$(document).ready(function () { var radioBtns = ""; var totalStages = 3; $('table[data-name="Personal Medical History"]').parent().hide(); $('table[data-name="Family Medical History"]').parent().hide(); $('table[data-name="Program Information"]').parent().hide(); $("#InsertButton").hide(); $(".actions").prepend(''); $("#stateDiv").hide(); $(".actions").prepend(''); $(".actions").prepend(''); $("#PreviousButton").hide(); $(".toolbar-row").remove(); $('#mzkdm_sexualpartners option[value="765670001"]').text('Male sexual partners'); $('#mzkdm_sexualpartners option[value="765670002"]').text('Female sexual partners'); $('#mzkdm_sexualpartners option[value="765670003"]').text('Both male and female sexual partners'); $("#mzkdm_visatype_label").hide(); $("#mzkdm_visatype").hide(); $("#mzkdm_timeremaininginus_label").hide(); $("#mzkdm_timeremaininginus").hide(); $('option[label="Select"]').html(''); $('option[label="Select"]').attr('label', ''); $('option[label="Select"]').attr('aria-label', ''); $("select").addClass("form-select"); //Change the text of Submit button to Apply Now $('#InsertButton').val("Apply Now"); $("#mzkdm_immigrantvisa").change(function () { var immigrantvisa = $("input[id*='mzkdm_immigrantvisa']:checked").val(); if (immigrantvisa == '1') { $("#mzkdm_visatype").show(); $("#mzkdm_visatype_label").show(); $("#mzkdm_timeremaininginus_label").show(); $("#mzkdm_timeremaininginus").show(); } else { $("#mzkdm_visatype").hide(); $("#mzkdm_timeremaininginus").hide(); $("#mzkdm_visatype_label").hide(); $("#mzkdm_timeremaininginus_label").hide(); } }); $("#mzkdm_usenicotineregularly_label").hide(); $("#mzkdm_usenicotineregularly").hide(); $("#mzkdm_frequencyofusage_label").hide(); $("#mzkdm_frequencyofusage").hide(); $("#mzkdm_currentlyusenicotinetobacco").change(function () { var immigrantvisa = $("input[id*='mzkdm_currentlyusenicotinetobacco']:checked").val(); if (immigrantvisa == '1') { $("#mzkdm_usenicotineregularly_label").show(); $("#mzkdm_usenicotineregularly").show(); $("#mzkdm_frequencyofusage_label").show(); $("#mzkdm_frequencyofusage").show(); } else { $("#mzkdm_usenicotineregularly_label").hide(); $("#mzkdm_usenicotineregularly").hide(); $("#mzkdm_frequencyofusage_label").hide(); $("#mzkdm_frequencyofusage").hide(); } }); $("input[type='radio'][checked='checked']").removeAttr('checked'); $("#btnClosePopup").on("click", function () { $("#MyPopup").modal("hide"); }); $("#mzkdm_weight").attr("title", "Numeric values only"); $("#address1_postalcode").attr("title", "Numeric values only"); // Optional: You can also use Bootstrap tooltips for a more customized appearance // Add the following lines if you are using Bootstrap: $("#mzkdm_weight").tooltip({ title: "Numeric values only", placement: "top" }); $("#address1_postalcode").tooltip({ title: "Numeric values only", placement: "top" }); $("#mobilephone").attr("placeholder", "XXX-XXX-XXXX"); $("#mobilephone").attr("maxlength", "12"); $("#address1_postalcode").attr("oninput", "this.value = this.value.replace(/[^0-9]/g, '')"); $("#mzkdm_weight").attr("oninput", "this.value = this.value.replace(/[^0-9.]/g, '')"); $("#mobilephone").on('input', function (e) { if (e.target.value) { const x = e.target.value.replace(/\D/g, '').match(/(\d{0,3})(\d{0,3})(\d{0,4})/); e.target.value = +x[1] + (x[2] ? `-${x[2]}` : '') + (x[3] ? `-${x[3]}` : ''); } }); // Function to check if any validation errors exist function validateForm() { var errorMessages = ""; // Perform custom validation if ($("#mzkdm_location").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please choose the location you are applying to."; } if ($("#mzkdm_hearaboutourprogram").