form.jotform.com Open in urlscan Pro
35.201.118.58  Public Scan

Submitted URL: http://join.mommysalt.us/
Effective URL: https://form.jotform.com/pinksaltincorporated/join-mamasalts-family
Submission: On January 03 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

Name: form_231648620854561POST https://submit.jotform.com/submit/231648620854561

<form class="jotform-form" id="231648620854561" name="form_231648620854561" action="https://submit.jotform.com/submit/231648620854561" method="post" autocomplete="on" novalidate="true"><input type="hidden" name="formID" value="231648620854561">
  <ul class="jfForm-all form-section page-section form-all" id="cardAnimationWrapper" style="transform: translate3d(0px, 0px, 0px) scale3d(0.04, 0.04, 1); transform-origin: 800px 62% 0px; width: 25710px;" aria-hidden="true">
    <li class="form-line" data-type="control_text" id="id_18">
      <div id="cid_18" class="jfCard-wrapper isVisible" style="width: 940px; margin-left: 330px;">
        <div class="jfCard" data-type="control_text" style="max-height: 1200px;">
          <div class="jfCard-index">1</div>
          <div class="jfCard-question" style="max-height: 1197.64px; overflow-y: auto;">
            <div class="jfQuestion-fullscreen isHidden" role="button" aria-label="fullscreen mode" tabindex="-1" aria-hidden="true"></div>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div class="jfQuestion-fields">
              <div class="jfField">
                <div id="text_18" class="form-html" data-component="text">
                  <p style="text-align: center;"><span style="font-size: 24pt; color: #ea3223;"><strong>WARNING!</strong></span></p>
                  <p style="text-align: center;">&nbsp;</p>
                  <p style="text-align: center;"><span style="font-size: 14pt;">Please be aware that this form will <strong>no longer accept submissions from you after submitting</strong>, so be sure to review your answers before submitting.</span>
                  </p>
                  <p style="text-align: center;">&nbsp;</p>
                  <p style="text-align: center;">Click Next to Continue</p>
                </div>
              </div>
            </div>
          </div>
          <div class="jfCard-actions"><button style="display:none" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_0">Previous</button><button style="display:block"
              type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_0">Next</button><button style="display:none" type="button" class="jfInput-button u-right forReviewButton forReview"
              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
            <div class="cf">
              <div class="jfCard-actionsNotification" aria-live="polite">
                <div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
              </div>
            </div>
            <div class="jfCard-disableSubmitError"></div>
          </div>
        </div>
      </div>
    </li>
    <li class="form-line" data-type="control_text" id="id_20">
      <div id="cid_20" class="jfCard-wrapper nextQuestion" aria-hidden="true" style="width: 940px; margin-left: 0px;">
        <div class="jfCard" data-type="control_text">
          <div class="jfCard-index">2</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div class="jfQuestion-fields">
              <div class="jfField">
                <div id="text_20" class="form-html" data-component="text">
                  <p style="text-align: center;"><span style="font-size: 24pt; color: #ea3223;"><strong>GUIDELINES:</strong></span></p>
                  <p style="text-align: center;">&nbsp;</p>
                  <ol>
                    <li style="text-align: justify;"><span style="font-size: 14pt;">You have to be completely accurate with the Information that you put, <strong>otherwise it may mess up your join request.<br><br></strong></span></li>
                    <li style="text-align: justify;"><span style="font-size: 14pt;">You are not allowed to troll, nor put any type of profanity/unnecessary words and/nor any type of harassment into this form, otherwise, <strong>it will result in a
                          blacklist from the family.<br><br></strong></span></li>
                    <li style="text-align: justify;"><span style="font-size: 14pt;">Any type of flirting, wanting attention for dating, ERPing, or any similar type of action <strong>will get you blocked.<br><br></strong></span></li>
                    <li style="text-align: justify;"><span style="font-size: 14pt;">Any complications will result in a second review by <strong>other VR Mothers for a second opinion/decision.</strong><br><br></span></li>
                    <li style="text-align: justify;"><span style="font-size: 18.6667px;">Using fillers in the form, such as dots, exclamation marks, or anything within that nature <strong>will automatically decline your request.</strong></span></li>
                  </ol>
                  <p style="text-align: center;">&nbsp;</p>
                  <p style="text-align: center;">Click Next to Continue</p>
                </div>
              </div>
            </div>
          </div>
          <div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_1">Previous</button><button style="display:block"
              type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_1">Next</button><button style="display:none" type="button" class="jfInput-button u-right forReviewButton forReview"
              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
            <div class="cf">
              <div class="jfCard-actionsNotification" aria-live="polite">
                <div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
              </div>
            </div>
            <div class="jfCard-disableSubmitError"></div>
          </div>
        </div>
      </div>
    </li>
    <li class="form-line" data-type="control_text" id="id_49">
      <div id="cid_49" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard" data-type="control_text">
          <div class="jfCard-index">3</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div class="jfQuestion-fields">
              <div class="jfField">
                <div id="text_49" class="form-html" data-component="text">
                  <p style="text-align: justify;"><span style="color: #ea3223; font-size: 18pt;"><strong>Before we continue, please get the following ready because it will be needed later on:</strong></span></p>
                  <p><span style="font-size: 18pt;">&nbsp;</span></p>
                  <p style="text-align: justify;"><strong>&nbsp;1. Prepare a photo of your ID card, front and back.</strong></p>
                  <p style="text-align: justify;">(If you are under the age of getting a governmental ID from your country, use a school or a university ID instead.)</p>
                  <p style="text-align: justify;">&nbsp;</p>
                  <p style="text-align: justify;"><strong>2. Prepare a selfie picture of your face with a piece of paper that has the following: Your VRChat Username, Your Discord Username, Today's date and has "MamaSalt" written on it.</strong></p>
                  <p style="text-align: justify;">(Please everything in a good readable size.)</p>
                  <p style="text-align: justify;">&nbsp;</p>
                  <p style="text-align: justify;"><strong>3. (Optional) If you have a certain condition, prepare and take a photo of a medical record/doctor's note/or some sort of valid documentation that describes your condition.</strong></p>
                  <p style="text-align: justify;">(This is all done in good faith to verify and make punishments lighter if rules at all broken.)</p>
                </div>
              </div>
            </div>
          </div>
          <div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_2">Previous</button><button style="display:block"
              type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_2">Next</button><button style="display:none" type="button" class="jfInput-button u-right forReviewButton forReview"
              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
            <div class="cf">
              <div class="jfCard-actionsNotification" aria-live="polite">
                <div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
              </div>
            </div>
            <div class="jfCard-disableSubmitError"></div>
          </div>
        </div>
      </div>
    </li>
    <li class="form-line" data-type="control_textbox" id="id_22">
      <div id="cid_22" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard" data-type="control_textbox">
          <div class="jfCard-index">4</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_22" class="jfQuestion-label isLeftAlign" id="label_22"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">What do I call you?</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description"
              id="id_22_description"><span>Your Name, Nickname, etc...</span></span>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div class="jfQuestion-fields">
              <div class="jfField" data-type="textbox"><input type="text" id="input_22" name="q22_typeA22" data-type="input-textbox" class="form-textbox validate[required] jfInput-input" size="310" value="" data-component="textbox" required=""
                  aria-required="true" aria-describedby="id_22_description" aria-labelledby="label_22"><label class="jfField-sublabel " for="input_22" aria-hidden="true" tabindex="-1"></label></div>
            </div>
          </div>
          <div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_3">Previous</button><button style="display:block"
              type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_3">Next</button><button style="display:none" type="button" class="jfInput-button u-right forReviewButton forReview"
              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
            <div class="cf">
              <div class="jfCard-actionsNotification" aria-live="polite">
                <div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
              </div>
            </div>
            <div class="jfCard-disableSubmitError"></div>
          </div>
        </div>
      </div>
    </li>
    <li class="form-line" data-type="control_fullname" id="id_55" data-compound-hint="">
      <div id="cid_55" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard" data-type="control_fullname">
          <div class="jfCard-index">5</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_group_55" class="jfQuestion-label isLeftAlign" id="label_55"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Your Real Name (Optional)</span></label><span class="jfQuestion-description" id="id_55_description"><span></span></span>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div class="jfQuestion-fields" data-wrapper-react="true" role="group" id="input_group_55">
              <div class="jfField" data-type="first"><input type="text" id="first_55" name="q55_name[first]" class="form-textbox forFullname jfInput-input hasSublabel" size="10" value="" data-component="first" aria-required="false"
                  aria-describedby="id_55_description" aria-labelledby="label_55 sublabel_55_first"><label class="jfField-sublabel " for="first_55" id="sublabel_55_first">First Name</label></div>
              <div class="jfField" data-type="last"><input type="text" id="last_55" name="q55_name[last]" class="form-textbox forFullname jfInput-input hasSublabel" size="15" value="" data-component="last" aria-required="false"
                  aria-describedby="id_55_description" aria-labelledby="label_55 sublabel_55_last"><label class="jfField-sublabel " for="last_55" id="sublabel_55_last">Last Name</label></div>
            </div>
          </div>
          <div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_4">Previous</button><button style="display:block"
              type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_4">Next</button><button style="display:none" type="button" class="jfInput-button u-right forReviewButton forReview"
              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
            <div class="cf">
              <div class="jfCard-actionsNotification" aria-live="polite">
                <div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
              </div>
            </div>
            <div class="jfCard-disableSubmitError"></div>
          </div>
        </div>
      </div>
    </li>
    <li class="form-line" data-type="control_textbox" id="id_2">
