{"id":8144,"date":"2021-09-24T14:46:02","date_gmt":"2021-09-24T12:46:02","guid":{"rendered":"https:\/\/beautysane.com\/bodycheck"},"modified":"2022-10-16T14:30:19","modified_gmt":"2022-10-16T12:30:19","slug":"bodycheck","status":"publish","type":"page","link":"https:\/\/beautysane.com\/en\/bodycheck","title":{"rendered":"BodyCheck"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_4' style='display:none'><div id='gf_4' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_4' id='gform_4'  action='\/en\/wp-json\/wp\/v2\/pages\/8144#gf_4' data-formid='4' novalidate><ul class=\"container custom_progress_steps\"><li class=\"step_1 active\"><img src=\"https:\/\/beautysane.com\/wp-content\/themes\/storefront-child\/assets\/images\/bodycheck\/step_1.svg\" alt=\"\"><\/li><li class=\"step_2\"><img src=\"https:\/\/beautysane.com\/wp-content\/themes\/storefront-child\/assets\/images\/bodycheck\/step_2.svg\" alt=\"\"><\/li><li class=\"step_3\"><img src=\"https:\/\/beautysane.com\/wp-content\/themes\/storefront-child\/assets\/images\/bodycheck\/step_3.svg\" alt=\"\"><\/li><li class=\"step_4\"><img src=\"https:\/\/beautysane.com\/wp-content\/themes\/storefront-child\/assets\/images\/bodycheck\/step_4.svg\" alt=\"\"><\/li><li class=\"step_5\"><img src=\"https:\/\/beautysane.com\/wp-content\/themes\/storefront-child\/assets\/images\/bodycheck\/step_5.svg\" alt=\"\"><\/li><li class=\"step_6\"><img src=\"https:\/\/beautysane.com\/wp-content\/themes\/storefront-child\/assets\/images\/bodycheck\/step_6.svg\" alt=\"\"><\/li><li class=\"step_7\"><img src=\"https:\/\/beautysane.com\/wp-content\/themes\/storefront-child\/assets\/images\/bodycheck\/step_7.svg\" alt=\"\"><\/li><\/ul><div class=\"title_backgrounds_container\"><p class=\"title\">BodyCheck<span>by Beautysan\u00e9<\/span><\/p><div class=\"backgrounds woman\"><div class='womens_photo' style='background-image: url(\"https:\/\/beautysane.ams3.digitaloceanspaces.com\/wp-content\/uploads\/2021\/09\/29034239\/bodycheck_femme.jpeg\")'><\/div><div class='mans_photo' style='background-image: url(\"https:\/\/beautysane.ams3.digitaloceanspaces.com\/wp-content\/uploads\/2021\/09\/29034238\/bodycheck_homme.jpg\")'><\/div><img class=\"image_b\" src=\"https:\/\/beautysane.ams3.digitaloceanspaces.com\/wp-content\/uploads\/2021\/09\/29034240\/bc_image_b.svg\" alt=\"\"><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_4_1' class='gform_page ' data-js='page-field-id-0' >\n                                    <div class='gform_page_fields'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_74\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_74\" ><div class='ginput_container ginput_container_text'><input name='input_74' id='input_4_74' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='1' \/><\/div><\/div><div id=\"field_4_69\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_69\" ><div class='ginput_container ginput_container_text'><input name='input_69' id='input_4_69' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='0' \/><\/div><\/div><div id=\"field_4_70\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_70\" ><div class='ginput_container ginput_container_text'><input name='input_70' id='input_4_70' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='0' \/><\/div><\/div><div id=\"field_4_72\" class=\"gfield gfield--type-email gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_72\" ><label class='gfield_label gform-field-label' for='input_4_72'>E-mail Sponsor<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_72' id='input_4_72' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_4_75\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_75\" ><div class='ginput_container ginput_container_text'><input name='input_75' id='input_4_75' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='0' \/><\/div><\/div><div id=\"field_4_2\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_2\" >Let&#8217;s get to know each other<\/div><fieldset id=\"field_4_3\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full civility_choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_3\" ><legend class='gfield_label gform-field-label' >You are<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_3'>\n\t\t\t<div class='gchoice gchoice_4_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='[A] A man'  id='choice_4_3_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_3_0' id='label_4_3_0' class='gform-field-label gform-field-label--type-inline'>A man<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='[B] A woman'  id='choice_4_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_3_1' id='label_4_3_1' class='gform-field-label gform-field-label--type-inline'>A woman<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_4\" class=\"gfield gfield--type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_4\" ><label class='gfield_label gform-field-label' for='input_4_4'>Your age<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_4' id='input_4_4' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_4_5\" class=\"gfield gfield--type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_5\" ><label class='gfield_label gform-field-label' for='input_4_5'>Your height<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_5' id='input_4_5' type='number' step='any'   value='' class='large'    placeholder='in cm (ex: 175)' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_4_6\" class=\"gfield gfield--type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_6\" ><label class='gfield_label gform-field-label' for='input_4_6'>Your weight<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_6' id='input_4_6' type='number' step='any'   value='' class='large'    placeholder='in kg (ex:65)' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_4_7\" class=\"gfield gfield--type-text gfield--width-full grid_width_6 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_7\" ><label class='gfield_label gform-field-label' for='input_4_7'>Your first 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_7' id='input_4_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_73\" class=\"gfield gfield--type-text gfield--width-full grid_width_6 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_73\" ><label class='gfield_label gform-field-label' for='input_4_73'>Your last 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_73' id='input_4_73' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_2' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_8\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_8\" >Your eating habits<\/div><fieldset id=\"field_4_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_9\" ><legend class='gfield_label gform-field-label' >How many servings of starchy foods (pasta, rice, potatoes, pulses, etc.) do you consume?