{"id":141,"date":"2025-06-19T20:05:27","date_gmt":"2025-06-19T20:05:27","guid":{"rendered":"https:\/\/youandmespa.com\/?page_id=141"},"modified":"2025-06-19T21:40:43","modified_gmt":"2025-06-19T21:40:43","slug":"client-form","status":"publish","type":"page","link":"https:\/\/youandmespa.com\/de\/client-form\/","title":{"rendered":"Client Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"141\" class=\"elementor elementor-141\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-33db844 e-flex e-con-boxed e-con e-parent\" data-id=\"33db844\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b8fe9e1 elementor-widget elementor-widget-heading\" data-id=\"b8fe9e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Client form<\/h2>\t\t\t\t<\/div>\n\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-faf1d46 e-flex e-con-boxed e-con e-parent\" data-id=\"faf1d46\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-128ffc9 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"128ffc9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Client form\" aria-label=\"Client form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"141\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"128ffc9\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Client Form - You&amp;Me\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"141\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_4d94261 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-name elementor-col-100\">\n\t\t\t\t\tCLIENT'S INFORMATION\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b117c4e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b117c4e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFull name:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_b117c4e]\" id=\"form-field-field_b117c4e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_2ca97ed elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2ca97ed\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_2ca97ed]\" id=\"form-field-field_2ca97ed\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_14b33fd elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_14b33fd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLanguage spoken -<i> <span class=\"smalltxt\">If you dont speak English, we will use Google Translate to communicate and assist you during your treatment<\/span><\/i>\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"English\" id=\"form-field-field_14b33fd-0\" name=\"form_fields[field_14b33fd][]\"> <label for=\"form-field-field_14b33fd-0\">English<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Croatian\" id=\"form-field-field_14b33fd-1\" name=\"form_fields[field_14b33fd][]\"> <label for=\"form-field-field_14b33fd-1\">Croatian<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other\" id=\"form-field-field_14b33fd-2\" name=\"form_fields[field_14b33fd][]\"> <label for=\"form-field-field_14b33fd-2\">Other<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_cd274b8 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cd274b8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAddress:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_cd274b8]\" id=\"form-field-field_cd274b8\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d9902fe elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d9902fe\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCity:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d9902fe]\" id=\"form-field-field_d9902fe\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c552d2a elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c552d2a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tZIP code:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c552d2a]\" id=\"form-field-field_c552d2a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2c72a54 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2c72a54\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tE-Mail:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2c72a54]\" id=\"form-field-field_2c72a54\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4eb2c61 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4eb2c61\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4eb2c61]\" id=\"form-field-field_4eb2c61\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d015562 elementor-col-100\">\n\t\t\t\t\tEMERGENCY CONTACT\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b046d2e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b046d2e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_b046d2e]\" id=\"form-field-field_b046d2e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_badabea elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_badabea\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRelationship:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_badabea]\" id=\"form-field-field_badabea\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d24f3ea elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d24f3ea\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d24f3ea]\" id=\"form-field-field_d24f3ea\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_484ff74 elementor-col-100\">\n\t\t\t\t\tMEDICAL INFORMATION\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_c9565d8 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Heart condition\" id=\"form-field-field_c9565d8-0\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-0\">Heart