645 lines
15 KiB
JavaScript
645 lines
15 KiB
JavaScript
export default {
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steps: {
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page0: {
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elements: [
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'h4',
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'dna_damage_cellular_repair',
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],
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},
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page1: {
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label: '',
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elements: [
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'h4_1',
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'dna_how_long_dammage',
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],
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},
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page2: {
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label: '',
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elements: [
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'h4_2',
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'dna_peptide_treatment',
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],
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},
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page3: {
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label: '',
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elements: [
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'h4_3',
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'ag_current_medications',
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'caloric_intake',
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],
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},
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page4: {
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label: '',
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elements: [
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'h4_4',
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'dna_disorder',
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],
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},
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page5: {
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label: '',
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elements: [
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'h4_6',
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'ag_diagnosed_condition',
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],
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},
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page6: {
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label: '',
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elements: [
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'h4_7',
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'dna_genetic_disorder',
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],
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},
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page7: {
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label: '',
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elements: [
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'h4_8',
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'dna_cjc_1295',
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'cjc_dna_repair_describe',
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],
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},
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page8: {
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label: '',
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elements: [
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'h4_9',
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'dna_overall_health',
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],
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},
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page9: {
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label: '',
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elements: [
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'h4_10',
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'dna_regular_activity',
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'smoke_alcohol',
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],
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},
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page10: {
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label: '',
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elements: [
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'h4_11',
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'dna_nutritional_plans',
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],
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},
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page11: {
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label: '',
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elements: [
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'h4_12',
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'dna_diagnoses',
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],
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},
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page12: {
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label: '',
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elements: [
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'h4_13',
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'dna_cjc_1295_sideeffects',
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],
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},
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page13: {
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label: '',
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elements: [
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'h4_14',
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'dna_monitor_cjc_1295_response',
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],
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},
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page14: {
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label: '',
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elements: [
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'h4_15',
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'dna_enhance_cjc_1295_effectiveness',
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],
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},
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page15: {
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label: '',
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elements: [
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'h4_16',
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'dna_adverse_reaction_peptide_therapy',
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],
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},
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page16: {
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label: '',
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elements: [
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'h4_17',
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'dna_harmone_imblance',
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],
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},
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page17: {
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label: '',
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elements: [
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'h3',
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'dna_autoimmune_diseases',
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],
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},
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page18: {
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label: '',
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elements: [
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'h3_1',
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'dna_inflammatory_disorders',
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],
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},
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page19: {
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label: '',
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elements: [
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'h4_5',
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'dna_cardiovascular_disease',
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],
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},
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},
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schema: {
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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 concerns regarding DNA damage or cellular repair?',
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},
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dna_damage_cellular_repair: {
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type: 'checkboxgroup',
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items: [
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{
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value: 'aging_related_issues',
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label: 'Aging-related issues',
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},
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{
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value: 'environmental_toxin_exposure',
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label: 'Environmental toxin exposure',
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},
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{
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value: 'radiation_exposure',
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label: 'Radiation exposure',
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},
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{
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value: 'genetic_predisposition',
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label: 'Genetic predisposition',
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},
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{
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value: 'dna_other',
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label: 'Other (please specify)',
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},
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],
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rules: [
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'required',
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],
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fieldName: ' ',
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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 long have you been aware of or concerned about DNA damage?',
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},
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dna_how_long_dammage: {
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type: 'radiogroup',
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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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items: [
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{
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value: 'less_than_6_mnths',
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label: 'Less than 6 months',
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},
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{
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value: '6_months_to_one_year',
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label: '6 Months to one year',
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},
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{
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value: 'more_than_one_year',
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label: 'More than one year',
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},
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],
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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 previously used any hgh or treatments specifically for DNA repair?',
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},
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dna_peptide_treatment: {
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type: 'radiogroup',
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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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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: 'Do you have any known allergies to medications or hgh?',
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},
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ag_current_medications: {
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type: 'radiogroup',
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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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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: 'Have you been diagnosed with any conditions related to cellular damage or DNA repair (e.g., cancer, genetic disorders)?',
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},
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dna_disorder: {