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_9'>\n\t\t\t<div class='gchoice gchoice_4_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='[A] 3 or more servings per day'  id='choice_4_9_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_9\"   \/>\n\t\t\t\t\t<label for='choice_4_9_0' id='label_4_9_0' class='gform-field-label gform-field-label--type-inline'>3 or more servings per day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='[B] 2 to 3 servings per day'  id='choice_4_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_9_1' id='label_4_9_1' class='gform-field-label gform-field-label--type-inline'>2 to 3 servings per day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='[C] Less than 1 time per day'  id='choice_4_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_9_2' id='label_4_9_2' class='gform-field-label gform-field-label--type-inline'>Less than 1 time per day<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_4_9'>(1 serving = 1\/3 plate)<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_17' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_3' class='gform_page' data-js='page-field-id-17' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_18\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_18\" >Your eating habits<\/div><fieldset id=\"field_4_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_10\" ><legend class='gfield_label gform-field-label' >How many servings of vegetables do you eat?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_10'>\n\t\t\t<div class='gchoice gchoice_4_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='[A] 3 or more servings per day'  id='choice_4_10_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_10\"   \/>\n\t\t\t\t\t<label for='choice_4_10_0' id='label_4_10_0' class='gform-field-label gform-field-label--type-inline'>3 or more servings per day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='[B] 1 to 2 servings per day'  id='choice_4_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_10_1' id='label_4_10_1' class='gform-field-label gform-field-label--type-inline'>1 to 2 servings per day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='[C] Less than 5 times a week'  id='choice_4_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_10_2' id='label_4_10_2' class='gform-field-label gform-field-label--type-inline'>Less than 5 times a week<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_4_10'>(1 serving = 1\/3 plate)<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_19' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_4' class='gform_page' data-js='page-field-id-19' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_20\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_20\" >Your eating habits<\/div><fieldset id=\"field_4_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_11\" ><legend class='gfield_label gform-field-label' >How much protein do you consume (meat, fish, eggs, pulses)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_11'>\n\t\t\t<div class='gchoice gchoice_4_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='[A] 2 or more servings per day'  id='choice_4_11_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_11\"   \/>\n\t\t\t\t\t<label for='choice_4_11_0' id='label_4_11_0' class='gform-field-label gform-field-label--type-inline'>2 or more servings per day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='[B] 1 serving per day'  id='choice_4_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_11_1' id='label_4_11_1' class='gform-field-label gform-field-label--type-inline'>1 serving per day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='[C] Less than 3 times a week'  id='choice_4_11_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_11_2' id='label_4_11_2' class='gform-field-label gform-field-label--type-inline'>Less than 3 times a week<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_4_11'>(1 serving = 1\/3 plate)<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_21' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_5' class='gform_page' data-js='page-field-id-21' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_22\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_22\" >Your eating habits<\/div><fieldset id=\"field_4_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_12\" ><legend class='gfield_label gform-field-label' >How much dairy do you consume?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_12'>\n\t\t\t<div class='gchoice gchoice_4_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='[A] 3 or more servings per day'  id='choice_4_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_12_0' id='label_4_12_0' class='gform-field-label gform-field-label--type-inline'>3 or more servings per day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='[B] 1 to 2 servings per day'  id='choice_4_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_12_1' id='label_4_12_1' class='gform-field-label gform-field-label--type-inline'>1 to 2 servings per day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='[C] Less than 5 times a week'  id='choice_4_12_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_12_2' id='label_4_12_2' class='gform-field-label gform-field-label--type-inline'>Less than 5 times a week<\/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_4_23' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_6' class='gform_page' data-js='page-field-id-23' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_24\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_24\" >Your eating habits<\/div><fieldset id=\"field_4_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_13\" ><legend class='gfield_label gform-field-label' >How many servings of fruit do you consume?