condition<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Cancer\" id=\"form-field-field_c9565d8-1\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-1\">Cancer<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Migraines\" id=\"form-field-field_c9565d8-2\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-2\">Migraines<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Diabetes\" id=\"form-field-field_c9565d8-3\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-3\">Diabetes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"High or low blood pressure\" id=\"form-field-field_c9565d8-4\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-4\">High or low blood pressure<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Recent injectables (e.g., botox, fillers)\" id=\"form-field-field_c9565d8-5\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-5\">Recent injectables (e.g., botox, fillers)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Autoimmune diseases\" id=\"form-field-field_c9565d8-6\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-6\">Autoimmune diseases<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Epilepsy or seizures\" id=\"form-field-field_c9565d8-7\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-7\">Epilepsy or seizures<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Asthma or respiratory issues\" id=\"form-field-field_c9565d8-8\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-8\">Asthma or respiratory issues<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Implants (e.g., Pacemaker, metal plates)\" id=\"form-field-field_c9565d8-9\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-9\">Implants (e.g., Pacemaker, metal plates)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Psoriasis or eczema\" id=\"form-field-field_c9565d8-10\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-10\">Psoriasis or eczema<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Implants (e.g., Pacemaker, metal plates)\" id=\"form-field-field_c9565d8-11\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-11\">Implants (e.g., Pacemaker, metal plates)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Pregnant\" id=\"form-field-field_c9565d8-12\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-12\">Pregnant<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Breastfeeding\" id=\"form-field-field_c9565d8-13\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-13\">Breastfeeding<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Sensitive skin\" id=\"form-field-field_c9565d8-14\" name=\"form_fields[field_c9565d8][]\"> <label for=\"form-field-field_c9565d8-14\">Sensitive skin<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4a0a14e elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4a0a14e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAllergies:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4a0a14e]\" id=\"form-field-field_4a0a14e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2aab0d8 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2aab0d8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRecent Surgeries:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2aab0d8]\" id=\"form-field-field_2aab0d8\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_0e3c55d elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d65522e elementor-col-100\">\n\t\t\t\t\tMEDICATIONS\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_e7b5295 elementor-col-100\">\n\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_e7b5295]\" id=\"form-field-field_e7b5295\" rows=\"4\" placeholder=\"Please note:\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_b4a025f elementor-col-100\">\n\t\t\t\t\tSKIN CONCERNS\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_4daf297 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Dry\" id=\"form-field-field_4daf297-0\" name=\"form_fields[field_4daf297][]\"> <label for=\"form-field-field_4daf297-0\">Dry<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Oily\" id=\"form-field-field_4daf297-1\" name=\"form_fields[field_4daf297][]\"> <label for=\"form-field-field_4daf297-1\">Oily<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Combination\" id=\"form-field-field_4daf297-2\" name=\"form_fields[field_4daf297][]\"> <label for=\"form-field-field_4daf297-2\">Combination<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Uneven skin tone\" id=\"form-field-field_4daf297-3\" name=\"form_fields[field_4daf297][]\"> <label for=\"form-field-field_4daf297-3\">Uneven skin tone<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Acne scarring\" id=\"form-field-field_4daf297-4\" name=\"form_fields[field_4daf297][]\"> <label for=\"form-field-field_4daf297-4\">Acne scarring<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Pigmentation\" id=\"form-field-field_4daf297-5\" name=\"form_fields[field_4daf297][]\"> <label for=\"form-field-field_4daf297-5\">Pigmentation<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Fine lines &amp; wrinkles\" id=\"form-field-field_4daf297-6\" name=\"form_fields[field_4daf297][]\"> <label for=\"form-field-field_4daf297-6\">Fine lines & wrinkles<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Enlarged pores\" id=\"form-field-field_4daf297-7\" name=\"form_fields[field_4daf297][]\"> <label for=\"form-field-field_4daf297-7\">Enlarged pores<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Age