{"id":4644,"date":"2024-11-11T16:49:36","date_gmt":"2024-11-11T08:49:36","guid":{"rendered":"https:\/\/yogalates.cc\/?page_id=4644"},"modified":"2024-11-11T16:53:24","modified_gmt":"2024-11-11T08:53:24","slug":"health","status":"publish","type":"page","link":"https:\/\/yogalates.cc\/en\/health\/","title":{"rendered":"\u6703\u54e1\u5065\u5eb7\u72c0\u6cc1\u8abf\u67e5\u8868"},"content":{"rendered":"<p>Member Health Questionnaire Preview<\/p>\n\n\n<style id=\"wpforms-css-vars-root\">\n\t\t\t\t:root {\n\t\t\t\t\t--wpforms-field-border-radius: 3px;\n--wpforms-field-border-style: solid;\n--wpforms-field-border-size: 1px;\n--wpforms-field-background-color: #ffffff;\n--wpforms-field-border-color: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-border-color-spare: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-text-color: rgba( 0, 0, 0, 0.7 );\n--wpforms-field-menu-color: #ffffff;\n--wpforms-label-color: rgba( 0, 0, 0, 0.85 );\n--wpforms-label-sublabel-color: rgba( 0, 0, 0, 0.55 );\n--wpforms-label-error-color: #d63637;\n--wpforms-button-border-radius: 3px;\n--wpforms-button-border-style: none;\n--wpforms-button-border-size: 1px;\n--wpforms-button-background-color: #066aab;\n--wpforms-button-border-color: #066aab;\n--wpforms-button-text-color: #ffffff;\n--wpforms-page-break-color: #066aab;\n--wpforms-background-image: none;\n--wpforms-background-position: center center;\n--wpforms-background-repeat: no-repeat;\n--wpforms-background-size: cover;\n--wpforms-background-width: 100px;\n--wpforms-background-height: 100px;\n--wpforms-background-color: rgba( 0, 0, 0, 0 );\n--wpforms-background-url: none;\n--wpforms-container-padding: 0px;\n--wpforms-container-border-style: none;\n--wpforms-container-border-width: 1px;\n--wpforms-container-border-color: #000000;\n--wpforms-container-border-radius: 3px;\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\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-0782903b-c444-4c90-ac18-1792b8c4516c wpforms-render-modern\" id=\"wpforms-4615\"><form id=\"wpforms-form-4615\" class=\"wpforms-validate wpforms-form\" data-formid=\"4615\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/4644\" data-token=\"b78030ec103698a6d52a570fa5f4ba70\" data-token-time=\"1776805147\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/4644\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-4615-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">\u540d\u5b57 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-4615-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" placeholder=\"\u540d\" aria-errormessage=\"wpforms-4615-field_2-error\" required><label for=\"wpforms-4615-field_2\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-4615-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" placeholder=\"\u59d3\" aria-errormessage=\"wpforms-4615-field_2-last-error\" required><label for=\"wpforms-4615-field_2-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-4615-field_6-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\">\u6027\u5225 Gender <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4615-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_6_1\" name=\"wpforms[fields][6]\" value=\"\u7537 Male\" aria-errormessage=\"wpforms-4615-field_6_1-error\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_6_1\">\u7537 Male<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_6_2\" name=\"wpforms[fields][6]\" value=\"\u5973 Female\" aria-errormessage=\"wpforms-4615-field_6_2-error\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_6_2\">\u5973 Female<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_7-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_7\">\u51fa\u751f\u65e5\u671f Date of Birth <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4615-field_7\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][7][date]\" placeholder=\"\u65e5\/ \u6708\/ \u5e74\" aria-errormessage=\"wpforms-4615-field_7-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-4615-field_11-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">\u5730\u5740 Address<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-4615-field_11\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][11][address1]\" placeholder=\"\u5927\u5ec8\" aria-errormessage=\"wpforms-4615-field_11-error\" ><label for=\"wpforms-4615-field_11\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-4615-field_11-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][11][address2]\" placeholder=\"\u8857\u9053\" aria-errormessage=\"wpforms-4615-field_11-address2-error\" ><label for=\"wpforms-4615-field_11-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-4615-field_11-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][11][city]\" placeholder=\"\u57ce\u5dff\" aria-errormessage=\"wpforms-4615-field_11-city-error\" ><label for=\"wpforms-4615-field_11-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-4615-field_11-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][11][state]\" placeholder=\"\u7701\u4efd\" aria-errormessage=\"wpforms-4615-field_11-state-error\" ><label for=\"wpforms-4615-field_11-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-4615-field_11-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][11][postal]\" placeholder=\"\u90f5\u5340\u7de8\u865f\" aria-errormessage=\"wpforms-4615-field_11-postal-error\" ><label for=\"wpforms-4615-field_11-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-4615-field_11-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][11][country]\" aria-errormessage=\"wpforms-4615-field_11-country-error\" ><option class=\"placeholder\" value=\"\" selected disabled>\u570b\u5bb6<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-4615-field_11-country\" class=\"wpforms-field-sublabel after\">Country<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-4615-field_5-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_5\">\u806f\u7d61\u96fb\u8a71 Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-4615-field_5\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][5]\" aria-label=\"\u806f\u7d61\u96fb\u8a71 Phone\" aria-errormessage=\"wpforms-4615-field_5-error\" required><\/div><div id=\"wpforms-4615-field_4-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_4\">\u96fb\u5b50\u90f5\u7bb1 Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-4615-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" spellcheck=\"false\" aria-errormessage=\"wpforms-4615-field_4-error\" required><\/div><div id=\"wpforms-4615-field_49-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"49\"><fieldset><legend class=\"wpforms-field-label\">\u6700\u5e38\u4f7f\u7528\u7684\u5373\u6642\u901a\u8edf\u4ef6 Most common use Instant Massaging <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4615-field_49\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_49_4\" name=\"wpforms[fields][49]\" value=\"Line\" aria-errormessage=\"wpforms-4615-field_49_4-error\" required checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_49_4\">Line<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_49_2\" name=\"wpforms[fields][49]\" value=\"Whatsapp\" aria-errormessage=\"wpforms-4615-field_49_2-error\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_49_2\">Whatsapp<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_49_3\" name=\"wpforms[fields][49]\" value=\"Facebook\" aria-errormessage=\"wpforms-4615-field_49_3-error\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_49_3\">Facebook<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_49_5\" name=\"wpforms[fields][49]\" value=\"Kakaotalk\" aria-errormessage=\"wpforms-4615-field_49_5-error\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_49_5\">Kakaotalk<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_49_6\" name=\"wpforms[fields][49]\" value=\"\u5fae\u4fe1 Wechat\" aria-errormessage=\"wpforms-4615-field_49_6-error\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_49_6\">\u5fae\u4fe1 Wechat<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_50-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"50\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_50\">\u8acb\u63d0\u4f9b ID, Please provide your ID <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4615-field_50\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][50]\" aria-errormessage=\"wpforms-4615-field_50-error\" aria-describedby=\"wpforms-4615-field_50-description\" required><div id=\"wpforms-4615-field_50-description\" class=\"wpforms-field-description\">\u5373\u6642\u901a\u8edf\u4ef6\u7684ID, Your IM ID<\/div><\/div><div id=\"wpforms-4615-field_12-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_12\">\u8eab\u9ad8 Height <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-4615-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" placeholder=\"\u516c\u5206 cm\" aria-errormessage=\"wpforms-4615-field_12-error\" required><\/div><div id=\"wpforms-4615-field_9-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_9\">\u9ad4\u91cd Weight <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-4615-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" placeholder=\"\u516c\u65a4 Kg\" aria-errormessage=\"wpforms-4615-field_9-error\" required><\/div><div id=\"wpforms-4615-field_13-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u5a5a\u59fb\u72c0\u6cc1 Marriage status<\/legend><ul id=\"wpforms-4615-field_13\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_13_1\" name=\"wpforms[fields][13]\" value=\"\u5df2\u5a5a Married\" aria-errormessage=\"wpforms-4615-field_13_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_13_1\">\u5df2\u5a5a Married<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_13_2\" name=\"wpforms[fields][13]\" value=\"\u672a\u5a5a Single\" aria-errormessage=\"wpforms-4615-field_13_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_13_2\">\u672a\u5a5a Single<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_14-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-trigger\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_14\">\u8acb\u554f\u6709\u591a\u5c11\u540d\u5b69\u5b50 How many child(s)<\/label><input type=\"number\" id=\"wpforms-4615-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" value=\"0\" aria-errormessage=\"wpforms-4615-field_14-error\" ><\/div><div id=\"wpforms-4615-field_15-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"15\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u5206\u5a29\u65b9\u5f0f Mode of delivery<\/legend><ul id=\"wpforms-4615-field_15\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_15_1\" name=\"wpforms[fields][15]\" value=\"\u81ea\u7136\u5206\u5a29 Natural childbirth\" aria-errormessage=\"wpforms-4615-field_15_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_15_1\">\u81ea\u7136\u5206\u5a29 Natural childbirth<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_15_2\" name=\"wpforms[fields][15]\" value=\"\u5256\u8179 Caesarean section\" aria-errormessage=\"wpforms-4615-field_15_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_15_2\">\u5256\u8179 Caesarean section<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_10-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"10\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_10\">\u5b55\u5f8c\u589e\u52a0\u9ad4\u91cd Weight after childbirth<\/label><input type=\"number\" id=\"wpforms-4615-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" placeholder=\"\u516c\u65a4 Kg\" aria-errormessage=\"wpforms-4615-field_10-error\" ><\/div><div id=\"wpforms-4615-field_16-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"16\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_16\">\u8acb\u554f\u5206\u5a29\u5f8c\u660e\u986f\u8b8a\u5316 Any obvious changes after childbirth<\/label><input type=\"text\" id=\"wpforms-4615-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-4615-field_16-error\" ><\/div><div id=\"wpforms-4615-field_17-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"17\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u5206\u5a29\u5f8c\u6709\u5426\u9032\u884c\u7522\u5f8c\u4fee\u5fa9 Any postpartum recovery after giving birth?