/* growform client2
   bundle.url: https://assets.growform.co/96896150-mmawu6km/form.bundle.js
   resolve.source: kv
   resolve.at: 2026-03-17T02:39:11.998Z
   form.source: api
   cache.age_ms: 0
   kv.value_present: true
   fallback_used: false
*/
;(function () {
  var EMBED_TYPE = "iFrame";
  var FORM_ID = "692736faebbf211f3c3f0e49";
  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":"692736faebbf211f3c3f0e49","options":{"numberOfSteps":5,"dateFormat":"DD/MM/YYYY","progressBar":{"enable":true},"continueButton":{"continueText":"Next","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":40,"parentBackgroundColor":"#ffffff","innerFormBackgroundColor":"#ffffff","innerFormBackgroundTransparency":"","primaryColor":"#2bb391","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":"Merriweather","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":"#E9F7F4","canvasSetup":"full"},"localization":{"dateFormat":"MM/DD/YYYY"},"exportTransparentBackground":false,"customScript":"","customRedirectUrls":[{"url":""}],"logo":null,"analyticsSettings":{"trustedForm":{"enabled":true},"jornaya":{"campaignKey":"6904D75F-8BCE-A1A0-DBAC-C9D649429DC5","accountCode":"9776-14EF-1F3F-1B28DE783C21"}},"captureSystemDetails":true},"fields":{"Decorative Header_52363373085874":{"type":"Decorative Header","value":"Thank you so much!","width":12,"step":"complete","sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold"},"margins":{"marginTop":20},"stepId":"complete"},"Decorative Header_576559560634956":{"type":"Decorative Header","value":"Rideshare - Customer Details","width":12,"step":5,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold"},"stepId":"ff4727c9498ef9c0a6c989d9"},"email_907058157108782":{"type":"Email","label":"e-Mail","width":12,"margins":{"marginBottom":0},"step":5,"sortOrder":6,"stepId":"ff4727c9498ef9c0a6c989d9","useZerobounce":true},"phone_589083232390193":{"type":"Phone","label":"Phone","width":12,"margins":{"marginBottom":0},"step":5,"sortOrder":5,"helperText":"","stepId":"ff4727c9498ef9c0a6c989d9","useTwilioLookup":true},"name_32411469342615":{"type":"Name","label":"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":"ff4727c9498ef9c0a6c989d9","sortOrder":2,"hidePrefix":true},"dob_151532438489796":{"type":"DOB","label":"DOB","width":6,"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":3,"validationRules":{"required":true},"helperText":"MM/DD/YYY Format"},"address_483782661460958":{"type":"Address","label":"Street Address","width":12,"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":7,"validationRules":{"required":true}},"zipcode_224107537958322":{"type":"Zipcode","label":"Zip","zipcodeFieldFormat":"zipcode_usa","width":3,"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":10},"text_36801666584634":{"type":"Text","label":"State","width":3,"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":9,"validationRules":{"required":true}},"radio_buttons_495872179651285":{"type":"Radio Buttons","label":"Gender","width":"12","options":[{"text":"Male","id":"1109be85e13bd52de17217a8"},{"text":"Female","id":"bcb7377d051164e483ce2445"}],"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":4,"validationRules":{"required":true}},"text_399140350086726":{"type":"Text","label":"City","width":6,"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":8,"validationRules":{"required":true}},"radio_buttons_612302818679863":{"type":"Radio Buttons","label":"Diagnosis Year","width":"12","options":[{"text":"2025","id":"1cdf3ec80a3df95689136ac9"},{"text":"2024","id":"8851d1f87f2ebfb0f2932bc3"},{"text":"2023","id":"7d9af47ac956d00bd95b0e20"},{"text":"2022","image":null,"id":"9f8d24a1595ef00016c8a873"},{"text":"2021","image":null,"id":"cd357a59a7b6ffe043b41441"}],"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":11,"validationRules":{"required":true}},"text_173768647945042":{"type":"Text","label":"Details, if any","width":12,"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":12,"multiline":true,"rows":5,"rowsMax":6}},"ownedByUser":"68b9cce956563dc35dec0870","formName":"Legal - Rideshare - IMG","personalisation":{"form_related_to":"Wellness Center"},"created":"2025-11-26T17:20:58.822Z","steps":[{"id":"ff4727c9498ef9c0a6c989d9","name":"Contact info","sortOrder":1}],"folderId":"68b9ed2356563dc35dec2067","screenshotUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1764181634/growform-production/form-screenshots/692736faebbf211f3c3f0e49.png","isActive":true,"reportedSpam":null,"__v":0,"lastEdited":"2025-11-26T19:43:11.839Z","spamOcr":"First name\nDOB\nGender\nMale\nRideshare - Customer Details\nMM/DD/YYY Format\nO Female\nPhone\ne-Mail\n(201) 555-0123\nStreet Address\nCity\nDiagnosis Year\n2025\n2024\nLast name\nState\nZip First name DOB Gender Male Rideshare - Customer Details MM / DD / YYY Format O Female Phone e - Mail ( 201 ) 555-0123 Street Address City Diagnosis Year 2025 2024 Last name State Zip","leadsCount":31},"accountIsActive":true,"accountIsFreeTrial":false}};

