.intake-title {
    color: #218838;
    text-align: center;
    margin-top: 0;
}

.form-heading {
    text-align: center;
    margin-bottom: 30px;
}

.intake-form {
    background-color: white;
    padding: 20px;
    max-width: 600px;
    margin: auto;
    box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);
    border-radius: 10px;
}

.form_group_fld   {
    margin-bottom: 20px;
}

.form_group_fld   label {
    font-weight: bold;
    margin-bottom: 5px;
    display: block;
}

.form_group_fld   input[type="text"],
.form_group_fld   input[type="email"],
.form_group_fld   select,
.form_group_fld   textarea {
    width: -webkit-fill-available;
    padding: 8px 10px;
    margin-top: 5px;
    border: 1px solid #ccc;
    border-radius: 0px;
}

.form_group_fld   textarea {
    height: 100px;
}

.checkbox-group,
.radio-group {
    margin-top: 10px;
}

.checkbox-group label,
.radio-group label {
    display: block;
}

.checkbox-group input[type="checkbox"],
.radio-group input[type="radio"] {
    margin-right: 10px;
}

.form-submit {
    background-color: #218838;
    color: white;
    padding: 10px 15px;
    border: none;
    border-radius: 0px;
    cursor: pointer;
    font-size: 16px;
    width: 100%;
}

.form-submit:hover {
    background-color: #146926;
}

@media (max-width: 600px) {
    .intake-form {
        padding: 15px;
    }
}
.form_group_fld .frm_fld_intk {
    font-size: 1.125rem;
    font-style: normal;
    font-family: Poppins;
    font-weight: 400;
    line-height: 1.5;
    letter-spacing: 0px;
    text-transform: none;
    border-radius: 0px;
    border-style: solid;
    border-width: 1px;
    cursor: text;
    display: block;
    margin: 0;
    padding: 8px 10px;
    width: -webkit-fill-available;
    outline: 0;
    transition: all .15s ease-in-out;
}
.form_group_fld input:focus {
    /* outline-offset: 2px; */
    outline-width: 2px;
    outline-style: solid;
}
.form_group_fld select:focus {
    /* outline-offset: 2px; */
    outline-width: 2px;
    outline-style: solid;
}
.form_group_fld textarea:focus {
    /* outline-offset: 2px; */
    outline-width: 2px;
    outline-style: solid;
}
.clouse_fill_box {
    font-weight: normal !important;
    display: flex !important;
    gap: 10px;
    margin-bottom: 10px !important;
}


.checkbox-wrapper-2 .ikxBAC {
    appearance: none;
    background-color: #dfe1e4;
    border-radius: 72px;
    border-style: none;
    flex-shrink: 0;
    height: 20px;
    margin: 0;
    position: relative;
    width: 30px;
}

.checkbox-wrapper-2 .ikxBAC::before {
    bottom: -6px;
    content: "";
    left: -6px;
    position: absolute;
    right: -6px;
    top: -6px;
}

.checkbox-wrapper-2 .ikxBAC,
.checkbox-wrapper-2 .ikxBAC::after {
    transition: all 100ms ease-out;
}

.checkbox-wrapper-2 .ikxBAC::after {
    background-color: #fff;
    border-radius: 50%;
    content: "";
    height: 14px;
    left: 3px;
    position: absolute;
    top: 3px;
    width: 14px;
}

.checkbox-wrapper-2 input[type=checkbox] {
    cursor: default;
}

.checkbox-wrapper-2 .ikxBAC:hover {
    background-color: #c9cbcd;
    transition-duration: 0s;
}

.checkbox-wrapper-2 .ikxBAC:checked {
    background-color: #218838;
}

.checkbox-wrapper-2 .ikxBAC:checked::after {
    background-color: #fff;
    left: 13px;
}

.checkbox-wrapper-2 :focus:not(.focus-visible) {
    outline: 0;
}

.checkbox-wrapper-2 .ikxBAC:checked:hover {
    background-color: #218838;
}
.required {
    color: #ff0000;
    font-size: 15px;
}

  body {
            font-family: Arial, sans-serif;
            background-color: #f9f9f9;
         
        }

        .intake-title {
            color: #218838;
            text-align: center;
            margin-top: 0;
        }

