{"id":5635,"date":"2022-02-18T18:08:31","date_gmt":"2022-02-18T18:08:31","guid":{"rendered":"http:\/\/naturaltouchbath.co.uk\/wp\/?page_id=5635"},"modified":"2024-02-08T22:48:20","modified_gmt":"2024-02-08T22:48:20","slug":"consultation-form","status":"publish","type":"page","link":"https:\/\/naturaltouchbath.co.uk\/wp\/consultation-form\/","title":{"rendered":"Consultation form"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Please complete two days before your massage<\/h5>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-12800\"><form id=\"wpforms-form-12800\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"12800\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp\/wp-json\/wp\/v2\/pages\/5635\" data-token=\"9e9a74d2f6e6cd2d0700d75dada5a597\" data-token-time=\"1778705836\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-12800-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-12800-field_1\">Your first name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-12800-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-12800-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-12800-field_5\">Reference (from your booking confirmation) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-12800-field_5\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"[(C|c)]9[9][9][9]\" name=\"wpforms[fields][5]\" placeholder=\"Please complete this form when you have a confirmation\" required><\/div><div id=\"wpforms-12800-field_6-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"6\"><label class=\"wpforms-field-label\">Have you experienced any cold or flu-like symptoms in the last 10 days (including fever, cough, sore throat, respiratory illness, difficulty breathing)? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-12800-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-12800-field_6_1\" name=\"wpforms[fields][6]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-12800-field_6_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-12800-field_6_2\" name=\"wpforms[fields][6]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-12800-field_6_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-12800-field_7-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-12800-field_7\">If yes, please give details<\/label><textarea id=\"wpforms-12800-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" ><\/textarea><\/div><div id=\"wpforms-12800-field_3-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-12800-field_3\">Please tell us about any health conditions or allergies you have or if you are pregnant<\/label><textarea id=\"wpforms-12800-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" ><\/textarea><\/div><div id=\"wpforms-12800-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-12800-field_4\">Name of an emergency contact<\/label><input type=\"text\" id=\"wpforms-12800-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" ><\/div><div id=\"wpforms-12800-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-12800-field_8\">Emergency contact number<\/label><input type=\"text\" id=\"wpforms-12800-field_8\" class=\"wpforms-field-medium wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"(+|0)9[9][9][9][9][9][9][9][9][9][9][9][9][9][9][9]\" name=\"wpforms[fields][8]\" placeholder=\"include country code if outside UK\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"12800\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/naturaltouchbath.co.uk\/wp\/wp-json\/wp\/v2\/pages\/5635\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-12800\" class=\"wpforms-submit\" data-alt-text=\"Sending\u2026\" data-submit-text=\"Send consultation form\" aria-live=\"assertive\" value=\"wpforms-submit\">Send consultation form<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/naturaltouchbath.co.uk\/wp\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"<p>Please complete two days before your massage<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/full-width-page.php","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","footnotes":""},"class_list":["post-5635","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ 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