spots\" id=\"form-field-field_4daf297-8\" name=\"form_fields[field_4daf297][]\"> <label for=\"form-field-field_4daf297-8\">Age spots<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Rosacea\" id=\"form-field-field_4daf297-9\" name=\"form_fields[field_4daf297][]\"> <label for=\"form-field-field_4daf297-9\">Rosacea<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Acne\/Breakouts\" id=\"form-field-field_4daf297-10\" name=\"form_fields[field_4daf297][]\"> <label for=\"form-field-field_4daf297-10\">Acne\/Breakouts<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Dark under-eye circles\" id=\"form-field-field_4daf297-11\" name=\"form_fields[field_4daf297][]\"> <label for=\"form-field-field_4daf297-11\">Dark under-eye circles<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a4151a6 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a4151a6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOther\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a4151a6]\" id=\"form-field-field_a4151a6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_4c47ebb elementor-col-100\">\n\t\t\t\t\tSKIN CARE HISTORY\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_5c961de elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5c961de\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMorning\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_5c961de]\" id=\"form-field-field_5c961de\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_3df3fe3 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3df3fe3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEvening\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_3df3fe3]\" id=\"form-field-field_3df3fe3\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_0a0ca65 elementor-col-100\">\n\t\t\t\t\tMASSAGE PREFERENCES\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_539ce08 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_539ce08\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFocus on this area\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Scalp\/head\" id=\"form-field-field_539ce08-0\" name=\"form_fields[field_539ce08][]\"> <label for=\"form-field-field_539ce08-0\">Scalp\/head<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Neck\" id=\"form-field-field_539ce08-1\" name=\"form_fields[field_539ce08][]\"> <label for=\"form-field-field_539ce08-1\">Neck<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Shoulders\" id=\"form-field-field_539ce08-2\" name=\"form_fields[field_539ce08][]\"> <label for=\"form-field-field_539ce08-2\">Shoulders<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Lower back\" id=\"form-field-field_539ce08-3\" name=\"form_fields[field_539ce08][]\"> <label for=\"form-field-field_539ce08-3\">Lower back<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Arms\" id=\"form-field-field_539ce08-4\" name=\"form_fields[field_539ce08][]\"> <label for=\"form-field-field_539ce08-4\">Arms<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Legs\" id=\"form-field-field_539ce08-5\" name=\"form_fields[field_539ce08][]\"> <label for=\"form-field-field_539ce08-5\">Legs<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Feet\" id=\"form-field-field_539ce08-6\" name=\"form_fields[field_539ce08][]\"> <label for=\"form-field-field_539ce08-6\">Feet<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_f45e118 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f45e118\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAvoid this area:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Scalp\/head\" id=\"form-field-field_f45e118-0\" name=\"form_fields[field_f45e118][]\"> <label for=\"form-field-field_f45e118-0\">Scalp\/head<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Neck\" id=\"form-field-field_f45e118-1\" name=\"form_fields[field_f45e118][]\"> <label for=\"form-field-field_f45e118-1\">Neck<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Shoulders\" id=\"form-field-field_f45e118-2\" name=\"form_fields[field_f45e118][]\"> <label for=\"form-field-field_f45e118-2\">Shoulders<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Lower back\" id=\"form-field-field_f45e118-3\" name=\"form_fields[field_f45e118][]\"> <label for=\"form-field-field_f45e118-3\">Lower back<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Arms\" id=\"form-field-field_f45e118-4\" name=\"form_fields[field_f45e118][]\"> <label for=\"form-field-field_f45e118-4\">Arms<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Legs\" id=\"form-field-field_f45e118-5\" name=\"form_fields[field_f45e118][]\"> <label for=\"form-field-field_f45e118-5\">Legs<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Feet\" id=\"form-field-field_f45e118-6\" name=\"form_fields[field_f45e118][]\"> <label for=\"form-field-field_f45e118-6\">Feet<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_8ae0222 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_dd5c620 elementor-col-100\">\n\t\t\t\t\tMASSAGE PRESSURE\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_0e05cce elementor-col-100\">\n\t\t\t\t\tFirm is only suitable if purchased customised massage\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_c2ab128 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Light pressure\" id=\"form-field-field_c2ab128-0\" name=\"form_fields[field_c2ab128]\"> <label for=\"form-field-field_c2ab128-0\">Light pressure<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Medium pressure\" id=\"form-field-field_c2ab128-1\" name=\"form_fields[field_c2ab128]\"> <label for=\"form-field-field_c2ab128-1\">Medium pressure<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Firm pressure\" id=\"form-field-field_c2ab128-2\" name=\"form_fields[field_c2ab128]\"> <label for=\"form-field-field_c2ab128-2\">Firm pressure<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_ecbd200 elementor-col-100\">\n\t\t\t\t\tCONSENT AND AGREEMENT\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_e416f8a elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"I understand that the facial treatment is not a substitute for medical treatment or advice.