}\n                value=${parent.getValue(\"I am completing this for\") ? [{\"label\":\"Myself as the Participant\",\"value\":\"Myself as the Participant\",\"isDisabled\":false},{\"label\":\"Someone I am referring to\",\"value\":\"Someone I am referring to\",\"isDisabled\":false}].filter(item => item.value === parent.getValue(\"I am completing this for\"))[0] : []}\n                onChange=${(e)=> parent.handleSelect(e, \"I am completing this for\")}\n                ref=${() => {\n\t\t\t\t                    register({ name: \"I am completing this for\" }, parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":false}));\n                    if ( parent.getValue(\"I am completing this for\") === '' && false ) {\n\t\t\t\t    parent.setValue( 'I am completing this for', '', true );\n                        parent.handleChange({\n                            target: {\n                                name: 'I am completing this for',\n                                value: ''\n                            }\n                        });\n                    }\n                }}\n                \/>\n\n            \t\t\t\t<${validation.ErrorMessage}\n\t\t\t\t\terrors=${validation.errors}\n\t\t\t\t\tname=\"I am completing this for\"\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\n\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section className=\"elementor-section elementor-inner-section elementor-element elementor-element-629c2f6 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"629c2f6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ac67427\" data-id=\"ac67427\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-651cdf9 elementor-widget elementor-widget-mf-text\" data-id=\"651cdf9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-first-name&quot;}\" data-widget_type=\"mf-text.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-651cdf9\">\r\n\t\t\t\t\t${ parent.decodeEntities(`First Name`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"text\"\r\n\t\t\t\tclassName=\"mf-input mf-conditional-input\"\r\n\t\t\t\tid=\"mf-input-text-651cdf9\"\r\n\t\t\t\tname=\"mf-first-name\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`First Name`) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\tonBlur=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-first-name'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)\r\n\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-first-name\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`Enter your first name here`) }  <\/span>\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div className=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0bd8df8\" data-id=\"0bd8df8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-aac58f8 elementor-widget elementor-widget-mf-text\" data-id=\"aac58f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-last-name&quot;}\" data-widget_type=\"mf-text.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-aac58f8\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Last Name`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"text\"\r\n\t\t\t\tclassName=\"mf-input mf-conditional-input\"\r\n\t\t\t\tid=\"mf-input-text-aac58f8\"\r\n\t\t\t\tname=\"mf-last-name\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`Last Name`) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\tonBlur=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-last-name'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)\r\n\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-last-name\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`Enter your last name here`) }  <\/span>\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section className=\"elementor-section elementor-inner-section elementor-element elementor-element-6da24b58 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"6da24b58\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-2de337f4\" data-id=\"2de337f4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-77626de5 elementor-widget elementor-widget-mf-date\" data-id=\"77626de5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-date-of-birth&quot;}\" data-widget_type=\"mf-date.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-date-77626de5\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Date of Birth`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<${props.Flatpickr}\r\n\t\t\t\t\tname=\"mf-date-of-birth\"\r\n\t\t\t\t\tclassName=\"mf-input mf-date-input mf-left-parent  mf-conditional-input\"\r\n\t\t\t\t\tplaceholder=\"${ parent.decodeEntities(`DD - MM - YYYY`) } \"\r\n\t\t\t\t\toptions=${{\"minDate\":\"\",\"maxDate\":\"\",\"dateFormat\":\"m-d-Y\",\"enableTime\":\"\",\"disable\":[],\"mode\":\"single\",\"static\":true,\"disableMobile\":true,\"time_24hr\":false}}\r\n\t\t\t\t\tvalue=${parent.getValue('mf-date-of-birth')}\r\n\t\t\t\t\tonInput=${parent.handleDateTime}\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-date-of-birth'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el => props.DateWidget(\r\n\t\t\t\t\t\t\tel, \r\n\t\t\t\t\t\t\t'', \r\n\t\t\t\t\t\t\t{\"message\":\"This field is required.\",\"required\":true},  \r\n\t\t\t\t\t\t\tregister, \r\n\t\t\t\t\t\t\tparent \r\n\t\t\t\t\t\t)}\r\n\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-date-of-birth\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-3cfcc3bf elementor-widget elementor-widget-mf-radio\" data-id=\"3cfcc3bf\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;Gender&quot;,&quot;mf_input_list&quot;:[{&quot;mf_input_option_text&quot;:&quot;Male&quot;,&quot;mf_input_option_value&quot;:&quot;male&quot;,&quot;_id&quot;:&quot;87f3be6&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;Female&quot;,&quot;mf_input_option_value&quot;:&quot;female&quot;,&quot;_id&quot;:&quot;02d4f80&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;Decline to Answer&quot;,&quot;mf_input_option_value&quot;:&quot;decline-to-answer&quot;,&quot;_id&quot;:&quot;87337a0&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;}]}\" data-widget_type=\"mf-radio.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\t\r\n\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-radio-3cfcc3bf\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Gender`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<div className=\"mf-radio multi-option-input-type\" id=\"mf-input-radio-3cfcc3bf\">\r\n\t\t\t\t\t\t\t\t\t<div className=\"mf-radio-option \">\r\n\t\t\t\t\t\t<label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input\r\n\t\t\t\t\t\t\t\ttype=\"radio\"\r\n\t\t\t\t\t\t\t\tclassName=\"mf-input mf-radio-input mf-conditional-input\"\r\n\t\t\t\t\t\t\t\tname=\"Gender\"\r\n\t\t\t\t\t\t\t\tvalue=\"male\"\r\n\t\t\t\t\t\t\t\tdata-checked=\"\"\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tonChange=${ parent.handleChange }\r\n\t\t\t\t\t\t\t\t\taria-invalid=${validation.errors['Gender'] ? 