advanced-fe-assignment.aryanx.in
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Submission: On November 23 via api from US — Scanned from US
Submission: On November 23 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
<form class="form-section-multistep-form">
<div class="form-step form-step-1 active" role="tabpanel">
<div class="form-group">
<label for="first_name">First Name</label>
<input type="text" id="first_name" name="first_name" placeholder="First Name">
<span class="error-message"></span>
</div>
<div class="form-group">
<label for="last_name">Last Name</label>
<input type="text" id="last_name" name="last_name" placeholder="Last Name">
<span class="error-message"></span>
</div>
<div class="form-group">
<label for="email">Email Address</label>
<input type="email" id="email" name="email" placeholder="Email Address">
<span class="error-message"></span>
</div>
<div class="form-group">
<label for="date_of_birth">Date of Birth</label>
<input type="date" id="date_of_birth" name="date_of_birth" placeholder="Date of Birth">
<span class="error-message"></span>
</div>
<div class="form-group">
<label for="gender">Gender</label>
<div class="gender-radio" id="gender">
<input type="radio" id="gender_male" name="gender" value="Male" checked="">
<label class="radio-label" for="gender_male" tabindex="0">Male</label>
<input type="radio" id="gender_female" name="gender" value="Female">
<label class="radio-label" for="gender_female" tabindex="0">Female</label>
<div class="gender-radio-custom"></div>
</div>
<span class="error-message"></span>
</div>
<div class="form-group">
<label for="relationship">Relationship</label>
<div class="select">
<select id="relationship" name="relationship">
<option selected="" disabled="">Select From List</option>
<option value="single">Single</option>
<option value="married">Married</option>
<option value="divorced">Divorced</option>
</select>
</div>
<span class="error-message"></span>
</div>
<div class="form-group full-width">
<label for="file_upload">Brief Description</label>
<div class="file-uploader" tabindex="0">
<span class="file-uploader-icon"></span>
<div class="file-uploader-instructions">
<p class="instruction-text">Drop your Document here or </p>
<label class="label-desktop" for="file_upload" tabindex="0">Browse</label>
<label class="label-mobile" for="file_upload" tabindex="0">Upload File</label>
<p class="file-formats">Supports: PDF file up-to 1GB</p>
</div>
<div class="file-uploader-files"></div>
<input type="file" id="file_upload" name="file_upload" accept="application/pdf">
</div>
<span class="error-message"></span>
</div>
</div>
<div class="form-step form-step-2" role="tabpanel">
<div class="form-group">
<label for="linkedin">LinkedIn Profile Link</label>
<input type="text" id="linkedin" name="linkedin" placeholder="LinkedIn Profile Link">
<span class="error-message"></span>
</div>
<div class="form-group">
<label for="twitter">Twitter Profile Link</label>
<input type="text" id="twitter" name="twitter" placeholder="Twitter Profile Link">
<span class="error-message"></span>
</div>
<div class="form-group">
<label for="facebook">Facebook Profile Link</label>
<input type="text" id="facebook" name="facebook" placeholder="Facebook Profile Link">
<span class="error-message"></span>
</div>
<div class="form-group">
<label for="work_location">Where do you prefer to work from?</label>
<div class="select">
<select id="work_location" name="work_location">
<option selected="" disabled="">Select From List</option>
<option value="home">Home/Remote</option>
<option value="office">Office</option>
<option value="hybrid">Hybrid</option>
</select>
</div>
<span class="error-message"></span>
</div>
<div class="form-group row">
<input type="checkbox" id="terms_and_conditions" name="terms_and_conditions">
<label for="terms_and_conditions">Lorem ipsum is a placeholder text commonl</label>
</div>
</div>
</form>Text Content
MindWell Hub. * Practitioners * Resources * Blog * Forum Sign In Sign Up PUT YOUR MENTAL HEALTH FIRST Lorem ipsum is a placeholder text commonly used to demonstrate the visual form of a document or a typeface without relying on meaningful content. Get Started HOW CAN WE HELP YOU Good mental health is a human right - and Chearful.com provides you with a safe space to grow & flourish More FAQs SUNT AUT FACERE REPELLAT PROVIDENT OCCAECATI EXCEPTURI OPTIO REPREHENDERIT quia et suscipit suscipit recusandae consequuntur expedita et cum reprehenderit molestiae ut ut quas totam nostrum rerum est autem sunt rem eveniet architecto QUI EST ESSE est rerum tempore vitae sequi sint nihil reprehenderit dolor beatae ea dolores neque fugiat blanditiis voluptate porro vel nihil molestiae ut reiciendis qui aperiam non debitis possimus qui neque nisi nulla EA MOLESTIAS QUASI EXERCITATIONEM REPELLAT QUI IPSA SIT AUT et iusto sed quo iure voluptatem occaecati omnis eligendi aut ad voluptatem doloribus vel accusantium quis pariatur molestiae porro eius odio et labore et velit aut EUM ET EST OCCAECATI ullam et saepe reiciendis voluptatem adipisci sit amet autem assumenda provident rerum culpa quis hic commodi nesciunt rem tenetur doloremque ipsam iure quis sunt voluptatem rerum illo velit NESCIUNT QUAS ODIO repudiandae veniam quaerat sunt sed alias aut fugiat sit autem sed est voluptatem omnis possimus esse voluptatibus quis est aut tenetur dolor neque DOLOREM EUM MAGNI EOS APERIAM QUIA ut aspernatur corporis harum nihil quis provident sequi mollitia nobis aliquid molestiae perspiciatis et ea nemo ab reprehenderit accusantium quas voluptate dolores velit et doloremque molestiae Empowering Minds, Nurturing Well-being First Name Last Name Email Address Date of Birth Gender Male Female Relationship Select From List Single Married Divorced Brief Description Drop your Document here or Browse Upload File Supports: PDF file up-to 1GB LinkedIn Profile Link Twitter Profile Link Facebook Profile Link Where do you prefer to work from? Select From List Home/Remote Office Hybrid Lorem ipsum is a placeholder text commonl Back Next Submit SENT SUCCESSFULLY Lorem ipsum is a placeholder text commonly used to demonstrate the visual form of a document or a typeface without relying on meaningful content. © 2023 chearful. All rights reserved.