www.entyre.care
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Submitted URL: http://www.entyre.care/
Effective URL: https://www.entyre.care/
Submission: On April 19 via api from US — Scanned from NL
Effective URL: https://www.entyre.care/
Submission: On April 19 via api from US — Scanned from NL
Form analysis 1 forms found in the DOM
POST
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<h1>Taking care of someone at home? You deserve support, too.</h1>
<p>At Entyre Care, we support caregivers with personalized coaching, key resources, emotional support, and financial assistance, helping you care for your loved ones more effectively and take better care of yourself. Join
Entyre Care today and start receiving the support you need!</p>
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<h2>Taking care of someone at home? </h2>
<h2>You deserve support, too.</h2>
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<p>At Entyre Care, we support caregivers with personalized coaching, key resources, emotional support, and financial assistance, helping you care for your loved ones more effectively and take better care of yourself. Join Entyre
Care today and start receiving the support you need!</p>
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<div class="elements-container-inner inner-full" style="justify-content:normal;align-items:center; flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="inner-full container-style-plain" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-bottom:10px;">
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<div class="block-content text-block align-center inner-mid" id="text-block-id-3bf0a4e8">
<div class="rich-text" style="">
<p>Structured Family Caregiving: Supporting You and Your Loved Ones</p>
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<div class="block hide_desktop" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-id-a155bc1f">
<div class="rich-text" style="">
<p>Structured Family Caregiving: </p>
<p>Supporting You and Your Loved Ones</p>
</div>
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<div class="text">Rhode Island</div>
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<li>
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<div class="text">Massachusetts</div>
</li>
<li>
<div class="check-list-svg-container" style="color:var(--primary);"><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 256 256">
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<path
d="M128,24A104,104,0,1,0,232,128,104.12041,104.12041,0,0,0,128,24Zm49.53125,85.78906-58.67187,56a8.02441,8.02441,0,0,1-11.0625,0l-29.32813-28a8.00675,8.00675,0,0,1,11.0625-11.57812l23.79687,22.72656,53.14063-50.72656a8.00675,8.00675,0,0,1,11.0625,11.57812Z">
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<div class="text">Florida</div>
</li>
<li>
<div class="check-list-svg-container" style="color:var(--primary);"><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<path
d="M128,24A104,104,0,1,0,232,128,104.12041,104.12041,0,0,0,128,24Zm49.53125,85.78906-58.67187,56a8.02441,8.02441,0,0,1-11.0625,0l-29.32813-28a8.00675,8.00675,0,0,1,11.0625-11.57812l23.79687,22.72656,53.14063-50.72656a8.00675,8.00675,0,0,1,11.0625,11.57812Z">
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<div class="text">and more</div>
</li>
</ul>
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<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-id-af649de4">
<div class="rich-text" style="">
<p>Structured Family Caregiving provides a unique opportunity for caregivers to support their family members with <span style="color: var(--secondary)"><strong>love </strong></span>and <span
style="color: var(--secondary)"><strong>dignity</strong></span>. </p>
<p>This program recognizes and compensates your hard work with <span style="color: var(--secondary)"><strong>financial support</strong></span> and offers <span style="color: var(--secondary)"><strong>professional
guidance</strong></span> to help you manage daily care challenges effectively.</p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block hide_mobile" style="" data-blocktype="elements-v2">
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<div class="elements-container-inner mobile-flex-col inner-mid" style="justify-content:normal;align-items:center;flex-direction:row;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-mid" data-type="nested-blocks">
<div class="container-style-plain" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal;flex-direction:column;align-items:flex-start;margin-left:0;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block inner-mid align-left" id="text-block-id-731b7d5c">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<h2>Personalized Coaching</h2>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block inner-mid align-left" id="text-block-id-8f8d79c9">
<div class="rich-text" style="padding-bottom:20px;">
<p>At the heart of our service lies our unwavering commitment to you. We match you with a dedicated care coach, available at your convenience, to answer questions, provide guidance, or simply offer a listening ear as we
navigate this emotional journey together.</p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-id-389bb2ef">
<div style="text-align:right;padding-right:15px;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/2cbd0848-625d-47ed-87e7-29b64520e105.png"
style="height:80%;width:80%;" alt="Custom" class="needs-eager"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block hide_desktop" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-mid" data-type="nested-blocks">
<div class="container-style-plain" style="margin-top:20px; margin-bottom:0px; padding-bottom:0px;">
<div class="elements-container-inner mobile-flex-col inner-mid" style="justify-content:normal;align-items:center;flex-direction:row;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-mid" data-type="nested-blocks">
<div class="container-style-plain" style="margin-top:10px; margin-right:10px; margin-bottom:0px; margin-left:10px; padding-top:10px; padding-bottom:0px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal;flex-direction:column;align-items:center;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block inner-mid align-center" id="text-block-id-27f50219">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<h2>Personalized Coaching</h2>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block inner-mid align-center" id="text-block-id-edacd760">
<div class="rich-text" style="padding-bottom:10px;">
<p>At the heart of our service lies our unwavering commitment to you. We match you with a dedicated care coach, available at your convenience, to answer questions, provide guidance, or simply offer a listening ear as we
navigate this emotional journey together.</p>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-id-a34a1fb2">
<div style="text-align:center;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/4226c337-af65-4703-8311-e8f686792802.png" style="height:60%;width:60%;"
alt="Custom" class="needs-eager"></div>
</div>
</div>
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block inner-mid align-center" id="text-block-id-0d64981c">
<div class="rich-text" style="padding-top:25px; padding-bottom:20px;">
<h2>Essential Resources</h2>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="list">
<div class="block-content check-list-block inner-narrow" id="check-list-block-id-dbd006ee">
<div style="padding-top:20px; padding-bottom:20px;">
<ul class="check-list">
<li>
<div class="check-list-svg-container" style="color:var(--primary);"><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
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<div class="text">Work with our own App</div>
</li>
<li>
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</path>
</svg></div>
<div class="text">Get a coaching plan</div>
</li>
<li>
<div class="check-list-svg-container" style="color:var(--primary);"><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<path
d="M128,24A104,104,0,1,0,232,128,104.12041,104.12041,0,0,0,128,24Zm49.53125,85.78906-58.67187,56a8.02441,8.02441,0,0,1-11.0625,0l-29.32813-28a8.00675,8.00675,0,0,1,11.0625-11.57812l23.79687,22.72656,53.14063-50.72656a8.00675,8.00675,0,0,1,11.0625,11.57812Z">
</path>
</svg></div>
<div class="text">Join our community</div>
</li>
</ul>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-id-dc7af4b9">
<div style="text-align:center;padding-right:15px;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/0e0f0965-4550-49c1-a6f2-d3272b03d0fc.png"
style="height:70%;width:70%;" alt="Custom" class="needs-eager"></div>
</div>
</div>
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block inner-mid align-center" id="text-block-id-d9728da2">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<h2>Payment</h2>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="list">
