{"id":8,"date":"2025-01-31T09:18:49","date_gmt":"2025-01-31T09:18:49","guid":{"rendered":"https:\/\/shivanshuconsults.in\/?page_id=8"},"modified":"2025-02-04T13:01:49","modified_gmt":"2025-02-04T13:01:49","slug":"consultation-form","status":"publish","type":"page","link":"https:\/\/shivanshuconsults.in\/index.php\/consultation-form\/","title":{"rendered":"Consultation Form"},"content":{"rendered":"\n<div class=\"forminator-guttenberg\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-36 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-36\" data-uid=\"69d29d47f03fd\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-36\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-36 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"36\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"69d29d47f03fd\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69d29d47f03fd\" id=\"forminator-field-name-1_69d29d47f03fd-label\" class=\"forminator-label\">Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-1_69d29d47f03fd\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69d29d47f03fd\" id=\"forminator-field-phone-1_69d29d47f03fd-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +1 300 400 5000\" id=\"forminator-field-phone-1_69d29d47f03fd\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"in\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69d29d47f03fd\" id=\"forminator-field-email-1_69d29d47f03fd-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_69d29d47f03fd\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69d29d47f03fd\" id=\"forminator-field-date-1-picker_69d29d47f03fd-label\" class=\"forminator-label\">Date of Birth <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"05-04-2026\" placeholder=\"Choose Date\" id=\"forminator-field-date-1-picker_69d29d47f03fd\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1925\" data-end-year=\"2026\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"01\/01\/1925\" data-end-date=\"2026-04-06\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"time-1\" class=\"forminator-field-time forminator-col forminator-col-6 \"><label for=\"forminator-field-time-1\" id=\"forminator-field-time-1-label\" class=\"forminator-label\">Time Of Birth<\/label><div class=\"forminator-timepicker\" ><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"time-1-hours\" class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-36__field--time-1-hours_69d29d47f03fd\" id=\"forminator-field-36__field--time-1-hours_69d29d47f03fd-label\" class=\"forminator-label\">Hours<\/label><select name=\"time-1-hours\" id=\"forminator-field-36__field--time-1-hours_69d29d47f03fd\" class=\"forminator-select2 time-hours \" data-field=\"hours\" aria-labelledby=\"forminator-field-36__field--time-1-hours_69d29d47f03fd-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">-<\/option><option value=\"12\" >12<\/option><option value=\"1\" >01<\/option><option value=\"2\" >02<\/option><option value=\"3\" >03<\/option><option value=\"4\" >04<\/option><option value=\"5\" >05<\/option><option value=\"6\" >06<\/option><option value=\"7\" >07<\/option><option value=\"8\" >08<\/option><option value=\"9\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><\/select><\/div><\/div><div id=\"time-1-minutes\" class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-36__field--time-1-minutes_69d29d47f03fd\" id=\"forminator-field-36__field--time-1-minutes_69d29d47f03fd-label\" class=\"forminator-label\">Minutes<\/label><select name=\"time-1-minutes\" id=\"forminator-field-36__field--time-1-minutes_69d29d47f03fd\" class=\"forminator-select2 time-minutes \" data-field=\"minutes\" aria-labelledby=\"forminator-field-36__field--time-1-minutes_69d29d47f03fd-label\" data-default-value=\"\"><option value=\"\" selected=\"selected\">-<\/option><option value=\"0\" >00<\/option><option value=\"1\" >01<\/option><option value=\"2\" >02<\/option><option value=\"3\" >03<\/option><option value=\"4\" >04<\/option><option value=\"5\" >05<\/option><option value=\"6\" >06<\/option><option value=\"7\" >07<\/option><option value=\"8\" >08<\/option><option value=\"9\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><option value=\"32\" >32<\/option><option value=\"33\" >33<\/option><option value=\"34\" >34<\/option><option value=\"35\" >35<\/option><option value=\"36\" >36<\/option><option value=\"37\" >37<\/option><option value=\"38\" >38<\/option><option value=\"39\" >39<\/option><option value=\"40\" >40<\/option><option value=\"41\" >41<\/option><option value=\"42\" >42<\/option><option value=\"43\" >43<\/option><option value=\"44\" >44<\/option><option