      <div id="cid_2" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard" data-type="control_textbox">
          <div class="jfCard-index">6</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_2" class="jfQuestion-label isLeftAlign" id="label_2"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Your VRChat Username</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description"
              id="id_2_description"><span></span></span>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div class="jfQuestion-fields">
              <div class="jfField" data-type="textbox"><input type="text" id="input_2" name="q2_yourVrchat" data-type="input-textbox" class="form-textbox validate[required] jfInput-input" size="310" value="" data-component="textbox" required=""
                  aria-required="true" aria-describedby="id_2_description" aria-labelledby="label_2"><label class="jfField-sublabel " for="input_2" aria-hidden="true" tabindex="-1"></label></div>
            </div>
          </div>
          <div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_5">Previous</button><button style="display:block"
              type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_5">Next</button><button style="display:none" type="button" class="jfInput-button u-right forReviewButton forReview"
              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
            <div class="cf">
              <div class="jfCard-actionsNotification" aria-live="polite">
                <div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
              </div>
            </div>
            <div class="jfCard-disableSubmitError"></div>
          </div>
        </div>
      </div>
    </li>
    <li class="form-line" data-type="control_textbox" id="id_9">
      <div id="cid_9" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard" data-type="control_textbox">
          <div class="jfCard-index">7</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_9" class="jfQuestion-label isLeftAlign" id="label_9"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Your Discord Username</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span
              class="jfQuestion-description" id="id_9_description"><span>Where do I contact you?</span></span>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div class="jfQuestion-fields">
              <div class="jfField" data-type="textbox"><input type="text" id="input_9" name="q9_whatsYour" data-type="input-textbox" class="form-textbox validate[required] jfInput-input hasSublabel" size="310" value="" data-component="textbox"
                  required="" aria-required="true" aria-describedby="id_9_description" aria-labelledby="label_9 sublabel_input_9"><label class="jfField-sublabel " for="input_9" id="sublabel_input_9">E.g. MommySalt#8031, mssalt, etc...</label></div>
            </div>
          </div>
          <div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_6">Previous</button><button style="display:block"
              type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_6">Next</button><button style="display:none" type="button" class="jfInput-button u-right forReviewButton forReview"
              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
            <div class="cf">
              <div class="jfCard-actionsNotification" aria-live="polite">
                <div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
              </div>
            </div>
            <div class="jfCard-disableSubmitError"></div>
          </div>
        </div>
      </div>
    </li>
    <li class="form-line" data-type="control_textbox" id="id_5">
      <div id="cid_5" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard" data-type="control_textbox">
          <div class="jfCard-index">8</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_5" class="jfQuestion-label isLeftAlign" id="label_5"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Your Current Age</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description"
              id="id_5_description"><span>This is used to help me know how to interact with you.</span></span>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div class="jfQuestion-fields">
              <div class="jfField" data-type="textbox"><input type="text" id="input_5" name="q5_typeA" data-type="input-textbox" class="form-textbox validate[required, Numeric] jfInput-input" size="310" value="" maxlength="2" data-maxlength="2"
                  data-component="textbox" required="" aria-required="true" aria-describedby="id_5_description" aria-labelledby="label_5"><label class="jfField-sublabel " for="input_5" aria-hidden="true" tabindex="-1"></label></div>
            </div>
          </div>
          <div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_7">Previous</button><button style="display:block"
              type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_7">Next</button><button style="display:none" type="button" class="jfInput-button u-right forReviewButton forReview"
              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
            <div class="cf">
              <div class="jfCard-actionsNotification" aria-live="polite">
                <div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
              </div>
            </div>
            <div class="jfCard-disableSubmitError"></div>
          </div>
        </div>
      </div>
    </li>
    <li class="form-line" data-type="control_datetime" id="id_50">
      <div id="cid_50" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard" data-type="control_datetime">
          <div class="jfCard-index">9</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_50" class="jfQuestion-label isLeftAlign" id="label_50"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Your Date Of Birth</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description"
              id="id_50_description"><span></span></span>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div class="jfQuestion-fields isCompoundField jfQuestion-fields-contentVisible" data-wrapper-react="true">
              <div class="jfField isFilled" data-wrapper-react="true" data-type="liteDate"><input type="date" id="input_50" class="form-textbox jfInput-input jfCardDateInput isHidden" value="" data-age="" max="2100-12-30" aria-hidden="true"
                  style="pointer-events: auto; display: none;"><input type="text" id="lite_mode_50" class="form-textbox validate[required, limitDate, validateLiteDate] jfCardDateInput jfInput-input" size="12" data-format="mmddyyyy" required=""
                  data-seperator="/" placeholder="mm/dd/yyyy" data-placeholder="mm/dd/yyyy" data-age="" aria-required="true" value="" inputmode="numeric">
                <div class="isHidden"><span class="date-separate" aria-hidden="true">/</span></div><span style="display:initial" class="jfField-svgWrapper forDate" tabindex="0" role="button" aria-label="Calendar icon"><svg
                    xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24" style="width:24px;height:24px">
                    <path fill-rule="evenodd"
                      d="M8 1a1 1 0 0 1 1 1v1h6V2a1 1 0 1 1 2 0v1h2a3 3 0 0 1 3 3v14a3 3 0 0 1-3 3H5a3 3 0 0 1-3-3V6a3 3 0 0 1 3-3h2V2a1 1 0 0 1 1-1Zm12 5v3H4V6a1 1 0 0 1 1-1h2v1a1 1 0 0 0 2 0V5h6v1a1 1 0 1 0 2 0V5h2a1 1 0 0 1 1 1Zm-4.625 7.963c-.2-.391-.512-.587-.939-.587-.427 0-.743.196-.95.587-.198.39-.298 1.07-.298 2.037 0 .967.1 1.646.299 2.037.206.391.522.587.95.587.426 0 .739-.196.938-.587.206-.39.31-1.07.31-2.037 0-.967-.104-1.646-.31-2.037Zm1.387 5.098c-.505.626-1.28.939-2.326.939-1.045 0-1.824-.313-2.336-.939-.505-.625-.757-1.646-.757-3.061s.252-2.436.757-3.061c.512-.626 1.29-.939 2.336-.939 1.046 0 1.82.313 2.326.939.511.625.767 1.646.767 3.061s-.256 2.436-.767 3.061Zm-10.08-3.818-.15-.406a.875.875 0 0 1-.032-.522.886.886 0 0 1 .256-.448l1.43-1.344a1.512 1.512 0 0 1 1.045-.416h.683c.17 0 .312.06.426.181a.6.6 0 0 1 .17.427v6.57a.602.602 0 0 1-.17.427.562.562 0 0 1-.426.181H9.23a.602.602 0 0 1-.597-.608v-5.077h-.02l-1.28 1.184a.38.38 0 0 1-.363.107.39.39 0 0 1-.288-.256Z"
                      clip-rule="evenodd"></path>
                  </svg></span><label class="jfField-sublabel " for="lite_mode_50" id="sublabel_input_50">Date</label>
              </div>
              <div style="display:none">
                <div class="jfField  isHidden cf-valid-hidden" data-type="month"><input type="tel" id="month_50" name="q50_date[month]" class="form-textbox validate[required, limitDate] jfInput-input hasSublabel" size="2" value="" maxlength="2"
                    data-maxlength="2" tabindex="-1" data-component="month" required="" aria-required="true" aria-describedby="id_50_description" aria-labelledby="label_50 sublabel_50_month" inputmode="numeric"><label class="jfField-sublabel "
                    for="month_50" id="sublabel_50_month">Month</label></div>
                <div class="jfField  isHidden cf-valid-hidden" data-type="day"><input type="tel" id="day_50" name="q50_date[day]" class="form-textbox validate[required, limitDate] jfInput-input hasSublabel" size="2" value="" maxlength="2"
                    data-maxlength="2" tabindex="-1" data-component="day" required="" aria-required="true" aria-describedby="id_50_description" aria-labelledby="label_50 sublabel_50_day" inputmode="numeric"><label class="jfField-sublabel "
                    for="day_50" id="sublabel_50_day">Day</label></div>
                <div class="jfField  isHidden cf-valid-hidden" data-type="year"><input type="tel" id="year_50" name="q50_date[year]" class="form-textbox validate[required, limitDate] jfInput-input hasSublabel" size="4" value="" maxlength="4"
                    data-maxlength="4" tabindex="-1" data-component="year" required="" aria-required="true" aria-describedby="id_50_description" aria-labelledby="label_50 sublabel_50_year"><label class="jfField-sublabel " for="year_50"
                    id="sublabel_50_year">Year</label></div>
              </div><img loading="lazy" alt="Pick a Date" id="input_50_pick" style="display:none;vertical-align:middle" data-component="datetime">
            </div>
          </div>
          <div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_8">Previous</button><button style="display:block"
              type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_8">Next</button><button style="display:none" type="button" class="jfInput-button u-right forReviewButton forReview"
              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
            <div class="cf">
              <div class="jfCard-actionsNotification" aria-live="polite">
                <div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
              </div>
            </div>
            <div class="jfCard-disableSubmitError"></div>
          </div>
        </div>
      </div>
    </li>
    <li class="form-line" data-type="control_radio" id="id_8">
      <div id="cid_8" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard canMoveAuto" data-type="control_radio">
          <div class="jfCard-index">10</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_group_8" class="jfQuestion-label isLeftAlign" id="label_8"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Your Gender</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description"
              id="id_8_description"><span>What do you identify as...?</span></span>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div role="group" id="input_group_8" aria-describedby="id_8_description" class="jfQuestion-fields form-multiple-column" data-columncount="2" data-component="radio">
              <div class="jfField form-radio-item"><label data-id="label_input_8_0" class="jfRadio withoutImage"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q8_typeA8" value="Male" id="input_8_0" required=""
                    aria-describedby="label_8">
                  <div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" loading="lazy"><span class="jfRadio-labelText">Male</span></div>
                </label></div>
              <div class="jfField form-radio-item"><label data-id="label_input_8_1" class="jfRadio withoutImage"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q8_typeA8" value="Female" id="input_8_1" required=""
                    aria-describedby="label_8">
                  <div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" loading="lazy"><span class="jfRadio-labelText">Female</span></div>
                </label></div>
