{"id":1722,"date":"2021-07-29T16:49:51","date_gmt":"2021-07-29T20:49:51","guid":{"rendered":"https:\/\/legalclinic.ccmcanada.org\/toronto\/?page_id=1722"},"modified":"2026-09-17T15:05:16","modified_gmt":"2026-09-17T22:05:16","slug":"intake-form-ch","status":"publish","type":"page","link":"https:\/\/legalclinic.ccmcanada.org\/vancouver\/intake-form-ch\/","title":{"rendered":"\u9810\u7d04\u9762\u8ac7"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1722\" class=\"elementor elementor-1722\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4a0183a elementor-section-boxed elementor-section-height-default elementor-section-height-default exad-glass-effect-no exad-sticky-section-no\" data-id=\"4a0183a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9293813 exad-glass-effect-no exad-sticky-section-no\" data-id=\"9293813\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3488a27 exad-sticky-section-no exad-glass-effect-no elementor-widget elementor-widget-spacer\" data-id=\"3488a27\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e6ef1b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default exad-glass-effect-no exad-sticky-section-no\" data-id=\"e6ef1b6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-b0385dc exad-glass-effect-no exad-sticky-section-no\" data-id=\"b0385dc\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_slideshow_gallery&quot;:[{&quot;id&quot;:693,&quot;url&quot;:&quot;https:\\\/\\\/legalclinic.ccmcanada.org\\\/wp-content\\\/uploads\\\/2021\\\/05\\\/formfilling-pexels-sora-shimazaki-5668869.jpeg&quot;}],&quot;background_background&quot;:&quot;slideshow&quot;,&quot;background_slideshow_slide_duration&quot;:5000,&quot;background_slideshow_slide_transition&quot;:&quot;fade&quot;,&quot;background_slideshow_transition_duration&quot;:500}\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-0a9edab exad-glass-effect-no exad-sticky-section-no\" data-id=\"0a9edab\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-181e9cf exad-sticky-section-no exad-glass-effect-no elementor-widget elementor-widget-shortcode\" data-id=\"181e9cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script type=\"application\/json\" class=\"bf-form-config\" id=\"bf-config-bitforms_1_1722_1\" data-bf-form=\"bitforms_1_1722_1\" data-no-optimize=\"1\" data-no-defer=\"1\" data-no-minify=\"1\" data-cfasync=\"false\" nowprocket>{\"ajaxURL\":\"https:\\\/\\\/legalclinic.ccmcanada.org\\\/vancouver\\\/wp-admin\\\/admin-ajax.php\",\"nonce\":\"2497655f48\",\"version\":\"3.3.1\",\"layout\":[{\"layout\":{\"lg\":[{\"w\":60,\"h\":37,\"x\":0,\"y\":0,\"i\":\"b1-2\",\"moved\":false,\"static\":false},{\"w\":30,\"h\":93,\"x\":0,\"y\":37,\"i\":\"b1-52\",\"moved\":false,\"static\":false},{\"w\":30,\"h\":93,\"x\":30,\"y\":37,\"i\":\"b1-53\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":130,\"i\":\"b1-54\",\"moved\":false,\"static\":false},{\"w\":30,\"h\":69,\"x\":0,\"y\":223,\"i\":\"b1-55\",\"moved\":false,\"static\":false},{\"w\":30,\"h\":64,\"x\":30,\"y\":223,\"i\":\"b1-56\",\"moved\":false,\"static\":false},{\"w\":30,\"h\":64,\"x\":0,\"y\":292,\"i\":\"b1-57\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":31,\"x\":0,\"y\":356,\"i\":\"b1-14\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":37,\"x\":0,\"y\":387,\"i\":\"b1-15\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":424,\"i\":\"b1-17\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":517,\"i\":\"b1-18\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":142,\"x\":0,\"y\":610,\"i\":\"b1-58\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":165,\"x\":0,\"y\":752,\"i\":\"b1-19\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":228,\"x\":0,\"y\":917,\"i\":\"b1-59\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":153,\"x\":0,\"y\":1145,\"i\":\"b1-60\",\"moved\":false,\"static\":false}],\"md\":[{\"w\":60,\"h\":37,\"x\":0,\"y\":0,\"i\":\"b1-2\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":37,\"i\":\"b1-52\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":130,\"i\":\"b1-53\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":223,\"i\":\"b1-54\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":69,\"x\":0,\"y\":316,\"i\":\"b1-55\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":64,\"x\":0,\"y\":385,\"i\":\"b1-56\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":64,\"x\":0,\"y\":449,\"i\":\"b1-57\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":31,\"x\":0,\"y\":513,\"i\":\"b1-14\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":37,\"x\":0,\"y\":544,\"i\":\"b1-15\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":581,\"i\":\"b1-17\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":674,\"i\":\"b1-18\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":142,\"x\":0,\"y\":767,\"i\":\"b1-58\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":165,\"x\":0,\"y\":909,\"i\":\"b1-19\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":228,\"x\":0,\"y\":1074,\"i\":\"b1-59\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":153,\"x\":0,\"y\":1302,\"i\":\"b1-60\",\"moved\":false,\"static\":false}],\"sm\":[{\"w\":60,\"h\":37,\"x\":0,\"y\":0,\"i\":\"b1-2\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":37,\"i\":\"b1-52\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":130,\"i\":\"b1-53\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":223,\"i\":\"b1-54\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":69,\"x\":0,\"y\":316,\"i\":\"b1-55\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":64,\"x\":0,\"y\":385,\"i\":\"b1-56\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":64,\"x\":0,\"y\":449,\"i\":\"b1-57\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":31,\"x\":0,\"y\":513,\"i\":\"b1-14\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":37,\"x\":0,\"y\":544,\"i\":\"b1-15\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":581,\"i\":\"b1-17\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":674,\"i\":\"b1-18\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":142,\"x\":0,\"y\":767,\"i\":\"b1-58\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":165,\"x\":0,\"y\":909,\"i\":\"b1-19\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":228,\"x\":0,\"y\":1074,\"i\":\"b1-59\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":153,\"x\":0,\"y\":1302,\"i\":\"b1-60\",\"moved\":false,\"static\":false}]},\"settings\":{\"lbl\":\"Step 1\",\"subtitle\":\"Step description\",\"icon\":\"\",\"showIcon\":true,\"iconType\":\"number\",\"showLbl\":false,\"showSubtitle\":false,\"customClasses\":{},\"customAttributes\":{}}},{\"layout\":{\"lg\":[{\"w\":60,\"h\":37,\"x\":0,\"y\":0,\"i\":\"b1-22\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":37,\"i\":\"b1-23\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":155,\"i\":\"b1-24\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":273,\"i\":\"b1-25\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":363,\"x\":0,\"y\":366,\"i\":\"b1-26\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":31,\"x\":0,\"y\":729,\"i\":\"b1-27\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":37,\"x\":0,\"y\":760,\"i\":\"b1-28\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":223,\"x\":0,\"y\":797,\"i\":\"b1-29\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":153,\"x\":0,\"y\":1020,\"i\":\"b1-30\",\"minW\":9,\"moved\":false,\"static\":false,\"resizeHandles\":[\"se\",\"e\",\"w\"]}],\"md\":[{\"w\":60,\"h\":37,\"x\":0,\"y\":0,\"i\":\"b1-22\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":37,\"i\":\"b1-23\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":155,\"i\":\"b1-24\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":273,\"i\":\"b1-25\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":363,\"x\":0,\"y\":366,\"i\":\"b1-26\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":31,\"x\":0,\"y\":729,\"i\":\"b1-27\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":37,\"x\":0,\"y\":760,\"i\":\"b1-28\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":223,\"x\":0,\"y\":797,\"i\":\"b1-29\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":153,\"x\":0,\"y\":1020,\"i\":\"b1-30\",\"minW\":9,\"moved\":false,\"static\":false,\"resizeHandles\":[\"se\",\"e\",\"w\"]}],\"sm\":[{\"w\":60,\"h\":37,\"x\":0,\"y\":0,\"i\":\"b1-22\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":37,\"i\":\"b1-23\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":155,\"i\":\"b1-24\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":273,\"i\":\"b1-25\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":363,\"x\":0,\"y\":366,\"i\":\"b1-26\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":31,\"x\":0,\"y\":729,\"i\":\"b1-27\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":37,\"x\":0,\"y\":760,\"i\":\"b1-28\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":223,\"x\":0,\"y\":797,\"i\":\"b1-29\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":153,\"x\":0,\"y\":1020,\"i\":\"b1-30\",\"minW\":9,\"moved\":false,\"static\":false,\"resizeHandles\":[\"se\",\"e\",\"w\"]}]},\"settings\":{\"lbl\":\"Step 2\",\"subtitle\":\"Step description\",\"icon\":\"\",\"showIcon\":true,\"iconType\":\"number\",\"showLbl\":false,\"showSubtitle\":false,\"customClasses\":{},\"customAttributes\":{}}},{\"layout\":{\"lg\":[{\"w\":60,\"h\":37,\"x\":0,\"y\":0,\"i\":\"b1-33\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":132,\"x\":0,\"y\":37,\"i\":\"b1-34\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":169,\"i\":\"b1-35\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":262,\"i\":\"b1-36\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":380,\"i\":\"b1-37\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":498,\"i\":\"b1-38\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":616,\"i\":\"b1-39\",\"moved\":false,\"static\":false}],\"md\":[{\"w\":60,\"h\":37,\"x\":0,\"y\":0,\"i\":\"b1-33\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":132,\"x\":0,\"y\":37,\"i\":\"b1-34\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":169,\"i\":\"b1-35\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":262,\"i\":\"b1-36\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":380,\"i\":\"b1-37\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":498,\"i\":\"b1-38\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":616,\"i\":\"b1-39\",\"moved\":false,\"static\":false}],\"sm\":[{\"w\":60,\"h\":37,\"x\":0,\"y\":0,\"i\":\"b1-33\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":132,\"x\":0,\"y\":37,\"i\":\"b1-34\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":93,\"x\":0,\"y\":169,\"i\":\"b1-35\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":262,\"i\":\"b1-36\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":380,\"i\":\"b1-37\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":498,\"i\":\"b1-38\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":118,\"x\":0,\"y\":616,\"i\":\"b1-39\",\"moved\":false,\"static\":false}]},\"settings\":{\"lbl\":\"Step 3\",\"subtitle\":\"Step description\",\"icon\":\"\",\"showIcon\":true,\"iconType\":\"number\",\"showLbl\":false,\"showSubtitle\":false,\"customClasses\":{},\"customAttributes\":{}}},{\"layout\":{\"lg\":[{\"w\":60,\"h\":66,\"x\":0,\"y\":0,\"i\":\"b1-42\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":66,\"i\":\"b1-40\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":127,\"i\":\"b1-41\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":188,\"i\":\"b1-43\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":249,\"i\":\"b1-44\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":310,\"i\":\"b1-45\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":80,\"x\":0,\"y\":371,\"i\":\"b1-46\",\"moved\":false,\"static\":false,\"resizeHandles\":[\"se\",\"e\",\"w\"]}],\"md\":[{\"w\":60,\"h\":66,\"x\":0,\"y\":0,\"i\":\"b1-42\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":66,\"i\":\"b1-40\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":127,\"i\":\"b1-41\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":188,\"i\":\"b1-43\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":249,\"i\":\"b1-44\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":310,\"i\":\"b1-45\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":80,\"x\":0,\"y\":371,\"i\":\"b1-46\",\"moved\":false,\"static\":false,\"resizeHandles\":[\"se\",\"e\",\"w\"]}],\"sm\":[{\"w\":60,\"h\":66,\"x\":0,\"y\":0,\"i\":\"b1-42\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":66,\"i\":\"b1-40\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":127,\"i\":\"b1-41\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":188,\"i\":\"b1-43\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":249,\"i\":\"b1-44\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":61,\"x\":0,\"y\":310,\"i\":\"b1-45\",\"minW\":20,\"moved\":false,\"static\":false},{\"w\":60,\"h\":80,\"x\":0,\"y\":371,\"i\":\"b1-46\",\"moved\":false,\"static\":false,\"resizeHandles\":[\"se\",\"e\",\"w\"]}]},\"settings\":{\"lbl\":\"Step 4\",\"subtitle\":\"Step description\",\"icon\":\"\",\"showIcon\":true,\"iconType\":\"number\",\"showLbl\":false,\"showSubtitle\":false,\"customClasses\":{},\"customAttributes\":{}}},{\"layout\":{\"lg\":[{\"w\":60,\"h\":37,\"x\":0,\"y\":0,\"i\":\"b1-48\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":72,\"x\":0,\"y\":37,\"i\":\"b1-47\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":31,\"x\":0,\"y\":109,\"i\":\"b1-50\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":524,\"x\":0,\"y\":140,\"i\":\"b1-49\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":31,\"x\":0,\"y\":664,\"i\":\"b1-51\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":60,\"x\":0,\"y\":695,\"i\":\"b1-1\",\"moved\":false,\"static\":false}],\"md\":[{\"w\":60,\"h\":37,\"x\":0,\"y\":0,\"i\":\"b1-48\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":72,\"x\":0,\"y\":37,\"i\":\"b1-47\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":31,\"x\":0,\"y\":109,\"i\":\"b1-50\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":524,\"x\":0,\"y\":140,\"i\":\"b1-49\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":31,\"x\":0,\"y\":664,\"i\":\"b1-51\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":60,\"x\":0,\"y\":695,\"i\":\"b1-1\",\"moved\":false,\"static\":false}],\"sm\":[{\"w\":60,\"h\":37,\"x\":0,\"y\":0,\"i\":\"b1-48\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":72,\"x\":0,\"y\":37,\"i\":\"b1-47\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":31,\"x\":0,\"y\":109,\"i\":\"b1-50\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":524,\"x\":0,\"y\":140,\"i\":\"b1-49\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":31,\"x\":0,\"y\":664,\"i\":\"b1-51\",\"moved\":false,\"static\":false},{\"w\":60,\"h\":60,\"x\":0,\"y\":695,\"i\":\"b1-1\",\"moved\":false,\"static\":false}]},\"settings\":{\"lbl\":\"Step 5\",\"subtitle\":\"Step description\",\"icon\":\"\",\"showIcon\":true,\"iconType\":\"number\",\"showLbl\":false,\"showSubtitle\":false,\"customClasses\":{},\"customAttributes\":{}}}],\"nestedLayout\":{},\"fields\":{\"b1-1\":{\"typ\":\"button\",\"btnSiz\":\"md\",\"btnTyp\":\"submit\",\"txt\":\"Submit \\u63d0\\u4ea4\",\"icn\":{\"pos\":\"\",\"url\":\"\"},\"valid\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"button-b1-1\",\"fulW\":true},\"b1-2\":{\"typ\":\"title\",\"adminLbl\":\"Title\",\"adminLblHide\":true,\"titleImg\":\"\",\"logoHide\":true,\"title\":\"Personal Information \\u500b\\u4eba\\u8cc7\\u6599\",\"titleHide\":false,\"subtitleHide\":true,\"titleTag\":\"h3\",\"subTitleTag\":\"h5\",\"valid\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"title-1-2\"},\"b1-14\":{\"typ\":\"divider\",\"adminLbl\":\"Divider\",\"adminLblHide\":true,\"valid\":{},\"divider\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"divider-1-14\"},\"b1-15\":{\"typ\":\"title\",\"adminLbl\":\"Title\",\"adminLblHide\":true,\"titleImg\":\"\",\"logoHide\":true,\"title\":\"Contact Method \\u806f\\u7cfb\\u65b9\\u5f0f\",\"titleHide\":false,\"subtitleHide\":true,\"titleTag\":\"h3\",\"subTitleTag\":\"p\",\"valid\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"title-1-15\"},\"b1-17\":{\"typ\":\"email\",\"lbl\":\"Email \\u96fb\\u90f5\\u5730\\u5740\",\"phHide\":false,\"pattern\":\"^[^$_bf_$s@]+@[^$_bf_$s@]+$_bf_$.[^$_bf_$s@]+$\",\"valid\":{\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"invalid\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EPlease, enter a valid email address\\u003C\\\/p\\u003E\",\"show\":true},\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true,\"custom\":true}},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"email\"},\"b1-18\":{\"typ\":\"text\",\"lbl\":\"Contact Number \\u806f\\u7d61\\u96fb\\u8a71\",\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"phone\",\"ph\":\"xxx-xxx-xxxx\",\"phHide\":true},\"b1-19\":{\"typ\":\"radio\",\"lbl\":\"I prefer to be contacted by... \\u8acb\\u4f7f\\u7528\\u4ee5\\u4e0b\\u65b9\\u5f0f\\u806f\\u7d61\\u6211\\uff1a\",\"round\":true,\"opt\":[{\"lbl\":\"Phone \\u96fb\\u8a71\",\"val\":\"Phone\"},{\"lbl\":\"Email \\u96fb\\u90f5\",\"val\":\"Email\"}],\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true,\"msg\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\"}},\"optionCol\":\"1\",\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"prefer_way_of_contact\",\"helperTxt\":\"For phone appointments, clinic staff may call you from a \\u0022private\\u0022 or \\u0022unknown\\u0022 number, pIease adjust your phone settings so you can receive our call. \\u82e5\\u9078\\u64c7\\u96fb\\u8a71\\u6703\\u8ac7\\uff0c\\u4e2d\\u5fc3\\u5de5\\u4f5c\\u4eba\\u54e1\\u7684\\u96fb\\u8a71\\u865f\\u78bc\\u6216\\u6703\\u986f\\u793a\\u70ba\\u300c\\u79c1\\u4eba\\u300d\\u6216\\u300c\\u4e0d\\u660e\\u300d\\uff0c\\u8acb\\u9810\\u5148\\u8abf\\u6574\\u95a3\\u4e0b\\u96fb\\u8a71\\u7684\\u8a2d\\u5b9a\\u4ee5\\u81f4\\u53ef\\u4ee5\\u9806\\u5229\\u63a5\\u6536\\u5230\\u6211\\u5011\\u7684\\u806f\\u7d61\\u3002\",\"hlpTxtHide\":true},\"b1-22\":{\"typ\":\"title\",\"adminLbl\":\"Title\",\"adminLblHide\":true,\"titleImg\":\"\",\"logoHide\":true,\"title\":\"Case Progress \\u500b\\u6848\\u9032\\u5ea6\",\"titleHide\":false,\"subtitleHide\":true,\"titleTag\":\"h3\",\"subTitleTag\":\"h5\",\"valid\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"title-1-22\"},\"b1-23\":{\"typ\":\"radio\",\"lbl\":\"\\u003Cb\\u003EDo you currently have a lawyer or paralegal assisting you with this matter? \\u6b64\\u500b\\u6848\\u662f\\u5426\\u5df2\\u6709\\u5f8b\\u5e2b\\u6216\\u52a9\\u7406\\u5f8b\\u5e2b\\u5354\\u52a9?