{"id":19,"date":"2025-12-04T18:01:59","date_gmt":"2025-12-04T18:01:59","guid":{"rendered":"https:\/\/oysbodytherapy.com.ng\/?page_id=19"},"modified":"2025-12-08T08:52:46","modified_gmt":"2025-12-08T08:52:46","slug":"booking","status":"publish","type":"page","link":"https:\/\/oysbodytherapy.com.ng\/index.php\/booking\/","title":{"rendered":"Booking"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"19\" class=\"elementor elementor-19\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-01ee47e e-flex e-con-boxed e-con e-parent\" data-id=\"01ee47e\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bfb42bf e-flex e-con-boxed e-con e-parent\" data-id=\"bfb42bf\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-322e71b elementor-widget elementor-widget-shortcode\" data-id=\"322e71b\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><style id=\"wpforms-css-vars-83\">\n\t\t\t\t#wpforms-83 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style>\r\n<style type=\"text\/css\">\r\n@import url('https:\/\/fonts.googleapis.com\/css?family=News+Cycle');\r\n\r\n\r\nbody #wpforms-83 {\r\n\t\t\r\n\t\t\tfont-family:News Cycle;}\r\n\r\n\t\r\n\r\n\tbody #wpforms-83 .wpforms-head-container {\r\n\t\tborder-width: 0px;}\r\n\r\n\tbody #wpforms-83 .wpforms-head-container .wpforms-title {\r\n\t\t}\r\n\r\n\tbody #wpforms-83 .wpforms-head-container .wpforms-description {\r\n\t\tfont-weight: bold;text-align:left ;\t\tdisplay:block;\r\n\t}\r\n\r\n\r\n\tbody #wpforms-83 .wpforms-submit-container .wpforms-submit, body #wpforms-83 .wpforms-field-pagebreak button.wpforms-page-button {\r\n\t\ttext-align:center ;background-color:#591089 ;width:500px ;border-width:0px ;border-style:solid ;\t\t\t}\r\n\r\n\tbody #wpforms-83 .wpforms-submit-container .wpforms-submit:hover, body #wpforms-83 .wpforms-field-pagebreak button.wpforms-page-button:hover {\r\n\tbackground-color:;\tcolor:;\t}\r\n\r\n\tbody #wpforms-83 .wpforms-submit-container,\r\n\tbody #wpforms-83 .wpforms-field-pagebreak .wpforms-pagebreak-left{\r\n\ttext-align:center;\t}\r\n\r\n\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field input[type=text],\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field input[type=email],\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field input[type=tel],\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field input[type=url],\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field input[type=password],\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field input[type=number]\r\n\t{\r\n\t\tfont-weight: bold;border-width:1px ;border-style:solid ;\t\t\t}\r\n\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field .wpforms-field-row\r\n\t{\r\n\t\t\t}\r\n\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field-layout.wpforms-field input[type=text],\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field-layout.wpforms-field input[type=email],\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field-layout.wpforms-field input[type=tel],\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field-layout.wpforms-field input[type=url],\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field-layout.wpforms-field input[type=password],\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field-layout.wpforms-field input[type=number]{\r\n\t\twidth: 100%;\r\n\t}\r\n\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field .wpforms-field-row input[type=text]{\r\n\t\twidth: 100%;\r\n\t}\r\n\r\n\r\n\r\n\t#wpforms-83 .wpforms-form .wpforms-field-layout-rows,\r\n\t#wpforms-83 .wpforms-form .wpforms-field-layout-columns{\r\n\t\t\t}\r\n\r\n\r\n\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field textarea {\r\n\t\tfont-weight: bold;\t\t\tborder-width: 1px;\t}\r\n\r\n \r\n\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field select {\r\n\r\n\t\tfont-weight: bold;\r\n\t\tborder-width: 1px;\t}\r\n\r\n\t\/* dropdown styles on modern background *\/\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field-select-style-modern .choices__inner{\r\n\t\tfont-weight: bold;\t\t\r\n\t}\r\n\r\n\t\/* background color on modern dropdown *\/\r\n\t\r\n \r\n\tbody #wpforms-83 .wpforms-form .wpforms-field-radio li label,\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field-payment-multiple li label {\r\n\t\t\t}\r\n \r\n\tbody #wpforms-83 .wpforms-form .wpforms-field-checkbox li label {\r\n\t\tfont-weight: bold;\t}\r\n \r\n\tbody #wpforms-83 .wpforms-form .wpforms-field .wpforms-field-description {\r\n\r\n\t\tfont-weight: bold;text-align:left ;\t}\r\n\r\n \r\n\tbody #wpforms-83 .wpforms-form .wpforms-field label.wpforms-field-label,\r\n\tbody #wpforms-83 .wpforms-form .wpforms-field .wpforms-field-label {\r\n\t\tfont-weight: bold;\t}\r\n\r\n\r\n \r\n\tbody #wpforms-confirmation-83  {\r\n\r\n\t\t\t\tborder-width: 1px;\t}\r\n\r\n\tbody #wpforms-confirmation-83 p{\r\n\t\ttext-transform: uppercase;\r\n\t\ttext-decoration: underline;\r\n\t\tcolor: inherit;\r\n\t}\r\n\r\n \r\n\tbody #wpforms-83 label.wpforms-error,\r\n\tbody #wpforms-83 .wpforms-error[role=\"alert\"] {\r\n\t\t\r\n\t\t\t\tborder-width: 1px;\t}\r\n\/* Styling for Tablets *\/\r\n@media only screen and (max-width: 800px) and (min-width:481px) {\r\n\t\r\n\r\n\r\n\t\tbody #wpforms-83 .wpforms-submit-container .wpforms-submit,body #wpforms-83 .wpforms-field-pagebreak button.wpforms-page-button {\r\n\t\twidth:400px ;\t\t}     \r\n\r\n}\r\n\r\n@media only screen and (max-width: 480px){\r\n\t\r\n\r\n\r\n\tbody #wpforms-83 .wpforms-submit-container .wpforms-submit, body #wpforms-83 .wpforms-field-pagebreak button.wpforms-page-button {\r\n\t\twidth:300px ;\t\t}\r\n\r\n}\r\n\/*Option to add custom CSS *\/\r\n\r\n\r\n\r\n\t\t<\/style>\r\n\t\t<div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-83\"><form id=\"wpforms-form-83\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"83\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/19\" data-token=\"a445d8c0681231cb03e57a6cbe015ac5\" data-token-time=\"1776131174\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#72b239\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"2\" tabindex=\"-1\"><span class=\"wpforms-page-indicator-page-title\" data-page-1-title=\"Personal Details\" data-page-2-title=\"Consultation &amp; Booking Details\">Personal Details<\/span><span class=\"wpforms-page-indicator-page-title-sep\" > - <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 2<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:50%;background-color:#72b239\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-83-field_34-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"34\"><\/div><div id=\"wpforms-83-field_43-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"43\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-83-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_1\">Your Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-83-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-83-field_1-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-83-field_45-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_45\">Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-83-field_45\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][45]\" aria-errormessage=\"wpforms-83-field_45-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-83-field_23-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_23\">Phone number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-83-field_23\" class=\"wpforms-field-medium wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][23]\" aria-label=\"Phone number\" aria-errormessage=\"wpforms-83-field_23-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-83-field_24-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_24\">Email Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-83-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" spellcheck=\"false\" aria-errormessage=\"wpforms-83-field_24-error\" aria-describedby=\"wpforms-83-field_24-description\" required><div id=\"wpforms-83-field_24-description\" class=\"wpforms-field-description\">If you need an appointment for someone under 18, please provide your own contact details.<\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-83-field_46-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"46\"><fieldset><legend class=\"wpforms-field-label\">Date of Birth<\/legend><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-medium\"><select name=\"wpforms[fields][46][date][m]\" id=\"wpforms-83-field_46-month\" class=\"wpforms-field-date-time-date-month\" aria-label=\"Month\" ><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][46][date][d]\" id=\"wpforms-83-field_46-day\" class=\"wpforms-field-date-time-date-day\" aria-label=\"Day\" ><option value=\"\" class=\"placeholder\" selected disabled>DD<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][46][date][y]\" id=\"wpforms-83-field_46-year\" class=\"wpforms-field-date-time-date-year\" aria-label=\"Year\" ><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-83-field_47-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_47\">Occupation<\/label><input type=\"text\" id=\"wpforms-83-field_47\" class=\"wpforms-field-medium\" name=\"wpforms[fields][47]\" aria-errormessage=\"wpforms-83-field_47-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-83-field_33-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"33\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"1\" data-formid=\"83\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2 last \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-83-field_48-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_48\">Are you currently on medication?<\/label><select id=\"wpforms-83-field_48\" class=\"wpforms-field-large\" name=\"wpforms[fields][48]\"><option value=\"Please choose\"  class=\"choice-3 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_49-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"49\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_49\">What is the name of the medication?<\/label><input type=\"text\" id=\"wpforms-83-field_49\" class=\"wpforms-field-large\" name=\"wpforms[fields][49]\" aria-errormessage=\"wpforms-83-field_49-error\" ><\/div><div id=\"wpforms-83-field_50-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"50\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_50\">Gender<\/label><select id=\"wpforms-83-field_50\" class=\"wpforms-field-large\" name=\"wpforms[fields][50]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Male\"  class=\"choice-2 depth-1\"  >Male<\/option><option value=\"Female\"  class=\"choice-3 depth-1\"  >Female<\/option><\/select><div id=\"wpforms-83-field_50-description\" class=\"wpforms-field-description\">This allows us to ask appropriate questions about  you.