<div class="block-content check-list-block inner-narrow" id="check-list-block-id-6dfaa148">
<div style="padding-top:20px;">
<ul class="check-list">
<li>
<div class="check-list-svg-container" style="color:var(--primary);"><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<path
d="M128,24A104,104,0,1,0,232,128,104.12041,104.12041,0,0,0,128,24Zm49.53125,85.78906-58.67187,56a8.02441,8.02441,0,0,1-11.0625,0l-29.32813-28a8.00675,8.00675,0,0,1,11.0625-11.57812l23.79687,22.72656,53.14063-50.72656a8.00675,8.00675,0,0,1,11.0625,11.57812Z">
</path>
</svg></div>
<div class="text">Get paid for the care you give</div>
</li>
</ul>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block inner-mid align-center" id="text-block-rich-text-33e57bb3">
<div class="rich-text" style="">
<p>Numerous states offer financial support to caregivers, helping cover the costs associated with full-time caregiving. Through the Structured Family Caregiving program, if you qualify, you could receive as much as $2,000
per month.</p>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-id-ed131098">
<div style="text-align:center;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/ad526aa1-faa3-4df6-8f5c-51723afad5cb.png" style="height:80%;width:80%;"
alt="Custom" class="needs-eager"></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block hide_mobile" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-mid" data-type="nested-blocks">
<div class="container-style-plain" style="">
<div class="elements-container-inner mobile-flex-col inner-mid" style="justify-content:normal;align-items:center;flex-direction:row;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-id-7c5b44b4">
<div style="text-align:left;padding-right:15px;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/0e0f0965-4550-49c1-a6f2-d3272b03d0fc.png"
style="height:75%;width:75%;" alt="Custom" class="needs-eager"></div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-mid" data-type="nested-blocks">
<div class="container-style-plain" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal; flex-direction:column; align-items:flex-start;margin-left:0;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block inner-mid align-left" id="text-block-id-a633f836">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<h2>Essential Resources</h2>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="list">
<div class="block-content check-list-block inner-narrow" id="check-list-block-id-dd612926">
<div style="padding-top:20px; padding-bottom:20px;">
<ul class="check-list">
<li>
<div class="check-list-svg-container" style="color:var(--primary);"><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<path
d="M128,24A104,104,0,1,0,232,128,104.12041,104.12041,0,0,0,128,24Zm49.53125,85.78906-58.67187,56a8.02441,8.02441,0,0,1-11.0625,0l-29.32813-28a8.00675,8.00675,0,0,1,11.0625-11.57812l23.79687,22.72656,53.14063-50.72656a8.00675,8.00675,0,0,1,11.0625,11.57812Z">
</path>
</svg></div>
<div class="text">Work with our own App</div>
</li>
<li>
<div class="check-list-svg-container" style="color:var(--primary);"><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<path
d="M128,24A104,104,0,1,0,232,128,104.12041,104.12041,0,0,0,128,24Zm49.53125,85.78906-58.67187,56a8.02441,8.02441,0,0,1-11.0625,0l-29.32813-28a8.00675,8.00675,0,0,1,11.0625-11.57812l23.79687,22.72656,53.14063-50.72656a8.00675,8.00675,0,0,1,11.0625,11.57812Z">
</path>
</svg></div>
<div class="text">Get a coaching plan</div>
</li>
<li>
<div class="check-list-svg-container" style="color:var(--primary);"><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<path
d="M128,24A104,104,0,1,0,232,128,104.12041,104.12041,0,0,0,128,24Zm49.53125,85.78906-58.67187,56a8.02441,8.02441,0,0,1-11.0625,0l-29.32813-28a8.00675,8.00675,0,0,1,11.0625-11.57812l23.79687,22.72656,53.14063-50.72656a8.00675,8.00675,0,0,1,11.0625,11.57812Z">
</path>
</svg></div>
<div class="text">Join our community</div>
</li>
</ul>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block hide_mobile" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-mid" data-type="nested-blocks">
<div class="container-style-plain" style="margin-bottom:40px;">
<div class="elements-container-inner mobile-flex-col inner-mid" style="justify-content:normal;align-items:center;flex-direction:row;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-mid" data-type="nested-blocks">
<div class="container-style-plain" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal;flex-direction:column;align-items:flex-start;margin-left:0;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block inner-mid align-left" id="text-block-id-86ea0a04">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<h2>Payment</h2>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="list">
<div class="block-content check-list-block inner-narrow" id="check-list-block-id-c3810593">
<div style="padding-top:20px;">
<ul class="check-list">
<li>
<div class="check-list-svg-container" style="color:var(--primary);"><svg xmlns="http://www.w3.org/2000/svg" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<path
d="M128,24A104,104,0,1,0,232,128,104.12041,104.12041,0,0,0,128,24Zm49.53125,85.78906-58.67187,56a8.02441,8.02441,0,0,1-11.0625,0l-29.32813-28a8.00675,8.00675,0,0,1,11.0625-11.57812l23.79687,22.72656,53.14063-50.72656a8.00675,8.00675,0,0,1,11.0625,11.57812Z">
</path>
</svg></div>
<div class="text">Get paid for the care you give</div>
</li>
</ul>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block inner-mid align-left" id="text-block-id-e7004816">
<div class="rich-text" style="padding-bottom:20px;">
<p>Numerous states offer financial support to caregivers, helping cover the costs associated with full-time caregiving. Through the Structured Family Caregiving program, if you qualify, you could receive as much as $2,000
per month.</p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-id-d104f827">
<div style="text-align:right;padding-right:15px;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/ad526aa1-faa3-4df6-8f5c-51723afad5cb.png"
style="height:80%;width:80%;" alt="Custom" class="needs-eager"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="generic-button">
<div class="block-content generic-button-block inner-narrow" id="generic-button-block-id-9e13bf3a">
<div style="padding-bottom:40px;"><button id="id-9e13bf3a" class="generic-button continue large"
onclick="window.heyflow['structured-family-caregiving'].buttonClick(this, 'go', 'id-64623f1c', '{"containerClass":"inner-narrow","destination":"id-64623f1c","nextAction":"next","label":"Take&nbsp;care&nbsp;for&nbsp;yourself","type":"generic-button","paddingBottom":40,"name":"button-continue","action":"go","contentClass":"align-center","paddingTop":null,"id":"id-9e13bf3a","class":"continue&nbsp;large"}')">
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<polyline points="216 72.005 104 184 48 128.005" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
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</path>
</svg></div>
</div>
<div class="content align-center">
<div class="label-container"><span class="label">Take care for yourself</span></div><span class="graphic"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="40" y1="128" x2="216" y2="128" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<polyline points="144 56 216 128 144 200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></span>
</div>
</button></div>
</div>
</div>
<div class="block" style="background-color:white;" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="container-style-plain" style="margin-top:20px; margin-right:10px; margin-bottom:0px; margin-left:10px; padding-top:10px; padding-bottom:0px;">
<div class="elements-container-inner inner-full" style="justify-content:normal;align-items:center; flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-id-f89cf534">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<h2>Did you know?</h2>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-id-796a6e25">
<div class="rich-text" style="padding-bottom:25px;">
<p>Over 57 million people in the US care for their loved ones, many facing challenges alone. </p>
<p>Join the Entyre Care community to gain a personal coach and real support, and you won't have to struggle by yourself.</p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block hide_mobile" style="flex-grow:1;" data-blocktype="image">
<div class="block-content image-block inner-full" style="" id="image-block-id-7c4481c7">
<div style=""><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/d806e728-edc3-4530-be72-d5d6573a12f4.png" style="height:100%;width:100%;" alt="Custom" class="needs-eager">
</div>
</div>
</div>
<div class="block hide_desktop" style="flex-grow:1;" data-blocktype="image">
