.form-html input, .form-html textarea, .form-html select{
    width: 100%;
    padding: 10px;
  min-height: 55px;
  margin-bottom: 20px !important;
  margin-top: 10px;
  background-color: #09112d14;
  border: 0 !important;
font-family: "aktiv-grotesk", Sans-serif;
    font-size: 17px;
}
.form-html textarea{
	height: 55px;
}
.form-html label {
	display: block;
	font-family: "aktiv-grotesk", Sans-serif;
    color: #000 !important;
    font-size: 18px;
}

.form-html form {
  display: flex;
  flex-wrap: wrap;
  gap: 20px;
}
.form-html form > div {
  width: calc(50% - 10px);
  display: inline-block;
}

.form-html form #caregiver_block {
	width: 100% !important;
	gap: 20px;
}
.form-html form #caregiver_block strong{
    width: 100%;
    display: block;
}
.form-html form #caregiver_block div {
	margin: 0px 8px;
	width: calc(50% - 20px);
    display: inline-block;
}

.form-html form > input {
  background-color: #72CFCD !important;
  color: #09112D;
}
.form-html form > input:hover {
  background-color: #DE5E57 !important;
}

@media(max-width: 1024px){
    .form-html form div{
        width: 100%;
    }
}