var alphaExp = /^[a-zA-Z]+$/; /* To accept alphabet only */

	var numericExpression = /^[0-9]+$/; /* To accept numbers only */

	var emailExp = /^[\w\-\.\+]+\@[a-zA-Z0-9\.\-]+\.[a-zA-z0-9]{2,4}$/; /* To validate e-mail address */



  function validate() {

	  	

	  if(document.form1.Name.value == 'Name') {

		  alert('Please enter Your Name!');

			document.form1.Name.focus();

			return false;

    }

		else  if(document.form1.Country.value == 'Country') {

		  alert('Please enter Your Country Name!');

			document.form1.Country.focus();

			return false;

    	}

		

		else  if(document.form1.Phone.value == 'Phone') {

		  alert('Please enter Your Phone Number!');

			document.form1.Phone.focus();

			return false;

    	}

		else if(document.form1.Email.value.length == ''){

			alert("Please enter your email address!");

			document.form1.Email.focus();

			return false;

		}

		else if(!document.form1.Email.value.match(emailExp)){

			alert("Invalid email address. Please enter again");

			document.form1.Email.focus();

			return false;

		}
		
		else if(document.form1.security_code.value == 'Enter Below Code') {

		  alert('Please enter Security Code!');

			document.form1.security_code.focus();

			return false;

    }

		/*else if(document.form1.diagnosis.value == 'Diagnosis'){

			alert("Please enter Diagnosis!");

			document.form1.diagnosis.focus();

			return false;

		}

				else if(document.form1.symptoms.value == 'Symptoms'){

			alert("Please enter Symptoms!");

			document.form1.symptoms.focus();

			return false;

		}

					else if(document.form1.questions.value == 'Questions'){

			alert("Please enter Questions!");

			document.form1.questions.focus();

			return false;

		}*/



		/*alert('Thank you for Contacting us.One of our representative will call you back shortly');*/

		

  }