    function SubmitForm() {
        var form = document.forms[0];
        var bRequired = true;
        if ((form.orgname.value.length < 1) ||
        (form.addr1.value.length < 1) ||
        (form.city.value.length < 1) ||
        (form.state.selectedIndex < 1) ||
        (form.pcode.value.length < 1) ||
        (form.pcname.value.length < 1) ||
        (form.pctitle.value.length < 1) ||
        (form.pcphone.value.length < 1) ||
        (form.pcemail.value.length < 1) ||
        (form.bwtry.selectedIndex < 1)) {
            alert("Please fill out all the required fields.");
            bRequired = false;
        }
        
        if (!bRequired) return false;
        
        form.state_sel.value = form.state.selectedIndex;
        form.bwtry_sel.value = form.bwtry.selectedIndex;
        form.industry_sel.value = form.industry.selectedIndex;
        form.orglabor_sel.value = form.orglabor.selectedIndex;
        form.orgpay_sel.value = form.orgpay.selectedIndex;
        form.pcare_sel.value = form.pcare.selectedIndex;
        form.lschange_sel.value = form.lschange.selectedIndex;
        form.incentive_sel.value = form.incentive.selectedIndex;
        form.dismgmnt_sel.value = form.dismgmnt.selectedIndex;
        form.disincentive_sel.value = form.disincentive.selectedIndex;
        form.hlthassess_sel.value = form.hlthassess.selectedIndex;
        form.hlthincentive_sel.value = form.hlthincentive.selectedIndex;
        form.percenthlthass_sel.value = form.percenthlthass.selectedIndex;
        form.langemp_sel.value = form.langemp.selectedIndex;
        form.accesscomm_sel.value = form.accesscomm.selectedIndex;
                
        form.submit();
    }
        
    function FormFill() {
        var form = document.forms[0];

        form.orgname.value = "Schauer Global Health";
        form.addr1.value = "14500 Burnhaven Dr.";
        form.addr2.value = "Suite 150";
        form.city.value = "Burnsville";
        form.state.selectedIndex = 24;
        form.pcode.value = "55306";
        form.pcname.value = "Rick";
        form.pctitle.value = "COO";
        form.pcphone.value = "952-548-5692";
        form.pcemail.value = "rschauer@schauerglobalhealth.com";
        form.bwtry.selectedIndex = 2;
                            
    }
        // set the selection box values...
        
    function SelectionBoxes() {
        var form = document.forms[0];
        form.state.selectedIndex = parseInt("<?php echo $_SESSION['state_sel'] ?>");
        form.bwtry.selectedIndex = parseInt("<?php echo $_SESSION['bwtry_sel'] ?>");
        form.industry.selectedIndex = parseInt("<?php echo $_SESSION['industry_sel'] ?>");
        form.orglabor.selectedIndex = parseInt("<?php echo $_SESSION['orglabor_sel'] ?>");
        form.orgpay.selectedIndex = parseInt("<?php echo $_SESSION['orgpay_sel'] ?>");
        form.pcare.selectedIndex = parseInt("<?php echo $_SESSION['pcare_sel'] ?>");
        form.lschange.selectedIndex = parseInt("<?php echo $_SESSION['lschange_sel'] ?>");
        form.incentive.selectedIndex = parseInt("<?php echo $_SESSION['incentive_sel'] ?>");
        form.dismgmnt.selectedIndex = parseInt("<?php echo $_SESSION['dismgmnt_sel'] ?>");
        form.disincentive.selectedIndex = parseInt("<?php echo $_SESSION['disincentive_sel'] ?>");
        form.hlthassess.selectedIndex = parseInt("<?php echo $_SESSION['hlthassess_sel'] ?>");
        form.hlthincentive.selectedIndex = parseInt("<?php echo $_SESSION['hlthincentive_sel'] ?>");
        form.percenthlthass.selectedIndex = parseInt("<?php echo $_SESSION['percenthlthass_sel'] ?>");
        form.langemp.selectedIndex = parseInt("<?php echo $_SESSION['langemp_sel'] ?>");
        form.accesscomm.selectedIndex = parseInt("<?php echo $_SESSION['accesscomm_sel'] ?>");
    }