              <div class="jfField form-radio-item"><label data-id="label_input_8_2" class="jfRadio withoutImage"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q8_typeA8" value="Transgender" id="input_8_2" required=""
                    aria-describedby="label_8">
                  <div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" loading="lazy"><span class="jfRadio-labelText">Transgender</span></div>
                </label></div>
              <div class="jfField form-radio-item"><label data-id="label_input_8_3" class="jfRadio withoutImage"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q8_typeA8" value="Non-binary" id="input_8_3" required=""
                    aria-describedby="label_8">
                  <div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" loading="lazy"><span class="jfRadio-labelText">Non-binary</span></div>
                </label></div>
              <div class="jfField jfField-lastRowItem form-radio-item"><label data-id="label_input_8_4" class="jfRadio withoutImage"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q8_typeA8" value="Other..."
                    id="input_8_4" required="" aria-describedby="label_8">
                  <div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" loading="lazy"><span class="jfRadio-labelText">Other...</span></div>
                </label></div>
            </div>
          </div>
          <div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_9">Previous</button><button style="display:block"
              type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_9">Next</button><button style="display:none" type="button" class="jfInput-button u-right forReviewButton forReview"
              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
            <div class="cf">
              <div class="jfCard-actionsNotification" aria-live="polite">
                <div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
              </div>
            </div>
            <div class="jfCard-disableSubmitError"></div>
          </div>
        </div>
      </div>
    </li>
    <li class="form-line" data-type="control_radio" id="id_23">
      <div id="cid_23" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard canMoveAuto" data-type="control_radio">
          <div class="jfCard-index">11</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_group_23" class="jfQuestion-label isLeftAlign" id="label_23"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Your Pronoun</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span class="jfQuestion-description"
              id="id_23_description"><span>What should I call you as...?</span></span>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div role="group" id="input_group_23" aria-describedby="id_23_description" class="jfQuestion-fields form-multiple-column" data-columncount="2" data-component="radio">
              <div class="jfField form-radio-item"><label data-id="label_input_23_0" class="jfRadio withoutImage"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q23_yourGender" value="He/Him" id="input_23_0" required=""
                    aria-describedby="label_23">
                  <div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" loading="lazy"><span class="jfRadio-labelText">He/Him</span></div>
                </label></div>
              <div class="jfField form-radio-item"><label data-id="label_input_23_1" class="jfRadio withoutImage"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q23_yourGender" value="She/Her" id="input_23_1"
                    required="" aria-describedby="label_23">
                  <div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" loading="lazy"><span class="jfRadio-labelText">She/Her</span></div>
                </label></div>
              <div class="jfField form-radio-item"><label data-id="label_input_23_2" class="jfRadio withoutImage"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q23_yourGender" value="They/Them" id="input_23_2"
                    required="" aria-describedby="label_23">
                  <div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" loading="lazy"><span class="jfRadio-labelText">They/Them</span></div>
                </label></div>
              <div class="jfField form-radio-item"><label data-id="label_input_23_3" class="jfRadio withoutImage"><input type="radio" class="jfRadio-input form-radio validate[required]" name="q23_yourGender" value="Any Pronoun" id="input_23_3"
                    required="" aria-describedby="label_23">
                  <div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><img class="jfRadio-visual" alt="Radio" loading="lazy"><span class="jfRadio-labelText">Any Pronoun</span></div>
                </label></div>
              <div class="jfField jfField-lastRowItem form-radio-item form-other-part-item"><label data-id="label_other_23" class="jfRadio withoutImage"><span class="jfHiddenTextLabel">Other</span><input type="radio"
                    class="jfRadio-input jfRadio-otherInput form-radio-other form-radio validate[required]" name="q23_yourGender" id="other_23" value="other" aria-label="Other">
                  <div class="jfRadio-label"><span class="jfRadio-customInput"><span class="jfRadio-customInputIcon"></span></span><span class="other-input-container is-none" style=""><input type="text"
                        class="jfRadio-input jfRadio-otherInputField form-radio-other-input form-textbox" name="q23_yourGender[other]" data-otherhint="Other" placeholder="Other" size="15" id="input_23" aria-label="Other" tabindex="-1"></span></div>
                </label></div>
            </div>
          </div>
          <div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_10">Previous</button><button style="display:block"
              type="button" class="jfInput-button forNext u-right" data-component="button" aria-label="Next" data-testid="nextButton_10">Next</button><button style="display:none" type="button" class="jfInput-button u-right forReviewButton forReview"
              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
            <div class="cf">
              <div class="jfCard-actionsNotification" aria-live="polite">
                <div class="jfPressEnter isHidden" aria-hidden="true">Press<br>Enter</div>
              </div>
            </div>
            <div class="jfCard-disableSubmitError"></div>
          </div>
        </div>
      </div>
    </li>
    <li class="form-line" data-type="control_checkbox" id="id_30">
      <div id="cid_30" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard" data-type="control_checkbox">
          <div class="jfCard-index">12</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_group_30" class="jfQuestion-label isLeftAlign" id="label_30"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Do you have any conditions? (Optional)</span></label><span class="jfQuestion-description" id="id_30_description"><span>If you have anything that you think I should know about.
                You can select it here, otherwise, you can skip this question.</span></span>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div role="group" id="input_group_30" aria-describedby="id_30_description" class="jfQuestion-fields form-multiple-column" data-columncount="2" data-component="checkbox">
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_0" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]"
                    value="Attention Deficit Hyperactivity Disorder (ADHD)" id="input_30_0" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Attention
                      Deficit Hyperactivity Disorder (ADHD)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_1" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Autism Spectrum Disorder (ASD)"
                    id="input_30_1" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Autism
                      Spectrum Disorder (ASD)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_2" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Depression" id="input_30_2"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span
                      class="jfCheckbox-labelText">Depression</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_3" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]"
                    value="Anxiety Disorders (e.g., Generalized Anxiety Disorder, Panic Disorder)" id="input_30_3" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Anxiety
                      Disorders (e.g., Generalized Anxiety Disorder, Panic Disorder)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_4" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Bipolar Disorder" id="input_30_4"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Bipolar
                      Disorder</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_5" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Schizophrenia" id="input_30_5"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span
                      class="jfCheckbox-labelText">Schizophrenia</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_6" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Obsessive-Compulsive Disorder (OCD)"
                    id="input_30_6" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span
                      class="jfCheckbox-labelText">Obsessive-Compulsive Disorder (OCD)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_7" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Post-Traumatic Stress Disorder (PTSD)"
                    id="input_30_7" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Post-Traumatic
                      Stress Disorder (PTSD)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_8" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]"
                    value="Eating Disorders (e.g., Anorexia Nervosa, Bulimia)" id="input_30_8" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Eating
                      Disorders (e.g., Anorexia Nervosa, Bulimia)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_9" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Borderline Personality Disorder (BPD)"
                    id="input_30_9" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Borderline
                      Personality Disorder (BPD)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_10" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]"
                    value="Substance Use Disorders (e.g., Alcoholism, Drug Addiction)" id="input_30_10" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Substance Use
                      Disorders (e.g., Alcoholism, Drug Addiction)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_11" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Bipolar Disorder" id="input_30_11"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Bipolar
                      Disorder</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_12" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Dissociative Identity Disorder (DID)"
                    id="input_30_12" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Dissociative
                      Identity Disorder (DID)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_13" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Schizoaffective Disorder"
                    id="input_30_13" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span
                      class="jfCheckbox-labelText">Schizoaffective Disorder</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_14" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Social Anxiety Disorder"
                    id="input_30_14" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Social Anxiety
                      Disorder</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_15" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]"
                    value="Specific Phobias (e.g., Arachnophobia, Claustrophobia)" id="input_30_15" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Specific
                      Phobias (e.g., Arachnophobia, Claustrophobia)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_16" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Insomnia" id="input_30_16"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span
                      class="jfCheckbox-labelText">Insomnia</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_17" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Seasonal Affective Disorder (SAD)"
                    id="input_30_17" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Seasonal
                      Affective Disorder (SAD)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_18" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Body Dysmorphic Disorder (BDD)"