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please confirm how your heard about our program?"; } if ($('*input[id*=mzkdm_livecloseenough]:checked').length === 0) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please confirm your weekly availability."; } if ($('*input[id*=mzkdm_availabletovisitoneofourbranches]:checked').length === 0) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please confirm your availability for the next 9-12 months."; } if ($('*input[id*=mzkdm_donateduringregularofficehours]:checked').length === 0) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please confirm whether you will be available for regular office hours."; } if ($('*input[id*=mzkdm_receiveautomatedtextalerts]:checked').length === 0) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please confirm if you would like to receive automated text alerts."; } if ($('#mzkdm_hearaboutourprogram').val() === '765670009') { if ($("#mzkdm_hearaboutourprogramreason").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please list the referral source where you heard about California Cryobank."; } } if (errorMessages !== "") { // Display the error messages in an alert or modal $(".modal-body").html(errorMessages); $("#MyPopup").modal("show"); return false; } // If no validation errors exist, return true to allow form submission return true; } // Add click event listener to the submit button $("#InsertButton").on("click", function () { $("#ValidationSummaryEntityFormControl_7e07f1ca85dcee11904c000d3a346d85_EntityFormView").hide(); // Call the validateForm function to check for validation errors if (!validateForm()) { // If validation errors exist, return false to prevent form submission return false; } // If no validation errors exist, allow form submission // Optionally, you can perform additional actions here before allowing form submission // SendMessage("Submit"); setLoaderTextAndShow("Submitting application"); return true; }); $("#NextButton").on("click", function () { var errorMessages = ""; if ($("#stateDiv").val() == "1") { if ($("#firstname").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please enter your first name."; } if ($("#lastname").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please enter your last name."; } var today = new Date(); today.setHours(0, 0, 0, 0); // Set hours, minutes, seconds, and milliseconds to 0 for accurate comparison // Get the entered date from the input field (assuming you have an input element with id "birthdate") var enteredDate = new Date($("#birthdate").val()); var birthdateRegex = /^(0?[1-9]|1[0-2])\/(0?[1-9]|[12][0-9]|3[01])\/\d{4}$/; if (enteredDate.getTime() > today.getTime()) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please provide a date less than or equal to today's date ."; } else { if (!birthdateRegex.test($("#birthdate_datepicker_description").val().trim())) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please provide your birthdate in the following format mm/dd/yyyy."; } } var phoneRegex = /^\d{3}-\d{3}-\d{4}$/; if (!phoneRegex.test($("#mobilephone").val().trim())) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please provide your phone number in the following format XXX-XXX-XXXX."; } if ($("#emailaddress1").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please enter your email address."; } else { var emailRegex = /^[^\s@]+@[^\s@]+\.[^\s@]+$/; if (!emailRegex.test($("#emailaddress1").val().trim())) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please provide the email in the correct format"; } } var numericRegex = /^\d+(\.\d+)?$/; if (!numericRegex.test($("#address1_postalcode").val().trim())) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please enter your zip code."; } var weightVal = $("#mzkdm_weight").val().trim(); var floatregix = /\b\d{2,3}(?:\.\d)?\b/g; if (!floatregix.test($("#mzkdm_weight").val().trim()) || parseFloat(weightVal) < 0 || parseFloat(weightVal) > 500) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please provide a valid weight between 0 and 500 lbs."; } if ($("#mzkdm_height").