'true' : 'false'}\r\n\t\t\t\t\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tparent.handleRadioDefault(el);\r\n\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"required\":true}, el)\r\n\t\t\t\t\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\tchecked=${'male' === parent.getValue('Gender')}\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\r\n\t\t\t\t\t\t\t<span>\r\n\t\t\t\t\t\t\t\t${ parent.decodeEntities(`Male`) } \t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<div className=\"mf-radio-option \">\r\n\t\t\t\t\t\t<label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input\r\n\t\t\t\t\t\t\t\ttype=\"radio\"\r\n\t\t\t\t\t\t\t\tclassName=\"mf-input mf-radio-input mf-conditional-input\"\r\n\t\t\t\t\t\t\t\tname=\"Gender\"\r\n\t\t\t\t\t\t\t\tvalue=\"female\"\r\n\t\t\t\t\t\t\t\tdata-checked=\"\"\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tonChange=${ parent.handleChange }\r\n\t\t\t\t\t\t\t\t\taria-invalid=${validation.errors['Gender'] ? 'true' : 'false'}\r\n\t\t\t\t\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tparent.handleRadioDefault(el);\r\n\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"required\":true}, el)\r\n\t\t\t\t\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\tchecked=${'female' === parent.getValue('Gender')}\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\r\n\t\t\t\t\t\t\t<span>\r\n\t\t\t\t\t\t\t\t${ parent.decodeEntities(`Female`) } \t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<div className=\"mf-radio-option \">\r\n\t\t\t\t\t\t<label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input\r\n\t\t\t\t\t\t\t\ttype=\"radio\"\r\n\t\t\t\t\t\t\t\tclassName=\"mf-input mf-radio-input mf-conditional-input\"\r\n\t\t\t\t\t\t\t\tname=\"Gender\"\r\n\t\t\t\t\t\t\t\tvalue=\"decline-to-answer\"\r\n\t\t\t\t\t\t\t\tdata-checked=\"\"\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tonChange=${ parent.handleChange }\r\n\t\t\t\t\t\t\t\t\taria-invalid=${validation.errors['Gender'] ? 'true' : 'false'}\r\n\t\t\t\t\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tparent.handleRadioDefault(el);\r\n\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"required\":true}, el)\r\n\t\t\t\t\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\tchecked=${'decline-to-answer' === parent.getValue('Gender')}\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\/>\r\n\t\t\t\t\t\t\t<span>\r\n\t\t\t\t\t\t\t\t${ parent.decodeEntities(`Decline to Answer`) } \t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"Gender\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"Gender\" value=\"\" \/>\r\n\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section className=\"elementor-section elementor-inner-section elementor-element elementor-element-c6db20a elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"c6db20a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-8e2192e\" data-id=\"8e2192e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-c7870f1 elementor-widget elementor-widget-mf-telephone\" data-id=\"c7870f1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-phone&quot;}\" data-widget_type=\"mf-telephone.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div className=\"mf-input-wrapper\">\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-telephone-c7870f1\">\n\t\t\t\t\t${ parent.decodeEntities(`Phone Number`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\n\t\t\t\t<\/label>\n\t\t\t\n\t\t\t<input\n\t\t\t\ttype=\"tel\"\n\t\t\t\tclassName=\"mf-input mf-conditional-input\"\n\t\t\t\tid=\"mf-input-telephone-c7870f1\" \n\t\t\t\tname=\"mf-phone\"\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(``) } \"\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\n\t\t\t\t\taria-invalid=${validation.errors['mf-phone'] ? 'true' : 'false'}\n\t\t\t\t\tref=${el => parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)}\n\t\t\t\t\t\t\t\t\/>\n\t\t\t\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\n\t\t\t\t\terrors=${validation.errors}\n\t\t\t\t\tname=\"mf-phone\"\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\n\t\t\t\t\t\/>\n\t\t\t\n\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`Example: +1 212-695-1962`) }  <\/span>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-7ce215a elementor-widget elementor-widget-mf-email\" data-id=\"7ce215a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-email&quot;}\" data-widget_type=\"mf-email.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-email-7ce215a\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Email Address`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input \r\n\t\t\t\ttype=\"email\" \r\n\t\t\t\t \r\n\t\t\t\tdefaultValue=\"\" \r\n\t\t\t\tclassName=\"mf-input mf-conditional-input\" \r\n\t\t\t\tid=\"mf-input-email-7ce215a\" \r\n\t\t\t\tname=\"mf-email\" \r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(``) } \" \r\n\t\t\t\t \r\n\t\t\t\tonBlur=${parent.handleChange} onFocus=${parent.handleChange} aria-invalid=${validation.errors['mf-email'] ? 'true' : 'false' } \r\n\t\t\t\tref=${el=> parent.activateValidation({\"message\":\"This field is required.\",\"emailMessage\":\"Please enter a valid Email address\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)}\r\n\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t<${validation.ErrorMessage} \r\n\t\t\t\terrors=${validation.errors} \r\n\t\t\t\tname=\"mf-email\" \r\n\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\/>\r\n\t\t\t\r\n\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`Example: user@website.com`) }  <\/span>\t\t<\/div>\r\n\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section className=\"elementor-section elementor-inner-section elementor-element elementor-element-1d7af98b elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"1d7af98b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-63ceb0c0\" data-id=\"63ceb0c0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-7f274e2 elementor-widget elementor-widget-mf-text\" data-id=\"7f274e2\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-address-line-1&quot;}\" data-widget_type=\"mf-text.