{"id":999968260,"date":"2023-12-07T12:49:50","date_gmt":"2023-12-07T12:49:50","guid":{"rendered":"https:\/\/estevitalyahair.com\/konsultation\/"},"modified":"2024-04-02T09:07:39","modified_gmt":"2024-04-02T09:07:39","slug":"konsultation","status":"publish","type":"page","link":"https:\/\/www.estevitalyahair.com\/de\/konsultation\/","title":{"rendered":"Konsultation"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"999968260\" class=\"elementor elementor-999968260 elementor-999957717\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-31406cb e-flex e-con-boxed e-con e-parent\" data-id=\"31406cb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-8337df7 e-con-full e-flex e-con e-child\" data-id=\"8337df7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6bc5e9b elementor-widget__width-auto elementor-widget-mobile__width-auto elementor-widget elementor-widget-image\" data-id=\"6bc5e9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.estevitalyahair.com\/wp-content\/uploads\/2022\/12\/estevitalyahair-logo-1.svg\" class=\"attachment-full size-full wp-image-999962927\" alt=\"\" title=\"\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6460ed1 elementor-widget elementor-widget-jet-form-builder-form\" data-id=\"6460ed1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"jet-form-builder-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<link rel='stylesheet' id='wp-block-library-css' href='https:\/\/www.estevitalyahair.com\/wp-includes\/css\/dist\/block-library\/common.min.css' media='all' \/>\n<style id=\"jet-form-builder-999963644-inline-css\"><\/style><form  class=\"jet-form-builder layout-column submit-type-ajax\" action=\"https:\/\/www.estevitalyahair.com\/de\/wp-json\/wp\/v2\/pages\/999968260\/?m01Sgn=NECJcafaMC&amp;method=reload\" method=\"POST\" data-form-id=\"999963644\" data-layout=\"column\" enctype=\"multipart\/form-data\" data-clear=\"1\" novalidate=\"null\" ssr_validation_method=\"rest\"><input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"6913cfe36c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/de\/wp-json\/wp\/v2\/pages\/999968260\" \/>\r\n<input type=\"hidden\" name=\"_jfb_current_render_states[]\" value=\"DEFAULT.STATE\" data-jfb-sync \/><input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_booking_form_id\" data-field-name=\"_jet_engine_booking_form_id\" value=\"999963644\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_refer\" data-field-name=\"_jet_engine_refer\" value=\"https:\/\/www.estevitalyahair.com\/de\/wp-json\/wp\/v2\/pages\/999968260\/\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"__queried_post_id\" data-field-name=\"__queried_post_id\" value=\"999968260\">\n<div class=\"jet-form-builder-progress-pages jfb-progress-type--default jet-form-builder-progress-pages--global\" data-type=\"default\">\t<div class=\"jet-form-builder-progress-pages__item--wrapper active-page\" data-page=\"1\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">1<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"2\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">2<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"3\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">3<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"4\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">4<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"5\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">5<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"6\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">6<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Last Page<\/div>\n\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div><div class=\"jet-form-builder-page \" data-page=\"1\" data-page-offset=\"75\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"post_id\" data-field-name=\"post_id\" data-jfb-sync=\"null\" value=\"999968260\">\n\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns doc-row is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center doc-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<figure class=\"wp-block-image aligncenter size-full is-resized doc-image\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/doctor-hair.svg\" alt=\"\" class=\"wp-image-999965234\" style=\"width:78px;height:auto\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading form-title has-black-color has-text-color has-link-color wp-elements-4d7ab2ae7d110853b0f40708c8a593a5\" style=\"font-size:23px;font-style:normal;font-weight:700\"><span>Choose your gender<\/span>...<\/h2>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns form-group-bg has-white-background-color has-background is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\" style=\"font-size:12px\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\"><div  class=\"jet-form-builder-row field-type-choices-field\" >\n<ul style=\"--jfb-choice-text:#000000;--jfb-choice-bg:#ffffff;--jfb-choice-hover-text:#000000;--jfb-choice-hover-bg:#dddddd;--jfb-choice-checked-text:#000000;--jfb-choice-checked-bg:#dddddd\" class=\"jet-form-builder-choice wp-block-jet-forms-choices-field has-hover-color-text has-hover-color-background jet-fb-switch-page-on-change is-content-justification-center is-layout-flex wp-container-jet-forms-choices-field-is-layout-3e41869c