\" id=\"form-field-field_e416f8a-0\" name=\"form_fields[field_e416f8a]\"> <label for=\"form-field-field_e416f8a-0\">I understand that the facial treatment is not a substitute for medical treatment or advice.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_7c19a99 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"I have provided accurate information to the best of my knowledge.\" id=\"form-field-field_7c19a99-0\" name=\"form_fields[field_7c19a99]\"> <label for=\"form-field-field_7c19a99-0\">I have provided accurate information to the best of my knowledge.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_04f8d57 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"I consent to the facial treatment and agree to follow the therapist&#039;s recommendations for aftercare and skincare.\" id=\"form-field-field_04f8d57-0\" name=\"form_fields[field_04f8d57]\"> <label for=\"form-field-field_04f8d57-0\">I consent to the facial treatment and agree to follow the therapist's recommendations for aftercare and skincare.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_9c33471 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"I consent to the use of advanced technology and devices (e.g., LED, ultrasound, hydrodermabrasion) during treatment if recommended.\" id=\"form-field-field_9c33471-0\" name=\"form_fields[field_9c33471]\"> <label for=\"form-field-field_9c33471-0\">I consent to the use of advanced technology and devices (e.g., LED, ultrasound, hydrodermabrasion) during treatment if recommended.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_eaa20f7 elementor-col-100\">\n\t\t\t\t\tYour information is confidential and used only for treatment and safety purposes in line with EU GDPR regulations. <br>\nWe do not share your data with third parties.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c01ded2 elementor-widget elementor-widget-html\" data-id=\"c01ded2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>\r\ndocument.addEventListener(\"DOMContentLoaded\", function () {\r\n  const form = document.querySelector(\".elementor-form\");\r\n\r\n  if (!form) return;\r\n\r\n  form.addEventListener(\"submit\", function () {\r\n\r\n    \/\/ PRESSURE\r\n    const pressure = Array.from(form.querySelectorAll('input[name=\"pressure[]\"]:checked'))\r\n      .map(el => el.value).join(', ');\r\n    const pressureField = form.querySelector('input[name=\"pressure_selection\"]');\r\n    if (pressureField) pressureField.value = pressure;\r\n\r\n    \/\/ SKIN CONCERNS\r\n    const skin = Array.from(form.querySelectorAll('input[name=\"skin_concerns[]\"]:checked'))\r\n      .map(el => el.value).join(', ');\r\n    const skinField = form.querySelector('input[name=\"skin_concerns_selection\"]');\r\n    if (skinField) skinField.value = skin;\r\n\r\n    const skinOther = document.getElementById('skin_concerns_other')?.value || '';\r\n    const skinOtherField = form.querySelector('input[name=\"skin_concerns_other_hidden\"]');\r\n    if (skinOtherField) skinOtherField.value = skinOther;\r\n\r\n    \/\/ MEDICAL INFO\r\n    const medical = Array.from(form.querySelectorAll('input[name=\"medical[]\"]:checked'))\r\n      .map(el => el.value).join(', ');\r\n    const medicalField = form.querySelector('input[name=\"medical_info\"]');\r\n    if (medicalField) medicalField.value = medical;\r\n\r\n    const allergies = document.getElementById('medical_allergies')?.value || '';\r\n    const allergiesField = form.querySelector('input[name=\"medical_allergies_hidden\"]');\r\n    if (allergiesField) allergiesField.value = allergies;\r\n\r\n    const surgeries = document.getElementById('medical_surgeries')?.value || '';\r\n    const surgeriesField = form.querySelector('input[name=\"medical_surgeries_hidden\"]');\r\n    if (surgeriesField) surgeriesField.value = surgeries;\r\n\r\n    \/\/ MASSAGE PREFERENCES TABLE\r\n    const areas = [\"scalp\", \"neck\", \"shoulders\", \"lowerback\", \"arms\", \"legs\", \"feet\"];\r\n    const massagePrefs = areas.map(area => {\r\n      const focus = form.querySelector(`input[name=\"${area}_focus\"]`)?.checked ? \"Focus\" : \"\";\r\n      const avoid = form.querySelector(`input[name=\"${area}_avoid\"]`)?.checked ? \"Avoid\" : \"\";\r\n      if (!focus && !avoid) return null;\r\n      return `${area.charAt(0).toUpperCase() + area.slice(1)}: ${[focus, avoid].filter(Boolean).join(\" & \")}`;\r\n    }).filter(Boolean).join(\" | \");\r\n    const massageField = form.querySelector('input[name=\"massage_preferences_hidden\"]');\r\n    if (massageField) massageField.value = massagePrefs;\r\n  });\r\n});\r\n<\/script>\r\n\t\t\t\t<\/div>\n\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":"<p>Client form<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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