<div class="block-content image-block inner-full" style="" id="image-block-id-95fa6524">
<div style=""><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/e915c7ef-dbe6-493c-b2d3-c6246e87affc.png" style="height:100%;width:100%;" alt="Custom" class="needs-eager">
</div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="container-style-plain" style="margin-top:20px; margin-right:10px; margin-left:10px; padding-bottom:0px;">
<div class="elements-container-inner mobile-flex-col inner-mid" style="justify-content:normal;align-items:center;flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="flex-grow:1;" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="container-style-plain" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal;flex-direction:column;align-items:center;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block inner-mid align-center" id="text-block-id-0a5e79f7">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<h1>Check if you're eligible </h1>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="generic-button">
<div class="block-content generic-button-block inner-narrow" id="generic-button-block-id-c46254d9">
<div style="padding-bottom:20px;"><button id="id-c46254d9" class="generic-button continue large"
onclick="window.heyflow['structured-family-caregiving'].buttonClick(this, 'next', '', '{"paddingBottom":20,"containerClass":"inner-narrow","name":"button-continue","action":"next","contentClass":"align-left","paddingTop":null,"nextAction":"next","id":"id-c46254d9","label":"Take&nbsp;care&nbsp;for&nbsp;yourself","type":"generic-button","class":"continue&nbsp;large"}')">
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<polyline points="216 72.005 104 184 48 128.005" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
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</svg></div>
</div>
<div class="content align-left">
<div class="label-container"><span class="label">Take care for yourself</span></div><span class="graphic"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
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<polyline points="144 56 216 128 144 200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></span>
</div>
</button></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="container-style-plain" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-bottom:10px;">
<div class="elements-container-inner inner-mid mobile-flex-col" style="justify-content:normal;align-items:center; flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="background-color:none;" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="container-style-2" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-right:25px; padding-bottom:10px; padding-left:25px;">
<div class="elements-container-inner inner-narrow mobile-flex-col" style="justify-content:normal;align-items:center;flex-direction:row;margin-left:auto;margin-right:auto;">
<div class="block" style="flex-grow:2;" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="container-style-plain" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal; flex-direction:column; align-items:flex-start;margin-left:0;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block inner-mid align-left" id="text-block-headline-cc38aec3">
<div class="rich-text" style="padding-top:20px;">
<h4>"I didn’t have a problem with taking care of my mom. I mean she is my mom. I'd rather have her by my side than in a nursing home "</h4>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-rich-text-b79abb12">
<div class="rich-text" style="padding-top:20px;">
<p>Darius, MA</p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="container-style-plain" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:0px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal;align-items:center; flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-img-732f1899">
<div style="text-align:right;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/2781199e-bb90-4881-b58d-8f957bae1d3e.png" style="height:100%;width:100%;
border-radius:200px;" alt="Custom" class="needs-eager"></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="separator">
<div class="block-content separator-block inner-mid" id="separator-block-sep-b6da6d6f">
<div style="padding-top:20px; padding-bottom:20px;">
<div class="show-line"></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="background-color:var(--white);" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="container-style-plain" style="margin-top:25px; margin-right:10px; margin-left:10px; padding-top:10px; padding-bottom:25px;">
<div class="elements-container-inner inner-full" style="justify-content:normal;align-items:center; flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="inner-full container-style-plain" style="margin-top:0px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:0px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal;align-items:center;flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-headline-f56486f8">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<p>We are committed</p>
<h2>Our Mission statement</h2>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-rich-text-479fa6f2">
<div class="rich-text" style="">
<p>Our mission is to ensure that people in need of care can live independently at home and that their relatives receive the best possible support when caring for a loved person.</p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="photo-carousel">
<div class="block-content photo-carousel-block swiper inner-mid" id="photo-carousel-block-photo-carousel-9a32518b" data-id="photo-carousel-block-photo-carousel-9a32518b" data-speed="500" data-delay="2000" data-loop="true" data-autoplay="true">
<div style="padding-top:20px; padding-bottom:20px;">
<div class="swiper-container swiper-initialized swiper-horizontal swiper-backface-hidden">
<div class="swiper-wrapper" id="swiper-wrapper-541f4a651eeb65bf" aria-live="off" style="transition-duration: 0ms; transform: translate3d(-1620px, 0px, 0px); transition-delay: 0ms;">
<div class="swiper-slide swiper-slide-next" role="group" aria-label="3 / 3" data-swiper-slide-index="2" style="width: 800px; margin-right: 10px;"><img
src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/2082204d-2530-4d33-9e07-6c4144cfd830.jpeg" alt="Grandson and Grandfather"></div>
<div class="swiper-slide swiper-slide-prev" role="group" aria-label="1 / 3" data-swiper-slide-index="0" style="width: 800px; margin-right: 10px;"><img
src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/948bcc12-bbec-4389-b7a3-475bbd57c745.jpeg" alt="Lora taking care or Caren"></div>
<div class="swiper-slide swiper-slide-active" role="group" aria-label="2 / 3" data-swiper-slide-index="1" style="width: 800px; margin-right: 10px;"><img
src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/4c83d8fc-ed03-4b67-8f1a-7bc38914cbb3.jpeg" alt="Granddaughter and Grandmother"></div>
</div>
<div class="swiper-button-next" data-testid="swiper-button-next" tabindex="0" role="button" aria-label="Next slide" aria-controls="swiper-wrapper-541f4a651eeb65bf"><svg xmlns="http://www.w3.org/2000/svg" width="9" height="17"
viewBox="0 0 9 17" fill="none">
<path d="M0.999971 16L7.43997 9.561C8.02554 8.97525 8.02554 8.02575 7.43997 7.44L0.999972 0.999999" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"></path>
</svg></div>
<div class="swiper-button-prev" data-testid="swiper-button-prev" tabindex="0" role="button" aria-label="Previous slide" aria-controls="swiper-wrapper-541f4a651eeb65bf"><svg xmlns="http://www.w3.org/2000/svg" width="9" height="17"
viewBox="0 0 9 17" fill="none">
<path d="M7.87918 1L1.43918 7.439C0.853607 8.02475 0.853607 8.97425 1.43918 9.56L7.87918 16" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"></path>
</svg></div>
<div class="swiper-pagination swiper-pagination-clickable swiper-pagination-bullets swiper-pagination-horizontal"><span class="swiper-pagination-bullet" tabindex="0" role="button" aria-label="Go to slide 1"></span><span
class="swiper-pagination-bullet swiper-pagination-bullet-active" tabindex="0" role="button" aria-label="Go to slide 2" aria-current="true"></span><span class="swiper-pagination-bullet" tabindex="0" role="button"
aria-label="Go to slide 3"></span></div><span class="swiper-notification" aria-live="assertive" aria-atomic="true"></span>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-id-f71f887d">
<div class="rich-text" style="padding-top:25px; padding-bottom:25px;">
<h2>Send us a message</h2>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="inner-full container-style-plain" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:20px; padding-bottom:20px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal; flex-direction:column; align-items:stretch; gap:10px;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="inner-full container-style-plain" style="">
