/* growform client2 bundle.url: https://assets.growform.co/96896150-mmawu6km/form.bundle.js resolve.source: kv resolve.at: 2026-03-19T19:42:06.960Z form.source: api cache.age_ms: 0 kv.value_present: true fallback_used: false */ ;(function () { var EMBED_TYPE = "iFrame"; var FORM_ID = "67efa3856ab364000bb7cd78"; var FORM_BUNDLE_URL = "https://assets.growform.co/96896150-mmawu6km/form.bundle.js"; // injected by worker (KV/memory/fallback) var FORM_DATA = {"data":{"form":{"_id":"67efa3856ab364000bb7cd78","steps":[{"id":"acd45227cac332d443c4e1db","name":"Step 1","sortOrder":1},{"id":"e9b764120d5b96befe84c5a4","name":"Step 2","sortOrder":2},{"id":"7df92ea651f28ca835b8c629","name":"Step 3","sortOrder":3,"copyOf":"e9b764120d5b96befe84c5a4"},{"id":"7e8e44fd3063ddfb857e55d0","name":"Step 5","sortOrder":4,"copyOf":"a7be829ba7502d3726475015"},{"id":"a7be829ba7502d3726475015","name":"Step 4","sortOrder":5,"copyOf":"7df92ea651f28ca835b8c629"},{"id":"cea8c5de78da01c855a82612","name":"Step 6","sortOrder":6,"copyOf":"a7be829ba7502d3726475015"}],"formName":"Home Dental E-Consultation Form","fields":{"Decorative Header_52363373085874":{"type":"Decorative Header","value":"Thanks for your enquiry!","width":12,"step":"complete","sortOrder":1,"fieldStyle":{"fontSize":{"value":19,"unit":"px"},"fontWeight":"Bold"},"margins":{"marginTop":20},"stepId":"complete"},"Decorative_Paragraph_194067845817258":{"type":"Decorative Paragraph","value":"Thanks for getting in touch. We'll be in contact soon.","width":12,"step":"complete","sortOrder":2,"margins":{"marginBottom":60},"stepId":"complete"},"name_400145035189038":{"type":"Name","label":"What is your name?","width":12,"hideLabel":true,"options":{"Firstname":{"value":null,"errorText":null,"validationRules":{"required":true}},"Lastname":{"value":null,"errorText":null,"validationRules":{"required":true}},"Prefix":{"value":null,"errorText":null}},"stepId":"acd45227cac332d443c4e1db","sortOrder":2,"hidePrefix":true},"email_339843660029228":{"type":"Email","label":"What is your email address?","width":12,"stepId":"acd45227cac332d443c4e1db","sortOrder":3},"phone_919739944889796":{"type":"Phone","label":"What is your phone number?","width":12,"stepId":"acd45227cac332d443c4e1db","sortOrder":4,"hideLabel":true,"showCountryCode":true},"text_256665648879878":{"type":"Text","label":"What is your main complaint?","width":12,"stepId":"acd45227cac332d443c4e1db","sortOrder":5,"multiline":true,"rows":4,"validationRules":{"required":true}},"decorative_header_70378460213116":{"type":"Decorative Header","value":"Front Teeth Picture","width":12,"sortOrder":1,"stepId":"e9b764120d5b96befe84c5a4","fieldStyle":{"fontFamily":"Montserrat"}},"decorative_header_197015320622337":{"type":"Decorative Header","value":"Please fill in the patient information","width":12,"stepId":"acd45227cac332d443c4e1db","sortOrder":1,"fieldStyle":{"fontFamily":"Montserrat"}},"decorative_image_812436530685326":{"type":"Decorative Image","value":"https://res.cloudinary.com/dqnjggegp/image/upload/v1743759103/uploads/n5eicxl9a4vgknvovnii.png","width":12,"imageWidth":926,"imageHeight":530,"imageInitialHeight":530,"imageInitialWidth":926,"stepId":"e9b764120d5b96befe84c5a4","sortOrder":2},"fileupload_650589866493355":{"type":"FileUpload","label":"Please