\\u003C\\\/b\\u003E\",\"round\":true,\"opt\":[{\"lbl\":\"Yes \\u662f\",\"val\":\"Yes\"},{\"lbl\":\"No \\u5c1a\\u672a\",\"val\":\"No\"}],\"valid\":{\"req\":true,\"reqPos\":\"right\",\"reqShow\":true},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true,\"msg\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\"}},\"optionCol\":1,\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"radio-1-23\"},\"b1-24\":{\"typ\":\"radio\",\"lbl\":\"\\u003Cb\\u003EHave you consulted a lawyer or paralegal about this matter? \\u4f60\\u6709\\u5426\\u66fe\\u7d93\\u5c0b\\u627e\\u5176\\u4ed6\\u5f8b\\u5e2b\\u6216\\u52a9\\u7406\\u5f8b\\u8aee\\u8a62\\u6b64\\u6848?\\u003C\\\/b\\u003E\",\"round\":true,\"opt\":[{\"lbl\":\"Yes \\u6709\",\"val\":\"Yes\"},{\"lbl\":\"No \\u6c92\\u6709\",\"val\":\"No\"}],\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"optionCol\":1,\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"radio-1-24\"},\"b1-25\":{\"typ\":\"text\",\"lbl\":\"\\u003Cb\\u003EWhat is the reason for consulting CCM Legal Clinic? \\u5982\\u5df2\\u6709\\u5f8b\\u5e2b\\u5354\\u52a9\\u6b64\\u6848\\uff0c\\u8acb\\u7c21\\u8ff0\\u8aee\\u8a62\\u4e2d\\u4fe1\\u6cd5\\u63f4\\u4e2d\\u5fc3\\u7684\\u539f\\u56e0\\u3002\\u003C\\\/b\\u003E\",\"valid\":{\"hide\":true},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"text-1-25\"},\"b1-26\":{\"typ\":\"check\",\"lbl\":\"\\u003Cb\\u003EHow did you hear about CCM Legal Clinic? \\u4f60\\u5f9e\\u4f55\\u9014\\u5f91\\u5f97\\u77e5\\u4e2d\\u4fe1\\u6cd5\\u5f8b\\u63f4\\u52a9\\u4e2d\\u5fc3\\uff1f\\u003C\\\/b\\u003E\",\"opt\":[{\"lbl\":\"CCM Vancouver Website \\u4e2d\\u4fe1\\u6eab\\u54e5\\u83ef\\u4e2d\\u5fc3\\u7db2\\u7ad9\",\"req\":true},{\"lbl\":\"CCM Canada Website \\u52a0\\u62ff\\u5927\\u4e2d\\u4fe1\\u7db2\\u7ad9\",\"req\":true},{\"lbl\":\"Search engines (Google, Bing, etc.) \\u7db2\\u7d61\\u641c\\u5c0b\\u5668\",\"req\":true},{\"lbl\":\"Social Media \\u793e\\u4ea4\\u7db2\\u7ad9\",\"req\":true},{\"lbl\":\"Recommended by friend or colleague \\u89aa\\u53cb\\u6216\\u540c\\u4e8b\\u63a8\\u4ecb\",\"req\":true},{\"lbl\":\"Referral by Others \\u4ed6\\u4eba\\u8f49\\u4ecb\",\"req\":true},{\"lbl\":\"Advertisement .\\u5ee3\\u544a\",\"req\":true},{\"lbl\":\"Others \\u5176\\u4ed6\",\"req\":true}],\"valid\":{\"reqShow\":true,\"reqPos\":\"after\",\"req\":true},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"msg\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003ECCM Vancouver Website \\u4e2d\\u4fe1\\u6eab\\u54e5\\u83ef\\u4e2d\\u5fc3\\u7db2\\u7ad9,CCM Canada Website \\u52a0\\u62ff\\u5927\\u4e2d\\u4fe1\\u7db2\\u7ad9,Search engines (Google, Bing, etc.) \\u7db2\\u7d61\\u641c\\u5c0b\\u5668,Social Media \\u793e\\u4ea4\\u7db2\\u7ad9,Recommended by friend or colleague \\u89aa\\u53cb\\u6216\\u540c\\u4e8b\\u63a8\\u4ecb,Referral by Others \\u4ed6\\u4eba\\u8f49\\u4ecb,Advertisement .\\u5ee3\\u544a,Others \\u5176\\u4ed6 is required\\u003C\\\/p\\u003E\",\"show\":true}},\"optionCol\":\"1\",\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"check-1-26\"},\"b1-27\":{\"typ\":\"divider\",\"adminLbl\":\"Divider\",\"adminLblHide\":true,\"valid\":{},\"divider\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"divider-1-27\"},\"b1-28\":{\"typ\":\"title\",\"adminLbl\":\"Title\",\"adminLblHide\":true,\"titleImg\":\"\",\"logoHide\":true,\"title\":\"Case Description \\u500b\\u6848\\u63cf\\u8ff0\",\"titleHide\":false,\"subtitleHide\":true,\"titleTag\":\"h3\",\"subTitleTag\":\"h5\",\"valid\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"title-1-28\"},\"b1-29\":{\"typ\":\"radio\",\"lbl\":\"\\u003Cb\\u003EPlease select the most appropriate legal category \\u8acb\\u9078\\u64c7\\u500b\\u6848\\u7684\\u6700\\u4f73\\u63cf\\u8ff0\\uff1a\\u003C\\\/b\\u003E\",\"round\":true,\"opt\":[{\"lbl\":\"Minor Criminal Charges \\u8f15\\u5fae\\u5211\\u4e8b\\u8d77\\u8a34\",\"val\":\"Minor Criminal Charges \"},{\"lbl\":\"Landlord \\u0026 Tenant lssues \\u79df\\u52d9\\u7cfe\\u7d1b\",\"val\":\"Landlord \\u0026 Tenant lssues\"},{\"lbl\":\"FamiIy Law \\u5bb6\\u5ead\\u6cd5\",\"val\":\"FamiIy Law\"},{\"lbl\":\"Disputes under $35,000 \\u5c0f\\u984d\\u7cfe\\u7d1b ($35,000\\u4ee5\\u4e0b)\",\"val\":\"Disputes under $35,000\"},{\"lbl\":\"Others \\u5176\\u4ed6\",\"val\":\"Others\"}],\"valid\":{\"reqShow\":true,\"reqPos\":\"after\",\"req\":true},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"msg\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"optionCol\":1,\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"radio-1-29\"},\"b1-30\":{\"typ\":\"textarea\",\"lbl\":\"\\u003Cb\\u003EPlease briefly describe the issue or problem \\u7c21\\u8ff0\\u500b\\u6848\\uff1a\\u003C\\\/b\\u003E\",\"valid\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{\"fld\":[{\"key\":\"rows\",\"value\":\"4\"}]},\"fieldName\":\"textarea-1-30\"},\"b1-33\":{\"typ\":\"title\",\"adminLbl\":\"Title\",\"adminLblHide\":true,\"titleImg\":\"\",\"logoHide\":true,\"title\":\"Financial Information \\u5165\\u606f\\u53ca\\u8cc7\\u7522\\u8cc7\\u6599\",\"titleHide\":false,\"subtitleHide\":true,\"titleTag\":\"h3\",\"subTitleTag\":\"h5\",\"valid\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"title-1-33\"},\"b1-34\":{\"typ\":\"currency\",\"lbl\":\"\\u003Cb\\u003EAnnual Family lncome \\u5bb6\\u5ead\\u5e74\\u5165\\u606f\\u7e3d\\u548c\\u003C\\\/b\\u003E\",\"ph\":\"CAD $\",\"phHide\":true,\"inputFormatOptions\":{\"formatter\":\"browser\",\"showCurrencySymbol\":true,\"decimalSeparator\":\".\"},\"valueFormatOptions\":{\"formatter\":\"browser\",\"showCurrencySymbol\":true,\"decimalSeparator\":\".\"},\"config\":{\"selectedFlagImage\":false,\"selectedCurrencyClearable\":false,\"searchClearable\":false,\"optionFlagImage\":false,\"defaultCurrencyKey\":\"\",\"showSearchPh\":false,\"searchPlaceholder\":\"\",\"noCurrencyFoundText\":\"No Currency Found\",\"defaultValue\":\"CAD\"},\"options\":[{\"i\":\"CAD\",\"lbl\":\"Canadian Dollar\",\"img\":\"cad.png\",\"check\":true},{\"i\":\"AED\",\"lbl\":\"Emirati Dirham\",\"img\":\"aed.png\",\"hide\":true},{\"i\":\"AFN\",\"lbl\":\"Afghan Afghani\",\"img\":\"afn.png\",\"hide\":true},{\"i\":\"ALL\",\"lbl\":\"Albanian Lek\",\"img\":\"all.png\",\"hide\":true},{\"i\":\"AMD\",\"lbl\":\"Armenian Dram\",\"img\":\"amd.png\",\"hide\":true},{\"i\":\"ANG\",\"lbl\":\"Dutch Guilder\",\"img\":\"ang.png\",\"hide\":true},{\"i\":\"AOA\",\"lbl\":\"Angolan Kwanza\",\"img\":\"aoa.png\",\"hide\":true},{\"i\":\"ARS\",\"lbl\":\"Argentine Peso\",\"img\":\"ars.png\",\"hide\":true},{\"i\":\"AUD\",\"lbl\":\"Australian Dollar\",\"img\":\"aud.png\",\"hide\":true},{\"i\":\"AWG\",\"lbl\":\"Aruban or Dutch Guilder\",\"img\":\"awg.png\",\"hide\":true},{\"i\":\"AZN\",\"lbl\":\"Azerbaijan Manat\",\"img\":\"azn.png\",\"hide\":true},{\"i\":\"BAM\",\"lbl\":\"Bosnian Convertible Mark\",\"img\":\"bam.png\",\"hide\":true},{\"i\":\"BBD\",\"lbl\":\"Barbadian or Bajan Dollar\",\"img\":\"bbd.png\",\"hide\":true},{\"i\":\"BDT\",\"lbl\":\"Bangladeshi Taka\",\"img\":\"bdt.png\",\"hide\":true},{\"i\":\"BGN\",\"lbl\":\"Bulgarian Lev\",\"img\":\"bgn.png\",\"hide\":true},{\"i\":\"BHD\",\"lbl\":\"Bahraini Dinar\",\"img\":\"bhd.png\",\"hide\":true},{\"i\":\"BIF\",\"lbl\":\"Burundian Franc\",\"img\":\"bif.png\",\"hide\":true},{\"i\":\"BMD\",\"lbl\":\"Bermudian Dollar\",\"img\":\"bmd.png\",\"hide\":true},{\"i\":\"BND\",\"lbl\":\"Bruneian Dollar\",\"img\":\"bnd.png\",\"hide\":true},{\"i\":\"BOB\",\"lbl\":\"Bolivian Bol\\u00edviano\",\"img\":\"bob.png\",\"hide\":true},{\"i\":\"BRL\",\"lbl\":\"Brazilian Real\",\"img\":\"brl.png\",\"hide\":true},{\"i\":\"BSD\",\"lbl\":\"Bahamian Dollar\",\"img\":\"bsd.png\",\"hide\":true},{\"i\":\"BTN\",\"lbl\":\"Bhutanese Ngultrum\",\"img\":\"btn.png\",\"hide\":true},{\"i\":\"BWP\",\"lbl\":\"Botswana Pula\",\"img\":\"bwp.png\",\"hide\":true},{\"i\":\"BYN\",\"lbl\":\"Belarusian Ruble\",\"img\":\"byn.png\",\"hide\":true},{\"i\":\"BYR\",\"lbl\":\"Belarusian Ruble\",\"img\":\"byr.png\",\"hide\":true},{\"i\":\"BZD\",\"lbl\":\"Belizean Dollar\",\"img\":\"bzd.png\",\"hide\":true},{\"i\":\"CDF\",\"lbl\":\"Congolese Franc\",\"img\":\"cdf.png\",\"hide\":true},{\"i\":\"CHF\",\"lbl\":\"Swiss Franc\",\"img\":\"chf.png\",\"hide\":true},{\"i\":\"CLP\",\"lbl\":\"Chilean Peso\",\"img\":\"clp.png\",\"hide\":true},{\"i\":\"CNY\",\"lbl\":\"Chinese Yuan Renminbi\",\"img\":\"cny.png\",\"hide\":true},{\"i\":\"COP\",\"lbl\":\"Colombian Peso\",\"img\":\"cop.png\",\"hide\":true},{\"i\":\"CRC\",\"lbl\":\"Costa Rican Colon\",\"img\":\"crc.png\",\"hide\":true},{\"i\":\"CUC\",\"lbl\":\"Cuban Convertible Peso\",\"img\":\"cuc.png\",\"hide\":true},{\"i\":\"CUP\",\"lbl\":\"Cuban Peso\",\"img\":\"cup.png\",\"hide\":true},{\"i\":\"CVE\",\"lbl\":\"Cape Verdean Escudo\",\"img\":\"cve.png\",\"hide\":true},{\"i\":\"CZK\",\"lbl\":\"Czech Koruna\",\"img\":\"czk.png\",\"hide\":true},{\"i\":\"DJF\",\"lbl\":\"Djiboutian Franc\",\"img\":\"djf.png\",\"hide\":true},{\"i\":\"DKK\",\"lbl\":\"Danish Krone\",\"img\":\"dkk.png\",\"hide\":true},{\"i\":\"DOP\",\"lbl\":\"Dominican Peso\",\"img\":\"dop.png\",\"hide\":true},{\"i\":\"DZD\",\"lbl\":\"Algerian Dinar\",\"img\":\"dzd.png\",\"hide\":true},{\"i\":\"EEK\",\"lbl\":\"Estonian Kroon\",\"img\":\"eek.png\",\"hide\":true},{\"i\":\"EGP\",\"lbl\":\"Egyptian Pound\",\"img\":\"egp.png\",\"hide\":true},{\"i\":\"ERN\",\"lbl\":\"Eritrean Nakfa\",\"img\":\"ern.png\",\"hide\":true},{\"i\":\"ETB\",\"lbl\":\"Ethiopian Birr\",\"img\":\"etb.png\",\"hide\":true},{\"i\":\"EUR\",\"lbl\":\"Euro\",\"img\":\"eur.png\",\"hide\":true},{\"i\":\"FJD\",\"lbl\":\"Fijian Dollar\",\"img\":\"fjd.png\",\"hide\":true},{\"i\":\"FKP\",\"lbl\":\"Falkland Island Pound\",\"img\":\"fkp.png\",\"hide\":true},{\"i\":\"GBP\",\"lbl\":\"British Pound\",\"img\":\"gbp.png\",\"hide\":true},{\"i\":\"GEL\",\"lbl\":\"Georgian Lari\",\"img\":\"gel.png\",\"hide\":true},{\"i\":\"GGP\",\"lbl\":\"Guernsey Pound\",\"img\":\"ggp.png\",\"hide\":true},{\"i\":\"GHS\",\"lbl\":\"Ghanaian Cedi\",\"img\":\"ghs.png\",\"hide\":true},{\"i\":\"GIP\",\"lbl\":\"Gibraltar Pound\",\"img\":\"gip.png\",\"hide\":true},{\"i\":\"GMD\",\"lbl\":\"Gambian Dalasi\",\"img\":\"gmd.png\",\"hide\":true},{\"i\":\"GNF\",\"lbl\":\"Guinean Franc\",\"img\":\"gnf.png\",\"hide\":true},{\"i\":\"GTQ\",\"lbl\":\"Guatemalan Quetzal\",\"img\":\"gtq.png\",\"hide\":true},{\"i\":\"GYD\",\"lbl\":\"Guyanese Dollar\",\"img\":\"gyd.png\",\"hide\":true},{\"i\":\"HKD\",\"lbl\":\"Hong Kong Dollar\",\"img\":\"hkd.png\",\"hide\":true},{\"i\":\"HNL\",\"lbl\":\"Honduran Lempira\",\"img\":\"hnl.png\",\"hide\":true},{\"i\":\"HRK\",\"lbl\":\"Croatian Kuna\",\"img\":\"hrk.png\",\"hide\":true},{\"i\":\"HTG\",\"lbl\":\"Haitian Gourde\",\"img\":\"htg.png\",\"hide\":true},{\"i\":\"HUF\",\"lbl\":\"Hungarian Forint\",\"img\":\"huf.png\",\"hide\":true},{\"i\":\"IDR\",\"lbl\":\"Indonesian Rupiah\",\"img\":\"idr.png\",\"hide\":true},{\"i\":\"ILS\",\"lbl\":\"Israeli Shekel\",\"img\":\"ils.png\",\"hide\":true},{\"i\":\"IMP\",\"lbl\":\"Isle of Man Pound\",\"img\":\"imp.png\",\"hide\":true},{\"i\":\"INR\",\"lbl\":\"Indian Rupee\",\"img\":\"inr.png\",\"hide\":true},{\"i\":\"IQD\",\"lbl\":\"Iraqi Dinar\",\"img\":\"iqd.png\",\"hide\":true},{\"i\":\"IRR\",\"lbl\":\"Iranian Rial\",\"img\":\"irr.png\",\"hide\":true},{\"i\":\"ISK\",\"lbl\":\"Icelandic Krona\",\"img\":\"isk.png\",\"hide\":true},{\"i\":\"JEP\",\"lbl\":\"Jersey Pound\",\"img\":\"jep.png\",\"hide\":true},{\"i\":\"JMD\",\"lbl\":\"Jamaican Dollar\",\"img\":\"jmd.png\",\"hide\":true},{\"i\":\"JOD\",\"lbl\":\"Jordanian Dinar\",\"img\":\"jod.png\",\"hide\":true},{\"i\":\"JPY\",\"lbl\":\"Japanese Yen\",\"img\":\"jpy.png\",\"hide\":true},{\"i\":\"KES\",\"lbl\":\"Kenyan Shilling\",\"img\":\"kes.png\",\"hide\":true},{\"i\":\"KGS\",\"lbl\":\"Kyrgyzstani Som\",\"img\":\"kgs.png\",\"hide\":true},{\"i\":\"KHR\",\"lbl\":\"Cambodian Riel\",\"img\":\"khr.png\",\"hide\":true},{\"i\":\"KMF\",\"lbl\":\"Comorian Franc\",\"img\":\"kmf.png\",\"hide\":true},{\"i\":\"KPW\",\"lbl\":\"North Korean Won\",\"img\":\"kpw.png\",\"hide\":true},{\"i\":\"KRW\",\"lbl\":\"South Korean Won\",\"img\":\"krw.png\",\"hide\":true},{\"i\":\"KWD\",\"lbl\":\"Kuwaiti Dinar\",\"img\":\"kwd.png\",\"hide\":true},{\"i\":\"KYD\",\"lbl\":\"Caymanian Dollar\",\"img\":\"kyd.png\",\"hide\":true},{\"i\":\"KZT\",\"lbl\":\"Kazakhstani Tenge\",\"img\":\"kzt.png\",\"hide\":true},{\"i\":\"LAK\",\"lbl\":\"Lao Kip\",\"img\":\"lak.png\",\"hide\":true},{\"i\":\"LBP\",\"lbl\":\"Lebanese Pound\",\"img\":\"lbp.png\",\"hide\":true},{\"i\":\"LKR\",\"lbl\":\"Sri Lankan Rupee\",\"img\":\"lkr.png\",\"hide\":true},{\"i\":\"LRD\",\"lbl\":\"Liberian Dollar\",\"img\":\"lrd.png\",\"hide\":true},{\"i\":\"LSL\",\"lbl\":\"Basotho Loti\",\"img\":\"lsl.png\",\"hide\":true},{\"i\":\"LTL\",\"lbl\":\"Lithuanian Litas\",\"img\":\"ltl.png\",\"hide\":true},{\"i\":\"LVL\",\"lbl\":\"Latvian Lat\",\"img\":\"lvl.png\",\"hide\":true},{\"i\":\"LYD\",\"lbl\":\"Libyan Dinar\",\"img\":\"lyd.png\",\"hide\":true},{\"i\":\"MAD\",\"lbl\":\"Moroccan Dirham\",\"img\":\"mad.png\",\"hide\":true},{\"i\":\"MDL\",\"lbl\":\"Moldovan Leu\",\"img\":\"mdl.png\",\"hide\":true},{\"i\":\"MGA\",\"lbl\":\"Malagasy Ariary\",\"img\":\"mga.png\",\"hide\":true},{\"i\":\"MKD\",\"lbl\":\"Macedonian Denar\",\"img\":\"mkd.png\",\"hide\":true},{\"i\":\"MMK\",\"lbl\":\"Burmese Kyat\",\"img\":\"mmk.png\",\"hide\":true},{\"i\":\"MNT\",\"lbl\":\"Mongolian Tughrik\",\"img\":\"mnt.png\",\"hide\":true},{\"i\":\"MOP\",\"lbl\":\"Macau Pataca\",\"img\":\"mop.png\",\"hide\":true},{\"i\":\"MRU\",\"lbl\":\"Mauritanian Ouguiya\",\"img\":\"mru.png\",\"hide\":true},{\"i\":\"MUR\",\"lbl\":\"Mauritian Rupee\",\"img\":\"mur.png\",\"hide\":true},{\"i\":\"MVR\",\"lbl\":\"Maldivian Rufiyaa\",\"img\":\"mvr.png\",\"hide\":true},{\"i\":\"MWK\",\"lbl\":\"Malawian Kwacha\",\"img\":\"mwk.png\",\"hide\":true},{\"i\":\"MXN\",\"lbl\":\"Mexican Peso\",\"img\":\"mxn.png\",\"hide\":true},{\"i\":\"MYR\",\"lbl\":\"Malaysian Ringgit\",\"img\":\"myr.png\",\"hide\":true},{\"i\":\"MZN\",\"lbl\":\"Mozambican Metical\",\"img\":\"mzn.png\",\"hide\":true},{\"i\":\"NAD\",\"lbl\":\"Namibian Dollar\",\"img\":\"nad.png\",\"hide\":true},{\"i\":\"NGN\",\"lbl\":\"Nigerian Naira\",\"img\":\"ngn.png\",\"hide\":true},{\"i\":\"NIO\",\"lbl\":\"Nicaraguan Cordoba\",\"img\":\"nio.png\",\"hide\":true},{\"i\":\"NOK\",\"lbl\":\"Norwegian Krone\",\"img\":\"nok.png\",\"hide\":true},{\"i\":\"NPR\",\"lbl\":\"Nepalese Rupee\",\"img\":\"npr.png\",\"hide\":true},{\"i\":\"NZD\",\"lbl\":\"New Zealand Dollar\",\"img\":\"nzd.png\",\"hide\":true},{\"i\":\"OMR\",\"lbl\":\"Omani Rial\",\"img\":\"omr.png\",\"hide\":true},{\"i\":\"PAB\",\"lbl\":\"Panamanian Balboa\",\"img\":\"pab.png\",\"hide\":true},{\"i\":\"PEN\",\"lbl\":\"Peruvian Sol\",\"img\":\"pen.png\",\"hide\":true},{\"i\":\"PGK\",\"lbl\":\"Papua New Guinean Kina\",\"img\":\"pgk.png\",\"hide\":true},{\"i\":\"PHP\",\"lbl\":\"Philippine Peso\",\"img\":\"php.png\",\"hide\":true},{\"i\":\"PKR\",\"lbl\":\"Pakistani Rupee\",\"img\":\"pkr.png\",\"hide\":true},{\"i\":\"PLN\",\"lbl\":\"Polish Zloty\",\"img\":\"pln.png\",\"hide\":true},{\"i\":\"PYG\",\"lbl\":\"Paraguayan Guarani\",\"img\":\"pyg.png\",\"hide\":true},{\"i\":\"QAR\",\"lbl\":\"Qatari Riyal\",\"img\":\"qar.png\",\"hide\":true},{\"i\":\"RON\",\"lbl\":\"Romanian Leu\",\"img\":\"ron.png\",\"hide\":true},{\"i\":\"RSD\",\"lbl\":\"Serbian Dinar\",\"img\":\"rsd.png\",\"hide\":true},{\"i\":\"RUB\",\"lbl\":\"Russian Ruble\",\"img\":\"rub.png\",\"hide\":true},{\"i\":\"RWF\",\"lbl\":\"Rwandan Franc\",\"img\":\"rwf.png\",\"hide\":true},{\"i\":\"SAR\",\"lbl\":\"Saudi Arabian Riyal\",\"img\":\"sar.png\",\"hide\":true},{\"i\":\"SBD\",\"lbl\":\"Solomon Islander Dollar\",\"img\":\"sbd.png\",\"hide\":true},{\"i\":\"SCR\",\"lbl\":\"Seychellois Rupee\",\"img\":\"scr.png\",\"hide\":true},{\"i\":\"SDG\",\"lbl\":\"Sudanese Pound\",\"img\":\"sdg.png\",\"hide\":true},{\"i\":\"SEK\",\"lbl\":\"Swedish Krona\",\"img\":\"sek.png\",\"hide\":true},{\"i\":\"SGD\",\"lbl\":\"Singapore Dollar\",\"img\":\"sgd.png\",\"hide\":true},{\"i\":\"SHP\",\"lbl\":\"Saint Helenian Pound\",\"img\":\"shp.png\",\"hide\":true},{\"i\":\"SLL\",\"lbl\":\"Sierra Leonean Leone\",\"img\":\"sll.png\",\"hide\":true},{\"i\":\"SOS\",\"lbl\":\"Somali Shilling\",\"img\":\"sos.png\",\"hide\":true},{\"i\":\"SPL\",\"lbl\":\"Seborgan Luigino\",\"img\":\"spl.png\",\"hide\":true},{\"i\":\"SRD\",\"lbl\":\"Surinamese Dollar\",\"img\":\"srd.png\",\"hide\":true},{\"i\":\"STN\",\"lbl\":\"Sao Tomean Dobra\",\"img\":\"stn.png\",\"hide\":true},{\"i\":\"SVC\",\"lbl\":\"Salvadoran Colon\",\"img\":\"svc.png\",\"hide\":true},{\"i\":\"SYP\",\"lbl\":\"Syrian Pound\",\"img\":\"syp.png\",\"hide\":true},{\"i\":\"SZL\",\"lbl\":\"Swazi Lilangeni\",\"img\":\"szl.png\",\"hide\":true},{\"i\":\"THB\",\"lbl\":\"Thai Baht\",\"img\":\"thb.png\",\"hide\":true},{\"i\":\"TJS\",\"lbl\":\"Tajikistani Somoni\",\"img\":\"tjs.png\",\"hide\":true},{\"i\":\"TMT\",\"lbl\":\"Turkmenistani Manat\",\"img\":\"tmt.png\",\"hide\":true},{\"i\":\"TND\",\"lbl\":\"Tunisian Dinar\",\"img\":\"tnd.png\",\"hide\":true},{\"i\":\"TOP\",\"lbl\":\"Tongan Pa\\u0027anga\",\"img\":\"top.png\",\"hide\":true},{\"i\":\"TRY\",\"lbl\":\"Turkish Lira\",\"img\":\"try.png\",\"hide\":true},{\"i\":\"TTD\",\"lbl\":\"Trinidadian Dollar\",\"img\":\"ttd.png\",\"hide\":true},{\"i\":\"TVD\",\"lbl\":\"Tuvaluan Dollar\",\"img\":\"tvd.png\",\"hide\":true},{\"i\":\"TWD\",\"lbl\":\"Taiwan New Dollar\",\"img\":\"twd.png\",\"hide\":true},{\"i\":\"TZS\",\"lbl\":\"Tanzanian Shilling\",\"img\":\"tzs.png\",\"hide\":true},{\"i\":\"UAH\",\"lbl\":\"Ukrainian Hryvnia\",\"img\":\"uah.png\",\"hide\":true},{\"i\":\"UGX\",\"lbl\":\"Ugandan Shilling\",\"img\":\"ugx.png\",\"hide\":true},{\"i\":\"USD\",\"lbl\":\"US Dollar\",\"img\":\"usd.png\",\"hide\":true},{\"i\":\"UYU\",\"lbl\":\"Uruguayan Peso\",\"img\":\"uyu.png\",\"hide\":true},{\"i\":\"UZS\",\"lbl\":\"Uzbekistani Som\",\"img\":\"uzs.png\",\"hide\":true},{\"i\":\"VEF\",\"lbl\":\"Venezuelan Bol\\u00edvar\",\"img\":\"vef.png\",\"hide\":true},{\"i\":\"VES\",\"lbl\":\"Venezuelan Bol\\u00edvar\",\"img\":\"ves.png\",\"hide\":true},{\"i\":\"VND\",\"lbl\":\"Vietnamese Dong\",\"img\":\"vnd.png\",\"hide\":true},{\"i\":\"VUV\",\"lbl\":\"Ni-Vanuatu Vatu\",\"img\":\"vuv.png\",\"hide\":true},{\"i\":\"WST\",\"lbl\":\"Samoan Tala\",\"img\":\"wst.png\",\"hide\":true},{\"i\":\"XAF\",\"lbl\":\"Central African CFA Franc BEAC\",\"img\":\"xaf.png\",\"hide\":true},{\"i\":\"XAG\",\"lbl\":\"Silver Ounce\",\"img\":\"xag.png\",\"hide\":true},{\"i\":\"XAU\",\"lbl\":\"Gold Ounce\",\"img\":\"xau.png\",\"hide\":true},{\"i\":\"XBT\",\"lbl\":\"Bitcoin\",\"img\":\"xbt.png\",\"hide\":true},{\"i\":\"XCD\",\"lbl\":\"East Caribbean Dollar\",\"img\":\"xcd.png\",\"hide\":true},{\"i\":\"XOF\",\"lbl\":\"CFA Franc\",\"img\":\"xof.png\",\"hide\":true},{\"i\":\"XPD\",\"lbl\":\"Palladium Ounce\",\"img\":\"xpd.png\",\"hide\":true},{\"i\":\"XPF\",\"lbl\":\"CFP Franc\",\"img\":\"xpf.png\",\"hide\":true},{\"i\":\"XPT\",\"lbl\":\"Platinum Ounce\",\"img\":\"xpt.png\",\"hide\":true},{\"i\":\"YER\",\"lbl\":\"Yemeni Rial\",\"img\":\"yer.png\",\"hide\":true},{\"i\":\"ZAR\",\"lbl\":\"South African Rand\",\"img\":\"zar.png\",\"hide\":true},{\"i\":\"ZMK\",\"lbl\":\"Zambian Kwacha\",\"img\":\"zmk.png\",\"hide\":true},{\"i\":\"ZMW\",\"lbl\":\"Zambian Kwacha\",\"img\":\"zmw.png\",\"hide\":true},{\"i\":\"ZWD\",\"lbl\":\"Zimbabwean Dollar\",\"img\":\"zwd.png\",\"hide\":true}],\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"minValue\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMinimum amount of  is required\\u003C\\\/p\\u003E\",\"show\":true},\"maxValue\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMaximum amount of  is allowed\\u003C\\\/p\\u003E\",\"show\":true},\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"currency-1-34\",\"subtitleHide\":false,\"helperTxt\":\"(If your income exceed our financial eligibility guidelines, we may still consider your application on a case-by-case basis.