/* growform client2 bundle.url: https://assets.growform.co/75ce62c9-mnos4903/form.bundle.js resolve.source: memory resolve.at: 2026-04-16T22:02:01.247Z form.source: kv cache.age_ms: 8126 fallback_used: false */ ;(function () { var EMBED_TYPE = "iFrame"; var FORM_ID = "69b82046749895d2e2a18073"; var FORM_BUNDLE_URL = "https://assets.growform.co/75ce62c9-mnos4903/form.bundle.js"; // injected by worker (KV/memory/fallback) var FORM_DATA = {"data":{"form":{"_id":"69b82046749895d2e2a18073","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"}]},{"sortOrder":3,"rules":[{"observedField":"buttons_787209693487380","operator":"selected_option","criteria":"192368f189795a7f9199624d"}]},{"sortOrder":4,"rules":[{"observedField":"buttons_274924895749991","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"},{"observedField":"buttons_274924895749991","operator":"selected_option","criteria":"1d157d166ec02c7dc610f570"},{"observedField":"buttons_787209693487380","operator":"selected_option","criteria":"1d157d166ec02c7dc610f570"}]}]}}],"logo":{"value":"https://res.cloudinary.com/dqnjggegp/image/upload/v1773845850/uploads/lw2x2nnay9amjaab3frk.png","linkUrl":"https://wewillfightforyourjustice.com/online-gambling-addiction/quiz/sea/src/img/logo.png","imageWidth":50,"imageHeight":50,"imageInitialWidth":500,"imageInitialHeight":500},"additionalInfo":null,"footer":{"component":"decorativeParagraph","decorativeParagraph":{"value":"© 2026 Wewillfightforyourjustice. All Rights Reserved.\n\n[Terms of Service](https://wewillfightforyourjustice.com/terms-of-service/) | [Privacy Policy](https://wewillfightforyourjustice.com/privacy-policy/)"}},"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":"Did you get diagnosed with Parkinson’s by a doctor?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold"},"stepId":"acd45227cac332d443c4e1db","margins":{"marginBottom":0},"customCssClasses":"question"},"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 Parkinson’s after using Paraquat?","width":12,"sortOrder":1,"stepId":"27eb4a1b1b082ade23f4559e","fieldStyle":{"fontSize":{"value":25,"unit":"px"}}},"decorative_paragraph_61751321477965":{"type":"Decorative Paragraph","value":"If you were diagnosed with Parkinson’s after exposure to Paraquat, you may be eligible for a case review. Answer a few quick questions to find out.","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 potential Financial Compensation in the Paraquat Lawsuit.","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"}},"customCssClasses":"question"},"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":"Did you use Paraquat?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold"},"stepId":"af638305e346fdec5af8ebad","margins":{"marginBottom":0},"customCssClasses":"question"},"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},"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":"

🔒 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":"

🔒 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":"

🔒 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_494642965181689":{"type":"Decorative Text","value":"

🔒 All Case Reviews are free and fully confidential.

","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"8738f58293daa382ea86e475","sortOrder":2,"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"}},"customCssClasses":"question"},"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":"

🔒 All Case Reviews are free and fully confidential.

","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"940c94a5df5d773122cf63f2","sortOrder":1,"location":"footer"},"hidden_727082811038308":{"type":"Hidden","hiddenFieldName":"gclid","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":11},"hidden_764510421538839":{"type":"Hidden","hiddenFieldName":"utm_term","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":12},"hidden_365769816750504":{"type":"Hidden","hiddenFieldName":"matchtype","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":13},"decorative_text_295310970556987":{"type":"Decorative Text","value":"

By submitting your information, you provide your electronic signature and consent to be called and/or texted (including SMS and WhatsApp messages) by licensed law firms and legal service providers within our referral network regarding your potential claim via automated technology and/or prerecorded voice at the number you provided. These calls and/or texts may be delivered via automated technology as soon as possible after your submission, regardless of the time of day. Message frequency may vary. Reply STOP to opt out of text messages. This consent overrides your listing on any state, national, or company do-not-call list. Your consent is not required to obtain legal services. By submitting, you also agree to the Terms and Conditions and Privacy Policy.