                    id="input_30_18" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Body
                      Dysmorphic Disorder (BDD)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_19" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]"
                    value="Narcissistic Personality Disorder (NPD)" id="input_30_19" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Narcissistic
                      Personality Disorder (NPD)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_20" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Antisocial Personality Disorder (ASPD)"
                    id="input_30_20" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Antisocial
                      Personality Disorder (ASPD)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_21" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Postpartum Depression" id="input_30_21"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Postpartum
                      Depression</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_22" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Borderline Intellectual Functioning"
                    id="input_30_22" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Borderline
                      Intellectual Functioning</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_23" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]"
                    value="Intellectual Disabilities (e.g., Down Syndrome)" id="input_30_23" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Intellectual
                      Disabilities (e.g., Down Syndrome)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_24" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Cerebral Palsy" id="input_30_24"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Cerebral
                      Palsy</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_25" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Multiple Sclerosis (MS)"
                    id="input_30_25" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Multiple
                      Sclerosis (MS)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_26" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Parkinson's Disease" id="input_30_26"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Parkinson's
                      Disease</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_27" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Alzheimer's Disease" id="input_30_27"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Alzheimer's
                      Disease</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_28" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Huntington's Disease" id="input_30_28"
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                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Huntington's
                      Disease</span></div>
                </label></div>
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                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span
                      class="jfCheckbox-labelText">Epilepsy</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_30" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Schizotypal Personality Disorder"
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                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Schizotypal
                      Personality Disorder</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_31" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Conduct Disorder" id="input_30_31"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Conduct
                      Disorder</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_32" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Oppositional Defiant Disorder (ODD)"
                    id="input_30_32" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Oppositional
                      Defiant Disorder (ODD)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_33" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Gender Dysphoria" id="input_30_33"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Gender
                      Dysphoria</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_34" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]"
                    value="Body Integrity Identity Disorder (BIID)" id="input_30_34" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Body Integrity
                      Identity Disorder (BIID)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_35" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]"
                    value="Trichotillomania (Hair-Pulling Disorder)" id="input_30_35" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span
                      class="jfCheckbox-labelText">Trichotillomania (Hair-Pulling Disorder)</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_36" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Tourette Syndrome" id="input_30_36"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Tourette
                      Syndrome</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_37" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Hoarding Disorder" id="input_30_37"
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                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Hoarding
                      Disorder</span></div>
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                      (Sleepwalking)</span></div>
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                      Disorders</span></div>
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                      Disorder</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_42" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Factitious Disorder" id="input_30_42"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Factitious
                      Disorder</span></div>
                </label></div>
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                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Rumination
                      Disorder</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_44" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Selective Mutism" id="input_30_44"
                    aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Selective
                      Mutism</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_45" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]" value="Avoidant Personality Disorder"
                    id="input_30_45" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Avoidant
                      Personality Disorder</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_30_46" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q30_typeA30[]"
                    value="Depersonalization-Derealization Disorder" id="input_30_46" aria-describedby="label_30">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span
                      class="jfCheckbox-labelText">Depersonalization-Derealization Disorder</span></div>
                </label></div>
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                      Disorder</span></div>
                </label></div>
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                      Symptom Disorder</span></div>
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                      Disorder</span></div>
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                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span
                      class="jfCheckbox-labelText">Kleptomania</span></div>
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                      Syndrome</span></div>
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                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Gender
                      Identity Disorder (now referred to as Gender Dysphoria)</span></div>
                </label></div>
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                      Dysphoric Disorder (PMDD)</span></div>
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                      Amnesia</span></div>
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                      Attachment Disorder</span></div>
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                      Social Engagement Disorder</span></div>
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          <div class="jfCard-index">15</div>
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                class="jsQuestionLabelContainer jfQuestionLabelContainer">Why did you choose <span class="replaceTag 24_typeA17" default=""></span> as your Family Identity?</span><span class="jfRequiredStar">* <span
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                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">πŸ™Š</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😌</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">πŸ˜€</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😝</a></li>
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    <li class="form-line" data-type="control_checkbox" id="id_27">
      <div id="cid_27" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard" data-type="control_checkbox">
          <div class="jfCard-index">16</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_group_27" class="jfQuestion-label isLeftAlign" id="label_27"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Is there a specific reason why you wanna join the family or be adopted by MamaSalt?</span></label><span class="jfQuestion-description" id="id_27_description"><span>Select all
                that applies.</span></span>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div role="group" id="input_group_27" aria-describedby="id_27_description" class="jfQuestion-fields form-multiple-column" data-columncount="2" data-component="checkbox">
              <div class="jfField form-checkbox-item"><label data-id="label_input_27_0" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q27_typeA27[]" value="I have IRL Mother Issues"
                    id="input_27_0" aria-describedby="label_27">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">I have IRL
                      Mother Issues</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_27_1" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q27_typeA27[]"
                    value="I wanna feel MamaSalt’s Love and Affection" id="input_27_1" aria-describedby="label_27">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">I wanna feel
                      MamaSalt’s Love and Affection</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_27_2" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q27_typeA27[]" value="I’m Motherless" id="input_27_2"
                    aria-describedby="label_27">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">I’m
                      Motherless</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_27_3" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q27_typeA27[]" value="I have depression" id="input_27_3"
                    aria-describedby="label_27">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">I have
                      depression</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_27_4" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q27_typeA27[]"
                    value="Missing My IRL Mother’s Love and Affection" id="input_27_4" aria-describedby="label_27">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Missing My IRL
                      Mother’s Love and Affection</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_27_5" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q27_typeA27[]" value="Missing Love and Affection in General"
                    id="input_27_5" aria-describedby="label_27">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">Missing Love
                      and Affection in General</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_27_6" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q27_typeA27[]"
                    value="I want to have a VR family that supports me and makes me happy" id="input_27_6" aria-describedby="label_27">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">I want to have
                      a VR family that supports me and makes me happy</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_27_7" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q27_typeA27[]"