\\u003Cbr\\u003E\\u0026nbsp;\\u5982\\u679c\\u60a8\\u7684\\u6536\\u5165\\u8d85\\u904e\\u6211\\u5011\\u7684\\u8ca1\\u52d9\\u8cc7\\u683c\\u6a19\\u6e96\\uff0c\\u6211\\u5011\\u4ecd\\u53ef\\u80fd\\u6839\\u64da\\u5177\\u9ad4\\u60c5\\u6cc1\\u8003\\u616e\\u60a8\\u7684\\u7533\\u8acb\\u3002)\",\"hlpTxtHide\":true},\"b1-35\":{\"typ\":\"number\",\"lbl\":\"\\u003Cb\\u003EFamiIy Size \\u5bb6\\u5ead\\u4eba\\u53e3\\u003C\\\/b\\u003E\",\"phHide\":false,\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"invalid\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EPlease, enter only numbers\\u003C\\\/p\\u003E\",\"show\":true},\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"number-1-35\"},\"b1-36\":{\"typ\":\"radio\",\"lbl\":\"\\u003Cb\\u003EI am currently receiving social assistance benefits, such as Income Assistance, PWD etc. \\u6211\\u662f\\u5176\\u4e2d\\u4e00\\u9805\\u793e\\u6703\\u798f\\u5229\\u7684\\u53d7\\u60e0\\u4eba\\u3002\\u003C\\\/b\\u003E\",\"round\":true,\"opt\":[{\"lbl\":\"Yes \\u662f\",\"val\":\"Yes\"},{\"lbl\":\"No \\u5426\",\"val\":\"No\"}],\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"optionCol\":1,\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"radio-1-36\"},\"b1-37\":{\"typ\":\"text\",\"lbl\":\"How much liquid assets do you have? \\u60a8\\u6709\\u591a\\u5c11\\u6d41\\u52d5\\u8cc7\\u7522\\uff1f\",\"valid\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"text-1-37\",\"helperTxt\":\"(Liquid assets include cash and any assets that can be immediately converted to cash. \\u6d41\\u52d5\\u8cc7\\u7522\\u5305\\u62ec\\u73fe\\u91d1\\u548c\\u4efb\\u4f55\\u53ef\\u4ee5\\u7acb\\u5373\\u8f49\\u63db\\u70ba\\u73fe\\u91d1\\u7684\\u8cc7\\u7522\\u3002)\",\"hlpTxtHide\":true},\"b1-38\":{\"typ\":\"radio\",\"lbl\":\"Do you own the property in which you are now residing? \\u4f60\\u73fe\\u5728\\u7684\\u5c45\\u6240\\u662f\\u4f60\\u95a3\\u4e0b\\u7684\\u7269\\u696d\\u55ce\\uff1f\",\"round\":true,\"opt\":[{\"lbl\":\"Yes \\u662f\",\"val\":\"Yes\"},{\"lbl\":\"No \\u5426\",\"val\":\"No\"}],\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true,\"msg\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\"}},\"optionCol\":1,\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"radio-1-38\"},\"b1-39\":{\"typ\":\"radio\",\"lbl\":\"Are you renting the property in which you are now residing? \\u4f60\\u73fe\\u5728\\u7684\\u5c45\\u6240\\u662f\\u4f60\\u79df\\u4f4f\\u7684\\u55ce\\uff1f\",\"round\":true,\"opt\":[{\"lbl\":\"Yes \\u662f\",\"val\":\"Yes\"},{\"lbl\":\"No \\u5426\",\"val\":\"No\"}],\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true,\"msg\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\"}},\"optionCol\":1,\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"radio-1-39\"},\"b1-40\":{\"typ\":\"file-up\",\"btnTxt\":\"Attach File\",\"valid\":{\"hideLbl\":true},\"prefixIcn\":\"https:\\\/\\\/legalclinic.ccmcanada.org\\\/toronto\\\/wp-content\\\/plugins\\\/bit-form\\\/static\\\/file-upload\\\/paperclip.svg\",\"err\":{\"maxSize\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMaximum file size exceeded. (Max: 12MB)\\u003C\\\/p\\u003E\",\"show\":true},\"minFile\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMinimum 0 file(s) required\\u003C\\\/p\\u003E\",\"show\":true},\"maxFile\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMaximum 5 file(s) allowed\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"config\":{\"multiple\":false,\"allowMaxSize\":true,\"showMaxSize\":false,\"maxSize\":\"12\",\"sizeUnit\":\"MB\",\"isItTotalMax\":false,\"showSelectStatus\":true,\"fileSelectStatus\":\"No File Selected\",\"allowedFileType\":\".doc,.docx,.odt,.pdf,.rtf,.tex,.txt,.wks,.wps,.wpd,._RF_,.xbm,.tif,.pjp,.pjpeg,.svgz,.jpg,.jpeg,.ico,.tiff,.gif,.svg,.bmp,.png,.jfif,.webp,.tif\",\"showFileList\":true,\"fileExistMsg\":\"A file allready exist\",\"showFilePreview\":true,\"showFileSize\":true,\"duplicateAllow\":false,\"accept\":\"\",\"minFile\":0,\"maxFile\":5},\"fieldName\":\"file-up-1-40\",\"subtitleHide\":false,\"hlpTxtHide\":true},\"b1-41\":{\"typ\":\"file-up\",\"btnTxt\":\"Attach File\",\"valid\":{\"hideLbl\":true},\"prefixIcn\":\"https:\\\/\\\/legalclinic.ccmcanada.org\\\/toronto\\\/wp-content\\\/plugins\\\/bit-form\\\/static\\\/file-upload\\\/paperclip.svg\",\"err\":{\"maxSize\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMaximum file size exceeded. (Max: 12MB)\\u003C\\\/p\\u003E\",\"show\":true},\"minFile\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMinimum 0 file(s) required\\u003C\\\/p\\u003E\",\"show\":true},\"maxFile\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMaximum 0 file(s) allowed\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"config\":{\"multiple\":false,\"allowMaxSize\":true,\"showMaxSize\":false,\"maxSize\":\"12\",\"sizeUnit\":\"MB\",\"isItTotalMax\":false,\"showSelectStatus\":true,\"fileSelectStatus\":\"No File Selected\",\"allowedFileType\":\".doc,.docx,.odt,.pdf,.rtf,.tex,.txt,.wks,.wps,.wpd,._RF_,.xbm,.tif,.pjp,.pjpeg,.svgz,.jpg,.jpeg,.ico,.tiff,.gif,.svg,.bmp,.png,.jfif,.webp,.tif\",\"showFileList\":true,\"fileExistMsg\":\"A file allready exist\",\"showFilePreview\":true,\"showFileSize\":true,\"duplicateAllow\":false,\"accept\":\"\",\"minFile\":0,\"maxFile\":0},\"fieldName\":\"file-up-1-41\"},\"b1-42\":{\"typ\":\"title\",\"adminLbl\":\"Title\",\"adminLblHide\":true,\"titleImg\":\"\",\"logoHide\":true,\"title\":\"Upload key document(s) \\u4e0a\\u50b3\\u95dc\\u9375\\u6587\\u4ef6\",\"titleHide\":false,\"subtitleHide\":false,\"titleTag\":\"h3\",\"subTitleTag\":\"div\",\"valid\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"title-1-42\",\"subtitle\":\"Supported file types \\u652f\\u63f4\\u6a94\\u6848\\u683c\\u5f0f\\uff1aDOC, DOCX, PDF, JPG\"},\"b1-43\":{\"typ\":\"file-up\",\"btnTxt\":\"Attach File\",\"valid\":{\"hideLbl\":true},\"prefixIcn\":\"https:\\\/\\\/legalclinic.ccmcanada.org\\\/toronto\\\/wp-content\\\/plugins\\\/bit-form\\\/static\\\/file-upload\\\/paperclip.svg\",\"err\":{\"maxSize\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMaximum file size exceeded. (Max: 12MB)\\u003C\\\/p\\u003E\",\"show\":true},\"minFile\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMinimum 0 file(s) required\\u003C\\\/p\\u003E\",\"show\":true},\"maxFile\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMaximum 0 file(s) allowed\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"config\":{\"multiple\":false,\"allowMaxSize\":true,\"showMaxSize\":false,\"maxSize\":\"12\",\"sizeUnit\":\"MB\",\"isItTotalMax\":false,\"showSelectStatus\":true,\"fileSelectStatus\":\"No File Selected\",\"allowedFileType\":\".doc,.docx,.odt,.pdf,.rtf,.tex,.txt,.wks,.wps,.wpd,._RF_,.xbm,.tif,.pjp,.pjpeg,.svgz,.jpg,.jpeg,.ico,.tiff,.gif,.svg,.bmp,.png,.jfif,.webp,.tif\",\"showFileList\":true,\"fileExistMsg\":\"A file allready exist\",\"showFilePreview\":true,\"showFileSize\":true,\"duplicateAllow\":false,\"accept\":\"\",\"minFile\":0,\"maxFile\":0},\"fieldName\":\"file-up-1-43\"},\"b1-44\":{\"typ\":\"file-up\",\"btnTxt\":\"Attach File\",\"valid\":{\"hideLbl\":true},\"prefixIcn\":\"https:\\\/\\\/legalclinic.ccmcanada.org\\\/toronto\\\/wp-content\\\/plugins\\\/bit-form\\\/static\\\/file-upload\\\/paperclip.svg\",\"err\":{\"maxSize\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMaximum file size exceeded. (Max: 12MB)\\u003C\\\/p\\u003E\",\"show\":true},\"minFile\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMinimum 0 file(s) required\\u003C\\\/p\\u003E\",\"show\":true},\"maxFile\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMaximum 0 file(s) allowed\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"config\":{\"multiple\":false,\"allowMaxSize\":true,\"showMaxSize\":false,\"maxSize\":\"12\",\"sizeUnit\":\"MB\",\"isItTotalMax\":false,\"showSelectStatus\":true,\"fileSelectStatus\":\"No File Selected\",\"allowedFileType\":\".doc,.docx,.odt,.pdf,.rtf,.tex,.txt,.wks,.wps,.wpd,._RF_,.xbm,.tif,.pjp,.pjpeg,.svgz,.jpg,.jpeg,.ico,.tiff,.gif,.svg,.bmp,.png,.jfif,.webp,.tif\",\"showFileList\":true,\"fileExistMsg\":\"A file allready exist\",\"showFilePreview\":true,\"showFileSize\":true,\"duplicateAllow\":false,\"accept\":\"\",\"minFile\":0,\"maxFile\":0},\"fieldName\":\"file-up-1-44\"},\"b1-45\":{\"typ\":\"file-up\",\"btnTxt\":\"Attach File\",\"valid\":{\"hideLbl\":true},\"prefixIcn\":\"https:\\\/\\\/legalclinic.ccmcanada.org\\\/toronto\\\/wp-content\\\/plugins\\\/bit-form\\\/static\\\/file-upload\\\/paperclip.svg\",\"err\":{\"maxSize\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMaximum file size exceeded. (Max: 12MB)\\u003C\\\/p\\u003E\",\"show\":true},\"minFile\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMinimum 0 file(s) required\\u003C\\\/p\\u003E\",\"show\":true},\"maxFile\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EMaximum 0 file(s) allowed\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"config\":{\"multiple\":false,\"allowMaxSize\":true,\"showMaxSize\":false,\"maxSize\":\"12\",\"sizeUnit\":\"MB\",\"isItTotalMax\":false,\"showSelectStatus\":true,\"fileSelectStatus\":\"No File Selected\",\"allowedFileType\":\".doc,.docx,.odt,.pdf,.rtf,.tex,.txt,.wks,.wps,.wpd,._RF_,.xbm,.tif,.pjp,.pjpeg,.svgz,.jpg,.jpeg,.ico,.tiff,.gif,.svg,.bmp,.png,.jfif,.webp,.tif\",\"showFileList\":true,\"fileExistMsg\":\"A file allready exist\",\"showFilePreview\":true,\"showFileSize\":true,\"duplicateAllow\":false,\"accept\":\"\",\"minFile\":0,\"maxFile\":0},\"fieldName\":\"file-up-1-45\"},\"b1-46\":{\"typ\":\"spacer\",\"adminLbl\":\"Spacer\",\"adminLblHide\":true,\"valid\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"spacer-1-46\"},\"b1-47\":{\"typ\":\"decision-box\",\"adminLbl\":\"Decision Box\",\"adminLblHide\":true,\"lbl\":\"\\u003Cp\\u003EI\\\/We acknowledge that I\\\/We have read and understood all of CCM Legal Clinic\\u0027s Terms and Conditions listed below.\\u003Cbr \\\/\\u003E\\u6211\\\/\\u6211\\u5011\\u5df2\\u8b80\\u7562\\u4e26\\u540c\\u610f\\u4e0b\\u5217\\u670d\\u52d9\\u689d\\u6b3e\\u3002\\u003C\\\/p\\u003E\",\"msg\":{\"checked\":\"Accepted\",\"unchecked\":\"Rejected\"},\"valid\":{\"req\":true},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"decision-box-1-47\"},\"b1-48\":{\"typ\":\"title\",\"adminLbl\":\"Title\",\"adminLblHide\":true,\"titleImg\":\"\",\"logoHide\":true,\"title\":\"Terms and Conditions \\u670d\\u52d9\\u540c\\u610f\\u66f8\\u003Cfont color=red\\u003E*\\u003C\\\/font\\u003E\",\"titleHide\":false,\"subtitleHide\":true,\"titleTag\":\"h3\",\"subTitleTag\":\"h5\",\"valid\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"title-1-48\"},\"b1-49\":{\"typ\":\"html\",\"adminLbl\":\"HTML\",\"layout\":{\"autoHeight\":1},\"adminLblHide\":true,\"content\":\"\\u003Ciframe src=\\u0022https:\\\/\\\/legalclinic.ccmcanada.org\\\/terms\\\/van-legal-clinic-terms.html\\u0022 style=\\u0022border:none;\\u0022 width=\\u0022100%\\u0022 height=\\u0022500px\\u0022\\u003E\\u003C\\\/iframe\\u003E\",\"valid\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"html-1-49\"},\"b1-50\":{\"typ\":\"divider\",\"adminLbl\":\"Divider\",\"adminLblHide\":true,\"valid\":{},\"divider\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"divider-1-50\"},\"b1-51\":{\"typ\":\"divider\",\"adminLbl\":\"Divider\",\"adminLblHide\":true,\"valid\":{},\"divider\":{},\"err\":{},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"divider-1-51\"},\"b1-52\":{\"typ\":\"text\",\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\",\"hideLbl\":false},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"Given-Name\",\"phHide\":false,\"lbl\":\"Given Name \\u540d\"},\"b1-53\":{\"typ\":\"text\",\"valid\":{\"hideLbl\":false,\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"Family-Name\",\"phHide\":false,\"lbl\":\"Family Name \\u59d3\"},\"b1-54\":{\"typ\":\"text\",\"lbl\":\"Address \\u5730\\u5740\",\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"text-1-54\",\"ph\":\"Street Number, Street Name \\u8857\\u9053\\u53ca\\u865f\\u78bc\",\"phHide\":true},\"b1-55\":{\"typ\":\"text\",\"valid\":{\"hideLbl\":true,\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"City-\\u57ce\\u5e02\",\"ph\":\"City \\u57ce\\u5e02\",\"phHide\":true,\"adminLblHide\":false},\"b1-56\":{\"typ\":\"text\",\"valid\":{\"hideLbl\":true,\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"Province-\\u7701\\u4efd\",\"ph\":\"Province \\u7701\\u4efd\",\"phHide\":true},\"b1-57\":{\"typ\":\"text\",\"valid\":{\"hideLbl\":true,\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"Postal_Code-\\u90f5\\u5340\\u865f\\u78bc\",\"ph\":\"Postal Code \\u90f5\\u653f\\u865f\\u78bc\",\"phHide\":true},\"b1-58\":{\"typ\":\"radio\",\"lbl\":\"If the above phone number has voicemail, may we leave messages regarding the intake? \\u82e5\\u4ee5\\u4e0a\\u806f\\u7d61\\u96fb\\u8a71\\u8a2d\\u6709\\u7559\\u8a00\\u4fe1\\u7bb1\\uff0c\\u6211\\u5011\\u662f\\u5426\\u53ef\\u4ee5\\u767c\\u51fa\\u8207\\u672c\\u500b\\u6848\\u76f8\\u95dc\\u7684\\u7559\\u8a00?\",\"round\":true,\"opt\":[{\"lbl\":\"Yes \\u53ef\\u4ee5\",\"val\":\"Yes\"},{\"lbl\":\"No \\u4e0d\\u53ef\",\"val\":\"No\"}],\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true,\"msg\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\"}},\"optionCol\":1,\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"radio-1-58\"},\"b1-59\":{\"typ\":\"check\",\"lbl\":\"I\\u0027m available at these time slots for phone calls \\u6211\\u65bc\\u4ee5\\u4e0b\\u6642\\u9593\\u65b9\\u4fbf\\u4f7f\\u7528\\u96fb\\u8a71\\u806f\\u7d61\\uff1a\",\"opt\":[{\"lbl\":\"Monday Morning \\u661f\\u671f\\u4e00\\u4e0a\\u5348\",\"val\":\"Mon Morning\"},{\"lbl\":\"Monday Afternoon \\u661f\\u671f\\u4e00\\u4e0b\\u5348\",\"val\":\"Mon Afternoon\"},{\"lbl\":\"Tuesday Morning \\u661f\\u671f\\u4e8c\\u4e0a\\u5348\",\"val\":\"Tue Morning\"},{\"lbl\":\"Tuesday Afternoon \\u661f\\u671f\\u4e8c\\u4e0b\\u5348\",\"val\":\"Tue Afternoon\"},{\"lbl\":\"Wednesday Morning \\u661f\\u671f\\u4e09\\u4e0a\\u5348\",\"val\":\"Wed Morning\"},{\"lbl\":\"Wednesday Afternoon \\u661f\\u671f\\u4e09\\u4e0b\\u5348\",\"val\":\"Wed Afternoon\"},{\"lbl\":\"Thursday Morning \\u661f\\u671f\\u56db\\u4e0a\\u5348\",\"val\":\"Thu Monring\"},{\"lbl\":\"Thursday Afternoon \\u661f\\u671f\\u56db\\u4e0b\\u5348\",\"val\":\"Thu Afternoon\"}],\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true}},\"optionCol\":\"2\",\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"check-1-59\",\"helperTxt\":\"( Select all available time slots \\u53ef\\u9078\\u591a\\u9805 )\",\"hlpTxtHide\":true},\"b1-60\":{\"typ\":\"radio\",\"round\":true,\"opt\":[{\"lbl\":\"Cantonese \\u5ee3\\u6771\\u8a71\",\"val\":\"Cantonese\"},{\"lbl\":\"English \\u82f1\\u8a9e\",\"val\":\"English\"},{\"lbl\":\"Mandarin \\u666e\\u901a\\u8a71\",\"val\":\"Mandarin\"}],\"valid\":{\"req\":true,\"reqShow\":true,\"reqPos\":\"after\"},\"err\":{\"req\":{\"dflt\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\",\"show\":true,\"msg\":\"\\u003Cp style=\\u0022margin:0\\u0022\\u003EThis field is required\\u003C\\\/p\\u003E\"}},\"optionCol\":1,\"customClasses\":{},\"customAttributes\":{},\"fieldName\":\"radio-1-60\",\"lbl\":\"Preferred Language \\u9996\\u9078\\u8a9e\\u8a00\\uff1a\"}},\"buttons\":\"\",\"fieldsKey\":{\"b1-1\":\"b1-1\",\"b1-2\":\"b1-2\",\"b1-14\":\"b1-14\",\"b1-15\":\"b1-15\",\"b1-17\":\"b1-17\",\"b1-18\":\"b1-18\",\"b1-19\":\"b1-19\",\"b1-22\":\"b1-22\",\"b1-23\":\"b1-23\",\"b1-24\":\"b1-24\",\"b1-25\":\"b1-25\",\"b1-26\":\"b1-26\",\"b1-27\":\"b1-27\",\"b1-28\":\"b1-28\",\"b1-29\":\"b1-29\",\"b1-30\":\"b1-30\",\"b1-33\":\"b1-33\",\"b1-34\":\"b1-34\",\"b1-35\":\"b1-35\",\"b1-36\":\"b1-36\",\"b1-37\":\"b1-37\",\"b1-38\":\"b1-38\",\"b1-39\":\"b1-39\",\"b1-40\":\"b1-40\",\"b1-41\":\"b1-41\",\"b1-42\":\"b1-42\",\"b1-43\":\"b1-43\",\"b1-44\":\"b1-44\",\"b1-45\":\"b1-45\",\"b1-46\":\"b1-46\",\"b1-47\":\"b1-47\",\"b1-48\":\"b1-48\",\"b1-49\":\"b1-49\",\"b1-50\":\"b1-50\",\"b1-51\":\"b1-51\",\"b1-52\":\"b1-52\",\"b1-53\":\"b1-53\",\"b1-54\":\"b1-54\",\"b1-55\":\"b1-55\",\"b1-56\":\"b1-56\",\"b1-57\":\"b1-57\",\"b1-58\":\"b1-58\",\"b1-59\":\"b1-59\",\"b1-60\":\"b1-60\"},\"file\":[\"b1-40\",\"b1-41\",\"b1-43\",\"b1-44\",\"b1-45\"],\"configs\":{\"bf_separator\":\"__bf__\"},\"formId\":1,\"appID\":\"bitforms_1\",\"GCLID\":false,\"assetUrl\":\"https:\\\/\\\/legalclinic.ccmcanada.org\\\/vancouver\\\/wp-content\\\/plugins\\\/bit-form\\\/assets\",\"onfieldCondition\":[{\"event_type\":\"on_input\",\"conditions\":[{\"cond_type\":\"if\",\"logics\":[{\"field\":\"b1-23\",\"logic\":\"equal\",\"val\":\"Yes\"},\"or\",{\"field\":\"b1-24\",\"logic\":\"equal\",\"val\":\"Yes\"}],\"actions\":{\"fields\":[{\"field\":\"b1-25\",\"action\":\"show\",\"val\":\"\"}],\"success\":[]}},{\"cond_type\":\"else\",\"actions\":{\"fields\":[{\"field\":\"b1-25\",\"action\":\"hide\",\"val\":\"\"}]}}]}],\"smartTags\":[],\"paymentCallbackUrl\":\"https:\\\/\\\/legalclinic.ccmcanada.org\\\/vancouver\\\/wp-json\\\/bitform\\\/v1\\\/payments\\\/razorpay\",\"gRecaptchaSiteKey\":null,\"gRecaptchaVersion\":null,\"turnstileSiteKey\":null,\"hCaptchaSiteKey\":null,\"validateFocusLost\":true,\"formName\":\"Preliminary Intake Form \\u521d\\u6b65\\u500b\\u6848\\u77ad\\u89e3\",\"formInfo\":{\"multiStepSettings\":{\"validateOnStepChange\":false,\"maintainStepHistory\":false,\"saveProgress\":false,\"showPercentage\":false}}}<\/script><div id=\"bitforms_1_1722_1\" class=\"b1-bit-form bEZ1 bGi1 _frm-bg-b1 bit-form