{"id":9759,"date":"2021-06-06T12:01:24","date_gmt":"2021-06-06T12:01:24","guid":{"rendered":"https:\/\/redesign.mindforlife.org.au\/?page_id=9759"},"modified":"2021-06-06T12:01:24","modified_gmt":"2021-06-06T12:01:24","slug":"weight-management-support-form","status":"publish","type":"page","link":"https:\/\/dev.mindforlife.org.au\/staging_test\/weight-management-support-form\/","title":{"rendered":"Weight Management Support Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9759\" class=\"elementor elementor-9759\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-efd95c7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"efd95c7\" data-element_type=\"section\">\n\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-04b83f6\" data-id=\"04b83f6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-333ae3b elementor-widget elementor-widget-shortcode\" data-id=\"333ae3b\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f1645-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=\"\/staging_test\/wp-json\/wp\/v2\/pages\/9759#wpcf7-f1645-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1645\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.5.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1645-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=\"clearfix\"\">\n<h4>Video Production Enquiry <\/h4>\n<p><small>THE FOLLOWING INFO IS REQUIRED<\/small><\/p>\n<p>\n<b><label>NAME*<\/label><\/b><br \/>\n<span class=\"wpcf7-form-control-wrap text-669\"><input type=\"text\" name=\"text-669\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/p>\n<p>\n<b><label>E-EMAIL*<\/label><\/b><br \/>\n<span class=\"wpcf7-form-control-wrap email-684\"><input type=\"email\" name=\"email-684\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/p>\n<p>\n<b><label>PHONE*<\/label><\/b><br \/>\n<span class=\"wpcf7-form-control-wrap tel-619\"><input type=\"tel\" name=\"tel-619\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/p>\n<p>\n<label>WEBSITE<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap url-39\"><input type=\"url\" name=\"url-39\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-url wpcf7-validates-as-url\" aria-invalid=\"false\" \/><\/span>\n<\/p>\n<p>\n<label>FACEBOOK<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap url-829\"><input type=\"url\" name=\"url-829\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-url wpcf7-validates-as-url\" aria-invalid=\"false\" \/><\/span>\n<\/p>\n<p>\n<b><label>LOCATION<\/label><\/b><br \/>\n<span class=\"wpcf7-form-control-wrap text-911\"><input type=\"text\" name=\"text-911\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/p>\n<p>\n<b><label>(What type of video production are you interested?*<\/label><\/b><br \/>\n<span class=\"wpcf7-form-control-wrap your-talk\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"your-talk[]\" value=\"Sharing your personal story\" \/><span class=\"wpcf7-list-item-label\">Sharing your personal story<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"your-talk[]\" value=\"Sharing the benefit from your particular business or product\" \/><span class=\"wpcf7-list-item-label\">Sharing the benefit from your particular business or product<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>\n<b><label>Topic*<\/label><\/b><br \/>\n<span class=\"wpcf7-form-control-wrap your-topic\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"your-topic[]\" value=\"Mental Health\" \/><span class=\"wpcf7-list-item-label\">Mental Health<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-topic[]\" value=\"Physical Health\" \/><span class=\"wpcf7-list-item-label\">Physical Health<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-topic[]\" value=\"General Wellbeing\" \/><span class=\"wpcf7-list-item-label\">General Wellbeing<\/span><\/span><span class=\"wpcf7-list-item last has-free-text\"><input type=\"checkbox\" name=\"your-topic[]\" value=\"Specific topic\" \/><span class=\"wpcf7-list-item-label\">Specific topic<\/span> <input type=\"text\" name=\"your-topic_free_text\" class=\"wpcf7-free-text\" \/><\/span><\/span><\/span>\n<\/p>\n<p>\n<b><label>Are you interested in being a sponsor for the MFL video prodcution?*<\/label><\/b><br \/>\n<span class=\"wpcf7-form-control-wrap radio-507\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-507\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-507\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-507\" value=\"May Be\" \/><span class=\"wpcf7-list-item-label\">May Be<\/span><\/span><\/span><\/span>\n<\/p>\n<p>\n<b><label>Where did you hear about us?<\/label> <\/b><br \/>\n<span class=\"wpcf7-form-control-wrap radio-245\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-245\" value=\"Google\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Google<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-245\" value=\"Radio\" \/><span class=\"wpcf7-list-item-label\">Radio<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-245\" value=\"Social media\" \/><span class=\"wpcf7-list-item-label\">Social media<\/span><\/span><span class=\"wpcf7-list-item last has-free-text\"><input type=\"radio\" name=\"radio-245\" value=\"Friends\/Family\" \/><span class=\"wpcf7-list-item-label\">Friends\/Family<\/span> <input type=\"text\" name=\"radio-245_free_text\" class=\"wpcf7-free-text\" \/><\/span><\/span><\/span>\n<\/p>\n<p>\n<span class=\"wpcf7-form-control-wrap captcha-207\"><input type=\"text\" name=\"captcha-207\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-captchar\" autocomplete=\"off\" aria-invalid=\"false\" placeholder=\"Anti-Spam Code\" \/><\/span><br \/>\n<input type=\"hidden\" name=\"_wpcf7_captcha_challenge_captcha-207\" value=\"4219827549\" \/><img loading=\"lazy\" class=\"wpcf7-form-control wpcf7-captchac wpcf7-captcha-captcha-207\" width=\"60\" height=\"20\" alt=\"captcha\" src=\"https:\/\/dev.mindforlife.org.au\/staging_test\/wp-content\/uploads\/wpcf7_captcha\/4219827549.png\" \/>\n<\/p>\n<p><input type=\"submit\" value=\"Send Inquiry\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div><\/div>\n\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\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":47,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"content-type":"","om_disable_all_campaigns":false,"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"0","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0"},"acf":[],"_links":{"self":[{"href":"https:\/\/dev.mindforlife.org.au\/staging_test\/wp-json\/wp\/v2\/pages\/9759"}],"collection":[{"href":"https:\/\/dev.mindforlife.org.au\/staging_test\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dev.mindforlife.org.au\/staging_test\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dev.mindforlife.org.au\/staging_test\/wp-json\/wp\/v2\/users\/47"}],"replies":[{"embeddable":true,"href":"https:\/\/dev.mindforlife.org.au\/staging_test\/wp-json\/wp\/v2\/comments?post=9759"}],"version-history":[{"count":0,"href":"https:\/\/dev.mindforlife.org.au\/staging_test\/wp-json\/wp\/v2\/pages\/9759\/revisions"}],"wp:attachment":[{"href":"https:\/\/dev.mindforlife.org.au\/staging_test\/wp-json\/wp\/v2\/media?parent=9759"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}