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_13'>\n\t\t\t<div class='gchoice gchoice_4_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='[A] 2 or more servings per day'  id='choice_4_13_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_13\"   \/>\n\t\t\t\t\t<label for='choice_4_13_0' id='label_4_13_0' class='gform-field-label gform-field-label--type-inline'>2 or more servings per day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='[B] 1 serving per day'  id='choice_4_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_13_1' id='label_4_13_1' class='gform-field-label gform-field-label--type-inline'>1 serving per day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='[C] Less than 5 times a week'  id='choice_4_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_13_2' id='label_4_13_2' class='gform-field-label gform-field-label--type-inline'>Less than 5 times a week<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_4_13'>(1 serving = 1 handful or 1 compote)<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_25' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_7' class='gform_page' data-js='page-field-id-25' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_26\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_26\" >Your eating habits<\/div><fieldset id=\"field_4_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_14\" ><legend class='gfield_label gform-field-label' >What is your consumption of fatty products (cold cuts, fried foods, pastries&#8230;)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_14'>\n\t\t\t<div class='gchoice gchoice_4_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='[A] Less than once a week'  id='choice_4_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_14_0' id='label_4_14_0' class='gform-field-label gform-field-label--type-inline'>Less than once a week<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='[B] 2 to 3 times a week'  id='choice_4_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_14_1' id='label_4_14_1' class='gform-field-label gform-field-label--type-inline'>2 to 3 times a week<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_14_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='[C] Every day'  id='choice_4_14_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_14_2' id='label_4_14_2' class='gform-field-label gform-field-label--type-inline'>Every day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_14_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='[D] Several times a day'  id='choice_4_14_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_14_3' id='label_4_14_3' class='gform-field-label gform-field-label--type-inline'>Several times a day<\/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_4_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_8' class='gform_page' data-js='page-field-id-27' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_28\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_28\" >Your eating habits<\/div><fieldset id=\"field_4_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_15\" ><legend class='gfield_label gform-field-label' >What is your consumption of sweet products (sodas, cakes, ice creams, cookies, dessert creams&#8230;)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_15'>\n\t\t\t<div class='gchoice gchoice_4_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='[A] Less than once a week'  id='choice_4_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_15_0' id='label_4_15_0' class='gform-field-label gform-field-label--type-inline'>Less than once a week<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='[B] 2 to 3 times a week'  id='choice_4_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_15_1' id='label_4_15_1' class='gform-field-label gform-field-label--type-inline'>2 to 3 times a week<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='[C] Every day'  id='choice_4_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_15_2' id='label_4_15_2' class='gform-field-label gform-field-label--type-inline'>Every day<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='[D] Several times a day'  id='choice_4_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_15_3' id='label_4_15_3' class='gform-field-label gform-field-label--type-inline'>Several times a day<\/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_4_29' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_9' class='gform_page' data-js='page-field-id-29' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_30\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_30\" >Your pace of life<\/div><fieldset id=\"field_4_31\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full last_is_none gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_31\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Do you get at least 30 minutes of activity per day?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_31'><div class='gchoice gchoice_4_31_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.1' type='checkbox'  value='[A] Domestic (cleaning, ironing, housekeeping,...)'  id='choice_4_31_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_31_1' id='label_4_31_1' class='gform-field-label gform-field-label--type-inline'>Domestic (cleaning, ironing, housekeeping,&#8230;)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_31_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.2' type='checkbox'  value='[B] Work (handling, transport, walking,...)'  id='choice_4_31_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_31_2' id='label_4_31_2' class='gform-field-label gform-field-label--type-inline'>Work (handling, transport, walking,&#8230;)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_31_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.3' type='checkbox'  value='[C] Hobbies (gardening, crafts, hiking, brisk walking, cycling...)'  id='choice_4_31_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_31_3' id='label_4_31_3' class='gform-field-label gform-field-label--type-inline'>Hobbies (gardening, crafts, hiking, brisk walking, cycling&#8230;)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_31_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.4' type='checkbox'  value='[D] None'  id='choice_4_31_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_31_4' id='label_4_31_4' class='gform-field-label gform-field-label--type-inline'>None<\/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_4_33' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_10' class='gform_page' data-js='page-field-id-33' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_34\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_34\" >Your pace of life<\/div><fieldset id=\"field_4_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_32\" ><legend class='gfield_label gform-field-label' >How many hours of sport do you do each week?