regainyourrockstar.com Open in urlscan Pro
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Form analysis
1 forms found in the DOM

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<form method="post" class="et_pb_newsletter_custom_fields">
  <div class="et_pb_newsletter_result et_pb_newsletter_error"></div>
  <div class="et_pb_newsletter_result et_pb_newsletter_success">
    <h2>Success!</h2>
  </div>
  <div class="et_pb_newsletter_fields">
    <p class="et_pb_newsletter_field et_pb_contact_field_last et_pb_contact_field_last_tablet et_pb_contact_field_last_phone">
      <label class="et_pb_contact_form_label" for="et_pb_signup_firstname" style="display: none;">First Name</label>
      <input id="et_pb_signup_firstname" class="input" type="text" placeholder="First Name" name="et_pb_signup_firstname">
    </p>
    <p class="et_pb_newsletter_field et_pb_contact_field_last et_pb_contact_field_last_tablet et_pb_contact_field_last_phone">
      <label class="et_pb_contact_form_label" for="et_pb_signup_lastname" style="display: none;">Last Name</label>
      <input id="et_pb_signup_lastname" class="input" type="text" placeholder="Last Name" name="et_pb_signup_lastname">
    </p>
    <p class="et_pb_newsletter_field et_pb_contact_field_last et_pb_contact_field_last_tablet et_pb_contact_field_last_phone">
      <label class="et_pb_contact_form_label" for="et_pb_signup_email" style="display: none;">Email</label>
      <input id="et_pb_signup_email" class="input" type="text" placeholder="Email" name="et_pb_signup_email">
    </p>
    <p class="et_pb_newsletter_button_wrap">
      <a class="et_pb_newsletter_button et_pb_button" href="#" data-icon="">
							<span class="et_subscribe_loader"></span>
							<span class="et_pb_newsletter_button_text">Register Now</span>
						</a>
    </p>
  </div>
  <input type="hidden" value="activecampaign" name="et_pb_signup_provider">
  <input type="hidden" value="4" name="et_pb_signup_list_id">
  <input type="hidden" value="Dr Shawn Weiss" name="et_pb_signup_account_name">
  <input type="hidden" value="true" name="et_pb_signup_ip_address"><input type="hidden" value="fa21797594766cc8118550250fab4aa9" name="et_pb_signup_checksum">
</form>

Text Content

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0:03










Register now to get expert guidance on overcoming hormonal changes and life’s
chaos so you can start feeling better today.


SUCCESS!

First Name

Last Name

Email

Register Now

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CookieDurationDescriptioncookielawinfo-checkbox-analytics11 monthsThis cookie is
set by GDPR Cookie Consent plugin. The cookie is used to store the user consent
for the cookies in the category "Analytics".cookielawinfo-checkbox-functional11
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the cookies in the category "Functional".cookielawinfo-checkbox-necessary11
monthsThis cookie is set by GDPR Cookie Consent plugin. The cookies is used to
store the user consent for the cookies in the category
"Necessary".cookielawinfo-checkbox-others11 monthsThis cookie is set by GDPR
Cookie Consent plugin. The cookie is used to store the user consent for the
cookies in the category "Other.cookielawinfo-checkbox-performance11 monthsThis
cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the
user consent for the cookies in the category
"Performance".viewed_cookie_policy11 monthsThe cookie is set by the GDPR Cookie
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of cookies. It does not store any personal data.

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