<\/div><\/div><div id=\"wpforms-83-field_51-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"51\"><fieldset><legend class=\"wpforms-field-label\">Lifestyle<\/legend><ul id=\"wpforms-83-field_51\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_51_1\" name=\"wpforms[fields][51][]\" value=\"Sendentary\" aria-errormessage=\"wpforms-83-field_51_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_51_1\">Sendentary<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_51_2\" name=\"wpforms[fields][51][]\" value=\"Active\" aria-errormessage=\"wpforms-83-field_51_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_51_2\">Active<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-83-field_52-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"52\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Date of your last period<\/legend><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-large\"><select name=\"wpforms[fields][52][date][m]\" id=\"wpforms-83-field_52-month\" class=\"wpforms-field-date-time-date-month\" aria-label=\"Month\" ><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][52][date][d]\" id=\"wpforms-83-field_52-day\" class=\"wpforms-field-date-time-date-day\" aria-label=\"Day\" ><option value=\"\" class=\"placeholder\" selected disabled>DD<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][52][date][y]\" id=\"wpforms-83-field_52-year\" class=\"wpforms-field-date-time-date-year\" aria-label=\"Year\" ><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/fieldset><\/div><div id=\"wpforms-83-field_53-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_53\">Medical history (Diagnosed by a doctor)<\/label><input type=\"text\" id=\"wpforms-83-field_53\" class=\"wpforms-field-large\" name=\"wpforms[fields][53]\" aria-errormessage=\"wpforms-83-field_53-error\" aria-describedby=\"wpforms-83-field_53-description\" ><div id=\"wpforms-83-field_53-description\" class=\"wpforms-field-description\">Please indicate if you have any medical history e.g, Ulcer, Depression, Anxiety, etc.<\/div><\/div><div id=\"wpforms-83-field_54-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"54\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_54\">Any Medical Oedema?<\/label><select id=\"wpforms-83-field_54\" class=\"wpforms-field-large\" name=\"wpforms[fields][54]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_55-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_55\">Do you have arthritis<\/label><select id=\"wpforms-83-field_55\" class=\"wpforms-field-large\" name=\"wpforms[fields][55]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div>\t\t<div id=\"wpforms-83-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-83-field_2\" >under you Lifestyle<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-83-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-83-field_56-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_56\">Any condition currently treated by a GP?<\/label><select id=\"wpforms-83-field_56\" class=\"wpforms-field-large\" name=\"wpforms[fields][56]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_57-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_57\">Did you experience any fever in the last 24hours?<\/label><select id=\"wpforms-83-field_57\" class=\"wpforms-field-large\" name=\"wpforms[fields][57]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_58-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_58\">Are you alcoholic?<\/label><select id=\"wpforms-83-field_58\" class=\"wpforms-field-large\" name=\"wpforms[fields][58]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_59-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_59\">Do you have any infections\/Contagious disease?<\/label><select id=\"wpforms-83-field_59\" class=\"wpforms-field-large\" name=\"wpforms[fields][59]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_60-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_60\">Do you have any skin disease?<\/label><select id=\"wpforms-83-field_60\" class=\"wpforms-field-large\" name=\"wpforms[fields][60]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_61-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_61\">Is there any undiagnosed Lumps\/bumps?<\/label><select id=\"wpforms-83-field_61\" class=\"wpforms-field-large\" name=\"wpforms[fields][61]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_62-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"62\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_62\">Are you always under the influence of Alcohol\/Drugs<\/label><select id=\"wpforms-83-field_62\" class=\"wpforms-field-large\" name=\"wpforms[fields][62]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_63-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"63\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_63\">Do you have any Inflammation\/Swelling<\/label><select id=\"wpforms-83-field_63\" class=\"wpforms-field-large\" name=\"wpforms[fields][63]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_64-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"64\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_64\">Do you have any Bruises<\/label><select id=\"wpforms-83-field_64\" class=\"wpforms-field-large\" name=\"wpforms[fields][64]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_65-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"65\"><fieldset><legend class=\"wpforms-field-label\">Please indicate if you are in any of these situation<\/legend><ul id=\"wpforms-83-field_65\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_65_1\" name=\"wpforms[fields][65][]\" value=\"Gastric