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_32'>\n\t\t\t<div class='gchoice gchoice_4_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='[A] Less than 1 hour'  id='choice_4_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_32_0' id='label_4_32_0' class='gform-field-label gform-field-label--type-inline'>Less than 1 hour<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='[B] 1-2 hours'  id='choice_4_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_32_1' id='label_4_32_1' class='gform-field-label gform-field-label--type-inline'>1-2 hours<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_32_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='[C] 3-5 hours'  id='choice_4_32_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_32_2' id='label_4_32_2' class='gform-field-label gform-field-label--type-inline'>3-5 hours<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_32_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='[D] From 5 to 10 am'  id='choice_4_32_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_32_3' id='label_4_32_3' class='gform-field-label gform-field-label--type-inline'>5-10 hours<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_32_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='[E] &gt; 10h'  id='choice_4_32_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_32_4' id='label_4_32_4' class='gform-field-label gform-field-label--type-inline'>> 10 hours<\/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_4_35' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_11' class='gform_page' data-js='page-field-id-35' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_36\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_36\" >You and your weight<\/div><fieldset id=\"field_4_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_37\" ><legend class='gfield_label gform-field-label' >Do you want to lose weight?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_37'>\n\t\t\t<div class='gchoice gchoice_4_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='[A] No, thank you, I am fine as I am!'  id='choice_4_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_37_0' id='label_4_37_0' class='gform-field-label gform-field-label--type-inline'>No, thank you, I am fine as I am!<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='[B] Yes, I would like to slim down.'  id='choice_4_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_37_1' id='label_4_37_1' class='gform-field-label gform-field-label--type-inline'>Yes, I would like to slim down.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_38\" class=\"gfield gfield--type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_38\" ><label class='gfield_label gform-field-label' for='input_4_38'>What weight do you want to achieve?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_38' id='input_4_38' type='number' step='any'   value='' class='large'    placeholder='in kg (ex:65)' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_4_39\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full only_2_choices gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_39\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What are the causes of your weight gain?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_39'><div class='gchoice gchoice_4_39_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.1' type='checkbox'  value='[A] Bad habits'  id='choice_4_39_1'   aria-describedby=\"gfield_description_4_39\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_4_39_1' id='label_4_39_1' class='gform-field-label gform-field-label--type-inline'>Bad habits<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_39_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.2' type='checkbox'  value='[B] Pregnancy'  id='choice_4_39_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_39_2' id='label_4_39_2' class='gform-field-label gform-field-label--type-inline'>Pregnancy<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_39_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.3' type='checkbox'  value='[C] Menopause'  id='choice_4_39_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_39_3' id='label_4_39_3' class='gform-field-label gform-field-label--type-inline'>Menopause<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_39_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.4' type='checkbox'  value='[D] Lack of activity'  id='choice_4_39_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_39_4' id='label_4_39_4' class='gform-field-label gform-field-label--type-inline'>Lack of activity<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_39_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.5' type='checkbox'  value='[E] Stress, fatigue'  id='choice_4_39_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_39_5' id='label_4_39_5' class='gform-field-label gform-field-label--type-inline'>Stress, fatigue<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_39_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.6' type='checkbox'  value='[F] Disease \/ medication'  id='choice_4_39_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_39_6' id='label_4_39_6' class='gform-field-label gform-field-label--type-inline'>Disease \/ medication<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_39_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.7' type='checkbox'  value='[G] Smoking cessation'  id='choice_4_39_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_39_7' id='label_4_39_7' class='gform-field-label gform-field-label--type-inline'>Smoking cessation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_39_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.8' type='checkbox'  value='[H] Overloaded schedule'  id='choice_4_39_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_39_8' id='label_4_39_8' class='gform-field-label gform-field-label--type-inline'>Overloaded schedule<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_39_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.9' type='checkbox'  