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