<\/legend><ul id=\"wpforms-4615-field_17\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_17_1\" name=\"wpforms[fields][17]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_17_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_17_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_17_2\" name=\"wpforms[fields][17]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_17_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_17_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_28-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"28\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_28\">\u8acb\u654d\u8853\u4fee\u5fa9\u7684\u65b9\u5f0f Method of restoration<\/label><input type=\"text\" id=\"wpforms-4615-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" aria-errormessage=\"wpforms-4615-field_28-error\" ><\/div><div id=\"wpforms-4615-field_18-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"18\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f6\u500b\u6708\u5167\u662f\u5426\u6709\u61f7\u5b55\u8a08\u5283 Any pregnancy plans within 6 months?<\/legend><ul id=\"wpforms-4615-field_18\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_18_1\" name=\"wpforms[fields][18]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_18_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_18_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_18_2\" name=\"wpforms[fields][18]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_18_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_18_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_42-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"42\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u662f\u5426\u6709\u5a66\u79d1\u4e0d\u9069\u554f\u984c Any gynecological discomforts?<\/legend><ul id=\"wpforms-4615-field_42\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_42_1\" name=\"wpforms[fields][42]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_42_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_42_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_42_2\" name=\"wpforms[fields][42]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_42_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_42_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_43-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"43\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u662f\u5426\u6709\u751f\u7406\u671f\u4e0d\u9069 Any discomfort during menstrual period?<\/legend><ul id=\"wpforms-4615-field_43\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_43_1\" name=\"wpforms[fields][43]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_43_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_43_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_43_2\" name=\"wpforms[fields][43]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_43_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_43_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_19-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"19\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u662f\u5426\u6709\u63a5\u53d7\u904e\u624b\u8853\u6216\u6cbb\u7642 Ever had any surgery or treatment?<\/legend><ul id=\"wpforms-4615-field_19\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_19_1\" name=\"wpforms[fields][19]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_19_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_19_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_19_2\" name=\"wpforms[fields][19]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_19_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_19_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_20-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"20\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_20\">\u8acb\u654d\u8853\u63a5\u53d7\u904e\u7684\u624b\u8853\u6216\u6cbb\u7642 Describe the surgeries or treatments you have received<\/label><input type=\"text\" id=\"wpforms-4615-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-4615-field_20-error\" ><\/div><div id=\"wpforms-4615-field_21-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"21\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u7761\u7720\u8cea\u7d20\u5982\u4f55 How is your sleep quality?<\/legend><ul id=\"wpforms-4615-field_21\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_21_1\" name=\"wpforms[fields][21]\" value=\"\u597d Good\" aria-errormessage=\"wpforms-4615-field_21_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_21_1\">\u597d Good<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_21_3\" name=\"wpforms[fields][21]\" value=\"\u4e0d\u597d No Good\" aria-errormessage=\"wpforms-4615-field_21_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_21_3\">\u4e0d\u597d No Good<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_26-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"26\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_26\">\u8acb\u654d\u8853 Please describe<\/label><input type=\"text\" id=\"wpforms-4615-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" aria-errormessage=\"wpforms-4615-field_26-error\" ><\/div><div id=\"wpforms-4615-field_22-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u662f\u5426\u6709\u8178\u80c3\u4e0d\u9069\u60c5\u6cc1 Any gastrointestinal discomfort?<\/legend><ul id=\"wpforms-4615-field_22\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_22_1\" name=\"wpforms[fields][22]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_22_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_22_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_22_2\" name=\"wpforms[fields][22]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_22_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_22_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_25-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"25\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_25\">\u8acb\u654d\u8853 Please describe<\/label><input type=\"text\" id=\"wpforms-4615-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" aria-errormessage=\"wpforms-4615-field_25-error\" ><\/div><div id=\"wpforms-4615-field_35-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"35\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u662f\u5426\u6709\u5fc3\u80ba\u4e0d\u9069\u60c5\u6cc1 Any cardiorespiratory discomfort?