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type: 'radiogroup',
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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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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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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 currently taking any medications or supplements that support DNA repair or cellular health?',
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},
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ag_diagnosed_condition: {
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type: 'radiogroup',
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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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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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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 have any family history of genetic disorders or diseases related to DNA damage?\n',
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},
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dna_genetic_disorder: {
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type: 'radiogroup',
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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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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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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: 'What are your goals for using CJC-1295 for DNA repair?',
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},
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dna_cjc_1295: {
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type: 'radiogroup',
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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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items: [
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{
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value: 'reduce_signs_of_aging',
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label: 'Reduce signs of aging',
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},
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{
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value: 'improve_cellular_health',
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label: 'Improve cellular health',
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},
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{
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value: 'prevent_disease',
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label: 'Prevent disease',
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},
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{
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value: 'enhance_overall_vitality',
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label: 'Enhance overall vitality',
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},
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{
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value: 'other',
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label: 'Other (please specify)',
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},
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],
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},
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cjc_dna_repair_describe: {
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type: 'textarea',
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label: 'Please specify',
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rules: [
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'validateTextArea',
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],
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fieldName: ' ',
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conditions: [
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[
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'dna_cjc_1295',
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'in',
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[
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'other',
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],
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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: 'How would you rate your current overall health?',
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},
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dna_overall_health: {
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type: 'radiogroup',
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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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items: [
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{
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value: 'excellent',
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label: 'Excellent',
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},
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{
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value: 'good',
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label: 'Good',
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},
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{
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value: 'fair',
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label: 'Fair',
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},
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{
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value: 'poor',
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label: 'Poor',
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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 have a regular routine for exercise and physical activity?',
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},
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dna_regular_activity: {
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type: 'radiogroup',
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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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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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},
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smoke_alcohol: {
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type: 'radiogroup',
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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 follow any specific dietary or nutritional plans to support cellular health?\n',
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},
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dna_nutritional_plans: {
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type: 'radiogroup',
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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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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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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: 'Have you had any recent changes in your health status, such as new diagnoses or treatments?',
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},
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dna_diagnoses: {
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type: 'radiogroup',
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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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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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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 concerns about potential side effects of CJC-1295?',
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},
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dna_cjc_1295_sideeffects: {
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type: 'radiogroup',
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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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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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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: 'Would you be willing to undergo periodic medical evaluations to monitor your response to CJC-1295 therapy?',
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},
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dna_monitor_cjc_1295_response: {
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type: 'radiogroup',
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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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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 open to incorporating additional lifestyle changes (e.g., diet, stress management) to enhance the effectiveness of CJC-1295 for DNA repair?',
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},
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dna_enhance_cjc_1295_effectiveness: {
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type: 'radiogroup',
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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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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_16: {
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type: 'static',
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tag: 'h4',
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content: '**Have you ever experienced any adverse reactions to hgh treatments in the past?',
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},
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dna_adverse_reaction_peptide_therapy: {
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type: 'radiogroup',
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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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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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},
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h4_17: {
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type: 'static',
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tag: 'h4',
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content: 'Do you currently experience any symptoms of hormone imbalance (e.g., fatigue, low libido, mood swings)?',
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},
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dna_harmone_imblance: {
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type: 'radiogroup',
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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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rules: [
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'validateRadio',
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],
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fieldName: ' ',
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},
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h3: {
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type: 'static',
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tag: 'h3',
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content: 'Have you ever been diagnosed with any autoimmune diseases?',
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},
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dna_autoimmune_diseases: {
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|
type: 'radiogroup',
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rules: [
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'validateRadio',
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],
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|
fieldName: ' ',
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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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h3_1: {
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type: 'static',
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tag: 'h3',
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content: 'Do you have any chronic pain conditions or inflammatory disorders?',
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},
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|
dna_inflammatory_disorders: {
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|
type: 'radiogroup',
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|
rules: [
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'validateRadio',
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],
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|
fieldName: ' ',
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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: 'Do you have a history of cardiovascular disease or uncontrolled high blood pressure?',
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},
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dna_cardiovascular_disease: {
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type: 'radiogroup',
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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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rules: [
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'validateRadio',
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],
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|
fieldName: ' ',
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|
},
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|
},
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}
|