wp-block-jet-forms-choices-field-is-layout-flex\" data-jfb-sync=\"1\" role=\"radiogroup\" aria-required=\"true\">\n<li class=\"jet-form-builder-choice--item hair-loss-text wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/erkek-1.svg\" alt=\"\" class=\"wp-image-999965334\" style=\"object-fit:contain;width:240px;height:120px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"choose_your_gender\" id=\"choose_your_gender\" value=\"Man\" required=\"1\" style=\"display:none;\"\/><label for=\"choose_your_gender\" class=\"jet-form-builder__label\">Man<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/kadin-sac-6.svg\" alt=\"\" class=\"wp-image-999965109\" style=\"object-fit:contain;width:240px;height:120px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"choose_your_gender\" id=\"choose_your_gender_1\" value=\"Woman\" required=\"1\" style=\"display:none;\"\/><label for=\"choose_your_gender_1\" class=\"jet-form-builder__label\">Woman<\/label><\/span>\n\n<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t\t\t\t<button class=\"jet-form-builder__next-page next-back-break\" type=\"button\">Next<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"2\" data-page-offset=\"75\">\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Man&quot;,&quot;field&quot;:&quot;choose_your_gender&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n\n<div class=\"wp-block-columns doc-row is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-bottom doc-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full is-resized doc-image\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/doctor-hair.svg\" alt=\"\" class=\"wp-image-999965234\" style=\"width:78px;height:auto\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading form-title has-black-color has-text-color has-link-color wp-elements-9ea058db510289a7fffe7de9b162ff67\" style=\"font-size:23px;font-style:normal;font-weight:700\">Choose the hair loss pattern that fits your situation the best.<\/h2>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns form-group-bg has-white-background-color has-background is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\" style=\"font-size:12px\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\"><div  class=\"jet-form-builder-row field-type-choices-field\" >\n<ul style=\"--jfb-choice-text:#000000;--jfb-choice-bg:#ffffff;--jfb-choice-hover-text:#000000;--jfb-choice-hover-bg:#dddddd;--jfb-choice-checked-text:#000000;--jfb-choice-checked-bg:#dddddd\" class=\"jet-form-builder-choice wp-block-jet-forms-choices-field has-hover-color-text has-hover-color-background jet-fb-switch-page-on-change is-content-justification-center is-layout-flex wp-container-jet-forms-choices-field-is-layout-3e41869c wp-block-jet-forms-choices-field-is-layout-flex\" data-jfb-sync=\"1\" role=\"radiogroup\" aria-required=\"true\">\n<li class=\"jet-form-builder-choice--item hair-loss-text wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/erkek-sac-0.svg\" alt=\"\" class=\"wp-image-999965121\" style=\"object-fit:contain;width:60px;height:80px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"hair-situaition-man\" id=\"hair-situaition-man\" value=\"None\" required=\"1\" style=\"display:none;\"\/><label for=\"hair-situaition-man\" class=\"jet-form-builder__label\">None<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/erkek-sac-2.svg\" alt=\"\" class=\"wp-image-999965115\" style=\"object-fit:contain;width:60px;height:80px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"hair-situaition-man\" id=\"hair-situaition-man_1\" value=\"Light\" data-calculate=\"200\" required=\"1\" style=\"display:none;\"\/><label for=\"hair-situaition-man_1\" class=\"jet-form-builder__label\">Light<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/erkek-sac-3.svg\" alt=\"\" class=\"wp-image-999965126\" style=\"object-fit:contain;width:60px;height:80px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"hair-situaition-man\" id=\"hair-situaition-man_2\" value=\"Light-Medium\" data-calculate=\"200\" required=\"1\" style=\"display:none;\"\/><label for=\"hair-situaition-man_2\" class=\"jet-form-builder__label\">Light-Medium<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/erkek-sac-4.svg\" alt=\"\" class=\"wp-image-999965131\" style=\"object-fit:contain;width:60px;height:80px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"hair-situaition-man\" id=\"hair-situaition-man_3\" value=\"Medium\" data-calculate=\"200\" required=\"1\" style=\"display:none;\"\/><label for=\"hair-situaition-man_3\" class=\"jet-form-builder__label\">Medium<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/erkek-sac-5.svg\" alt=\"\" class=\"wp-image-999965136\" style=\"object-fit:contain;width:60px;height:80px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"hair-situaition-man\" id=\"hair-situaition-man_4\" value=\"Medium-Extensive\" data-calculate=\"200\" required=\"1\" style=\"display:none;\"\/><label for=\"hair-situaition-man_4\" class=\"jet-form-builder__label\">Medium-Extensive<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/erkek-sac-6.svg\" alt=\"\" class=\"wp-image-999965141\" style=\"object-fit:contain;width:60px;height:80px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"hair-situaition-man\" id=\"hair-situaition-man_5\" value=\"Extensive\" data-calculate=\"200\" required=\"1\" style=\"display:none;\"\/><label