export default { steps: { page0: { elements: [ 'h4_3', 'p', 'weight_loss_weight', 'weight_loss_height', ], buttons: { previous: false, }, }, page1: { elements: [ 'h4_4', 'p_1', 'weight_loss_target_weight', ], }, page2: { elements: [ 'h4_5', 'p_2', 'weight_loss_weight_changes_in_past', 'weight_loss_weight_changes_in_past_reason', ], }, page3: { elements: [ 'h4', 'p_3', 'weight_loss_diagnosed_related_conditions', 'weight_loss_diagnosed_related_conditions_reason', ], }, page4: { elements: [ 'h2', 'p_4', 'weight_loss_good_allergies', 'weight_loss_good_allergies_reason', ], }, page5: { elements: [ 'h4_1', 'p_5', 'weight_loss_physical_activity_exercise', ], }, page6: { elements: [ 'h4_2', 'p_6', 'weight_loss_used_medications_before', 'weight_loss_used_medications_before_explanation', ], }, page7: { elements: [ 'h4_6', 'p_7', 'weight_loss_taking_affecting_medications', 'weight_loss_taking_affecting_medications_reason', ], }, page8: { elements: [ 'h4_7', 'p_8', 'weight_loss_have_allergies_to_medications', 'weight_loss_have_allergies_to_medications_reason', ], }, page9: { elements: [ 'h4_8', 'p_9', 'weight_loss_some_serious_conditions', 'weight_loss_some_serious_conditions_others', ], }, page10: { elements: [ 'h4_9', 'p_10', 'weight_loss_history_gastrointestinal_disorders', 'weight_loss_history_gastrointestinal_disorders_reason', ], }, page11: { elements: [ 'h4_10', 'p_11', 'weight_loss_diagnosed_with_any_hormonal_imbalances', 'weight_loss_diagnosed_with_any_hormonal_imbalances_reason', ], }, page12: { elements: [ 'h4_11', 'p_12', 'weight_loss_consume_alcohol', ], }, page13: { elements: [ 'h4_12', 'p_13', 'weight_loss_family_history_of_thyroid_cancer', 'weight_loss_family_history_of_thyroid_cancer_reason', ], }, page14: { elements: [ 'h4_13', 'p_14', 'weight_loss_experienced_nausea_vomiting', 'weight_loss_experienced_nausea_vomiting_reason', ], }, page15: { elements: [ 'h4_14', 'p_15', 'weight_loss_used_anti_inflammatory', 'weight_loss_used_anti_inflammatory_reason', ], }, page16: { elements: [ 'h4_15', 'p_16', 'weight_loss_affecting_your_growth_hormone_levels', 'weight_loss_affecting_your_growth_hormone_levels_reason', ], }, page17: { elements: [ 'h4_16', 'p_17', 'weight_loss_are_you_pregnant', ], }, }, schema: { h4_3: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p: { type: 'static', tag: 'p', content: 'What is your current weight and height?\n', }, weight_loss_weight: { type: 'text', label: 'Weight (lbs or kg)', inputType: 'number', rules: [ 'required', ], }, weight_loss_height: { type: 'text', label: 'Height (feet/inches or cm)', inputType: 'number', rules: [ 'required', ], }, h4_5: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_2: { type: 'static', tag: 'p', content: 'Have you experienced significant weight changes (gain/loss) in the past 6 months?', }, weight_loss_weight_changes_in_past: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], rules: [ 'required', ], }, weight_loss_weight_changes_in_past_reason: { type: 'text', label: 'If yes, please describe.', rules: [ 'required', ], conditions: [ [ 'weight_loss_weight_changes_in_past', 'in', [ 'Yes', ], ], ], }, h4_4: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_1: { type: 'static', tag: 'p', content: 'What is your target weight?\n', }, weight_loss_target_weight: { type: 'text', inputType: 'number', rules: [ 'required', ], }, h4: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_3: { type: 'static', tag: 'p', content: 'Have you been diagnosed with any weight-related conditions (e.g., obesity, metabolic syndrome, type 2 diabetes)?', }, weight_loss_diagnosed_related_conditions: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], rules: [ 'required', ], }, weight_loss_diagnosed_related_conditions_reason: { type: 'text', label: 'If yes, please specify the condition.', conditions: [ [ 'weight_loss_diagnosed_related_conditions', 'in', [ 'Yes', ], ], ], rules: [ 'required', ], }, h2: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_4: { type: 'static', tag: 'p', content: 'Do you have any known food allergies or intolerances?', }, weight_loss_good_allergies: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], rules: [ 'required', ], }, weight_loss_good_allergies_reason: { type: 'text', label: 'If yes, please specify the condition.', rules: [ 'required', ], conditions: [ [ 'weight_loss_good_allergies', 'in', [ 'Yes', ], ], ], }, h4_1: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_5: { type: 'static', tag: 'p', content: 'How often do you engage in physical activity or exercise?', }, weight_loss_physical_activity_exercise: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Never', label: 'Never', description: '', }, { value: '1-2 times a week', label: '1-2 times a week', description: '', }, { value: '3-4 times a week', label: '3-4 times a week', description: null, }, { value: '5+ times a week', label: '5+ times a week', description: null, }, ], rules: [ 'required', ], }, h4_2: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_6: { type: 'static', tag: 'p', content: 'Have you used medications for weight loss before?', }, weight_loss_used_medications_before: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], rules: [ 'required', ], }, weight_loss_used_medications_before_explanation: { type: 'text', label: 'If yes, what medications have you tried, and were they effective?', conditions: [ [ 'weight_loss_used_medications_before', 'in', [ 'Yes', ], ], ], rules: [ 'required', ], }, h4_6: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_7: { type: 'static', tag: 'p', content: 'Are you taking medications that may affect your weight (e.g., insulin, antidepressants, thyroid medication)?