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[mwai-form-field id=”mwai-870sjjtg1″ label=”What is your Age?” type=”checkbox” name=”Age” options=”%5B%7B%22label%22%3A%22Under%2020%22%2C%22value%22%3A%22Under%2020%22%7D%2C%7B%22label%22%3A%2220-30%22%2C%22value%22%3A%2220-30%22%7D%2C%7B%22label%22%3A%2230-40%22%2C%22value%22%3A%2230-40%22%7D%2C%7B%22label%22%3A%2240-50%22%2C%22value%22%3A%2240-50%22%7D%2C%7B%22label%22%3A%22Over%2050%22%2C%22value%22%3A%22Over%2050%22%7D%5D”]
[mwai-form-field id=”mwai-18gjsqj8m” label=”What is your Gender?” type=”radio” name=”Gender” options=”%5B%7B%22label%22%3A%22Male%22%2C%22value%22%3A%22Male%22%7D%2C%7B%22label%22%3A%22Female%22%2C%22value%22%3A%22Female%22%7D%2C%7B%22label%22%3A%22Non-Binary%22%2C%22value%22%3A%22Non-Binary%22%7D%5D”]
[mwai-form-field id=”mwai-i97b7cv9y” label=”Which Area Concerns you the most?” type=”select” name=”Concern” options=”%5B%7B%22label%22%3A%22Around%20the%20Eyes%22%2C%22value%22%3A%22Around%20the%20Eyes%22%7D%2C%7B%22label%22%3A%22Forehead%22%2C%22value%22%3A%22Forehead%22%7D%2C%7B%22label%22%3A%22Mouth%20and%20Lips%22%2C%22value%22%3A%22Mouth%20and%20Lips%22%7D%2C%7B%22label%22%3A%22Neck%22%2C%22value%22%3A%22Neck%22%7D%5D”]
[mwai-form-field id=”mwai-j1tdpvyb7″ label=”What is your Skin Type?” type=”radio” name=”Skin” options=”%5B%7B%22label%22%3A%22Oily%22%2C%22value%22%3A%22Oily%22%7D%2C%7B%22label%22%3A%22Dry%22%2C%22value%22%3A%22Dry%22%7D%2C%7B%22label%22%3A%22Normal%22%2C%22value%22%3A%22Normal%22%7D%2C%7B%22label%22%3A%22Combination%22%2C%22value%22%3A%22Combination%22%7D%5D”]
[mwai-form-field id=”mwai-nxitl5n7r” label=”Do you have any specific Skincare Preferecens?” type=”checkbox” name=”Preference” options=”%5B%7B%22label%22%3A%22Natural%20and%20Organic%20Products%22%2C%22value%22%3A%22Natural%20and%20Organic%20Products%22%7D%2C%7B%22label%22%3A%22Products%20with%20Retinol%20or%20Hyaluronic%20Acid%22%2C%22value%22%3A%22Products%20with%20Retinol%20or%20Hyaluronic%20Acid%22%7D%2C%7B%22label%22%3A%22Cruelty-Free%20Products%22%2C%22value%22%3A%22Cruelty-Free%20Products%22%7D%2C%7B%22label%22%3A%22No%20Specific%20Preference%22%2C%22value%22%3A%22No%20Specific%20Preference%22%7D%5D”]
[mwai-form-field id=”mwai-q7tcfcxpw” label=”Now Describe your problem in details?” type=”textarea” name=”Problem” options=”%5B%5D” placeholder=”Write your problem” rows=”4″ default=”Null”]
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