bf-form-wrapper\">\n      \n          <form novalidate id=\"form-bitforms_1_1722_1\" class=\"bED1 bEE1 _frm-b1 bf-form\" enctype=\"multipart\/form-data\" method=\"post\">\n              <input type=\"text\" class=\"d-none\" name=\"csrf\" value=\"5IzursChqvFKFlgZEabI422Eww43PP\/vDsXEKXOcV+4=\">\n              <input type=\"text\" class=\"d-none\" name=\"t_identity\" value=\"mf6xb5vDjqdleEk0aKv6rjTmdYppIAClpEE8+TplsWE=\">\n              \n              <input type=\"text\" class=\"d-none\" name=\"bitforms_id\" value=\"bitforms_1\">\n              \n                  \n      <div class=\"bEG1 _frm-b1-stp-cntnr _frm-b-stp-cntnr\">\n        \n        <div class=\"bAD1 bAI1 _frm-b1-stp-wrpr _frm-b-stp-wrpr\">\n        \n    <div class=\"bj1 _frm-b1-stp-progress-wrpr _frm-b-stp-progress-wrpr\">\n      <div class=\"_frm-b1-stp-progress _frm-b-stp-progress\">\n        <div class=\"bI1 bv1 bAD1 bAE1 bEY1 bFw1 bGh1 _frm-b1-stp-progress-bar _frm-b-stp-progress-bar\" role=\"progressbar\" aria-label=\"Form completion progress: Step 1 of 5\">\n          <div class=\"bG1 bI1 bM1 bf1 bg1 bEF1 bGb1 _frm-b1-progress-fill _frm-b-stp-progress-fill\" style=\"width: 0%\">\n            \n          <\/div>\n        <\/div>\n      <\/div>\n    <\/div>\n          <div class=\"bI1 bh1 _frm-b1-stp-cntnt-wrpr _frm-b-stp-cntnt-wrpr\">\n\n          <div class=\"bI1 bf1 bk1 bEH1 bEI1 bEJ1 _frm-b1-stp-cntnt _frm-b-stp-cntnt \" data-step=\"1\" role=\"tabpanel\" id=\"step-1-1-panel\" aria-labelledby=\"step-1-1-tab\">\n            <div class=\"_frm-b1 _frm-b\">\n              <div class=\"btcd-fld-itm b1-2 \"><div class=\"bI1 bh1 bAT1 bAU1  b1-2-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n     \n      <div class=\"bAY1  b1-2-titl-wrp b1-titl-wrp bf-titl-wrp bf-title-wrapper \">\n              <h3 class=\"bA1 bI1 bg1 bAW1 bAZ1 bAa1 bFz1  b1-2-title b1-title bf-title bf-title \">\n      \n      Personal Information \u500b\u4eba\u8cc7\u6599\n      \n      <\/h3>\n        \n      <\/div>\n    <\/div><\/div><div class=\"btcd-fld-itm b1-52 \"><div class=\"bf-text-field bj1 bp1 bAK1 bAO1  b1-52-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-52-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-52-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-52-lbl b1-lbl bf-lbl bf-label \" for=\"b1-52-1\">\n          \n          \n          Given Name \u540d\n          \n          <span class=\"bAc1 bBD1  b1-52-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-52-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bn1 bp1  b1-52-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b1-52-1\" class=\"bC1 bJ1 bK1 bw1 by1 bz1 bAZ1 bAh1 bAi1 bAj1 bAk1 bAl1 bAm1 bAn1 bAo1 bAp1 bAq1 bAr1 bAs1 bAt1 bAu1 bAv1 bAw1 bAx1 bAy1 bAz1 bBA1 bFx1 bFz1 bGA1 bGB1 bGC1 bGD1 bGE1 bGF1 bGG1 bGH1  b1-52-fld b1-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b1-52-err-txt\" name=\"Given-Name\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bAL1 bAM1 bAN1  b1-52-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-52-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-52-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-52-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-52-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-53 \"><div class=\"bf-text-field bj1 bp1 bAK1 bAO1  b1-53-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-53-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-53-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-53-lbl b1-lbl bf-lbl bf-label \" for=\"b1-53-1\">\n          \n          \n          Family Name \u59d3\n          \n          <span class=\"bAc1 bBD1  b1-53-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-53-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bn1 bp1  b1-53-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b1-53-1\" class=\"bC1 bJ1 bK1 bw1 by1 bz1 bAZ1 bAh1 bAi1 bAj1 bAk1 bAl1 bAm1 bAn1 bAo1 bAp1 bAq1 bAr1 bAs1 bAt1 bAu1 bAv1 bAw1 bAx1 bAy1 bAz1 bBA1 bFx1 bFz1 bGA1 bGB1 bGC1 bGD1 bGE1 bGF1 bGG1 bGH1  b1-53-fld b1-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b1-53-err-txt\" name=\"Family-Name\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bAL1 bAM1 bAN1  b1-53-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-53-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-53-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-53-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-53-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-54 \"><div class=\"bf-text-field bj1 bp1 bAK1 bAO1  b1-54-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-54-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-54-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-54-lbl b1-lbl bf-lbl bf-label \" for=\"b1-54-1\">\n          \n          \n          Address \u5730\u5740\n          \n          <span class=\"bAc1 bBD1  b1-54-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-54-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bn1 bp1  b1-54-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b1-54-1\" class=\"bC1 bJ1 bK1 bw1 by1 bz1 bAZ1 bAh1 bAi1 bAj1 bAk1 bAl1 bAm1 bAn1 bAo1 bAp1 bAq1 bAr1 bAs1 bAt1 bAu1 bAv1 bAw1 bAx1 bAy1 bAz1 bBA1 bFx1 bFz1 bGA1 bGB1 bGC1 bGD1 bGE1 bGF1 bGG1 bGH1  b1-54-fld b1-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b1-54-err-txt\" placeholder=\"Street Number, Street Name \u8857\u9053\u53ca\u865f\u78bc\" name=\"text-1-54\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bAL1 bAM1 bAN1  b1-54-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-54-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-54-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-54-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-54-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-55 \"><div class=\"bf-text-field bj1 bp1 bAK1 bAO1  b1-55-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"b1-55-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><\/div>\n        <div class=\"b1-55-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bn1 bp1  b1-55-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b1-55-1\" class=\"bC1 bJ1 bK1 bw1 by1 bz1 bAZ1 bAh1 bAi1 bAj1 bAk1 bAl1 bAm1 bAn1 bAo1 bAp1 bAq1 bAr1 bAs1 bAt1 bAu1 bAv1 bAw1 bAx1 bAy1 bAz1 bBA1 bFx1 bFz1 bGA1 bGB1 bGC1 bGD1 bGE1 bGF1 bGG1 bGH1  b1-55-fld b1-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b1-55-err-txt\" placeholder=\"City \u57ce\u5e02\" name=\"City-\u57ce\u5e02\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bAL1 bAM1 bAN1  b1-55-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-55-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-55-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-55-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-55-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-56 \"><div class=\"bf-text-field bj1 bp1 bAK1 bAO1  b1-56-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"b1-56-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><\/div>\n        <div class=\"b1-56-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bn1 bp1  b1-56-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b1-56-1\" class=\"bC1 bJ1 bK1 bw1 by1 bz1 bAZ1 bAh1 bAi1 bAj1 bAk1 bAl1 bAm1 bAn1 bAo1 bAp1 bAq1 bAr1 bAs1 bAt1 bAu1 bAv1 bAw1 bAx1 bAy1 bAz1 bBA1 bFx1 bFz1 bGA1 bGB1 bGC1 bGD1 bGE1 bGF1 bGG1 bGH1  b1-56-fld b1-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b1-56-err-txt\" placeholder=\"Province \u7701\u4efd\" name=\"Province-\u7701\u4efd\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bAL1 bAM1 bAN1  b1-56-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-56-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-56-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-56-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-56-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-57 \"><div class=\"bf-text-field bj1 bp1 bAK1 bAO1  b1-57-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"b1-57-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><\/div>\n        <div class=\"b1-57-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bn1 bp1  b1-57-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b1-57-1\" class=\"bC1 bJ1 bK1 bw1 by1 bz1 bAZ1 bAh1 bAi1 bAj1 bAk1 bAl1 bAm1 bAn1 bAo1 bAp1 bAq1 bAr1 bAs1 bAt1 bAu1 bAv1 bAw1 bAx1 bAy1 bAz1 bBA1 bFx1 bFz1 bGA1 bGB1 bGC1 bGD1 bGE1 bGF1 bGG1 bGH1  b1-57-fld b1-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b1-57-err-txt\" placeholder=\"Postal Code \u90f5\u653f\u865f\u78bc\" name=\"Postal_Code-\u90f5\u5340\u865f\u78bc\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bAL1 bAM1 bAN1  b1-57-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-57-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-57-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-57-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-57-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-14 \"><div class=\"bA1 bI1 bAS1  b1-14-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bz1 bAP1 bAQ1 bAR1 bFy1  b1-14-divider b1-divider bf-divider bf-divider \"><\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-15 \"><div class=\"bI1 bh1 bAT1 bAU1  b1-15-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n     \n      <div class=\"bAY1  b1-15-titl-wrp b1-titl-wrp bf-titl-wrp bf-title-wrapper \">\n              <h3 class=\"bA1 bI1 bg1 bAW1 bAZ1 bAa1 bFz1  b1-15-title b1-title bf-title bf-title \">\n      \n      Contact Method \u806f\u7cfb\u65b9\u5f0f\n      \n      <\/h3>\n        \n      <\/div>\n    <\/div><\/div><div class=\"btcd-fld-itm b1-17 \"><div class=\"bf-email-field bj1 bp1 bAK1 bAO1  b1-17-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-17-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-17-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-17-lbl b1-lbl bf-lbl bf-label \" for=\"b1-17-1\">\n          \n          \n          Email \u96fb\u90f5\u5730\u5740\n          \n          \n        <\/label><\/div>\n        <div class=\"b1-17-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bn1 bp1  b1-17-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b1-17-1\" class=\"bC1 bJ1 bK1 bw1 by1 bz1 bAZ1 bAh1 bAi1 bAj1 bAk1 bAl1 bAm1 bAn1 bAo1 bAp1 bAq1 bAr1 bAs1 bAt1 bAu1 bAv1 bAw1 bAx1 bAy1 bAz1 bBA1 bFx1 bFz1 bGA1 bGB1 bGC1 bGD1 bGE1 bGF1 bGG1 bGH1  b1-17-fld b1-fld bf-fld bf-field \" type=\"email\" aria-describedby=\"b1-17-err-txt\" name=\"email\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bAL1 bAM1 bAN1  b1-17-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-17-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-17-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-17-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-17-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-18 \"><div class=\"bf-text-field bj1 bp1 bAK1 bAO1  b1-18-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-18-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-18-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-18-lbl b1-lbl bf-lbl bf-label \" for=\"b1-18-1\">\n          \n          \n          Contact Number \u806f\u7d61\u96fb\u8a71\n          \n          <span class=\"bAc1 bBD1  b1-18-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-18-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bn1 bp1  b1-18-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b1-18-1\" class=\"bC1 bJ1 bK1 bw1 by1 bz1 bAZ1 bAh1 bAi1 bAj1 bAk1 bAl1 bAm1 bAn1 bAo1 bAp1 bAq1 bAr1 bAs1 bAt1 bAu1 bAv1 bAw1 bAx1 bAy1 bAz1 bBA1 bFx1 bFz1 bGA1 bGB1 bGC1 bGD1 bGE1 bGF1 bGG1 bGH1  b1-18-fld b1-fld bf-fld bf-field \" type=\"text\" required aria-required=\"true\" aria-describedby=\"b1-18-err-txt\" placeholder=\"xxx-xxx-xxxx\" name=\"phone\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bAL1 bAM1 bAN1  b1-18-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-18-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-18-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-18-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-18-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-58 \"><div class=\"bf-radio-field bj1 bp1 bAK1 bAO1  b1-58-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-58-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-58-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-58-lbl b1-lbl bf-lbl bf-label \" for=\"b1-58-1\">\n          \n          \n          If the above phone number has voicemail, may we leave messages regarding the intake? \u82e5\u4ee5\u4e0a\u806f\u7d61\u96fb\u8a71\u8a2d\u6709\u7559\u8a00\u4fe1\u7bb1\uff0c\u6211\u5011\u662f\u5426\u53ef\u4ee5\u767c\u51fa\u8207\u672c\u500b\u6848\u76f8\u95dc\u7684\u7559\u8a00?\n          \n          <span class=\"bAc1 bBD1  b1-58-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-58-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bk1 bAL1 bBY1 bCB1 bCC1  b1-58-cc b1-cc bf-cc bf-cc \" role=\"radiogroup\" aria-labelledby=\"b1-58-1-lbl\" aria-describedby=\"b1-58-err-txt\" aria-required=\"true\">\n        <div class=\"b1-58-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-58-1-chk-0\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-58-ci b1-ci bf-ci bf-ci \" value=\"Yes\" name=\"radio-1-58\" \/>\n            <label data-cl for=\"b1-58-1-chk-0\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-58-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-58-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-58-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-58-ck-svg\" class=\"b1-58-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-58-ct b1-ct bf-ct bf-ct \">\n                Yes \u53ef\u4ee5\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-58-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-58-1-chk-1\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-58-ci b1-ci bf-ci bf-ci \" value=\"No\" name=\"radio-1-58\" \/>\n            <label data-cl for=\"b1-58-1-chk-1\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-58-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-58-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-58-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-58-ck-svg\" class=\"b1-58-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-58-ct b1-ct bf-ct bf-ct \">\n                No \u4e0d\u53ef\n              <\/span>\n            <\/label>\n          <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-58-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-58-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-58-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-58-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-58-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-19 \"><div class=\"bf-radio-field bj1 bp1 bAK1 bAO1  b1-19-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-19-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-19-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-19-lbl b1-lbl bf-lbl bf-label \" for=\"b1-19-1\">\n          \n          \n          I prefer to be contacted by... \u8acb\u4f7f\u7528\u4ee5\u4e0b\u65b9\u5f0f\u806f\u7d61\u6211\uff1a\n          \n          <span class=\"bAc1 bBD1  b1-19-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-19-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bk1 bAL1 bBY1 bBZ1 bBa1  b1-19-cc b1-cc bf-cc bf-cc \" role=\"radiogroup\" aria-labelledby=\"b1-19-1-lbl\" aria-describedby=\"b1-19-hlp-txt b1-19-err-txt\" aria-required=\"true\">\n        <div class=\"b1-19-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-19-1-chk-0\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-19-ci b1-ci bf-ci bf-ci \" value=\"Phone\" name=\"prefer_way_of_contact\" \/>\n            <label data-cl for=\"b1-19-1-chk-0\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-19-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-19-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-19-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-19-ck-svg\" class=\"b1-19-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-19-ct b1-ct bf-ct bf-ct \">\n                Phone \u96fb\u8a71\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-19-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-19-1-chk-1\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-19-ci b1-ci bf-ci bf-ci \" value=\"Email\" name=\"prefer_way_of_contact\" \/>\n            <label data-cl for=\"b1-19-1-chk-1\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-19-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-19-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-19-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-19-ck-svg\" class=\"b1-19-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-19-ct b1-ct bf-ct bf-ct \">\n                Email \u96fb\u90f5\n              <\/span>\n            <\/label>\n          <\/div>\n      <\/div>\n          <div id=\"b1-19-hlp-txt\" class=\"bA1 bI1 bk1 bt1 bu1 bAb1 bAe1 bBx1 bBy1 bBz1 bCA1 bFv1  b1-19-hlp-txt b1-hlp-txt bf-hlp-txt bf-helper-text-container \">\n          \n          For phone appointments, clinic staff may call you from a \"private\" or \"unknown\" number, pIease adjust your phone settings so you can receive our call. \u82e5\u9078\u64c7\u96fb\u8a71\u6703\u8ac7\uff0c\u4e2d\u5fc3\u5de5\u4f5c\u4eba\u54e1\u7684\u96fb\u8a71\u865f\u78bc\u6216\u6703\u986f\u793a\u70ba\u300c\u79c1\u4eba\u300d\u6216\u300c\u4e0d\u660e\u300d\uff0c\u8acb\u9810\u5148\u8abf\u6574\u95a3\u4e0b\u96fb\u8a71\u7684\u8a2d\u5b9a\u4ee5\u81f4\u53ef\u4ee5\u9806\u5229\u63a5\u6536\u5230\u6211\u5011\u7684\u806f\u7d61\u3002\n          \n        <\/div>\n          <div class=\"bAL1 bAM1 bAN1  b1-19-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-19-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-19-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-19-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-19-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-59 \"><div class=\"bf-check-field bj1 bp1 bAK1 bAO1  b1-59-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-59-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-59-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-59-lbl b1-lbl bf-lbl bf-label \" for=\"b1-59-1\">\n          \n          \n          I'm available at these time slots for phone calls \u6211\u65bc\u4ee5\u4e0b\u6642\u9593\u65b9\u4fbf\u4f7f\u7528\u96fb\u8a71\u806f\u7d61\uff1a\n          \n          <span class=\"bAc1 bBD1  b1-59-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-59-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bk1 bAL1 bBY1 bBZ1 bFj1  b1-59-cc b1-cc bf-cc bf-cc \" role=\"group\" aria-labelledby=\"b1-59-1-lbl\" aria-describedby=\"b1-59-hlp-txt b1-59-err-txt\" aria-required=\"true\">\n        <svg class=\"bBc1 bBs1 bBt1 bBu1 bBv1  b1-59-cks b1-cks bf-cks bf-cks\" aria-hidden=\"true\">\n          <symbol id=\"b1-59-ck-svg\" viewbox=\"0 0 12 10\">\n            <polyline class=\"bCG1 bCH1 bCI1 bCJ1 bCK1 bCL1  b1-59-ck-svgline b1-ck-svgline bf-ck-svgline bf-ck-svgline\" points=\"1.5 6 4.5 9 10.5 1\"><\/polyline>\n          <\/symbol>\n        <\/svg>\n        \n        <div class=\"b1-59-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-59-1-chk-0\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-59-ci b1-ci bf-ci bf-ci \" value=\"Mon Morning\" name=\"check-1-59[]\" \/>\n          <label data-cl for=\"b1-59-1-chk-0\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-59-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-59-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-59-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-59-ck-svg\" class=\"bCF1  b1-59-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-59-ct b1-ct bf-ct bf-ct \">\n              Monday Morning \u661f\u671f\u4e00\u4e0a\u5348\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-59-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-59-1-chk-1\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-59-ci b1-ci bf-ci bf-ci \" value=\"Mon Afternoon\" name=\"check-1-59[]\" \/>\n          <label data-cl for=\"b1-59-1-chk-1\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-59-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-59-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-59-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-59-ck-svg\" class=\"bCF1  b1-59-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-59-ct b1-ct bf-ct bf-ct \">\n              Monday Afternoon \u661f\u671f\u4e00\u4e0b\u5348\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-59-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-59-1-chk-2\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-59-ci b1-ci bf-ci bf-ci \" value=\"Tue Morning\" name=\"check-1-59[]\" \/>\n          <label data-cl for=\"b1-59-1-chk-2\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-59-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-59-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-59-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-59-ck-svg\" class=\"bCF1  b1-59-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-59-ct b1-ct bf-ct bf-ct \">\n              Tuesday Morning \u661f\u671f\u4e8c\u4e0a\u5348\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-59-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-59-1-chk-3\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-59-ci b1-ci bf-ci bf-ci \" value=\"Tue Afternoon\" name=\"check-1-59[]\" \/>\n          <label data-cl for=\"b1-59-1-chk-3\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-59-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-59-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-59-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-59-ck-svg\" class=\"bCF1  b1-59-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-59-ct b1-ct bf-ct bf-ct \">\n              Tuesday Afternoon \u661f\u671f\u4e8c\u4e0b\u5348\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-59-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-59-1-chk-4\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-59-ci b1-ci bf-ci bf-ci \" value=\"Wed Morning\" name=\"check-1-59[]\" \/>\n          <label data-cl for=\"b1-59-1-chk-4\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-59-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-59-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-59-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-59-ck-svg\" class=\"bCF1  b1-59-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-59-ct b1-ct bf-ct bf-ct \">\n              Wednesday Morning \u661f\u671f\u4e09\u4e0a\u5348\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-59-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-59-1-chk-5\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-59-ci b1-ci bf-ci bf-ci \" value=\"Wed Afternoon\" name=\"check-1-59[]\" \/>\n          <label data-cl for=\"b1-59-1-chk-5\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-59-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-59-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-59-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-59-ck-svg\" class=\"bCF1  b1-59-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-59-ct b1-ct bf-ct bf-ct \">\n              Wednesday Afternoon \u661f\u671f\u4e09\u4e0b\u5348\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-59-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-59-1-chk-6\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-59-ci b1-ci bf-ci bf-ci \" value=\"Thu Monring\" name=\"check-1-59[]\" \/>\n          <label data-cl for=\"b1-59-1-chk-6\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-59-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-59-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-59-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-59-ck-svg\" class=\"bCF1  b1-59-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-59-ct b1-ct bf-ct bf-ct \">\n              Thursday Morning \u661f\u671f\u56db\u4e0a\u5348\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-59-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-59-1-chk-7\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-59-ci b1-ci bf-ci bf-ci \" value=\"Thu Afternoon\" name=\"check-1-59[]\" \/>\n          <label data-cl for=\"b1-59-1-chk-7\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-59-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-59-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-59-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-59-ck-svg\" class=\"bCF1  b1-59-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-59-ct b1-ct bf-ct bf-ct \">\n              Thursday Afternoon \u661f\u671f\u56db\u4e0b\u5348\n            <\/span>\n          <\/label>\n        <\/div>\n      <\/div>\n          <div id=\"b1-59-hlp-txt\" class=\"bA1 bI1 bk1 bt1 bu1 bAb1 bAe1 bBx1 bBy1 bBz1 bCA1 bFv1  b1-59-hlp-txt b1-hlp-txt bf-hlp-txt bf-helper-text-container \">\n          \n          ( Select all available time slots \u53ef\u9078\u591a\u9805 )\n          \n        <\/div>\n          <div class=\"bAL1 bAM1 bAN1  b1-59-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-59-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-59-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-59-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-59-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-60 \"><div class=\"bf-radio-field bj1 bp1 bAK1 bAO1  b1-60-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-60-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-60-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-60-lbl b1-lbl bf-lbl bf-label \" for=\"b1-60-1\">\n          \n          \n          Preferred Language \u9996\u9078\u8a9e\u8a00\uff1a\n          \n          <span class=\"bAc1 bBD1  b1-60-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-60-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bk1 bAL1 bBY1 bCB1 bCC1  b1-60-cc b1-cc bf-cc bf-cc \" role=\"radiogroup\" aria-labelledby=\"b1-60-1-lbl\" aria-describedby=\"b1-60-err-txt\" aria-required=\"true\">\n        <div class=\"b1-60-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-60-1-chk-0\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-60-ci b1-ci bf-ci bf-ci \" value=\"Cantonese\" name=\"radio-1-60\" \/>\n            <label data-cl for=\"b1-60-1-chk-0\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-60-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-60-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-60-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-60-ck-svg\" class=\"b1-60-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-60-ct b1-ct bf-ct bf-ct \">\n                Cantonese \u5ee3\u6771\u8a71\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-60-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-60-1-chk-1\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-60-ci b1-ci bf-ci bf-ci \" value=\"English\" name=\"radio-1-60\" \/>\n            <label data-cl for=\"b1-60-1-chk-1\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-60-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-60-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-60-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-60-ck-svg\" class=\"b1-60-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-60-ct b1-ct bf-ct bf-ct \">\n                English \u82f1\u8a9e\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-60-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-60-1-chk-2\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-60-ci b1-ci bf-ci bf-ci \" value=\"Mandarin\" name=\"radio-1-60\" \/>\n            <label data-cl for=\"b1-60-1-chk-2\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-60-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-60-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-60-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-60-ck-svg\" class=\"b1-60-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-60-ct b1-ct bf-ct bf-ct \">\n                Mandarin \u666e\u901a\u8a71\n              <\/span>\n            <\/label>\n          <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-60-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-60-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-60-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-60-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-60-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div>\n            <\/div>\n            <div class=\"bj1 _frm-b1-stp-btn-wrpr\">\n              <div class=\"bA1 bI1 bh1 bi1 _frm-b1-stp-btn-cntnt\">\n                <button class=\"bA1 bB1 bC1 bD1 bE1 bF1 bG1 bH1 bI1 bJ1 bK1 bL1 bM1 bN1 bO1 bP1 bQ1 bR1 bW1 bX1 bY1 bZ1 ba1 bb1 bc1 bd1 be1 bFt1 _frm-b1-prev-step-btn prev-step-btn\" name=\"prev-step-btn\" type=\"button\">\n          \n          Previous\n          \n          <span class=\"bf-spinner d-none\"><\/span>\n        <\/button>\n                <button class=\"bA1 bB1 bC1 bD1 bE1 bF1 bG1 bH1 bI1 bJ1 bK1 bL1 bM1 bN1 bO1 bP1 bQ1 bR1 bW1 bX1 bY1 bZ1 ba1 bb1 bc1 bd1 be1 bFt1 _frm-b1-next-step-btn next-step-btn\" name=\"next-step-btn\" type=\"button\">\n          \n          Next\n          \n          <span class=\"bf-spinner d-none\"><\/span>\n        <\/button>\n              <\/div>\n      <\/div>\n          <\/div>\n\n          <div class=\"bI1 bf1 bk1 bEH1 bEI1 bEJ1 _frm-b1-stp-cntnt _frm-b-stp-cntnt deactive\" data-step=\"2\" role=\"tabpanel\" id=\"step-1-2-panel\" aria-labelledby=\"step-1-2-tab\" aria-hidden=\"true\">\n            <div class=\"_frm-b1 _frm-b\">\n              <div class=\"btcd-fld-itm b1-22 \"><div class=\"bI1 bh1 bAT1 bAU1  b1-22-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n     \n      <div class=\"bAY1  b1-22-titl-wrp b1-titl-wrp bf-titl-wrp bf-title-wrapper \">\n              <h3 class=\"bA1 bI1 bg1 bAW1 bAZ1 bAa1 bFz1  b1-22-title b1-title bf-title bf-title \">\n      \n      Case Progress \u500b\u6848\u9032\u5ea6\n      \n      <\/h3>\n        \n      <\/div>\n    <\/div><\/div><div class=\"btcd-fld-itm b1-23 \"><div class=\"bf-radio-field bj1 bp1 bAK1 bAO1  b1-23-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-23-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-23-1-lbl\" class=\"bA1 bI1 bk1 bp1 br1 bs1 bAb1 bBB1 bFu1  b1-23-lbl b1-lbl bf-lbl bf-label \" for=\"b1-23-1\">\n          \n          \n          <b>Do you currently have a lawyer or paralegal assisting you with this matter? \u6b64\u500b\u6848\u662f\u5426\u5df2\u6709\u5f8b\u5e2b\u6216\u52a9\u7406\u5f8b\u5e2b\u5354\u52a9?<\/b>\n          \n          <span class=\"bAc1 bBD1  b1-23-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-23-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bk1 bAL1 bBY1 bCB1 bCC1  b1-23-cc b1-cc bf-cc bf-cc \" role=\"radiogroup\" aria-labelledby=\"b1-23-1-lbl\" aria-describedby=\"b1-23-err-txt\" aria-required=\"true\">\n        <div class=\"b1-23-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-23-1-chk-0\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-23-ci b1-ci bf-ci bf-ci \" value=\"Yes\" name=\"radio-1-23\" \/>\n            <label data-cl for=\"b1-23-1-chk-0\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-23-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-23-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-23-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-23-ck-svg\" class=\"b1-23-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-23-ct b1-ct bf-ct bf-ct \">\n                Yes \u662f\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-23-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-23-1-chk-1\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-23-ci b1-ci bf-ci bf-ci \" value=\"No\" name=\"radio-1-23\" \/>\n            <label data-cl for=\"b1-23-1-chk-1\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-23-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-23-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-23-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-23-ck-svg\" class=\"b1-23-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-23-ct b1-ct bf-ct bf-ct \">\n                No \u5c1a\u672a\n              <\/span>\n            <\/label>\n          <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-23-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-23-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-23-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-23-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-23-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-24 \"><div class=\"bf-radio-field bj1 bp1 bAK1 bAO1  b1-24-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-24-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-24-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-24-lbl b1-lbl bf-lbl bf-label \" for=\"b1-24-1\">\n          \n          \n          <b>Have you consulted a lawyer or paralegal about this matter? \u4f60\u6709\u5426\u66fe\u7d93\u5c0b\u627e\u5176\u4ed6\u5f8b\u5e2b\u6216\u52a9\u7406\u5f8b\u8aee\u8a62\u6b64\u6848?<\/b>\n          \n          <span class=\"bAc1 bBD1  b1-24-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-24-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bk1 bAL1 bBY1 bCB1 bCC1  b1-24-cc b1-cc bf-cc bf-cc \" role=\"radiogroup\" aria-labelledby=\"b1-24-1-lbl\" aria-describedby=\"b1-24-err-txt\" aria-required=\"true\">\n        <div class=\"b1-24-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-24-1-chk-0\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-24-ci b1-ci bf-ci bf-ci \" value=\"Yes\" name=\"radio-1-24\" \/>\n            <label data-cl for=\"b1-24-1-chk-0\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-24-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-24-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-24-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-24-ck-svg\" class=\"b1-24-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-24-ct b1-ct bf-ct bf-ct \">\n                Yes \u6709\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-24-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-24-1-chk-1\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-24-ci b1-ci bf-ci bf-ci \" value=\"No\" name=\"radio-1-24\" \/>\n            <label data-cl for=\"b1-24-1-chk-1\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-24-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-24-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-24-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-24-ck-svg\" class=\"b1-24-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-24-ct b1-ct bf-ct bf-ct \">\n                No \u6c92\u6709\n              <\/span>\n            <\/label>\n          <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-24-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-24-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-24-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-24-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-24-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-25 fld-hide\"><div class=\"bf-text-field bj1 bp1 bAK1 bAO1  b1-25-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-25-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-25-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-25-lbl b1-lbl bf-lbl bf-label \" for=\"b1-25-1\">\n          \n          \n          <b>What is the reason for consulting CCM Legal Clinic? \u5982\u5df2\u6709\u5f8b\u5e2b\u5354\u52a9\u6b64\u6848\uff0c\u8acb\u7c21\u8ff0\u8aee\u8a62\u4e2d\u4fe1\u6cd5\u63f4\u4e2d\u5fc3\u7684\u539f\u56e0\u3002<\/b>\n          \n          \n        <\/label><\/div>\n        <div class=\"b1-25-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bn1 bp1  b1-25-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b1-25-1\" class=\"bC1 bJ1 bK1 bw1 by1 bz1 bAZ1 bAh1 bAi1 bAj1 bAk1 bAl1 bAm1 bAn1 bAo1 bAp1 bAq1 bAr1 bAs1 bAt1 bAu1 bAv1 bAw1 bAx1 bAy1 bAz1 bBA1 bFx1 bFz1 bGA1 bGB1 bGC1 bGD1 bGE1 bGF1 bGG1 bGH1  b1-25-fld b1-fld bf-fld bf-field \" type=\"text\" aria-describedby=\"b1-25-err-txt\" name=\"text-1-25\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bAL1 bAM1 bAN1  b1-25-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-25-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-25-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-25-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-25-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-26 \"><div class=\"bf-check-field bj1 bp1 bAK1 bAO1  b1-26-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-26-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-26-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-26-lbl b1-lbl bf-lbl bf-label \" for=\"b1-26-1\">\n          \n          \n          <b>How did you hear about CCM Legal Clinic? \u4f60\u5f9e\u4f55\u9014\u5f91\u5f97\u77e5\u4e2d\u4fe1\u6cd5\u5f8b\u63f4\u52a9\u4e2d\u5fc3\uff1f<\/b>\n          \n          <span class=\"bAc1 bBD1  b1-26-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-26-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bk1 bAL1 bBY1 bBZ1 bBa1  b1-26-cc b1-cc bf-cc bf-cc \" role=\"group\" aria-labelledby=\"b1-26-1-lbl\" aria-describedby=\"b1-26-err-txt\" aria-required=\"true\">\n        <svg class=\"bBc1 bBs1 bBt1 bBu1 bBv1  b1-26-cks b1-cks bf-cks bf-cks\" aria-hidden=\"true\">\n          <symbol id=\"b1-26-ck-svg\" viewbox=\"0 0 12 10\">\n            <polyline class=\"bCG1 bCH1 bCI1 bCJ1 bCK1 bCL1  b1-26-ck-svgline b1-ck-svgline bf-ck-svgline bf-ck-svgline\" points=\"1.5 6 4.5 9 10.5 1\"><\/polyline>\n          <\/symbol>\n        <\/svg>\n        \n        <div class=\"b1-26-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-26-1-chk-0\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-26-ci b1-ci bf-ci bf-ci \" value=\"CCM Vancouver Website \u4e2d\u4fe1\u6eab\u54e5\u83ef\u4e2d\u5fc3\u7db2\u7ad9\" required name=\"check-1-26[]\" \/>\n          <label data-cl for=\"b1-26-1-chk-0\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-26-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-26-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-26-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-26-ck-svg\" class=\"bCF1  b1-26-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-26-ct b1-ct bf-ct bf-ct \">\n              CCM Vancouver Website \u4e2d\u4fe1\u6eab\u54e5\u83ef\u4e2d\u5fc3\u7db2\u7ad9\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-26-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-26-1-chk-1\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-26-ci b1-ci bf-ci bf-ci \" value=\"CCM Canada Website \u52a0\u62ff\u5927\u4e2d\u4fe1\u7db2\u7ad9\" required name=\"check-1-26[]\" \/>\n          <label data-cl for=\"b1-26-1-chk-1\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-26-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-26-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-26-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-26-ck-svg\" class=\"bCF1  b1-26-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-26-ct b1-ct bf-ct bf-ct \">\n              CCM Canada Website \u52a0\u62ff\u5927\u4e2d\u4fe1\u7db2\u7ad9\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-26-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-26-1-chk-2\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-26-ci b1-ci bf-ci bf-ci \" value=\"Search engines (Google, Bing, etc.) \u7db2\u7d61\u641c\u5c0b\u5668\" required name=\"check-1-26[]\" \/>\n          <label data-cl for=\"b1-26-1-chk-2\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-26-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-26-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-26-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-26-ck-svg\" class=\"bCF1  b1-26-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-26-ct b1-ct bf-ct bf-ct \">\n              Search engines (Google, Bing, etc.) \u7db2\u7d61\u641c\u5c0b\u5668\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-26-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-26-1-chk-3\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-26-ci b1-ci bf-ci bf-ci \" value=\"Social Media \u793e\u4ea4\u7db2\u7ad9\" required name=\"check-1-26[]\" \/>\n          <label data-cl for=\"b1-26-1-chk-3\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-26-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-26-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-26-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-26-ck-svg\" class=\"bCF1  b1-26-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-26-ct b1-ct bf-ct bf-ct \">\n              Social Media \u793e\u4ea4\u7db2\u7ad9\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-26-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-26-1-chk-4\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-26-ci b1-ci bf-ci bf-ci \" value=\"Recommended by friend or colleague \u89aa\u53cb\u6216\u540c\u4e8b\u63a8\u4ecb\" required name=\"check-1-26[]\" \/>\n          <label data-cl for=\"b1-26-1-chk-4\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-26-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-26-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-26-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-26-ck-svg\" class=\"bCF1  b1-26-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-26-ct b1-ct bf-ct bf-ct \">\n              Recommended by friend or colleague \u89aa\u53cb\u6216\u540c\u4e8b\u63a8\u4ecb\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-26-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-26-1-chk-5\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-26-ci b1-ci bf-ci bf-ci \" value=\"Referral by Others \u4ed6\u4eba\u8f49\u4ecb\" required name=\"check-1-26[]\" \/>\n          <label data-cl for=\"b1-26-1-chk-5\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-26-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-26-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-26-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-26-ck-svg\" class=\"bCF1  b1-26-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-26-ct b1-ct bf-ct bf-ct \">\n              Referral by Others \u4ed6\u4eba\u8f49\u4ecb\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-26-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-26-1-chk-6\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-26-ci b1-ci bf-ci bf-ci \" value=\"Advertisement .\u5ee3\u544a\" required name=\"check-1-26[]\" \/>\n          <label data-cl for=\"b1-26-1-chk-6\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-26-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-26-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-26-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-26-ck-svg\" class=\"bCF1  b1-26-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-26-ct b1-ct bf-ct bf-ct \">\n              Advertisement .\u5ee3\u544a\n            <\/span>\n          <\/label>\n        <\/div>\n        <div class=\"b1-26-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-26-1-chk-7\" type=\"checkbox\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bCE1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-26-ci b1-ci bf-ci bf-ci \" value=\"Others \u5176\u4ed6\" required name=\"check-1-26[]\" \/>\n          <label data-cl for=\"b1-26-1-chk-7\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-26-cl b1-cl bf-cl bf-cl \">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-26-bx b1-bx bf-bx bf-box \">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCM1 bCN1 bCO1 bGO1  b1-26-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-26-ck-svg\" class=\"bCF1  b1-26-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bs1 bAA1 bBw1  b1-26-ct b1-ct bf-ct bf-ct \">\n              Others \u5176\u4ed6\n            <\/span>\n          <\/label>\n        <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-26-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-26-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-26-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-26-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-26-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-27 \"><div class=\"bA1 bI1 bAS1  b1-27-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bz1 bAP1 bAQ1 bAR1 bFy1  b1-27-divider b1-divider bf-divider bf-divider \"><\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-28 \"><div class=\"bI1 bh1 bAT1 bAU1  b1-28-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n     \n      <div class=\"bAY1  b1-28-titl-wrp b1-titl-wrp bf-titl-wrp bf-title-wrapper \">\n              <h3 class=\"bA1 bI1 bg1 bAW1 bAZ1 bAa1 bFz1  b1-28-title b1-title bf-title bf-title \">\n      \n      Case Description \u500b\u6848\u63cf\u8ff0\n      \n      <\/h3>\n        \n      <\/div>\n    <\/div><\/div><div class=\"btcd-fld-itm b1-29 \"><div class=\"bf-radio-field bj1 bp1 bAK1 bAO1  b1-29-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-29-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-29-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-29-lbl b1-lbl bf-lbl bf-label \" for=\"b1-29-1\">\n          \n          \n          <b>Please select the most appropriate legal category \u8acb\u9078\u64c7\u500b\u6848\u7684\u6700\u4f73\u63cf\u8ff0\uff1a<\/b>\n          \n          <span class=\"bAc1 bBD1  b1-29-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-29-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bk1 bAL1 bBY1 bCB1 bCC1  b1-29-cc b1-cc bf-cc bf-cc \" role=\"radiogroup\" aria-labelledby=\"b1-29-1-lbl\" aria-describedby=\"b1-29-err-txt\" aria-required=\"true\">\n        <div class=\"b1-29-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-29-1-chk-0\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-29-ci b1-ci bf-ci bf-ci \" value=\"Minor Criminal Charges \" name=\"radio-1-29\" \/>\n            <label data-cl for=\"b1-29-1-chk-0\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-29-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-29-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-29-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-29-ck-svg\" class=\"b1-29-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-29-ct b1-ct bf-ct bf-ct \">\n                Minor Criminal Charges \u8f15\u5fae\u5211\u4e8b\u8d77\u8a34\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-29-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-29-1-chk-1\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-29-ci b1-ci bf-ci bf-ci \" value=\"Landlord &amp; Tenant lssues\" name=\"radio-1-29\" \/>\n            <label data-cl for=\"b1-29-1-chk-1\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-29-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-29-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-29-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-29-ck-svg\" class=\"b1-29-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-29-ct b1-ct bf-ct bf-ct \">\n                Landlord &amp; Tenant lssues \u79df\u52d9\u7cfe\u7d1b\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-29-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-29-1-chk-2\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-29-ci b1-ci bf-ci bf-ci \" value=\"FamiIy Law\" name=\"radio-1-29\" \/>\n            <label data-cl for=\"b1-29-1-chk-2\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-29-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-29-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-29-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-29-ck-svg\" class=\"b1-29-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-29-ct b1-ct bf-ct bf-ct \">\n                FamiIy Law \u5bb6\u5ead\u6cd5\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-29-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-29-1-chk-3\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-29-ci b1-ci bf-ci bf-ci \" value=\"Disputes under $35,000\" name=\"radio-1-29\" \/>\n            <label data-cl for=\"b1-29-1-chk-3\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-29-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-29-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-29-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-29-ck-svg\" class=\"b1-29-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-29-ct b1-ct bf-ct bf-ct \">\n                Disputes under $35,000 \u5c0f\u984d\u7cfe\u7d1b ($35,000\u4ee5\u4e0b)\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-29-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-29-1-chk-4\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-29-ci b1-ci bf-ci bf-ci \" value=\"Others\" name=\"radio-1-29\" \/>\n            <label data-cl for=\"b1-29-1-chk-4\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-29-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-29-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-29-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-29-ck-svg\" class=\"b1-29-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-29-ct b1-ct bf-ct bf-ct \">\n                Others \u5176\u4ed6\n              <\/span>\n            <\/label>\n          <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-29-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-29-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-29-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-29-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-29-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-30 \"><div class=\"bf-textarea-field bj1 bp1 bAK1 bAO1  b1-30-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-30-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-30-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-30-lbl b1-lbl bf-lbl bf-label \" for=\"b1-30-1\">\n          \n          \n          <b>Please briefly describe the issue or problem \u7c21\u8ff0\u500b\u6848\uff1a<\/b>\n          \n          \n        <\/label><\/div>\n        <div class=\"b1-30-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bn1 bp1  b1-30-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n      <textarea rows=\"4\" id=\"b1-30-1\" class=\"bC1 bJ1 bK1 bw1 by1 bz1 bAZ1 bAh1 bAj1 bAk1 bAm1 bAn1 bAo1 bAp1 bAq1 bAr1 bAs1 bAt1 bAu1 bAv1 bAw1 bAx1 bAy1 bAz1 bBA1 bEb1 bFx1 bFz1 bGA1 bGB1 bGC1 bGD1 bGE1 bGF1 bGG1 bGH1  b1-30-fld b1-fld bf-fld bf-field \" aria-describedby=\"b1-30-err-txt\" name=\"textarea-1-30\"><\/textarea>\n      \n      \n    <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-30-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-30-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-30-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-30-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-30-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div>\n            <\/div>\n            <div class=\"bj1 _frm-b1-stp-btn-wrpr\">\n              <div class=\"bA1 bI1 bh1 bi1 _frm-b1-stp-btn-cntnt\">\n                <button class=\"bA1 bB1 bC1 bD1 bE1 bF1 bG1 bH1 bI1 bJ1 bK1 bL1 bM1 bN1 bO1 bP1 bQ1 bR1 bW1 bX1 bY1 bZ1 ba1 bb1 bc1 bd1 be1 bFt1 _frm-b1-prev-step-btn prev-step-btn\" name=\"prev-step-btn\" type=\"button\">\n          \n          Previous\n          \n          <span class=\"bf-spinner d-none\"><\/span>\n        <\/button>\n                <button class=\"bA1 bB1 bC1 bD1 bE1 bF1 bG1 bH1 bI1 bJ1 bK1 bL1 bM1 bN1 bO1 bP1 bQ1 bR1 bW1 bX1 bY1 bZ1 ba1 bb1 bc1 bd1 be1 bFt1 _frm-b1-next-step-btn next-step-btn\" name=\"next-step-btn\" type=\"button\">\n          \n          Next\n          \n          <span class=\"bf-spinner d-none\"><\/span>\n        <\/button>\n              <\/div>\n      <\/div>\n          <\/div>\n\n          <div class=\"bI1 bf1 bk1 bEH1 bEI1 bEJ1 _frm-b1-stp-cntnt _frm-b-stp-cntnt deactive\" data-step=\"3\" role=\"tabpanel\" id=\"step-1-3-panel\" aria-labelledby=\"step-1-3-tab\" aria-hidden=\"true\">\n            <div class=\"_frm-b1 _frm-b\">\n              <div class=\"btcd-fld-itm b1-33 \"><div class=\"bI1 bh1 bAT1 bAU1  b1-33-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n     \n      <div class=\"bAY1  b1-33-titl-wrp b1-titl-wrp bf-titl-wrp bf-title-wrapper \">\n              <h3 class=\"bA1 bI1 bg1 bAW1 bAZ1 bAa1 bFz1  b1-33-title b1-title bf-title bf-title \">\n      \n      Financial Information \u5165\u606f\u53ca\u8cc7\u7522\u8cc7\u6599\n      \n      <\/h3>\n        \n      <\/div>\n    <\/div><\/div><div class=\"btcd-fld-itm b1-34 \"><div class=\"bf-currency-field bj1 bp1 bAK1 bAO1  b1-34-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-34-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-34-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-34-lbl b1-lbl bf-lbl bf-label \" for=\"b1-34-1\">\n          \n          \n          <b>Annual Family lncome \u5bb6\u5ead\u5e74\u5165\u606f\u7e3d\u548c<\/b>\n          \n          <span class=\"bAc1 bBD1  b1-34-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-34-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bk1 bp1 bAl1 bCR1  b1-34-currency-fld-container b1-currency-fld-container bf-currency-fld-container bf-currency-field-container\">\n        <div class=\"bC1 bI1 bK1 bf1 bk1 bw1 by1 bz1 bAE1 bAZ1 bBc1 bEg1 bEh1 bEi1 bEj1 bEk1 bEl1 bEm1 bEn1 bEo1 bFx1 bFz1 bGj1 bGk1 bGl1 bGm1 bGn1 bGo1 bGp1 bGq1  b1-34-currency-fld-wrp b1-currency-fld-wrp bf-currency-fld-wrp bf-currency-field-wrapper   \"><input name=\"currency-1-34\" required aria-required=\"true\" aria-describedby=\"b1-34-hlp-txt b1-34-err-txt\" type=\"text\" title=\"Currency Hidden Input\" class=\"b1-34-currency-hidden-input b1-currency-hidden-input bf-currency-hidden-input bf-currency-hidden-input d-none\" value=\"\" \/><div class=\"bI1 bp1 bAS1  b1-34-currency-inner-wrp b1-currency-inner-wrp bf-currency-inner-wrp bf-currency-inner-wrapper\">\n        <div class=\"bA1 bH1 bI1 bP1 bb1 bi1 bo1 bp1 bs1 bAE1 bBx1 bCP1 bEq1 bEr1 bFt1 bGr1  b1-34-dpd-wrp b1-dpd-wrp bf-dpd-wrp bf-dpd-wrapper \" role=\"combobox\" aria-controls=\"currency-dropdown\" aria-haspopup=\"listbox\" aria-live=\"assertive\" aria-labelledby=\"{$labelId}\" aria-expanded=\"false\" tabindex=\"0\">\n          \n          <div class=\"bAH1 bAL1 bCS1 bEp1  b1-34-dpd-down-btn b1-dpd-down-btn bf-dpd-down-btn bf-dpd-down-button\">\n            <svg width=\"15\" height=\"15\" role=\"img\" title=\"Downarrow icon\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\">\n              <polyline points=\"6 9 12 15 18 9\" \/>\n            <\/svg>\n          <\/div>\n        <\/div><input aria-label=\"Currency Input\" type=\"text\" class=\"bJ1 bK1 bAZ1 bAj1 bAk1 bAm1 bAr1 bCP1 bCQ1 bEc1 bEd1 bEe1 bEf1 bFz1 bGB1  b1-34-currency-amount-input b1-currency-amount-input bf-currency-amount-input bf-currency-amount-input \" placeholder=\"CAD $\" tabindex=\"0\" data-num-value=\"\" \/>\n      \n    <\/div><div class=\"bI1 bf1 bk1 bAE1 bCh1 bFS1  b1-34-option-wrp b1-option-wrp bf-option-wrp bf-option-wrapper \">\n        <div class=\"bI1 bf1 bp1 bAE1  b1-34-option-inner-wrp b1-option-inner-wrp bf-option-inner-wrp bf-option-inner-wrapper\">\n          <div class=\"bp1 bFR1  b1-34-option-search-wrp b1-option-search-wrp bf-option-search-wrp bf-option-search-wrapper \">\n            <input type=\"search\" class=\"bJ1 bP1 bk1 bv1 bAZ1 bBB1 bCf1 bCg1 bEv1 bEw1 bEx1 bEy1 bEz1 bFA1 bFB1 bFC1 bFw1 bFz1 bGu1 bGv1 bGw1  b1-34-opt-search-input b1-opt-search-input bf-opt-search-input bf-option-search-input \" autocomplete=\"off\" tabindex=\"-1\" \/>\n            <svg class=\"bBc1 bCT1 bCU1 bEu1 bGt1  b1-34-opt-search-icn b1-opt-search-icn bf-opt-search-icn bf-option-search-icon \" aria-hidden=\"true\" width=\"22\" height=\"22\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\">\n              <circle cx=\"11\" cy=\"11\" r=\"8\" \/>\n              <line x1=\"21\" y1=\"21\" x2=\"16.65\" y2=\"16.65\" \/>\n            <\/svg>\n            \n          <\/div><ul class=\"bAS1 bAg1 bFD1 bFE1 bFF1 bFG1 bFH1 bFI1 bFJ1 bFK1 bFL1 bFM1 bFN1 bFO1 bFP1 bFQ1 bGx1 bGy1 bGz1 bHA1 bHB1 bHC1 bHD1 bHE1 bHF1 bHG1  b1-34-option-list b1-option-list bf-option-list bf-option-list \" tabindex=\"-1\" role=\"listbox\" aria-label=\"currency list\">\n        \n      <\/ul>\n          <\/div>\n        <\/div>\n      <\/div>\n    <\/div>\n          <div id=\"b1-34-hlp-txt\" class=\"bA1 bI1 bk1 bt1 bu1 bAb1 bAe1 bBx1 bBy1 bBz1 bCA1 bFv1  b1-34-hlp-txt b1-hlp-txt bf-hlp-txt bf-helper-text-container \">\n          \n          (If your income exceed our financial eligibility guidelines, we may still consider your application on a case-by-case basis.