<div class="elements-container-inner inner-full" style="justify-content:normal;align-items:flex-start;flex-direction:row;gap:10px;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="input">
<div class="block-content input-box input-block inner-narrow show-error-on-nav with-floating-label floating-label-inline" id="input-9a0504d5-container">
<div style=""><label for="input-9a0504d5">First Name</label>
<div class="input">
<div class="input-inner">
<div style="flex:1;position:relative;"><input id="input-9a0504d5" data-type="input" data-label="First Name" data-variable="" data-mask="" name="input-9a0504d5" placeholder="" pattern="" maxlength="" data-trim=""
autocomplete="off" class="" data-initialized="true">
<div class="input-floating-label"><span>First Name</span></div>
</div>
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm45.66,85.66-56,56a8,8,0,0,1-11.32,0l-24-24a8,8,0,0,1,11.32-11.32L112,148.69l50.34-50.35a8,8,0,0,1,11.32,11.32Z"></path>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path
d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm37.66,130.34a8,8,0,0,1-11.32,11.32L128,139.31l-26.34,26.35a8,8,0,0,1-11.32-11.32L116.69,128,90.34,101.66a8,8,0,0,1,11.32-11.32L128,116.69l26.34-26.35a8,8,0,0,1,11.32,11.32L139.31,128Z">
</path>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40"
enable-background="new 0 0 40 40" xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
</div><datalist id="datalist-input-9a0504d5">
<option>Option 1</option>
<option>Option 2</option>
</datalist>
<div class="error-box"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg> <span class="text">Please fill in your first name</span></div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="input">
<div class="block-content input-box input-block inner-narrow show-error-on-nav with-floating-label floating-label-inline" id="input-76a6a869-container">
<div style=""><label for="input-76a6a869">Last Name</label>
<div class="input">
<div class="input-inner">
<div style="flex:1;position:relative;"><input id="input-76a6a869" data-type="input" data-label="Last Name" data-variable="" data-mask="" name="input-76a6a869" placeholder="" pattern="" maxlength="" data-trim=""
autocomplete="off" class="" data-initialized="true">
<div class="input-floating-label"><span>Last Name</span></div>
</div>
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm45.66,85.66-56,56a8,8,0,0,1-11.32,0l-24-24a8,8,0,0,1,11.32-11.32L112,148.69l50.34-50.35a8,8,0,0,1,11.32,11.32Z"></path>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path
d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm37.66,130.34a8,8,0,0,1-11.32,11.32L128,139.31l-26.34,26.35a8,8,0,0,1-11.32-11.32L116.69,128,90.34,101.66a8,8,0,0,1,11.32-11.32L128,116.69l26.34-26.35a8,8,0,0,1,11.32,11.32L139.31,128Z">
</path>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40"
enable-background="new 0 0 40 40" xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
</div><datalist id="datalist-input-76a6a869">
<option>Option 1</option>
<option>Option 2</option>
</datalist>
<div class="error-box"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg> <span class="text">Please fill in a your last name</span></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="input">
<div class="block-content input-box input-block inner-narrow show-error-on-nav with-floating-label floating-label-inline" id="id-b565c202-container">
<div style=""><label for="id-b565c202">State</label>
<div class="input has-prefix">
<div class="input-inner">
<div class="input-decorator input-prefix input-prefix-svg"><svg id="Raw" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<polyline points="224 56 128 144 32 56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="16"></polyline>
<path d="M32,56H224a0,0,0,0,1,0,0V192a8,8,0,0,1-8,8H40a8,8,0,0,1-8-8V56A0,0,0,0,1,32,56Z" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="16"></path>
<line x1="110.54541" y1="128.00013" x2="34.4668" y2="197.73926" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="16"></line>
<line x1="221.53418" y1="197.73926" x2="145.45424" y2="127.99964" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="16"></line>
</svg></div>
<div style="flex:1;position:relative;"><input id="id-b565c202" data-type="input" data-label="State" data-variable="" data-mask="" name="id-b565c202" placeholder="state" pattern="^\S+@\S+\.\S+$" maxlength="" data-trim=""
autocomplete="email" class="" data-initialized="true">
<div class="input-floating-label"><span>State</span></div>
</div>
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm45.66,85.66-56,56a8,8,0,0,1-11.32,0l-24-24a8,8,0,0,1,11.32-11.32L112,148.69l50.34-50.35a8,8,0,0,1,11.32,11.32Z"></path>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path
d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm37.66,130.34a8,8,0,0,1-11.32,11.32L128,139.31l-26.34,26.35a8,8,0,0,1-11.32-11.32L116.69,128,90.34,101.66a8,8,0,0,1,11.32-11.32L128,116.69l26.34-26.35a8,8,0,0,1,11.32,11.32L139.31,128Z">
</path>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
</div><datalist id="datalist-id-b565c202">
<option>Option 1</option>
<option>Option 2</option>
</datalist>
<div class="error-box"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg> <span class="text">Please provide your state</span></div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="input">
<div class="block-content input-box input-block inner-narrow show-error-on-nav with-floating-label floating-label-inline" id="input-9b3cab20-container">
<div style=""><label for="input-9b3cab20">Email Address</label>
<div class="input has-prefix">
<div class="input-inner">
<div class="input-decorator input-prefix input-prefix-svg"><svg id="Raw" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<polyline points="224 56 128 144 32 56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="16"></polyline>
<path d="M32,56H224a0,0,0,0,1,0,0V192a8,8,0,0,1-8,8H40a8,8,0,0,1-8-8V56A0,0,0,0,1,32,56Z" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="16"></path>
<line x1="110.54541" y1="128.00013" x2="34.4668" y2="197.73926" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="16"></line>
<line x1="221.53418" y1="197.73926" x2="145.45424" y2="127.99964" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="16"></line>
</svg></div>
<div style="flex:1;position:relative;"><input id="input-9b3cab20" data-type="input" data-label="Email Address" data-variable="" data-mask="" name="input-9b3cab20" placeholder="email@adresse.com" pattern="^\S+@\S+\.\S+$"
maxlength="" data-trim="" autocomplete="email" class="" data-initialized="true">
<div class="input-floating-label"><span>Email Address</span></div>
</div>
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm45.66,85.66-56,56a8,8,0,0,1-11.32,0l-24-24a8,8,0,0,1,11.32-11.32L112,148.69l50.34-50.35a8,8,0,0,1,11.32,11.32Z"></path>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path
d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm37.66,130.34a8,8,0,0,1-11.32,11.32L128,139.31l-26.34,26.35a8,8,0,0,1-11.32-11.32L116.69,128,90.34,101.66a8,8,0,0,1,11.32-11.32L128,116.69l26.34-26.35a8,8,0,0,1,11.32,11.32L139.31,128Z">
</path>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
</div><datalist id="datalist-input-9b3cab20">
<option>Option 1</option>
<option>Option 2</option>
</datalist>
<div class="error-box"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg> <span class="text">Please fill in a valid email address</span></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="generic-button">
<div class="block-content generic-button-block inner-narrow" id="generic-button-block-button-7d9f8105">
<div style=""><button id="button-7d9f8105" class="generic-button submit medium"
onclick="window.heyflow['structured-family-caregiving'].buttonClick(this, 'submit', '', '{"redirectURL":"https://heyflow.com","emoji":null,"containerClass":"inner-narrow","icon":null,"label":"Submit","nextAction":"next","type":"generic-button","tracking":false,"target":"_self","paddingBottom":0,"filename":null,"name":"button-submit","contentClass":"align-center","action":"submit","id":"button-7d9f8105","paddingTop":0,"class":"submit&nbsp;medium"}')">
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<polyline points="216 72.005 104 184 48 128.005" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
<div class="content align-center">
<div class="label-container"><span class="label">Submit</span></div>
</div>
</button></div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="inner-full container-style-plain" style="margin-top:20px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:20px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal;align-items:center;flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="flex-grow:3;" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-id-e7f5ead1">