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-7f274e2\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Address Line 1`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"text\"\r\n\t\t\t\tclassName=\"mf-input mf-conditional-input\"\r\n\t\t\t\tid=\"mf-input-text-7f274e2\"\r\n\t\t\t\tname=\"mf-address-line-1\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(``) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\tonBlur=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-address-line-1'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)\r\n\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-address-line-1\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div className=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-659991b\" data-id=\"659991b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-c295bda elementor-widget elementor-widget-mf-text\" data-id=\"c295bda\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-address-line-2-city&quot;}\" data-widget_type=\"mf-text.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-c295bda\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Address Line 2`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"text\"\r\n\t\t\t\tclassName=\"mf-input mf-conditional-input\"\r\n\t\t\t\tid=\"mf-input-text-c295bda\"\r\n\t\t\t\tname=\"mf-address-line-2-city\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(``) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\tonBlur=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-address-line-2-city'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)\r\n\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-address-line-2-city\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`City *`) }  <\/span>\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div className=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-ca5a473\" data-id=\"ca5a473\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-397ad37d elementor-widget elementor-widget-mf-text\" data-id=\"397ad37d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-address-line-2-style&quot;}\" data-widget_type=\"mf-text.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-397ad37d\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Address Line 3`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\"><\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"text\"\r\n\t\t\t\tclassName=\"mf-input mf-conditional-input\"\r\n\t\t\t\tid=\"mf-input-text-397ad37d\"\r\n\t\t\t\tname=\"mf-address-line-2-style\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(``) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\tonBlur=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-address-line-2-style'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":false,\"expression\":\"null\"}, el)\r\n\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-address-line-2-style\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`State`) }  <\/span>\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section className=\"elementor-section elementor-inner-section elementor-element elementor-element-6da0b66 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"6da0b66\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-65ff733\" data-id=\"65ff733\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-1891f7b elementor-widget elementor-widget-mf-number\" data-id=\"1891f7b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-zip&quot;}\" data-widget_type=\"mf-number.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-number-1891f7b\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Zip Code`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"number\"\r\n\t\t\t\tstep=\"any\"\r\n\t\t\t\tclassName=\"mf-input mf-conditional-input\"\r\n\t\t\t\tid=\"mf-input-mobile-1891f7b\"\r\n\t\t\t\tname=\"mf-zip\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(``) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-zip'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el => parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-zip\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`Example: 12207`) }  <\/span>\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div className=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-83fe0ff\" data-id=\"83fe0ff\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-9c52180 elementor-widget elementor-widget-mf-select\" data-id=\"9c52180\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;Country&quot;,&quot;mf_input_list&quot;:[{&quot;mf_input_option_text&quot;:&quot;Select Country&quot;,&quot;mf_input_option_value&quot;:&quot;&quot;,&quot;mf_input_option_status&quot;:&quot;disabled&quot;,&quot;_id&quot;:&quot;7d0ce81&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;Australia&quot;,&quot;mf_input_option_value&quot;:&quot;Australia&quot;,&quot;_id&quot;:&quot;03640f9&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;}]}\" data-widget_type=\"mf-select.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t\n\t\t<div className=\"mf-input-wrapper\">\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-select-9c52180\">\n\t\t\t\t\t${ parent.decodeEntities(`Country`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\n\t\t\t\t<\/label>\n            \n            <${props.Select}\n                className=${\"mf-input mf-input-select mf-conditional-input \" + ( validation.errors['Country'] ? 'mf-invalid' : '' )}\n                classNamePrefix=\"mf_select\"\n                name=\"Country\"\n                placeholder=\"${ parent.decodeEntities(`Select`) } \"\n                isSearchable=${false}\n                options=${[{\"label\":\"Select Country\",\"value\":\"\",\"isDisabled\":true},{\"label\":\"Australia\",\"value\":\"Australia\",\"isDisabled\":false}]}\n                value=${parent.getValue(\"Country\") ? [{\"label\":\"Select Country\",\"value\":\"\",\"isDisabled\":true},{\"label\":\"Australia\",\"value\":\"Australia\",\"isDisabled\":false}].filter(item => item.value === parent.getValue(\"Country\"))[0] : []}\n                onChange=${(e)=> parent.handleSelect(e, \"Country\")}\n                ref=${() => {\n\t\t\t\t                    register({ name: \"Country\" }, parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true}));\n                    if ( parent.getValue(\"Country\") === '' && false ) {\n\t\t\t\t    parent.setValue( 'Country', '', true );\n                        parent.handleChange({\n                            target: {\n                                name: 'Country',\n                                value: ''\n                            }\n                        });\n                    }\n                }}\n                \/>\n\n            \t\t\t\t<${validation.ErrorMessage}\n\t\t\t\t\terrors=${validation.errors}\n\t\t\t\t\tname=\"Country\"\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\n\t\t\t\t\t\/>\n\t\t\t\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`Select your Country`) }  <\/span>\t\t<\/div>\n\n\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section className=\"elementor-section elementor-inner-section elementor-element elementor-element-d923619 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"d923619\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-2d7706c\" data-id=\"2d7706c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-d86304b elementor-widget elementor-widget-mf-text\" data-id=\"d86304b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;Participant NDIS Number&quot;}\" data-widget_type=\"mf-text.