/* growform client2 bundle.url: https://assets.growform.co/cee2d99-mhw6hzfz/form.bundle.js resolve.source: kv resolve.at: 2025-11-27T03:06:16.529Z form.source: kv cache.age_ms: 0 kv.value_present: true fallback_used: false */ ;(function () { var EMBED_TYPE = "iFrame"; var FORM_ID = "68e4f093d9e0c0dc27d70b16"; var FORM_BUNDLE_URL = "https://assets.growform.co/cee2d99-mhw6hzfz/form.bundle.js"; // injected by worker (KV/memory/fallback) var FORM_DATA = {"data":{"form":{"_id":"68e4f093d9e0c0dc27d70b16","options":{"numberOfSteps":5,"dateFormat":"DD/MM/YYYY","progressBar":{"enable":true},"continueButton":{"continueText":"Next","submitText":"Receive results","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":40,"parentBackgroundColor":"#ffffff","innerFormBackgroundColor":"#ffffff","innerFormBackgroundTransparency":"","primaryColor":"#0a83ca","bodyTextColor":"#343434","parentContainerBackgroundType":"color","innerFormBackgroundType":"none","buttonBorderColor":"#ff7500","buttonColorSelected":"#ffa659","buttonBorderColorSelected":"#ff7500","footerMarginBottom":70,"errorColor":"#ff4e4e","buttonColor":"#ff7500","buttonTextColor":"#ffffff","inputLabelColor":"#a3a3a3","inputTextColor":"#000000","defaultFont":"Open Sans","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":"Poppins","inputFontSize":16,"continueSubmitButtonFontSize":15,"fullModeBackgroundColor":"#ffffff","canvasSetup":"full","link_buttonColor":"#34ca37","link_buttonTextColor":"#ffffff"},"localization":{"dateFormat":"MM/DD/YYYY"},"exportTransparentBackground":false,"customScript":"","customRedirectUrls":[{"url":"https://wewillfightforyourjustice.com/thank-you-paraquat/","conditionalLogic":{"ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_109446974978914","operator":"selected_option","criteria":"192368f189795a7f9199624d"}]},{"sortOrder":3,"rules":[{"observedField":"buttons_57263971186489","operator":"selected_option","criteria":"192368f189795a7f9199624d"}]}]}},{"url":"https://wewillfightforyourjustice.com/one-more-step-paraquat/","conditionalLogic":{"ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_109446974978914","operator":"selected_option","criteria":"70c0a9378e749251d6da0647"},{"observedField":"buttons_57263971186489","operator":"selected_option","criteria":"1d157d166ec02c7dc610f570"}]}]}}],"logo":{"value":"https://res.cloudinary.com/dqnjggegp/image/upload/v1759834350/uploads/vnasmysvluxlhyxjhdvl.webp","linkUrl":"","imageWidth":50,"imageHeight":50,"imageInitialWidth":100,"imageInitialHeight":100},"additionalInfo":null,"footer":{"component":"decorativeParagraph","decorativeParagraph":{"value":"ยฉ 2025 Wewillfightforyourjustice. All Rights Reserved.\n\n[Terms of Service](https://wewillfightforyourjustice.com/terms-of-service/) | [Privacy Policy](https://wewillfightforyourjustice.com/privacy-policy/) | [Contact Us](https://wewillfightforyourjustice.com/contact-us/) | [Marketing Partners](https://wewillfightforyourjustice.com/marketing-partners/)"}},"captureSystemDetails":true,"actionOnSubmit":"redirect","sendCustomRedirectQueryParams":true,"analyticsSettings":{"trustedForm":{"enabled":true},"google_analytics":{"trackingId":"G-TCY2DS6HJ9"},"custom_gtm":{"childContainerId":"GTM-KCQJVTL5","parentContainerId":"GTM-T2D8L7SQ"}},"customCss":".MuiFilledInput-input{\nmin-height: 40px;\n}\n\n.react-tel-input .form-control{\nmin-height: 80px;\n}"},"fields":{"Decorative Header_52363373085874":{"type":"Decorative Header","value":"We'll get started on your Free Case Review right away!","width":12,"step":"complete","sortOrder":1,"fieldStyle":{"fontSize":{"value":19,"unit":"px"},"fontWeight":"Bold"},"margins":{"marginTop":20},"stepId":"complete"},"Decorative Header_797442086161467":{"type":"Decorative Header","value":"Have you (or a loved one) been diagnosed with Parkinson's disease?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold"},"stepId":"acd45227cac332d443c4e1db","margins":{"marginBottom":0}},"Decorative_Paragraph_194067845817258":{"type":"Decorative Paragraph","value":"This is what will happen now:\n\n1. You'll be contacted by one of our legal partners to start your Free Case Review\n\n2. Hand over the required documentation as soon as possible to increase the chance of success\n\n3. If all details are correct, we'll fight on your behalf for the highest compensation possible. This is completely risk-free.","width":12,"step":"complete","sortOrder":2,"margins":{"marginBottom":60},"stepId":"complete","fieldStyle":{"lineHeight":"190%"}},"buttons_109446974978914":{"type":"Buttons","validationRules":{"required":true},"label":"Injury","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Yes","id":"192368f189795a7f9199624d"},{"text":"No","image":null,"id":"70c0a9378e749251d6da0647"}],"stepId":"acd45227cac332d443c4e1db","sortOrder":2,"hideLabel":true},"decorative_header_235172494296605":{"type":"Decorative