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please select one of the available height options."; } if ($("#mzk_ethnicity").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please select your ethnicity."; } if ($("#mzkdm_educationlevel").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please select one of the education level options."; } if ($("#mzkdm_occupation").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please disclose your occupation."; } if ($('*input[id*=mzkdm_employmentauthorization]:checked').length === 0) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please confirm if you are authorized to work in U.S."; } if ($('*input[id*=mzkdm_immigrantvisa]:checked').length === 0) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please confirm if you are currently in the U.S. on a visa."; } else { var val1 = $('*input[id*=mzkdm_immigrantvisa]:checked').val(); if (val1 === '1') { if ($("#mzkdm_visatype").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please provide a response what type of visa you have."; } if ($("#mzkdm_timeremaininginus").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please select an option how long do you plan to remain in the US."; } } } if (errorMessages === "") { $("#stateDiv").val("2"); $('table[data-name="Personal Information"]').parent().hide(); $('table[data-name="Education & Citizenship"]').parent().hide(); $('table[data-name="Program Information"]').parent().hide(); $('table[data-name="Personal Medical History"]').parent().show(); $('table[data-name="Family Medical History"]').parent().show(); $("#PreviousButton").show(); $("#firstCircle").removeClass('active'); $("#secondCircle").removeClass('active'); $("#thirdCircle").removeClass('active'); $("#firstCircle").removeClass('complete'); $("#secondCircle").removeClass('complete'); $("#thirdCircle").removeClass('complete'); $("#firstCircle").addClass('active'); $("#firstCircle").addClass('complete'); $("#secondCircle").addClass('active'); SendMessage("2"); } } else if ($("#stateDiv").val() == "2") { if ($("#mzkdm_sexualpartners").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please confirm your sexual partner history."; } if ($('*input[id*=mzkdm_currentlyusenicotinetobacco]:checked').length === 0) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please confirm if you currently use nicotine/tobacco."; } else { var val4 = $('*input[id*=mzkdm_currentlyusenicotinetobacco]:checked').val(); if (val4 === '1') { if ($("#mzkdm_usenicotineregularly").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please provide a response how long have you been using nicotine/tobacco regularly."; } if ($("#mzkdm_frequencyofusage").val().trim() === "") { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please select an option frequency of usage."; } } } if ($('*input[id*=mzkdm_familyhistoryavailable]:checked').length === 0) { if (errorMessages !== "") { errorMessages += "
"; } errorMessages += "Please confirm if your are able to provide detailed family medical history."; } if (errorMessages === "") { $("#stateDiv").val("3"); $('table[data-name="Personal Information"]').parent().hide(); $('table[data-name="Education & Citizenship"]').parent().hide(); $('table[data-name="Personal Medical History"]').parent().hide(); $('table[data-name="Family Medical History"]').parent().hide(); $('table[data-name="Program Information"]').parent().show(); $("#PreviousButton").show(); $("#firstCircle").removeClass('active'); $("#secondCircle").removeClass('active'); $("#thirdCircle").removeClass('active'); $("#firstCircle").removeClass('complete'); $("#secondCircle").removeClass('complete'); $("#thirdCircle").removeClass('complete'); $("#firstCircle").addClass('active'); $("#firstCircle").addClass('complete'); $("#secondCircle").addClass('active'); $("#secondCircle").addClass('complete'); $("#thirdCircle").addClass('active'); SendMessage("3"); } } if (errorMessages === "" && $("#stateDiv").val() == totalStages) { $("#NextButton").hide(); $("#InsertButton").show(); } if (errorMessages !