ulcers\" aria-errormessage=\"wpforms-83-field_65_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_65_1\">Gastric ulcers<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_65_2\" name=\"wpforms[fields][65][]\" value=\"Peptic ulcers\" aria-errormessage=\"wpforms-83-field_65_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_65_2\">Peptic ulcers<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_65_3\" name=\"wpforms[fields][65][]\" value=\"Loss of skin sensation\" aria-errormessage=\"wpforms-83-field_65_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_65_3\">Loss of skin sensation<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_65_5\" name=\"wpforms[fields][65][]\" value=\"Varicose veins\" aria-errormessage=\"wpforms-83-field_65_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_65_5\">Varicose veins<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_65_4\" name=\"wpforms[fields][65][]\" value=\"Pacemakers\" aria-errormessage=\"wpforms-83-field_65_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_65_4\">Pacemakers<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_65_6\" name=\"wpforms[fields][65][]\" value=\"Breastfeeding\" aria-errormessage=\"wpforms-83-field_65_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_65_6\">Breastfeeding<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_65_7\" name=\"wpforms[fields][65][]\" value=\"Open wounds\" aria-errormessage=\"wpforms-83-field_65_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_65_7\">Open wounds<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_65_8\" name=\"wpforms[fields][65][]\" value=\"Acne\" aria-errormessage=\"wpforms-83-field_65_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_65_8\">Acne<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-83-field_66-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_66\">Do you have any metal plates or pins<\/label><select id=\"wpforms-83-field_66\" class=\"wpforms-field-large\" name=\"wpforms[fields][66]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_67-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"67\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_67\">Do you have any conditions affecting the neck<\/label><select id=\"wpforms-83-field_67\" class=\"wpforms-field-large\" name=\"wpforms[fields][67]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_68-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"68\"><fieldset><legend class=\"wpforms-field-label\">Please indicate if you are in any of these situation<\/legend><ul id=\"wpforms-83-field_68\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_68_1\" name=\"wpforms[fields][68][]\" value=\"Hormonal implants\" aria-errormessage=\"wpforms-83-field_68_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_68_1\">Hormonal implants<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_68_2\" name=\"wpforms[fields][68][]\" value=\"Pregnancy\" aria-errormessage=\"wpforms-83-field_68_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_68_2\">Pregnancy<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_68_3\" name=\"wpforms[fields][68][]\" value=\"Hernia\" aria-errormessage=\"wpforms-83-field_68_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_68_3\">Hernia<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_68_5\" name=\"wpforms[fields][68][]\" value=\"Recent operations\" aria-errormessage=\"wpforms-83-field_68_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_68_5\">Recent operations<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_68_4\" name=\"wpforms[fields][68][]\" value=\"Menstruation\" aria-errormessage=\"wpforms-83-field_68_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_68_4\">Menstruation<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_68_6\" name=\"wpforms[fields][68][]\" value=\"Back pain\" aria-errormessage=\"wpforms-83-field_68_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_68_6\">Back pain<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_68_7\" name=\"wpforms[fields][68][]\" value=\"Stiff joints\" aria-errormessage=\"wpforms-83-field_68_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_68_7\">Stiff joints<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_68_8\" name=\"wpforms[fields][68][]\" value=\"Headaches\" aria-errormessage=\"wpforms-83-field_68_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_68_8\">Headaches<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-83-field_69-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"69\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_69\">Do you experience Aches and\/or pain (where, please indicate)<\/label><input type=\"text\" id=\"wpforms-83-field_69\" class=\"wpforms-field-large\" name=\"wpforms[fields][69]\" aria-errormessage=\"wpforms-83-field_69-error\" aria-describedby=\"wpforms-83-field_69-description\" ><div id=\"wpforms-83-field_69-description\" class=\"wpforms-field-description\">If none, please indicate NO<\/div><\/div><div id=\"wpforms-83-field_70-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"70\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_70\">Sleeping pattern (How long do you sleep in hours)?<\/label><input type=\"text\" id=\"wpforms-83-field_70\" class=\"wpforms-field-large\" name=\"wpforms[fields][70]\" aria-errormessage=\"wpforms-83-field_70-error\" ><\/div><div id=\"wpforms-83-field_71-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"71\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_71\">Are you taking any supplement?