value='[I] Lack of motivation'  id='choice_4_39_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_39_9' id='label_4_39_9' class='gform-field-label gform-field-label--type-inline'>Lack of motivation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_39_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.11' type='checkbox'  value='[J] Weight regain'  id='choice_4_39_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_39_11' id='label_4_39_11' class='gform-field-label gform-field-label--type-inline'>Weight regain<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_39_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.12' type='checkbox'  value='[K] None of the above'  id='choice_4_39_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_39_12' id='label_4_39_12' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_4_39'>(2 choices maximum)<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_42' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_12' class='gform_page' data-js='page-field-id-42' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_43\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_43\" >You and sports<\/div><fieldset id=\"field_4_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_44\" ><legend class='gfield_label gform-field-label' >What is your sport practice?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_44'>\n\t\t\t<div class='gchoice gchoice_4_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='[A] I prefer to stay in my sofa'  id='choice_4_44_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_0' id='label_4_44_0' class='gform-field-label gform-field-label--type-inline'>I prefer to stay in my sofa<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='[B] I want to return to sport'  id='choice_4_44_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_1' id='label_4_44_1' class='gform-field-label gform-field-label--type-inline'>I want to return to sport<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='[C] I am an occasional sportsman'  id='choice_4_44_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_2' id='label_4_44_2' class='gform-field-label gform-field-label--type-inline'>I am an occasional sportsman<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='[D] I play sports regularly'  id='choice_4_44_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_3' id='label_4_44_3' class='gform-field-label gform-field-label--type-inline'>I play sports regularly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_44_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='[E] I am a high level sportsman'  id='choice_4_44_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_44_4' id='label_4_44_4' class='gform-field-label gform-field-label--type-inline'>I am a high level sportsman<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_45\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full only_2_choices gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_45\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What are your motivations ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_45'><div class='gchoice gchoice_4_45_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.1' type='checkbox'  value='[A] Muscle mass gain'  id='choice_4_45_1'   aria-describedby=\"gfield_description_4_45\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_4_45_1' id='label_4_45_1' class='gform-field-label gform-field-label--type-inline'>Muscle mass gain<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_45_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.2' type='checkbox'  value='[B] Increased performance'  id='choice_4_45_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_45_2' id='label_4_45_2' class='gform-field-label gform-field-label--type-inline'>Increased performance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_45_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.3' type='checkbox'  value='[C] Recovery'  id='choice_4_45_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_45_3' id='label_4_45_3' class='gform-field-label gform-field-label--type-inline'>Recovery<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_4_45'>(2 choices maximum)<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_48' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_13' class='gform_page' data-js='page-field-id-48' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_49\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_49\" >Your well-being<\/div><fieldset id=\"field_4_50\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full only_3_choices gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_50\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What would you like to improve in your daily life ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_50'><div class='gchoice gchoice_4_50_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.1' type='checkbox'  value='[A] Eat a balanced diet, quickly'  id='choice_4_50_1'   aria-describedby=\"gfield_description_4_50\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_1' id='label_4_50_1' class='gform-field-label gform-field-label--type-inline'>Eat a balanced diet, quickly<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_50_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.2' type='checkbox'  value='[B] Detoxify my body'  id='choice_4_50_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_2' id='label_4_50_2' class='gform-field-label gform-field-label--type-inline'>Detoxify my body<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_50_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.3' type='checkbox'  value='[C] Recovering energy and vitality'  id='choice_4_50_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_3' id='label_4_50_3' class='gform-field-label gform-field-label--type-inline'>Recovering energy and vitality<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_50_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.4' type='checkbox'  value='[D] Stopping compulsive eating'  id='choice_4_50_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_4' id='label_4_50_4' class='gform-field-label gform-field-label--type-inline'>Stopping compulsive eating<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_50_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.5' type='checkbox'  