== "") { $(".modal-body").html(errorMessages); $("#MyPopup").modal("show"); } }); $("#PreviousButton").on("click", function () { if ($("#stateDiv").val() == "2") { $("#stateDiv").val("1"); $('table[data-name="Personal Information"]').parent().show(); $('table[data-name="Education & Citizenship"]').parent().show(); $('table[data-name="Program Information"]').parent().hide(); $('table[data-name="Personal Medical History"]').parent().hide(); $('table[data-name="Family Medical History"]').parent().hide(); $("#PreviousButton").hide(); $("#NextButton").show(); $("#firstCircle").removeClass('active'); $("#secondCircle").removeClass('active'); $("#thirdCircle").removeClass('active'); $("#firstCircle").removeClass('complete'); $("#secondCircle").removeClass('complete'); $("#thirdCircle").removeClass('complete'); $("#firstCircle").addClass('active'); SendMessage("1"); } else if ($("#stateDiv").val() == "3") { $("#stateDiv").val("2"); $('table[data-name="Personal Information"]').parent().hide(); $('table[data-name="Education & Citizenship"]').parent().hide(); $('table[data-name="Program Information"]').parent().hide(); $('table[data-name="Personal Medical History"]').parent().show(); $('table[data-name="Family Medical History"]').parent().show(); $("#PreviousButton").show(); $("#NextButton").show(); $("#firstCircle").removeClass('active'); $("#secondCircle").removeClass('active'); $("#thirdCircle").removeClass('active'); $("#firstCircle").removeClass('complete'); $("#secondCircle").removeClass('complete'); $("#thirdCircle").removeClass('complete'); $("#firstCircle").addClass('active'); $("#firstCircle").addClass('complete'); $("#secondCircle").addClass('active'); SendMessage("2"); } $("#InsertButton").hide(); }); $("#mzkdm_location > option").each(function () { if (this.text != '' && this.text.toLowerCase() != 'select') { radioBtns += ' ' + this.text + '
'; } }); $("#mzkdm_location").after(radioBtns); $("#mzkdm_location").hide(); $('input[type=radio][name=locations]').change(function () { $("#mzkdm_location").val(this.value); }); $('#msemr_contacttype').val('935000000'); $('#mzkdm_donortype').val('765670001'); $('#csi_fertility_0').prop('checked', true); //make required work here for mzkdm_hearaboutourprogram $("#mzkdm_hearaboutourprogram").change(function () { var program = $("#mzkdm_hearaboutourprogram").val(); var programreason = "mzkdm_hearaboutourprogramreason"; if (program === "765670009") { MakeRequired(programreason); } else { MakeNotRequired(programreason); } }); $("#mzkdm_immigrantvisa").change(function () { var certHolder = $("input[id*='mzkdm_immigrantvisa']:checked").val(); var prefferedContactMethod = "mzkdm_timeremaininginus"; var visatype = "mzkdm_visatype"; if (certHolder == '1') { MakeRequired(prefferedContactMethod); MakeRequired(visatype); } else { MakeNotRequired(prefferedContactMethod); MakeNotRequired(visatype); } }); $("#mzkdm_currentlyusenicotinetobacco").change(function () { var tobaccoHolder = $("input[id*='mzkdm_currentlyusenicotinetobacco']:checked").val(); var tobaccoMethod = "mzkdm_usenicotineregularly"; var frequency = "mzkdm_frequencyofusage"; if (tobaccoHolder == '1') { MakeRequired(tobaccoMethod); MakeRequired(frequency); } else { MakeNotRequired(tobaccoMethod); MakeNotRequired(frequency); } }); // Function to handle change event of the "Do you currently use nicotine/tobacco?" field $("#mzkdm_currentlyusenicotinetobacco input[type=radio]").change(onDisplaySectionChange); $("#mzkdm_familyhistoryavailable input[type=radio]").change(onDisplaySectionChange); $("#mzkdm_immigrantvisa input[type=radio]").change(onDisplaySectionChange); $("#mzkdm_hearaboutourprogram").change(onDisplaySectionChange); let dropdowns = document.querySelectorAll('[aria-label="Blank"]'); dropdowns.forEach(dropdown => { // Check if the label is empty or only contains whitespace if (dropdown.innerHTML.trim() === "") { dropdown.innerHTML = "Select an Option"; } }); $("#firstname").attr("placeholder", "First Name"); $("#lastname").attr("placeholder", "Last Name"); $("#birthdate_datepicker_description").attr("placeholder", "mm/dd/yyyy"); $("#mobilephone").attr("placeholder", "XXX-XXX-XXXX"); $("#emailaddress1").attr("placeholder", "Email"); $("#mzkdm_weight").attr("placeholder", "Weight"); onDisplaySectionChange(); // Call the function initially to set visibility based on the initial value }); function SendMessage(pageNumber){ urlArray.forEach(url => { window.parent.postMessage({page: pageNumber}, url); }); } //Make mandatory field var MakeRequired = function (fieldName) { try { if ($("#" + fieldName) != undefined) { $("#" + fieldName).prop('required', true); $("#" + fieldName).closest(".control").prev().addClass("required"); // Create new validator var Requiredvalidator = document.createElement('span'); Requiredvalidator.style.display = "none"; Requiredvalidator.id = fieldName + "Validator"; Requiredvalidator.controltovalidate = fieldName; Requiredvalidator.errormessage = `` + $(`#` + fieldName + `_label`).html() + ` is a required field.`; Requiredvalidator.initialvalue = ""; Requiredvalidator.evaluationfunction = function () { var value = $("#" + fieldName).val(); if (value == null || value == "") { return false; } else { return true; } }; // Add the new validator to the page validators array: Page_Validators.push(Requiredvalidator); } } catch (error) { errorHandler(error); } } //Make UnMandatory var MakeNotRequired = function (fieldName) { try { if ($("#" + fieldName) != undefined) { $("#" + fieldName).closest(".control").prev().removeClass("required"); $("#" + fieldName).prop('required', false); for (i = 0; i < Page_Validators.length; i++) { if (Page_Validators[i].id == fieldName + "Validator") { Page_Validators.splice(i); } } } } catch (error) { errorHandler(error); } } function onDisplaySectionChange() { var program = $("#mzkdm_hearaboutourprogram").val(); // Check if the option set value is equal to 765670009 var isOptionSetEqual = (program === "765670009"); if (isOptionSetEqual) { $('#mzkdm_hearaboutourprogramreason_label').show(); $('#mzkdm_hearaboutourprogramreason').show(); } else { $('#mzkdm_hearaboutourprogramreason_label').hide(); $('#mzkdm_hearaboutourprogramreason').hide(); } // Get the checked radio input element var checkedRadio = $("#mzkdm_currentlyusenicotinetobacco input[type=radio]:checked"); var check = $("#mzkdm_familyhistoryavailable input[type=radio]:checked"); var checkedvisa = $("#mzkdm_immigrantvisa input[type=radio]:checked"); if (checkedvisa.length > 0) { var checkvisa = checkedvisa.val(); var GetVisaValue = (checkvisa === "1") ? "Yes" : "No"; if (GetVisaValue === "Yes") { $('#mzkdm_visatype').parent().parent().show() $('#mzkdm_timeremaininginus').parent().parent().show(); } else { $('#mzkdm_visatype').parent().parent().hide(); $('#mzkdm_timeremaininginus').parent().parent().hide(); } } if (check.length > 0) { // Read the value of the checked radio button var checkbox = check.val(); // Convert the value to "Yes" or "No" string var GetValue = (checkbox === "1") ? "Yes" : "No"; // Show or hide the label based on the value } if (checkedRadio.length > 0) { // Read the value of the checked radio button var checkboxValue = checkedRadio.val(); // Convert the value to "Yes" or "No" string var varManuf = (checkboxValue === "1") ? "Yes" : "No"; // Show or hide the label based on the value if (varManuf === "Yes") { $('#mzkdm_usenicotineregularly').parent().parent().show(); $('#mzkdm_frequencyofusage').parent().parent().show(); } else { $('#mzkdm_usenicotineregularly').parent().parent().hide(); $('#mzkdm_frequencyofusage').parent().parent().hide(); } } }