{"id":635,"date":"2026-05-17T19:33:52","date_gmt":"2026-05-17T19:33:52","guid":{"rendered":"https:\/\/brainbloomwellness.com\/?page_id=635"},"modified":"2026-06-16T17:18:02","modified_gmt":"2026-06-16T17:18:02","slug":"neural-wellness-application","status":"publish","type":"page","link":"https:\/\/brainbloomwellness.com\/es\/neural-wellness-application\/","title":{"rendered":"Neural Wellness Application"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;][et_pb_column _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; type=&#8221;4_4&#8243; custom_padding=&#8221;|||300px|false|false&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;][et_pb_heading title=&#8221;Neural Wellness Application&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;][\/et_pb_heading][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;|||300px|false|false&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<style id=\"wpforms-css-vars-632\">\n\t\t\t\t#wpforms-632 {\n\t\t\t\t--wpforms-container-padding: 0px;\n--wpforms-container-border-width: 1px;\n--wpforms-container-border-radius: 3px;\n--wpforms-background-color: rgba(0, 0, 0, 0);\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-632\"><form id=\"wpforms-form-632\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"632\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/es\/wp-json\/wp\/v2\/pages\/635\" data-token=\"a917657258b74043419df38e20ffc6fa\" data-token-time=\"1781989369\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-632-field_19-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"19\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-632-field_19\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][19][first]\" aria-errormessage=\"wpforms-632-field_19-error\" required><label for=\"wpforms-632-field_19\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-632-field_19-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][19][last]\" aria-errormessage=\"wpforms-632-field_19-last-error\" required><label for=\"wpforms-632-field_19-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-632-field_20-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_20\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-632-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" spellcheck=\"false\" aria-errormessage=\"wpforms-632-field_20-error\" required><\/div><div id=\"wpforms-632-field_22-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_22\">Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-632-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" step=\"any\" aria-errormessage=\"wpforms-632-field_22-error\" required><\/div><div id=\"wpforms-632-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_23\">City, State, Zip Code <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-632-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-632-field_23-error\" required><\/div><div id=\"wpforms-632-field_26-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_26\">Date of Birth <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-632-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" step=\"any\" aria-errormessage=\"wpforms-632-field_26-error\" required><\/div><div id=\"wpforms-632-field_30-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"30\"><fieldset><legend class=\"wpforms-field-label\">Health Concerns - Which of the following do you need support with? Check ALL that apply.<\/legend><ul id=\"wpforms-632-field_30\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_1\" name=\"wpforms[fields][30][]\" value=\"Brain &amp; Nervous System Support\" aria-errormessage=\"wpforms-632-field_30_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_1\">Brain &amp; Nervous System Support<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_2\" name=\"wpforms[fields][30][]\" value=\"Mental Health &amp; Emotional Wellness\" aria-errormessage=\"wpforms-632-field_30_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_2\">Mental Health &amp; Emotional Wellness<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_3\" name=\"wpforms[fields][30][]\" value=\"Chronic Pain &amp; Inflammation\" aria-errormessage=\"wpforms-632-field_30_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_3\">Chronic Pain &amp; Inflammation<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_4\" name=\"wpforms[fields][30][]\" value=\"Detox &amp; Cellular Restoration\" aria-errormessage=\"wpforms-632-field_30_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_4\">Detox &amp; Cellular Restoration<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_5\" name=\"wpforms[fields][30][]\" value=\"Hormone Imbalance &amp; Endocrine Support\" aria-errormessage=\"wpforms-632-field_30_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_5\">Hormone Imbalance &amp; Endocrine Support<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_6\" name=\"wpforms[fields][30][]\" value=\"Autism &amp; Developmental Support\" aria-errormessage=\"wpforms-632-field_30_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_6\">Autism &amp; Developmental Support<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_7\" name=\"wpforms[fields][30][]\" value=\"Anti-Aging &amp; Skin Rejuvenation\" aria-errormessage=\"wpforms-632-field_30_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_7\">Anti-Aging &amp; Skin Rejuvenation<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_8\" name=\"wpforms[fields][30][]\" value=\"Immune System Support\" aria-errormessage=\"wpforms-632-field_30_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_8\">Immune System Support<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_9\" name=\"wpforms[fields][30][]\" value=\"Weight Management &amp; Metabolic Health\" aria-errormessage=\"wpforms-632-field_30_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_9\">Weight Management &amp; Metabolic Health<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_10\" name=\"wpforms[fields][30][]\" value=\"Addiction &amp; Dependency Recovery\" aria-errormessage=\"wpforms-632-field_30_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_10\">Addiction &amp; Dependency Recovery<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_11\" name=\"wpforms[fields][30][]\" value=\"Cognitive Decline &amp; Memory Support\" aria-errormessage=\"wpforms-632-field_30_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_11\">Cognitive Decline &amp; Memory Support<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_12\" name=\"wpforms[fields][30][]\" value=\"Long COVID &amp; Post Viral Recovery\" aria-errormessage=\"wpforms-632-field_30_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_12\">Long