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-d86304b\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Participant NDIS Number`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\"><\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"text\"\r\n\t\t\t\tclassName=\"mf-input \"\r\n\t\t\t\tid=\"mf-input-text-d86304b\"\r\n\t\t\t\tname=\"Participant NDIS Number\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`Enter your NDIS Number`) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\tonBlur=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors['Participant NDIS Number'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":false,\"expression\":\"null\"}, el)\r\n\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"Participant NDIS Number\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div className=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-960af5b\" data-id=\"960af5b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-2f83eef elementor-widget elementor-widget-mf-multi-select\" data-id=\"2f83eef\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-multi-select&quot;,&quot;mf_input_list&quot;:[{&quot;label&quot;:&quot;Life Skills&quot;,&quot;value&quot;:&quot;Life Skills&quot;,&quot;_id&quot;:&quot;f0984b5&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Community Participation Daily&quot;,&quot;value&quot;:&quot;Community Participation Daily&quot;,&quot;_id&quot;:&quot;1c282f8&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Assist Personal Activities&quot;,&quot;value&quot;:&quot;Assist Personal Activities&quot;,&quot;_id&quot;:&quot;9dafb6e&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;c885ce9&quot;,&quot;label&quot;:&quot;Care \\\/ Safety&quot;,&quot;value&quot;:&quot;Care \\\/ Safety&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;8bf56db&quot;,&quot;label&quot;:&quot;Daily Personal Activities&quot;,&quot;value&quot;:&quot;Daily Personal Activities&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;5ec92a3&quot;,&quot;label&quot;:&quot;Center Activities&quot;,&quot;value&quot;:&quot;Center Activities&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;ee7f9c7&quot;,&quot;label&quot;:&quot;Other&quot;,&quot;value&quot;:&quot;Other&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;}]}\" data-widget_type=\"mf-multi-select.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        \r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-multi-select-2f83eef\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Type of Services Required`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\"><\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n            <${props.Select}\r\n                isOptionDisabled=${option => option.mf_input_option_status === 'disabled'}\r\n                className=${\"mf-input mf-input-multiselect  \" + ( validation.errors['mf-multi-select'] ? 'mf-invalid' : '' )}\r\n                classNamePrefix=\"mf_multiselect\"\r\n                value=${parent.getValue(\"mf-multi-select\") && [{\"label\":\"Life Skills\",\"value\":\"Life Skills\",\"_id\":\"f0984b5\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"label\":\"Community Participation Daily\",\"value\":\"Community Participation Daily\",\"_id\":\"1c282f8\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"label\":\"Assist Personal Activities\",\"value\":\"Assist Personal Activities\",\"_id\":\"9dafb6e\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"_id\":\"c885ce9\",\"label\":\"Care \\\/ Safety\",\"value\":\"Care \\\/ Safety\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"_id\":\"8bf56db\",\"label\":\"Daily Personal Activities\",\"value\":\"Daily Personal Activities\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"_id\":\"5ec92a3\",\"label\":\"Center Activities\",\"value\":\"Center Activities\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"_id\":\"ee7f9c7\",\"label\":\"Other\",\"value\":\"Other\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"}].filter(item => {\r\n                    if(parent.state.formData['mf-multi-select'] && parent.state.formData['mf-multi-select'].indexOf(item.value) != -1 ){\r\n                        return item;\r\n                    }\r\n                })}\r\n                name='mf-multi-select'\r\n                placeholder=\"${ parent.decodeEntities(`Please Select`) } \"\r\n                options=${[{\"label\":\"Life Skills\",\"value\":\"Life Skills\",\"_id\":\"f0984b5\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"label\":\"Community Participation Daily\",\"value\":\"Community Participation Daily\",\"_id\":\"1c282f8\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"label\":\"Assist Personal Activities\",\"value\":\"Assist Personal Activities\",\"_id\":\"9dafb6e\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"_id\":\"c885ce9\",\"label\":\"Care \\\/ Safety\",\"value\":\"Care \\\/ Safety\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"_id\":\"8bf56db\",\"label\":\"Daily Personal Activities\",\"value\":\"Daily Personal Activities\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"_id\":\"5ec92a3\",\"label\":\"Center Activities\",\"value\":\"Center Activities\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"_id\":\"ee7f9c7\",\"label\":\"Other\",\"value\":\"Other\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"}]}\r\n                onChange=${(el) => {\r\n                    setValue(\"mf-multi-select\", '');\r\n                    if(el != null){\r\n                        setValue(\"mf-multi-select\", el, true);\r\n                    }\r\n                    parent.multiSelectChange(el, 'mf-multi-select');\r\n                }}\r\n                ref=${() => {\r\n\t\t\t\t                    register({ name: \"mf-multi-select\" }, parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":false}));\r\n                    if(parent.state?.submitted !