for=\"hair-situaition-man_5\" class=\"jet-form-builder__label\">Extensive<\/label><\/span>\n\n<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Woman&quot;,&quot;field&quot;:&quot;choose_your_gender&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n\n<div class=\"wp-block-columns doc-row is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-bottom doc-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full is-resized doc-image\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/doctor-hair.svg\" alt=\"\" class=\"wp-image-999965234\" style=\"width:78px;height:auto\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading form-title has-black-color has-text-color has-link-color wp-elements-35c9396c3af791fd1d9f00cb42c8b08b\" style=\"font-size:23px;font-style:normal;font-weight:700\">Choose the frontal hair loss option that best fits your situation...<\/h2>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns form-group-bg has-white-background-color has-background is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\" style=\"font-size:12px\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-choices-field\" >\n<ul style=\"--jfb-choice-text:#000000;--jfb-choice-bg:#ffffff;--jfb-choice-hover-text:#000000;--jfb-choice-hover-bg:#dddddd;--jfb-choice-checked-text:#000000;--jfb-choice-checked-bg:#dddddd\" class=\"jet-form-builder-choice wp-block-jet-forms-choices-field has-hover-color-text has-hover-color-background jet-fb-switch-page-on-change is-content-justification-center is-layout-flex wp-container-jet-forms-choices-field-is-layout-3e41869c wp-block-jet-forms-choices-field-is-layout-flex\" data-jfb-sync=\"1\" role=\"radiogroup\" aria-required=\"true\">\n<li class=\"jet-form-builder-choice--item hair-loss-text wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/kadin-sac-6.svg\" alt=\"\" class=\"wp-image-999965109\" style=\"object-fit:contain;width:60px;height:80px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"hair-situaition-woman\" id=\"hair-situaition-woman\" value=\"None\" required=\"1\" style=\"display:none;\"\/><label for=\"hair-situaition-woman\" class=\"jet-form-builder__label\">None<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/kadin-sac-5.svg\" alt=\"\" class=\"wp-image-999965104\" style=\"object-fit:contain;width:60px;height:80px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"hair-situaition-woman\" id=\"hair-situaition-woman_1\" value=\"Light\" data-calculate=\"200\" required=\"1\" style=\"display:none;\"\/><label for=\"hair-situaition-woman_1\" class=\"jet-form-builder__label\">Light<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/kadin-sac-4.svg\" alt=\"\" class=\"wp-image-999965099\" style=\"object-fit:contain;width:60px;height:80px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"hair-situaition-woman\" id=\"hair-situaition-woman_2\" value=\"Light-Medium\" data-calculate=\"200\" required=\"1\" style=\"display:none;\"\/><label for=\"hair-situaition-woman_2\" class=\"jet-form-builder__label\">Light-Medium<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/kadin-sac-3.svg\" alt=\"\" class=\"wp-image-999965094\" style=\"object-fit:contain;width:60px;height:80px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"hair-situaition-woman\" id=\"hair-situaition-woman_3\" value=\"Medium\" data-calculate=\"200\" required=\"1\" style=\"display:none;\"\/><label for=\"hair-situaition-woman_3\" class=\"jet-form-builder__label\">Medium<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/kadin-sac-2.svg\" alt=\"\" class=\"wp-image-999965089\" style=\"object-fit:contain;width:60px;height:80px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"hair-situaition-woman\" id=\"hair-situaition-woman_4\" value=\"Medium-Extensive\" data-calculate=\"200\" required=\"1\" style=\"display:none;\"\/><label for=\"hair-situaition-woman_4\" class=\"jet-form-builder__label\">Medium-Extensive<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/kadin-sac-1.svg\" alt=\"\" class=\"wp-image-999965084\" style=\"object-fit:contain;width:60px;height:80px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"hair-situaition-woman\" id=\"hair-situaition-woman_5\" value=\"Extensive\" data-calculate=\"200\" required=\"1\" style=\"display:none;\"\/><label for=\"hair-situaition-woman_5\" class=\"jet-form-builder__label\">Extensive<\/label><\/span>\n\n<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n\n<\/div>\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"1\">Back<\/button>\t\t\t<button class=\"jet-form-builder__next-page next-back-break\" type=\"button\">Next<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"3\" data-page-offset=\"75\">\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns doc-row is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-bottom doc-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full is-resized doc-image\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/doctor-hair.svg\" alt=\"\" class=\"wp-image-999965234\" style=\"width:78px;height:auto\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading form-title has-black-color has-text-color has-link-color wp-elements-1bfbb6e299541d6ed3f9e015554aa751\" style=\"font-size:23px;font-style:normal;font-weight:700\">What is your hair colour?