value='[E] Regaining digestive comfort'  id='choice_4_50_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_5' id='label_4_50_5' class='gform-field-label gform-field-label--type-inline'>Regaining digestive comfort<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_50_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.6' type='checkbox'  value='[F] Quit smoking'  id='choice_4_50_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_6' id='label_4_50_6' class='gform-field-label gform-field-label--type-inline'>Quit smoking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_50_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.7' type='checkbox'  value='[G] The quality of your sleep'  id='choice_4_50_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_7' id='label_4_50_7' class='gform-field-label gform-field-label--type-inline'>The quality of your sleep<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_50_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.8' type='checkbox'  value='[H] Find well-being and serenity'  id='choice_4_50_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_8' id='label_4_50_8' class='gform-field-label gform-field-label--type-inline'>Find well-being and serenity<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_50_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.9' type='checkbox'  value='[I] Strengthen your immune system'  id='choice_4_50_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_9' id='label_4_50_9' class='gform-field-label gform-field-label--type-inline'>Strengthen your immune system<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_50_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.11' type='checkbox'  value='[J] Improve my circulation'  id='choice_4_50_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_11' id='label_4_50_11' class='gform-field-label gform-field-label--type-inline'>Improve my circulation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_50_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.12' type='checkbox'  value='[K] Gaining joint flexibility'  id='choice_4_50_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_50_12' id='label_4_50_12' class='gform-field-label gform-field-label--type-inline'>Gaining joint flexibility<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_4_50'>(3 choices maximum)<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_51' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_14' class='gform_page' data-js='page-field-id-51' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_14' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_52\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_52\" >Your personal information<\/div><fieldset id=\"field_4_53\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full last_is_none gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_53\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Do you suffer from any of the following conditions ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_53'><div class='gchoice gchoice_4_53_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.1' type='checkbox'  value='[A] Eating disorders'  id='choice_4_53_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_53_1' id='label_4_53_1' class='gform-field-label gform-field-label--type-inline'>Eating disorders<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_53_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.2' type='checkbox'  value='[B] Renal insufficiency'  id='choice_4_53_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_53_2' id='label_4_53_2' class='gform-field-label gform-field-label--type-inline'>Renal failure<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_53_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.3' type='checkbox'  value='[C] Inflammatory bowel disease'  id='choice_4_53_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_53_3' id='label_4_53_3' class='gform-field-label gform-field-label--type-inline'>Inflammatory bowel disease<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_53_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.4' type='checkbox'  value='[D] Diabetes'  id='choice_4_53_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_53_4' id='label_4_53_4' class='gform-field-label gform-field-label--type-inline'>Diabetes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_53_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.5' type='checkbox'  value='[E] Thyroid disorders'  id='choice_4_53_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_53_5' id='label_4_53_5' class='gform-field-label gform-field-label--type-inline'>Thyroid disorders<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_53_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.6' type='checkbox'  value='[F] Cardiovascular disorders'  id='choice_4_53_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_53_6' id='label_4_53_6' class='gform-field-label gform-field-label--type-inline'>Cardiovascular disorders<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_53_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.7' type='checkbox'  value='[G] None of these conditions'  id='choice_4_53_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_53_7' id='label_4_53_7' class='gform-field-label gform-field-label--type-inline'>None of these conditions<\/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_4_56' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_15' class='gform_page' data-js='page-field-id-56' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_15' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_57\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_57\" >Your personal information<\/div><fieldset id=\"field_4_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_54\" ><legend class='gfield_label gform-field-label' >Do you have any food allergies\/intolerances ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_54'>\n\t\t\t<div class='gchoice gchoice_4_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='[A] Yes'  id='choice_4_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_54_0' id='label_4_54_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_4_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='[B] No'  