  // ---- Utils ----
  function safeJSONStringify(obj) {
    return JSON.stringify(obj)
      .replace(/<\/(script|style)/gi, '<\\/$1')
      .replace(/<!--/g, '<\\!--')
      .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 =
'<!doctype html>\n' +
'<html lang="" style="font-size:14px; font-family:\'Muli\', sans-serif;">\n' +
'<head>\n' +
'  <meta http-equiv="Content-Type" content="text/html;charset=utf-8" />\n' +
'  <meta name="viewport" content="width=device-width, initial-scale=1">\n' +
'  <link href="https://fonts.googleapis.com/css2?family=Muli:ital,wght@0,400;0,700;1,400&display=swap" rel="stylesheet">\n' +
'</head>\n' +
'<body style="background:none; margin:0; overflow-x:clip; overflow-y:auto;">\n' +
'  <noscript>You need to enable JavaScript to run this app.</noscript>\n' +
'  <div id="growform_5ap8d5a8na90d" style="width:100%; overflow-x:hidden;"></div>\n' +
'  <script type="text/javascript" src="' + opts.bundleUrl + '"></' + 'script>\n' +
'  <script type="text/javascript">\n' +
'    (function(){\n' +
'      try {\n' +
'        if (window.Growform && typeof window.Growform.init === "function") {\n' +
'          window.Growform.init({\n' +
'            formId: ' + JSON.stringify(opts.formId) + ',\n' +
'            embedMethod: ' + JSON.stringify(opts.embedMethod) + ',\n' +
'            embedId: ' + JSON.stringify(opts.embedId) + ',\n' +
'            queryParams: ' + JSON.stringify(opts.query || {}) + ',\n' +
'            formData: ' + opts.formData + '\n' +
'          });\n' +
'        }\n' +
'      } catch(e) { /* swallow */ }\n' +
'    })();\n' +
'  </' + 'script>\n' +
'</body>\n' +
'</html>';
    return html;
  }

  function embedGrowform() {
    var growformEmbedId = "embed-" + Math.floor(Math.random() * 100000).toString();
    var iFrameHeight = (EMBED_TYPE === "modal") ? "100%" : "350px";

    preloadScript(FORM_BUNDLE_URL);

    var iframe = document.createElement("iframe");
    iframe.setAttribute("width", "100%");
    iframe.setAttribute("height", iFrameHeight);
    iframe.setAttribute("frameborder", "0");
    iframe.setAttribute("data-cookieconsent", "ignore");
    iframe.setAttribute("class", "growform_form growform_form_" + growformEmbedId);
    iframe.setAttribute("id", "growform_form");
    iframe.setAttribute("allowTransparency", "true");
    if (EMBED_TYPE !== "modal") {
      iframe.setAttribute("scrolling", "no");
    }

    var isTrustedFormEnabled = false;
    try {
      if (FORM_DATA && FORM_DATA.data && FORM_DATA.data.form && 
          FORM_DATA.data.form.options && FORM_DATA.data.form.options.analyticsSettings &&
          FORM_DATA.data.form.options.analyticsSettings.trustedForm &&
          FORM_DATA.data.form.options.analyticsSettings.trustedForm.enabled === true) {
        isTrustedFormEnabled = true;
      }
    } catch (_) {}

    if (isTrustedFormEnabled) {
      var baseUrl = "https://embed.growform.co/go/" + FORM_ID + "/embedMethod/" + EMBED_TYPE + "/";
      var iframeUrl = baseUrl + growformEmbedId;
      if (window.location.search) {
        iframeUrl = iframeUrl + window.location.search;
      }
      iframe.setAttribute("src", iframeUrl);
    } else {
      // Use srcdoc method for non-TrustedForm forms
      var html = buildIframeHTML({
        formId: FORM_ID,
        embedMethod: EMBED_TYPE,
        embedId: growformEmbedId,
        query: parseQuery(),
        bundleUrl: FORM_BUNDLE_URL,
        formData: safeJSONStringify(FORM_DATA)
      });

      try {
        if ("srcdoc" in iframe) {
          iframe.srcdoc = html;
        } else {
          var blob = new Blob([html], { type: "text/html" });
          iframe.src = URL.createObjectURL(blob);
        }
      } catch (_) {
        var blob2 = new Blob([html], { type: "text/html" });
        iframe.src = URL.createObjectURL(blob2);
      }
    }

    var currentScript = document.currentScript || (function(){
      var scripts = document.getElementsByTagName('script');
      return scripts[scripts.length - 1];
    })();
    if (currentScript && currentScript.parentNode) {
      currentScript.parentNode.insertBefore(iframe, currentScript.nextSibling);
    } else {
      // fallback if we can't find the script
      document.body.appendChild(iframe);
    }

