export default { steps: { page0: { elements: [ 'h4', 'dna_damage_cellular_repair', ], }, page1: { label: '', elements: [ 'h4_1', 'hg_hair_loss', ], }, page2: { label: '', elements: [ 'h4_2', 'hg_treatment_hair_loss', ], }, page3: { label: '', elements: [ 'h4_3', 'hg_tried_treatment_yes', 'textarea', 'caloric_intake', ], }, page4: { label: '', elements: [ 'h4_4', 'hg_family_history_hair_loss', ], }, page5: { label: '', elements: [ 'h4_6', 'hg_current_medications', ], }, page6: { label: '', elements: [ 'h4_7', 'hg_current_medication', ], }, page7: { label: '', elements: [ 'h4_8', 'hg_chronic_conditions', ], }, page8: { label: '', elements: [ 'h4_9', 'hg_hormonal_imblance', ], }, page9: { label: '', elements: [ 'h4_10', 'hg_scalp_issues', 'smoke_alcohol', ], }, page10: { label: '', elements: [ 'h4_11', 'hg_undergoing_treatments', ], }, page11: { label: '', elements: [ 'h4_12', 'hg_tobbaco_products', ], }, page12: { label: '', elements: [ 'h4_13', 'hg_consume_alchol', ], }, page13: { label: '', elements: [ 'h4_14', 'hg_diet_describe', ], }, page14: { label: '', elements: [ 'h4_15', 'hg_exersice_rutine', ], }, page15: { label: '', elements: [ 'h4_16', 'hg_stress_levels', ], }, page16: { label: '', elements: [ 'h4_17', 'hg_peptide_side_effects', ], }, page17: { label: '', elements: [ 'h3', 'hg_evaluation_response', ], }, page18: { label: '', elements: [ 'h3_1', 'hg_hair_growth_treatment', ], }, page19: { label: '', elements: [ 'h4_5', 'hg_using_peptide_therapy', ], }, }, schema: { h4: { type: 'static', tag: 'h4', content: 'What are your primary concerns regarding hair loss?', }, dna_damage_cellular_repair: { type: 'checkboxgroup', items: [ { value: 'thinning_hair', label: 'Thinning hair', }, { value: 'receding_hairline', label: 'Receding hairline', }, { value: 'bald_spots', label: 'Bald spots', }, { value: 'general_hair_health', label: 'General hair health', }, ], rules: [ 'required', ], fieldName: ' ', }, h4_1: { type: 'static', tag: 'h4', content: 'How long have you been experiencing hair loss?', }, hg_hair_loss: { type: 'radiogroup', rules: [ 'validateRadio', ], fieldName: ' ', items: [ { value: 'less_than_6_mnths', label: 'Less than 6 months', }, { value: '6_months_to_one_year', label: '6 Months to one year', }, { value: 'more_than_one_year', label: 'More than one year', }, ], }, h4_2: { type: 'static', tag: 'h4', content: 'Have you tried any treatments for hair loss before?', }, hg_treatment_hair_loss: { type: 'radiogroup', rules: [ 'validateRadio', ], fieldName: ' ', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], }, h4_3: { type: 'static', tag: 'h4', content: 'If yes, what treatments have you tried?', }, hg_tried_treatment_yes: { type: 'radiogroup', rules: [ 'validateRadio', ], fieldName: ' ', items: [ { value: 'minoxidil', label: 'Minoxidil', }, { value: 'finasteride', label: 'Finasteride', }, { value: 'prp_therapy', label: 'PRP therapy', }, { value: 'natural_remedies', label: 'Natural remedies', }, { value: 'Other', label: 'Other (please specify)', }, ], }, textarea: { type: 'textarea', label: 'Textarea', conditions: [ [ 'hg_tried_treatment_yes', 'in', [ 'Other', ], ], ], rules: [ 'validateTextArea', ], fieldName: ' ', }, h4_4: { type: 'static', tag: 'h4', content: 'Do you have any family history of hair loss or baldness?', }, hg_family_history_hair_loss: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], rules: [ 'validateRadio', ], fieldName: ' ', }, h4_6: { type: 'static', tag: 'h4', content: 'Are you currently taking any medications or supplements?', }, hg_current_medications: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], rules: [ 'validateRadio', ], fieldName: ' ', }, h4_7: { type: 'static', tag: 'h4', content: 'Do you have any known allergies to medications or Hgh?