== true){\r\n                        if ( parent.getValue(\"mf-multi-select\") === '' && false ) {\r\n                            parent.setValue( 'mf-multi-select', '[]');\r\n                            parent.multiSelectChange('[]', 'mf-multi-select');\r\n                        }\r\n                    }\r\n                }}\r\n                isMulti\r\n            \/>\r\n            \r\n            \t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-multi-select\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t            \r\n        <\/div>\r\n\r\n\t\t\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div className=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-40a4854\" data-id=\"40a4854\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-1b95bcd elementor-widget elementor-widget-mf-text\" data-id=\"1b95bcd\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;Number of Hours Requested for Service&quot;}\" data-widget_type=\"mf-text.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-1b95bcd\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Number of Hours Requested for Service`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\"><\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"text\"\r\n\t\t\t\tclassName=\"mf-input \"\r\n\t\t\t\tid=\"mf-input-text-1b95bcd\"\r\n\t\t\t\tname=\"Number of Hours Requested for Service\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`Hours`) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\tonBlur=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors['Number of Hours Requested for Service'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":false,\"expression\":\"null\"}, el)\r\n\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"Number of Hours Requested for Service\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section className=\"elementor-section elementor-inner-section elementor-element elementor-element-99b9f1b elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"99b9f1b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-1bb6ba7\" data-id=\"1bb6ba7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-f49a56d elementor-widget elementor-widget-mf-multi-select\" data-id=\"f49a56d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;Who should we contact to make an Appointment&quot;,&quot;mf_input_list&quot;:[{&quot;label&quot;:&quot;Participant \\\/ Nominee&quot;,&quot;value&quot;:&quot;Participant \\\/ Nominee&quot;,&quot;_id&quot;:&quot;f0984b5&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Support Coordinator&quot;,&quot;value&quot;:&quot;Support Coordinator&quot;,&quot;_id&quot;:&quot;1c282f8&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Other&quot;,&quot;value&quot;:&quot;value-3&quot;,&quot;_id&quot;:&quot;9dafb6e&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;}]}\" data-widget_type=\"mf-multi-select.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        \r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-multi-select-f49a56d\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Who should we contact to make an Appointment`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\"><\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n            <${props.Select}\r\n                isOptionDisabled=${option => option.mf_input_option_status === 'disabled'}\r\n                className=${\"mf-input mf-input-multiselect  \" + ( validation.errors['Who should we contact to make an Appointment'] ? 'mf-invalid' : '' )}\r\n                classNamePrefix=\"mf_multiselect\"\r\n                value=${parent.getValue(\"Who should we contact to make an Appointment\") && [{\"label\":\"Participant \\\/ Nominee\",\"value\":\"Participant \\\/ Nominee\",\"_id\":\"f0984b5\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"label\":\"Support Coordinator\",\"value\":\"Support Coordinator\",\"_id\":\"1c282f8\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"label\":\"Other\",\"value\":\"value-3\",\"_id\":\"9dafb6e\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"}].filter(item => {\r\n                    if(parent.state.formData['Who should we contact to make an Appointment'] && parent.state.formData['Who should we contact to make an Appointment'].indexOf(item.value) != -1 ){\r\n                        return item;\r\n                    }\r\n                })}\r\n                name='Who should we contact to make an Appointment'\r\n                placeholder=\"${ parent.decodeEntities(`Please Select`) } \"\r\n                options=${[{\"label\":\"Participant \\\/ Nominee\",\"value\":\"Participant \\\/ Nominee\",\"_id\":\"f0984b5\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"label\":\"Support Coordinator\",\"value\":\"Support Coordinator\",\"_id\":\"1c282f8\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"label\":\"Other\",\"value\":\"value-3\",\"_id\":\"9dafb6e\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"}]}\r\n                onChange=${(el) => {\r\n                    setValue(\"Who should we contact to make an Appointment\", '');\r\n                    if(el != null){\r\n                        setValue(\"Who should we contact to make an Appointment\", el, true);\r\n                    }\r\n                    parent.multiSelectChange(el, 'Who should we contact to make an Appointment');\r\n                }}\r\n                ref=${() => {\r\n\t\t\t\t                    register({ name: \"Who should we contact to make an Appointment\" }, parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":false}));\r\n                    if(parent.state?.submitted !== true){\r\n                        if ( parent.getValue(\"Who should we contact to make an Appointment\") === '' && false ) {\r\n                            parent.setValue( 'Who should we contact to make an Appointment', '[]');\r\n                            parent.multiSelectChange('[]', 'Who should we contact to make an Appointment');\r\n                        }\r\n                    }\r\n                }}\r\n                isMulti\r\n            \/>\r\n            \r\n            \t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"Who should we contact to make an Appointment\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t            \r\n        <\/div>\r\n\r\n\t\t\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div className=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4ffacbd\" data-id=\"4ffacbd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-d7b7456 elementor-widget elementor-widget-mf-multi-select\" data-id=\"d7b7456\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;Participant&#039;s NDIS Plan Type&quot;,&quot;mf_input_list&quot;:[{&quot;label&quot;:&quot;NDIA Managed&quot;,&quot;value&quot;:&quot;NDIA Managed&quot;,&quot;_id&quot;:&quot;f0984b5&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Plan Managed&quot;,&quot;value&quot;:&quot;Plan Managed&quot;,&quot;_id&quot;:&quot;1c282f8&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;label&quot;:&quot;Self \\\/ Nominee Managed&quot;,&quot;value&quot;:&quot;Self \\\/ Nominee Managed&quot;,&quot;_id&quot;:&quot;9dafb6e&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;}]}\" data-widget_type=\"mf-multi-select.