\n', }, weight_loss_taking_affecting_medications: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], rules: [ 'required', ], }, weight_loss_taking_affecting_medications_reason: { type: 'text', label: 'If yes, please specify', rules: [ 'required', ], conditions: [ [ 'weight_loss_taking_affecting_medications', 'in', [ 'Yes', ], ], ], }, h4_7: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_8: { type: 'static', tag: 'p', content: 'Do you have any known sensitivities or allergies to peptides or other medications?', }, weight_loss_have_allergies_to_medications: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], rules: [ 'required', ], }, weight_loss_have_allergies_to_medications_reason: { type: 'text', label: 'If yes, please specify the condition.', rules: [ 'required', ], conditions: [ [ 'weight_loss_have_allergies_to_medications', 'in', [ 'Yes', ], ], ], }, h4_8: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_9: { type: 'static', tag: 'p', content: 'Do you have any of the following conditions?', }, weight_loss_some_serious_conditions: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Type 2 diabetes', label: 'Type 2 diabetes', description: '', }, { value: 'High blood pressure (Hypertension)', label: 'High blood pressure (Hypertension)', description: '', }, { value: 'Heart disease', label: 'Heart disease', description: null, }, { value: 'Thyroid disorders', label: 'Thyroid disorders', description: null, }, { value: 'Liver or kidney disease', label: 'Liver or kidney disease', description: null, }, { value: 'Other chronic conditions', label: 'Other chronic conditions', description: null, }, ], }, weight_loss_some_serious_conditions_others: { type: 'text', label: 'Write other conditions', rules: [ 'required', ], conditions: [ [ 'weight_loss_some_serious_conditions', 'in', [ 'Other chronic conditions', ], ], ], }, h4_9: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_10: { type: 'static', tag: 'p', content: 'Do you have a history of gastrointestinal disorders (e.g., GERD, IBS, or gallbladder issues)?', }, weight_loss_history_gastrointestinal_disorders: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], rules: [ 'required', ], }, weight_loss_history_gastrointestinal_disorders_reason: { type: 'text', label: 'If yes, please describe', rules: [ 'required', ], conditions: [ [ 'weight_loss_history_gastrointestinal_disorders', 'in', [ 'Yes', ], ], ], }, h4_10: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_11: { type: 'static', tag: 'p', content: 'Have you been diagnosed with any hormonal imbalances that affect weight (e.g., hypothyroidism, Cushing\'s syndrome)?', }, weight_loss_diagnosed_with_any_hormonal_imbalances: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], }, weight_loss_diagnosed_with_any_hormonal_imbalances_reason: { type: 'text', label: 'If yes, please describe', rules: [ 'required', ], conditions: [ [ 'weight_loss_diagnosed_with_any_hormonal_imbalances', 'in', [ 'Yes', ], ], ], }, h4_11: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_12: { type: 'static', tag: 'p', content: 'Do you consume caffeine, nicotine, or alcohol?', }, weight_loss_consume_alcohol: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], }, h4_12: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_13: { type: 'static', tag: 'p', content: 'Do you have a personal or family history of thyroid cancer or multiple endocrine neoplasia (MEN2)?', }, weight_loss_family_history_of_thyroid_cancer: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], rules: [ 'required', ], }, weight_loss_family_history_of_thyroid_cancer_reason: { type: 'text', label: 'If yes, please describe', rules: [ 'required', ], conditions: [ [ 'weight_loss_family_history_of_thyroid_cancer', 'in', [ 'Yes', ], ], ], }, h4_13: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_14: { type: 'static', tag: 'p', content: 'Have you experienced nausea, vomiting, or digestive issues in the past while using weight loss medications?', }, weight_loss_experienced_nausea_vomiting: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], }, weight_loss_experienced_nausea_vomiting_reason: { type: 'text', rules: [ 'required', ], conditions: [ [ 'weight_loss_experienced_nausea_vomiting', 'in', [ 'Yes', ], ], ], label: 'If yes, please specify the medication and side effects', }, h4_14: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_15: { type: 'static', tag: 'p', content: 'Have you ever used anti-inflammatory or immune-modulating medications, such as Amlexanox?', }, weight_loss_used_anti_inflammatory: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], }, weight_loss_used_anti_inflammatory_reason: { type: 'text', label: 'If yes, please describe the effects:', rules: [ 'required', ], conditions: [ [ 'weight_loss_used_anti_inflammatory', 'in', [ 'Yes', ], ], ], }, h4_15: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_16: { type: 'static', tag: 'p', content: 'Have you been diagnosed with conditions affecting your growth hormone levels (e.g., growth hormone deficiency)?', }, weight_loss_affecting_your_growth_hormone_levels: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], rules: [ 'required', ], }, weight_loss_affecting_your_growth_hormone_levels_reason: { type: 'text', label: 'If yes, please describe', rules: [ 'required', ], conditions: [ [ 'weight_loss_affecting_your_growth_hormone_levels', 'in', [ 'Yes', ], ], ], }, h4_16: { type: 'static', tag: 'h4', content: 'Weight Loss', }, p_17: { type: 'static', tag: 'p', content: 'Are you Pregnant? (Female Specific)', }, weight_loss_are_you_pregnant: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', description: '', }, { value: 'No', label: 'No', description: '', }, ], }, }, };