@font-face { font-family: "Roboto"; font-weight: 100; font-style: normal; font-display: swap; src: url("/g/fonts/roboto/roboto-t.woff2") format("woff2"), url("/g/fonts/roboto/roboto-t.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 100; font-style: italic; font-display: swap; src: url("/g/fonts/roboto/roboto-t-i.woff2") format("woff2"), url("/g/fonts/roboto/roboto-t-i.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 300; font-style: normal; font-display: swap; src: url("/g/fonts/roboto/roboto-l.woff2") format("woff2"), url("/g/fonts/roboto/roboto-l.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 300; font-style: italic; font-display: swap; src: url("/g/fonts/roboto/roboto-l-i.woff2") format("woff2"), url("/g/fonts/roboto/roboto-l-i.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 400; font-style: normal; font-display: swap; src: url("/g/fonts/roboto/roboto-r.woff2") format("woff2"), url("/g/fonts/roboto/roboto-r.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 400; font-style: italic; font-display: swap; src: url("/g/fonts/roboto/roboto-r-i.woff2") format("woff2"), url("/g/fonts/roboto/roboto-r-i.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 500; font-style: normal; font-display: swap; src: url("/g/fonts/roboto/roboto-m.woff2") format("woff2"), url("/g/fonts/roboto/roboto-m.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 500; font-style: italic; font-display: swap; src: url("/g/fonts/roboto/roboto-m-i.woff2") format("woff2"), url("/g/fonts/roboto/roboto-m-i.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 700; font-style: normal; font-display: swap; src: url("/g/fonts/roboto/roboto-b.woff2") format("woff2"), url("/g/fonts/roboto/roboto-b.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 700; font-style: italic; font-display: swap; src: url("/g/fonts/roboto/roboto-b-i.woff2") format("woff2"), url("/g/fonts/roboto/roboto-b-i.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 900; font-style: normal; font-display: swap; src: url("/g/fonts/roboto/roboto-bl.woff2") format("woff2"), url("/g/fonts/roboto/roboto-bl.woff") format("woff");}
@font-face { font-family: "Roboto"; font-weight: 900; font-style: italic; font-display: swap; src: url("/g/fonts/roboto/roboto-bl-i.woff2") format("woff2"), url("/g/fonts/roboto/roboto-bl-i.woff") format("woff");}
:root {
	--color-iuynpr2gp: 255, 255, 255;
	--color-icovdbhlr: 255, 255, 255;
	--color-iq095ll7f: 0, 0, 0;
	--color-ic91006bp: 169, 169, 169;
	--color-iarqwibm9: 169, 169, 169;
	--color-i2n0zpmfc: 169, 169, 169;
	--color-iir37yvao: 169, 169, 169;
	--color-ifdkyzeaa: 255, 255, 255;
	--color-iywvtmvvu: 169, 169, 169;
	--color-inltafphm: 169, 169, 169;
	--color-iiimllmmh: 169, 169, 169;
	--color-ilx714zzn: 169, 169, 169;
	--color-isn4y7i7u: 255, 255, 255;
	--color-i3qdf2p1c: 169, 169, 169;
	--color-ie3mzrs13: 169, 169, 169;
	--color-iwh3jf8aj: 169, 169, 169;
	--color-iukgg8oet: 169, 169, 169;
	--color-iyqnvhiru: 255, 255, 255;
	--color-ip9x0z48n: 169, 169, 169;
	--color-i7ep1q2s1: 169, 169, 169;
	--color-i5ypkzfha: 169, 169, 169;
	--color-ivoczaozd: 169, 169, 169;
	--color-icrf5numd: 248, 248, 248;
	--color-i967yw199: 169, 169, 169;
	--color-iyyy5m9rx: 169, 169, 169;
	--color-ig9yegrsj: 169, 169, 169;
	--color-it3qdjzk6: 169, 169, 169;
	--color-i1tyrymxj: 248, 248, 248;
	--color-i1w90iwa9: 51, 51, 51;
	--color-iq3c1spk3: 139, 240, 0;
	--color-idlxtbnu4: 255, 0, 0;
	--color-i998x8j9k: 128, 128, 128;
	--color-i8mhovjjl: 128, 128, 128;
	--color-imkx78rjx: 128, 128, 128;