<\/h2>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns form-group-bg has-white-background-color has-background is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\" style=\"font-size:12px\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\"><div  class=\"jet-form-builder-row field-type-choices-field\" >\n<ul style=\"--jfb-choice-text:#ffffff;--jfb-choice-bg:#ffffff;--jfb-choice-hover-text:#000000;--jfb-choice-hover-bg:#dddddd;--jfb-choice-checked-text:#000000;--jfb-choice-checked-bg:#dddddd\" class=\"jet-form-builder-choice wp-block-jet-forms-choices-field has-hover-color-text has-hover-color-background jet-fb-switch-page-on-change is-content-justification-center is-layout-flex wp-container-jet-forms-choices-field-is-layout-3e41869c wp-block-jet-forms-choices-field-is-layout-flex\" data-jfb-sync=\"1\" role=\"radiogroup\" aria-required=\"true\">\n<li class=\"jet-form-builder-choice--item hair-loss-text wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/12\/siyah.svg\" alt=\"\" class=\"wp-image-999965339\" style=\"object-fit:contain;width:85px;height:70px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"choose_your_hair_colour\" id=\"choose_your_hair_colour\" value=\"Black\" required=\"1\" style=\"display:none;\"\/><label for=\"choose_your_hair_colour\" class=\"jet-form-builder__label\">Black<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/12\/kahverengi.svg\" alt=\"\" class=\"wp-image-999965345\" style=\"object-fit:contain;width:80px;height:70px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"choose_your_hair_colour\" id=\"choose_your_hair_colour_1\" value=\"Brown\" required=\"1\" style=\"display:none;\"\/><label for=\"choose_your_hair_colour_1\" class=\"jet-form-builder__label\">Brown<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/12\/sari.svg\" alt=\"\" class=\"wp-image-999965350\" style=\"object-fit:contain;width:80px;height:70px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"choose_your_hair_colour\" id=\"choose_your_hair_colour_2\" value=\"Blond\" required=\"1\" style=\"display:none;\"\/><label for=\"choose_your_hair_colour_2\" class=\"jet-form-builder__label\">Blond<\/label><\/span>\n\n<\/li>\n\n<li class=\"jet-form-builder-choice--item wp-block-jet-forms-choice has-background has-f-0-f-4-f-9-background-color wp-container-content-9cfa9a5a is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-jet-forms-choice-is-layout-1b21d9e5 wp-block-jet-forms-choice-is-layout-flex\" aria-checked=\"false\" role=\"radio\" tabindex=\"0\">\n\n<figure class=\"wp-block-image size-full is-resized is-style-default\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/12\/kirmizi.svg\" alt=\"\" class=\"wp-image-999965355\" style=\"object-fit:contain;width:80px;height:70px\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<span style=\"--jfb-choice-control-width:24px\" class=\"jet-form-builder-choice--item-control hair-loss-text wp-block-jet-forms-choice-control\"><input type=\"radio\" name=\"choose_your_hair_colour\" id=\"choose_your_hair_colour_3\" value=\"Ginger\" required=\"1\" style=\"display:none;\"\/><label for=\"choose_your_hair_colour_3\" class=\"jet-form-builder__label\">Ginger<\/label><\/span>\n\n<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"2\">Back<\/button>\t\t\t<button class=\"jet-form-builder__next-page next-back-break\" type=\"button\">Next<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"4\" data-page-offset=\"75\">\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns doc-row is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-bottom doc-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full is-resized doc-image\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/doctor-hair.svg\" alt=\"\" class=\"wp-image-999965234\" style=\"width:78px;height:auto\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading form-title has-black-color has-text-color has-link-color wp-elements-2db2d87c28a811e3b1aeb2dea8515c26\" style=\"font-size:23px;font-style:normal;font-weight:700\">Could you answer the questions below?<\/h2>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns form-group-bg has-white-background-color has-background is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\" style=\"font-size:12px\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.34%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\"><div  class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">For how long have you been experiencing hair loss? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"hair-loss-time\" data-field-name=\"hair-loss-time\" id=\"hair-loss-time\" data-jfb-sync=\"null\">\n\t\t<option value=\"\"  selected>Please select...<\/option><option value=\"1 Year\" >Less than 1 Year<\/option><option value=\"2 Years\" >2 Years<\/option><option value=\"3 Years\" >3 Years<\/option><option value=\"4 Years\" >4 Years<\/option><option value=\"5 Years\" >5 Years<\/option><option value=\"6 Years\" >6 Years<\/option><option value=\"7 Years\" >7 Years<\/option><option value=\"8 Years\" >8 Years<\/option><option value=\"9 Years\" >9 Years<\/option><option value=\"10+ Years\" >More than 10 years<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Have you ever had a hair transplant operation before? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"hair-operation-before\" value=\"Yes\" data-field-name=\"hair-operation-before\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Yes<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"hair-operation-before\" value=\"No\" data-field-name=\"hair-operation-before\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>No<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Yes&quot;,&quot;field&quot;:&quot;hair-operation-before&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  class=\"jet-form-builder-row field-type-date-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">When did you have a hair transplant operation? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><input class=\"jet-form-builder__field date-field\" required=\"required\" name=\"before_hair_transplant_time\" type=\"date\" data-field-name=\"before_hair_transplant_time\" id=\"before_hair_transplant_time\" data-jfb-sync=\"null\" min=\"1990-01-01\" data-max=\"&#039;%CT::CurrentDate|toDate%&#039;\">\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field jet-fb-switch-page-on-change\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">When do you intend to have a hair transplant? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"when_hair_transplant\" value=\"As soon as possible\" data-field-name=\"when_hair_transplant\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>As soon as possible<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"when_hair_transplant\" value=\"Within 3 months\" data-field-name=\"when_hair_transplant\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Within 3 months<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"when_hair_transplant\" value=\"In 1 year\" data-field-name=\"when_hair_transplant\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>In 1 year<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"when_hair_transplant\" value=\"I haven&#039;t planned it yet\" data-field-name=\"when_hair_transplant\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>I haven't planned it yet<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><\/div>\n<\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"3\">Back<\/button>\t\t\t<button class=\"jet-form-builder__next-page next-back-break\" type=\"button\">Next<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"5\" data-page-offset=\"75\">\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns doc-row is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-bottom doc-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full is-resized doc-image\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/doctor-hair.svg\" alt=\"\" class=\"wp-image-999965234\" style=\"width:78px;height:auto\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading form-title has-black-color has-text-color has-link-color wp-elements-ba235c4a2b94e8b9edd09bb98a38bb26\" style=\"font-size:23px;font-style:normal;font-weight:700\">Are you currently on any medications, or do you have any underlying health conditions?<\/h2>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns form-group-bg has-white-background-color has-background is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\" style=\"font-size:12px\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:70%\"><div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Are you currently using any medications?<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"are_you_using_medications\" value=\"Yes\" data-field-name=\"are_you_using_medications\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Yes<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"are_you_using_medications\" value=\"No\" data-field-name=\"are_you_using_medications\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>No<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Yes&quot;,&quot;field&quot;:&quot;are_you_using_medications&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  class=\"jet-form-builder-row field-type-textarea-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">What medications do you use? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t<textarea class=\"jet-form-builder__field textarea-field\" placeholder=\"Chronic diseases\" required=\"required\" name=\"Medications\" data-field-name=\"Medications\" id=\"Medications\" data-jfb-sync=\"null\"><\/textarea>\n\t<\/div>\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Do you have any existing medical conditions?<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"tibbi-durum\" value=\"Yes\" data-field-name=\"tibbi-durum\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Yes<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"tibbi-durum\" value=\"No\" data-field-name=\"tibbi-durum\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>No<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Yes&quot;,&quot;field&quot;:&quot;tibbi-durum&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  class=\"jet-form-builder-row field-type-textarea-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Kindly provide details regarding any specific health conditions you may have. <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t<textarea class=\"jet-form-builder__field textarea-field\" required=\"required\" name=\"medical_conditions\" data-field-name=\"medical_conditions\" id=\"medical_conditions\" data-jfb-sync=\"null\"><\/textarea>\n\t<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full is-resized med-img\"><img