<\/legend><ul id=\"wpforms-4615-field_35\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_35_1\" name=\"wpforms[fields][35]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_35_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_35_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_35_2\" name=\"wpforms[fields][35]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_35_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_35_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_36-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"36\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_36\">\u8acb\u654d\u8853 Please describe<\/label><input type=\"text\" id=\"wpforms-4615-field_36\" class=\"wpforms-field-medium\" name=\"wpforms[fields][36]\" aria-errormessage=\"wpforms-4615-field_36-error\" ><\/div><div id=\"wpforms-4615-field_24-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"24\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u810a\u690e\u662f\u5426\u6709\u4e0d\u9069\u60c5\u6cc1 Any discomfort in your spine?<\/legend><ul id=\"wpforms-4615-field_24\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_24_1\" name=\"wpforms[fields][24]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_24_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_24_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_24_2\" name=\"wpforms[fields][24]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_24_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_24_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_27-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"27\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_27\">\u8acb\u654d\u8853 Please describe<\/label><input type=\"text\" id=\"wpforms-4615-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-4615-field_27-error\" ><\/div><div id=\"wpforms-4615-field_34-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"34\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u6163\u7528\u5de6\u624b\u9084\u662f\u53f3\u624b You are left-handed or right-handed?<\/legend><ul id=\"wpforms-4615-field_34\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_34_1\" name=\"wpforms[fields][34]\" value=\"\u5de6 Left\" aria-errormessage=\"wpforms-4615-field_34_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_34_1\">\u5de6 Left<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_34_2\" name=\"wpforms[fields][34]\" value=\"\u53f3 Right\" aria-errormessage=\"wpforms-4615-field_34_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_34_2\">\u53f3 Right<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_30-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"30\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u624b\u90e8\u662f\u5426\u6709\u4e0d\u9069\u60c5\u6cc1 Any discomfort in your hands?<\/legend><ul id=\"wpforms-4615-field_30\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_30_1\" name=\"wpforms[fields][30]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_30_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_30_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_30_2\" name=\"wpforms[fields][30]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_30_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_30_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_31-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"31\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_31\">\u8acb\u654d\u8853\u4e0d\u9069\u554f\u984c Please describe<\/label><input type=\"text\" id=\"wpforms-4615-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" aria-errormessage=\"wpforms-4615-field_31-error\" ><\/div><div id=\"wpforms-4615-field_32-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"32\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u817f\u90e8\u662f\u5426\u6709\u4e0d\u9069\u60c5\u6cc1 Any discomfort in your legs?<\/legend><ul id=\"wpforms-4615-field_32\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_32_1\" name=\"wpforms[fields][32]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_32_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_32_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_32_2\" name=\"wpforms[fields][32]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_32_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_32_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_33-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"33\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_33\">\u8acb\u654d\u8853\u4e0d\u9069\u554f\u984c Please describe<\/label><input type=\"text\" id=\"wpforms-4615-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" aria-errormessage=\"wpforms-4615-field_33-error\" ><\/div><div id=\"wpforms-4615-field_37-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns\" data-field-id=\"37\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u8840\u58d3\u662f\u5426\u6b63\u5e38 Blood pressure status<\/legend><ul id=\"wpforms-4615-field_37\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_37_1\" name=\"wpforms[fields][37]\" value=\"\u6a19\u6e96 Standard\" aria-errormessage=\"wpforms-4615-field_37_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_37_1\">\u6a19\u6e96 Standard<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_37_2\" name=\"wpforms[fields][37]\" value=\"\u9ad8\u8840\u58d3 Hypertension\" aria-errormessage=\"wpforms-4615-field_37_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_37_2\">\u9ad8\u8840\u58d3 