{"id":33473,"date":"2025-10-30T13:48:41","date_gmt":"2025-10-30T06:48:41","guid":{"rendered":"https:\/\/www.aleenta.com\/?page_id=33473"},"modified":"2025-12-08T15:34:54","modified_gmt":"2025-12-08T08:34:54","slug":"health-assessment","status":"publish","type":"page","link":"https:\/\/www.aleenta.com\/fr\/ayurah-wellness\/health-assessment\/","title":{"rendered":"\u00c9valuation de la sant\u00e9"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"33473\" class=\"elementor elementor-33473\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-37bf8d2 e-flex e-con-boxed e-con e-parent\" data-id=\"37bf8d2\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b0dcb0c elementor-widget elementor-widget-heading\" data-id=\"b0dcb0c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Find Your Perfect Retreat<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c3d23b0 uael-gf-input-size-lg uael-gf-check-yes uael-gf-ajax-yes uael-gf-style-box uael-gf-enable-classes-no uael-gf-button-left uael-gf-btn-size-sm elementor-widget elementor-widget-uael-gf-styler\" data-id=\"c3d23b0\" data-element_type=\"widget\" data-widget_type=\"uael-gf-styler.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"uael-gf-style uael-gf-check-style elementor-clickable\">\n\t<script>\nvar 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class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_18' id='gform_18'  action='\/fr\/wp-json\/wp\/v2\/pages\/33473#gf_18' data-formid='18' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Ldm3JghAAAAAJIT-6sD-TiiMiRU8Wj0JQR51uOc' data-tabindex='1'><input id=\"input_d2c83a2b70b2758c0e33dce14d878ec9\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_d2c83a2b70b2758c0e33dce14d878ec9\" value=\"\"\/><\/div>\n        <div id='gf_progressbar_wrapper_18' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">\u00c9tape <span class='gf_step_current_page'>1<\/span> sur <span class='gf_step_page_count'>8<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_12' style='width:12%;'><span>12%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_18_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_18' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_18_55\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h4>Before Starting<\/h4>\nPlease provide us with the following information:<\/div><div id=\"field_18_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_31'>Full Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_18_31' type='text' value='' class='large'   tabindex='2'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_18_72\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_72'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_72' id='input_18_72' type='email' value='' class='large' tabindex='3'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_18_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_33'>Phone \/ Whatsapp<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_18_33' type='text' value='' class='large'   tabindex='4'   aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_18_85\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Country of Passport \/ Residence<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_country ginput_container_address gform-grid-row' id='input_18_85' >\n                        <input type='hidden' class='gform_hidden' name='input_85.4' id='input_18_85_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_18_85_6_container' >\n                                        <select name='input_85.6' id='input_18_85_6' tabindex='8'  aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine du Nord' >Mac\u00e9doine du Nord<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres Australes Fran\u00e7aises' >Terres Australes Fran\u00e7aises<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Turquie' >Turquie<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select>\n                                        <label for='input_18_85_6' id='input_18_85_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_18_12\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Age Range<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_18_12'>Please provide us with the following information<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_12'>\n\t\t\t<div class='gchoice gchoice_18_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Under 30'  id='choice_18_12_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_18_12\" tabindex='9'  \/>\n\t\t\t\t\t<label for='choice_18_12_0' id='label_18_12_0' class='gform-field-label gform-field-label--type-inline'>Under 30<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='30-39'  id='choice_18_12_1' onchange='gformToggleRadioOther( this )'  tabindex='10'  \/>\n\t\t\t\t\t<label for='choice_18_12_1' id='label_18_12_1' class='gform-field-label gform-field-label--type-inline'>30-39<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='40-49'  id='choice_18_12_2' onchange='gformToggleRadioOther( this )'  tabindex='11'  \/>\n\t\t\t\t\t<label for='choice_18_12_2' id='label_18_12_2' class='gform-field-label gform-field-label--type-inline'>40-49<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_12_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='50-59'  id='choice_18_12_3' onchange='gformToggleRadioOther( this )'  tabindex='12'  \/>\n\t\t\t\t\t<label