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"question": "Which one are you interested in?",
"dynamicTarget": true,
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"target": "form-name",
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{
"text": "BOTOX & XEOMIN",
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{
"text": "IPL PHOTOFACIALS",
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"value": "IPL Photofacial",
"target": "ipl-services"
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{
"text": "DERMAL FILLERS",
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"value": "Dermal Fillers",
"target": "dermal-fillers-services"
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{
"text": "LASER HAIR REMOVAL",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/laserhairremoval.png",
"value": "Hair Removal",
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{
"text": "SKIN REJUVENATION",
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{
"text": "TATTOO REMOVAL",
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{
"text": "THERMAGE",
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{
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{
"text": "POTENZA RF MICRONEEDLING",
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},
{
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{
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{
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{
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{
"text": "CHIN DIMPLES",
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"value": "chin-dimples"
},
{
"text": "LIP FLIP",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2021/08/fullerlips-1.png",
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},
{
"text": "LIP LINES",
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"value": "lip-lines"
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{
"text": "NECK-BANDS",
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{
"text": "AGE SPOTS",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/agespots.png",
"value": "age-spots"
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{
"text": "DULLNESS",
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{
"text": "FINE LINES",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/ReplenishLostVolume.png",
"value": "fine-lines"
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{
"text": "HYPERPIGMENTATION",
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"value": "hyperpigmentation"
},
{
"text": "MELASMA",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_1_00000058556429863106026800000016594759179205353877_.png",
"value": "melasma"
},
{
"text": "PORES",
"icon": "https://storage.googleapis.com/laseraway-dev.appspot.com/2021/08/c187f1f4-pores.svg",
"value": "pores"
},
{
"text": "SUN DAMAGE",
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"value": "sun-damage"
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{
"text": "TEXTURE",
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"question": "Where would you like CoolSculpting?",
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"answers": [
{
"text": "BACK",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/back-4.png",
"value": "back"
},
{
"text": "BELLOW BUTT",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/other-butt.png",
"value": "bellow-butt"
},
{
"text": "INNER THIGH",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/innerthigh.png",
"value": "inner-thigh"
},
{
"text": "LOVE HANDLES",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_3-1.png",
"value": "love-handles"
},
{
"text": "OUTER THIGH",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/outterthigh.png",
"value": "outer-thigh"
},
{
"text": "ABDOMEN",
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},
{
"text": "UNDER CHIN",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/neck.png",
"value": "under-chin"
},
{
"text": "UPPER ARM",
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{
"id": "ipl-services",
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"text": "AGE SPOTS",
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},
{
"text": "BROKEN CAPILLARIES",
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"value": "BROKEN-CAPILLARIES"
},
{
"text": "COLLAGEN LEVEL",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_1.png",
"value": "COLLAGEN-LEVEL"
},
{
"text": "FINE LINES",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/ReplenishLostVolume-1.png",
"value": "FINE-LINES"
},
{
"text": "HYPERPIGMENTATION",
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{
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{
"text": "PORES",
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"value": "PORES"
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{
"text": "SUN DAMAGE",
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"value": "SUN-DAMAGE"
},
{
"text": "ROSACEA",
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"value": "ROSACEA"
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{
"id": "dermal-fillers-services",
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"question": "Where do you want dermal fillers?",
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"target": "treatment-count",
"answers": [
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"text": "CHEEKS",
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{
"text": "LIPS",
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"value": "LIPS"
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{
"text": "MARIONETTE LINES",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/marionette.png",
"value": "MARIONETTE-LINES"
},
{
"text": "SMILE LINES",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/laughlines.png",
"value": "SMILE-LINES"
},
{
"text": "NASOLABIAL FOLDS",
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"value": "NASOLABIAL-FOLDS"
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{
"text": "OTHER",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/ReplenishLostVolume-2.png",
"value": "OTHER"
}
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},
{
"id": "hair-removal-services",
"type": "button-selection",
"question": "Which areas need hair removal?",
"canSelectMultiple": false,
"target": "treatment-count",
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"text": "BACK",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/icon-back.png",
"value": "BACK"
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{
"text": "BIKINI",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/icon-bikini.png",
"value": "BIKINI"
},
{
"text": "BRAZILIAN",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/icon-brazilian.png",
"value": "BRAZILIAN"
},
{
"text": "CHEST",
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"value": "CHEST"
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{
"text": "CHIN / LIPS",
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"value": "CHIN-/ LIPS"
},
{
"text": "FACE",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/icon-face.png",
"value": "FACE"
},
{
"text": "LEGS",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/icon-legs.png",
"value": "LEGS"
},
{
"text": "OTHER",
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"value": "OTHER"
},
{
"text": "UNDERARMS",
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{
"id": "skin-rejuvenation-services",
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"target": "treatment-count",
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"text": "ACNE SCARS",
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},
{
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"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",
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"value": "PORES"
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{
"text": "SUN DAMAGE",
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"value": "SUN-DAMAGE"
},
{
"text": "TEXTURE",
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"value": "TEXTURE"
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{
"id": "tattoo-services",
"type": "button-selection",
"question": "Where are your tattoos located?",
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"target": "treatment-count",
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{
"text": "ARM",
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"value": "arm"
},
{
"text": "BACK",
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"value": "back"
},
{
"text": "CHEST",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/chest.png",
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},
{
"text": "FOOT",
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"value": "foot"
},
{
"text": "HAND",
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"value": "hand"
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{
"text": "LEG",
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"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"
}
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},
{
"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",
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"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": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/Layer_3.png",
"value": "ABDOMEN"
}
]
},
{
"id": "hydrafacial-services",
"type": "button-selection",
"question": "What do you want to treat with Hydrafacial?",
"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": "ELASTICITY",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2023/10/cheeklines-1.png",
"value": "ELASTICITY"
},
{
"text": "DULLNESS",
"icon": "https://storage.googleapis.com/laseraway-dev.appspot.com/2021/08/9c9c2ad2-dullness.svg",
"value": "DULLNESS"
},
{
"text": "AGE SPOTS",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2023/09/agespots_ul67hi.png",
"value": "AGE-SPOTS"
},
{
"text": "HYPERPIGMENTATION",
"icon": "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
}
]
}
LaserAway requires a live consultation to help ensure that the treatments you select are right for you. We may contact you by call, text, and/or email to schedule your consultation, for other transactional purposes (e.g., appointment reminders, receipts, financial information, and treatment-specific information), and for marketing purposes. If you would prefer to initiate a call to schedule your live consultation, please call us at 1-888-965-2737.
By providing your information in the previous screens and clicking the SUBMIT button below, you agree to receive such emails, as well as such recurring calls and texts, which may be made using an automatic telephone dialing system and/or an artificial or prerecorded voice. Agreement not required as a condition of purchase. Texts may be sent using SMS, MMS, or RCS technology. Text STOP to stop; HELP for help. Message frequency varies. Message and data rates may apply.
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