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        \r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-multi-select-d7b7456\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Participant&#039;s NDIS Plan Type`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\"><\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n            <${props.Select}\r\n                isOptionDisabled=${option => option.mf_input_option_status === 'disabled'}\r\n                className=${\"mf-input mf-input-multiselect  \" + ( validation.errors['Participant&#039;s NDIS Plan Type'] ? 'mf-invalid' : '' )}\r\n                classNamePrefix=\"mf_multiselect\"\r\n                value=${parent.getValue(\"Participant&#039;s NDIS Plan Type\") && [{\"label\":\"NDIA Managed\",\"value\":\"NDIA Managed\",\"_id\":\"f0984b5\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"label\":\"Plan Managed\",\"value\":\"Plan Managed\",\"_id\":\"1c282f8\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"label\":\"Self \\\/ Nominee Managed\",\"value\":\"Self \\\/ Nominee Managed\",\"_id\":\"9dafb6e\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"}].filter(item => {\r\n                    if(parent.state.formData['Participant&#039;s NDIS Plan Type'] && parent.state.formData['Participant&#039;s NDIS Plan Type'].indexOf(item.value) != -1 ){\r\n                        return item;\r\n                    }\r\n                })}\r\n                name='Participant&#039;s NDIS Plan Type'\r\n                placeholder=\"${ parent.decodeEntities(`Please Select`) } \"\r\n                options=${[{\"label\":\"NDIA Managed\",\"value\":\"NDIA Managed\",\"_id\":\"f0984b5\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"label\":\"Plan Managed\",\"value\":\"Plan Managed\",\"_id\":\"1c282f8\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"},{\"label\":\"Self \\\/ Nominee Managed\",\"value\":\"Self \\\/ Nominee Managed\",\"_id\":\"9dafb6e\",\"mf_input_option_status\":\"\",\"mf_input_option_selected\":\"\"}]}\r\n                onChange=${(el) => {\r\n                    setValue(\"Participant&#039;s NDIS Plan Type\", '');\r\n                    if(el != null){\r\n                        setValue(\"Participant&#039;s NDIS Plan Type\", el, true);\r\n                    }\r\n                    parent.multiSelectChange(el, 'Participant&#039;s NDIS Plan Type');\r\n                }}\r\n                ref=${() => {\r\n\t\t\t\t                    register({ name: \"Participant&#039;s NDIS Plan Type\" }, parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":false}));\r\n                    if(parent.state?.submitted !== true){\r\n                        if ( parent.getValue(\"Participant&#039;s NDIS Plan Type\") === '' && false ) {\r\n                            parent.setValue( 'Participant&#039;s NDIS Plan Type', '[]');\r\n                            parent.multiSelectChange('[]', 'Participant&#039;s NDIS Plan Type');\r\n                        }\r\n                    }\r\n                }}\r\n                isMulti\r\n            \/>\r\n            \r\n            \t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"Participant&#039;s NDIS Plan Type\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t            \r\n        <\/div>\r\n\r\n\t\t\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section className=\"elementor-section elementor-inner-section elementor-element elementor-element-f6ba4bd elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"f6ba4bd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-04bae31\" data-id=\"04bae31\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-7921ac9 elementor-widget elementor-widget-mf-textarea\" data-id=\"7921ac9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-textarea&quot;}\" data-widget_type=\"mf-textarea.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-area-7921ac9\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Notes (for Care Support Victoria)`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\"><\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<textarea className=\"mf-input mf-textarea \" id=\"mf-input-text-area-7921ac9\"\r\n\t\t\t\tname=\"mf-textarea\" \r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`If Applicable`) } \"\r\n\t\t\t\tcols=\"30\" rows=\"10\"\r\n\t\t\t\t\t\t\t\t\tonInput=${ parent.handleChange }\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-textarea'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${ el => parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":false,\"expression\":\"null\"}, el)}\r\n\t\t\t\t\t\t\t\t><\/textarea>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-textarea\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section className=\"elementor-section elementor-inner-section elementor-element elementor-element-7f439f39 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"7f439f39\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-1a1acfd2\" data-id=\"1a1acfd2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-4c340c1a elementor-widget__width-auto elementor-widget elementor-widget-mf-button\" data-id=\"4c340c1a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"mf-button.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div className=\"mf-btn-wraper mf-conditional-input\" data-mf-form-conditional-logic-requirement=\"\">\r\n\t\t\t\t\t\t\t<button type=\"submit\" className=\"metform-btn metform-submit-btn \" id=\"\">\r\n\t\t\t\t\t<span>${ parent.decodeEntities(`Apply Now`) } <\/span>\r\n\t\t\t\t<\/button>\r\n\t\t\t        <\/div>\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t`}\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t${is_dummy_markup ? message_position === 'bottom' ? props.ResponseDummyMarkup(message_successIcon, message_proClass) : '' : ''}\r\n\t\t\t\t\t${is_dummy_markup ? ' ' : message_position === 'bottom' ? props.SubmitResponseMarkup`${parent}${state}${message_successIcon}${message_errorIcon}${message_proClass}` : ''}\r\n\t\t\t\t\r\n\t\t\t\t<\/form>\r\n\t\t\t`\r\n\t\t<\/script>\r\n\r\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-56f5316 e-flex e-con-boxed e-con e-parent\" data-id=\"56f5316\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-116c79a e-flex e-con-boxed e-con e-child\" data-id=\"116c79a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-442f35b e-con-full e-flex e-con e-child\" data-id=\"442f35b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b5e1a9c elementor-widget elementor-widget-heading\" data-id=\"b5e1a9c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Frequently Asked Questions<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c29cb5 elementor-widget elementor-widget-text-editor\" data-id=\"5c29cb5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Explore answers to common queries about our disability support services, team expertise, and accessing quality care tailored to individual needs.