COVID &amp; Post Viral Recovery<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_13\" name=\"wpforms[fields][30][]\" value=\"Lyme Disease &amp; Complex Infections\" aria-errormessage=\"wpforms-632-field_30_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_13\">Lyme Disease &amp; Complex Infections<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_14\" name=\"wpforms[fields][30][]\" value=\"Mold &amp; Environmental Toxin Exposure\" aria-errormessage=\"wpforms-632-field_30_14-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_14\">Mold &amp; Environmental Toxin Exposure<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_15\" name=\"wpforms[fields][30][]\" value=\"Gut Health &amp; Digestive Issues\" aria-errormessage=\"wpforms-632-field_30_15-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_15\">Gut Health &amp; Digestive Issues<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_16\" name=\"wpforms[fields][30][]\" value=\"Sleep Disorders &amp; Insomnia\" aria-errormessage=\"wpforms-632-field_30_16-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_16\">Sleep Disorders &amp; Insomnia<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_17\" name=\"wpforms[fields][30][]\" value=\"PTSD &amp; Trauma Recovery\" aria-errormessage=\"wpforms-632-field_30_17-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_17\">PTSD &amp; Trauma Recovery<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_18\" name=\"wpforms[fields][30][]\" value=\"Not Sure \u2014 Need Guidance\" aria-errormessage=\"wpforms-632-field_30_18-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_18\">Not Sure \u2014 Need Guidance<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_5-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Dependencies<\/legend><ul id=\"wpforms-632-field_5\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_5_1\" name=\"wpforms[fields][5][]\" value=\"Amphetamines, Meth, Cocaine &amp; Stimulants\" aria-errormessage=\"wpforms-632-field_5_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_5_1\">Amphetamines, Meth, Cocaine &amp; Stimulants<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_5_2\" name=\"wpforms[fields][5][]\" value=\"Heroin, Opiates, Morph, Subox, Meth &amp; Tobacco\" aria-errormessage=\"wpforms-632-field_5_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_5_2\">Heroin, Opiates, Morph, Subox, Meth &amp; Tobacco<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_5_3\" name=\"wpforms[fields][5][]\" value=\"Pain Killers, Marijuana, Alcohol &amp; Benzos\" aria-errormessage=\"wpforms-632-field_5_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_5_3\">Pain Killers, Marijuana, Alcohol &amp; Benzos<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_5_4\" name=\"wpforms[fields][5][]\" value=\"Barbiturates, Sedatives &amp; Tranquilizers\" aria-errormessage=\"wpforms-632-field_5_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_5_4\">Barbiturates, Sedatives &amp; Tranquilizers<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_5_5\" name=\"wpforms[fields][5][]\" value=\"Pornography, Gaming, Gambling &amp; Sexual\" aria-errormessage=\"wpforms-632-field_5_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_5_5\">Pornography, Gaming, Gambling &amp; Sexual<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">Physical<\/legend><ul id=\"wpforms-632-field_8\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_8_1\" name=\"wpforms[fields][8][]\" value=\"Memory Enchancement, Focus, Concentration\" aria-errormessage=\"wpforms-632-field_8_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_8_1\">Memory Enchancement, Focus, Concentration<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_8_2\" name=\"wpforms[fields][8][]\" value=\"Insomnia, Sleep Apnea, Fibromyalgia, Chronic Fatigue, Chronic Pain\" aria-errormessage=\"wpforms-632-field_8_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_8_2\">Insomnia, Sleep Apnea, Fibromyalgia, Chronic Fatigue, Chronic Pain<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_8_3\" name=\"wpforms[fields][8][]\" value=\"Headaches, Migraine, Sinus\" aria-errormessage=\"wpforms-632-field_8_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_8_3\">Headaches, Migraine, Sinus<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_8_4\" name=\"wpforms[fields][8][]\" value=\"Weight Control, Hormone Balance\" aria-errormessage=\"wpforms-632-field_8_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_8_4\">Weight Control, Hormone Balance<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_8_5\" name=\"wpforms[fields][8][]\" value=\"Autism, Alzheimers, Parkinson&#039;s Disease\" aria-errormessage=\"wpforms-632-field_8_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_8_5\">Autism, Alzheimers, Parkinson's Disease<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_8_6\" name=\"wpforms[fields][8][]\" value=\"Muscular Dystrophy, Multiple Sclerosis\" aria-errormessage=\"wpforms-632-field_8_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_8_6\">Muscular Dystrophy, Multiple Sclerosis<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_7-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"7\"><fieldset><legend class=\"wpforms-field-label\">Emotional<\/legend><ul id=\"wpforms-632-field_7\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_7_1\" name=\"wpforms[fields][7][]\" value=\"Anxiety, Depression - Drugs, Moods or Circumstances\" aria-errormessage=\"wpforms-632-field_7_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_7_1\">Anxiety, Depression - Drugs, Moods or Circumstances<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_7_2\" name=\"wpforms[fields][7][]\" value=\"ADD, ADHD\" aria-errormessage=\"wpforms-632-field_7_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_7_2\">ADD, ADHD<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_7_3\" name=\"wpforms[fields][7][]\" value=\"Stress, Anger, Fear\" aria-errormessage=\"wpforms-632-field_7_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_7_3\">Stress, Anger, Fear<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_7_4\" name=\"wpforms[fields][7][]\" value=\"Euphoria\" aria-errormessage=\"wpforms-632-field_7_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_7_4\">Euphoria<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_7_5\" name=\"wpforms[fields][7][]\" value=\"Sexual Dysfunction\" aria-errormessage=\"wpforms-632-field_7_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_7_5\">Sexual Dysfunction<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_7_6\" name=\"wpforms[fields][7][]\" value=\"Bipolar, OCD, PTSD\" aria-errormessage=\"wpforms-632-field_7_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_7_6\">Bipolar, OCD, PTSD<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_10\">Is there anything else not listed above that you&#039;d like support with? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-632-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-632-field_10-error\" required><\/div><div id=\"wpforms-632-field_27-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_27\">Health History - Please list any current medications and supplements<\/label><textarea id=\"wpforms-632-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-632-field_27-error\" ><\/textarea><\/div><div id=\"wpforms-632-field_28-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_28\">Health Diagnosis - Please share any relevant medical history, diagnoses, or conditions<\/label><textarea id=\"wpforms-632-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" aria-errormessage=\"wpforms-632-field_28-error\" ><\/textarea><\/div><div id=\"wpforms-632-field_29-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"29\"><fieldset><legend class=\"wpforms-field-label\">Pregnancy Status<\/legend><ul id=\"wpforms-632-field_29\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_29_1\" name=\"wpforms[fields][29]\" value=\"I am not pregnant\" aria-errormessage=\"wpforms-632-field_29_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_29_1\">I am not pregnant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_29_2\" name=\"wpforms[fields][29]\" value=\"I am pregnant\" aria-errormessage=\"wpforms-632-field_29_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_29_2\">I am pregnant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_29_3\" name=\"wpforms[fields][29]\" value=\"I am breastfeeding\" aria-errormessage=\"wpforms-632-field_29_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_29_3\">I am breastfeeding<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_33-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_33\">Do you have a pacemaker or any implanted electrical device?<\/label><select id=\"wpforms-632-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-632-field_34-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_34\">Do you have a history of seizures or epilepsy?<\/label><select id=\"wpforms-632-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-632-field_35-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_35\">Do you have any implants of any kind?<\/label><select id=\"wpforms-632-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-632-field_31-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"31\"><fieldset><legend class=\"wpforms-field-label\">What type of service are you interested in?<\/legend><ul id=\"wpforms-632-field_31\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_31_1\" name=\"wpforms[fields][31][]\" value=\"In-Home Sessions\" aria-errormessage=\"wpforms-632-field_31_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_31_1\">In-Home Sessions<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_31_2\" name=\"wpforms[fields][31][]\" value=\"Virtual Sessions\" aria-errormessage=\"wpforms-632-field_31_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_31_2\">Virtual Sessions<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_31_3\" name=\"wpforms[fields][31][]\" value=\"Program Enrollment\" aria-errormessage=\"wpforms-632-field_31_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_31_3\">Program Enrollment<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_31_4\" name=\"wpforms[fields][31][]\" value=\"Not Sure Yet\" aria-errormessage=\"wpforms-632-field_31_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_31_4\">Not Sure Yet<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_1\">What is your main health goal? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-632-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-632-field_1-error\" required><\/div><div id=\"wpforms-632-field_16-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_16\">Have you tried other treatments or approaches? If, so please explain below. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-632-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-632-field_16-error\" required><\/textarea><\/div><div id=\"wpforms-632-field_39-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"39\"><fieldset><legend class=\"wpforms-field-label\">How soon are you looking to see results?<\/legend><ul id=\"wpforms-632-field_39\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_39_1\" name=\"wpforms[fields][39]\" value=\"Immediately - I need help now.\" aria-errormessage=\"wpforms-632-field_39_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_39_1\">Immediately - I need help now.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_39_2\" name=\"wpforms[fields][39]\" value=\"Within 1 month\" aria-errormessage=\"wpforms-632-field_39_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_39_2\">Within 1 month<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_39_3\" name=\"wpforms[fields][39]\" value=\"Within 3 monthss\" aria-errormessage=\"wpforms-632-field_39_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_39_3\">Within 3 monthss<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_39_4\" name=\"wpforms[fields][39]\" value=\"I understand healing takes time and I am committed to the process\" aria-errormessage=\"wpforms-632-field_39_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_39_4\">I understand healing takes time and I am committed to the process<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_38-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_38\">How did you hear about us?<\/label><select id=\"wpforms-632-field_38\" class=\"wpforms-field-medium\" name=\"wpforms[fields][38]\"><option value=\"Google Search\"  class=\"choice-1 depth-1\"  >Google Search<\/option><option value=\"Facebook\"  class=\"choice-2 depth-1\"  >Facebook<\/option><option value=\"Instagram\"  class=\"choice-3 depth-1\"  >Instagram<\/option><option value=\"TikTok\"  class=\"choice-4 depth-1\"  >TikTok<\/option><option value=\"LinkedIn\"  class=\"choice-9 depth-1\"  >LinkedIn<\/option><option value=\"Referral from friend or family\"  class=\"choice-5 depth-1\"  >Referral from friend or family<\/option><option value=\"Referral from practitioner\"  class=\"choice-6 depth-1\"  >Referral from practitioner<\/option><option value=\"Word of mouth\"  class=\"choice-7 depth-1\"  >Word of mouth<\/option><option value=\"Saw me at an event\"  class=\"choice-8 depth-1\"  >Saw me at an event<\/option><option value=\"Company Car\"  class=\"choice-10 depth-1\"  >Company Car<\/option><option value=\"Other\"  class=\"choice-11 depth-1\"  >Other<\/option><\/select><\/div>\t\t<div id=\"wpforms-632-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-632-field_2\" >Is your 6-8<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-632-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-632-field_36-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"36\"><fieldset><legend class=\"wpforms-field-label\">What days are you generally available?