for='choice_18_12_3' id='label_18_12_3' class='gform-field-label gform-field-label--type-inline'>50-59<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_12_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='60+'  id='choice_18_12_4' onchange='gformToggleRadioOther( this )'  tabindex='13'  \/>\n\t\t\t\t\t<label for='choice_18_12_4' id='label_18_12_4' class='gform-field-label gform-field-label--type-inline'>60+<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_66\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Preferred Language of Communication<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_66'>\n\t\t\t<div class='gchoice gchoice_18_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='English'  id='choice_18_66_0' onchange='gformToggleRadioOther( this )'  tabindex='14'  \/>\n\t\t\t\t\t<label for='choice_18_66_0' id='label_18_66_0' class='gform-field-label gform-field-label--type-inline'>English<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_66_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='German'  id='choice_18_66_1' onchange='gformToggleRadioOther( this )'  tabindex='15'  \/>\n\t\t\t\t\t<label for='choice_18_66_1' id='label_18_66_1' class='gform-field-label gform-field-label--type-inline'>German<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_66_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Thai'  id='choice_18_66_2' onchange='gformToggleRadioOther( this )'  tabindex='16'  \/>\n\t\t\t\t\t<label for='choice_18_66_2' id='label_18_66_2' class='gform-field-label gform-field-label--type-inline'>Thai<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_66_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='gf_other_choice'  id='choice_18_66_3' onchange='gformToggleRadioOther( this )'  tabindex='17'  \/>\n\t\t\t\t\t<label for='choice_18_66_3' id='label_18_66_3' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_18_66_other' class='gchoice_other_control' name='input_66_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier' tabindex='17' disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_91\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >When are you hoping to travel?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_91'>\n\t\t\t<div class='gchoice gchoice_18_91_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_91' type='radio' value='Within 1 month'  id='choice_18_91_0' onchange='gformToggleRadioOther( this )'  tabindex='18'  \/>\n\t\t\t\t\t<label for='choice_18_91_0' id='label_18_91_0' class='gform-field-label gform-field-label--type-inline'>Within 1 month<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_91_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_91' type='radio' value='1-3 months'  id='choice_18_91_1' onchange='gformToggleRadioOther( this )'  tabindex='19'  \/>\n\t\t\t\t\t<label for='choice_18_91_1' id='label_18_91_1' class='gform-field-label gform-field-label--type-inline'>1-3 months<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_91_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_91' type='radio' value='3-6 months'  id='choice_18_91_2' onchange='gformToggleRadioOther( this )'  tabindex='20'  \/>\n\t\t\t\t\t<label for='choice_18_91_2' id='label_18_91_2' class='gform-field-label gform-field-label--type-inline'>3-6 months<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_91_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_91' type='radio' value='6+ months \/ just exploring'  id='choice_18_91_3' onchange='gformToggleRadioOther( this )'  tabindex='21'  \/>\n\t\t\t\t\t<label for='choice_18_91_3' id='label_18_91_3' class='gform-field-label gform-field-label--type-inline'>6+ months \/ just exploring<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_62\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Is this your first stay with Aleenta \/\u00a0AYURAH?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_62'>\n\t\t\t<div class='gchoice gchoice_18_62_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='Yes'  id='choice_18_62_0' onchange='gformToggleRadioOther( this )'  tabindex='22'  \/>\n\t\t\t\t\t<label for='choice_18_62_0' id='label_18_62_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_62_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='No'  id='choice_18_62_1' onchange='gformToggleRadioOther( this )'  tabindex='23'  \/>\n\t\t\t\t\t<label for='choice_18_62_1' id='label_18_62_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_18_40' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='24' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_2' class='gform_page' data-js='page-field-id-40' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_18_56\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Preferred destination<\/legend><div class='gfield_description' id='gfield_description_18_56'>Which destination are you most interested in?