                    value="I want to experience the joy of having a VR mother and siblings" id="input_27_7" aria-describedby="label_27">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">I want to
                      experience the joy of having a VR mother and siblings</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_27_8" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q27_typeA27[]"
                    value="I want to learn from MamaSalt and grow as a person" id="input_27_8" aria-describedby="label_27">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">I want to
                      learn from MamaSalt and grow as a person</span></div>
                </label></div>
              <div class="jfField form-checkbox-item"><label data-id="label_input_27_9" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q27_typeA27[]"
                    value="I want to share my interests and hobbies with the family" id="input_27_9" aria-describedby="label_27">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">I want to
                      share my interests and hobbies with the family</span></div>
                </label></div>
              <div class="jfField jfField-lastRowItem form-checkbox-item"><label data-id="label_input_27_10" class="jfCheckbox withoutImage"><input type="checkbox" class="jfCheckbox-input form-checkbox" name="q27_typeA27[]"
                    value="I want to have fun and explore new things with the family" id="input_27_10" aria-describedby="label_27">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><img class="jfCheckbox-visual" alt="Checkbox" loading="lazy"><span class="jfCheckbox-labelText">I want to have
                      fun and explore new things with the family</span></div>
                </label></div>
              <div class="jfField jfField-lastRowItem form-checkbox-item form-other-part-item"><label data-id="label_other_27" class="jfCheckbox withoutImage"><span class="jfHiddenTextLabel">Other</span><input type="checkbox"
                    class="jfCheckbox-input jfCheckbox-otherInput form-checkbox-other form-checkbox" name="q27_typeA27[other]" id="other_27" value="other" aria-label="I have other issues.">
                  <div class="jfCheckbox-label"><span class="jfCheckbox-customInput"><span class="jfCheckbox-customInputIcon"></span></span><span class="other-input-container is-none" style=""><input type="text"
                        class="jfCheckbox-input jfCheckbox-otherInputField form-checkbox-other-input form-textbox" name="q27_typeA27[other]" data-otherhint="I have other issues." placeholder="I have other issues." size="15" id="input_27"
                        aria-label="I have other issues." tabindex="-1"></span></div>
                </label></div>
            </div>
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              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
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    <li class="form-line" data-type="control_yesno" id="id_31">
      <div id="cid_31" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard canMoveAuto" data-type="control_yesno">
          <div class="jfCard-index">17</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_31" class="jfQuestion-label isLeftAlign" id="label_31"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Have you ever met a VR Mother before?</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span
              class="jfQuestion-description" id="id_31_description"><span></span></span>
            <div class="jfCard-mobileError jsMobileErrorWrapper"></div>
            <div class="jfQuestion-fields" data-wrapper-react="true">
              <div class="jfField" role="group" aria-labelledby="label_31"><label class="jfYesno" role="radio" aria-checked="false"><input type="radio" class="jfYesno-input form-radio validate[required] jsToggle" value="YES" id="input_input_31_0"
                    name="q31_typeA31"><span class="jfYesno-label">YES</span></label><label class="jfYesno" role="radio" aria-checked="false"><input type="radio" class="jfYesno-input form-radio validate[required] jsToggle" value="NO"
                    id="input_input_31_1" name="q31_typeA31"><span class="jfYesno-label">NO</span></label></div>
            </div>
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              data-component="button" aria-label="Submit" data-testid="submitButton">Review and Submit</button>
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    <li class="form-line" data-type="control_textarea" id="id_11">
      <div id="cid_11" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard" data-type="control_textarea">
          <div class="jfCard-index">18</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_11" class="jfQuestion-label isLeftAlign" id="label_11"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Have you been adopted by other VR Mothers before?</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span
              class="jfQuestion-description" id="id_11_description"><span>If you've been in any other families where you've been adopted by a VR Mother, you can tell me what's the VR mother's name. (VRChat, Discord) and tell me your experience(s)
                with the VR Mother. If not, just reply with "No, I haven't."</span></span>
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              <div class="jfField"><textarea id="input_11" name="q11_typeA11" placeholder="" class="mdInput form-textarea validate[required]"></textarea>
                <div id="input_11_editor" class="jfTextarea-editor" role="textbox" aria-labelledby="label_11" aria-multiline="true" contenteditable="true" data-placeholder=""></div>
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            <div id="input_11_fontSize" data-command="heading" class="jfToolbar-item forBoth">
              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Font Size" aria-controls="input_11_fontSize_menu" aria-expanded="false"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor"
                    viewBox="0 0 24 24" class="w-12 h-12">
                    <path fill-rule="evenodd" d="M8 5.5A1.5 1.5 0 0 1 9.5 4h11a1.5 1.5 0 0 1 0 3h-4v11.5a1.5 1.5 0 0 1-3 0V7h-4A1.5 1.5 0 0 1 8 5.5ZM3.5 9a1.5 1.5 0 1 0 0 3h2v6.5a1.5 1.5 0 0 0 3 0V12h2a1.5 1.5 0 0 0 0-3h-7Z" clip-rule="evenodd">
                    </path>
                  </svg></span></div>
              <ul class="jfToolbar-select jfToolbar-select-heading" data-command="heading" role="menu" id="input_11_fontSize_menu">
                <li data-value="1" style="font-size:2em" data-selected="true" tabindex="0" role="menuitemradio" aria-checked="true">Huge</li>
                <li data-value="3" style="font-size:1.17em" data-selected="false" tabindex="0" role="menuitemradio" aria-checked="false">Large</li>
                <li data-value="5" style="font-size:0.83em" data-selected="false" tabindex="0" role="menuitemradio" aria-checked="false">Normal</li>
                <li data-value="6" style="font-size:0.67em" data-selected="false" tabindex="0" role="menuitemradio" aria-checked="false">Small</li>
              </ul>
            </div>
            <div id="input_11_bold" data-command="bold" class="jfToolbar-item breakBefore forBoth">
              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Bold"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24" class="w-12 h-12">
                    <path fill-rule="evenodd"
                      d="M5 3.5A1.5 1.5 0 0 1 6.5 2h6.667l.112.003a6.825 6.825 0 0 1 .761.084 6.776 6.776 0 0 1 1.771.549c.666.317 1.392.815 1.951 1.598.57.798.905 1.804.905 3.016 0 1.214-.337 2.22-.911 3.02-.154.213-.32.406-.494.579C18.657 11.742 20 13.272 20 15.75c0 2.836-1.596 4.462-3.104 5.301a8.125 8.125 0 0 1-2.921.942s-.094.007-.142.007H6.5A1.5 1.5 0 0 1 5 20.5v-17ZM13.74 19l.056-.008a5.127 5.127 0 0 0 1.642-.562c.823-.46 1.562-1.21 1.562-2.68 0-1.362-.781-2.131-1.833-2.64a6.826 6.826 0 0 0-1.504-.508 6.927 6.927 0 0 0-.598-.102H8V19h5.74ZM8 9.5h5.12l.077-.005c.073-.006.187-.018.327-.041a3.86 3.86 0 0 0 .99-.3c.338-.16.614-.37.806-.636.18-.251.347-.635.347-1.268 0-.635-.166-1.02-.346-1.271-.19-.267-.464-.475-.799-.634a3.782 3.782 0 0 0-.98-.3A3.831 3.831 0 0 0 13.145 5H8v4.5Zm5.014 2.994h.002Z"
                      clip-rule="evenodd"></path>
                  </svg></span></div>
            </div>
            <div id="input_11_italic" data-command="italic" class="jfToolbar-item forBoth">
              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Italic"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24" class="w-12 h-12">
                    <path fill-rule="evenodd" d="M8.5 4.5A1.5 1.5 0 0 1 10 3h8a1.5 1.5 0 0 1 0 3h-2.954l-3 12H14a1.5 1.5 0 0 1 0 3H6a1.5 1.5 0 1 1 0-3h2.954l3-12H10a1.5 1.5 0 0 1-1.5-1.5Z" clip-rule="evenodd"></path>
                  </svg></span></div>
            </div>
            <div id="input_11_underline" data-command="underline" class="jfToolbar-item forBoth">
              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Underline"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24" class="w-12 h-12">
                    <path fill-rule="evenodd" d="M8 3.5a1.5 1.5 0 1 0-3 0V10a7 7 0 1 0 14 0V3.5a1.5 1.5 0 0 0-3 0V10a4 4 0 0 1-8 0V3.5ZM5.5 19a1.5 1.5 0 0 0 0 3h13a1.5 1.5 0 0 0 0-3h-13Z" clip-rule="evenodd"></path>
                  </svg></span></div>
            </div>
            <div id="input_11_createLink" data-command="createLink" class="jfToolbar-item forBoth">
              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Insert Link" aria-describedby="input_11_createLink_menu"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24"
                    class="w-12 h-12">
                    <path fill-rule="evenodd"
                      d="M17.959 6.04a3.714 3.714 0 0 1 0 5.253l-1.334 1.334a1 1 0 0 0 1.415 1.414l1.333-1.334a5.714 5.714 0 1 0-8.08-8.08L9.958 5.96a1 1 0 1 0 1.414 1.414l1.333-1.333a3.714 3.714 0 0 1 5.253 0Zm-10 10a1 1 0 0 1 0-1.414l6.667-6.667a1 1 0 1 1 1.414 1.414L9.374 16.04a1 1 0 0 1-1.415 0ZM6.04 12.707a3.714 3.714 0 0 0 5.252 5.252l1.334-1.333a1 1 0 1 1 1.414 1.414l-1.333 1.333a5.714 5.714 0 1 1-8.081-8.08l1.333-1.334a1 1 0 1 1 1.414 1.414L6.04 12.707Z"
                      clip-rule="evenodd"></path>
                  </svg></span></div>
              <div id="input_11_createLink_menu" class="jfToolbar-modal forUrl"><input type="url" id="modalLinkUrl_input_11" class="jfModal-input jfModal-modalLinkUrl" data-disable-enter-event="true" data-disable-escape-event="true"
                  placeholder="Enter URL" aria-label="link url input">
                <div class="modal-btn" role="button" tabindex="0">Ok</div>
              </div>
            </div>
            <div id="input_11_ul" data-command="insertUnorderedList" class="jfToolbar-item breakBefore forBoth">
              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Insert Bullet List"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24" class="w-12 h-12">
                    <path fill-rule="evenodd"
                      d="M4 5a1 1 0 0 0 0 2h1a1 1 0 0 0 0-2H4Zm5 0a1 1 0 0 0 0 2h11a1 1 0 1 0 0-2H9Zm0 6a1 1 0 1 0 0 2h11a1 1 0 1 0 0-2H9Zm-1 7a1 1 0 0 1 1-1h11a1 1 0 1 1 0 2H9a1 1 0 0 1-1-1Zm-5-6a1 1 0 0 1 1-1h1a1 1 0 1 1 0 2H4a1 1 0 0 1-1-1Zm1 5a1 1 0 1 0 0 2h1a1 1 0 1 0 0-2H4Z"
                      clip-rule="evenodd"></path>
                  </svg></span></div>
            </div>
            <div id="input_11_ol" data-command="insertOrderedList" class="jfToolbar-item forBoth">
              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Insert Numbered List"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24" class="w-12 h-12">
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                  placeholder="Enter image URL" aria-label="image url input">
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              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Insert Emoji" aria-haspopup="true"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24" class="w-12 h-12">
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            <div class="jfTextarea-infoSpan "><span class="jfTextarea-limitSpan" data-limit-type="Letters" data-limit="-1" data-minimum="10" id="input_11-limit">0/10</span><span class="jfTextarea-modeSpan"></span></div>
            <div style="position: absolute;">
              <div class="jfEmoji-picker">
                <ul class="jfEmoji-picker-list">
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😁</a></li>