        .form-heading {
            text-align: center;
            margin-bottom: 30px;
        }

        .intake-form {
            position: relative;
            background-color: white;
            padding: 20px;
            max-width: 600px;
            margin: auto;
            box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);
            border-radius: 10px;
        }

        .form_group_fld   {
            margin-bottom: 5px;
        }

        .form_group_fld   label {
            font-weight: bold;
            margin-bottom: 5px;
            display: block;
        }

        .form_group_fld   input[type="text"],
        .form_group_fld   input[type="email"],
        .form_group_fld   select,
        .form_group_fld   textarea {
            width: -webkit-fill-available;
            padding: 8px 10px;
            margin-top: 5px;
            border: 1px solid #ccc;
            border-radius: 0px;
        }

        .form_group_fld   textarea {
            height: 100px;
        }

        .checkbox-group,
        .radio-group {
            margin-top: 10px;
        }

        .checkbox-group label,
        .radio-group label {
            display: block;
        }

        .checkbox-group input[type="checkbox"],
        .radio-group input[type="radio"] {
            margin-right: 10px;
        }

        .form-submit {
            background-color: #218838;
            color: white;
            padding: 10px 15px;
            border: none;
            border-radius: 0px;
            cursor: pointer;
            font-size: 16px;
            width: 100%;
        }

        .form-submit:hover {
            background-color: #146926;
        }

        @media (max-width: 600px) {
            .intake-form {
                padding: 15px;
            }
        }
        .form_group_fld .frm_fld_intk {
            font-size: 15px;
            font-style: normal;
            font-family: Poppins;
            font-weight: 400;
            line-height: 1.5;
            letter-spacing: 0px;
            text-transform: none;
            border-radius: 0px;
            border-style: solid;
            border-width: 1px;
            cursor: text;
            display: block;
            margin: 0;
            padding: 8px 10px;
            width: -webkit-fill-available;
            outline: 0;
            transition: all .15s ease-in-out;
        }
        .form_group_fld input:focus {
            /* outline-offset: 2px; */
            outline-width: 2px;
            outline-style: solid;
        }
        .form_group_fld select:focus {
            /* outline-offset: 2px; */
            outline-width: 2px;
            outline-style: solid;
        }
        .form_group_fld textarea:focus {
            /* outline-offset: 2px; */
            outline-width: 2px;
            outline-style: solid;
        }
        .clouse_fill_box {
            font-weight: normal !important;
            display: flex !important;
            gap: 10px;
            margin-bottom: 10px !important;
        }


        .checkbox-wrapper-2 .ikxBAC {
            appearance: none;
            background-color: #dfe1e4;
            border-radius: 72px;
            border-style: none;
            flex-shrink: 0;
            height: 20px;
            margin: 0;
            position: relative;
            width: 30px;
        }

        .checkbox-wrapper-2 .ikxBAC::before {
            bottom: -6px;
            content: "";
            left: -6px;
            position: absolute;
            right: -6px;
            top: -6px;
        }

        .checkbox-wrapper-2 .ikxBAC,
        .checkbox-wrapper-2 .ikxBAC::after {
            transition: all 100ms ease-out;
        }

        .checkbox-wrapper-2 .ikxBAC::after {
            background-color: #fff;
            border-radius: 50%;
            content: "";
            height: 14px;
            left: 3px;
            position: absolute;
            top: 3px;
            width: 14px;
        }

        .checkbox-wrapper-2 input[type=checkbox] {
            cursor: default;
        }

        .checkbox-wrapper-2 .ikxBAC:hover {
            background-color: #c9cbcd;
            transition-duration: 0s;
        }

        .checkbox-wrapper-2 .ikxBAC:checked {
            background-color: #218838;
        }

        .checkbox-wrapper-2 .ikxBAC:checked::after {
            background-color: #fff;
            left: 13px;
        }

        .checkbox-wrapper-2 :focus:not(.focus-visible) {
            outline: 0;
        }

        .checkbox-wrapper-2 .ikxBAC:checked:hover {
            background-color: #218838;
        }
        .required {
            color: #ff0000;
            font-size: 15px;
        }
        .close-popup{
            font-size:18px;
            font-weight:700;
            color:red;
            position:absolute;
            top:10px;
            right:10px;
            cursor: pointer;
        }