{"id":4154,"date":"2022-05-11T12:05:38","date_gmt":"2022-05-11T12:05:38","guid":{"rendered":"https:\/\/vpswebdev-lifeline.azurewebsites.net\/musaffah\/?page_id=4154"},"modified":"2022-05-11T12:16:21","modified_gmt":"2022-05-11T12:16:21","slug":"feedback","status":"publish","type":"page","link":"https:\/\/vpswebdev02-lifeline.azurewebsites.net\/musaffah\/feedback\/","title":{"rendered":"Feedback"},"content":{"rendered":"\n<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4185-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/musaffah\/wp-json\/wp\/v2\/pages\/4154#wpcf7-f4185-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"4185\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.8\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4185-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-12 mb-2\">\n\t\t<p><label class=\"d-block font-16 mb-3\">I am providing feedback as a<\/label>\n\t\t<\/p>\n\t\t<div class=\"form-group custom-checkbox feedback-radio font-14\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"providing-radio\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"providing-radio\" value=\"In Patient\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">In Patient<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"providing-radio\" value=\"Out Patient\" \/><span class=\"wpcf7-list-item-label\">Out Patient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-12 mb-2\">\n\t\t<p><label class=\"d-block font-16 mb-3\">My overall experience was<\/label>\n\t\t<\/p>\n\t\t<div class=\"form-group custom-checkbox feedback-radio feedback-emoji font-14\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"experience-feedback\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"experience-feedback\" value=\"Bad\" \/><span class=\"wpcf7-list-item-label\">Bad<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"experience-feedback\" value=\"Poor\" \/><span class=\"wpcf7-list-item-label\">Poor<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"experience-feedback\" value=\"Average\" \/><span class=\"wpcf7-list-item-label\">Average<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"experience-feedback\" value=\"Good\" \/><span class=\"wpcf7-list-item-label\">Good<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"experience-feedback\" value=\"Excellent\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Excellent<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-12 mb-2\">\n\t\t<p><label class=\"d-block font-16 mb-3\">Doctor communication and treatment was<\/label>\n\t\t<\/p>\n\t\t<div class=\"form-group custom-checkbox feedback-radio feedback-emoji font-14\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"treatment-feedback\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"treatment-feedback\" value=\"Bad\" \/><span class=\"wpcf7-list-item-label\">Bad<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"treatment-feedback\" value=\"Poor\" \/><span class=\"wpcf7-list-item-label\">Poor<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"treatment-feedback\" value=\"Average\" \/><span class=\"wpcf7-list-item-label\">Average<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"treatment-feedback\" value=\"Good\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Good<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"treatment-feedback\" value=\"Excellent\" \/><span class=\"wpcf7-list-item-label\">Excellent<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-12 mb-2\">\n\t\t<p><label class=\"d-block font-16 mb-3\">Nursing care was<\/label>\n\t\t<\/p>\n\t\t<div class=\"form-group custom-checkbox feedback-radio feedback-emoji font-14\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nursing-feedback\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"nursing-feedback\" value=\"Bad\" \/><span class=\"wpcf7-list-item-label\">Bad<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"nursing-feedback\" value=\"Poor\" \/><span class=\"wpcf7-list-item-label\">Poor<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"nursing-feedback\" value=\"Average\" \/><span class=\"wpcf7-list-item-label\">Average<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"nursing-feedback\" value=\"Good\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Good<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"nursing-feedback\" value=\"Excellent\" \/><span class=\"wpcf7-list-item-label\">Excellent<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-12 mb-2\">\n\t\t<p><label class=\"d-block font-16 mb-3\">Would you like to use or recommended our service again ?<\/label>\n\t\t<\/p>\n\t\t<div class=\"form-group custom-checkbox feedback-radio feedback-emoji recommended-emoji font-14\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"recommended-feedback\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"recommended-feedback\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"recommended-feedback\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-12\">\n\t\t<p><label class=\"d-block font-16\">Leave your details<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-lg-3 col-md-6 col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name*\" value=\"\" type=\"text\" name=\"Name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-lg-3 col-md-6 col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email ID*\" value=\"\" type=\"email\" name=\"email-id\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-lg-3 col-md-6 col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Phone_no\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone No*\" value=\"\" type=\"tel\" name=\"Phone_no\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-lg-3 col-md-6 col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"patient-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Patient ID\" value=\"\" type=\"text\" name=\"patient-id\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-12 mb-2\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label class=\"d-block font-16\">Do you have any additional comments or praises would you like to make ?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Description\"><textarea cols=\"20\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required resize-none\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Write here*\" name=\"Description\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p>[cf7sr-simple-recaptcha]\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-12\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" id=\"idformsubmit\" type=\"submit\" value=\"Submit\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div><p style=\"display: none !important;\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"191\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n","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-4154","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/vpswebdev02-lifeline.azurewebsites.net\/musaffah\/wp-json\/wp\/v2\/pages\/4154","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vpswebdev02-lifeline.azurewebsites.net\/musaffah\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vpswebdev02-lifeline.azurewebsites.net\/musaffah\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vpswebdev02-lifeline.azurewebsites.net\/musaffah\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vpswebdev02-lifeline.azurewebsites.net\/musaffah\/wp-json\/wp\/v2\/comments?post=4154"}],"version-history":[{"count":3,"href":"https:\/\/vpswebdev02-lifeline.azurewebsites.net\/musaffah\/wp-json\/wp\/v2\/pages\/4154\/revisions"}],"predecessor-version":[{"id":4289,"href":"https:\/\/vpswebdev02-lifeline.azurewebsites.net\/musaffah\/wp-json\/wp\/v2\/pages\/4154\/revisions\/4289"}],"wp:attachment":[{"href":"https:\/\/vpswebdev02-lifeline.azurewebsites.net\/musaffah\/wp-json\/wp\/v2\/media?parent=4154"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}