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                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">πŸ™ˆ</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😬</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😝</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😘</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">πŸ’›</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😍</a></li>
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                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">πŸ‘</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">πŸ˜”</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😭</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">πŸ’‹</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">πŸ˜’</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😳</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😜</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">πŸ˜ƒ</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😒</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😱</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😏</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😞</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">πŸ˜…</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😚</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">πŸ™Š</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😌</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">πŸ˜€</a></li>
                  <li class="jfEmoji-picker-item"><a class="jfEmoji-picker-link">😝</a></li>
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          <div class="jfCard-actions"><button style="display:block" type="button" class="jfInput-button forPrev u-left" data-component="button" aria-label="Previous" data-testid="previousButton_17">Previous</button><button style="display:block"
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    <li class="form-line" data-type="control_textarea" id="id_12">
      <div id="cid_12" class="jfCard-wrapper" style="width: 940px; margin-left: 0px;">
        <div class="jfCard" data-type="control_textarea">
          <div class="jfCard-index">19</div>
          <div class="jfCard-question">
            <div class="jfQuestion-fullscreen" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_12" class="jfQuestion-label isLeftAlign" id="label_12"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Have you ever been to any type of VR Family before?</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span
              class="jfQuestion-description" id="id_12_description"><span>If you've ever been in any other VR families before, you can tell me about your experience(s) there. If not, just reply with "No, I haven't."</span></span>
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              <div class="jfField"><textarea id="input_12" name="q12_typeA12" placeholder="" class="mdInput form-textarea validate[required]"></textarea>
                <div id="input_12_editor" class="jfTextarea-editor" role="textbox" aria-labelledby="label_12" aria-multiline="true" contenteditable="true" data-placeholder=""></div>
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            <div id="input_12_fontSize" data-command="heading" class="jfToolbar-item forBoth">
              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Font Size" aria-controls="input_12_fontSize_menu" aria-expanded="false"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor"
                    viewBox="0 0 24 24" class="w-12 h-12">
                    <path fill-rule="evenodd" d="M8 5.5A1.5 1.5 0 0 1 9.5 4h11a1.5 1.5 0 0 1 0 3h-4v11.5a1.5 1.5 0 0 1-3 0V7h-4A1.5 1.5 0 0 1 8 5.5ZM3.5 9a1.5 1.5 0 1 0 0 3h2v6.5a1.5 1.5 0 0 0 3 0V12h2a1.5 1.5 0 0 0 0-3h-7Z" clip-rule="evenodd">
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              <ul class="jfToolbar-select jfToolbar-select-heading" data-command="heading" role="menu" id="input_12_fontSize_menu">
                <li data-value="1" style="font-size:2em" data-selected="true" tabindex="0" role="menuitemradio" aria-checked="true">Huge</li>
                <li data-value="3" style="font-size:1.17em" data-selected="false" tabindex="0" role="menuitemradio" aria-checked="false">Large</li>
                <li data-value="5" style="font-size:0.83em" data-selected="false" tabindex="0" role="menuitemradio" aria-checked="false">Normal</li>
                <li data-value="6" style="font-size:0.67em" data-selected="false" tabindex="0" role="menuitemradio" aria-checked="false">Small</li>
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            <div id="input_12_bold" data-command="bold" class="jfToolbar-item breakBefore forBoth">
              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Bold"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24" class="w-12 h-12">
                    <path fill-rule="evenodd"
                      d="M5 3.5A1.5 1.5 0 0 1 6.5 2h6.667l.112.003a6.825 6.825 0 0 1 .761.084 6.776 6.776 0 0 1 1.771.549c.666.317 1.392.815 1.951 1.598.57.798.905 1.804.905 3.016 0 1.214-.337 2.22-.911 3.02-.154.213-.32.406-.494.579C18.657 11.742 20 13.272 20 15.75c0 2.836-1.596 4.462-3.104 5.301a8.125 8.125 0 0 1-2.921.942s-.094.007-.142.007H6.5A1.5 1.5 0 0 1 5 20.5v-17ZM13.74 19l.056-.008a5.127 5.127 0 0 0 1.642-.562c.823-.46 1.562-1.21 1.562-2.68 0-1.362-.781-2.131-1.833-2.64a6.826 6.826 0 0 0-1.504-.508 6.927 6.927 0 0 0-.598-.102H8V19h5.74ZM8 9.5h5.12l.077-.005c.073-.006.187-.018.327-.041a3.86 3.86 0 0 0 .99-.3c.338-.16.614-.37.806-.636.18-.251.347-.635.347-1.268 0-.635-.166-1.02-.346-1.271-.19-.267-.464-.475-.799-.634a3.782 3.782 0 0 0-.98-.3A3.831 3.831 0 0 0 13.145 5H8v4.5Zm5.014 2.994h.002Z"
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            <div id="input_12_italic" data-command="italic" class="jfToolbar-item forBoth">
              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Italic"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24" class="w-12 h-12">
                    <path fill-rule="evenodd" d="M8.5 4.5A1.5 1.5 0 0 1 10 3h8a1.5 1.5 0 0 1 0 3h-2.954l-3 12H14a1.5 1.5 0 0 1 0 3H6a1.5 1.5 0 1 1 0-3h2.954l3-12H10a1.5 1.5 0 0 1-1.5-1.5Z" clip-rule="evenodd"></path>
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              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Underline"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24" class="w-12 h-12">
                    <path fill-rule="evenodd" d="M8 3.5a1.5 1.5 0 1 0-3 0V10a7 7 0 1 0 14 0V3.5a1.5 1.5 0 0 0-3 0V10a4 4 0 0 1-8 0V3.5ZM5.5 19a1.5 1.5 0 0 0 0 3h13a1.5 1.5 0 0 0 0-3h-13Z" clip-rule="evenodd"></path>
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            </div>
            <div id="input_12_createLink" data-command="createLink" class="jfToolbar-item forBoth">
              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Insert Link" aria-describedby="input_12_createLink_menu"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24"
                    class="w-12 h-12">
                    <path fill-rule="evenodd"
                      d="M17.959 6.04a3.714 3.714 0 0 1 0 5.253l-1.334 1.334a1 1 0 0 0 1.415 1.414l1.333-1.334a5.714 5.714 0 1 0-8.08-8.08L9.958 5.96a1 1 0 1 0 1.414 1.414l1.333-1.333a3.714 3.714 0 0 1 5.253 0Zm-10 10a1 1 0 0 1 0-1.414l6.667-6.667a1 1 0 1 1 1.414 1.414L9.374 16.04a1 1 0 0 1-1.415 0ZM6.04 12.707a3.714 3.714 0 0 0 5.252 5.252l1.334-1.333a1 1 0 1 1 1.414 1.414l-1.333 1.333a5.714 5.714 0 1 1-8.081-8.08l1.333-1.334a1 1 0 1 1 1.414 1.414L6.04 12.707Z"
                      clip-rule="evenodd"></path>
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              <div id="input_12_createLink_menu" class="jfToolbar-modal forUrl"><input type="url" id="modalLinkUrl_input_12" class="jfModal-input jfModal-modalLinkUrl" data-disable-enter-event="true" data-disable-escape-event="true"
                  placeholder="Enter URL" aria-label="link url input">
                <div class="modal-btn" role="button" tabindex="0">Ok</div>
              </div>
            </div>
            <div id="input_12_ul" data-command="insertUnorderedList" class="jfToolbar-item breakBefore forBoth">
              <div class="jfToolbar-icon" tabindex="0" role="button" aria-label="Insert Bullet List"><span class="iconSvg  "><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 24 24" class="w-12 h-12">
                    <path fill-rule="evenodd"
                      d="M4 5a1 1 0 0 0 0 2h1a1 1 0 0 0 0-2H4Zm5 0a1 1 0 0 0 0 2h11a1 1 0 1 0 0-2H9Zm0 6a1 1 0 1 0 0 2h11a1 1 0 1 0 0-2H9Zm-1 7a1 1 0 0 1 1-1h11a1 1 0 1 1 0 2H9a1 1 0 0 1-1-1Zm-5-6a1 1 0 0 1 1-1h1a1 1 0 1 1 0 2H4a1 1 0 0 1-1-1Zm1 5a1 1 0 1 0 0 2h1a1 1 0 1 0 0-2H4Z"
                      clip-rule="evenodd"></path>
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            </div>
            <div id="input_12_ol" data-command="insertOrderedList" class="jfToolbar-item forBoth">
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          <div class="jfCard-index">21</div>
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                  <p style="text-align: center;"><span style="font-size: 24pt;">You are almost there, but we need to do a <strong>few stages of verification</strong> to complete this form.</span></p>
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          <div class="jfCard-index">22</div>
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                class="jsQuestionLabelContainer jfQuestionLabelContainer">Verification Stage 1/3 : Verify that you are a human.</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is
                  required.</span></span></label><span class="jfQuestion-description" id="id_4_description"><span></span></span>
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          <div class="jfCard-index">23</div>
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            <div class="jfQuestion-fullscreen isHidden" aria-hidden="true" role="button" aria-label="fullscreen mode" tabindex="-1"></div><label for="input_54" class="jfQuestion-label isLeftAlign" id="label_54"><span
                class="jsQuestionLabelContainer jfQuestionLabelContainer">Verification Stage 2/3: ID Verification</span><span class="jfRequiredStar">* <span class="jfRequiredStar-message">This field is required.</span></span></label><span
              class="jfQuestion-description" id="id_54_description"><span>This is where we need to verify your identity, this is made to validate your entry and make sure that you are trustable to join our family. If you want to learn more about our
                approach when it comes to protecting children and VR Kids within our VR Family and Community, here is a Q&amp;A: Q1: Why do I have to verify using my ID card? A: Due to past situations within the family, there has been a couple of
                discovered predators within the family who have been punished before, but we don't really know what to do with this situation or how to prevent it, so the only way of preventing such a situation is to prompt new people who join our
                family to verify with their ID cards. Q2: What type of ID could I use? A: If you are an adult, you can use your national ID, passport, or even your drivers license, but if you are a minor however, you can use your school ID or
                University ID. Q3: How do we validate IDs? A: When it comes to governmental IDs, we use Onfido's verification platform ( Learn more:
                <a href="https://onfido.com/solutions/verification-suite/" style="font-size: 0.9em; text-align: unset;" rel="nofollow">(onfido.com)</a> ) and governmental applications to scan, validate and verify ID cards. But when it comes to school
                IDs, we verify them by researching about them, and validating information if they are valid IDs or not.<a href="https://onfido.com/solutions/verification-suite/" rel="nofollow"></a> Q4: How do I ensure that my verification goes well?
                A: Go to a well and lit room/or place with your ID card, put your ID on a table or on a solid area, take a clear picture of the Front and Back of the ID and make sure it's not shaky. Q5: Can I blur out some information? A: You have
                the freedom to blur out any type of information, we only need the picture of your face visible, as well as your date of birth. (If it's a governmental ID, we recommend to keep the Barcode on the back fully visible for a more valid
                verification.)</span></span>
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Text Content

