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{
"settings": {
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},
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"question": "What are you interested in?",
"dynamicTarget": true,
"nextButtonText": "Next",
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"target": "form-name",
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"text": "BOTOX & XEOMIN",
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{
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{
"text": "IPL PHOTOFACIALS",
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"value": "IPL Photofacial",
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},
{
"text": "DERMAL FILLERS",
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"value": "Dermal Fillers",
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},
{
"text": "LASER HAIR REMOVAL",
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"value": "Hair Removal",
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},
{
"text": "SKIN REJUVENATION",
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"value": "Skin Rejuvenation",
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{
"text": "POTENZA RF MICRONEEDLING",
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{
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{
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"value": "dullness"
},
{
"text": "FINE LINES",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/ReplenishLostVolume.png",
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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"
},
{
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"icon": "https://storage.googleapis.com/laseraway-dev.appspot.com/2021/08/c187f1f4-pores.svg",
"value": "pores"
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{
"text": "SUN DAMAGE",
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"value": "sun-damage"
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{
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"target": "treatment-count",
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{
"text": "BACK",
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"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",
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},
{
"text": "ABDOMEN",
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"value": "abdomen"
},
{
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"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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}
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{
"id": "ipl-services",
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"question": "What would you like to address?",
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"answers": [
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"text": "AGE SPOTS",
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},
{
"text": "BROKEN CAPILLARIES",
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},
{
"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"
},
{
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{
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"value": "MELASMA"
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{
"text": "PORES",
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"value": "PORES"
},
{
"text": "SUN DAMAGE",
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"value": "SUN-DAMAGE"
},
{
"text": "ROSACEA",
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{
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"question": "Where do you want dermal fillers?",
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"target": "treatment-count",
"answers": [
{
"text": "CHEEKS",
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"value": "CHEEKS"
},
{
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"value": "LIPS"
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{
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"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",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/nasolabial.png",
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},
{
"text": "OTHER",
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"value": "OTHER"
}
]
},
{
"id": "hair-removal-services",
"type": "button-selection",
"question": "Which areas need hair removal?",
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"target": "treatment-count",
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"text": "BACK",
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"value": "BACK"
},
{
"text": "BIKINI",
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"value": "BIKINI"
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{
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"text": "CHIN / LIPS",
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},
{
"text": "FACE",
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"value": "FACE"
},
{
"text": "LEGS",
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"value": "LEGS"
},
{
"text": "OTHER",
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},
{
"text": "UNDERARMS",
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{
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"target": "treatment-count",
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{
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{
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{
"text": "DULLNESS",
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"value": "DULLNESS"
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"text": "FINE LINES",
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"value": "FINE-LINES"
},
{
"text": "HYPERPIGMENTATION",
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},
{
"text": "MELASMA",
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{
"text": "PORES",
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{
"text": "SUN DAMAGE",
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{
"id": "tattoo-services",
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"question": "Where are your tattoos located?",
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"target": "treatment-count",
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{
"text": "ARM",
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{
"text": "BACK",
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{
"text": "LEG",
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{
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{
"id": "thermage-services",
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"text": "ARMS",
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{
"text": "FACE",
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{
"text": "HANDS",
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"value": "hands"
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{
"text": "THIGHS",
"icon": "https://storage.googleapis.com/images-la/sites/www/wp-content/uploads/2022/12/legs.png",
"value": "THIGHS"
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{
"text": "NECK",
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"value": "neck"
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{
"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-name"
},
{
"id": "form-name",
"commonStep": true,
"target": "form-email"
},
{
"id": "form-email",
"commonStep": true,
"target": "form-phone"
},
{
"id": "form-phone",
"commonStep": true,
"target": "form-zipcode"
},
{
"id": "form-zipcode",
"commonStep": true,
"lastStep": true
}
]
}
