<div class="au-form__item">
<label for="email">
Email address
<span class="form-required">(mandatory)</span> </label>
<div class="au-form__item-description">
Health will not share this email. It will only be used to contact you regarding your feedback.
</div>
<input class="au-text-input au-text-input--block" type="email" id="email" name="email" maxlength="50">
</div>
<script language="JavaScript">
$(document).ready(function() {
health.fieldLengthCounter('#email');
});
</script>
No notes defined.