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WELCOME TO THE FAMILY ENTRY FORM

This form is made as a way of joining my family.


START

 * 1
   
   WARNING!
   
   Β 
   
   Please be aware that this form will no longer accept submissions from you
   after submitting, so be sure to review your answers before submitting.
   
   Β 
   
   Click Next to Continue
   
   PreviousNextReview and Submit
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 * 2
   
   GUIDELINES:
   
   Β 
   
    1. You have to be completely accurate with the Information that you put,
       otherwise it may mess up your join request.
       
       
    2. You are not allowed to troll, nor put any type of profanity/unnecessary
       words and/nor any type of harassment into this form, otherwise, it will
       result in a blacklist from the family.
       
       
    3. Any type of flirting, wanting attention for dating, ERPing, or any
       similar type of action will get you blocked.
       
       
    4. Any complications will result in a second review by other VR Mothers for
       a second opinion/decision.
       
       
    5. Using fillers in the form, such as dots, exclamation marks, or anything
       within that nature will automatically decline your request.
   
   Β 
   
   Click Next to Continue
   
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 * 3
   
   Before we continue, please get the following ready because it will be needed
   later on:
   
   Β 
   
   Β 1. Prepare a photo of your ID card, front and back.
   
   (If you are under the age of getting a governmental ID from your country, use
   a school or a university ID instead.)
   
   Β 
   
   2. Prepare a selfie picture of your face with a piece of paper that has the
   following: Your VRChat Username, Your Discord Username, Today's date and has
   "MamaSalt" written on it.
   
   (Please everything in a good readable size.)
   
   Β 
   
   3. (Optional) If you have a certain condition, prepare and take a photo of a
   medical record/doctor's note/or some sort of valid documentation that
   describes your condition.
   
   (This is all done in good faith to verify and make punishments lighter if
   rules at all broken.)
   
   PreviousNextReview and Submit
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 * 4
   
   What do I call you?* This field is required.Your Name, Nickname, etc...
   
   
   PreviousNextReview and Submit
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   Enter
   
 * 5
   
   Your Real Name (Optional)
   
   First Name
   Last Name
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   Enter
   
 * 6
   
   Your VRChat Username* This field is required.
   
   
   PreviousNextReview and Submit
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 * 7
   
   Your Discord Username* This field is required.Where do I contact you?
   
   E.g. MommySalt#8031, mssalt, etc...
   PreviousNextReview and Submit
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 * 8
   
   Your Current Age* This field is required.This is used to help me know how to
   interact with you.
   
   
   PreviousNextReview and Submit
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   Enter
   
 * 9
   
   Your Date Of Birth* This field is required.
   
   /
   Date
   Month
   Day
   Year
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 * 10
   
   Your Gender* This field is required.What do you identify as...?
   
   Male
   Female
   Transgender
   Non-binary
   Other...
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 * 11
   
   Your Pronoun* This field is required.What should I call you as...?
   
   He/Him
   She/Her
   They/Them
   Any Pronoun
   Other
   
   PreviousNextReview and Submit
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   Enter
   
 * 12
   
   Do you have any conditions? (Optional)If you have anything that you think I
   should know about. You can select it here, otherwise, you can skip this
   question.
   
   Attention Deficit Hyperactivity Disorder (ADHD)
   Autism Spectrum Disorder (ASD)
   Depression
   Anxiety Disorders (e.g., Generalized Anxiety Disorder, Panic Disorder)
   Bipolar Disorder
   Schizophrenia
   Obsessive-Compulsive Disorder (OCD)
   Post-Traumatic Stress Disorder (PTSD)
   Eating Disorders (e.g., Anorexia Nervosa, Bulimia)
   Borderline Personality Disorder (BPD)
   Substance Use Disorders (e.g., Alcoholism, Drug Addiction)
   Bipolar Disorder
   Dissociative Identity Disorder (DID)
   Schizoaffective Disorder
   Social Anxiety Disorder
   Specific Phobias (e.g., Arachnophobia, Claustrophobia)
   Insomnia
   Seasonal Affective Disorder (SAD)
   Body Dysmorphic Disorder (BDD)
   Narcissistic Personality Disorder (NPD)
   Antisocial Personality Disorder (ASPD)
   Postpartum Depression
   Borderline Intellectual Functioning
   Intellectual Disabilities (e.g., Down Syndrome)
   Cerebral Palsy
   Multiple Sclerosis (MS)
   Parkinson's Disease
   Alzheimer's Disease
   Huntington's Disease
   Epilepsy
   Schizotypal Personality Disorder
   Conduct Disorder
   Oppositional Defiant Disorder (ODD)
   Gender Dysphoria
   Body Integrity Identity Disorder (BIID)
   Trichotillomania (Hair-Pulling Disorder)
   Tourette Syndrome
   Hoarding Disorder
   Somnambulism (Sleepwalking)
   Substance-Induced Disorders
   Adjustment Disorders
   Delusional Disorder
   Factitious Disorder
   Rumination Disorder
   Selective Mutism
   Avoidant Personality Disorder
   Depersonalization-Derealization Disorder
   Conversion Disorder
   Somatic Symptom Disorder
   Pica Disorder
   Kleptomania
   Excoriation (Skin-Picking) Disorder
   Night Eating Syndrome
   Gender Identity Disorder (now referred to as Gender Dysphoria)
   Premenstrual Dysphoric Disorder (PMDD)
   Dissociative Amnesia
   Neurodevelopmental Disorders (e.g., Specific Learning Disorders)
   Tic Disorders
   Reactive Attachment Disorder
   Disinhibited Social Engagement Disorder
   Other
   
   PreviousNextReview and Submit
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 * 13
   
   Upload a condition document.If you've chose a condition, please put an
   official document about your condition.
   
   Drag and drop files here
   Choose a file
   Max. file size: 10.6MB
   Browse Files
   Drop files here to upload Your files will be uploaded immediately
   Upload a File
   
   
   Cancelof
   Cancelof
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 * 14
   
   Your Family Identity* This field is required.What would you identify as in
   the family...?
   
   Please
   SelectSonDaughterGrandsonGranddaughterSon-in-lawDaughter-in-lawTransgender
   sonTransgender daughterTransgender grandsonTransgender
   granddaughterTransgender son-in-lawTransgender daughter-in-lawNonbinary
   childGenderqueer childGenderfluid childAgender childBigender childAndrogynous
   childTwo-spirit childNeutrois childGender questioning childGender
   nonconforming child
   Please Select
   
    * Please Select
    * Son
    * Daughter
    * Grandson
    * Granddaughter
    * Son-in-law
    * Daughter-in-law
    * Transgender son
    * Transgender daughter
    * Transgender grandson
    * Transgender granddaughter
    * Transgender son-in-law
    * Transgender daughter-in-law
    * Nonbinary child
    * Genderqueer child
    * Genderfluid child
    * Agender child
    * Bigender child
    * Androgynous child
    * Two-spirit child
    * Neutrois child
    * Gender questioning child
    * Gender nonconforming child
   
   PreviousNextReview and Submit
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 * 15
   
   Why did you choose as your Family Identity?* This field is required.Please
   provide an explanation of why did you choose the above as your family
   identity.
   
   
    * Huge
    * Large
    * Normal
    * Small
   
   
   
   
   Ok
   
   
   quoteCreated with Sketch.
   
   Ok
   
   0/50
    * 😁
    * 😑
    * πŸ˜‚
    * πŸ˜‰
    * 😊
    * πŸ™ˆ
    * 😬
    * 😝
    * 😘
    * πŸ’›
    * 😍
    * 😸
    * πŸ‘
    * πŸ˜”
    * 😭
    * πŸ’‹
    * πŸ˜’
    * 😳
    * 😜
    * πŸ˜ƒ
    * 😒
    * 😱
    * 😏
    * 😞
    * πŸ˜…
    * 😚
    * πŸ™Š
    * 😌
    * πŸ˜€
    * 😝
   
   PreviousNextReview and Submit
   Press
   Enter
   
 * 16
   
   Is there a specific reason why you wanna join the family or be adopted by
   MamaSalt?Select all that applies.
   
   I have IRL Mother Issues
   I wanna feel MamaSalt’s Love and Affection
   I’m Motherless
   I have depression
   Missing My IRL Mother’s Love and Affection
   Missing Love and Affection in General
   I want to have a VR family that supports me and makes me happy
   I want to experience the joy of having a VR mother and siblings
   I want to learn from MamaSalt and grow as a person
   I want to share my interests and hobbies with the family
   I want to have fun and explore new things with the family
   Other
   
   PreviousNextReview and Submit
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   Enter
   
 * 17
   
   Have you ever met a VR Mother before?* This field is required.
   
   YESNO
   PreviousNextReview and Submit
   Press
   Enter
   
 * 18
   
   Have you been adopted by other VR Mothers before?* This field is required.If
   you've been in any other families where you've been adopted by a VR Mother,
   you can tell me what's the VR mother's name. (VRChat, Discord) and tell me
   your experience(s) with the VR Mother. If not, just reply with "No, I
   haven't."
   
   
    * Huge
    * Large
    * Normal
    * Small
   
   
   
   
   Ok
   
   
   quoteCreated with Sketch.
   
