653 lines
15 KiB
JavaScript
653 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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'hg_hair_loss',
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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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'hg_treatment_hair_loss',
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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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'hg_tried_treatment_yes',
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'textarea',
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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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'hg_family_history_hair_loss',
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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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'hg_current_medications',
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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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'hg_current_medication',
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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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'hg_chronic_conditions',
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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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'hg_hormonal_imblance',
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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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'hg_scalp_issues',
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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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'hg_undergoing_treatments',
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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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'hg_tobbaco_products',
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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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'hg_consume_alchol',
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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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'hg_diet_describe',
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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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'hg_exersice_rutine',
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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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'hg_stress_levels',
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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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'hg_peptide_side_effects',
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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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'hg_evaluation_response',
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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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'hg_hair_growth_treatment',
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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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'hg_using_peptide_therapy',
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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 hair loss?',
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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: 'thinning_hair',
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label: 'Thinning hair',
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},
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{
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value: 'receding_hairline',
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label: 'Receding hairline',
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},
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{
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value: 'bald_spots',
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label: 'Bald spots',
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},
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{
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value: 'general_hair_health',
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label: 'General hair health',
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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 experiencing hair loss?',
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},
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hg_hair_loss: {
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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 tried any treatments for hair loss before?',
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},
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hg_treatment_hair_loss: {
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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: 'If yes, what treatments have you tried?',
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},
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hg_tried_treatment_yes: {
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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: 'minoxidil',
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label: 'Minoxidil',
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},
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{
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value: 'finasteride',
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label: 'Finasteride',
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},
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{
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value: 'prp_therapy',
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label: 'PRP therapy',
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},
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{
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value: 'natural_remedies',
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label: 'Natural remedies',
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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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textarea: {
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type: 'textarea',
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label: 'Textarea',
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conditions: [
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[
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'hg_tried_treatment_yes',
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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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rules: [
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'validateTextArea',
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],
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fieldName: ' ',
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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: 'Do you have any family history of hair loss or baldness?',
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},
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hg_family_history_hair_loss: {
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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?',
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},
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hg_current_medications: {
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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 known allergies to medications or Hgh?\n',
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},
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hg_current_medication: {
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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: 'Do you have any chronic health conditions?',
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},
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hg_chronic_conditions: {
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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_9: {
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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 (e.g., thyroid issues, PCOS)?',
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},
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hg_hormonal_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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h4_10: {
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type: 'static',
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tag: 'h4',
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content: 'Do you experience any scalp issues (e.g., dandruff, psoriasis, eczema)?',
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},
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hg_scalp_issues: {
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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: 'Have you undergone any recent medical treatments or surgeries?\n',
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},
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hg_undergoing_treatments: {
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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: 'Do you smoke or use tobacco products?',
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},
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hg_tobbaco_products: {
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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 consume alcohol?',
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},
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hg_consume_alchol: {
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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: 'never',
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label: 'Never',
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},
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{
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value: 'occasinally',
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label: 'Occasionally',
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},
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{
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value: 'regulalry',
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label: 'Regularly',
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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: 'How would you describe your diet?',
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},
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hg_diet_describe: {
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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: 'balance_and_healthy',
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label: 'Balance and healthy',
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},
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{
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value: 'average',
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label: 'Average',
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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_15: {
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type: 'static',
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tag: 'h4',
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content: 'Do you have a regular exercise routine?',
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},
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hg_exersice_rutine: {
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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: 'How would you rate your stress levels?',
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},
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hg_stress_levels: {
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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: '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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h4_17: {
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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 hgh treatments for hair growth?',
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},
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hg_peptide_side_effects: {
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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: 'Would you be willing to undergo periodic medical evaluations to monitor your response to treatment?',
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},
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hg_evaluation_response: {
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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_1: {
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type: 'static',
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tag: 'h3',
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content: 'Are you open to combining hgh therapy with other hair growth treatments or lifestyle changes?',
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},
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hg_hair_growth_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_5: {
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type: 'static',
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tag: 'h4',
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content: 'What are your goals for using hgh therapy for hair growth?',
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},
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hg_using_peptide_therapy: {
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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: 'increase_hair_density',
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label: 'Increase hair density',
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},
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{
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value: 'regrow_hair_in_bald_spots',
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label: 'Regrow hair in bald spots',
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},
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{
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value: 'strengthen_existing_hair',
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label: 'Strengthen existing hair',
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},
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{
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value: 'overall_hair_health_improvement',
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label: 'Overall hair health improvement',
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},
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],
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},
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},
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}
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