<\/legend><ul id=\"wpforms-632-field_36\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_1\" name=\"wpforms[fields][36][]\" value=\"Monday\" aria-errormessage=\"wpforms-632-field_36_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_1\">Monday<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_2\" name=\"wpforms[fields][36][]\" value=\"Tuesday\" aria-errormessage=\"wpforms-632-field_36_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_2\">Tuesday<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_3\" name=\"wpforms[fields][36][]\" value=\"Wednesday\" aria-errormessage=\"wpforms-632-field_36_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_3\">Wednesday<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_4\" name=\"wpforms[fields][36][]\" value=\"Thursday\" aria-errormessage=\"wpforms-632-field_36_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_4\">Thursday<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_7\" name=\"wpforms[fields][36][]\" value=\"Friday\" aria-errormessage=\"wpforms-632-field_36_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_7\">Friday<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_6\" name=\"wpforms[fields][36][]\" value=\"Saturday\" aria-errormessage=\"wpforms-632-field_36_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_6\">Saturday<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_5\" name=\"wpforms[fields][36][]\" value=\"Sunday\" aria-errormessage=\"wpforms-632-field_36_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_5\">Sunday<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_8\" name=\"wpforms[fields][36][]\" value=\"Flexible - Any Day\" aria-errormessage=\"wpforms-632-field_36_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_8\">Flexible - Any Day<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_37-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"37\"><fieldset><legend class=\"wpforms-field-label\">What time of day works best for you?<\/legend><ul id=\"wpforms-632-field_37\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_37_1\" name=\"wpforms[fields][37]\" value=\"Morning 8am-12pm\" aria-errormessage=\"wpforms-632-field_37_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_37_1\">Morning 8am-12pm<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_37_2\" name=\"wpforms[fields][37]\" value=\"Afternoon 12pm-4pm\" aria-errormessage=\"wpforms-632-field_37_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_37_2\">Afternoon 12pm-4pm<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_37_3\" name=\"wpforms[fields][37]\" value=\"Evening 4pm-7pm\" aria-errormessage=\"wpforms-632-field_37_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_37_3\">Evening 4pm-7pm<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_37_4\" name=\"wpforms[fields][37]\" value=\"Flexible - Any Time\" aria-errormessage=\"wpforms-632-field_37_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_37_4\">Flexible - Any Time<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">What&#039;s your investment range for wellness support? Healing is an investment in your future. Understanding your budget helps us design a protocol that works for your situation. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-632-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_14_1\" name=\"wpforms[fields][14]\" value=\"Under $500\/month\" aria-errormessage=\"wpforms-632-field_14_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_14_1\">Under $500\/month<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_14_2\" name=\"wpforms[fields][14]\" value=\"$500-$1,500\/month\" aria-errormessage=\"wpforms-632-field_14_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_14_2\">$500-$1,500\/month<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_14_3\" name=\"wpforms[fields][14]\" value=\"$1,500-$3,000\/month\" aria-errormessage=\"wpforms-632-field_14_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_14_3\">$1,500-$3,000\/month<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_14_4\" name=\"wpforms[fields][14]\" value=\"$3,000-$6,000\/month\" aria-errormessage=\"wpforms-632-field_14_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_14_4\">$3,000-$6,000\/month<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_14_5\" name=\"wpforms[fields][14]\" value=\"$6,000+\/month\" aria-errormessage=\"wpforms-632-field_14_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_14_5\">$6,000+\/month<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_18\">Are you ready to commit to showing up consistently? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-632-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-632-field_18-error\" required><\/div><div id=\"wpforms-632-field_13-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Are you ready to commit to a multi-session protocol (minimum 6-8 weeks)? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-632-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_13_1\" name=\"wpforms[fields][13][]\" value=\"Yes, I&#039;m ready to invest in this!\" aria-errormessage=\"wpforms-632-field_13_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_13_1\">Yes, I'm ready to invest in this!<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_13_2\" name=\"wpforms[fields][13][]\" value=\"I need more information first.\" aria-errormessage=\"wpforms-632-field_13_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_13_2\">I need more information first.<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_13_3\" name=\"wpforms[fields][13][]\" value=\"Not right now.\" aria-errormessage=\"wpforms-632-field_13_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_13_3\">Not right now.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_40-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_40\">Is thre anything else you would like us to know before your consultation?