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"text": "OTHER", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/icon-other.png", "value": "OTHER" }, { "text": "UNDERARMS", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/icon-underarms.png", "value": "UNDERARMS" } ] }, { "id": "skin-rejuvenation-services", "type": "button-selection", "question": "What would you like to address?", "canSelectMultiple": false, "target": "treatment-count", "answers": [ { "text": "ACNE SCARS", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/agespots-2.png", "value": "ACNE-SCARS" }, { "text": "AGE SPOTS", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_1-1.png", "value": "AGE-SPOTS" }, { "text": "COLLAGEN LEVEL", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_1_00000153694541318718417730000004868358805772514723_.png", "value": "COLLAGEN-LEVEL" }, { "text": "DULLNESS", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_1_00000023275290920588681870000015240469521700868541_-1.png", "value": "DULLNESS" }, { "text": "FINE LINES", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/ReplenishLostVolume-3.png", "value": "FINE-LINES" }, { "text": "HYPERPIGMENTATION", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_1_00000031200112466972895190000009647119818480900755_-2.png", "value": "HYPERPIGMENTATION" }, { "text": "MELASMA", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_1_00000058556429863106026800000016594759179205353877_-2.png", "value": "MELASMA" }, { "text": "PORES", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_1_00000044885345945937442190000000246289599014143411_-2.png", "value": "PORES" }, { "text": "SUN DAMAGE", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_1_00000166671424757127320120000014177169169813912715_-2.png", "value": "SUN-DAMAGE" }, { "text": "TEXTURE", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_1_00000096766009607905930770000004577942716063408298_-1.png", "value": "TEXTURE" } ] }, { "id": "tattoo-services", "type": "button-selection", "question": "Where are your tattoos located?", "canSelectMultiple": false, "target": "treatment-count", "answers": [ { "text": "ARM", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/arms.png", "value": "arm" }, { "text": "BACK", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/back-2.png", "value": "back" }, { "text": "CHEST", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/chest.png", "value": "chest" }, { "text": "FOOT", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/feet-1.png", "value": "foot" }, { "text": "HAND", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/other-hand.png", "value": "hand" }, { "text": "LEG", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/legs.png", "value": "leg" }, { "text": "NECK", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/neck.png", "value": "neck" }, { "text": "OTHER", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/other-butt-1.png", "value": "other" } ] }, { "id": "thermage-services", "type": "button-selection", "question": "Which area(s) would you like to target?", "canSelectMultiple": false, "target": "treatment-count", "answers": [ { "text": "ARMS", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/arms.png", "value": "ARMS" }, { "text": "CHEST", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/chest.png", "value": "chest" }, { "text": "FACE", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_1_00000023275290920588681870000015240469521700868541_-2.png", "value": "face" }, { "text": "HANDS", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/other-hand.png", "value": "hands" }, { "text": "THIGHS", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/legs.png", "value": "THIGHS" }, { "text": "NECK", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/neck.png", "value": "neck" }, { "text": "BUTT", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/other-butt-1.png", "value": "BUTT" }, { "text": "ABDOMEN", "icon": 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"https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2023/09/hyperpigmentation_dtopoi.png", "value": "HYPERPIGMENTATION" }, { "text": "PORES", "icon": "https://storage.googleapis.com/laseraway-dev.appspot.com/2021/08/c187f1f4-pores.svg", "value": "PORES" }, { "text": "MELASMA", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2023/10/melasma.png", "value": "MELASMA" }, { "text": "CONGESTION", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_1-1.png", "value": "CONGESTION" }, { "text": "TEXTURE", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2023/10/texture.png", "value": "TEXTURE" } ] }, { "id": "potenza-rf-microneedling-services", "type": "button-selection", "question": "What best describes your main concern?", "canSelectMultiple": false, "target": "treatment-count", "answers": [ { "text": "FINE LINES", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2023/09/ReplenishLostVolume_wmh2tw.png", "value": "FINE-LINES" }, { "text": "COLLAGEN LEVEL", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2021/08/collagen-level.png", "value": "COLLAGEN-LEVEL" }, { "text": "PORES", "icon": "https://storage.googleapis.com/laseraway-dev.appspot.com/2021/08/c187f1f4-pores.svg", "value": "PORES" }, { "text": "TEXTURE", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2023/10/texture.png", "value": "TEXTURE" }, { "text": "LOOSE SKIN", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2023/12/loose_skin_icon.svg", "value": "LOOSE-SKIN" }, { "text": "OTHER", "icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2023/12/other_face_icon.svg", "value": "OTHER" } ] }, { "id": "treatment-count", "commonStep": true, "target": "age-group" }, { "id": "age-group", "commonStep": true, "target": "form-zipcode" }, { "id": "form-zipcode", "question": "What is the Zip Code of your preferred location?", "target": "your-city", "type": "input", "layoutClasses": "grid grid-cols-1 xs:flex xs:flex-wrap", "inputs": [ { "name": "zipcode", "type": "zipcode", "validation": { "onChange": true, "rules": { "required": "Please provide your zip code", "regex": { "value": "^\\d{5}(?:[-]\\d{4})?$", "message": "Zip code must have either 5 or 9 digits (plus hyphen)" }, "zipcode": "Please make sure you enter a valid zipcode" } } } ] }, { "id": "your-city", "question": "Choose your nearest location.", "target": "form-name", "type": "nearest-locations", "layoutClasses": "grid grid-cols-1 xs:flex xs:flex-wrap" }, { "id": "form-name", "commonStep": true, "target": "form-email" }, { "id": "form-email", "commonStep": true, "target": "form-phone" }, { "id": "form-phone", "commonStep": true, "lastStep": true } ] }