.IntakeForm-module__B3CsTa__form{flex-direction:column;gap:2rem;display:flex}.IntakeForm-module__B3CsTa__grid{grid-template-columns:repeat(2,1fr);gap:1.5rem;display:grid}@media (max-width:640px){.IntakeForm-module__B3CsTa__grid{grid-template-columns:1fr}}.IntakeForm-module__B3CsTa__spanFull{grid-column:1/-1}.IntakeForm-module__B3CsTa__field{flex-direction:column;gap:.4rem;display:flex}.IntakeForm-module__B3CsTa__label{text-transform:uppercase;letter-spacing:.08em;color:var(--ink);font-size:.76rem;font-weight:700}.IntakeForm-module__B3CsTa__required{color:var(--stamp)}.IntakeForm-module__B3CsTa__input{font:inherit;border:none;border-bottom:1.5px solid var(--ink);color:var(--ink);background:0 0;padding:.6rem .15rem}.IntakeForm-module__B3CsTa__input:focus{border-bottom:2.5px solid var(--ink);outline:none;padding-bottom:calc(.6rem - 1px)}.IntakeForm-module__B3CsTa__inputError{border-bottom-color:var(--stamp)}.IntakeForm-module__B3CsTa__hint{color:var(--ink-muted);margin:0;font-size:.8rem}.IntakeForm-module__B3CsTa__errorText{color:var(--stamp);margin:0;font-size:.8rem;font-weight:700}.IntakeForm-module__B3CsTa__selfReportSection{border-top:2px solid var(--ink);flex-direction:column;gap:1.5rem;padding-top:1.5rem;display:flex}.IntakeForm-module__B3CsTa__selfReportHeading{text-transform:uppercase;letter-spacing:.06em;color:var(--ink);margin:0 0 .25rem;font-size:1rem;font-weight:700}.IntakeForm-module__B3CsTa__selfReportSubhead{color:var(--ink-muted);margin:-1rem 0 0;font-size:.9rem}.IntakeForm-module__B3CsTa__radioGroup{border:none;flex-direction:column;gap:.6rem;margin:0;padding:0;display:flex}.IntakeForm-module__B3CsTa__radioLegend{color:var(--ink);padding:0;font-size:.92rem;font-weight:700}.IntakeForm-module__B3CsTa__radioOptions{flex-direction:column;gap:.5rem;display:flex}.IntakeForm-module__B3CsTa__radioOption{color:var(--ink);border:1px solid var(--line);cursor:pointer;align-items:flex-start;gap:.65rem;padding:.65rem .8rem;font-size:.9rem;display:flex}.IntakeForm-module__B3CsTa__radioOption:has(input:checked){border-color:var(--ink);background:var(--desk)}.IntakeForm-module__B3CsTa__radioOption input{accent-color:var(--ink);margin-top:.2rem}.IntakeForm-module__B3CsTa__submitError{color:var(--stamp);margin:0;font-weight:700}.IntakeForm-module__B3CsTa__submitButton{font:inherit;text-transform:uppercase;letter-spacing:.08em;border:2px solid var(--ink);background:var(--ink);color:var(--paper);cursor:pointer;align-self:flex-start;padding:.95rem 1.75rem;font-size:.95rem;font-weight:700}.IntakeForm-module__B3CsTa__submitButton:hover:not(:disabled){background:var(--paper);color:var(--ink)}.IntakeForm-module__B3CsTa__submitButton:active:not(:disabled){transform:translateY(1px)}.IntakeForm-module__B3CsTa__submitButton:disabled{opacity:.6;cursor:not-allowed}.IntakeForm-module__B3CsTa__successCard{text-align:center;padding:2rem 1rem}.IntakeForm-module__B3CsTa__successIcon{border:3px double var(--stamp);width:56px;height:56px;color:var(--stamp);background:0 0;justify-content:center;align-items:center;margin:0 auto 1.25rem;font-size:1.6rem;font-weight:700;display:flex}.IntakeForm-module__B3CsTa__successCard h3{text-transform:uppercase;letter-spacing:.04em;color:var(--ink);margin:0 0 .75rem;font-size:1.3rem;font-weight:700}.IntakeForm-module__B3CsTa__successCard p{color:var(--ink-muted);max-width:42ch;margin:0 auto;line-height:1.7}