","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"8738f58293daa382ea86e475","sortOrder":1,"location":"footer"},"decorative_header_650829348177172":{"type":"Decorative Header","value":"Where did you use Paraquat?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold"},"stepId":"c0f023c372c6243339db950b","margins":{"marginBottom":0},"customCssClasses":"question"},"buttons_787209693487380":{"type":"Buttons","validationRules":{"required":true},"label":"Home_garden","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"On a farm","id":"192368f189795a7f9199624d"},{"text":"On a lawn","image":null,"id":"1d157d166ec02c7dc610f570"}],"stepId":"c0f023c372c6243339db950b","sortOrder":2,"hideLabel":true},"decorative_text_841665768440295":{"type":"Decorative Text","value":"

🔒 All Case Reviews are free and fully confidential.

","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"c0f023c372c6243339db950b","sortOrder":1,"location":"footer"},"decorative_header_949001130781124":{"type":"Decorative Header","value":"Was this part of your Job?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold"},"stepId":"dca5b53119866b89e8c698ae","margins":{"marginBottom":0},"customCssClasses":"question"},"buttons_274924895749991":{"type":"Buttons","validationRules":{"required":true},"label":"Job","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":"dca5b53119866b89e8c698ae","sortOrder":2,"hideLabel":true},"decorative_text_353403206146975":{"type":"Decorative Text","value":"

🔒 All Case Reviews are free and fully confidential.

","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"dca5b53119866b89e8c698ae","sortOrder":1,"location":"footer"}},"ownedByUser":"677a656476f3b5000b4f2ab7","formName":"Worked on a farm vraag - Wewillfight - paraquat - Broughton","personalisation":{"form_related_to":"(None - start with a blank slate)"},"lastEdited":"2026-04-16T14:36:54.575Z","created":"2026-03-16T15:22:46.481Z","steps":[{"id":"27eb4a1b1b082ade23f4559e","name":"Welcome page","sortOrder":1},{"id":"af638305e346fdec5af8ebad","name":"Paraquat exposure","sortOrder":2,"copyOf":"acd45227cac332d443c4e1db"},{"id":"c0f023c372c6243339db950b","name":"Home/garden","sortOrder":3,"copyOf":"af638305e346fdec5af8ebad"},{"id":"dca5b53119866b89e8c698ae","name":"part of job","sortOrder":4,"copyOf":"c0f023c372c6243339db950b"},{"id":"acd45227cac332d443c4e1db","name":"Injury","sortOrder":5},{"id":"940c94a5df5d773122cf63f2","name":"Description","sortOrder":6,"conditionalLogic":null},{"id":"8738f58293daa382ea86e475","name":"Contact details","sortOrder":7,"conditionalLogic":null}],"folderId":"67e1d862878653000c68a472","screenshotUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1774959172/growform-production/form-screenshots/69b82046749895d2e2a18073.png","leadsCount":1,"isActive":true,"reportedSpam":false,"spamOcr":"WILL FI\nOR YOUR JUSTIC\nWere you diagnosed with Parkinson's after\nusing Paraquat?\nIf you were diagnosed with Parkinson's after exposure to Paraquat, you\nmay be eligible for a case review. Answer a few quick questions to find\nout.\nNEXT\nAll Case Reviews are free and fully confidential.\n© 2026 Wewillfightforyourjustice. All Rights Reserved.\nTerms of Service | Privacy Policy. WILL FI OR YOUR JUSTIC Were you diagnosed with Parkinson's after using Paraquat ? If you were diagnosed with Parkinson's after exposure to Paraquat , you may be eligible for a case review . Answer a few quick questions to find out . NEXT All Case Reviews are free and fully confidential . © 2026 Wewillfightforyourjustice . All Rights Reserved . Terms of Service | Privacy Policy .","__v":0},"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' + '