export default { steps: { page0: { elements: [ 'h3', 'h4', 'primary_goals', ], buttons: { previous: false, }, }, page1: { elements: [ 'h2_1', 'h4_1', 'current_libido', ], }, page2: { elements: [ 'h2', 'h4_2', 'recent_changes', ], }, page3: { elements: [ 'h4_3', 'hormonal_imbalances', ], }, page4: { elements: [ 'h4_4', 'hormone_replacement_therapy', ], }, page5: { elements: [ 'h4_5', 'medications_for_sexual_health', ], }, page6: { elements: [ 'h4_6', 'medications_for_other_conditions', ], }, page7: { elements: [ 'h4_7', 'erectile_difficulty', ], }, page8: { elements: [ 'h4_8', 'premature_ejaculation', ], }, page9: { elements: [ 'h4_9', 'vaginal_discomfort', ], }, page10: { elements: [ 'h4_10', 'stress_impact', ], }, page11: { elements: [ 'h4_11', 'cardiovascular_history', ], }, page12: { elements: [ 'h4_12', 'growth_hormone_conditions', ], }, page13: { elements: [ 'h4_13', 'allergies', ], }, page14: { elements: [ 'h4_14', 'pregnant', ], }, }, schema: { h3: { type: 'static', tag: 'h2', content: 'Sexual Wellness', align: 'left', }, h4: { type: 'static', tag: 'h4', content: 'What are your primary goals for improving sexual wellness? (Check all that apply)', }, primary_goals: { type: 'checkbox', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Increase libido (sexual desire)', label: 'Increase libido (sexual desire)', }, { value: 'Improve sexual performance or stamina', label: 'Improve sexual performance or stamina', }, { value: 'Improve erectile function (for males)', label: 'Improve erectile function (for males)', }, { value: 'Enhance sexual satisfaction', label: 'Enhance sexual satisfaction', }, { value: 'Address hormonal imbalances affecting sexual function', label: 'Address hormonal imbalances affecting sexual function', }, { value: 'Other', label: 'Other', }, ], }, h2_1: { type: 'static', tag: 'h2', content: 'Sexual Desire', }, h4_1: { type: 'static', tag: 'h4', content: 'How would you describe your current sexual desire (libido)?', }, current_libido: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Low', label: 'Low', }, { value: 'Moderate', label: 'Moderate', }, { value: 'High', label: 'High', }, ], }, h2: { type: 'static', tag: 'h2', content: 'Recent Changes', }, h4_2: { type: 'static', tag: 'h4', content: 'Have you noticed any recent changes in your sexual function or desire?', }, recent_changes: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], }, h4_3: { type: 'static', tag: 'h4', content: 'Have you been diagnosed with any hormonal imbalances that affect sexual health (e.g., low testosterone, estrogen dominance, growth hormone deficiency)?', }, hormonal_imbalances: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], }, h4_4: { type: 'static', tag: 'h4', content: 'Are you currently undergoing hormone replacement therapy (e.g., testosterone, estrogen, progesterone)?', }, hormone_replacement_therapy: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], }, h4_5: { type: 'static', tag: 'h4', content: 'Are you currently taking any medications or supplements for sexual health (e.g., Viagra/Sildenafil, Cialis/Tadalafil, testosterone therapy)?', }, medications_for_sexual_health: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], }, h4_6: { type: 'static', tag: 'h4', content: 'Are you taking any medications for other conditions that could affect sexual function (e.g., antidepressants, blood pressure medications)?', }, medications_for_other_conditions: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], }, h4_7: { type: 'static', tag: 'h4', content: 'Do you experience difficulty achieving or maintaining an erection? (Male Specific)', }, erectile_difficulty: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Never', label: 'Never', }, { value: 'Rarely', label: 'Rarely', }, { value: 'Sometimes', label: 'Sometimes', }, { value: 'Often', label: 'Often', }, { value: 'Always', label: 'Always', }, ], }, h4_8: { type: 'static', tag: 'h4', content: 'Do you experience premature ejaculation or difficulty with ejaculation? (Male Specific)', }, premature_ejaculation: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], }, h4_9: { type: 'static', tag: 'h4', content: 'Do you experience a lack of sexual desire (libido)? (Female Specific)', }, lack_of_libido: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Never', label: 'Never', }, { value: 'Rarely', label: 'Rarely', }, { value: 'Sometimes', label: 'Sometimes', }, { value: 'Often', label: 'Often', }, { value: 'Always', label: 'Always', }, ], }, h4_10: { type: 'static', tag: 'h4', content: 'Do you experience vaginal dryness or discomfort during sexual activity? (Female Specific)', }, vaginal_discomfort: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], }, h4_11: { type: 'static', tag: 'h4', content: 'Do you believe that stress, lifestyle, or relationship issues are impacting your sexual health?', }, stress_impact: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], }, h4_12: { type: 'static', tag: 'h4', content: 'Do you have a history of high blood pressure or cardiovascular issues?', }, cardiovascular_history: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], }, h4_13: { type: 'static', tag: 'h4', content: 'Do you have any history of growth hormone-related conditions or endocrine disorders?', }, growth_hormone_conditions: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], }, h4_14: { type: 'static', tag: 'h4', content: 'Do you have any allergies or sensitivities to nasal sprays or hormone therapies?', }, allergies: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], }, h4_15: { type: 'static', tag: 'h4', content: 'Are you Pregnant? (Female Specific)', }, pregnant: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], }, }, };