value=\"45\" >45<\/option><option value=\"46\" >46<\/option><option value=\"47\" >47<\/option><option value=\"48\" >48<\/option><option value=\"49\" >49<\/option><option value=\"50\" >50<\/option><option value=\"51\" >51<\/option><option value=\"52\" >52<\/option><option value=\"53\" >53<\/option><option value=\"54\" >54<\/option><option value=\"55\" >55<\/option><option value=\"56\" >56<\/option><option value=\"57\" >57<\/option><option value=\"58\" >58<\/option><option value=\"59\" >59<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><select name=\"time-1-ampm\" id=\"forminator-field-36__field--time-1-ampm_69d29d47f03fd\" class=\"forminator-select2 time-ampm \" data-field=\"ampm\" data-default-value=\"\"><option value=\"am\" >AM<\/option><option value=\"pm\" >PM<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_69d29d47f03fd\" id=\"forminator-field-date-2-picker_69d29d47f03fd-label\" class=\"forminator-label\">Date of Consult <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"05-04-2026\" placeholder=\"Choose Date\" id=\"forminator-field-date-2-picker_69d29d47f03fd\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"week\" data-restrict=\"1,2,3,4\" data-start-year=\"2026\" data-end-year=\"2125\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"2026-04-05\" data-end-date=\"01\/01\/2125\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"time-2\" class=\"forminator-field-time forminator-col forminator-col-6 \"><label for=\"forminator-field-time-2\" id=\"forminator-field-time-2-label\" class=\"forminator-label\">Time of Consult <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-timepicker\" data-start-limit=\"08:00 pm\" data-end-limit=\"11:59 pm\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"time-2-hours\" class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-time-2-hours_69d29d47f03fd\" id=\"forminator-field-time-2-hours_69d29d47f03fd-label\" class=\"forminator-label\">Hours<\/label><input type=\"number\" name=\"time-2-hours\" min=\"0\" max=\"12\" placeholder=\"E.g. 08\" id=\"forminator-field-time-2-hours_69d29d47f03fd\" class=\"forminator-input time-hours has-time-limiter\" data-field=\"hours\" value=\"\" \/><\/div><\/div><div id=\"time-2-minutes\" class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-time-2-minutes_69d29d47f03fd\" id=\"forminator-field-time-2-minutes_69d29d47f03fd-label\" class=\"forminator-label\">Minutes<\/label><input type=\"number\" min=\"0\" max=\"59\" name=\"time-2-minutes\" placeholder=\"E.g. 00\" id=\"forminator-field-time-2-minutes_69d29d47f03fd\" class=\"forminator-input time-minutes has-time-limiter\" data-field=\"minutes\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><select name=\"time-2-ampm\" id=\"forminator-field-36__field--time-2-ampm_69d29d47f03fd\" class=\"forminator-select2 time-ampm has-time-limiter\" data-field=\"ampm\" data-default-value=\"\"><option value=\"am\" >AM<\/option><option value=\"pm\" >PM<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Confirm<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"615227abeb\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/8\" \/><input type=\"hidden\" name=\"form_id\" value=\"36\"><input type=\"hidden\" name=\"page_id\" value=\"8\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/shivanshuconsults.in\/index.php\/consultation-form\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_8\" class=\"forminator-hidden\" aria-hidden=\"true\">Please do not fill in this field. <input id=\"input_8\" type=\"text\" name=\"input_8\" value=\"\" autocomplete=\"off\"><\/label><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":61,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/shivanshuconsults.in\/index.php\/wp-json\/wp\/v2\/pages\/8","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shivanshuconsults.in\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/shivanshuconsults.in\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/shivanshuconsults.in\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/shivanshuconsults.in\/index.php\/wp-json\/wp\/v2\/comments?post=8"}],"version-history":[{"count":7,"href":"https:\/\/shivanshuconsults.in\/index.php\/wp-json\/wp\/v2\/pages\/8\/revisions"}],"predecessor-version":[{"id":57,"href":"https:\/\/shivanshuconsults.in\/index.php\/wp-json\/wp\/v2\/pages\/8\/revisions\/57"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/shivanshuconsults.in\/index.php\/wp-json\/wp\/v2\/media\/61"}],"wp:attachment":[{"href":"https:\/\/shivanshuconsults.in\/index.php\/wp-json\/wp\/v2\/media?parent=8"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}