	--color-iem59vmu8: 128, 128, 128;
	--color-iizkxv00y: 128, 128, 128;
	--color-i1tkwg1c4: 0, 0, 0;
	--color-i0mvb538e: 0, 0, 0;
	--color-iq5679yzl: 128, 128, 128;
	--color-it3nra8un: 128, 128, 128;
	--color-iothx7g7k: 128, 128, 128;
	--color-i3ni4pbmp: 128, 128, 128;
	--color-iob3iyjt2: 0, 0, 0;
	--color-i0csynrmk: 0, 0, 0;
	--color-iuq3d27e0: 255, 255, 255;
	--color-iwbfbeo6a: 255, 255, 255;
	--color-i74g0v2v1: 255, 255, 255;
	--color-ixh774bcm: 255, 255, 255;
	--color-i9fml71xy: 141, 255, 154;
	--color-ic60d7hj2: 197, 197, 197;
	--color-ibdzz231h: 197, 197, 197;
	--color-iz8w89vpy: 197, 197, 197;
	--color-ibredgn0x: 197, 197, 197;
	--color-is27aj0h5: 197, 197, 197;
	--color-ihl2n5vyl: 255, 0, 0;
	--color-i6m57tire: 85, 85, 85;
	--color-imzoou9c2: 0, 0, 255;
	--color-iez1sxa8h: 0, 0, 255;
	--color-ismtakkxl: 245, 188, 141;
	--color-immsy0tur: 0, 0, 0;
	--color-ipa8oalf8: 0, 0, 0;
	--color-i1mx4y0om: 255, 255, 255;
	--color-ia3yp97n8: 141, 255, 154;
	--color-i4w7oelxz: 0, 0, 0;
	--color-i7ca1orrd: 142, 142, 142;
	--color-ifg7lbz2r: 0, 0, 0;
	--color-idsaihoa7: 255, 255, 255;
	--color-i23rijpus: 255, 255, 255;
	--color-i9ewb7yz8: 0, 0, 0;
	--color-ivgkmw0ts: 0, 0, 0;
	--color-ipruw2l77: 255, 255, 255;
}

.mosaic-form--u-iejmpz1he { width: 100%; display: -webkit-box; display: -ms-flexbox; display: flex; -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column; flex-shrink: 0; padding-left: 0px; padding-right: 0px; padding-top: 0px; padding-bottom: 0px; border-top-left-radius: 0px; border-top-right-radius: 0px; border-bottom-right-radius: 0px; border-bottom-left-radius: 0px; background-color: rgba(var(--color-ismtakkxl), 0); box-shadow: none; background-image: none; background-repeat: repeat; background-position: 0 0; background-size: auto; background-attachment: scroll; color: rgba(var(--color-immsy0tur), 1); cursor: auto; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; line-height: normal; overflow-wrap: break-word; text-align: left; text-indent: 0px; text-shadow: none; text-transform: none }
.mosaic-form--u-iejmpz1he * { outline-style: none }
.mosaic-form--u-iejmpz1he .mosaic-form__title--u-i61794zur { font-size: 3.2vw; line-height: 100%; margin-bottom: 5px; padding-bottom: 0px; background-image: none; background-repeat: repeat; background-position: 0 0; background-size: auto; background-attachment: scroll; margin-left: 0px; margin-right: 0px; display: -webkit-box; display: -ms-flexbox; display: flex; justify-content: center; text-align: center; text-transform: none; font-weight: 700 }
.mosaic-form--u-iejmpz1he .mosaic-form__header { display: -webkit-box; display: -ms-flexbox; display: flex; margin-bottom: 0px; margin-right: 20px; width: 35%; margin-top: 5px; left: auto; right: auto }
.mosaic-form--u-iejmpz1he .mosaic-form__field { margin-bottom: 10px; font-size: 18px; margin-left: 5px; margin-right: 5px; width: 100%; overflow-x: visible; overflow-y: visible; margin-top: 10px; display: -webkit-box; display: -ms-flexbox; display: flex; -webkit-box-align: stretch; -ms-flex-align: stretch; align-items: stretch; padding-bottom: 10px; border-bottom-style: solid; border-bottom-width: 1px; border-bottom-color: rgba(var(--color-iuynpr2gp), 0.26); -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column; justify-content: flex-start }
.mosaic-form--u-iejmpz1he .mosaic-form__name { font-weight: 400; font-size: 16px }