<div style="text-align:center;padding-top:25px;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/de392472-43d7-4ee6-8b20-0e7e5588cbd4.png"
style="height:50%;width:50%;" alt="Mein Bild" class="needs-eager"></div>
</div>
</div>
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-rich-text-57d0ced2">
<div class="rich-text" style="padding-bottom:20px;">
<h6>Since 2018</h6>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block hide_mobile hide_desktop" style="" data-blocktype="input">
<div class="block-content input-box input-block inner-narrow show-error-on-nav" id="id-4f2c24cc-container">
<div style="padding-top:20px; padding-bottom:20px;"><label for="id-4f2c24cc">Label</label>
<div class="input">
<div class="input-inner">
<div style="flex:1;position:relative;"><input id="id-4f2c24cc" data-type="input" data-label="utm content" data-variable="utm_content" data-mask="" name="id-4f2c24cc" placeholder="Platzhalter" pattern="" maxlength="" data-trim=""
autofocus="" autocomplete="off" class="" data-initialized="true">
<div class="input-floating-label"><span>Label</span></div>
</div>
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm45.66,85.66-56,56a8,8,0,0,1-11.32,0l-24-24a8,8,0,0,1,11.32-11.32L112,148.69l50.34-50.35a8,8,0,0,1,11.32,11.32Z"></path>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path
d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm37.66,130.34a8,8,0,0,1-11.32,11.32L128,139.31l-26.34,26.35a8,8,0,0,1-11.32-11.32L116.69,128,90.34,101.66a8,8,0,0,1,11.32-11.32L128,116.69l26.34-26.35a8,8,0,0,1,11.32,11.32L139.31,128Z">
</path>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
</div><datalist id="datalist-id-4f2c24cc">
<option>Option 1</option>
<option>Option 2</option>
</datalist>
<div class="error-box"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg> <span class="text">Bitte gib eine Antwort an</span></div>
</div>
</div>
</div>
</div>
<div class="block hide_mobile hide_desktop" style="" data-blocktype="input">
<div class="block-content input-box input-block inner-narrow show-error-on-nav" id="id-b05cbbad-container">
<div style="padding-top:20px; padding-bottom:20px;"><label for="id-b05cbbad">Label</label>
<div class="input">
<div class="input-inner">
<div style="flex:1;position:relative;"><input id="id-b05cbbad" data-type="input" data-label="utm campaign" data-variable="utm_campaign" data-mask="" name="id-b05cbbad" placeholder="Platzhalter" pattern="" maxlength="" data-trim=""
autofocus="" autocomplete="off" class="" data-initialized="true">
<div class="input-floating-label"><span>Label</span></div>
</div>
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm45.66,85.66-56,56a8,8,0,0,1-11.32,0l-24-24a8,8,0,0,1,11.32-11.32L112,148.69l50.34-50.35a8,8,0,0,1,11.32,11.32Z"></path>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path
d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm37.66,130.34a8,8,0,0,1-11.32,11.32L128,139.31l-26.34,26.35a8,8,0,0,1-11.32-11.32L116.69,128,90.34,101.66a8,8,0,0,1,11.32-11.32L128,116.69l26.34-26.35a8,8,0,0,1,11.32,11.32L139.31,128Z">
</path>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
</div><datalist id="datalist-id-b05cbbad">
<option>Option 1</option>
<option>Option 2</option>
</datalist>
<div class="error-box"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg> <span class="text">Bitte gib eine Antwort an</span></div>
</div>
</div>
</div>
</div>
<div class="block hide_mobile hide_desktop" style="" data-blocktype="input">
<div class="block-content input-box input-block inner-narrow show-error-on-nav" id="id-fa1ddac1-container">
<div style="padding-top:20px; padding-bottom:20px;"><label for="id-fa1ddac1">Label</label>
<div class="input">
<div class="input-inner">
<div style="flex:1;position:relative;"><input id="id-fa1ddac1" data-type="input" data-label="utm medium" data-variable="utm_medium" data-mask="" name="id-fa1ddac1" placeholder="Platzhalter" pattern="" maxlength="" data-trim=""
autofocus="" autocomplete="off" class="" data-initialized="true">
<div class="input-floating-label"><span>Label</span></div>
</div>
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm45.66,85.66-56,56a8,8,0,0,1-11.32,0l-24-24a8,8,0,0,1,11.32-11.32L112,148.69l50.34-50.35a8,8,0,0,1,11.32,11.32Z"></path>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path
d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm37.66,130.34a8,8,0,0,1-11.32,11.32L128,139.31l-26.34,26.35a8,8,0,0,1-11.32-11.32L116.69,128,90.34,101.66a8,8,0,0,1,11.32-11.32L128,116.69l26.34-26.35a8,8,0,0,1,11.32,11.32L139.31,128Z">
</path>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
</div><datalist id="datalist-id-fa1ddac1">
<option>Option 1</option>
<option>Option 2</option>
</datalist>
<div class="error-box"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg> <span class="text">Bitte gib eine Antwort an</span></div>
</div>
</div>
</div>
</div>
<div class="block hide_mobile hide_desktop" style="" data-blocktype="input">
<div class="block-content input-box input-block inner-narrow show-error-on-nav" id="id-4d3481a1-container">
<div style="padding-top:20px; padding-bottom:20px;"><label for="id-4d3481a1">Label</label>
<div class="input">
<div class="input-inner">
<div style="flex:1;position:relative;"><input id="id-4d3481a1" data-type="input" data-label="utm source" data-variable="utm_source" data-mask="" name="id-4d3481a1" placeholder="Platzhalter" pattern="" maxlength="" data-trim=""
autofocus="" autocomplete="off" class="" data-initialized="true">
<div class="input-floating-label"><span>Label</span></div>
</div>
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm45.66,85.66-56,56a8,8,0,0,1-11.32,0l-24-24a8,8,0,0,1,11.32-11.32L112,148.69l50.34-50.35a8,8,0,0,1,11.32,11.32Z"></path>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path
d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm37.66,130.34a8,8,0,0,1-11.32,11.32L128,139.31l-26.34,26.35a8,8,0,0,1-11.32-11.32L116.69,128,90.34,101.66a8,8,0,0,1,11.32-11.32L128,116.69l26.34-26.35a8,8,0,0,1,11.32,11.32L139.31,128Z">
</path>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
</div><datalist id="datalist-id-4d3481a1">
<option>Option 1</option>
<option>Option 2</option>
</datalist>
<div class="error-box"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg> <span class="text">Bitte gib eine Antwort an</span></div>
</div>
</div>
</div>
</div>
</section>
<section id="id-64623f1c" name="state" data-type="user">
<div class="block" style="" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-img-4b36005c">
<div style="text-align:center;padding-top:25px;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/a73cce49-ee5f-41fa-a73d-7a5a5b3b20a7.png" style="height:40%;width:40%;"
alt="Mein Bild"></div>
</div>
</div>
<div class="block" style="flex-grow:100;" data-blocktype="progress">
<div class="block-content progress-block inner-narrow progress-items-bar" id="id-26d840ef">
<div style="padding-top:40px; padding-bottom:40px;"><span class="progress-item filled"></span> <span class="progress-item"></span> <span class="progress-item"></span> <span class="progress-item"></span></div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-narrow" data-type="nested-blocks">
<div class="inner-full container-style-2" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal;align-items:center;flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-id-2c1ef8ab">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<h3>Please select your state</h3>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="multiple-choice">
<div class="block-content multiple-choice-block inner-narrow" id="multiple-choice-block-mc-d517f991" data-align-siblings="">
<div style="padding-top:20px; padding-bottom:20px;">
<div class="multiple-choice mc-list">
<div class="multiple-choice-inner" style="justify-content:center;">
<div class="multiple-choice-option-container">
<div class="multiple-choice-option" hey-nextscreen="" hey-important="" hey-autoredirect="false"><label>
<div class="option-counter">1</div><input type="radio" id="mco-8ace6114" data-tracking="true" data-event-name="" data-type="multiple-choice" data-label="State" name="mc-d517f991" data-variable="" value="mco-8ace6114"
data-answer="Rhode Island " required="" data-destination="next" data-priority="0">
<div class="option-content">
<div class="selector-container radio-selector"><span class="radio"></span></div>
<div class="label-container">
<div class="label">Rhode Island</div>
</div>
</div>
<div></div>
</label></div>
</div>
<div class="multiple-choice-option-container">
<div class="multiple-choice-option" hey-nextscreen="" hey-important="" hey-autoredirect="false"><label>
<div class="option-counter">2</div><input type="radio" id="mco-3a626b04" data-tracking="true" data-event-name="" data-type="multiple-choice" data-label="State" name="mc-d517f991" data-variable="" value="mco-3a626b04"