   Ok
   
   0/10
    * 😁
    * 😑
    * πŸ˜‚
    * πŸ˜‰
    * 😊
    * πŸ™ˆ
    * 😬
    * 😝
    * 😘
    * πŸ’›
    * 😍
    * 😸
    * πŸ‘
    * πŸ˜”
    * 😭
    * πŸ’‹
    * πŸ˜’
    * 😳
    * 😜
    * πŸ˜ƒ
    * 😒
    * 😱
    * 😏
    * 😞
    * πŸ˜…
    * 😚
    * πŸ™Š
    * 😌
    * πŸ˜€
    * 😝
   
   PreviousNextReview and Submit
   Press
   Enter
   
 * 19
   
   Have you ever been to any type of VR Family before?* This field is
   required.If you've ever been in any other VR families before, you can tell me
   about your experience(s) there. If not, just reply with "No, I haven't."
   
   
    * Huge
    * Large
    * Normal
    * Small
   
   
   
   
   Ok
   
   
   quoteCreated with Sketch.
   
   Ok
   
   0/10
    * 😁
    * 😑
    * πŸ˜‚
    * πŸ˜‰
    * 😊
    * πŸ™ˆ
    * 😬
    * 😝
    * 😘
    * πŸ’›
    * 😍
    * 😸
    * πŸ‘
    * πŸ˜”
    * 😭
    * πŸ’‹
    * πŸ˜’
    * 😳
    * 😜
    * πŸ˜ƒ
    * 😒
    * 😱
    * 😏
    * 😞
    * πŸ˜…
    * 😚
    * πŸ™Š
    * 😌
    * πŸ˜€
    * 😝
   
   PreviousNextReview and Submit
   Press
   Enter
   
 * 20
   
   Why do you wanna be adopted by me in general?* This field is required.Please
   be extremely specific and detailed, otherwise the request will not be
   approved. (500 characters minimum.)
   
   
    * Huge
    * Large
    * Normal
    * Small
   
   
   
   
   Ok
   
   
   quoteCreated with Sketch.
   
   Ok
   
   0/500
    * 😁
    * 😑
    * πŸ˜‚
    * πŸ˜‰
    * 😊
    * πŸ™ˆ
    * 😬
    * 😝
    * 😘
    * πŸ’›
    * 😍
    * 😸
    * πŸ‘
    * πŸ˜”
    * 😭
    * πŸ’‹
    * πŸ˜’
    * 😳
    * 😜
    * πŸ˜ƒ
    * 😒
    * 😱
    * 😏
    * 😞
    * πŸ˜…
    * 😚
    * πŸ™Š
    * 😌
    * πŸ˜€
    * 😝
   
   PreviousNextReview and Submit
   Press
   Enter
   
 * 21
   
   You are almost there, but we need to do a few stages of verification to
   complete this form.
   
   PreviousNextReview and Submit
   Press
   Enter
   
 * 22
   
   Verification Stage 1/3 : Verify that you are a human.* This field is
   required.
   
   
   PreviousNextReview and Submit
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   Enter
   
 * 23
   
   Verification Stage 2/3: ID Verification* This field is required.This is where
   we need to verify your identity, this is made to validate your entry and make
   sure that you are trustable to join our family. If you want to learn more
   about our approach when it comes to protecting children and VR Kids within
   our VR Family and Community, here is a Q&A: Q1: Why do I have to verify using
   my ID card? A: Due to past situations within the family, there has been a
   couple of discovered predators within the family who have been punished
   before, but we don't really know what to do with this situation or how to
   prevent it, so the only way of preventing such a situation is to prompt new
   people who join our family to verify with their ID cards. Q2: What type of ID
   could I use? A: If you are an adult, you can use your national ID, passport,
   or even your drivers license, but if you are a minor however, you can use
   your school ID or University ID. Q3: How do we validate IDs? A: When it comes
   to governmental IDs, we use Onfido's verification platform ( Learn more:
   (onfido.com) ) and governmental applications to scan, validate and verify ID
   cards. But when it comes to school IDs, we verify them by researching about
   them, and validating information if they are valid IDs or not. Q4: How do I
   ensure that my verification goes well? A: Go to a well and lit room/or place
   with your ID card, put your ID on a table or on a solid area, take a clear
   picture of the Front and Back of the ID and make sure it's not shaky. Q5: Can
   I blur out some information? A: You have the freedom to blur out any type of
   information, we only need the picture of your face visible, as well as your
   date of birth. (If it's a governmental ID, we recommend to keep the Barcode
   on the back fully visible for a more valid verification.)
   
   Drag and drop files here
   Choose a file
   Max. file size: 10.6MB
   Browse Files
   Drop files here to upload Your files will be uploaded immediately
   Upload a File
   
   
   Cancelof
   Cancelof
   PreviousNextReview and Submit
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 * 24
   
   Verification Stage 3/3: Photo Verification* This field is required.This is
   where we need to verify and validate your identity based on your ID
   verification field. If you want to learn more about our approach when it
   comes to protecting children and VR Kids within our VR Family and Community,
   here is a Q&A: Q1: What do I need to do? A: You just need to take a selfie
   with a piece of paper next to your face that contains the following: Your
   VRChat Username, Your Discord Username, Your Date of birth, and the word
   "MamaSalt" written on it. Q2: How do I ensure that my verification goes well?
   A: Go to a well and lit room/or place with the piece of paper and take a well
   and crystal sharp picture of your face and the paper.
   
   Drag and drop files here
   Choose a file
   Max. file size: 10.6MB
   Browse Files
   Drop files here to upload Your files will be uploaded immediately
   Upload a File
   
   
   Cancelof
   Cancelof
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 * 25
   
   Family Entry Contract* This field is required.Welcome to MamaSalt's Family, a
   loving and caring family for people who need a mother figure, affection, and
   fun in their lives. By signing this contract, you agree to abide by the
   following rules and expectations: - You respect MamaSalt as your VR mother,
   and treat her with kindness, gratitude, and honesty. You do not flirt, date,
   or ERP with her, or try to get her attention for those purposes. - You
   respect your VR siblings as your family members, and treat them with
   compassion, support, and friendship. You do not flirt, date, or ERP with
   them, or try to break up their relationships. - You respect yourself as a VR
   kid, and treat yourself with dignity, confidence, and self-care. You do not
   harm yourself, or engage in any activities that may endanger your physical,
   mental, or emotional health. - You respect the VR family as a whole, and
   treat it with loyalty, integrity, and responsibility. You do not troll,
   harass, lie, manipulate, or cause any drama or trouble within the family. -
   You respect the VR community as a part of your social environment, and treat
   it with courtesy, civility, and cooperation. You do not violate any rules or
   norms of the platforms you use to interact with the family. If you break any
   of these rules or expectations, you will face consequences such as warnings,
   timeouts, removals, or bans from the family. MamaSalt has the final authority
   to decide what actions to take in case of any violations. By signing this
   contract, you also acknowledge that: - You are joining this family
   voluntarily and willingly, and you can leave at any time if you wish. - You
   are joining this family for genuine reasons of seeking love and happiness,
   and not for any ulterior motives or agendas. - You are joining this family as
   a VR kid only, and not as a real-life partner or relative of MamaSalt or any
   of your VR siblings. - You are joining this family as an individual person
   only, and not as a representative or member of any other group or
   organization. - You are joining this family with an open mind and heart, and
   you are willing to learn from MamaSalt and your VR siblings. By signing this
   contract, you also agree to: - Fill out the Family Entry Form honestly and
   completely before joining the family. - Follow the instructions and guidance
   of MamaSalt and your VR siblings when interacting with the family. -
   Communicate with MamaSalt and your VR siblings regularly and respectfully
   through VRChat and Discord. - Participate in the family activities and events
   as much as possible. - Have fun and enjoy being part of the family! Please
   sign below with your VRChat name and date to confirm your agreement. Thank
   you for joining MamaSalt's Family! We are happy to have you as our VR kid! πŸ’–
   
   Your Signature
   Today's Date
   PreviousNextReview and Submit
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 * 26
   
   Please Confirm Your Submission* This field is required.
   
   I confirm that I have filled out this form honestly and seriously, and that I
   have not trolled, spammed, or tried to be funny in any way. I understand that
   doing so will result in a blacklist from the family.
   PreviousNextReview and Submit
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 * 27
   
   You are about to submit this form.
   
   Β 
   
   Please review and confirm that all of the information that you put are
   correct and accurate as you cannot go back once submitted.
   
   Β 
   
   By submitting this form, you agree to MamaSalt's Guidelines and Rules.
   
   PreviousNextReview and Submit
   Press
   Enter
   
   Please do not use fillers, answer the required question correctly.

 * Should be Empty:

Submit
Join MamaSalt's Family
[Edit]


Back to FormSubmit


1. Question 1

2. Question 2

3. Question 3

4. What do I call you?

5. Your Real Name (Optional)

6. Your VRChat Username

7. Your Discord Username

8. Your Current Age

9. Your Date Of Birth

10. Your Gender

11. Your Pronoun

12. Do you have any conditions? (Optional)

13. Upload a condition document.

14. Your Family Identity

15. Why did you choose as your Family Identity?

16. Is there a specific reason why you wanna join the family or be adopted by
MamaSalt?

17. Have you ever met a VR Mother before?

18. Have you been adopted by other VR Mothers before?

19. Have you ever been to any type of VR Family before?

20. Why do you wanna be adopted by me in general?

21. Question 21

22. Verification Stage 1/3 : Verify that you are a human.

23. Verification Stage 2/3: ID Verification

24. Verification Stage 3/3: Photo Verification

25. Family Entry Contract

26. Please Confirm Your Submission

27. Question 27
1 of 27See AllGo Back
Review and SubmitBack to Form


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