.mosaic-form--u-iejmpz1he .mosaic-form__text { width: 100%; display: block; height: auto; padding-bottom: 20px; padding-top: 20px; padding-left: 20px; padding-right: 20px; background-color: rgba(var(--color-icovdbhlr), 1); border-top-left-radius: 10px; border-top-right-radius: 10px; border-bottom-right-radius: 10px; border-bottom-left-radius: 10px; color: rgba(var(--color-iq095ll7f), 1); font-size: 16px; font-family: Roboto, sans-serif; margin-top: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px }
.mosaic-form--u-iejmpz1he .mosaic-form__date { -webkit-box-flex: 1; -ms-flex-positive: 1; flex-grow: 1; height: 35px; width: 100%; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-ic91006bp), 1); border-right-color: rgba(var(--color-iarqwibm9), 1); border-bottom-color: rgba(var(--color-i2n0zpmfc), 1); border-left-color: rgba(var(--color-iir37yvao), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-ifdkyzeaa), 1); cursor: pointer }
.mosaic-form--u-iejmpz1he .mosaic-form__date-interval { -webkit-box-flex: 1; -ms-flex-positive: 1; flex-grow: 1; height: 35px; width: 100%; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-iywvtmvvu), 1); border-right-color: rgba(var(--color-inltafphm), 1); border-bottom-color: rgba(var(--color-iiimllmmh), 1); border-left-color: rgba(var(--color-ilx714zzn), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-isn4y7i7u), 1); cursor: pointer }
.mosaic-form--u-iejmpz1he .mosaic-form__textarea { width: 100%; display: block; height: 70px; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-i3qdf2p1c), 1); border-right-color: rgba(var(--color-ie3mzrs13), 1); border-bottom-color: rgba(var(--color-iwh3jf8aj), 1); border-left-color: rgba(var(--color-iukgg8oet), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-iyqnvhiru), 1) }
.mosaic-form--u-iejmpz1he .mosaic-form__select { width: 100%; display: block; height: 35px; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-ip9x0z48n), 1); border-right-color: rgba(var(--color-i7ep1q2s1), 1); border-bottom-color: rgba(var(--color-i5ypkzfha), 1); border-left-color: rgba(var(--color-ivoczaozd), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-icrf5numd), 1) }
.mosaic-form--u-iejmpz1he .mosaic-form__select-multiple { width: 100%; display: block; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-i967yw199), 1); border-right-color: rgba(var(--color-iyyy5m9rx), 1); border-bottom-color: rgba(var(--color-ig9yegrsj), 1); border-left-color: rgba(var(--color-it3qdjzk6), 1); padding-bottom: 8px; padding-top: 8px; padding-left: 10px; padding-right: 10px; background-color: rgba(var(--color-i1tyrymxj), 1) }
.mosaic-form--u-iejmpz1he .mosaic-form__date-interval-container { display: -webkit-box; display: -ms-flexbox; display: flex;  -webkit-box-align: center; -ms-flex-align: center; align-items: center }
.mosaic-form--u-iejmpz1he .mosaic-form__date-interval-delimiter { width: 15px; height: 2px; flex-shrink: 0; background-color: rgba(var(--color-i1w90iwa9), 1); margin-right: 5px; margin-left: 5px }
.mosaic-form--u-iejmpz1he .mosaic-form__success--u-ijmvktlld { font-size: 16px }
.mosaic-form--u-iejmpz1he .mosaic-form__error { color: rgba(var(--color-iq3c1spk3), 1); margin-bottom: 5px; font-family: Roboto, sans-serif; font-size: 17px }
.mosaic-form--u-iejmpz1he .mosaic-form__required { color: rgba(var(--color-idlxtbnu4), 1) }
.mosaic-form--u-iejmpz1he .mosaic-form__note { font-size: 12px; color: rgba(var(--color-i998x8j9k), 1) }