<\/label><textarea id=\"wpforms-632-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\" aria-errormessage=\"wpforms-632-field_40-error\" ><\/textarea><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-632-field_2-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-632-field_2-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-632-field_2-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"632\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/brainbloomwellness.com\/es\/wp-json\/wp\/v2\/pages\/635\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-632\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/brainbloomwellness.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Cargando\"><\/div><\/form><\/div>  <!-- .wpforms-container -->[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<style id=\"wpforms-css-vars-632\">\n\t\t\t\t#wpforms-632 {\n\t\t\t\t--wpforms-container-padding: 0px;\n--wpforms-container-border-width: 1px;\n--wpforms-container-border-radius: 3px;\n--wpforms-background-color: rgba(0, 0, 0, 0);\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-632\"><form id=\"wpforms-form-632\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"632\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/es\/wp-json\/wp\/v2\/pages\/635\" data-token=\"a917657258b74043419df38e20ffc6fa\" data-token-time=\"1781989369\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-632-field_19-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"19\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-632-field_19\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][19][first]\" aria-errormessage=\"wpforms-632-field_19-error\" required><label for=\"wpforms-632-field_19\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-632-field_19-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][19][last]\" aria-errormessage=\"wpforms-632-field_19-last-error\" required><label for=\"wpforms-632-field_19-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-632-field_20-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_20\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-632-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" spellcheck=\"false\" aria-errormessage=\"wpforms-632-field_20-error\" required><\/div><div id=\"wpforms-632-field_22-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_22\">Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-632-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" step=\"any\" aria-errormessage=\"wpforms-632-field_22-error\" required><\/div><div id=\"wpforms-632-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_23\">City, State, Zip Code <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-632-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-632-field_23-error\" required><\/div><div id=\"wpforms-632-field_26-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_26\">Date of Birth <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-632-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" step=\"any\" aria-errormessage=\"wpforms-632-field_26-error\" required><\/div><div id=\"wpforms-632-field_30-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"30\"><fieldset><legend class=\"wpforms-field-label\">Health Concerns - Which of the following do you need support with? Check ALL that apply.<\/legend><ul id=\"wpforms-632-field_30\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_1\" name=\"wpforms[fields][30][]\" value=\"Brain &amp; Nervous System Support\" aria-errormessage=\"wpforms-632-field_30_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_1\">Brain &amp; Nervous System Support<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_2\" name=\"wpforms[fields][30][]\" value=\"Mental Health &amp; Emotional Wellness\" aria-errormessage=\"wpforms-632-field_30_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_2\">Mental Health &amp; Emotional Wellness<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_3\" name=\"wpforms[fields][30][]\" value=\"Chronic Pain &amp; Inflammation\" aria-errormessage=\"wpforms-632-field_30_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_3\">Chronic Pain &amp; Inflammation<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_4\" name=\"wpforms[fields][30][]\" value=\"Detox &amp; Cellular Restoration\" aria-errormessage=\"wpforms-632-field_30_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_4\">Detox &amp; Cellular Restoration<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_5\" name=\"wpforms[fields][30][]\" value=\"Hormone Imbalance &amp; Endocrine Support\" aria-errormessage=\"wpforms-632-field_30_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_5\">Hormone Imbalance &amp; Endocrine Support<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_6\" name=\"wpforms[fields][30][]\" value=\"Autism &amp; Developmental Support\" aria-errormessage=\"wpforms-632-field_30_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_6\">Autism &amp; Developmental Support<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_7\" name=\"wpforms[fields][30][]\" value=\"Anti-Aging &amp; Skin Rejuvenation\" aria-errormessage=\"wpforms-632-field_30_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_7\">Anti-Aging &amp; Skin Rejuvenation<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_8\" name=\"wpforms[fields][30][]\" value=\"Immune System Support\" aria-errormessage=\"wpforms-632-field_30_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_8\">Immune System Support<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_9\" name=\"wpforms[fields][30][]\" value=\"Weight Management &amp; Metabolic Health\" aria-errormessage=\"wpforms-632-field_30_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_9\">Weight Management &amp; Metabolic Health<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_10\" name=\"wpforms[fields][30][]\" value=\"Addiction &amp; Dependency Recovery\" aria-errormessage=\"wpforms-632-field_30_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_10\">Addiction &amp; Dependency Recovery<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_11\" name=\"wpforms[fields][30][]\" value=\"Cognitive Decline &amp; Memory Support\" aria-errormessage=\"wpforms-632-field_30_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_11\">Cognitive Decline &amp; Memory Support<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_12\" name=\"wpforms[fields][30][]\" value=\"Long COVID &amp; Post Viral Recovery\" aria-errormessage=\"wpforms-632-field_30_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_12\">Long COVID &amp; Post Viral Recovery<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_13\" name=\"wpforms[fields][30][]\" value=\"Lyme Disease &amp; Complex Infections\" aria-errormessage=\"wpforms-632-field_30_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_13\">Lyme