My Hair Clinic - Contact Form<\/title>\n <script src=\"https:\/\/js.hcaptcha.com\/1\/api.js\" async defer><\/script>\n<\/head>\n\n<style>\n\/* Brand Colors: Black #000000, Gold #BFA866, White #FFFFFF *\/\n* {\n margin: 0;\n padding: 0;\n box-sizing: border-box;\n}\n\nbody {\n font-family: 'Lato', system-ui, Arial, sans-serif;\n background-color: #000000;\n color: #FFFFFF;\n line-height: 1.6;\n min-height: 100vh;\n}\n\n.calculator-container {\n max-width: 800px;\n margin: 0 auto;\n padding: 20px;\n}\n\n\/* Typography *\/\nh1, h2, h3 {\n font-family: 'Playfair Display', Georgia, Times, serif;\n color: #BFA866 !important;\n margin-bottom: 1rem;\n}\n\n.calculator-container h1,\n.calculator-container h2,\n.calculator-container h3 {\n color: #BFA866 !important;\n font-family: 'Playfair Display', Georgia, Times, serif !important;\n}\n\nh1 {\n font-size: 2.5rem !important;\n text-align: center !important;\n margin-bottom: 2rem !important;\n letter-spacing: 2px !important;\n color: #BFA866 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*\/\n.hcaptcha-container {\n display: flex;\n justify-content: center;\n margin: 1.5rem 0;\n}\n\n\/* Buttons *\/\n.btn {\n background: #BFA866;\n color: #000000;\n border: none;\n padding: 1rem 2rem;\n border-radius: 4px;\n font-size: 1.1rem;\n font-weight: 600;\n cursor: pointer;\n transition: all 0.3s ease;\n text-transform: uppercase;\n letter-spacing: 1px;\n}\n\n.btn:hover {\n background: #d4be7a;\n transform: translateY(-2px);\n}\n\n.btn:disabled {\n background: #666;\n cursor: not-allowed;\n transform: none;\n}\n\n\/* Success Message *\/\n.success-modal {\n position: fixed;\n top: 50%;\n left: 50%;\n transform: translate(-50%, -50%);\n background: rgba(0, 0, 0, 0.9);\n border: 2px solid #BFA866;\n border-radius: 8px;\n padding: 2rem;\n z-index: 1000;\n width: 90%;\n max-width: 500px;\n box-shadow: 0 0 20px rgba(191, 168, 102, 0.5);\n}\n\n.success-content {\n text-align: center;\n color: #FFFFFF;\n}\n\n.success-content h3 {\n color: #BFA866 !important;\n font-size: 1.8rem;\n 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!important;\n}\n<\/style>\n\n<body>\n\n<div class=\"calculator-container\">\n <form id=\"contactForm\">\n \n <section class=\"form-section\">\n <h2>Contact Information<\/h2>\n \n <div class=\"form-group\">\n <label for=\"patientName\">Full Name *<\/label>\n <input type=\"text\" id=\"patientName\" name=\"patientName\" required>\n <\/div>\n\n <div class=\"form-group\">\n <label for=\"patientEmail\">Email *<\/label>\n <input type=\"email\" id=\"patientEmail\" name=\"patientEmail\" required>\n <\/div>\n\n <div class=\"form-group\">\n <label for=\"patientPhone\">Phone Number *<\/label>\n <input type=\"tel\" id=\"patientPhone\" name=\"patientPhone\" required>\n <\/div>\n\n <div class=\"form-group\">\n <label for=\"patientAge\">Age (Optional)<\/label>\n <input type=\"number\" id=\"patientAge\" name=\"patientAge\" min=\"15\" max=\"80\">\n <\/div>\n\n <div class=\"form-group\">\n <label for=\"locationPreference\">Preferred Location<\/label>\n <select id=\"locationPreference\" name=\"locationPreference\">\n <option value=\"\">Select preferred location<\/option>\n <option value=\"Dubai\">Dubai<\/option>\n <option value=\"Oslo\">Oslo<\/option>\n <option value=\"Islamabad\">Islamabad<\/option>\n <\/select>\n <\/div>\n <\/section>\n\n \n <section class=\"form-section\">\n <div class=\"form-group\">\n <div class=\"checkbox-item\">\n <input type=\"checkbox\" id=\"consent\" name=\"consent\" required>\n <label for=\"consent\">\n I consent to My Hair Clinic contacting me about hair restoration consultation. *\n <\/label>\n <\/div>\n <\/div>\n\n \n <div class=\"hcaptcha-container\">\n <div class=\"h-captcha\" data-sitekey=\"905e131c-2d2c-435c-a188-5fccbf7ee882\" data-theme=\"dark\"><\/div>\n <\/div>\n <\/section>\n\n \n <div style=\"text-align: center; margin: 2rem 0;\">\n <button type=\"button\" id=\"submitBtn\" class=\"btn\">Submit<\/button>\n <\/div>\n <\/form>\n\n \n <div class=\"cf7-form\">\n \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f7659-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"7659\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ht\/wp-json\/wp\/v2\/pages\/3014#wpcf7-f7659-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"7659\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f7659-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><label>Your Name (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label>Your Email (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label>Your Phone (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span> <\/label>\n<\/p>\n<p><label>Your Age (optional)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-age\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"18\" max=\"80\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"your-age\" \/><\/span> <\/label>\n<\/p>\n<p><label>Preferred Location<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-location\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"your-location\"><option value=\"\">—Please choose an option—<\/option><option value=\"Dubai\">Dubai<\/option><option value=\"Oslo\">Oslo<\/option><option value=\"Islamabad\">Islamabad<\/option><\/select><\/span> <\/label>\n<\/p>\n<p><label>Consent<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-consent\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"your-consent[]\" value=\"I consent to My Hair Clinic contacting me about hair restoration consultation\" \/><span class=\"wpcf7-list-item-label\">I consent to My Hair Clinic contacting me about hair restoration consultation<\/span><\/label><\/span><\/span><\/span> <\/label>\n<\/p>\n<p><span id=\"wpcf7-6addbd7796149-wrapper\" class=\"wpcf7-form-control-wrap your-verify-field-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-6addbd7796149-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-6addbd7796149-field\" class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"your-verify-field\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n <\/div>\n<\/div>\n\n<script>\ndocument.addEventListener('DOMContentLoaded', function() {\n \/\/ Wait for CF7 and hCaptcha to fully load\n setTimeout(function() {\n initializeForm();\n }, 1000);\n \n \/\/ Listen 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\n\t\t\t\t\t\n\n \n \n My Hair Clinic - Contact Form<\/title>\n <script src=\"https:\/\/js.hcaptcha.com\/1\/api.js\" async defer><\/script>\n<\/head>\n\n<style>\n\/* Brand Colors: Black #000000, Gold #BFA866, White #FFFFFF *\/\n* {\n margin: 0;\n padding: 0;\n box-sizing: border-box;\n}\n\nbody {\n font-family: 'Lato', system-ui, Arial, sans-serif;\n background-color: #000000;\n color: #FFFFFF;\n line-height: 1.6;\n min-height: 100vh;\n}\n\n.calculator-container {\n max-width: 800px;\n margin: 0 auto;\n padding: 20px;\n}\n\n\/* Typography *\/\nh1, h2, h3 {\n font-family: 'Playfair Display', Georgia, Times, serif;\n color: #BFA866 !important;\n margin-bottom: 1rem;\n}\n\n.calculator-container h1,\n.calculator-container h2,\n.calculator-container h3 {\n color: #BFA866 !important;\n font-family: 'Playfair Display', Georgia, Times, serif !important;\n}\n\nh1 {\n font-size: 2.5rem !important;\n text-align: center !important;\n margin-bottom: 2rem !important;\n letter-spacing: 2px 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name=\"locationPreference\">\n <option value=\"\">Select preferred location<\/option>\n <option value=\"Dubai\">Dubai<\/option>\n <option value=\"Oslo\">Oslo<\/option>\n <option value=\"Islamabad\">Islamabad<\/option>\n <\/select>\n <\/div>\n <\/section>\n\n \n <section class=\"form-section\">\n <div class=\"form-group\">\n <div class=\"checkbox-item\">\n <input type=\"checkbox\" id=\"consent\" name=\"consent\" required>\n <label for=\"consent\">\n I consent to My Hair Clinic contacting me about hair restoration consultation. *\n <\/label>\n <\/div>\n <\/div>\n\n \n <div class=\"hcaptcha-container\">\n <div class=\"h-captcha\" data-sitekey=\"905e131c-2d2c-435c-a188-5fccbf7ee882\" data-theme=\"dark\"><\/div>\n <\/div>\n <\/section>\n\n \n <div style=\"text-align: center; margin: 2rem 0;\">\n <button type=\"button\" id=\"submitBtn\" class=\"btn\">Submit<\/button>\n <\/div>\n <\/form>\n\n \n <div class=\"cf7-form\">\n \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f7659-o1\" lang=\"en-US\" 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class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"18\" max=\"80\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"your-age\" \/><\/span> <\/label>\n<\/p>\n<p><label>Preferred Location<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-location\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"your-location\"><option value=\"\">—Please choose an option—<\/option><option value=\"Dubai\">Dubai<\/option><option value=\"Oslo\">Oslo<\/option><option value=\"Islamabad\">Islamabad<\/option><\/select><\/span> <\/label>\n<\/p>\n<p><label>Consent<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-consent\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"your-consent[]\" value=\"I consent to My Hair Clinic contacting me about hair restoration consultation\" \/><span class=\"wpcf7-list-item-label\">I consent to My Hair 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