.mosaic-form--u-iejmpz1he .mosaic-form__radio-icon { display: none; width: 14px; height: 14px; flex-shrink: 0; border-top-left-radius: 50%; border-top-right-radius: 50%; border-bottom-right-radius: 50%; border-bottom-left-radius: 50%; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-i8mhovjjl), 1); border-right-color: rgba(var(--color-imkx78rjx), 1); border-bottom-color: rgba(var(--color-iem59vmu8), 1); border-left-color: rgba(var(--color-iizkxv00y), 1); background-color: rgba(var(--color-i1tkwg1c4), 0.2) }
.mosaic-form--u-iejmpz1he .mosaic-form__checkbox-icon { display: none; width: 15px; height: 15px; flex-shrink: 0; border-top-left-radius: 2px; border-bottom-left-radius: 2px; border-bottom-right-radius: 2px; border-top-right-radius: 2px; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-iq5679yzl), 1); border-right-color: rgba(var(--color-it3nra8un), 1); border-bottom-color: rgba(var(--color-iothx7g7k), 1); border-left-color: rgba(var(--color-i3ni4pbmp), 1); background-color: rgba(var(--color-iob3iyjt2), 0.2) }
.mosaic-form--u-iejmpz1he .mosaic-form__value { margin-left: 5px }
.mosaic-form--u-iejmpz1he .mosaic-form__label { display: -webkit-inline-box; display: -ms-inline-flexbox; display: inline-flex;  -webkit-box-align: center; -ms-flex-align: center; align-items: center; margin-top: 5px; margin-bottom: 5px; -webkit-box-orient: horizontal; -webkit-box-direction: normal; -ms-flex-direction: row; flex-direction: row; margin-left: 5px; margin-right: 5px; padding-left: 10px; padding-right: 10px; padding-top: 5px; padding-bottom: 5px; border-top-left-radius: 10px; border-top-right-radius: 10px; border-bottom-right-radius: 10px; border-bottom-left-radius: 10px; border-top-style: solid; border-top-width: 1px; border-right-style: solid; border-right-width: 1px; border-bottom-style: solid; border-bottom-width: 1px; border-left-style: solid; border-left-width: 1px; border-top-color: rgba(var(--color-iuq3d27e0), 0.2); border-right-color: rgba(var(--color-iwbfbeo6a), 0.2); border-bottom-color: rgba(var(--color-i74g0v2v1), 0.2); border-left-color: rgba(var(--color-ixh774bcm), 0.2) }
.mosaic-form--u-iejmpz1he .mosaic-form__button { display: -webkit-inline-box; display: -ms-inline-flexbox; display: inline-flex; cursor: pointer; vertical-align: top; padding-top: 25px; padding-right: 40px; padding-bottom: 25px; padding-left: 40px; background-color: rgba(var(--color-i9fml71xy), 1); position: relative; text-decoration-line: none; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-top-style: none; border-right-style: none; border-bottom-style: none; border-left-style: none; border-top-left-radius: 15px; border-top-right-radius: 15px; border-bottom-right-radius: 15px; border-bottom-left-radius: 15px; text-align: center; justify-content: center; transition-property: all; transition-duration: 300ms; transition-delay: 0ms; transition-timing-function: ease; transition-behavior: normal;  -webkit-box-align: center; -ms-flex-align: center; align-items: center; font-weight: 500; margin-top: 40px; margin-left: auto; margin-right: auto }
.mosaic-form--u-iejmpz1he .mosaic-form__upload-progress { border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; border-top-color: rgba(var(--color-ic60d7hj2), 1); border-right-color: rgba(var(--color-ibdzz231h), 1); border-bottom-color: rgba(var(--color-iz8w89vpy), 1); border-left-color: rgba(var(--color-ibredgn0x), 1); margin-bottom: 10px; padding-top: 10px; padding-bottom: 10px; padding-left: 10px; padding-right: 10px; right: 10px }
.mosaic-form--u-iejmpz1he .progressWrapper { padding-top: 8px; padding-right: 0px; padding-bottom: 5px; padding-left: 0px; border-top-width: 1px; border-top-style: solid; border-top-color: rgba(var(--color-is27aj0h5), 1) }