<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_56'>\n\t\t\t<div class='gchoice gchoice_18_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Aleenta Phuket-Phang Nga'  id='choice_18_56_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_18_56\" tabindex='25'  \/>\n\t\t\t\t\t<label for='choice_18_56_0' id='label_18_56_0' class='gform-field-label gform-field-label--type-inline'>Aleenta Phuket-Phang Nga<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Aleenta Hua Hin-Pranburi'  id='choice_18_56_1' onchange='gformToggleRadioOther( this )'  tabindex='26'  \/>\n\t\t\t\t\t<label for='choice_18_56_1' id='label_18_56_1' class='gform-field-label gform-field-label--type-inline'>Aleenta Hua Hin-Pranburi<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_56_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Aleenta Chiang Mai'  id='choice_18_56_2' onchange='gformToggleRadioOther( this )'  tabindex='27'  \/>\n\t\t\t\t\t<label for='choice_18_56_2' id='label_18_56_2' class='gform-field-label gform-field-label--type-inline'>Aleenta Chiang Mai<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_56_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Not sure yet'  id='choice_18_56_3' onchange='gformToggleRadioOther( this )'  tabindex='28'  \/>\n\t\t\t\t\t<label for='choice_18_56_3' id='label_18_56_3' class='gform-field-label gform-field-label--type-inline'>Not sure yet<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_18_98' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='29' \/> <input type='button' id='gform_next_button_18_98' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='30' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_3' class='gform_page' data-js='page-field-id-98' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_3' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_18_95\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Length of Stay<\/legend><div class='gfield_description' id='gfield_description_18_95'>How long would you ideally like to stay?<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_95'>\n\t\t\t<div class='gchoice gchoice_18_95_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_95' type='radio' value='3 Nights \u2014 Reset'  id='choice_18_95_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_18_95\" tabindex='31'  \/>\n\t\t\t\t\t<label for='choice_18_95_0' id='label_18_95_0' class='gform-field-label gform-field-label--type-inline'>3 Nights \u2014 Reset<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_95_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_95' type='radio' value='5 Nights \u2014 Transform'  id='choice_18_95_1' onchange='gformToggleRadioOther( this )'  tabindex='32'  \/>\n\t\t\t\t\t<label for='choice_18_95_1' id='label_18_95_1' class='gform-field-label gform-field-label--type-inline'>5 Nights \u2014 Transform<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_95_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_95' type='radio' value='7+ Nights \u2014 Deep Dive'  id='choice_18_95_2' onchange='gformToggleRadioOther( this )'  tabindex='33'  \/>\n\t\t\t\t\t<label for='choice_18_95_2' id='label_18_95_2' class='gform-field-label gform-field-label--type-inline'>7+ Nights \u2014 Deep Dive<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_95_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_95' type='radio' value='14+ Nights \u2014 Life Recalibration'  id='choice_18_95_3' onchange='gformToggleRadioOther( this )'  tabindex='34'  \/>\n\t\t\t\t\t<label for='choice_18_95_3' id='label_18_95_3' class='gform-field-label gform-field-label--type-inline'>14+ Nights \u2014 Life Recalibration<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_18_94' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='35' \/> <input type='button' id='gform_next_button_18_94' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='36' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_4' class='gform_page' data-js='page-field-id-94' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_4' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_18_97\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Your Primary Wellness Goals<\/legend><div class='gfield_description' id='gfield_description_18_97'>Select as many as apply. Available programmes may vary based on length of stay.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_18_97'><div class='gchoice gchoice_18_97_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.1' type='checkbox'  value='Longevity &amp; prevention'  id='choice_18_97_1' tabindex='37'  aria-describedby=\"gfield_description_18_97\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_18_97_1' id='label_18_97_1' class='gform-field-label gform-field-label--type-inline'>Longevity &amp; prevention<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_97_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.2' type='checkbox'  value='Cognitive function &amp; mental clarity'  id='choice_18_97_2' tabindex='38'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_97_2' id='label_18_97_2' class='gform-field-label gform-field-label--type-inline'>Cognitive function &amp; mental clarity<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_97_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.3' type='checkbox'  value='Stress management &amp; nervous system reset'  id='choice_18_97_3' tabindex='39'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_97_3' id='label_18_97_3' class='gform-field-label gform-field-label--type-inline'>Stress management &amp; nervous system reset<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_97_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.4' type='checkbox'  value='Healthy weight &amp; metabolic balance'  id='choice_18_97_4' tabindex='40'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_97_4' id='label_18_97_4' class='gform-field-label