\n', }, hg_current_medication: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], rules: [ 'validateRadio', ], fieldName: ' ', }, h4_8: { type: 'static', tag: 'h4', content: 'Do you have any chronic health conditions?', }, hg_chronic_conditions: { type: 'radiogroup', rules: [ 'validateRadio', ], fieldName: ' ', items: [ { value: 'yes', label: 'yes', }, { value: 'no', label: 'No', }, ], }, h4_9: { type: 'static', tag: 'h4', content: 'Have you been diagnosed with any hormonal imbalances (e.g., thyroid issues, PCOS)?', }, hg_hormonal_imblance: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], rules: [ 'validateRadio', ], fieldName: ' ', }, h4_10: { type: 'static', tag: 'h4', content: 'Do you experience any scalp issues (e.g., dandruff, psoriasis, eczema)?', }, hg_scalp_issues: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], rules: [ 'validateRadio', ], fieldName: ' ', }, smoke_alcohol: { type: 'radiogroup', }, h4_11: { type: 'static', tag: 'h4', content: 'Have you undergone any recent medical treatments or surgeries?\n', }, hg_undergoing_treatments: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], rules: [ 'validateRadio', ], fieldName: ' ', }, h4_12: { type: 'static', tag: 'h4', content: 'Do you smoke or use tobacco products?', }, hg_tobbaco_products: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], rules: [ 'validateRadio', ], fieldName: ' ', }, h4_13: { type: 'static', tag: 'h4', content: 'Do you consume alcohol?', }, hg_consume_alchol: { type: 'radiogroup', rules: [ 'validateRadio', ], fieldName: ' ', items: [ { value: 'never', label: 'Never', }, { value: 'occasinally', label: 'Occasionally', }, { value: 'regulalry', label: 'Regularly', }, ], }, h4_14: { type: 'static', tag: 'h4', content: 'How would you describe your diet?', }, hg_diet_describe: { type: 'radiogroup', rules: [ 'validateRadio', ], fieldName: ' ', items: [ { value: 'balance_and_healthy', label: 'Balance and healthy', }, { value: 'average', label: 'Average', }, { value: 'poor', label: 'Poor', }, ], }, h4_15: { type: 'static', tag: 'h4', content: 'Do you have a regular exercise routine?', }, hg_exersice_rutine: { type: 'radiogroup', rules: [ 'validateRadio', ], fieldName: ' ', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], }, h4_16: { type: 'static', tag: 'h4', content: 'How would you rate your stress levels?', }, hg_stress_levels: { type: 'radiogroup', rules: [ 'validateRadio', ], fieldName: ' ', items: [ { value: 'low', label: 'Low', }, { value: 'moderate', label: 'Moderate', }, { value: 'high', label: 'High', }, ], }, h4_17: { type: 'static', tag: 'h4', content: 'Do you have any concerns about potential side effects of hgh treatments for hair growth?', }, hg_peptide_side_effects: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], rules: [ 'validateRadio', ], fieldName: ' ', }, h3: { type: 'static', tag: 'h3', content: 'Would you be willing to undergo periodic medical evaluations to monitor your response to treatment?', }, hg_evaluation_response: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], rules: [ 'validateRadio', ], fieldName: ' ', }, h3_1: { type: 'static', tag: 'h3', content: 'Are you open to combining hgh therapy with other hair growth treatments or lifestyle changes?', }, hg_hair_growth_treatment: { type: 'radiogroup', rules: [ 'validateRadio', ], fieldName: ' ', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], }, h4_5: { type: 'static', tag: 'h4', content: 'What are your goals for using hgh therapy for hair growth?', }, hg_using_peptide_therapy: { type: 'radiogroup', rules: [ 'validateRadio', ], fieldName: ' ', items: [ { value: 'increase_hair_density', label: 'Increase hair density', }, { value: 'regrow_hair_in_bald_spots', label: 'Regrow hair in bald spots', }, { value: 'strengthen_existing_hair', label: 'Strengthen existing hair', }, { value: 'overall_hair_health_improvement', label: 'Overall hair health improvement', }, ], }, }, }