.mosaic-form--u-iejmpz1he .progressContainer { position: relative }
.mosaic-form--u-iejmpz1he .progressCancel { font-size: 0px; display: block; height: 14px; width: 14px; position: absolute; right: 0px; top: 0px; text-align: center; background-color: rgba(var(--color-ihl2n5vyl), 1) }
.mosaic-form--u-iejmpz1he .progressName { font-size: 0.7em; font-weight: 700; color: rgba(var(--color-i6m57tire), 1); width: 323px; text-align: left; overflow-x: hidden; overflow-y: hidden }
.mosaic-form--u-iejmpz1he .progressBarStatus { margin-top: 2px; width: 337px; font-size: 0.6em; text-align: left }
.mosaic-form--u-iejmpz1he .progressBarInProgress { font-size: 0px; width: 0px; height: 4px; background-color: rgba(var(--color-imzoou9c2), 1); margin-top: 2px }
.mosaic-form--u-iejmpz1he .progressBarComplete { font-size: 0px; width: 0px; height: 4px; background-color: rgba(var(--color-iez1sxa8h), 1); margin-top: 2px }
.mosaic-form--u-iejmpz1he .mosaic-form__upload-count-container { display: -webkit-box; display: -ms-flexbox; display: flex }
.mosaic-form--u-iejmpz1he .div--u-inp7ohdfe { padding-bottom: 0px; display: -webkit-box; display: -ms-flexbox; display: flex; -webkit-box-align: stretch; -ms-flex-align: stretch; align-items: stretch; margin-left: auto; margin-right: auto; width: 100%; -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column }
.mosaic-form--u-iejmpz1he .text--u-i7s0rqeni { color: rgba(var(--color-i1mx4y0om), 0.6); margin-bottom: 30px; text-transform: none; text-align: center; font-family: Roboto, sans-serif; margin-top: 20px; justify-content: center; font-weight: 500; font-size: 20px }
.mosaic-form--u-iejmpz1he .button__text { color: rgba(var(--color-ifg7lbz2r), 1); text-shadow: none; font-size: 16px; font-family: Roboto, sans-serif; font-weight: 400; text-transform: none }
.mosaic-form--u-iejmpz1he .mosaic-form__success__text--u-inm52700z { text-align: center; color: rgba(var(--color-i23rijpus), 1); text-transform: uppercase }
.mosaic-form--u-iejmpz1he .div--u-inwhce5n6 { display: -webkit-box; display: -ms-flexbox; display: flex; width: auto; margin-left: -5px; margin-right: -5px; -webkit-box-align: end; -ms-flex-align: end; align-items: flex-end }
.mosaic-form--u-iejmpz1he .mosaic-form__radio-group { display: -webkit-box; display: -ms-flexbox; display: flex; margin-left: -5px; margin-right: -5px }
.mosaic-form--u-iejmpz1he .mosaic-form__form--u-imggkdh8o { color: rgba(var(--color-ipruw2l77), 1) }
.mosaic-form--u-iejmpz1he .div--u-irsbv08a6 { display: -webkit-box; display: -ms-flexbox; display: flex; width: auto; margin-left: -5px; margin-right: -5px; -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column }
.mosaic-form--u-iejmpz1he .mosaic-form__field--u-idshttad1 { border-bottom-width: 0px }
.mosaic-form--u-iejmpz1he .mosaic-form__field--u-i604h1lwy { border-bottom-width: 0px }
.mosaic-form--u-iejmpz1he .mosaic-form__field--u-icyyinj7t { border-bottom-width: 0px }
.mosaic-form--u-iejmpz1he .mosaic-form__field--u-inxpy5qr2 { border-bottom-width: 0px }
.mosaic-form--u-iejmpz1he .mosaic-form__field--u-izp1b9yke { border-bottom-width: 0px; -webkit-box-orient: horizontal; -webkit-box-direction: normal; -ms-flex-direction: row; flex-direction: row }
.mosaic-form--u-iejmpz1he .mosaic-form__field--u-iwed8d0ao { -webkit-box-orient: horizontal; -webkit-box-direction: normal; -ms-flex-direction: row; flex-direction: row }