<br>&nbsp;\u5982\u679c\u60a8\u7684\u6536\u5165\u8d85\u904e\u6211\u5011\u7684\u8ca1\u52d9\u8cc7\u683c\u6a19\u6e96\uff0c\u6211\u5011\u4ecd\u53ef\u80fd\u6839\u64da\u5177\u9ad4\u60c5\u6cc1\u8003\u616e\u60a8\u7684\u7533\u8acb\u3002)\n          \n        <\/div>\n          <div class=\"bAL1 bAM1 bAN1  b1-34-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-34-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-34-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-34-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-34-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-35 \"><div class=\"bf-number-field bj1 bp1 bAK1 bAO1  b1-35-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-35-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-35-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-35-lbl b1-lbl bf-lbl bf-label \" for=\"b1-35-1\">\n          \n          \n          <b>FamiIy Size \u5bb6\u5ead\u4eba\u53e3<\/b>\n          \n          <span class=\"bAc1 bBD1  b1-35-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-35-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bn1 bp1  b1-35-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b1-35-1\" class=\"bC1 bJ1 bK1 bw1 by1 bz1 bAZ1 bAh1 bAi1 bAj1 bAk1 bAl1 bAm1 bAn1 bAo1 bAp1 bAq1 bAr1 bAs1 bAt1 bAu1 bAv1 bAw1 bAx1 bAy1 bAz1 bBA1 bFx1 bFz1 bGA1 bGB1 bGC1 bGD1 bGE1 bGF1 bGG1 bGH1  b1-35-fld b1-fld bf-fld bf-field \" type=\"number\" required aria-required=\"true\" aria-describedby=\"b1-35-err-txt\" name=\"number-1-35\" \/>\n        \n        \n      <\/div>\n      \n          \n          <div class=\"bAL1 bAM1 bAN1  b1-35-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-35-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-35-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-35-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-35-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-36 \"><div class=\"bf-radio-field bj1 bp1 bAK1 bAO1  b1-36-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-36-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-36-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-36-lbl b1-lbl bf-lbl bf-label \" for=\"b1-36-1\">\n          \n          \n          <b>I am currently receiving social assistance benefits, such as Income Assistance, PWD etc. \u6211\u662f\u5176\u4e2d\u4e00\u9805\u793e\u6703\u798f\u5229\u7684\u53d7\u60e0\u4eba\u3002<\/b>\n          \n          <span class=\"bAc1 bBD1  b1-36-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-36-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bk1 bAL1 bBY1 bCB1 bCC1  b1-36-cc b1-cc bf-cc bf-cc \" role=\"radiogroup\" aria-labelledby=\"b1-36-1-lbl\" aria-describedby=\"b1-36-err-txt\" aria-required=\"true\">\n        <div class=\"b1-36-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-36-1-chk-0\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-36-ci b1-ci bf-ci bf-ci \" value=\"Yes\" name=\"radio-1-36\" \/>\n            <label data-cl for=\"b1-36-1-chk-0\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-36-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-36-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-36-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-36-ck-svg\" class=\"b1-36-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-36-ct b1-ct bf-ct bf-ct \">\n                Yes \u662f\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-36-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-36-1-chk-1\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-36-ci b1-ci bf-ci bf-ci \" value=\"No\" name=\"radio-1-36\" \/>\n            <label data-cl for=\"b1-36-1-chk-1\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-36-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-36-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-36-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-36-ck-svg\" class=\"b1-36-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-36-ct b1-ct bf-ct bf-ct \">\n                No \u5426\n              <\/span>\n            <\/label>\n          <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-36-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-36-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-36-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-36-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-36-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-37 \"><div class=\"bf-text-field bj1 bp1 bAK1 bAO1  b1-37-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-37-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-37-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-37-lbl b1-lbl bf-lbl bf-label \" for=\"b1-37-1\">\n          \n          \n          How much liquid assets do you have? \u60a8\u6709\u591a\u5c11\u6d41\u52d5\u8cc7\u7522\uff1f\n          \n          \n        <\/label><\/div>\n        <div class=\"b1-37-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bn1 bp1  b1-37-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <input id=\"b1-37-1\" class=\"bC1 bJ1 bK1 bw1 by1 bz1 bAZ1 bAh1 bAi1 bAj1 bAk1 bAl1 bAm1 bAn1 bAo1 bAp1 bAq1 bAr1 bAs1 bAt1 bAu1 bAv1 bAw1 bAx1 bAy1 bAz1 bBA1 bFx1 bFz1 bGA1 bGB1 bGC1 bGD1 bGE1 bGF1 bGG1 bGH1  b1-37-fld b1-fld bf-fld bf-field \" type=\"text\" aria-describedby=\"b1-37-hlp-txt b1-37-err-txt\" name=\"text-1-37\" \/>\n        \n        \n      <\/div>\n      \n          <div id=\"b1-37-hlp-txt\" class=\"bA1 bI1 bk1 bt1 bu1 bAb1 bAe1 bBx1 bBy1 bBz1 bCA1 bFv1  b1-37-hlp-txt b1-hlp-txt bf-hlp-txt bf-helper-text-container \">\n          \n          (Liquid assets include cash and any assets that can be immediately converted to cash. \u6d41\u52d5\u8cc7\u7522\u5305\u62ec\u73fe\u91d1\u548c\u4efb\u4f55\u53ef\u4ee5\u7acb\u5373\u8f49\u63db\u70ba\u73fe\u91d1\u7684\u8cc7\u7522\u3002)\n          \n        <\/div>\n          <div class=\"bAL1 bAM1 bAN1  b1-37-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-37-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-37-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-37-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-37-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-38 \"><div class=\"bf-radio-field bj1 bp1 bAK1 bAO1  b1-38-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-38-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-38-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-38-lbl b1-lbl bf-lbl bf-label \" for=\"b1-38-1\">\n          \n          \n          Do you own the property in which you are now residing? \u4f60\u73fe\u5728\u7684\u5c45\u6240\u662f\u4f60\u95a3\u4e0b\u7684\u7269\u696d\u55ce\uff1f\n          \n          <span class=\"bAc1 bBD1  b1-38-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-38-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bk1 bAL1 bBY1 bCB1 bCC1  b1-38-cc b1-cc bf-cc bf-cc \" role=\"radiogroup\" aria-labelledby=\"b1-38-1-lbl\" aria-describedby=\"b1-38-err-txt\" aria-required=\"true\">\n        <div class=\"b1-38-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-38-1-chk-0\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-38-ci b1-ci bf-ci bf-ci \" value=\"Yes\" name=\"radio-1-38\" \/>\n            <label data-cl for=\"b1-38-1-chk-0\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-38-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-38-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-38-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-38-ck-svg\" class=\"b1-38-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-38-ct b1-ct bf-ct bf-ct \">\n                Yes \u662f\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-38-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-38-1-chk-1\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-38-ci b1-ci bf-ci bf-ci \" value=\"No\" name=\"radio-1-38\" \/>\n            <label data-cl for=\"b1-38-1-chk-1\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-38-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-38-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-38-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-38-ck-svg\" class=\"b1-38-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-38-ct b1-ct bf-ct bf-ct \">\n                No \u5426\n              <\/span>\n            <\/label>\n          <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-38-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-38-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-38-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-38-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-38-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-39 \"><div class=\"bf-radio-field bj1 bp1 bAK1 bAO1  b1-39-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bAb1 bBC1  b1-39-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><label id=\"b1-39-1-lbl\" class=\"bA1 bI1 bk1 br1 bs1 bAb1 bBB1 bFu1  b1-39-lbl b1-lbl bf-lbl bf-label \" for=\"b1-39-1\">\n          \n          \n          Are you renting the property in which you are now residing? \u4f60\u73fe\u5728\u7684\u5c45\u6240\u662f\u4f60\u79df\u4f4f\u7684\u55ce\uff1f\n          \n          <span class=\"bAc1 bBD1  b1-39-req-smbl b1-req-smbl bf-req-smbl bf-asterisk-symbol \" aria-hidden=\"true\">*<\/span>\n        <\/label><\/div>\n        <div class=\"b1-39-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bk1 bAL1 bBY1 bCB1 bCC1  b1-39-cc b1-cc bf-cc bf-cc \" role=\"radiogroup\" aria-labelledby=\"b1-39-1-lbl\" aria-describedby=\"b1-39-err-txt\" aria-required=\"true\">\n        <div class=\"b1-39-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-39-1-chk-0\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-39-ci b1-ci bf-ci bf-ci \" value=\"Yes\" name=\"radio-1-39\" \/>\n            <label data-cl for=\"b1-39-1-chk-0\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-39-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-39-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-39-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-39-ck-svg\" class=\"b1-39-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-39-ct b1-ct bf-ct bf-ct \">\n                Yes \u662f\n              <\/span>\n            <\/label>\n          <\/div><div class=\"b1-39-cw b1-cw bf-cw bf-cw \">\n            <input id=\"b1-39-1-chk-1\" type=\"radio\" class=\"bBb1 bBc1 bBd1 bBe1 bBf1 bBg1 bBh1 bBi1 bBj1 bBk1 bBl1 bBm1 bBn1 bBo1 bBp1 bBq1 bBr1 bGJ1 bGK1 bGL1 bGM1 bGN1  b1-39-ci b1-ci bf-ci bf-ci \" value=\"No\" name=\"radio-1-39\" \/>\n            <label data-cl for=\"b1-39-1-chk-1\" class=\"bA1 bH1 bI1 br1 bAB1 bFu1  b1-39-cl b1-cl bf-cl bf-cl \">\n              <span data-bx class=\"bA1 bM1 bp1 bx1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bBN1 bBO1 bBP1 bBQ1 bBR1 bBS1 bBT1 bBU1 bBV1 bBW1 bBX1 bGI1  b1-39-bx b1-bx bf-bx bf-box \">\n                <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"b1-39-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp \" aria-hidden=\"true\">\n                  <use data-ck-icn href=\"#b1-39-ck-svg\" class=\"b1-39-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon \" \/>\n                <\/svg>\n              <\/span>\n              <span class=\"bs1 bAA1 bBw1  b1-39-ct b1-ct bf-ct bf-ct \">\n                No \u5426\n              <\/span>\n            <\/label>\n          <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-39-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-39-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-39-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-39-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-39-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div>\n            <\/div>\n            <div class=\"bj1 _frm-b1-stp-btn-wrpr\">\n              <div class=\"bA1 bI1 bh1 bi1 _frm-b1-stp-btn-cntnt\">\n                <button class=\"bA1 bB1 bC1 bD1 bE1 bF1 bG1 bH1 bI1 bJ1 bK1 bL1 bM1 bN1 bO1 bP1 bQ1 bR1 bW1 bX1 bY1 bZ1 ba1 bb1 bc1 bd1 be1 bFt1 _frm-b1-prev-step-btn prev-step-btn\" name=\"prev-step-btn\" type=\"button\">\n          \n          Previous\n          \n          <span class=\"bf-spinner d-none\"><\/span>\n        <\/button>\n                <button class=\"bA1 bB1 bC1 bD1 bE1 bF1 bG1 bH1 bI1 bJ1 bK1 bL1 bM1 bN1 bO1 bP1 bQ1 bR1 bW1 bX1 bY1 bZ1 ba1 bb1 bc1 bd1 be1 bFt1 _frm-b1-next-step-btn next-step-btn\" name=\"next-step-btn\" type=\"button\">\n          \n          Next\n          \n          <span class=\"bf-spinner d-none\"><\/span>\n        <\/button>\n              <\/div>\n      <\/div>\n          <\/div>\n\n          <div class=\"bI1 bf1 bk1 bEH1 bEI1 bEJ1 _frm-b1-stp-cntnt _frm-b-stp-cntnt deactive\" data-step=\"4\" role=\"tabpanel\" id=\"step-1-4-panel\" aria-labelledby=\"step-1-4-tab\" aria-hidden=\"true\">\n            <div class=\"_frm-b1 _frm-b\">\n              <div class=\"btcd-fld-itm b1-42 \"><div class=\"bI1 bh1 bAT1 bAU1  b1-42-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n     \n      <div class=\"bAY1  b1-42-titl-wrp b1-titl-wrp bf-titl-wrp bf-title-wrapper \">\n              <h3 class=\"bA1 bI1 bg1 bAW1 bAZ1 bAa1 bFz1  b1-42-title b1-title bf-title bf-title \">\n      \n      Upload key document(s) \u4e0a\u50b3\u95dc\u9375\u6587\u4ef6\n      \n      <\/h3>\n              <div class=\"bA1 bI1 bg1 bAW1 bAZ1 bEC1 bFz1  b1-42-sub-titl b1-sub-titl bf-sub-titl bf-subtitle \">\n      \n      Supported file types \u652f\u63f4\u6a94\u6848\u683c\u5f0f\uff1aDOC, DOCX, PDF, JPG\n      \n      <\/div>\n      <\/div>\n    <\/div><\/div><div class=\"btcd-fld-itm b1-40 \"><div class=\"bf-file-up-field bj1 bp1 bAK1 bAO1 bFV1 bFW1  b1-40-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"b1-40-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><\/div>\n        <div class=\"b1-40-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"b1-40-file-up-container b1-file-up-container bf-file-up-container bf-file-up-container \">\n        <div class=\"b1-40-file-up-wrpr b1-file-up-wrpr bf-file-up-wrpr bf-file-up-wrpr   \">\n          <div class=\"bCk1 bCl1 bCm1 bCn1 bCo1 bCp1 bCq1 bCr1 bCs1 bCt1 bCu1 bCv1 bCw1 bCx1 bCy1 bCz1 bDA1 bDB1 bDC1 bDD1 bDE1 bDF1 bDG1 bDH1 bDI1 bDJ1 bDK1 bDL1 bDM1 bDN1 bDO1 bDP1 bDQ1 bDR1 bDS1 bDT1 bDU1 bDV1 bDW1 bDX1 bDY1 bDZ1 bDa1 bDb1 bDc1 bDd1 bDe1 bDf1 bDg1 bDh1 bDi1 bDj1 bDk1 bDl1 bDm1 bDn1 bDo1 bDp1 bDq1 bDr1 bDs1 bDt1 bDu1 bGS1 bGT1 bGU1 bGV1 bGW1 bGX1 bGY1 bGZ1 bGa1  b1-40-file-input-wrpr b1-file-input-wrpr bf-file-input-wrpr bf-file-input-wrpr \">\n            <div class=\"bA1 bI1 bp1 bCj1  b1-40-btn-wrpr b1-btn-wrpr bf-btn-wrpr bf-button-wrpr \">\n              <button type=\"button\" class=\"bA1 bC1 bG1 bH1 bK1 bN1 bQ1 bX1 bb1 bc1 bd1 bBH1 bCW1 bCg1 bCj1 bDy1 bFt1  b1-40-inp-btn b1-inp-btn bf-inp-btn bf-input-button \">\n                <img decoding=\"async\" class=\"bAG1 bAH1 bEA1  b1-40-pre-i b1-pre-i bf-pre-i bf-field-prefix-icon \" src=\"https:\/\/legalclinic.ccmcanada.org\/toronto\/wp-content\/plugins\/bit-form\/static\/file-upload\/paperclip.svg\" alt=\"\" aria-hidden=\"true\" \/>\n                <span class=\"b1-40-btn-txt b1-btn-txt bf-btn-txt bf-button-text \">\n                  Attach File\n                <\/span>\n                \n              <\/button>\n              <div class=\"br1 bAA1 bFu1  b1-40-file-select-status b1-file-select-status bf-file-select-status bf-file-select-status \">\n          No Choosen File\n        <\/div>\n              \n              <input type=\"file\" class=\"bH1 bk1 bAK1 bAS1 bBc1 bCW1 bDv1 bDw1 bDx1  b1-40-file-upload-input b1-file-upload-input bf-file-upload-input bf-file-upload-input \" id=\"b1-40-1\" name=\"file-up-1-40\" aria-disabled=\"true\" tabindex=\"-1\" \/>\n            <\/div>\n            <div class=\"err-wrp \"><\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-40-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-40-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-40-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-40-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-40-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-41 \"><div class=\"bf-file-up-field bj1 bp1 bAK1 bAO1 bFX1 bFY1  b1-41-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"b1-41-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><\/div>\n        <div class=\"b1-41-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"b1-41-file-up-container b1-file-up-container bf-file-up-container bf-file-up-container \">\n        <div class=\"b1-41-file-up-wrpr b1-file-up-wrpr bf-file-up-wrpr bf-file-up-wrpr   \">\n          <div class=\"bCk1 bCl1 bCm1 bCn1 bCo1 bCp1 bCq1 bCr1 bCs1 bCt1 bCu1 bCv1 bCw1 bCx1 bCy1 bCz1 bDA1 bDB1 bDC1 bDD1 bDE1 bDF1 bDG1 bDH1 bDI1 bDJ1 bDK1 bDL1 bDM1 bDN1 bDO1 bDP1 bDQ1 bDR1 bDS1 bDT1 bDU1 bDV1 bDW1 bDX1 bDY1 bDZ1 bDa1 bDb1 bDc1 bDd1 bDe1 bDf1 bDg1 bDh1 bDi1 bDj1 bDk1 bDl1 bDm1 bDn1 bDo1 bDp1 bDq1 bDr1 bDs1 bDt1 bDu1 bGS1 bGT1 bGU1 bGV1 bGW1 bGX1 bGY1 bGZ1 bGa1  b1-41-file-input-wrpr b1-file-input-wrpr bf-file-input-wrpr bf-file-input-wrpr \">\n            <div class=\"bA1 bI1 bp1 bCj1  b1-41-btn-wrpr b1-btn-wrpr bf-btn-wrpr bf-button-wrpr \">\n              <button type=\"button\" class=\"bA1 bC1 bG1 bH1 bK1 bN1 bQ1 bX1 bb1 bc1 bd1 bBH1 bCW1 bCg1 bCj1 bDy1 bFt1  b1-41-inp-btn b1-inp-btn bf-inp-btn bf-input-button \">\n                <img decoding=\"async\" class=\"bAG1 bAH1 bEA1  b1-41-pre-i b1-pre-i bf-pre-i bf-field-prefix-icon \" src=\"https:\/\/legalclinic.ccmcanada.org\/toronto\/wp-content\/plugins\/bit-form\/static\/file-upload\/paperclip.svg\" alt=\"\" aria-hidden=\"true\" \/>\n                <span class=\"b1-41-btn-txt b1-btn-txt bf-btn-txt bf-button-text \">\n                  Attach File\n                <\/span>\n                \n              <\/button>\n              <div class=\"br1 