Header","value":"Were you diagnosed with Parkinsonโs after using paraquat?","width":12,"sortOrder":1,"stepId":"27eb4a1b1b082ade23f4559e","fieldStyle":{"fontSize":{"value":25,"unit":"px"}}},"decorative_paragraph_61751321477965":{"type":"Decorative Paragraph","value":"Completing this form only takes a minute of your time and is completely risk-free. After filling in the form, we will check if you are eligible for a financial compensation.","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":2,"fieldStyle":{"fontSize":{"value":16,"unit":"px"}}},"decorative_header_656607592367283":{"type":"Decorative Header","value":"Based on your information, you may qualify for Significant Financial Compensation in the Paraquat Lawsuit.","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"}}},"decorative_paragraph_157556002269067":{"type":"Decorative Paragraph","value":"Enter your contact details below to get a Free Case Review. This is completely confidential.","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":2,"fieldStyle":{"fontSize":{"value":18,"unit":"px"}}},"text_415843839585727":{"type":"Text","label":"First Name","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":3,"multiline":false,"validationRules":{"required":true},"hideLabel":false},"text_322450854217988":{"type":"Text","label":"Last Name","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":4,"validationRules":{"required":true},"hideLabel":false},"email_56969655482013":{"type":"Email","label":"What is your email address?","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":5,"hideLabel":false,"useZerobounce":true},"phone_714906604341255":{"type":"Phone","label":"What is your phone number?","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":6,"hideLabel":false,"customQueryParamName":"phone","useTwilioLookup":true},"hidden_401676091091106":{"type":"Hidden","hiddenFieldName":"utm_source","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":3},"hidden_851736750090217":{"type":"Hidden","hiddenFieldName":"utm_medium","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":4},"hidden_766171750375034":{"type":"Hidden","hiddenFieldName":"utm_campaign","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":5},"hidden_890099763029058":{"type":"Hidden","hiddenFieldName":"affid","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":6},"hidden_105407969648525":{"type":"Hidden","hiddenFieldName":"fbclid","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":7,"defaultValue":""},"decorative_header_483656864050639":{"type":"Decorative Header","value":"Have you ever used, mixed, or sprayed Paraquat?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold"},"stepId":"af638305e346fdec5af8ebad","margins":{"marginBottom":0}},"buttons_57263971186489":{"type":"Buttons","validationRules":{"required":true},"label":"Direct exposure","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Yes","id":"192368f189795a7f9199624d"},{"text":"No","image":null,"id":"1d157d166ec02c7dc610f570"}],"stepId":"af638305e346fdec5af8ebad","sortOrder":2,"hideLabel":true},"decorative_header_706329414136655":{"type":"Decorative Header","value":"How frequently did you or a loved one use or come into contact with pesticides like Paraquat?","width":12,"step":5,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold"},"stepId":"88ab832fa58d45caadba1f29","margins":{"marginBottom":0}},"buttons_344114001405038":{"type":"Buttons","validationRules":{"required":false},"label":"Frequency","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"1 to 7 times ","id":"f2576d407d82f4aee93b6488"},{"text":"8 times or more","id":"83b768008d6e4815d3ddc1f5"}],"stepId":"88ab832fa58d45caadba1f29","sortOrder":2,"hideLabel":true},"hidden_700742407969629":{"type":"Hidden","hiddenFieldName":"site_source_name","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":8},"hidden_167089424821347":{"type":"Hidden","hiddenFieldName":"placement","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":9},"hidden_437415799746403":{"type":"Hidden","hiddenFieldName":"ad_id","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":10},"decorative_text_906352320789710":{"type":"Decorative Text","value":"
๐ All Case Reviews are free and fully confidential.
","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":1,"location":"footer"},"decorative_text_834603783762457":{"type":"Decorative Text","value":"๐ All Case Reviews are free and fully confidential.