Disease &amp; Complex Infections<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_14\" name=\"wpforms[fields][30][]\" value=\"Mold &amp; Environmental Toxin Exposure\" aria-errormessage=\"wpforms-632-field_30_14-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_14\">Mold &amp; Environmental Toxin Exposure<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_15\" name=\"wpforms[fields][30][]\" value=\"Gut Health &amp; Digestive Issues\" aria-errormessage=\"wpforms-632-field_30_15-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_15\">Gut Health &amp; Digestive Issues<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_16\" name=\"wpforms[fields][30][]\" value=\"Sleep Disorders &amp; Insomnia\" aria-errormessage=\"wpforms-632-field_30_16-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_16\">Sleep Disorders &amp; Insomnia<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_17\" name=\"wpforms[fields][30][]\" value=\"PTSD &amp; Trauma Recovery\" aria-errormessage=\"wpforms-632-field_30_17-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_17\">PTSD &amp; Trauma Recovery<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_30_18\" name=\"wpforms[fields][30][]\" value=\"Not Sure \u2014 Need Guidance\" aria-errormessage=\"wpforms-632-field_30_18-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_30_18\">Not Sure \u2014 Need Guidance<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_5-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Dependencies<\/legend><ul id=\"wpforms-632-field_5\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_5_1\" name=\"wpforms[fields][5][]\" value=\"Amphetamines, Meth, Cocaine &amp; Stimulants\" aria-errormessage=\"wpforms-632-field_5_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_5_1\">Amphetamines, Meth, Cocaine &amp; Stimulants<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_5_2\" name=\"wpforms[fields][5][]\" value=\"Heroin, Opiates, Morph, Subox, Meth &amp; Tobacco\" aria-errormessage=\"wpforms-632-field_5_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_5_2\">Heroin, Opiates, Morph, Subox, Meth &amp; Tobacco<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_5_3\" name=\"wpforms[fields][5][]\" value=\"Pain Killers, Marijuana, Alcohol &amp; Benzos\" aria-errormessage=\"wpforms-632-field_5_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_5_3\">Pain Killers, Marijuana, Alcohol &amp; Benzos<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_5_4\" name=\"wpforms[fields][5][]\" value=\"Barbiturates, Sedatives &amp; Tranquilizers\" aria-errormessage=\"wpforms-632-field_5_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_5_4\">Barbiturates, Sedatives &amp; Tranquilizers<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_5_5\" name=\"wpforms[fields][5][]\" value=\"Pornography, Gaming, Gambling &amp; Sexual\" aria-errormessage=\"wpforms-632-field_5_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_5_5\">Pornography, Gaming, Gambling &amp; Sexual<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">Physical<\/legend><ul id=\"wpforms-632-field_8\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_8_1\" name=\"wpforms[fields][8][]\" value=\"Memory Enchancement, Focus, Concentration\" aria-errormessage=\"wpforms-632-field_8_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_8_1\">Memory Enchancement, Focus, Concentration<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_8_2\" name=\"wpforms[fields][8][]\" value=\"Insomnia, Sleep Apnea, Fibromyalgia, Chronic Fatigue, Chronic Pain\" aria-errormessage=\"wpforms-632-field_8_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_8_2\">Insomnia, Sleep Apnea, Fibromyalgia, Chronic Fatigue, Chronic Pain<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_8_3\" name=\"wpforms[fields][8][]\" value=\"Headaches, Migraine, Sinus\" aria-errormessage=\"wpforms-632-field_8_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_8_3\">Headaches, Migraine, Sinus<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_8_4\" name=\"wpforms[fields][8][]\" value=\"Weight Control, Hormone Balance\" aria-errormessage=\"wpforms-632-field_8_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_8_4\">Weight Control, Hormone Balance<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_8_5\" name=\"wpforms[fields][8][]\" value=\"Autism, Alzheimers, Parkinson&#039;s Disease\" aria-errormessage=\"wpforms-632-field_8_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_8_5\">Autism, Alzheimers, Parkinson's Disease<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_8_6\" name=\"wpforms[fields][8][]\" value=\"Muscular Dystrophy, Multiple Sclerosis\" aria-errormessage=\"wpforms-632-field_8_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_8_6\">Muscular Dystrophy, Multiple Sclerosis<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_7-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"7\"><fieldset><legend class=\"wpforms-field-label\">Emotional<\/legend><ul id=\"wpforms-632-field_7\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_7_1\" name=\"wpforms[fields][7][]\" value=\"Anxiety, Depression - Drugs, Moods or Circumstances\" aria-errormessage=\"wpforms-632-field_7_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_7_1\">Anxiety, Depression - Drugs, Moods or Circumstances<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_7_2\" name=\"wpforms[fields][7][]\" value=\"ADD, ADHD\" aria-errormessage=\"wpforms-632-field_7_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_7_2\">ADD, ADHD<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_7_3\" name=\"wpforms[fields][7][]\" value=\"Stress, Anger, Fear\" aria-errormessage=\"wpforms-632-field_7_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_7_3\">Stress, Anger, Fear<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_7_4\" name=\"wpforms[fields][7][]\" value=\"Euphoria\" aria-errormessage=\"wpforms-632-field_7_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_7_4\">Euphoria<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_7_5\" name=\"wpforms[fields][7][]\" value=\"Sexual Dysfunction\" aria-errormessage=\"wpforms-632-field_7_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_7_5\">Sexual Dysfunction<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_7_6\" name=\"wpforms[fields][7][]\" value=\"Bipolar, OCD, PTSD\" aria-errormessage=\"wpforms-632-field_7_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_7_6\">Bipolar, OCD, PTSD<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_10\">Is there anything else not listed above that you&#039;d like support with? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-632-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-632-field_10-error\" required><\/div><div id=\"wpforms-632-field_27-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_27\">Health History - Please list any current medications and supplements<\/label><textarea id=\"wpforms-632-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-632-field_27-error\" ><\/textarea><\/div><div id=\"wpforms-632-field_28-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_28\">Health Diagnosis - Please share any relevant medical history, diagnoses, or conditions<\/label><textarea id=\"wpforms-632-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" aria-errormessage=\"wpforms-632-field_28-error\" ><\/textarea><\/div><div id=\"wpforms-632-field_29-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"29\"><fieldset><legend class=\"wpforms-field-label\">Pregnancy Status<\/legend><ul id=\"wpforms-632-field_29\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_29_1\" name=\"wpforms[fields][29]\" value=\"I am not pregnant\" aria-errormessage=\"wpforms-632-field_29_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_29_1\">I am not pregnant<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_29_2\" name=\"wpforms[fields][29]\" value=\"I am pregnant\" aria-errormessage=\"wpforms-632-field_29_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_29_2\">I am pregnant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_29_3\" name=\"wpforms[fields][29]\" value=\"I am breastfeeding\" aria-errormessage=\"wpforms-632-field_29_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_29_3\">I am breastfeeding<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_33-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_33\">Do you have a pacemaker or any implanted electrical device?<\/label><select id=\"wpforms-632-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-632-field_34-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_34\">Do you have a history of seizures or epilepsy?<\/label><select id=\"wpforms-632-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-632-field_35-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_35\">Do you have any implants of any kind?<\/label><select id=\"wpforms-632-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-632-field_31-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"31\"><fieldset><legend class=\"wpforms-field-label\">What type of service are you interested in?<\/legend><ul id=\"wpforms-632-field_31\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_31_1\" name=\"wpforms[fields][31][]\" value=\"In-Home Sessions\" aria-errormessage=\"wpforms-632-field_31_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_31_1\">In-Home Sessions<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_31_2\" name=\"wpforms[fields][31][]\" value=\"Virtual Sessions\" aria-errormessage=\"wpforms-632-field_31_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_31_2\">Virtual Sessions<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_31_3\" name=\"wpforms[fields][31][]\" value=\"Program Enrollment\" aria-errormessage=\"wpforms-632-field_31_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_31_3\">Program Enrollment<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_31_4\" name=\"wpforms[fields][31][]\" value=\"Not Sure Yet\" aria-errormessage=\"wpforms-632-field_31_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_31_4\">Not Sure Yet<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_1\">What is your main health goal? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-632-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-632-field_1-error\" required><\/div><div id=\"wpforms-632-field_16-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_16\">Have you tried other treatments or approaches? If, so please explain below. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-632-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-632-field_16-error\" required><\/textarea><\/div><div id=\"wpforms-632-field_39-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"39\"><fieldset><legend class=\"wpforms-field-label\">How soon are you looking to see results?<\/legend><ul id=\"wpforms-632-field_39\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_39_1\" name=\"wpforms[fields][39]\" value=\"Immediately - I need help now.\" aria-errormessage=\"wpforms-632-field_39_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_39_1\">Immediately - I need help now.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_39_2\" name=\"wpforms[fields][39]\" value=\"Within 1 month\" aria-errormessage=\"wpforms-632-field_39_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_39_2\">Within 1 month<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_39_3\" name=\"wpforms[fields][39]\" value=\"Within 3 monthss\" aria-errormessage=\"wpforms-632-field_39_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_39_3\">Within 3 monthss<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_39_4\" name=\"wpforms[fields][39]\" value=\"I understand healing takes time and I am committed to the process\" aria-errormessage=\"wpforms-632-field_39_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_39_4\">I understand healing takes time and I am committed to the process<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_38-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_38\">How did you hear about us?<\/label><select id=\"wpforms-632-field_38\" class=\"wpforms-field-medium\" name=\"wpforms[fields][38]\"><option value=\"Google Search\"  class=\"choice-1 depth-1\"  >Google Search<\/option><option value=\"Facebook\"  class=\"choice-2 depth-1\"  >Facebook<\/option><option value=\"Instagram\"  class=\"choice-3 depth-1\"  >Instagram<\/option><option value=\"TikTok\"  class=\"choice-4 depth-1\"  >TikTok<\/option><option value=\"LinkedIn\"  class=\"choice-9 depth-1\"  >LinkedIn<\/option><option value=\"Referral from friend or family\"  class=\"choice-5 depth-1\"  >Referral from friend or family<\/option><option value=\"Referral from practitioner\"  class=\"choice-6 depth-1\"  >Referral from practitioner<\/option><option value=\"Word of mouth\"  class=\"choice-7 depth-1\"  >Word of mouth<\/option><option value=\"Saw me at an event\"  class=\"choice-8 depth-1\"  >Saw me at an event<\/option><option value=\"Company Car\"  class=\"choice-10 depth-1\"  >Company Car<\/option><option value=\"Other\"  class=\"choice-11 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-632-field_36-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"36\"><fieldset><legend class=\"wpforms-field-label\">What days are you generally available?