{"id":8360,"date":"2021-07-28T05:38:29","date_gmt":"2021-07-28T05:38:29","guid":{"rendered":"https:\/\/20.ebaraha.in\/nutrition\/index.php\/initial-screening-form-2\/"},"modified":"2021-07-28T05:40:49","modified_gmt":"2021-07-28T05:40:49","slug":"feedback-form","status":"publish","type":"page","link":"https:\/\/20.ebaraha.in\/nutrition\/index.php\/feedback-form\/","title":{"rendered":"Feedback Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8360\" class=\"elementor elementor-8360\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2965567 elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"2965567\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-aa2d860\" data-id=\"aa2d860\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0b4ce11 elementor-widget elementor-widget-wpforms\" data-id=\"0b4ce11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-8359\"><form id=\"wpforms-form-8359\" class=\"wpforms-validate wpforms-form\" data-formid=\"8359\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/nutrition\/index.php\/wp-json\/wp\/v2\/pages\/8360\" data-token=\"09e361ea1e1b0d5030e5bc5425189e91\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-8359-field_1-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-8359-field_1\">1.  How satisfied are you with your experience at ExpertNutritionzone.com. Please rate your experience. 1 being not satisfied at all and 10 being extremely satisfied.  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-8359-field_1\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_1_1\" name=\"wpforms[fields][1]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_1_1\">1<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_1_2\" name=\"wpforms[fields][1]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_1_2\">2<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_1_3\" name=\"wpforms[fields][1]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_1_3\">3<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_1_4\" name=\"wpforms[fields][1]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_1_4\">4<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_1_5\" name=\"wpforms[fields][1]\" value=\"5\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_1_5\">5<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_1_6\" name=\"wpforms[fields][1]\" value=\"6\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_1_6\">6<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_1_7\" name=\"wpforms[fields][1]\" value=\"7\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_1_7\">7<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_1_8\" name=\"wpforms[fields][1]\" value=\"8\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_1_8\">8<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_1_9\" name=\"wpforms[fields][1]\" value=\"9\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_1_9\">9<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_1_12\" name=\"wpforms[fields][1]\" value=\"10\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_1_12\">10<\/label><\/li><\/ul><\/div><div id=\"wpforms-8359-field_2-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-8359-field_2\">2. How likely are you to recommend our services to other clients. Please rate your experience. 1 being not likely at all to 10 being extremely likely.  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-8359-field_2\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_2_1\" name=\"wpforms[fields][2]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_2_1\">1<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_2_2\" name=\"wpforms[fields][2]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_2_2\">2<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_2_3\" name=\"wpforms[fields][2]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_2_3\">3<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_2_4\" name=\"wpforms[fields][2]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_2_4\">4<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_2_5\" name=\"wpforms[fields][2]\" value=\"5\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_2_5\">5<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_2_6\" name=\"wpforms[fields][2]\" value=\"6\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_2_6\">6<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_2_7\" name=\"wpforms[fields][2]\" value=\"7\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_2_7\">7<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_2_8\" name=\"wpforms[fields][2]\" value=\"8\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_2_8\">8<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_2_9\" name=\"wpforms[fields][2]\" value=\"9\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_2_9\">9<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_2_12\" name=\"wpforms[fields][2]\" value=\"10\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_2_12\">10<\/label><\/li><\/ul><\/div><div id=\"wpforms-8359-field_3-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-8359-field_3\">3. What would you improve if you could? <\/label><textarea id=\"wpforms-8359-field_3\" class=\"wpforms-field-small\" name=\"wpforms[fields][3]\" ><\/textarea><\/div><div id=\"wpforms-8359-field_4-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-8359-field_4\">4. How likely are you to return our website and use our services again? Rate your experience. 1 being not likely at all and 10 being extremely likely.  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-8359-field_4\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_4_1\" name=\"wpforms[fields][4]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_4_1\">1<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_4_2\" name=\"wpforms[fields][4]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_4_2\">2<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_4_3\" name=\"wpforms[fields][4]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_4_3\">3<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_4_4\" name=\"wpforms[fields][4]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_4_4\">4<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_4_5\" name=\"wpforms[fields][4]\" value=\"5\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_4_5\">5<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_4_6\" name=\"wpforms[fields][4]\" value=\"6\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_4_6\">6<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_4_7\" name=\"wpforms[fields][4]\" value=\"7\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_4_7\">7<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_4_8\" name=\"wpforms[fields][4]\" value=\"8\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_4_8\">8<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_4_9\" name=\"wpforms[fields][4]\" value=\"9\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_4_9\">9<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"radio\" id=\"wpforms-8359-field_4_12\" name=\"wpforms[fields][4]\" value=\"10\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-8359-field_4_12\">10<\/label><\/li><\/ul><\/div><div id=\"wpforms-8359-field_5-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-8359-field_5\">5.Any Questions\/Comments<\/label><textarea id=\"wpforms-8359-field_5\" class=\"wpforms-field-small\" name=\"wpforms[fields][5]\" ><\/textarea><\/div><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"8359\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" class=\"wpforms-submit \" id=\"wpforms-submit-8359\" value=\"wpforms-submit\" aria-live=\"assertive\" >Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8360","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/20.ebaraha.in\/nutrition\/index.php\/wp-json\/wp\/v2\/pages\/8360","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/20.ebaraha.in\/nutrition\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/20.ebaraha.in\/nutrition\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/20.ebaraha.in\/nutrition\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/20.ebaraha.in\/nutrition\/index.php\/wp-json\/wp\/v2\/comments?post=8360"}],"version-history":[{"count":7,"href":"https:\/\/20.ebaraha.in\/nutrition\/index.php\/wp-json\/wp\/v2\/pages\/8360\/revisions"}],"predecessor-version":[{"id":8368,"href":"https:\/\/20.ebaraha.in\/nutrition\/index.php\/wp-json\/wp\/v2\/pages\/8360\/revisions\/8368"}],"wp:attachment":[{"href":"https:\/\/20.ebaraha.in\/nutrition\/index.php\/wp-json\/wp\/v2\/media?parent=8360"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}