parent.handleCheckbox(el, 'onLoad')}
className="mf-checkbox multi-option-input-type"
id="mf-input-checkbox-eb5bd0e">
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Fever/Chills `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Unexplained change in weight `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Fatigue/Malaise/Generalized weakness `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Headaches/Migraines`) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Dizziness `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Sinus Pain/Pressure/Discharge `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Excessive snoring `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Wheezing/Chronic Cough`) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Shortness of breath`) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Chest pain, pressure or tightness`) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Swelling of hands/feet/ankles`) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Nausea/Vomiting `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(` Abdominal pain `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Heartburn`) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Constipation or diarrhea `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Stiffness/Pain in joints/muscles`) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Joint swelling `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Bleeding/Easy bruising `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Excessive urination`) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Excessive thirst/hunger `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Hot flashes `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Painful/Bloody urination `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(` Difficulty urinating/Night-time urination`) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Urinary incontinence (leakage)`) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Sexual Difficulties/Painful intercourse `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Rash `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Anxiety/Panic Attacks `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Concentration Difficulty `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Feelings of Guilt `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Insomnia/Problems with Sleep`) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Loss of energy `) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Thoughts of harming self or others`) }
parent.handleCheckbox(el.target, 'onClick') }
aria-invalid=${validation.errors['symptoms_list'] ? 'true' : 'false'}
ref=${el => {
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
}
/>
${ parent.decodeEntities(`Option Text`) }
<${validation.ErrorMessage}
errors=${validation.errors}
name="symptoms_list"
as=${html`