// JavaScript Document
function Validate_This(){
	if(document.getElementById("name_txt").value==""){
		alert("Name Field Cannot be left blank");
		document.getElementById("name_txt").focus();
		return false;
	}
	if(document.getElementById("phone_no_txt").value==""){
		alert("Phone No. Field Cannot be left blank");
		document.getElementById("phone_no_txt").focus();
		return false;
	}
	if(document.getElementById("email_txt").value==""){
		alert("Email Field Cannot be left blank");
		document.getElementById("email_txt").focus();
		return false;
	}
	
	/*if(document.getElementById("city_txt").value==""){
		alert("State Field Cannot be left blank");
		document.getElementById("city_txt").focus();
		return false;
	}
	
	if((document.getElementsByName("did_you_take_txt")[0].checked==false)&&(document.getElementsByName("did_you_take_txt")[1].checked==false)&&(document.getElementsByName("did_you_take_txt")[2].checked==false)){
		alert("Please Select 'Did you take : :'");
		document.getElementById("city_txt").focus();
		return false;
	}
	
	if(document.getElementById("diag_year_txt").value==""){
		alert("Year of Diagnosis Field Cannot be left blank");
		document.getElementById("diag_year_txt").focus();
		return false;
	}
	if(document.getElementById("medication_txt").value==""){
		alert("Which medication(s) did you take? Field Cannot be left blank");
		document.getElementById("medication_txt").focus();
		return false;
	}
	if(document.getElementById("diagnosis_txt").value==""){
		alert("Diagnosis Field Cannot be left blank");
		document.getElementById("diagnosis_txt").focus();
		return false;
	}
	if(document.getElementById("last_used_txt").value==""){
		alert("Year you last used Accutane? Cannot be left blank");
		document.getElementById("last_used_txt").focus();
		return false;
	}
	if(document.getElementById("desc_txt").value==""){
		alert("Description Field Cannot be left blank");
		document.getElementById("desc_txt").focus();
		return false;
	}
	
	if((document.getElementsByName("disclaimer")[0].checked==false)){
		alert("Please agree the terms and conditions");
		document.getElementById("disclaimer").focus();
		return false;
	}*/
	
	document.query_form.submit();
}