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b5095e elementor-tablet-align-center elementor-widget elementor-widget-button\" data-id=\"1b5095e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Find out more<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3b3842f e-con-full e-flex e-con e-child\" data-id=\"3b3842f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-47e6fac elementor-widget elementor-widget-accordion\" data-id=\"47e6fac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7531\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-7531\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Why Choose Care Support Victoria<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-7531\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-7531\"><p>Care Support Victoria has a dedicated team of professionals with expertise in the Aged Care and Disability industries. We provide services through NDIS, Home Care Packages, and private arrangements. With flexibility and knowledge, we are responsive to your needs at all times. We offer a complimentary in-home assessment and can guide you through various ways of receiving support tailored to you. From your initial contact with Care Support Victoria, you will always speak with a caring team member focused on the best way to meet your needs.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7532\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-7532\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can I switch from my current provider to Care Support Victoria?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-7532\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-7532\"><p>Of course! Get in touch with our team today and they\u2019ll talk you through the process and how we can work with you to maximise your package.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7533\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-7533\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What services does Care Support Victoria provide?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-7533\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-7533\"><p>We offer a variety of supports, depending on what you need. Care Support Victoria services can include:<\/p><ul class=\"ul-font-size-home\"><li>Personal Care<\/li><li>Light Housework<\/li><li>Nursing<\/li><li>Meal Preparation<\/li><li>Transport<\/li><li>Respite \u2013 in home\/ accommodation<\/li><li>Support Coordination<\/li><li>Supported Independent Living<\/li><li>And many more!<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7534\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-7534\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How can I access government funded services?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-7534\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-7534\"><p>Contact us today and we can guide you through the process, whether that\u2019s NDIS or Home Care Packages. We can also provide privately paid services when you don\u2019t have any government funding, or while you\u2019re waiting for approvals.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-7535\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-7535\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What can we talk about on the consultation?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-7535\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-7535\"><p>Before you decide to use our Home Care services, we recommend that you take part in an initial consultation with us. This gives us the chance to talk about your needs and what exactly you are looking for in a home care service. It\u2019s also a chance for one of our team to discuss our services thoroughly with you so that you understand exactly what you can expect once you do start receiving care from us.<br role=\"presentation\" data-uw-rm-sr=\"\" \/>Are you interested in booking your first consultation with us? If so, give us a call to and one of our team will be happy to arrange it.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fb455cd e-flex e-con-boxed e-con e-parent\" data-id=\"fb455cd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-74260b8 e-flex e-con-boxed e-con e-child\" data-id=\"74260b8\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-ae768cb e-flex e-con-boxed e-con e-child\" data-id=\"ae768cb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-026acbb e-con-full e-flex e-con e-child\" data-id=\"026acbb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-186b096 elementor-widget elementor-widget-heading\" data-id=\"186b096\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Subscribe for Exclusive Updates<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c48e08 elementor-widget elementor-widget-text-editor\" data-id=\"5c48e08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Stay connected with our newsletter for the latest updates, insights, and stories in the world of care and support.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7326d86 e-flex e-con-boxed e-con e-child\" data-id=\"7326d86\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4ada9ac elementor-widget__width-inherit elementor-widget elementor-widget-metform\" data-id=\"4ada9ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"metform.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"mf-response-props-id-2249\" data-previous-steps-style=\"\" data-editswitchopen=\"\" data-response_type=\"alert\" data-erroricon=\"fas fa-exclamation-triangle\" data-successicon=\"fas fa-check\" data-messageposition=\"top\" class=\"   mf-scroll-top-no\">\n\t\t<div class=\"formpicker_warper formpicker_warper_editable\" data-metform-formpicker-key=\"2249\" >\n\t\t\t\t\n\t\t\t<div class=\"mf-widget-container\">\n\t\t\t\t\r\n\t\t<div\r\n\t\t\tid=\"metform-wrap-4ada9ac-2249\"\r\n\t\t\tclass=\"mf-form-wrapper\"\r\n\t\t\tdata-form-id=\"2249\"\r\n\t\t\tdata-action=\"https:\/\/caresupportvic.com.au\/index.php\/wp-json\/metform\/v1\/entries\/insert\/2249\"\r\n\t\t\tdata-wp-nonce=\"b1fa585b99\"\r\n\t\t\tdata-form-nonce=\"265909250b\"\r\n\t\t\tdata-quiz-summery = \"false\"\r\n\t\t\tdata-save-progress = \"false\"\r\n\t\t\tdata-form-type=\"general-form\"\r\n\t\t\tdata-stop-vertical-effect=\"\"\r\n\t\t\t><\/div>\r\n\r\n\r\n\t\t<!