gform-field-label--type-inline'>Healthy weight &amp; metabolic balance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_97_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.5' type='checkbox'  value='Detox &amp; digestive optimisation'  id='choice_18_97_5' tabindex='41'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_97_5' id='label_18_97_5' class='gform-field-label gform-field-label--type-inline'>Detox &amp; digestive optimisation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_97_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.6' type='checkbox'  value='Hormonal balance'  id='choice_18_97_6' tabindex='42'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_97_6' id='label_18_97_6' class='gform-field-label gform-field-label--type-inline'>Hormonal balance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_97_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.7' type='checkbox'  value='Sleep improvement'  id='choice_18_97_7' tabindex='43'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_97_7' id='label_18_97_7' class='gform-field-label gform-field-label--type-inline'>Sleep improvement<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_97_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.8' type='checkbox'  value='Energy &amp; fatigue recovery'  id='choice_18_97_8' tabindex='44'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_97_8' id='label_18_97_8' class='gform-field-label gform-field-label--type-inline'>Energy &amp; fatigue recovery<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_97_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.9' type='checkbox'  value='Emotional wellbeing'  id='choice_18_97_9' tabindex='45'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_97_9' id='label_18_97_9' class='gform-field-label gform-field-label--type-inline'>Emotional wellbeing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_97_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.11' type='checkbox'  value='Pain management (muscular \/ joint)'  id='choice_18_97_11' tabindex='46'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_97_11' id='label_18_97_11' class='gform-field-label gform-field-label--type-inline'>Pain management (muscular \/ joint)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_97_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.12' type='checkbox'  value='Holistic support for bones &amp; joints'  id='choice_18_97_12' tabindex='47'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_97_12' id='label_18_97_12' class='gform-field-label gform-field-label--type-inline'>Holistic support for bones &amp; joints<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_97_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.13' type='checkbox'  value='General wellbeing &amp; relaxation'  id='choice_18_97_13' tabindex='48'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_97_13' id='label_18_97_13' class='gform-field-label gform-field-label--type-inline'>General wellbeing &amp; relaxation<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_18_96' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='49' \/> <input type='button' id='gform_next_button_18_96' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='50' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_5' class='gform_page' data-js='page-field-id-96' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_18_101\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >How often do you exercise?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_101'>\n\t\t\t<div class='gchoice gchoice_18_101_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_101' type='radio' value='Never'  id='choice_18_101_0' onchange='gformToggleRadioOther( this )'  tabindex='51'  \/>\n\t\t\t\t\t<label for='choice_18_101_0' id='label_18_101_0' class='gform-field-label gform-field-label--type-inline'>Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_101_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_101' type='radio' value='Once a week'  id='choice_18_101_1' onchange='gformToggleRadioOther( this )'  tabindex='52'  \/>\n\t\t\t\t\t<label for='choice_18_101_1' id='label_18_101_1' class='gform-field-label gform-field-label--type-inline'>Once a week<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_101_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_101' type='radio' value='2-3 times per week'  id='choice_18_101_2' onchange='gformToggleRadioOther( this )'  tabindex='53'  \/>\n\t\t\t\t\t<label for='choice_18_101_2' id='label_18_101_2' class='gform-field-label gform-field-label--type-inline'>2-3 times per week<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_101_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_101' type='radio' value='4 or more times per week'  id='choice_18_101_3' onchange='gformToggleRadioOther( this )'  tabindex='54'  \/>\n\t\t\t\t\t<label for='choice_18_101_3' id='label_18_101_3' class='gform-field-label gform-field-label--type-inline'>4 or more times per week<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_99\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Your current stress level:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_99'>\n\t\t\t<div class='gchoice gchoice_18_99_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_99' type='radio' value='Low'  id='choice_18_99_0' onchange='gformToggleRadioOther( this )'  tabindex='55'  \/>\n\t\t\t\t\t<label for='choice_18_99_0' id='label_18_99_0' class='gform-field-label gform-field-label--type-inline'>Low<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_99_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_99' type='radio' value='Moderate'  id='choice_18_99_1' onchange='gformToggleRadioOther( this )'  tabindex='56'  \/>\n\t\t\t\t\t<label for='choice_18_99_1' id='label_18_99_1' class='gform-field-label gform-field-label--type-inline'>Moderate<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_99_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_99' type='radio' value='High'  id='choice_18_99_2' onchange='gformToggleRadioOther( this )'  tabindex='57'  \/>\n\t\t\t\t\t<label for='choice_18_99_2' id='label_18_99_2' class='gform-field-label gform-field-label--type-inline'>High<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_105\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Do you experience muscular or joint pain?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_105'>\n\t\t\t<div class='gchoice gchoice_18_105_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='Never'  id='choice_18_105_0' onchange='gformToggleRadioOther( this )'  tabindex='58'  \/>\n\t\t\t\t\t<label for='choice_18_105_0' id='label_18_105_0' class='gform-field-label gform-field-label--type-inline'>Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_105_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='Occasionally'  id='choice_18_105_1' onchange='gformToggleRadioOther( this )'  tabindex='59'  \/>\n\t\t\t\t\t<label for='choice_18_105_1' id='label_18_105_1' class='gform-field-label gform-field-label--type-inline'>Occasionally<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_105_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='Often'  id='choice_18_105_2' onchange='gformToggleRadioOther( this )'  tabindex='60'  \/>\n\t\t\t\t\t<label for='choice_18_105_2' id='label_18_105_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_104\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Quality of your sleep:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_104'>\n\t\t\t<div class='gchoice gchoice_18_104_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_104' type='radio' value='Very good'  id='choice_18_104_0' onchange='gformToggleRadioOther( this )'  tabindex='61'  \/>\n\t\t\t\t\t<label for='choice_18_104_0' id='label_18_104_0' class='gform-field-label gform-field-label--type-inline'>Very good<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_104_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_104' type='radio' value='Good, with room for improvement'  id='choice_18_104_1' onchange='gformToggleRadioOther( this )'  tabindex='62'  \/>\n\t\t\t\t\t<label for='choice_18_104_1' id='label_18_104_1' class='gform-field-label gform-field-label--type-inline'>Good, with room for improvement<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_104_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_104' type='radio' value='Far from optimal'  id='choice_18_104_2' onchange='gformToggleRadioOther( this )'  tabindex='63'  \/>\n\t\t\t\t\t<label for='choice_18_104_2' id='label_18_104_2' class='gform-field-label gform-field-label--type-inline'>Far from optimal<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_100\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Digestive comfort (bloating, constipation, discomfort):<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_100'>\n\t\t\t<div class='gchoice gchoice_18_100_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_100' type='radio' value='Never'  id='choice_18_100_0' onchange='gformToggleRadioOther( this )'  tabindex='64'  \/>\n\t\t\t\t\t<label for='choice_18_100_0' id='label_18_100_0' class='gform-field-label gform-field-label--type-inline'>Never<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_100_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_100' type='radio' value='Occasionally'  id='choice_18_100_1' onchange='gformToggleRadioOther( this )'  tabindex='65'  \/>\n\t\t\t\t\t<label for='choice_18_100_1' id='label_18_100_1' class='gform-field-label gform-field-label--type-inline'>Occasionally<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_100_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_100' type='radio' value='Often'  id='choice_18_100_2' onchange='gformToggleRadioOther( this )'  tabindex='66'  \/>\n\t\t\t\t\t<label for='choice_18_100_2' id='label_18_100_2' class='gform-field-label gform-field-label--type-inline'>Often<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_107\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mental clarity &amp; focus:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_107'>\n\t\t\t<div class='gchoice gchoice_18_107_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Very good'  id='choice_18_107_0' onchange='gformToggleRadioOther( this )'  tabindex='67'  \/>\n\t\t\t\t\t<label for='choice_18_107_0' id='label_18_107_0' class='gform-field-label gform-field-label--type-inline'>Very good<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_107_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Good, with room for improvement'  id='choice_18_107_1' onchange='gformToggleRadioOther( this )'  tabindex='68'  \/>\n\t\t\t\t\t<label for='choice_18_107_1' id='label_18_107_1' class='gform-field-label