{"id":8,"date":"2025-01-31T09:18:49","date_gmt":"2025-01-31T09:18:49","guid":{"rendered":"https:\/\/shivanshuconsults.in\/?page_id=8"},"modified":"2026-05-20T17:25:57","modified_gmt":"2026-05-20T17:25:57","slug":"consultation-form","status":"publish","type":"page","link":"https:\/\/shivanshuconsults.in\/index.php\/consultation-form\/","title":{"rendered":"Consultation Form"},"content":{"rendered":"\n\n<style>\n.sp-service-banner {\n  display: none;\n  max-width: 700px;\n  margin: 0 auto 32px;\n  background: #1E1E1E;\n  border: 1px solid #C8A968;\n  border-radius: 10px;\n  padding: 24px 28px;\n  font-family: 'Cormorant Garamond', Georgia, serif;\n  text-align: center;\n}\n.sp-service-banner.visible { display: block; }\n.sp-service-label {\n  color: #909090;\n  font-size: 12px;\n  letter-spacing: 3px;\n  text-transform: uppercase;\n  margin-bottom: 10px;\n}\n.sp-service-name {\n  color: #f9f9f9;\n  font-size: 24px;\n  font-weight: 600;\n  margin-bottom: 6px;\n}\n.sp-service-price {\n  color: #C8A968;\n  font-size: 36px;\n  font-weight: 700;\n  margin-bottom: 6px;\n}\n.sp-service-note {\n  color: #B7B7B7;\n  font-size: 13px;\n  font-style: italic;\n}\n.sp-service-change {\n  display: inline-block;\n  margin-top: 14px;\n  color: #606060;\n  font-size: 12px;\n  text-decoration: underline;\n  cursor: pointer;\n  font-family: Georgia, serif;\n}\n.sp-service-change:hover { color: #909090; }\n<\/style>\n\n<div class=\"sp-service-banner\" id=\"serviceBanner\">\n  <p class=\"sp-service-label\">Selected Service<\/p>\n  <p class=\"sp-service-name\" id=\"serviceName\">\u2014<\/p>\n  <p class=\"sp-service-price\" id=\"servicePrice\">\u2014<\/p>\n  <p class=\"sp-service-note\">Pay this amount via UPI below before submitting the form<\/p>\n  <a class=\"sp-service-change\"\n    href=\"https:\/\/shivanshuconsults.in\/\">\n    \u2190 Change service\n  <\/a>\n<\/div>\n\n<script>\ndocument.addEventListener('DOMContentLoaded', function() {\n  var params = new URLSearchParams(window.location.search);\n  var service = params.get('service');\n  var price   = params.get('price');\n  var label   = params.get('label');\n\n  if (service && price && label) {\n    \/\/ Show banner\n    var banner = document.getElementById('serviceBanner');\n    banner.classList.add('visible');\n    document.getElementById('serviceName').textContent = decodeURIComponent(label);\n    document.getElementById('servicePrice').textContent = '\u20b9' + price;\n\n    \/\/ Map service param to Forminator option value\n    var serviceMap = {\n      'report':        'report_only',\n      'consultation':  'consultation',\n      'compatibility': 'compatibility'\n    };\n\n    \/\/ Try to pre-select the Forminator dropdown\n    function trySetService() {\n      var select = document.querySelector('select[name=\"select-1\"]');\n      if (select && serviceMap[service]) {\n        select.value = serviceMap[service];\n        select.dispatchEvent(new Event('change'));\n        return true;\n      }\n      return false;\n    }\n\n    \/\/ Retry a few times as Forminator loads async\n    var attempts = 0;\n    var interval = setInterval(function() {\n      if (trySetService() || attempts > 20) {\n        clearInterval(interval);\n      }\n      attempts++;\n    }, 300);\n  }\n});\n<\/script>\n\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Scan the QR on any UPI app<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"684\" height=\"794\" src=\"https:\/\/shivanshuconsults.in\/wp-content\/uploads\/2026\/05\/shivanshupande_upi_qr.png\" alt=\"\" class=\"wp-image-260\" srcset=\"https:\/\/shivanshuconsults.in\/wp-content\/uploads\/2026\/05\/shivanshupande_upi_qr.png 684w, https:\/\/shivanshuconsults.in\/wp-content\/uploads\/2026\/05\/shivanshupande_upi_qr-258x300.png 258w\" sizes=\"auto, (max-width: 684px) 100vw, 684px\" \/><\/figure>\n\n\n\n<p>or <\/p>\n\n\n\n<p><strong><em>Pay via UPI to pandeshivanshu18@okaxis.<\/em><\/strong><\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"forminator-guttenberg\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-221 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-221\" data-uid=\"6a599f9ea8d1c\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-221\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-221 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=\"221\"\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\tenctype=\"multipart\/form-data\"\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"6a599f9ea8d1c\"\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_6a599f9ea8d1c\" id=\"forminator-field-name-1_6a599f9ea8d1c-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-1_6a599f9ea8d1c\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/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_6a599f9ea8d1c\" id=\"forminator-field-email-1_6a599f9ea8d1c-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_6a599f9ea8d1c\" class=\"forminator-input forminator-email--field\" data-required=\"1\" 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_6a599f9ea8d1c\" id=\"forminator-field-phone-1_6a599f9ea8d1c-label\" class=\"forminator-label\">Phone Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. 