----------------------------- \r\n\t\t\t* controls_data : find the the props passed indie of data attribute\r\n\t\t\t* props.SubmitResponseMarkup : contains the markup of error or success message\r\n\t\t\t* https:\/\/developer.mozilla.org\/en-US\/docs\/Web\/JavaScript\/Reference\/Template_literals\r\n\t\t--------------------------- -->\r\n\r\n\t\t\t\t<script type=\"text\/mf\" class=\"mf-template\">\r\n\t\t\tfunction controls_data (value){\r\n\t\t\t\tlet currentWrapper = \"mf-response-props-id-2249\";\r\n\t\t\t\tlet currentEl = document.getElementById(currentWrapper);\r\n\t\t\t\t\r\n\t\t\t\treturn currentEl ? currentEl.dataset[value] : false\r\n\t\t\t}\r\n\r\n\r\n\t\t\tlet is_edit_mode = '' ? true : false;\r\n\t\t\tlet message_position = controls_data('messageposition') || 'top';\r\n\r\n\t\t\t\r\n\t\t\tlet message_successIcon = controls_data('successicon') || '';\r\n\t\t\tlet message_errorIcon = controls_data('erroricon') || '';\r\n\t\t\tlet message_editSwitch = controls_data('editswitchopen') === 'yes' ? true : false;\r\n\t\t\tlet message_proClass = controls_data('editswitchopen') === 'yes' ? 'mf_pro_activated' : '';\r\n\t\t\t\r\n\t\t\tlet is_dummy_markup = is_edit_mode && message_editSwitch ? true : false;\r\n\r\n\t\t\t\r\n\t\t\treturn html`\r\n\t\t\t\t<form\r\n\t\t\t\t\tclassName=\"metform-form-content\"\r\n\t\t\t\t\tref=${parent.formContainerRef}\r\n\t\t\t\t\tonSubmit=${ validation.handleSubmit( parent.handleFormSubmit ) }\r\n\t\t\t\t\r\n\t\t\t\t\t>\r\n\t\t\t\r\n\t\t\t\r\n\t\t\t\t\t${is_dummy_markup ? message_position === 'top' ?  props.ResponseDummyMarkup(message_successIcon, message_proClass) : '' : ''}\r\n\t\t\t\t\t${is_dummy_markup ? ' ' :  message_position === 'top' ? props.SubmitResponseMarkup`${parent}${state}${message_successIcon}${message_errorIcon}${message_proClass}` : ''}\r\n\r\n\t\t\t\t\t<!--------------------------------------------------------\r\n\t\t\t\t\t*** IMPORTANT \/ DANGEROUS ***\r\n\t\t\t\t\t${html``} must be used as in immediate child of \"metform-form-main-wrapper\"\r\n\t\t\t\t\tclass otherwise multistep form will not run at all\r\n\t\t\t\t\t---------------------------------------------------------->\r\n\r\n\t\t\t\t\t<div className=\"metform-form-main-wrapper\" key=${'hide-form-after-submit'} ref=${parent.formRef}>\r\n\t\t\t\t\t${html`\r\n\t\t\t\t\t\t\t\t<div data-elementor-type=\"wp-post\" key=\"2\" data-elementor-id=\"2249\" className=\"elementor elementor-2249\">\n\t\t\t\t\t\t<section className=\"elementor-section elementor-top-section elementor-element elementor-element-26ea9738 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"26ea9738\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7c8f3e4b\" data-id=\"7c8f3e4b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section className=\"elementor-section elementor-inner-section elementor-element elementor-element-3a62ea78 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"3a62ea78\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-2c9a43de\" data-id=\"2c9a43de\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-47e25ccc elementor-widget-mobile__width-initial elementor-widget elementor-widget-mf-email\" data-id=\"47e25ccc\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-email&quot;}\" data-widget_type=\"mf-email.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-email-47e25ccc\">\r\n\t\t\t\t\t${ parent.decodeEntities(``) } \t\t\t\t\t<span className=\"mf-input-required-indicator\"><\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input \r\n\t\t\t\ttype=\"email\" \r\n\t\t\t\t \r\n\t\t\t\tdefaultValue=\"\" \r\n\t\t\t\tclassName=\"mf-input mf-conditional-input\" \r\n\t\t\t\tid=\"mf-input-email-47e25ccc\" \r\n\t\t\t\tname=\"mf-email\" \r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`Enter your Email`) } \" \r\n\t\t\t\t \r\n\t\t\t\tonBlur=${parent.handleChange} onFocus=${parent.handleChange} aria-invalid=${validation.errors['mf-email'] ? 'true' : 'false' } \r\n\t\t\t\tref=${el=> parent.activateValidation({\"message\":\"This field is required.\",\"emailMessage\":\"Please enter a valid Email address\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":false,\"expression\":\"null\"}, el)}\r\n\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t<${validation.ErrorMessage} \r\n\t\t\t\terrors=${validation.errors} \r\n\t\t\t\tname=\"mf-email\" \r\n\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\/>\r\n\t\t\t\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-10bfe56 elementor-widget elementor-widget-spacer\" data-id=\"10bfe56\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div className=\"elementor-spacer\">\n\t\t\t<div className=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-6cc4ebd mf-btn--right elementor-widget elementor-widget-mf-button\" data-id=\"6cc4ebd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"mf-button.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div className=\"mf-btn-wraper \" data-mf-form-conditional-logic-requirement=\"\">\r\n\t\t\t\t\t\t\t<button type=\"submit\" className=\"metform-btn metform-submit-btn \" id=\"\">\r\n\t\t\t\t\t<span>${ parent.decodeEntities(`Submit Now`) } <\/span>\r\n\t\t\t\t<\/button>\r\n\t\t\t        <\/div>\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t`}\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t${is_dummy_markup ? message_position === 'bottom' ? props.ResponseDummyMarkup(message_successIcon, message_proClass) : '' : ''}\r\n\t\t\t\t\t${is_dummy_markup ? ' ' : message_position === 'bottom' ? props.SubmitResponseMarkup`${parent}${state}${message_successIcon}${message_errorIcon}${message_proClass}` : ''}\r\n\t\t\t\t\r\n\t\t\t\t<\/form>\r\n\t\t\t`\r\n\t\t<\/script>\r\n\r\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n    <div class=\"xs_social_share_widget xs_share_url after_content \t\tmain_content  wslu-style-1 wslu-share-box-shaped wslu-fill-colored wslu-none wslu-share-horizontal wslu-theme-font-no wslu-main_content\">\n\n\t\t\n        <ul>\n\t\t\t        <\/ul>\n    <\/div> \n","protected":false},"excerpt":{"rendered":"<p>Make A Refferal Frequently Asked Questions Explore answers to common queries about our disability support services, team expertise, and accessing quality care tailored to individual needs. Find out more Why Choose Care Support Victoria Care Support Victoria has a dedicated team of professionals with expertise in the Aged Care and Disability industries. 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