<\/legend><ul id=\"wpforms-632-field_36\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_1\" name=\"wpforms[fields][36][]\" value=\"Monday\" aria-errormessage=\"wpforms-632-field_36_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_1\">Monday<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_2\" name=\"wpforms[fields][36][]\" value=\"Tuesday\" aria-errormessage=\"wpforms-632-field_36_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_2\">Tuesday<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_3\" name=\"wpforms[fields][36][]\" value=\"Wednesday\" aria-errormessage=\"wpforms-632-field_36_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_3\">Wednesday<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_4\" name=\"wpforms[fields][36][]\" value=\"Thursday\" aria-errormessage=\"wpforms-632-field_36_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_4\">Thursday<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_7\" name=\"wpforms[fields][36][]\" value=\"Friday\" aria-errormessage=\"wpforms-632-field_36_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_7\">Friday<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_6\" name=\"wpforms[fields][36][]\" value=\"Saturday\" aria-errormessage=\"wpforms-632-field_36_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_6\">Saturday<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_5\" name=\"wpforms[fields][36][]\" value=\"Sunday\" aria-errormessage=\"wpforms-632-field_36_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_5\">Sunday<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_36_8\" name=\"wpforms[fields][36][]\" value=\"Flexible - Any Day\" aria-errormessage=\"wpforms-632-field_36_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_36_8\">Flexible - Any Day<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_37-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"37\"><fieldset><legend class=\"wpforms-field-label\">What time of day works best for you?<\/legend><ul id=\"wpforms-632-field_37\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_37_1\" name=\"wpforms[fields][37]\" value=\"Morning 8am-12pm\" aria-errormessage=\"wpforms-632-field_37_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_37_1\">Morning 8am-12pm<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_37_2\" name=\"wpforms[fields][37]\" value=\"Afternoon 12pm-4pm\" aria-errormessage=\"wpforms-632-field_37_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_37_2\">Afternoon 12pm-4pm<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_37_3\" name=\"wpforms[fields][37]\" value=\"Evening 4pm-7pm\" aria-errormessage=\"wpforms-632-field_37_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_37_3\">Evening 4pm-7pm<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_37_4\" name=\"wpforms[fields][37]\" value=\"Flexible - Any Time\" aria-errormessage=\"wpforms-632-field_37_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_37_4\">Flexible - Any Time<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">What&#039;s your investment range for wellness support? Healing is an investment in your future. Understanding your budget helps us design a protocol that works for your situation. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-632-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_14_1\" name=\"wpforms[fields][14]\" value=\"Under $500\/month\" aria-errormessage=\"wpforms-632-field_14_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_14_1\">Under $500\/month<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_14_2\" name=\"wpforms[fields][14]\" value=\"$500-$1,500\/month\" aria-errormessage=\"wpforms-632-field_14_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_14_2\">$500-$1,500\/month<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_14_3\" name=\"wpforms[fields][14]\" value=\"$1,500-$3,000\/month\" aria-errormessage=\"wpforms-632-field_14_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_14_3\">$1,500-$3,000\/month<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_14_4\" name=\"wpforms[fields][14]\" value=\"$3,000-$6,000\/month\" aria-errormessage=\"wpforms-632-field_14_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_14_4\">$3,000-$6,000\/month<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-632-field_14_5\" name=\"wpforms[fields][14]\" value=\"$6,000+\/month\" aria-errormessage=\"wpforms-632-field_14_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_14_5\">$6,000+\/month<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-632-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_18\">Are you ready to commit to showing up consistently? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-632-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-632-field_18-error\" required><\/div><div id=\"wpforms-632-field_13-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Are you ready to commit to a multi-session protocol (minimum 6-8 weeks)? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-632-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_13_1\" name=\"wpforms[fields][13][]\" value=\"Yes, I&#039;m ready to invest in this!\" aria-errormessage=\"wpforms-632-field_13_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_13_1\">Yes, I'm ready to invest in this!<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_13_2\" name=\"wpforms[fields][13][]\" value=\"I need more information first.\" aria-errormessage=\"wpforms-632-field_13_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_13_2\">I need more information first.<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-632-field_13_3\" name=\"wpforms[fields][13][]\" value=\"Not right now.\" aria-errormessage=\"wpforms-632-field_13_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-632-field_13_3\">Not right now.<\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-632-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-632-field_2\" >your to Understanding<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-632-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-632-field_40-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-632-field_40\">Is thre anything else you would like us to know before your consultation?<\/label><textarea id=\"wpforms-632-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\" aria-errormessage=\"wpforms-632-field_40-error\" ><\/textarea><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-632-field_2-container { position: absolute !important; 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