    // ------- Public API on parent -------
    window.growform = window.growform || {};
    if (typeof window.growform.setHiddenField !== "function") {
      window.growform.setHiddenField = function(fieldName, value) {
        var iframes = document.getElementsByClassName("growform_form");
        for (var i = 0; i < iframes.length; i++) {
          if (iframes[i].contentWindow) {
            iframes[i].contentWindow.postMessage({
              action: "growform_set_hidden_field",
              fieldName: fieldName,
              value: value
            }, "*");
          }
        }
      };
    }

    // ------- Message plumbing (unchanged behaviours) -------
    function growform_receiveMessage(event) {
      var origin = event && event.origin ? event.origin : null;
      var hostOrigin = window.location.origin;

      if (
        origin !== null &&
        origin !== 'null' &&
        origin !== hostOrigin &&
        origin !== 'https://embed.growform.co'
      ) {
        console.warn('Blocked message from unexpected origin:', origin);
        return;
      }

      if (!event || !event.data || !event.data.action) return;
      if (event.data.growform_embed_id !== growformEmbedId) return;

      if (event.data.action === "growform_resize_height") {
        var h = parseInt(event.data.height, 10);
        if (!isNaN(h)) {
          var targetClass = "growform_form_" + growformEmbedId;
          h = Math.round(h) + 16;
          var el = document.getElementsByClassName(targetClass)[0];
          if (el) el.style.height = h + "px";
        }
      }

      if (event.data.action === "growform_submit_form") {
        var customScript = event.data.customScript;
        var elementId = "growform_CustomScriptPageDiv_" + growformEmbedId;
        if (!document.getElementById(elementId)) {
          var d = document.createElement("div");
          d.id = elementId;
          document.body.appendChild(d);
          d.innerHTML = customScript;
          var scripts = d.getElementsByTagName("script");
          for (var i = 0; i < scripts.length; i++) {
            try { eval(scripts[i].innerText); } catch (_) {}
          }
        }
      }

      if (event.data.action === "growform_add_parent_gtm_container") {
        var containerId = event.data.containerId;
        (function (w, d, s, l, i) {
          w[l] = w[l] || [];
          w[l].push({ "gtm.start": new Date().getTime(), event: "gtm.js" });
          var f = d.getElementsByTagName(s)[0],
              j = d.createElement(s),
              dl = l != "dataLayer" ? "&l=" + l : "";
          j.async = true;
          j.src = "https://www.googletagmanager.com/gtm.js?id=" + i + dl;
          f.parentNode.insertBefore(j, f);
        })(window, document, "script", "dataLayer", containerId);

        window.dataLayer = window.dataLayer || [];
        window.dataLayer.push({
          event: "growformAnalyticsSettings",
          growformAnalyticsSettings: event.data.analyticsSettings,
          growformEmbedId: growformEmbedId
        });
      }

      if (event.data.action === "growform_scroll_to_top") {
        var targetClass2 = "growform_form_" + growformEmbedId;
        var target = document.getElementsByClassName(targetClass2)[0];
        if (target && target.getBoundingClientRect) {
          var rect = target.getBoundingClientRect();
          var relY = rect.top;
          var absY = relY + (window.scrollY || window.pageYOffset || 0);
          var winH = window.innerHeight || document.documentElement.clientHeight;
          if (relY < 0 || relY > winH) {
            var offset = event.data.offset ? event.data.offset : 0;
            var y = absY + offset;
            setTimeout(function(){ window.scrollTo({ top: y, behavior: "smooth" }); }, 100);
          }
        }
      }

      if (event.data.action === "growform_form_loaded") {
        try {
          var ev = document.createEvent("Event");
          ev.initEvent("growform_loaded", true, true);
          window.dispatchEvent(ev);
        } catch (_) {
          try { window.dispatchEvent(new Event("growform_loaded")); } catch (_) {}
        }
      }
    }

    window.addEventListener("message", growform_receiveMessage, false);
  }

  embedGrowform();
})();