id='choice_4_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_54_1' id='label_4_54_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_previous_button_4_58' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_16' class='gform_page' data-js='page-field-id-58' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_16' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_59\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_59\" >Your personal information<\/div><fieldset id=\"field_4_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full reply_with_smileys gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_55\" ><legend class='gfield_label gform-field-label' >What is your level of motivation ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_55'>\n\t\t\t<div class='gchoice gchoice_4_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Motivation 1\/5'  id='choice_4_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_55_0' id='label_4_55_0' class='gform-field-label gform-field-label--type-inline'>Motivation 1\/5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Motivation 2\/5'  id='choice_4_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_55_1' id='label_4_55_1' class='gform-field-label gform-field-label--type-inline'>Motivation 2\/5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_55_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Motivation 3\/5'  id='choice_4_55_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_55_2' id='label_4_55_2' class='gform-field-label gform-field-label--type-inline'>Motivation 3\/5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_55_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Motivation 4\/5'  id='choice_4_55_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_55_3' id='label_4_55_3' class='gform-field-label gform-field-label--type-inline'>Motivation 4\/5<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_55_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Motivation 5\/5'  id='choice_4_55_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_55_4' id='label_4_55_4' class='gform-field-label gform-field-label--type-inline'>Motivation 5\/5<\/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_4_60' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous'  \/> <button class='button gform_next_button' id='gform_next_button_4'><span>Start my BodyCheck<\/span><svg width=\"22\" height=\"17\" viewBox=\"0 0 22 17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M21 7.6L13.7 0.3C13.3 -0.1 12.7 -0.1 12.3 0.3C11.9 0.7 11.9 1.3 12.3 1.7L17.9 7.3H1C0.4 7.3 0 7.7 0 8.3C0 8.9 0.4 9.3 1 9.3H17.9L12.3 14.9C11.9 15.3 11.9 15.9 12.3 16.3C12.5 16.5 12.8 16.6 13 16.6C13.2 16.6 13.5 16.5 13.7 16.3L21 9C21.4 8.6 21.4 7.9 21 7.6Z\" fill=\"white\"\/><\/svg><\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_17' class='gform_page' data-js='page-field-id-60' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_17' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_61\" class=\"gfield gfield--type-html gfield--width-full subtitle gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_61\" >Your contact information<\/div><fieldset id=\"field_4_62\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full no_title field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_62\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Partager BodyCheck<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_62'><div class='gchoice gchoice_4_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='Share your BodyCheck with a consultant' checked='checked' id='choice_4_62_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_62_1' id='label_4_62_1' class='gform-field-label gform-field-label--type-inline'>Share your BodyCheck with a consultant<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_63\" class=\"gfield gfield--type-html gfield--width-full warning nopdf gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_63\" >To take advantage of personalized and customized support, share your BodyCheck with a consultant!<\/div><fieldset id=\"field_4_64\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full nopdf gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_64\" ><legend class='gfield_label gform-field-label' >My results<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_64'>\n\t\t\t<div class='gchoice gchoice_4_64_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='[A] - I already have an account, I log in to keep my BodyCheck results'  id='choice_4_64_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_64_0' id='label_4_64_0' class='gform-field-label gform-field-label--type-inline'>I already have an account, I log in to keep my BodyCheck results<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_64_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='[B] - I create an account to keep my BodyCheck results'  id='choice_4_64_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_64_1' id='label_4_64_1' class='gform-field-label gform-field-label--type-inline'>I create an account to keep my BodyCheck results<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_64_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='[C] - I do not wish to create an account'  id='choice_4_64_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_64_2' id='label_4_64_2' class='gform-field-label gform-field-label--type-inline'>I do not wish to create an account<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_68\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_68\" ><label class='gfield_label gform-field-label' for='input_4_68'>To receive your bodycheck, can you specify your 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_68' id='input_4_68' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_4_66\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_66\" ><label class='gfield_label gform-field-label' for='input_4_66'>Your phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_4_66' type='text' value='' class='large'  aria-describedby=\"gfield_description_4_66\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_4_66'>(your consultant will be able to accompany you in a personalized way to go further)<\/div><\/div><div id=\"field_4_67\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_67\" ><label class='gfield_label gform-field-label' for='input_4_67'>Your postal code<span 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