imelo59.gendo.app
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52.202.104.78
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Submitted URL: https://gendo.app/c/Hghvzg
Effective URL: https://imelo59.gendo.app/
Submission: On August 05 via manual from IE — Scanned from DE
Effective URL: https://imelo59.gendo.app/
Submission: On August 05 via manual from IE — Scanned from DE
Form analysis 1 forms found in the DOM
<form data-v-36164cae="" class="q-form column no-wrap col q-px-md full-width" style="max-width: 800px;">
<div data-v-36164cae="" class="text-center text-h6 q-mt-lg text-h6">
<div data-v-36164cae="">Informe seus dados para acessar</div>
<div data-v-36164cae="" class="text-subtitle2 text-weight-regular"> Informe seus dados abaixo para criar um novo cadastro </div>
</div><!---->
<div data-v-36164cae="" class="q-pt-md" style="">
<div data-v-36164cae="" class="info__label">Telefone</div>
<div data-v-36164cae="" class="row items-center">
<div data-v-36164cae="" class="info__value q-pr-sm"><span data-v-36164cae="" class="q-pr-xs">+55</span><span data-v-36164cae="">690737123</span></div>
<i data-v-36164cae="" aria-hidden="true" role="presentation" class="q-icon text-green notranslate material-icons" style="font-size: 18px;">check_box</i>
</div>
<div data-v-36164cae="" class="info__label">Confirme seu telefone</div>
<div data-v-36164cae="" class="row items-center">
<div data-v-36164cae="" class="info__value q-pr-sm"><span data-v-36164cae="" class="q-pr-xs">+55</span><span data-v-36164cae="">690737123</span></div>
<i data-v-36164cae="" aria-hidden="true" role="presentation" class="q-icon text-green notranslate material-icons" style="font-size: 18px;">check_box</i>
</div><label data-v-36164cae="" for="f_0cf37b74-944d-4831-b3e2-ea85c719eaca" class="q-field q-validation-component row no-wrap items-start q-py-sm col-12 q-input q-field--standard q-field--labeled q-field--with-bottom"
style="margin-bottom: 20px;">
<div class="q-field__inner relative-position col self-stretch">
<div tabindex="-1" class="q-field__control relative-position row no-wrap">
<div class="q-field__control-container col relative-position row no-wrap q-anchor--skip"><input tabindex="0" aria-label="Nome (*)" id="f_0cf37b74-944d-4831-b3e2-ea85c719eaca" type="text" class="q-field__native q-placeholder">
<div class="q-field__label no-pointer-events absolute ellipsis">Nome (*)</div>
</div>
</div>
<div class="q-field__bottom row items-start q-field__bottom--animated">
<div class="q-field__messages col"></div>
</div>
</div>
</label><label data-v-36164cae="" for="f_79815529-0877-44f5-a372-63093cfd265c" class="q-field q-validation-component row no-wrap items-start q-py-sm col-12 email-input q-input q-field--standard q-field--labeled q-field--with-bottom">
<div class="q-field__inner relative-position col self-stretch">
<div tabindex="-1" class="q-field__control relative-position row no-wrap">
<div class="q-field__control-container col relative-position row no-wrap q-anchor--skip"><input tabindex="0" aria-label="Email (*)" id="f_79815529-0877-44f5-a372-63093cfd265c" type="email" class="q-field__native q-placeholder">
<div class="q-field__label no-pointer-events absolute ellipsis">Email (*)</div>
</div>
</div>
<div class="q-field__bottom row items-start q-field__bottom--animated">
<div class="q-field__messages col"></div>
</div>
</div>
</label>
<div data-v-36164cae="" class="text-subtitle2 text-weight-regular text-spacing"> Para facilitar seu próximo login, cadastre um e-mail Google ou Apple. </div>
<div data-v-36164cae="" class="text-subtitle2 text-weight-regular subtext-spacing"> (ex: joao@gmail.com) </div>
<div data-v-36164cae=""><!----><!----><label data-v-36164cae="" for="f_7ff73382-df36-4815-8db7-47d7b96080a2"
class="q-field q-validation-component row no-wrap items-start q-py-sm col-12 q-input q-field--standard q-field--labeled q-field--with-bottom">
<div class="q-field__inner relative-position col self-stretch">
<div tabindex="-1" class="q-field__control relative-position row no-wrap">
<div class="q-field__control-container col relative-position row no-wrap q-anchor--skip"><input tabindex="0" aria-label="Data de Nascimento " id="f_7ff73382-df36-4815-8db7-47d7b96080a2" type="text" class="q-field__native q-placeholder">