.mosaic-form--u-iejmpz1he .mosaic-form__radio-group-item { display: -webkit-box; display: -ms-flexbox; display: flex;  -webkit-box-align: center; -ms-flex-align: center; align-items: center }
.mosaic-form--u-iejmpz1he .mosaic-form__radio { margin-top: 0px; margin-left: 0px }
.mosaic-form--u-iejmpz1he .mosaic-form__radio-icon:hover, .mosaic-form--u-iejmpz1he .mosaic-form__radio-icon.is-hover { background-image: url("/d/fgs16_image-placeholder.png"); background-position: center center; background-repeat: no-repeat }
.mosaic-form--u-iejmpz1he .mosaic-form__checkbox-icon:hover, .mosaic-form--u-iejmpz1he .mosaic-form__checkbox-icon.is-hover { background-image: url("/d/fgs16_image-placeholder.png"); background-position: center center; background-repeat: no-repeat }
.mosaic-form--u-iejmpz1he .progressWrapper:first-child { padding-top: 0px; border-top-width: 0px }
.mosaic-form--u-iejmpz1he .progressWrapper:last-child { padding-bottom: 0px }
.mosaic-form--u-iejmpz1he .mosaic-form__button:hover, .mosaic-form--u-iejmpz1he .mosaic-form__button.is-hover { box-shadow: 0px 0px 0px 5px rgba(var(--color-ia3yp97n8), 1) }
.mosaic-form--u-iejmpz1he .mosaic-form__button:active, .mosaic-form--u-iejmpz1he .mosaic-form__button.is-active { box-shadow: inset 1px 1px 4px 0px rgba(var(--color-i4w7oelxz), 0.25) }
.mosaic-form--u-iejmpz1he .mosaic-form__text::placeholder { color: rgba(var(--color-i7ca1orrd), 0.78) }
.mosaic-form--u-iejmpz1he .mosaic-form__field--u-i604h1lwy .mosaic-form__header { display: none }
.mosaic-form--u-iejmpz1he .mosaic-form__field--u-inxpy5qr2 .mosaic-form__header { color: rgba(var(--color-i9ewb7yz8), 1); display: none }
.mosaic-form--u-iejmpz1he .mosaic-form__field--u-icyyinj7t .mosaic-form__header { color: rgba(var(--color-ivgkmw0ts), 1); display: none }
.mosaic-form--u-iejmpz1he .mosaic-form__radio ~ .mosaic-form__value { font-size: 16px }
.mosaic-form--u-iejmpz1he .mosaic-form__field--u-idshttad1 .mosaic-form__header { display: none }
.mosaic-form--u-iejmpz1he .mosaic-form__radio:checked ~ .mosaic-form__radio-icon, .mosaic-form--u-iejmpz1he .mosaic-form__radio.is-checked ~ .mosaic-form__radio-icon { background-color: rgba(var(--color-i0mvb538e), 0.2); background-image: url("/d/fgs16_image-placeholder.png"); background-position: center center; background-repeat: no-repeat }
.mosaic-form--u-iejmpz1he .mosaic-form__checkbox:checked ~ .mosaic-form__checkbox-icon, .mosaic-form--u-iejmpz1he .mosaic-form__checkbox.is-checked ~ .mosaic-form__checkbox-icon { background-color: rgba(var(--color-i0csynrmk), 0.2); background-image: url("/d/fgs16_image-placeholder.png"); background-position: center center; background-repeat: no-repeat }
.div--u-inp7ohdfe { width: 100%; position: relative; display: block }
.mosaic-form__field--u-i604h1lwy { display: block }
.mosaic-form__button--u-iu86nedw4 { display: inline-block }
.text--u-i7s0rqeni { display: -webkit-box; display: -ms-flexbox; display: flex; font-size: 12px; line-height: normal; vertical-align: top; position: relative }
.mosaic-form__field--u-inxpy5qr2 { display: block }
.mosaic-form__field--u-icyyinj7t { display: block }
.mosaic-form__field--u-iwed8d0ao { display: block }
.mosaic-form__field--u-idshttad1 { display: block }
.mosaic-form__field--u-izp1b9yke { display: block }
.div--u-inwhce5n6 { width: 100%; position: relative; display: block }
.div--u-irsbv08a6 { width: 100%; position: relative; display: block }

@media (max-width: 991px) {
	.mosaic-form--u-iejmpz1he { width: 100%; margin-top: 0px; padding-left: 0px; padding-right: 0px }