9876543210\" id=\"forminator-field-phone-1_6a599f9ea8d1c\" 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=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-221__field--select-1_6a599f9ea8d1c\" id=\"forminator-form-221__field--select-1_6a599f9ea8d1c-label\" class=\"forminator-label\">Service Required <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-221__field--select-1_6a599f9ea8d1c\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"Please select an option\" data-search=\"true\" data-search-placeholder=\"Please select an option\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-221__field--select-1_6a599f9ea8d1c-label\"><option value=\"\"  >Please select an option<\/option><option value=\"software\"  data-calculation=\"0\">Compatibility Report (\u20b91500)<\/option><option value=\"combo\"  data-calculation=\"0\">Compatibility Report with 1:1 Consultation \u2014 45 min (\u20b92000)<\/option><option value=\"Patron-Membership\"  data-calculation=\"0\">Patron Membership (\u20b95000)<\/option><option value=\"consultation\"  data-calculation=\"0\">1:1 Consultation \u2014 45 min + Report (\u20b91800)<\/option><option value=\"Yearly-Dashboard\"  data-calculation=\"0\">Yearly Dashboard (\u20b9540)<\/option><option value=\"report_only\"  data-calculation=\"0\">PDF Report only (\u20b9900)<\/option><option value=\"\" selected=\"selected\" data-calculation=\"0\">\u2014 Please select a service \u2014<\/option><\/select><\/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_6a599f9ea8d1c\" id=\"forminator-field-date-1-picker_6a599f9ea8d1c-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=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-1-picker_6a599f9ea8d1c\" 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=\"2026-07-17\" 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 <span class=\"forminator-required\">*<\/span><\/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-time-1-hours_6a599f9ea8d1c\" id=\"forminator-field-time-1-hours_6a599f9ea8d1c-label\" class=\"forminator-label\">Hours<\/label><input type=\"number\" name=\"time-1-hours\" min=\"0\" max=\"12\" placeholder=\"E.g. 08\" id=\"forminator-field-time-1-hours_6a599f9ea8d1c\" class=\"forminator-input time-hours \" data-field=\"hours\" value=\"\" \/><\/div><\/div><div id=\"time-1-minutes\" class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-time-1-minutes_6a599f9ea8d1c\" id=\"forminator-field-time-1-minutes_6a599f9ea8d1c-label\" class=\"forminator-label\">Minutes<\/label><input type=\"number\" min=\"0\" max=\"59\" name=\"time-1-minutes\" placeholder=\"E.g. 30\" id=\"forminator-field-time-1-minutes_6a599f9ea8d1c\" class=\"forminator-input time-minutes \" data-field=\"minutes\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><select name=\"time-1-ampm\" id=\"forminator-field-221__field--time-1-ampm_6a599f9ea8d1c\" 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=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a599f9ea8d1c\" id=\"forminator-field-text-1_6a599f9ea8d1c-label\" class=\"forminator-label\">Place of Birth (City and Country) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"E.g. Mumbai,  India\" id=\"forminator-field-text-1_6a599f9ea8d1c\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a599f9ea8d1c\" id=\"forminator-field-textarea-1_6a599f9ea8d1c-label\" class=\"forminator-label\">Area of Focus<\/label><textarea name=\"textarea-1\" placeholder=\"E.g. Career change, marriage timing, health concerns, financial prospects the more specific the better.\" id=\"forminator-field-textarea-1_6a599f9ea8d1c\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:90px;\" >Overall Chart Read<\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6a599f9ea8d1c\" id=\"forminator-field-upload-1_6a599f9ea8d1c-label\" class=\"forminator-label\">UPI Payment Screenshot <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6a599f9ea8d1c\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6a599f9ea8d1c\" class=\"forminator-input-file-required do-validate\" accept=\".avif,.heif,.heics,.heifs,.jpg,.jpeg,.jpe,.png,.pdf\"><button id=\"forminator-field-upload-1_6a599f9ea8d1c_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6a599f9ea8d1c\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/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 Booking &rarr;<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"6c31529452\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/8\" \/><input type=\"hidden\" name=\"form_id\" value=\"221\"><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_10\" class=\"forminator-hidden\" aria-hidden=\"true\">Please do not fill in this field. <input id=\"input_10\" type=\"text\" name=\"input_10\" value=\"\" autocomplete=\"off\"><\/label><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Selected Service \u2014 \u2014 Pay this amount via UPI below before submitting the form \u2190 Change service<\/p>\n","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":16,"href":"https:\/\/shivanshuconsults.in\/index.php\/wp-json\/wp\/v2\/pages\/8\/revisions"}],"predecessor-version":[{"id":300,"href":"https:\/\/shivanshuconsults.in\/index.php\/wp-json\/wp\/v2\/pages\/8\/revisions\/300"}],"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}]}}