testing

*  First Name:
*  Last Name:
*  Your email address:
*  Telephone:
*  Type of Surgery:	— Please choose an option — Gastric Band Gastric Sleeve Gastric ByPass Gastric Balloon Tummy Tuck Liposuction Breast Surgery Facial Surgery Other
Any Further Details/Questions enter Here Please:
Contact Lists:	Gastric Band Surgery 1
	testing
*  Allow GDPR:	Accept data rules decline dats rules
	Email marketing Geoff Lord. Habazar.com

function CheckMultiple11(frm, name) { for (var i=0; i < frm.length; i++) { fldObj = frm.elements[i]; fldId = fldObj.id; if (fldId) { var fieldnamecheck=fldObj.id.indexOf(name); if (fieldnamecheck != -1) { if (fldObj.checked) { return true; } } } } return false; } function CheckForm11(f) { if (f.email.value == "") { alert("Please enter your email address."); f.email.focus(); return false; } lists_chosen = CheckMultiple11(f, "lists"); if (!lists_chosen) { alert("Please choose some contact lists to subscribe to"); return false; } lists_chosen = CheckMultiple11(f, "lists"); if (!lists_chosen) { alert("Please choose some contact lists to subscribe to"); return false; } var fname = "CustomFields_3_11"; var fld = document.getElementById(fname); if (fld.value == "") { alert("Please enter a value for field First Name"); fld.focus(); return false; } var fname = "CustomFields_4_11"; var fld = document.getElementById(fname); if (fld.value == "") { alert("Please enter a value for field Last Name"); fld.focus(); return false; } var fname = "CustomFields_7_11"; var fld = document.getElementById(fname); if (fld.value == "") { alert("Please enter a value for field Telephone"); fld.focus(); return false; } CheckNum = parseInt(fld.value); if(fld.value != "" && isNaN(CheckNum)) { alert("Please enter a numeric value for field Telephone"); fld.select(); fld.focus(); return false; } var fname = "CustomFields_9_11"; var fld = document.getElementById(fname); if (fld.selectedIndex == -1 || fld.selectedIndex == 0) { alert("Please choose an option for field Type of Surgery"); fld.focus(); return false; } var fldcheck = CheckMultiple11(f, "CustomFields[21_11]"); if (!fldcheck) { alert("Please choose an option for field Allow GDPR"); return false; } return true; };