data-answer="Massachusetts" required="" data-destination="next" data-priority="0">
<div class="option-content">
<div class="selector-container radio-selector"><span class="radio"></span></div>
<div class="label-container">
<div class="label">Massachusetts</div>
</div>
</div>
<div></div>
</label></div>
</div>
<div class="multiple-choice-option-container">
<div class="multiple-choice-option" hey-nextscreen="" hey-important="" hey-autoredirect="false"><label>
<div class="option-counter">3</div><input type="radio" id="mco-136bd7eb" data-tracking="true" data-event-name="" data-type="multiple-choice" data-label="State" name="mc-d517f991" data-variable="" value="mco-136bd7eb"
data-answer="Conneticut" required="" data-destination="next" data-priority="0">
<div class="option-content">
<div class="selector-container radio-selector"><span class="radio"></span></div>
<div class="label-container">
<div class="label">Conneticut</div>
</div>
</div>
<div></div>
</label></div>
</div>
<div class="multiple-choice-option-container">
<div class="multiple-choice-option" hey-nextscreen="" hey-important="" hey-autoredirect="false"><label>
<div class="option-counter">4</div><input type="radio" id="mco-714ac2ac" data-tracking="true" data-event-name="" data-type="multiple-choice" data-label="State" name="mc-d517f991" data-variable="" value="mco-714ac2ac"
data-answer="New York" required="" data-destination="next" data-priority="0">
<div class="option-content">
<div class="selector-container radio-selector"><span class="radio"></span></div>
<div class="label-container">
<div class="label">New York</div>
</div>
</div>
<div></div>
</label></div>
</div>
<div class="multiple-choice-option-container">
<div class="multiple-choice-option multiple-choice-option-is-input" hey-nextscreen="" hey-important="" hey-autoredirect="false"><label>
<div class="option-counter">5</div><input type="radio" id="option-bdPFFy_zLZvebVrnVK0oc" data-tracking="true" data-event-name="other" data-type="multiple-choice" data-label="State" name="mc-d517f991" data-variable=""
value="option-bdPFFy_zLZvebVrnVK0oc" data-answer="" required="" data-destination="next" data-priority="0">
<div class="option-content">
<div class="selector-container radio-selector"><span class="radio"></span></div>
<div class="input-container">
<div class="input"><input onfocus="window.heyflow['structured-family-caregiving'].flowQuery('#option-bdPFFy_zLZvebVrnVK0oc').checked = true;" class="multiple-choice-option-input"
data-related-element="option-bdPFFy_zLZvebVrnVK0oc" id="option-bdPFFy_zLZvebVrnVK0oc-input" data-type="input" name="option-bdPFFy_zLZvebVrnVK0oc-input" placeholder="" data-label="State [State]"></div>
<div class="text">other</div>
</div>
</div>
<div></div>
</label></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="generic-button">
<div class="block-content generic-button-block inner-narrow" id="generic-button-block-button-0bc97724">
<div style="padding-top:20px; padding-bottom:20px;"><button id="button-0bc97724" class="generic-button continue align-center medium"
onclick="window.heyflow['structured-family-caregiving'].buttonClick(this, 'next', '', '{"containerClass":"inner-narrow","nextAction":"next","label":"Next","type":"generic-button","tracking":true,"paddingBottom":20,"name":"button-continue","action":"next","contentClass":"align-center","paddingTop":20,"id":"button-0bc97724","class":"continue&nbsp;align-center&nbsp;medium"}')">
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<polyline points="216 72.005 104 184 48 128.005" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
<div class="content align-center">
<div class="label-container"><span class="label">Next</span></div><span class="graphic"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="40" y1="128" x2="216" y2="128" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<polyline points="144 56 216 128 144 200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></span>
</div>
</button></div>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<section id="id-4dee8724" name="person" data-type="user">
<div class="block" style="" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-id-18f95ecc">
<div style="text-align:center;padding-top:25px;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/a73cce49-ee5f-41fa-a73d-7a5a5b3b20a7.png" style="height:40%;width:40%;"
alt="Mein Bild"></div>
</div>
</div>
<div class="block" style="flex-grow:100;" data-blocktype="progress">
<div class="block-content progress-block inner-narrow progress-items-bar" id="id-d5c37dd2">
<div style="padding-top:40px; padding-bottom:40px;"><span class="progress-item filled"></span> <span class="progress-item filled"></span> <span class="progress-item"></span> <span class="progress-item"></span></div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-narrow" data-type="nested-blocks">
<div class="inner-full container-style-2" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal;align-items:center;flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-id-fdbdcb94">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<h3>What describes you best?</h3>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="select">
<div class="block-content select-block inner-narrow" id="select-block-select-8bcd6493">
<div style="padding-top:20px; padding-bottom:20px;"><label for="select-8bcd6493">Please select</label>
<div class="select"><select id="select-8bcd6493" name="select-8bcd6493" data-label="person type" data-variable="" data-type="select" data-selected="" required="required">
<option disabled="disabled" selected="selected" value=""></option>
<option value="I am caring for someone">I am caring for someone</option>
<option value="I am a person in care">I am a person in care</option>
</select> <label>
<div class="select-arrow select-arrow-down"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<polyline points="208 96 128 176 48 96" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></div>
</label></div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="generic-button">
<div class="block-content generic-button-block inner-narrow" id="generic-button-block-id-5722c2ae">
<div style="padding-top:20px; padding-bottom:20px;"><button id="id-5722c2ae" class="generic-button continue align-center medium"
onclick="window.heyflow['structured-family-caregiving'].buttonClick(this, 'next', '', '{"containerClass":"inner-narrow","nextAction":"next","label":"Next","type":"generic-button","tracking":true,"paddingBottom":20,"name":"button-continue","action":"next","contentClass":"align-center","paddingTop":20,"id":"id-5722c2ae","class":"continue&nbsp;align-center&nbsp;medium"}')">
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<polyline points="216 72.005 104 184 48 128.005" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
<div class="content align-center">
<div class="label-container"><span class="label">Next</span></div><span class="graphic"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="40" y1="128" x2="216" y2="128" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<polyline points="144 56 216 128 144 200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></span>
</div>
</button></div>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<section id="id-d71b0bc7" name="contact-details-1" data-type="user">
<div class="block" style="" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-id-8b961dd7">
<div style="text-align:center;padding-top:25px;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/a73cce49-ee5f-41fa-a73d-7a5a5b3b20a7.png" style="height:40%;width:40%;"
alt="Mein Bild"></div>
</div>
</div>
<div class="block" style="flex-grow:100;" data-blocktype="progress">
<div class="block-content progress-block inner-narrow progress-items-bar" id="id-747c3dad">
<div style="padding-top:40px; padding-bottom:40px;"><span class="progress-item filled"></span> <span class="progress-item filled"></span> <span class="progress-item filled"></span> <span class="progress-item"></span></div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-narrow" data-type="nested-blocks">
<div class="inner-full container-style-2" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal;align-items:center;flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-id-f99510a9">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<h3>How may we call you?</h3>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="inner-full container-style-plain" style="">
<div class="elements-container-inner inner-full" style="justify-content:normal;align-items:flex-start;flex-direction:row;gap:10px;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="input">
<div class="block-content input-box input-block inner-narrow show-error-on-nav with-floating-label floating-label-inline" id="id-2c968b05-container">