<\/label><select id=\"wpforms-83-field_71\" class=\"wpforms-field-large\" name=\"wpforms[fields][71]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_72-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"72\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_72\">Please indicate the supplement<\/label><input type=\"text\" id=\"wpforms-83-field_72\" class=\"wpforms-field-large\" name=\"wpforms[fields][72]\" aria-errormessage=\"wpforms-83-field_72-error\" ><\/div><div id=\"wpforms-83-field_73-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"73\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_73\">Any suffering from food allergies?<\/label><select id=\"wpforms-83-field_73\" class=\"wpforms-field-large\" name=\"wpforms[fields][73]\"><option value=\"Please choose\"  class=\"choice-1 depth-1\"  >Please choose<\/option><option value=\"Yes\"  class=\"choice-2 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-3 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-83-field_74-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"74\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_74\">Please indicate the food allergies<\/label><input type=\"text\" id=\"wpforms-83-field_74\" class=\"wpforms-field-large\" name=\"wpforms[fields][74]\" aria-errormessage=\"wpforms-83-field_74-error\" ><\/div><div id=\"wpforms-83-field_75-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"75\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_75\">Please indicate stress level at home<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-83-field_75\" class=\"wpforms-field-large\" name=\"wpforms[fields][75]\" value=\"0\" aria-errormessage=\"wpforms-83-field_75-error\"\t\tmin=\"0\"\n\tmax=\"10\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Stress Level: {value}\">\n\tStress Level: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-83-field_76-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"76\"><label class=\"wpforms-field-label\" for=\"wpforms-83-field_76\">Please indicate stress level at work<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-83-field_76\" class=\"wpforms-field-large\" name=\"wpforms[fields][76]\" value=\"0\" 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data-field-id=\"80\"><fieldset><legend class=\"wpforms-field-label\">I acknowlege <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-83-field_80\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-83-field_80_1\" name=\"wpforms[fields][80][]\" value=\"I understand that I have the Body massage Treatment at my own risk and accept treatment as such. I also confirm that the above statements are true, knowing that you are relying upon them in the course of the treatment of my condition. I also accept that I will be undergoing a treatment by a professional and hereby wave my rights to any legal action in this regard.\" aria-errormessage=\"wpforms-83-field_80_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-83-field_80_1\">I understand that I have the Body massage Treatment at my own risk and accept treatment as such. I also confirm that the above statements are true, knowing that you are relying upon them in the course of the treatment of my condition. I also accept that I will be undergoing a treatment by a professional and hereby wave my rights to any legal action in this regard.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-83-field_35-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"35\"><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-83-field_2-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-83-field_2-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-83-field_2-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"83\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/oysbodytherapy.com.ng\/index.php\/wp-json\/wp\/v2\/pages\/19\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-83\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/oysbodytherapy.com.ng\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bebc0a7 e-flex e-con-boxed e-con e-parent\" data-id=\"bebc0a7\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e01c8a9 elementor-widget elementor-widget-spacer\" data-id=\"e01c8a9\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-19","page","type-page","status-publish","hentry"],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"oysbodyt","author_link":"https:\/\/oysbodytherapy.com.ng\/index.php\/author\/oysbodyt\/"},"rttpg_comment":0,"rttpg_category":null,"rttpg_excerpt":null,"_links":{"self":[{"href":"https:\/\/oysbodytherapy.com.ng\/index.php\/wp-json\/wp\/v2\/pages\/19","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/oysbodytherapy.com.ng\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/oysbodytherapy.com.ng\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/oysbodytherapy.com.ng\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/oysbodytherapy.com.ng\/index.php\/wp-json\/wp\/v2\/comments?post=19"}],"version-history":[{"count":7,"href":"https:\/\/oysbodytherapy.com.ng\/index.php\/wp-json\/wp\/v2\/pages\/19\/revisions"}],"predecessor-version":[{"id":258,"href":"https:\/\/oysbodytherapy.com.ng\/index.php\/wp-json\/wp\/v2\/pages\/19\/revisions\/258"}],"wp:attachment":[{"href":"https:\/\/oysbodytherapy.com.ng\/index.php\/wp-json\/wp\/v2\/media?parent=19"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}