bAA1 bFu1  b1-41-file-select-status b1-file-select-status bf-file-select-status bf-file-select-status \">\n          No Choosen File\n        <\/div>\n              \n              <input type=\"file\" class=\"bH1 bk1 bAK1 bAS1 bBc1 bCW1 bDv1 bDw1 bDx1  b1-41-file-upload-input b1-file-upload-input bf-file-upload-input bf-file-upload-input \" id=\"b1-41-1\" name=\"file-up-1-41\" aria-disabled=\"true\" tabindex=\"-1\" \/>\n            <\/div>\n            <div class=\"err-wrp \"><\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-41-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-41-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-41-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-41-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-41-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-43 \"><div class=\"bf-file-up-field bj1 bp1 bAK1 bAO1 bFZ1 bFa1  b1-43-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"b1-43-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><\/div>\n        <div class=\"b1-43-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"b1-43-file-up-container b1-file-up-container bf-file-up-container bf-file-up-container \">\n        <div class=\"b1-43-file-up-wrpr b1-file-up-wrpr bf-file-up-wrpr bf-file-up-wrpr   \">\n          <div class=\"bCk1 bCl1 bCm1 bCn1 bCo1 bCp1 bCq1 bCr1 bCs1 bCt1 bCu1 bCv1 bCw1 bCx1 bCy1 bCz1 bDA1 bDB1 bDC1 bDD1 bDE1 bDF1 bDG1 bDH1 bDI1 bDJ1 bDK1 bDL1 bDM1 bDN1 bDO1 bDP1 bDQ1 bDR1 bDS1 bDT1 bDU1 bDV1 bDW1 bDX1 bDY1 bDZ1 bDa1 bDb1 bDc1 bDd1 bDe1 bDf1 bDg1 bDh1 bDi1 bDj1 bDk1 bDl1 bDm1 bDn1 bDo1 bDp1 bDq1 bDr1 bDs1 bDt1 bDu1 bGS1 bGT1 bGU1 bGV1 bGW1 bGX1 bGY1 bGZ1 bGa1  b1-43-file-input-wrpr b1-file-input-wrpr bf-file-input-wrpr bf-file-input-wrpr \">\n            <div class=\"bA1 bI1 bp1 bCj1  b1-43-btn-wrpr b1-btn-wrpr bf-btn-wrpr bf-button-wrpr \">\n              <button type=\"button\" class=\"bA1 bC1 bG1 bH1 bK1 bN1 bQ1 bX1 bb1 bc1 bd1 bBH1 bCW1 bCg1 bCj1 bDy1 bFt1  b1-43-inp-btn b1-inp-btn bf-inp-btn bf-input-button \">\n                <img decoding=\"async\" class=\"bAG1 bAH1 bEA1  b1-43-pre-i b1-pre-i bf-pre-i bf-field-prefix-icon \" src=\"https:\/\/legalclinic.ccmcanada.org\/toronto\/wp-content\/plugins\/bit-form\/static\/file-upload\/paperclip.svg\" alt=\"\" aria-hidden=\"true\" \/>\n                <span class=\"b1-43-btn-txt b1-btn-txt bf-btn-txt bf-button-text \">\n                  Attach File\n                <\/span>\n                \n              <\/button>\n              <div class=\"br1 bAA1 bFu1  b1-43-file-select-status b1-file-select-status bf-file-select-status bf-file-select-status \">\n          No Choosen File\n        <\/div>\n              \n              <input type=\"file\" class=\"bH1 bk1 bAK1 bAS1 bBc1 bCW1 bDv1 bDw1 bDx1  b1-43-file-upload-input b1-file-upload-input bf-file-upload-input bf-file-upload-input \" id=\"b1-43-1\" name=\"file-up-1-43\" aria-disabled=\"true\" tabindex=\"-1\" \/>\n            <\/div>\n            <div class=\"err-wrp \"><\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-43-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-43-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-43-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-43-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-43-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-44 \"><div class=\"bf-file-up-field bj1 bp1 bAK1 bAO1 bFb1 bFc1  b1-44-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"b1-44-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><\/div>\n        <div class=\"b1-44-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"b1-44-file-up-container b1-file-up-container bf-file-up-container bf-file-up-container \">\n        <div class=\"b1-44-file-up-wrpr b1-file-up-wrpr bf-file-up-wrpr bf-file-up-wrpr   \">\n          <div class=\"bCk1 bCl1 bCm1 bCn1 bCo1 bCp1 bCq1 bCr1 bCs1 bCt1 bCu1 bCv1 bCw1 bCx1 bCy1 bCz1 bDA1 bDB1 bDC1 bDD1 bDE1 bDF1 bDG1 bDH1 bDI1 bDJ1 bDK1 bDL1 bDM1 bDN1 bDO1 bDP1 bDQ1 bDR1 bDS1 bDT1 bDU1 bDV1 bDW1 bDX1 bDY1 bDZ1 bDa1 bDb1 bDc1 bDd1 bDe1 bDf1 bDg1 bDh1 bDi1 bDj1 bDk1 bDl1 bDm1 bDn1 bDo1 bDp1 bDq1 bDr1 bDs1 bDt1 bDu1 bGS1 bGT1 bGU1 bGV1 bGW1 bGX1 bGY1 bGZ1 bGa1  b1-44-file-input-wrpr b1-file-input-wrpr bf-file-input-wrpr bf-file-input-wrpr \">\n            <div class=\"bA1 bI1 bp1 bCj1  b1-44-btn-wrpr b1-btn-wrpr bf-btn-wrpr bf-button-wrpr \">\n              <button type=\"button\" class=\"bA1 bC1 bG1 bH1 bK1 bN1 bQ1 bX1 bb1 bc1 bd1 bBH1 bCW1 bCg1 bCj1 bDy1 bFt1  b1-44-inp-btn b1-inp-btn bf-inp-btn bf-input-button \">\n                <img decoding=\"async\" class=\"bAG1 bAH1 bEA1  b1-44-pre-i b1-pre-i bf-pre-i bf-field-prefix-icon \" src=\"https:\/\/legalclinic.ccmcanada.org\/toronto\/wp-content\/plugins\/bit-form\/static\/file-upload\/paperclip.svg\" alt=\"\" aria-hidden=\"true\" \/>\n                <span class=\"b1-44-btn-txt b1-btn-txt bf-btn-txt bf-button-text \">\n                  Attach File\n                <\/span>\n                \n              <\/button>\n              <div class=\"br1 bAA1 bFu1  b1-44-file-select-status b1-file-select-status bf-file-select-status bf-file-select-status \">\n          No Choosen File\n        <\/div>\n              \n              <input type=\"file\" class=\"bH1 bk1 bAK1 bAS1 bBc1 bCW1 bDv1 bDw1 bDx1  b1-44-file-upload-input b1-file-upload-input bf-file-upload-input bf-file-upload-input \" id=\"b1-44-1\" name=\"file-up-1-44\" aria-disabled=\"true\" tabindex=\"-1\" \/>\n            <\/div>\n            <div class=\"err-wrp \"><\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-44-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-44-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-44-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-44-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-44-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-45 \"><div class=\"bf-file-up-field bj1 bp1 bAK1 bAO1 bFd1 bFe1  b1-45-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"b1-45-lbl-wrp b1-lbl-wrp bf-lbl-wrp bf-label-wrapper \"><\/div>\n        <div class=\"b1-45-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"b1-45-file-up-container b1-file-up-container bf-file-up-container bf-file-up-container \">\n        <div class=\"b1-45-file-up-wrpr b1-file-up-wrpr bf-file-up-wrpr bf-file-up-wrpr   \">\n          <div class=\"bCk1 bCl1 bCm1 bCn1 bCo1 bCp1 bCq1 bCr1 bCs1 bCt1 bCu1 bCv1 bCw1 bCx1 bCy1 bCz1 bDA1 bDB1 bDC1 bDD1 bDE1 bDF1 bDG1 bDH1 bDI1 bDJ1 bDK1 bDL1 bDM1 bDN1 bDO1 bDP1 bDQ1 bDR1 bDS1 bDT1 bDU1 bDV1 bDW1 bDX1 bDY1 bDZ1 bDa1 bDb1 bDc1 bDd1 bDe1 bDf1 bDg1 bDh1 bDi1 bDj1 bDk1 bDl1 bDm1 bDn1 bDo1 bDp1 bDq1 bDr1 bDs1 bDt1 bDu1 bGS1 bGT1 bGU1 bGV1 bGW1 bGX1 bGY1 bGZ1 bGa1  b1-45-file-input-wrpr b1-file-input-wrpr bf-file-input-wrpr bf-file-input-wrpr \">\n            <div class=\"bA1 bI1 bp1 bCj1  b1-45-btn-wrpr b1-btn-wrpr bf-btn-wrpr bf-button-wrpr \">\n              <button type=\"button\" class=\"bA1 bC1 bG1 bH1 bK1 bN1 bQ1 bX1 bb1 bc1 bd1 bBH1 bCW1 bCg1 bCj1 bDy1 bFt1  b1-45-inp-btn b1-inp-btn bf-inp-btn bf-input-button \">\n                <img decoding=\"async\" class=\"bAG1 bAH1 bEA1  b1-45-pre-i b1-pre-i bf-pre-i bf-field-prefix-icon \" src=\"https:\/\/legalclinic.ccmcanada.org\/toronto\/wp-content\/plugins\/bit-form\/static\/file-upload\/paperclip.svg\" alt=\"\" aria-hidden=\"true\" \/>\n                <span class=\"b1-45-btn-txt b1-btn-txt bf-btn-txt bf-button-text \">\n                  Attach File\n                <\/span>\n                \n              <\/button>\n              <div class=\"br1 bAA1 bFu1  b1-45-file-select-status b1-file-select-status bf-file-select-status bf-file-select-status \">\n          No Choosen File\n        <\/div>\n              \n              <input type=\"file\" class=\"bH1 bk1 bAK1 bAS1 bBc1 bCW1 bDv1 bDw1 bDx1  b1-45-file-upload-input b1-file-upload-input bf-file-upload-input bf-file-upload-input \" id=\"b1-45-1\" name=\"file-up-1-45\" aria-disabled=\"true\" tabindex=\"-1\" \/>\n            <\/div>\n            <div class=\"err-wrp \"><\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n          \n          <div class=\"bAL1 bAM1 bAN1  b1-45-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"bAE1  b1-45-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-45-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-45-err-msg b1-err-msg bf-err-msg bf-error-messages-container  bAK1  b1-45-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-46 \"><div class=\"bA1 bI1 bAS1  b1-46-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n    <\/div><\/div>\n            <\/div>\n            <div class=\"bj1 _frm-b1-stp-btn-wrpr\">\n              <div class=\"bA1 bI1 bh1 bi1 _frm-b1-stp-btn-cntnt\">\n                <button class=\"bA1 bB1 bC1 bD1 bE1 bF1 bG1 bH1 bI1 bJ1 bK1 bL1 bM1 bN1 bO1 bP1 bQ1 bR1 bW1 bX1 bY1 bZ1 ba1 bb1 bc1 bd1 be1 bFt1 _frm-b1-prev-step-btn prev-step-btn\" name=\"prev-step-btn\" type=\"button\">\n          \n          Previous\n          \n          <span class=\"bf-spinner d-none\"><\/span>\n        <\/button>\n                <button class=\"bA1 bB1 bC1 bD1 bE1 bF1 bG1 bH1 bI1 bJ1 bK1 bL1 bM1 bN1 bO1 bP1 bQ1 bR1 bW1 bX1 bY1 bZ1 ba1 bb1 bc1 bd1 be1 bFt1 _frm-b1-next-step-btn next-step-btn\" name=\"next-step-btn\" type=\"button\">\n          \n          Next\n          \n          <span class=\"bf-spinner d-none\"><\/span>\n        <\/button>\n              <\/div>\n      <\/div>\n          <\/div>\n\n          <div class=\"bI1 bf1 bk1 bEH1 bEI1 bEJ1 _frm-b1-stp-cntnt _frm-b-stp-cntnt deactive\" data-step=\"5\" role=\"tabpanel\" id=\"step-1-5-panel\" aria-labelledby=\"step-1-5-tab\" aria-hidden=\"true\">\n            <div class=\"_frm-b1 _frm-b\">\n              <div class=\"btcd-fld-itm b1-48 \"><div class=\"bI1 bh1 bAT1 bAU1  b1-48-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n     \n      <div class=\"bAY1  b1-48-titl-wrp b1-titl-wrp bf-titl-wrp bf-title-wrapper \">\n              <h3 class=\"bA1 bI1 bg1 bAW1 bAZ1 bAa1 bFz1  b1-48-title b1-title bf-title bf-title \">\n      \n      Terms and Conditions \u670d\u52d9\u540c\u610f\u66f8<font color=\"red\">*<\/font>\n      \n      <\/h3>\n        \n      <\/div>\n    <\/div><\/div><div class=\"btcd-fld-itm b1-47 \"><div class=\"bf-decision-box-field bj1 bp1 bAK1 bAO1  b1-47-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        \n        <div class=\"b1-47-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bI1 bu1  b1-47-cc b1-cc bf-cc bf-cc \" role=\"group\" aria-labelledby=\"b1-47-1-lbl\" aria-describedby=\"b1-47-err-txt\">\n        <svg class=\"bBc1 bBs1 bBt1 bBu1 bBv1  b1-47-cks b1-cks bf-cks bf-cks\" aria-hidden=\"true\">\n          <symbol id=\"b1-47-ck-svg\" viewbox=\"0 0 12 10\">\n            <polyline class=\"bCG1 bCH1 bCI1 bCJ1 bCK1 bCL1  b1-47-ck-svgline b1-ck-svgline bf-ck-svgline bf-ck-svgline\" points=\"1.5 6 4.5 9 10.5 1\"><\/polyline>\n          <\/symbol>\n        <\/svg>\n\n        <div class=\"b1-47-cw b1-cw bf-cw bf-cw \">\n          <input id=\"b1-47-1-decision\" type=\"checkbox\" class=\"bBb1 bBc1 bBe1 bBf1 bBg1 bBk1 bBl1 bBm1 bBq1 bBr1 bCE1 bFf1 bGJ1 bGK1 bGM1 bGN1 bHJ1  b1-47-ci b1-ci bf-ci bf-ci\" required aria-required=\"true\" name=\"decision-box-1-47\" value=\"Accepted\" \/>\n          <label data-cl for=\"b1-47-1-decision\" class=\"bA1 bH1 bI1 br1 bAI1 bFu1  b1-47-cl b1-cl bf-cl bf-cl\">\n            <span data-bx class=\"bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-47-bx b1-bx bf-bx bf-box bA1 bM1 bp1 bBE1 bBF1 bBG1 bBH1 bBI1 bBJ1 bBK1 bBL1 bBM1 bCD1 bGI1  b1-47-bx b1-bx bf-bx bf-box\">\n              <svg width=\"12\" height=\"10\" viewbox=\"0 0 12 10\" class=\"bCN1 bCO1 bFh1 bHK1  b1-47-svgwrp b1-svgwrp bf-svgwrp bf-svgwrp\" aria-hidden=\"true\">\n                <use data-ck-icn href=\"#b1-47-ck-svg\" class=\"bCF1  b1-47-ck-icn b1-ck-icn bf-ck-icn bf-ck-icon\" \/>\n              <\/svg>\n            <\/span>\n            <span class=\"bFg1  b1-47-ct b1-ct bf-ct bf-ct \">\n              <p>I\/We acknowledge that I\/We have read and understood all of CCM Legal Clinic's Terms and Conditions listed below.<br \/>\u6211\/\u6211\u5011\u5df2\u8b80\u7562\u4e26\u540c\u610f\u4e0b\u5217\u670d\u52d9\u689d\u6b3e\u3002<\/p>\n            <\/span>\n          <\/label>\n        <\/div>\n      <\/div>\n          \n          <div class=\"b1-47-err-wrp b1-err-wrp bf-err-wrp bf-error-wrapper\" role=\"alert\" aria-live=\"assertive\" style=\"opacity: 0 !important;height: 0px !important\">\n        <div class=\"b1-47-err-inner b1-err-inner bf-err-inner bf-error-inner\">\n          \n          \n          <div id=\"b1-47-err-txt\" class=\"bA1 bD1 bE1 bI1 bl1 bAb1 bAc1 bAd1 bAe1 bAf1 bAg1  b1-47-err-msg b1-err-msg bf-err-msg bf-error-messages-container  b1-47-err-txt b1-err-txt bf-err-txt bf-error-text  \" style=\"display: none !important\">\n            \n          <\/div>\n          \n          \n        <\/div>\n      <\/div>\n        <\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-50 \"><div class=\"bA1 bI1 bAS1  b1-50-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bz1 bAP1 bAQ1 bAR1 bFy1  b1-50-divider b1-divider bf-divider bf-divider \"><\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-49 \"><div class=\"bj1 bp1 bAK1 bFi1  b1-49-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <iframe src=\"https:\/\/legalclinic.ccmcanada.org\/terms\/van-legal-clinic-terms.html\" style=\"border:none\" width=\"100%\" height=\"500px\"><\/iframe>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-51 \"><div class=\"bA1 bI1 bAS1  b1-51-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        <div class=\"bk1 bz1 bAP1 bAQ1 bAR1 bFy1  b1-51-divider b1-divider bf-divider bf-divider \"><\/div>\n      <\/div><\/div><div class=\"btcd-fld-itm b1-1 \"><div class=\"bf-button-field bj1 bp1 bAK1 bAO1  b1-1-fld-wrp b1-fld-wrp bf-fld-wrp bf-field-wrapper \">\n        \n        <div class=\"b1-1-inp-wrp b1-inp-wrp bf-inp-wrp bf-input-wrapper \">\n          <div class=\"bI1  b1-1-inp-fld-wrp b1-inp-fld-wrp bf-inp-fld-wrp bf-input-field-wrapper \">\n        <button class=\"bA1 bB1 bC1 bD1 bE1 bF1 bG1 bH1 bI1 bJ1 bK1 bL1 bM1 bN1 bO1 bP1 bQ1 bR1 bW1 bX1 bY1 bZ1 ba1 bb1 bc1 bd1 bk1 bAJ1 bFt1 bAJ1 b1-1-btn b1-btn bf-btn bf-button  \" type=\"submit\" name=\"button-b1-1\" aria-describedby=\"b1-1-err-txt\">\n          \n          Submit \u63d0\u4ea4\n          \n          <span class=\"bf-spinner d-none\" aria-hidden=\"true\"><\/span>\n        <\/button>\n      <\/div>\n          \n          \n        <\/div>\n      <\/div><\/div>\n            <\/div>\n            <div class=\"bj1 _frm-b1-stp-btn-wrpr\">\n              <div class=\"bA1 bI1 bh1 bi1 _frm-b1-stp-btn-cntnt\">\n                <button class=\"bA1 bB1 bC1 bD1 bE1 bF1 bG1 bH1 bI1 bJ1 bK1 bL1 bM1 bN1 bO1 bP1 bQ1 bR1 bW1 bX1 bY1 bZ1 ba1 bb1 bc1 bd1 be1 bFt1 _frm-b1-prev-step-btn prev-step-btn\" name=\"prev-step-btn\" type=\"button\">\n          \n          Previous\n          \n          <span class=\"bf-spinner d-none\"><\/span>\n        <\/button>\n                <button class=\"bA1 bB1 bC1 bD1 bE1 bF1 bG1 bH1 bI1 bJ1 bK1 bL1 bM1 bN1 bO1 bP1 bQ1 bR1 bW1 bX1 bY1 bZ1 ba1 bb1 bc1 bd1 be1 bFt1 _frm-b1-next-step-btn next-step-btn\" name=\"next-step-btn\" type=\"button\">\n          \n          Next\n          \n          <span class=\"bf-spinner d-none\"><\/span>\n        <\/button>\n              <\/div>\n      <\/div>\n          <\/div>\n\n          <\/div>\n        <\/div>\n      <\/div>\n\n          <\/form>\n          \n          <div id=\"bf-form-msg-wrp-bitforms_1_1722_1\"><\/div>\n          <!-- \n            Live Region for Screen Reader Announcements (Accessibility)\n          -->\n          <div class=\"bf-live-region\" role=\"status\" aria-live=\"polite\" style=\"position: absolute;width: 1px;height: 1px;padding: 0;margin: -1px;overflow: hidden;white-space: nowrap;border: 0\"><\/div>\n          <div role=\"dialog\" aria-hidden=\"true\" data-modal-backdrop=\"true\" class=\"bA1 bI1 bM1 bBs1 bDw1 bFp1 bFq1 bFr1 msg-container-1 deactive scroll\">\n\t              <div data-contentid=\"bitforms_1_1722_1\" data-msgid=\"1\" role=\"button\" class=\"bA1 bI1 bM1 bk1 bAS1 bFo1 msg-background-1 msg-backdrop\">\n\t                <div class=\"bf-msg-content bk1 bp1 br1 bAD1 bBF1 bCh1 bEC1 bFs1 bFu1 msg-content-1\">\n\t                  <button data-contentid=\"bitforms_1_1722_1\" data-msgid=\"1\" class=\"bH1 bm1 bx1 bAL1 bAO1 bAg1 bBc1 bCS1 bCT1 bCU1 bCW1 bCi1 bFk1 bFl1 bFm1 bHL1 bHM1 bHN1 close-1 bf-msg-close\" type=\"button\">\n\t                        <svg class=\"bAG1 bAH1 bBt1 bFn1 close-icn-1\" viewbox=\"0 0 30 30\">\n\t                        <line fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" x1=\"4\" y1=\"3.88\" x2=\"26\" y2=\"26.12\"><\/line>\n\t                        <line fill=\"none\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\" x1=\"26\" y1=\"3.88\" x2=\"4\" y2=\"26.12\"><\/line>\n\t                        <\/svg>\n\t                  <\/button>\n\t                  <div class=\"msg-content\"><\/div>\n\t                <\/div>\n\t              <\/div>\n\t            <\/div>\n      <\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1d4c06c exad-sticky-section-no exad-glass-effect-no elementor-widget elementor-widget-spacer\" data-id=\"1d4c06c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"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\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","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","footnotes":""},"class_list":["post-1722","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/legalclinic.ccmcanada.org\/vancouver\/wp-json\/wp\/v2\/pages\/1722","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/legalclinic.ccmcanada.org\/vancouver\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/legalclinic.ccmcanada.org\/vancouver\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/legalclinic.ccmcanada.org\/vancouver\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/legalclinic.ccmcanada.org\/vancouver\/wp-json\/wp\/v2\/comments?post=1722"}],"version-history":[{"count":10,"href":"https:\/\/legalclinic.ccmcanada.org\/vancouver\/wp-json\/wp\/v2\/pages\/1722\/revisions"}],"predecessor-version":[{"id":3070,"href":"https:\/\/legalclinic.ccmcanada.org\/vancouver\/wp-json\/wp\/v2\/pages\/1722\/revisions\/3070"}],"wp:attachment":[{"href":"https:\/\/legalclinic.ccmcanada.org\/vancouver\/wp-json\/wp\/v2\/media?parent=1722"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}