HTML SECOND IN DIVI MODULES Medspa Treatment Recommendation Form 1. What is your age range? Select your age range 21-24 25-34 35-44 45-54 55+ 2. What skin concerns do you have? (Select all that apply) Fine lines and wrinkles Loss of facial volume Sagging skin Double chin Skin hydration Thin lips 3. What areas are you interested in treating? (Select all that apply) Forehead Between the eyebrows (frown lines) Crow's feet (around the eyes) Lips Cheeks Jawline Under the chin 4. What is your Fitzpatrick skin type? Select your skin type Type I (Very fair, always burns, never tans) Type II (Fair, usually burns, tans minimally) Type III (Medium, sometimes mild burn, tans uniformly) Type IV (Olive, rarely burns, tans well) Type V (Brown, very rarely burns, tans very easily) Type VI (Dark brown to black, never burns, tans very easily) Get Treatment Recommendations Your Personalized Treatment Recommendations JAVA CODE FOR DIVI MODULES