	.mosaic-form--u-iejmpz1he .mosaic-form__button { margin-left: auto; margin-top: 10px; margin-right: auto }
	.mosaic-form--u-iejmpz1he .text--u-i7s0rqeni { font-size: 18px; text-align: center; margin-bottom: 15px }
	.mosaic-form--u-iejmpz1he .mosaic-form__title--u-i61794zur { justify-content: center; text-align: center; font-size: 30px }
	.mosaic-form--u-iejmpz1he .div--u-irsbv08a6 {  -webkit-box-align: center; -ms-flex-align: center; align-items: center }
	.mosaic-form--u-iejmpz1he .mosaic-form__field { padding-bottom: 5px; margin-top: 5px; -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column }
	.mosaic-form--u-iejmpz1he .mosaic-form__header { width: 100%; justify-content: center; text-align: center }
	.mosaic-form--u-iejmpz1he .mosaic-form__radio { width: 9px; height: 9px }
	.mosaic-form--u-iejmpz1he .mosaic-form__name { margin-bottom: 4px }
	.mosaic-form--u-iejmpz1he .mosaic-form__radio-group { justify-content: center }
	.mosaic-form--u-iejmpz1he .mosaic-form__radio ~ .mosaic-form__value { font-size: 14px }
}

@media (max-width: 767px) {
	.mosaic-form--u-iejmpz1he .div--u-inp7ohdfe { display: -webkit-inline-box; display: -ms-inline-flexbox; display: inline-flex; -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column; margin-left: 0px; width: 100%; text-align: center;  -webkit-box-align: center; -ms-flex-align: center; align-items: center }
	.mosaic-form--u-iejmpz1he .mosaic-form__field { margin-left: 0px; margin-right: 0px; margin-bottom: 10px }
	.mosaic-form--u-iejmpz1he .mosaic-form__button { margin-top: 10px }
	.mosaic-form--u-iejmpz1he .text--u-i7s0rqeni { text-align: center; font-size: 16px; margin-top: 10px }
	.mosaic-form--u-iejmpz1he .mosaic-form__title--u-i61794zur { font-size: 30px }
	.mosaic-form--u-iejmpz1he .div--u-inwhce5n6 { -webkit-box-orient: horizontal; -webkit-box-direction: normal; -ms-flex-direction: row; flex-direction: row }
	.mosaic-form--u-iejmpz1he .mosaic-form__body { margin-left: 2px; margin-right: 2px }
	.mosaic-form--u-iejmpz1he .mosaic-form__text { padding-left: 15px; padding-right: 15px; padding-top: 18px; padding-bottom: 18px }
}

@media (max-width: 479px) {
	.mosaic-form--u-iejmpz1he { padding-left: 0px; padding-right: 0px;  -webkit-box-align: center; -ms-flex-align: center; align-items: center }
	.mosaic-form--u-iejmpz1he .mosaic-form__title--u-i61794zur { font-size: 30px; justify-content: center; text-align: center }
	.mosaic-form--u-iejmpz1he .mosaic-form__button { margin-top: 10px }
	.mosaic-form--u-iejmpz1he .text--u-i7s0rqeni { text-align: center; font-size: 15px }
	.mosaic-form--u-iejmpz1he .div--u-inwhce5n6 { -webkit-box-orient: vertical; -webkit-box-direction: normal; -ms-flex-direction: column; flex-direction: column; margin-left: -2px; margin-right: -2px }
	.mosaic-form--u-iejmpz1he .mosaic-form__field { margin-bottom: 5px }
	.mosaic-form--u-iejmpz1he .div--u-inp7ohdfe { -webkit-box-align: stretch; -ms-flex-align: stretch; align-items: stretch }
	.mosaic-form--u-iejmpz1he .mosaic-form__radio-group { -webkit-box-orient: horizontal; -webkit-box-direction: normal; -ms-flex-direction: row; flex-direction: row;  -webkit-box-align: center; -ms-flex-align: center; align-items: center; margin-left: 0px; margin-right: 0px; flex-wrap: wrap }
	.mosaic-form--u-iejmpz1he .div--u-irsbv08a6 { margin-left: 0px; margin-right: 0px }
	.mosaic-form--u-iejmpz1he .mosaic-form__label { margin-left: 2px; margin-right: 2px }
	.mosaic-form--u-iejmpz1he .mosaic-form__radio { width: 7px; height: 7px }
}