Hypertension<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_37_4\" name=\"wpforms[fields][37]\" value=\"\u4f4e\u8840\u58d3 Hypotension\" aria-errormessage=\"wpforms-4615-field_37_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_37_4\">\u4f4e\u8840\u58d3 Hypotension<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_39-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-3-columns\" data-field-id=\"39\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u8840\u7cd6\u662f\u5426\u6b63\u5e38 Blood sugar level<\/legend><ul id=\"wpforms-4615-field_39\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_39_1\" name=\"wpforms[fields][39]\" value=\"\u6a19\u6e96 Standard\" aria-errormessage=\"wpforms-4615-field_39_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_39_1\">\u6a19\u6e96 Standard<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_39_2\" name=\"wpforms[fields][39]\" value=\"\u9ad8\u8840\u7cd6 Hyperglycemia\" aria-errormessage=\"wpforms-4615-field_39_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_39_2\">\u9ad8\u8840\u7cd6 Hyperglycemia<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_39_4\" name=\"wpforms[fields][39]\" value=\"\u4f4e\u8840\u7cd6 Hypoglycemia\" aria-errormessage=\"wpforms-4615-field_39_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_39_4\">\u4f4e\u8840\u7cd6 Hypoglycemia<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_40-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"40\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u662f\u5426\u6709\u9aa8\u8cea\u758f\u9b06 Do you have osteoporosis?<\/legend><ul id=\"wpforms-4615-field_40\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_40_1\" name=\"wpforms[fields][40]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_40_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_40_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_40_2\" name=\"wpforms[fields][40]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_40_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_40_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_41-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"41\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u662f\u5426\u6709\u8840\u52d5\u8108\u786c\u5316 Any change in blood arteries?<\/legend><ul id=\"wpforms-4615-field_41\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_41_1\" name=\"wpforms[fields][41]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_41_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_41_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_41_2\" name=\"wpforms[fields][41]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_41_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_41_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_48-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"48\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_48\">\u8acb\u654d\u8853\u90a3\u500b\u4f4d\u7f6e Please describe<\/label><input type=\"text\" id=\"wpforms-4615-field_48\" class=\"wpforms-field-medium\" name=\"wpforms[fields][48]\" aria-errormessage=\"wpforms-4615-field_48-error\" ><\/div><div id=\"wpforms-4615-field_45-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"45\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_45\">\u8acb\u654d\u8853 Please describe<\/label><input type=\"text\" id=\"wpforms-4615-field_45\" class=\"wpforms-field-medium\" name=\"wpforms[fields][45]\" aria-errormessage=\"wpforms-4615-field_45-error\" ><\/div><div id=\"wpforms-4615-field_44-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"44\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_44\">\u8acb\u654d\u8853 Please describe<\/label><input type=\"text\" id=\"wpforms-4615-field_44\" class=\"wpforms-field-medium\" name=\"wpforms[fields][44]\" aria-errormessage=\"wpforms-4615-field_44-error\" ><\/div><div id=\"wpforms-4615-field_46-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"46\"><fieldset><legend class=\"wpforms-field-label\">\u8acb\u554f\u662f\u5426\u6709\u5176\u4ed6\u4e0d\u9069 (\u5df2\u6709\u91ab\u7642\u6aa2\u67e5\u78ba\u8a8d) Any other discomfort (has been confirmed by medical examination)<\/legend><ul id=\"wpforms-4615-field_46\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4615-field_46_1\" name=\"wpforms[fields][46]\" value=\"\u6709 Yes\" aria-errormessage=\"wpforms-4615-field_46_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_46_1\">\u6709 Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-4615-field_46_2\" name=\"wpforms[fields][46]\" value=\"\u6c92\u6709 No\" aria-errormessage=\"wpforms-4615-field_46_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-4615-field_46_2\">\u6c92\u6709 No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4615-field_47-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"47\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4615-field_47\">\u8acb\u654d\u8853 Please describe<\/label><input type=\"text\" id=\"wpforms-4615-field_47\" class=\"wpforms-field-medium\" name=\"wpforms[fields][47]\" aria-errormessage=\"wpforms-4615-field_47-error\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"4615\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/yogalates.cc\/en\/wp-json\/wp\/v2\/pages\/4644\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-4615\" class=\"wpforms-submit\" aria-live=\"assertive\" value=\"wpforms-submit\">\u9001\u51fa Submit<\/button><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"<p>Member Health Questionnaire Preview<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","footnotes":""},"class_list":["post-4644","page","type-page","status-publish"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"trp-custom-language-flag":false,"woocommerce_thumbnail":false,"woocommerce_single":false,"woocommerce_gallery_thumbnail":false},"uagb_author_info":{"display_name":"Amos Au Yeung","author_link":"https:\/\/yogalates.cc\/en\/author\/amos\/"},"uagb_comment_info":0,"uagb_excerpt":"Member Health Questionnaire 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