attach your front teeth picture!","width":12,"stepId":"e9b764120d5b96befe84c5a4","sortOrder":3,"validationRules":{"required":false}},"decorative_header_907208962593102":{"type":"Decorative Header","value":"Side Teeth Picture","width":12,"sortOrder":1,"stepId":"7df92ea651f28ca835b8c629","fieldStyle":{"fontFamily":"Montserrat"}},"decorative_image_288465549234516":{"type":"Decorative Image","value":"https://res.cloudinary.com/dqnjggegp/image/upload/v1743759186/uploads/anvz0s2qmnggchmxz474.png","width":12,"imageWidth":926,"imageHeight":530,"imageInitialHeight":530,"imageInitialWidth":926,"stepId":"7df92ea651f28ca835b8c629","sortOrder":2},"fileupload_755453631764688":{"type":"FileUpload","label":"Please attach your side teeth picture!","width":12,"stepId":"7df92ea651f28ca835b8c629","sortOrder":3,"validationRules":{"required":false}},"decorative_header_530836377785960":{"type":"Decorative Header","value":"Upper Teeth Picture","width":12,"sortOrder":1,"stepId":"a7be829ba7502d3726475015","fieldStyle":{"fontFamily":"Montserrat"}},"decorative_image_898684984089933":{"type":"Decorative Image","value":"https://res.cloudinary.com/dqnjggegp/image/upload/v1743759316/uploads/lrg5nxoh2616lcogjgnd.png","width":12,"imageWidth":926,"imageHeight":530,"imageInitialHeight":530,"imageInitialWidth":926,"stepId":"a7be829ba7502d3726475015","sortOrder":2},"fileupload_979508114631552":{"type":"FileUpload","label":"Please attach your upper teeth picture!","width":12,"stepId":"a7be829ba7502d3726475015","sortOrder":3,"validationRules":{"required":false}},"decorative_header_485610053693730":{"type":"Decorative Header","value":"Lower Teeth Picture","width":12,"sortOrder":1,"stepId":"7e8e44fd3063ddfb857e55d0","fieldStyle":{"fontFamily":"Montserrat"}},"decorative_image_674623747750029":{"type":"Decorative Image","value":"https://res.cloudinary.com/dqnjggegp/image/upload/v1743759409/uploads/bmo6ii4dt1qb9fzyb4x4.png","width":12,"imageWidth":548,"imageHeight":314,"imageInitialHeight":265,"imageInitialWidth":463,"stepId":"7e8e44fd3063ddfb857e55d0","sortOrder":2},"fileupload_835008266153375":{"type":"FileUpload","label":"Please attach your lower teeth picture!","width":12,"stepId":"7e8e44fd3063ddfb857e55d0","sortOrder":3,"validationRules":{"required":false}},"decorative_header_712367035348151":{"type":"Decorative Header","value":"X-Ray (optional)","width":12,"sortOrder":1,"stepId":"cea8c5de78da01c855a82612","fieldStyle":{"fontFamily":"Montserrat"}},"decorative_image_736795887148832":{"type":"Decorative Image","value":"https://res.cloudinary.com/dqnjggegp/image/upload/v1743759528/uploads/l4tcnskurrqvwsqwrqfn.png","width":12,"imageWidth":926,"imageHeight":530,"imageInitialHeight":530,"imageInitialWidth":926,"stepId":"cea8c5de78da01c855a82612","sortOrder":2},"fileupload_359108724889375":{"type":"FileUpload","label":"Please attach your X-RAY