VIRTUAL SKIN CONSULTATION QUESTIONAIRE STEP 4
Funke Roberts-Quadri
The Ageless Skin Expert
.tp-caption.NotGeneric-Title,.NotGeneric-Title{color:rgba(255,255,255,1.00);font-size:70px;line-height:70px;font-weight:800;font-style:normal;font-family:Raleway;text-decoration:none;background-color:transparent;border-color:transparent;border-style:none;border-width:0px;border-radius:0 0 0 0px}.tp-caption.NotGeneric-SubTitle,.NotGeneric-SubTitle{color:rgba(255,255,255,1.00);font-size:13px;line-height:20px;font-weight:500;font-style:normal;font-family:Raleway;text-decoration:none;background-color:transparent;border-color:transparent;border-style:none;border-width:0px;border-radius:0 0 0 0px;letter-spacing:4px}
setREVStartSize({c: jQuery(‘#rev_slider_5_1’), responsiveLevels: [1240,1024,778,480], gridwidth: [1240,1024,778,480], gridheight: [600,500,400,300], sliderLayout: ‘fullwidth’});
var revapi5,
tpj=jQuery;
tpj(document).ready(function() {
if(tpj(“#rev_slider_5_1”).revolution == undefined){
revslider_showDoubleJqueryError(“#rev_slider_5_1”);
}else{
revapi5 = tpj(“#rev_slider_5_1″).show().revolution({
sliderType:”hero”,
jsFileLocation:”//www.funkerobertsquadri.com/wp-content/plugins/revslider/public/assets/js/”,
sliderLayout:”fullwidth”,
dottedOverlay:”none”,
delay:9000,
responsiveLevels:[1240,1024,778,480],
visibilityLevels:[1240,1024,778,480],
gridwidth:[1240,1024,778,480],
gridheight:[600,500,400,300],
lazyType:”none”,
parallax: {
type:”mouse”,
origo:”slidercenter”,
speed:2000,
levels:[2,3,4,5,6,7,12,16,10,50,46,47,48,49,50,55],
},
shadow:0,
spinner:”off”,
autoHeight:”off”,
disableProgressBar:”on”,
hideThumbsOnMobile:”off”,
hideSliderAtLimit:0,
hideCaptionAtLimit:0,
hideAllCaptionAtLilmit:0,
debugMode:false,
fallbacks: {
simplifyAll:”off”,
disableFocusListener:false,
}
});
}
}); /*ready*/
#firstname {font-size:18px;}
#phoneno {font-size:18px;}
#email {font-size:18px;}
#radioyesno input[type=”radio”] {font-size:18px;}
.wpcf7-form textarea { padding:5px 0px 5px 7px; border-radius:7px;}
.custom-checkbox label, .custom-radio label, .custom-checkbox .wpcf7-list-item-label, .custom-radio .wpcf7-list-item-label{font-size:16px;color:#000;}
LIFESTYLE QUESTIONNAIRE
Do you exercise? Yes No
Do you work more than 60 hours per day? Yes No
Do you smoke? Yes No
Do you live or work in a smoky atmosphere? Yes No
Do you spend more than 5 hours a week in traffic? Yes No
Do you spend more than 5 hours a week in traffic? Yes No
Do you have difficulty getting to sleep? Yes No
How many hours sleep a night do you get? Over 7 hours 5-6 hours Less than 4hours
How many hours a week do you relax? Over 10 hours 8-9 hours Less than 7hours
How many hours a week do you relax? Over 10 hours 8-9 hours Less than 7hours
How often do you take the stairs instead of using the elevator? Always Often Sometimes Never
How many times a week do you exercise for at least 30 minutes? 7 times a week 4 times a week 2-3 times a week Once a week
NUTRITION QUESTION
Do you read the nutrition facts table on food labels? Yes No
How many meals do you eat a day? More than 3 3 Meals per day
Do you eat vegetables? Yes No
Do you eat fruits daily? Yes No
What do you do to your meat, fish or poultry? Fry Roast Boil
How often do you eat sweets? 3 times a week or less 4-5 times a week Everyday
How often do you drink sweet drinks? 3 times a week or less 4-5 times a week Everyday
How much water do you drink daily? 3 liters or more 2-3 liters 1-2 liters 1-2 liters 1-2 liters
How often do you eat fried foods? 7 or More times per week 5-6 Times per week 2-4 Times per week 0-1 Times per week