<div style=""><label for="id-2c968b05">First Name</label>
<div class="input">
<div class="input-inner">
<div style="flex:1;position:relative;"><input id="id-2c968b05" data-type="input" data-label="First Name" data-variable="" data-mask="" name="id-2c968b05" placeholder="" pattern="" maxlength="" data-trim=""
required="required" autocomplete="off" class="">
<div class="input-floating-label"><span>First Name</span></div>
</div>
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm45.66,85.66-56,56a8,8,0,0,1-11.32,0l-24-24a8,8,0,0,1,11.32-11.32L112,148.69l50.34-50.35a8,8,0,0,1,11.32,11.32Z"></path>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path
d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm37.66,130.34a8,8,0,0,1-11.32,11.32L128,139.31l-26.34,26.35a8,8,0,0,1-11.32-11.32L116.69,128,90.34,101.66a8,8,0,0,1,11.32-11.32L128,116.69l26.34-26.35a8,8,0,0,1,11.32,11.32L139.31,128Z">
</path>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40"
enable-background="new 0 0 40 40" xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
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</path>
</svg></div>
</div>
</div><datalist id="datalist-id-2c968b05">
<option>Option 1</option>
<option>Option 2</option>
</datalist>
<div class="error-box"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg> <span class="text">Please fill in your first name</span></div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="input">
<div class="block-content input-box input-block inner-narrow show-error-on-nav with-floating-label floating-label-inline" id="id-4b6df3ab-container">
<div style=""><label for="id-4b6df3ab">Last Name</label>
<div class="input">
<div class="input-inner">
<div style="flex:1;position:relative;"><input id="id-4b6df3ab" data-type="input" data-label="Last Name" data-variable="" data-mask="" name="id-4b6df3ab" placeholder="" pattern="" maxlength="" data-trim=""
required="required" autocomplete="off" class="">
<div class="input-floating-label"><span>Last Name</span></div>
</div>
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm45.66,85.66-56,56a8,8,0,0,1-11.32,0l-24-24a8,8,0,0,1,11.32-11.32L112,148.69l50.34-50.35a8,8,0,0,1,11.32,11.32Z"></path>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path
d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm37.66,130.34a8,8,0,0,1-11.32,11.32L128,139.31l-26.34,26.35a8,8,0,0,1-11.32-11.32L116.69,128,90.34,101.66a8,8,0,0,1,11.32-11.32L128,116.69l26.34-26.35a8,8,0,0,1,11.32,11.32L139.31,128Z">
</path>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40"
enable-background="new 0 0 40 40" xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
</div><datalist id="datalist-id-4b6df3ab">
<option>Option 1</option>
<option>Option 2</option>
</datalist>
<div class="error-box"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg> <span class="text">Please fill in a your last name</span></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="generic-button">
<div class="block-content generic-button-block inner-narrow" id="generic-button-block-id-f7e3a9d2">
<div style="padding-top:20px; padding-bottom:20px;"><button id="id-f7e3a9d2" class="generic-button continue align-center medium"
onclick="window.heyflow['structured-family-caregiving'].buttonClick(this, 'next', '', '{"containerClass":"inner-narrow","nextAction":"next","label":"Next","type":"generic-button","tracking":true,"paddingBottom":20,"name":"button-continue","action":"next","contentClass":"align-center","paddingTop":20,"id":"id-f7e3a9d2","class":"continue&nbsp;align-center&nbsp;medium"}')">
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<polyline points="216 72.005 104 184 48 128.005" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
<div class="content align-center">
<div class="label-container"><span class="label">Next</span></div><span class="graphic"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="40" y1="128" x2="216" y2="128" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<polyline points="144 56 216 128 144 200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></span>
</div>
</button></div>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<section id="id-0955639f" name="contact-details-2" data-type="user">
<div class="block" style="" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-id-462bc26d">
<div style="text-align:center;padding-top:25px;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/a73cce49-ee5f-41fa-a73d-7a5a5b3b20a7.png" style="height:40%;width:40%;"
alt="Mein Bild"></div>
</div>
</div>
<div class="block" style="flex-grow:100;" data-blocktype="progress">
<div class="block-content progress-block inner-narrow progress-items-bar" id="id-845c3908">
<div style="padding-top:40px; padding-bottom:40px;"><span class="progress-item filled"></span> <span class="progress-item filled"></span> <span class="progress-item filled"></span> <span class="progress-item filled"></span></div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-narrow" data-type="nested-blocks">
<div class="inner-full container-style-2" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal;align-items:center;flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-id-57df8254">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<h3>How may we reach you?</h3>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-full" data-type="nested-blocks">
<div class="inner-full container-style-plain" style="">
<div class="elements-container-inner inner-full" style="justify-content:normal;align-items:flex-start;flex-direction:row;gap:10px;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="input">
<div class="block-content input-box input-block inner-narrow show-error-on-nav with-floating-label floating-label-inline" id="id-1011ec5f-container">
<div style=""><label for="id-1011ec5f">Email Address</label>
<div class="input has-prefix">
<div class="input-inner">
<div class="input-decorator input-prefix input-prefix-svg"><svg id="Raw" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<polyline points="224 56 128 144 32 56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="16"></polyline>
<path d="M32,56H224a0,0,0,0,1,0,0V192a8,8,0,0,1-8,8H40a8,8,0,0,1-8-8V56A0,0,0,0,1,32,56Z" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="16"></path>
<line x1="110.54541" y1="128.00013" x2="34.4668" y2="197.73926" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="16"></line>
<line x1="221.53418" y1="197.73926" x2="145.45424" y2="127.99964" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="16"></line>
</svg></div>
<div style="flex:1;position:relative;"><input id="id-1011ec5f" data-type="input" data-label="Email Address" data-variable="" data-mask="" name="id-1011ec5f" placeholder="email@adresse.com" pattern="^\S+@\S+\.\S+$"
maxlength="" data-trim="" required="required" autocomplete="email" class="">
<div class="input-floating-label"><span>Email Address</span></div>
</div>
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm45.66,85.66-56,56a8,8,0,0,1-11.32,0l-24-24a8,8,0,0,1,11.32-11.32L112,148.69l50.34-50.35a8,8,0,0,1,11.32,11.32Z"></path>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="40" height="40" fill="currentColor" viewBox="0 0 256 256">
<path
d="M128,24A104,104,0,1,0,232,128,104.11,104.11,0,0,0,128,24Zm37.66,130.34a8,8,0,0,1-11.32,11.32L128,139.31l-26.34,26.35a8,8,0,0,1-11.32-11.32L116.69,128,90.34,101.66a8,8,0,0,1,11.32-11.32L128,116.69l26.34-26.35a8,8,0,0,1,11.32,11.32L139.31,128Z">
</path>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40"
enable-background="new 0 0 40 40" xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
</div><datalist id="datalist-id-1011ec5f">
<option>Option 1</option>
<option>Option 2</option>
</datalist>
<div class="error-box"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg> <span class="text">Please fill in a valid email address</span></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="generic-button">
<div class="block-content generic-button-block inner-narrow" id="generic-button-block-button-8ffd16c1">
<div style="padding-top:20px; padding-bottom:20px;"><button id="button-8ffd16c1" class="generic-button submit medium"
onclick="window.heyflow['structured-family-caregiving'].buttonClick(this, 'submit', '', '{"redirectURL":"https://heyflow.com","containerClass":"inner-narrow","label":"Submit&nbsp;-&nbsp;Take&nbsp;care","nextAction":"next","type":"generic-button","tracking":false,"target":"_self","paddingBottom":20,"name":"button-submit","contentClass":"align-space-between","action":"submit","id":"button-8ffd16c1","paddingTop":20,"class":"submit&nbsp;medium"}')">
<div class="status-indicator">
<div class="icon-check-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<polyline points="216 72.005 104 184 48 128.005" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></polyline>
</svg></div>