gform-field-label--type-inline'>Good, with room for improvement<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_107_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Not so good'  id='choice_18_107_2' onchange='gformToggleRadioOther( this )'  tabindex='69'  \/>\n\t\t\t\t\t<label for='choice_18_107_2' id='label_18_107_2' class='gform-field-label gform-field-label--type-inline'>Not so good<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_107_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Far from optimal'  id='choice_18_107_3' onchange='gformToggleRadioOther( this )'  tabindex='70'  \/>\n\t\t\t\t\t<label for='choice_18_107_3' id='label_18_107_3' class='gform-field-label gform-field-label--type-inline'>Far from optimal<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_102\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Recent fatigue or lack of energy?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_102'>\n\t\t\t<div class='gchoice gchoice_18_102_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_102' type='radio' value='Yes'  id='choice_18_102_0' onchange='gformToggleRadioOther( this )'  tabindex='71'  \/>\n\t\t\t\t\t<label for='choice_18_102_0' id='label_18_102_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_102_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_102' type='radio' value='No'  id='choice_18_102_1' onchange='gformToggleRadioOther( this )'  tabindex='72'  \/>\n\t\t\t\t\t<label for='choice_18_102_1' id='label_18_102_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_106\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-horizontal\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Frequent tension in neck, back or shoulders?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_106'>\n\t\t\t<div class='gchoice gchoice_18_106_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_106' type='radio' value='Yes'  id='choice_18_106_0' onchange='gformToggleRadioOther( this )'  tabindex='73'  \/>\n\t\t\t\t\t<label for='choice_18_106_0' id='label_18_106_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_106_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_106' type='radio' value='No'  id='choice_18_106_1' onchange='gformToggleRadioOther( this )'  tabindex='74'  \/>\n\t\t\t\t\t<label for='choice_18_106_1' id='label_18_106_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_18_13\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Current mood \/ emotional wellbeing:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_13'>\n\t\t\t<div class='gchoice gchoice_18_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Very good'  id='choice_18_13_0' onchange='gformToggleRadioOther( this )'  tabindex='75'  \/>\n\t\t\t\t\t<label for='choice_18_13_0' id='label_18_13_0' class='gform-field-label gform-field-label--type-inline'>Very good<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Good, with room for improvement'  id='choice_18_13_1' onchange='gformToggleRadioOther( this )'  tabindex='76'  \/>\n\t\t\t\t\t<label for='choice_18_13_1' id='label_18_13_1' class='gform-field-label gform-field-label--type-inline'>Good, with room for improvement<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Not so good'  id='choice_18_13_2' onchange='gformToggleRadioOther( this )'  tabindex='77'  \/>\n\t\t\t\t\t<label for='choice_18_13_2' id='label_18_13_2' class='gform-field-label gform-field-label--type-inline'>Not so good<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Far from optimal'  id='choice_18_13_3' onchange='gformToggleRadioOther( this )'  tabindex='78'  \/>\n\t\t\t\t\t<label for='choice_18_13_3' id='label_18_13_3' class='gform-field-label gform-field-label--type-inline'>Far from optimal<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_18_65' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='79' \/> <input type='button' id='gform_next_button_18_65' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='80' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_6' class='gform_page' data-js='page-field-id-65' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_6' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_18_64\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Your Preferred Retreat Experience Style<\/legend><div class='gfield_description' id='gfield_description_18_64'>Which type of experience do you feel most drawn to? (You may choose more than one)<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_18_64'><div class='gchoice gchoice_18_64_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_64.1' type='checkbox'  value='Purely Holistic\u00a0\u2014 yoga, meditation, massage &amp; natural healing'  id='choice_18_64_1' tabindex='81'  aria-describedby=\"gfield_description_18_64\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_18_64_1' id='label_18_64_1' class='gform-field-label gform-field-label--type-inline'>Purely Holistic\u00a0\u2014 yoga, meditation, massage &amp; natural healing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_64_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_64.2' type='checkbox'  value='Active &amp; Movement-Based\u00a0\u2014 fitness, Muay Thai, cycling &amp; training'  id='choice_18_64_2' tabindex='82'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_64_2' id='label_18_64_2' class='gform-field-label gform-field-label--type-inline'>Active &amp; Movement-Based\u00a0\u2014 fitness, Muay Thai, cycling &amp; training<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_64_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_64.3' type='checkbox'  value='Science-Informed Wellness\u00a0\u2014 lab insights, body scans, IVs &amp; biohacking'  id='choice_18_64_3' tabindex='83'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_64_3' id='label_18_64_3' class='gform-field-label gform-field-label--type-inline'>Science-Informed Wellness\u00a0\u2014 lab insights, body scans, IVs &amp; biohacking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_18_64_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_64.4' type='checkbox'  value='A Balanced Blend\u00a0\u2014 spa therapies with guided medical &amp; longevity insights'  id='choice_18_64_4' tabindex='84'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_18_64_4' id='label_18_64_4' class='gform-field-label gform-field-label--type-inline'>A Balanced Blend\u00a0\u2014 spa therapies with guided medical &amp; longevity insights<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_18_68' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='85' \/> <input type='button' id='gform_next_button_18_68' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='86' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_7' class='gform_page' data-js='page-field-id-68' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_7' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_18_90\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Gentle Medical Awareness<\/legend><div class='gfield_description' id='gfield_description_18_90'>Do you have any diagnosed medical conditions we should consider when designing your programme?<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_18_90'>\n\t\t\t<div class='gchoice gchoice_18_90_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='Yes'  id='choice_18_90_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_18_90\" tabindex='87'  \/>\n\t\t\t\t\t<label for='choice_18_90_0' id='label_18_90_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_90_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='No'  id='choice_18_90_1' onchange='gformToggleRadioOther( this )'  tabindex='88'  \/>\n\t\t\t\t\t<label for='choice_18_90_1' id='label_18_90_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_18_90_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='gf_other_choice'  id='choice_18_90_2' onchange='gformToggleRadioOther( this )'  tabindex='89'  \/>\n\t\t\t\t\t<label for='choice_18_90_2' id='label_18_90_2' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_18_90_other' class='gchoice_other_control' name='input_90_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier' tabindex='89' disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_18_89\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_89'>Dietary Needs<\/label><div class='gfield_description' id='gfield_description_18_89'>Any important dietary preferences, allergies or sensitivities?<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_89' id='input_18_89' class='textarea large' tabindex='90' aria-describedby=\"gfield_description_18_89\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_18_108\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_108'>Additional Notes<\/label><div class='gfield_description' id='gfield_description_18_108'>Is there anything else you would like our wellness team to know?<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_108' id='input_18_108' class='textarea large' tabindex='91' aria-describedby=\"gfield_description_18_108\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_18_54' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='92' \/> <input type='button' id='gform_next_button_18_54' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='93' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_8' class='gform_page' data-js='page-field-id-54' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_18_8' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_18_37\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_37.1' id='input_18_37_1' type='checkbox' value='1' tabindex='94'  aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_18_37_1' >I understand that my Tailor-Made programme may be reviewed and adjusted by the\u00a0AYURAH\u00a0wellness and medical advisory team to ensure safety and optimal results.<\/label><input type='hidden' name='input_37.2' value='I understand that my Tailor-Made programme may be reviewed and adjusted by the\u00a0AYURAH\u00a0wellness and medical advisory team to ensure safety and optimal results.' class='gform_hidden' \/><input type='hidden' name='input_37.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_18_81\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_81.1' id='input_18_81_1' type='checkbox' value='1' tabindex='95'  aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_18_81_1' >I accept Aleenta\u2019s Privacy &amp; Cookies Policy and consent to be contacted for my personalised retreat consultation.<\/label><input type='hidden' name='input_81.2' value='I accept Aleenta\u2019s Privacy &amp; Cookies Policy and consent to be contacted for my personalised retreat consultation.' class='gform_hidden' \/><input 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