<div class="q-field__label no-pointer-events absolute ellipsis">Data de Nascimento </div>
</div>
</div>
<div class="q-field__bottom row items-start q-field__bottom--animated">
<div class="q-field__messages col"></div>
</div>
</div>
</label></div>
<div data-v-36164cae=""><label data-v-36164cae="" for="f_92b2ba31-05e2-4cdd-aa3b-fc23bc9a942e"
class="q-field q-validation-component row no-wrap items-start q-py-sm q-select q-field--auto-height q-select--without-input q-select--without-chips q-select--single q-field--standard q-field--labeled">
<div class="q-field__inner relative-position col self-stretch">
<div tabindex="-1" class="q-field__control relative-position row no-wrap">
<div class="q-field__control-container col relative-position row no-wrap q-anchor--skip">
<div class="q-field__native row items-center"><span></span>
<div id="f_92b2ba31-05e2-4cdd-aa3b-fc23bc9a942e" tabindex="0" role="combobox" aria-multiselectable="false" aria-expanded="false" aria-owns="f_92b2ba31-05e2-4cdd-aa3b-fc23bc9a942e_lb"
aria-activedescendant="f_92b2ba31-05e2-4cdd-aa3b-fc23bc9a942e_-1" class="q-select__focus-target"></div>
</div>
<div class="q-field__label no-pointer-events absolute ellipsis">Antecedentes Alérgicos </div>
</div>
<div class="q-field__append q-field__marginal row no-wrap items-center q-anchor--skip"><i aria-hidden="true" role="presentation" class="q-select__dropdown-icon q-icon notranslate material-icons">arrow_drop_down</i></div><!---->
</div>
</div>
</label><!----><!----></div>
<div data-v-36164cae=""><!---->
<div data-v-36164cae="" class="column q-pt-sm">
<div data-v-36164cae="" class="q-ml-sm">Gravidez</div>
<div data-v-36164cae="" class="row">
<div data-v-36164cae="" tabindex="0" role="radio" aria-label="Não" aria-checked="false" class="q-radio cursor-pointer no-outline row inline no-wrap items-center">
<div class="q-radio__inner relative-position q-radio__inner--falsy"><input type="radio" class="hidden q-radio__native q-ma-none q-pa-none"><svg focusable="false" viewBox="0 0 24 24" aria-hidden="true"
class="q-radio__bg absolute non-selectable">
<path d="M12,22a10,10 0 0 1 -10,-10a10,10 0 0 1 10,-10a10,10 0 0 1 10,10a10,10 0 0 1 -10,10m0,-22a12,12 0 0 0 -12,12a12,12 0 0 0 12,12a12,12 0 0 0 12,-12a12,12 0 0 0 -12,-12"></path>
<path d="M12,6a6,6 0 0 0 -6,6a6,6 0 0 0 6,6a6,6 0 0 0 6,-6a6,6 0 0 0 -6,-6" class="q-radio__check"></path>
</svg></div><span tabindex="-1" class="no-outline"></span>
<div class="q-radio__label q-anchor--skip">Não</div>
</div>
<div data-v-36164cae="" tabindex="0" role="radio" aria-label="Sim" aria-checked="false" class="q-radio cursor-pointer no-outline row inline no-wrap items-center">
<div class="q-radio__inner relative-position q-radio__inner--falsy"><input type="radio" class="hidden q-radio__native q-ma-none q-pa-none"><svg focusable="false" viewBox="0 0 24 24" aria-hidden="true"
class="q-radio__bg absolute non-selectable">
<path d="M12,22a10,10 0 0 1 -10,-10a10,10 0 0 1 10,-10a10,10 0 0 1 10,10a10,10 0 0 1 -10,10m0,-22a12,12 0 0 0 -12,12a12,12 0 0 0 12,12a12,12 0 0 0 12,-12a12,12 0 0 0 -12,-12"></path>
<path d="M12,6a6,6 0 0 0 -6,6a6,6 0 0 0 6,6a6,6 0 0 0 6,-6a6,6 0 0 0 -6,-6" class="q-radio__check"></path>
</svg></div><span tabindex="-1" class="no-outline"></span>
<div class="q-radio__label q-anchor--skip">Sim</div>
</div>
</div>
</div><!---->
</div>
</div><button data-v-36164cae="" tabindex="0" type="button" class="q-btn q-btn-item non-selectable no-outline full-width q-mt-auto q-py-xs q-btn--outline q-btn--rectangle text-blue q-btn--actionable q-focusable q-hoverable q-btn--wrap"
data-cy="save-info" style="margin-top: 120px;"><span class="q-focus-helper"></span><span class="q-btn__wrapper col row q-anchor--skip"><span
class="q-btn__content text-center col items-center q-anchor--skip justify-center row">Salvar</span></span></button>
</form>Text Content
InícioAgendarReservasnotificationsaccount_circle Informe seus dados para acessar Informe seus dados abaixo para criar um novo cadastro Telefone +55690737123 check_box Confirme seu telefone +55690737123 check_box Nome (*) Email (*) Para facilitar seu próximo login, cadastre um e-mail Google ou Apple. (ex: joao@gmail.com) Data de Nascimento Antecedentes Alérgicos arrow_drop_down Gravidez Não Sim Salvar home Início more_time Agendar event_note Reservas more_horiz Mais