<div class="icon-x-mark"><svg xmlns="http://www.w3.org/2000/svg" width="192" height="192" fill="currentColor" viewBox="0 0 256 256">
<rect width="256" height="256" fill="none"></rect>
<line x1="200" y1="56" x2="56" y2="200" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
<line x1="200" y1="200" x2="56" y2="56" fill="none" stroke="currentColor" stroke-linecap="round" stroke-linejoin="round" stroke-width="24"></line>
</svg></div>
<div class="icon-spinner"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="40px" height="40px" viewBox="0 0 40 40" enable-background="new 0 0 40 40"
xml:space="preserve">
<path opacity="0.3" fill="currentColor"
d="M20.201,5.169c-8.254,0-14.946,6.692-14.946,14.946c0,8.255,6.692,14.946,14.946,14.946 s14.946-6.691,14.946-14.946C35.146,11.861,28.455,5.169,20.201,5.169z M20.201,31.749c-6.425,0-11.634-5.208-11.634-11.634 c0-6.425,5.209-11.634,11.634-11.634c6.425,0,11.633,5.209,11.633,11.634C31.834,26.541,26.626,31.749,20.201,31.749z">
</path>
<path fill="currentColor" d="M26.013,10.047l1.654-2.866c-2.198-1.272-4.743-2.012-7.466-2.012h0v3.312h0 C22.32,8.481,24.301,9.057,26.013,10.047z">
<animateTransform attributeType="xml" attributeName="transform" type="rotate" from="0 20 20" to="360 20 20" dur="0.5s" repeatCount="indefinite"></animateTransform>
</path>
</svg></div>
</div>
<div class="content align-space-between">
<div class="label-container"><span class="label">Submit - Take care</span></div>
</div>
</button></div>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<section id="id-bc10541d" name="thank-you" data-type="user">
<div class="block" style="" data-blocktype="image">
<div class="block-content image-block inner-narrow" style="" id="image-block-id-4554799a">
<div style="text-align:center;padding-top:25px;"><img loading="eager" src="https://storage.googleapis.com/builder.zenflow.de/structured-family-caregiving/www/assets/a73cce49-ee5f-41fa-a73d-7a5a5b3b20a7.png" style="height:40%;width:40%;"
alt="Mein Bild"></div>
</div>
</div>
<div class="block" style="flex-grow:100;" data-blocktype="progress">
<div class="block-content progress-block inner-narrow progress-items-bar" id="id-bffeeb35">
<div style="padding-top:40px; padding-bottom:40px;"><span class="progress-item filled"></span> <span class="progress-item filled"></span> <span class="progress-item filled"></span> <span class="progress-item filled"></span></div>
</div>
</div>
<div class="block" style="" data-blocktype="elements-v2">
<div class="block-content elements-container elements-v2-container inner-narrow" data-type="nested-blocks">
<div class="inner-full container-style-2" style="margin-top:10px; margin-right:10px; margin-bottom:10px; margin-left:10px; padding-top:10px; padding-bottom:10px;">
<div class="elements-container-inner inner-narrow" style="justify-content:normal;align-items:center;flex-direction:column;margin-left:auto;margin-right:auto;">
<div class="block" style="" data-blocktype="rich-text">
<div class="block-content text-block align-center inner-mid" id="text-block-id-165bc898">
<div class="rich-text" style="padding-top:20px; padding-bottom:20px;">
<h3>Thank you!</h3>
<h3>We will get in touch with you shortly.</h3>
</div>
</div>
</div>
<div class="block" style="" data-blocktype="loader">
<div style="" class="block-content loader-block center inner-narrow" id="loader-block-loader-a966a95c" data-id="loader-a966a95c" data-timeout="2000" data-action="go"
data-options="{"redirectURL":"https://heyflow.com/","destination":"start-8f635e6c","type":"loader","timeout":2000,"target":"_self","paddingBottom":20,"name":"loader","action":"go","disabled":false,"id":"loader-a966a95c","paddingTop":20,"class":"center&nbsp;inner-narrow"}">
<div style="padding-top:20px; padding-bottom:20px;">
<div id="loader-a966a95c" class="circle-loader">
<div class="circle-loader-checkmark draw"></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<section id="template-screen-header" name="template-screen-header" data-type="template" class="template" data-header="header"></section>
<section id="template-screen-footer" name="template-screen-footer" data-type="template" class="template" data-footer="footer"></section>
<section id="error" name="error" data-type="system">
<div class="block" style="" data-blocktype="headline">
<div class="headline inner-mid" id="headline-block-">
<h2>Error</h2>
<h4>Sorry, your response could not be sent. Please check your internet connection.</h4>
</div>
</div>
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TAKING CARE OF SOMEONE AT HOME? YOU DESERVE SUPPORT, TOO. At Entyre Care, we support caregivers with personalized coaching, key resources, emotional support, and financial assistance, helping you care for your loved ones more effectively and take better care of yourself. Join Entyre Care today and start receiving the support you need! Take care for yourself TAKING CARE OF SOMEONE AT HOME? YOU DESERVE SUPPORT, TOO. At Entyre Care, we support caregivers with personalized coaching, key resources, emotional support, and financial assistance, helping you care for your loved ones more effectively and take better care of yourself. Join Entyre Care today and start receiving the support you need! Take care for yourself Structured Family Caregiving: Supporting You and Your Loved Ones Structured Family Caregiving: Supporting You and Your Loved Ones * Rhode Island * Massachusetts * Florida * and more Structured Family Caregiving provides a unique opportunity for caregivers to support their family members with love and dignity. This program recognizes and compensates your hard work with financial support and offers professional guidance to help you manage daily care challenges effectively. PERSONALIZED COACHING At the heart of our service lies our unwavering commitment to you. We match you with a dedicated care coach, available at your convenience, to answer questions, provide guidance, or simply offer a listening ear as we navigate this emotional journey together. PERSONALIZED COACHING At the heart of our service lies our unwavering commitment to you. We match you with a dedicated care coach, available at your convenience, to answer questions, provide guidance, or simply offer a listening ear as we navigate this emotional journey together. ESSENTIAL RESOURCES * Work with our own App * Get a coaching plan * Join our community PAYMENT * Get paid for the care you give Numerous states offer financial support to caregivers, helping cover the costs associated with full-time caregiving. Through the Structured Family Caregiving program, if you qualify, you could receive as much as $2,000 per month. ESSENTIAL RESOURCES * Work with our own App * Get a coaching plan * Join our community PAYMENT * Get paid for the care you give Numerous states offer financial support to caregivers, helping cover the costs associated with full-time caregiving. Through the Structured Family Caregiving program, if you qualify, you could receive as much as $2,000 per month. Take care for yourself DID YOU KNOW? Over 57 million people in the US care for their loved ones, many facing challenges alone. Join the Entyre Care community to gain a personal coach and real support, and you won't have to struggle by yourself. CHECK IF YOU'RE ELIGIBLE Take care for yourself "I DIDN’T HAVE A PROBLEM WITH TAKING CARE OF MY MOM. I MEAN SHE IS MY MOM. I'D RATHER HAVE HER BY MY SIDE THAN IN A NURSING HOME " Darius, MA We are committed OUR MISSION STATEMENT Our mission is to ensure that people in need of care can live independently at home and that their relatives receive the best possible support when caring for a loved person. SEND US A MESSAGE First Name First Name Option 1Option 2 Please fill in your first name Last Name Last Name Option 1Option 2 Please fill in a your last name State State Option 1Option 2 Please provide your state Email Address Email Address Option 1Option 2 Please fill in a valid email address Submit SINCE 2018 Label Label Option 1Option 2 Bitte gib eine Antwort an Label Label Option 1Option 2 Bitte gib eine Antwort an Label Label Option 1Option 2 Bitte gib eine Antwort an Label Label Option 1Option 2 Bitte gib eine Antwort an PLEASE SELECT YOUR STATE 1 Rhode Island 2 Massachusetts 3 Conneticut 4 New York 5 other Next WHAT DESCRIBES YOU BEST? Please select I am caring for someoneI am a person in care Next HOW MAY WE CALL YOU? First Name First Name Option 1Option 2 Please fill in your first name Last Name Last Name Option 1Option 2 Please fill in a your last name Next HOW MAY WE REACH YOU? Email Address Email Address Option 1Option 2 Please fill in a valid email address Submit - Take care THANK YOU! WE WILL GET IN TOUCH WITH YOU SHORTLY. ERROR SORRY, YOUR RESPONSE COULD NOT BE SENT. PLEASE CHECK YOUR INTERNET CONNECTION. AN ERROR OCCURRED. Activate JavaScript if you have it deactivated in your browser.