","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"af638305e346fdec5af8ebad","sortOrder":1,"location":"footer"},"decorative_text_869249632870536":{"type":"Decorative Text","value":"๐ All Case Reviews are free and fully confidential.
","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"acd45227cac332d443c4e1db","sortOrder":1,"location":"footer"},"decorative_text_654739166149314":{"type":"Decorative Text","value":"๐ All Case Reviews are free and fully confidential.
","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"88ab832fa58d45caadba1f29","sortOrder":1,"location":"footer"},"decorative_text_494642965181689":{"type":"Decorative Text","value":"๐ All Case Reviews are free and fully confidential.
","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"8738f58293daa382ea86e475","sortOrder":1,"location":"footer"},"decorative_header_762366634811658":{"type":"Decorative Header","value":"Could you provide a brief description of the situation?
","width":12,"v":2,"sortOrder":1,"stepId":"940c94a5df5d773122cf63f2","fieldStyle":{"fontSize":{"value":24,"unit":"px"}}},"text_246827506975571":{"type":"Text","label":"Optional: Briefly describe the situation.","width":12,"sortOrder":3,"stepId":"940c94a5df5d773122cf63f2","multiline":true,"rows":3,"rowsMax":6},"decorative_text_748284745658597":{"type":"Decorative Text","value":"This is optional, but could help us make a stronger case for you. This information will be handled confidentially.
","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"940c94a5df5d773122cf63f2","sortOrder":2},"decorative_text_318045324201722":{"type":"Decorative Text","value":"๐ All Case Reviews are free and fully confidential.
","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"940c94a5df5d773122cf63f2","sortOrder":1,"location":"footer"}},"ownedByUser":"677a656476f3b5000b4f2ab7","formName":"Wewillfight - paraquat - Broughton","personalisation":{"form_related_to":"(None - start with a blank slate)"},"lastEdited":"2025-11-21T22:22:25.380Z","created":"2025-10-07T10:50:59.060Z","steps":[{"id":"27eb4a1b1b082ade23f4559e","name":"Welcome page","sortOrder":1},{"id":"af638305e346fdec5af8ebad","name":"Paraquat exposure","sortOrder":2,"copyOf":"acd45227cac332d443c4e1db"},{"id":"940c94a5df5d773122cf63f2","name":"Description","sortOrder":3,"conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_57263971186489","operator":"selected_option","criteria":"1d157d166ec02c7dc610f570"}]}]}},{"id":"acd45227cac332d443c4e1db","name":"Injury","sortOrder":4},{"id":"88ab832fa58d45caadba1f29","name":"Frequency","sortOrder":5,"copyOf":"797dc88f8c77406fba2b6429","conditionalLogic":null},{"id":"8738f58293daa382ea86e475","name":"Contact details","sortOrder":6,"conditionalLogic":null}],"screenshotUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1763737844/growform-production/form-screenshots/68e4f093d9e0c0dc27d70b16.png","leadsCount":1863,"isActive":true,"__v":0,"folderId":"67e1d862878653000c68a472","reportedSpam":false,"spamOcr":"WILL FI\nYOUR JUSTIC\nWere you diagnosed with Parkinson's after\nusing paraquat?\nCompleting this form only takes a minute of your time and is completely\nrisk-free. After filling in the form, we will check if you are eligible for a\nfinancial compensation.\nNEXT\nAll Case Reviews are free and fully confidential.\nยฉ 2025 Wewillfightforyourjustice. All Rights Reserved.\nTerms of Service | Privacy Policy | Contact Us | Marketing Partners WILL FI YOUR JUSTIC Were you diagnosed with Parkinson's after using paraquat ? Completing this form only takes a minute of your time and is completely risk - free . After filling in the form , we will check if you are eligible for a financial compensation . NEXT All Case Reviews are free and fully confidential . ยฉ 2025 Wewillfightforyourjustice . All Rights Reserved . Terms of Service | Privacy Policy | Contact Us | Marketing Partners"},"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' + '