picture!","width":12,"stepId":"cea8c5de78da01c855a82612","sortOrder":3,"validationRules":{"required":false}}},"options":{"numberOfSteps":5,"dateFormat":"DD/MM/YYYY","progressBar":{"enable":true},"continueButton":{"continueText":"Continue","submitText":"Submit","backText":"Back"},"customStyles":{"width":{"unit":"px","value":580},"parentContainerMinHeight":{"value":0,"unit":"px"},"parentBackgroundImage":{"imageInitialHeight":1362,"imageInitialWidth":2066,"imageHeight":1362,"imageWidth":2066,"imageUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1597337140/uploads/qmsfk98ank3wfp1ehvyg.jpg"},"headerMarginTop":50,"parentBackgroundColor":"#ffffff","innerFormBackgroundColor":"#ffffff","innerFormBackgroundTransparency":"","primaryColor":"#0a83ca","bodyTextColor":"#343434","parentContainerBackgroundType":"none","innerFormBackgroundType":"none","buttonBorderColor":"#ff7500","buttonColorSelected":"#ffa659","buttonBorderColorSelected":"#ff7500","footerMarginBottom":20,"errorColor":"#ff4e4e","buttonColor":"#ff7500","buttonTextColor":"#ffffff","inputLabelColor":"#a3a3a3","inputTextColor":"#000000","defaultFont":"Montserrat","sq_buttonFont":"Poppins","sq_buttonFontSize":15,"showShadows":"Yes","sq_buttonTextColor":"#343434","sq_buttonColor":"#FFFFFF","sq_buttonColorSelected":"#FFFFFF","sq_buttonBorderColor":"#DADADA","sq_buttonBorderColorSelected":"primary","sq_buttonBannerColor":"#ffffff","rt_buttonFont":"Poppins","rt_buttonFontSize":15,"rt_buttonColor":"#FFFFFF","rt_buttonColorSelected":"#FFFFFF","rt_buttonTextColor":"#343434","rt_buttonBorderColor":"#DADADA","rt_buttonBorderColorSelected":"primary","inputLabelFont":"Montserrat","inputFontSize":16,"continueSubmitButtonFontSize":15,"fullModeBackgroundColor":"#E7F3FA","canvasSetup":"minimal","continueSubmitButtonFont":"Montserrat","radioButtonAndCheckboxColor":"#ffffff","continueButtonColor":"#ffc6c6","continueButtonTextColor":"#2e2e2e","progressColor":"#ffc6c6"},"localization":{"dateFormat":"MM/DD/YYYY"},"exportTransparentBackground":false,"customScript":"","customRedirectUrls":[{"url":""}],"logo":null},"screenshotUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1743758894/growform-production/form-screenshots/67efa3856ab364000bb7cd78.png","ownedByUser":"6716770103b287000b686616","personalisation":{"form_related_to":"(None - start with a blank slate)"},"created":"2025-04-04T09:16:53.954Z","folderId":"67ef9b466ab364000bb7c70c","__v":0,"lastEdited":"2025-04-04T09:38:56.144Z","leadsCount":3,"isActive":true},"accountIsActive":true,"accountIsFreeTrial":false}}; // ---- Utils ---- function safeJSONStringify(obj) { return JSON.stringify(obj) .replace(/<\/(script|style)/gi, '<\\/$1') .replace(//g, '--\\>') .replace(/\u2028/g, '\\u2028') .replace(/\u2029/g, '\\u2029'); } function preloadScript(href) { try { if (!href) return; if (document.querySelector('link[rel="preload"][href="' + href + '"]')) return; var l = document.createElement("link"); l.rel = "preload"; l.as = "script"; l.href = href; l.crossOrigin = ""; // allow cache reuse in iframe document.head.appendChild(l); } catch (_) {} } function parseQuery() { var out = {}; try { if (!window.location.search) return out; var usp = new URLSearchParams(window.location.search); usp.forEach(function (v, k) { out[k] = v; }); } catch (_) {} return out; } function buildIframeHTML(opts) { var html = '\n' + '\n' + '
\n' + ' \n' + ' \n' + ' \n' + '\n' + '\n' + ' \n' + ' \n' + '