fetchpriority=\"high\" decoding=\"async\" width=\"839\" height=\"797\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/12\/medicine.png\" alt=\"\" class=\"wp-image-999965589\" style=\"width:217px;height:auto\" title=\"\" srcset=\"https:\/\/www.estevitalyahair.com\/wp-content\/uploads\/2023\/12\/medicine.png 839w, https:\/\/www.estevitalyahair.com\/wp-content\/uploads\/2023\/12\/medicine-300x285.png 300w, https:\/\/www.estevitalyahair.com\/wp-content\/uploads\/2023\/12\/medicine-768x730.png 768w\" sizes=\"(max-width: 839px) 100vw, 839px\" \/><figcaption><\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"4\">Back<\/button>\t\t\t<button class=\"jet-form-builder__next-page next-back-break\" type=\"button\">Next<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"6\" data-page-offset=\"75\">\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns doc-row is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-bottom doc-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full is-resized doc-image\"><img decoding=\"async\" src=\"https:\/\/estevitalyahair.com\/wp-content\/uploads\/2023\/04\/doctor-hair.svg\" alt=\"\" class=\"wp-image-999965234\" style=\"width:78px;height:auto\" title=\"\"><figcaption><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading form-title has-black-color has-text-color has-link-color wp-elements-3a452459009ac0f33b7875c9b9b7554c\" style=\"font-size:23px;font-style:normal;font-weight:700\">Nearly finished. Where should we send the result?<\/h2>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns form-group-bg has-white-background-color has-background is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\" style=\"font-size:12px\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.34%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.34%\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Name and Surname <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"name_and_surname\" id=\"name_and_surname\" type=\"text\" data-field-name=\"name_and_surname\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_hY9ef6oU\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">E-mail Address <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"e_mail_address\" id=\"e_mail_address\" type=\"email\" data-field-name=\"e_mail_address\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_zH3cqptl\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Telephone <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"frm_88_phone_no\" id=\"frm_88_phone_no\" type=\"tel\" data-field-name=\"frm_88_phone_no\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_7xPIuCtT\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"telephone\" id=\"telephone\" type=\"tel\" data-field-name=\"telephone\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_75T6XnRA\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"privacy-policy-accept[]\" value=\"Accept Privacy Policy\" data-field-name=\"privacy-policy-accept\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I have read and approved Privacy Policy.<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"privacy-policy-accept[]\" value=\"Agreed Contact\" data-field-name=\"privacy-policy-accept\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>I acknowledge and approve that contacting me is understood and agreed upon after reading and comprehending.<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><\/div>\n<\/div>\n<\/div>\n\n\n<input type=\"hidden\" class=\"captcha-token\" name=\"_captcha_token\" value=\"\"\/><div  class=\"jet-form-builder-row field-type-submit-field\" >\n\t<div data-type=\"submit\" class=\"jet-form-builder__action-button-wrapper jet-form-builder__submit-wrap has-prev\">\n<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"5\">Back<\/button>\t<button class=\"jet-form-builder__action-button jet-form-builder__submit submit-type-ajax\" type=\"submit\">Send<\/button>\n\t<\/div>\n\t\n<\/div><\/div>\t<div class=\"jet-form-builder-messages-wrap\" data-form-id=\"999963644\"><\/div>\n<\/form>\n\t\t\t\t<\/div>\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>1 2 3 4 5 6 Last Page Choose your gender&#8230; Man Woman Next Choose the frontal hair loss option that best fits your situation&#8230; None Light Light-Medium Medium Medium-Extensive Extensive Choose the frontal hair loss option that best fits your situation&#8230; None Light Light-Medium Medium Medium-Extensive Extensive Back Next What is your hair colour? [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"_jf_save_progress":"","footnotes":""},"class_list":["post-999968260","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.estevitalyahair.com\/de\/wp-json\/wp\/v2\/pages\/999968260","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.estevitalyahair.com\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.estevitalyahair.com\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.estevitalyahair.com\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.estevitalyahair.com\/de\/wp-json\/wp\/v2\/comments?post=999968260"}],"version-history":[{"count":0,"href":"https:\/\/www.estevitalyahair.com\/de\/wp-json\/wp\/v2\/pages\/999968260\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.estevitalyahair.com\/de\/wp-json\/wp\/v2\/media?parent=999968260"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}