{"id":430,"date":"2017-04-10T03:17:34","date_gmt":"2017-04-10T01:17:34","guid":{"rendered":"http:\/\/doctoradham.com\/blog\/?page_id=430"},"modified":"2023-03-26T11:40:10","modified_gmt":"2023-03-26T09:40:10","slug":"online-booking","status":"publish","type":"page","link":"https:\/\/doctoradham.com\/blog\/online-booking\/","title":{"rendered":"Online Booking"},"content":{"rendered":"<div id=\"vfb-form-2\" class=\"visual-form-builder-container\"><form id=\"online-booking-form-2\" class=\"visual-form-builder vfb-form-2  left-label\" method=\"post\" enctype=\"multipart\/form-data\">\n\t  \t<input type=\"hidden\" name=\"form_id\" value=\"2\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 please-fill-the-required-fields-and-send-your-form \" id=\"item-vfb-25\"><div class=\"vfb-legend\"><h3>Please fill the required fields and Send your form<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-29\"><label for=\"vfb-29\" class=\"vfb-desc\">Name  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-29\" id=\"vfb-29\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-number  \" id=\"item-vfb-30\"><label for=\"vfb-30\" class=\"vfb-desc\">Age  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-30\" id=\"vfb-30\" value=\"\" class=\"vfb-text  vfb-medium  required  digits \" \/><\/li><li class=\"vfb-item vfb-item-radio  vfb-two-column \" id=\"item-vfb-88\"><label class=\"vfb-desc\">Sex <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-88\" id=\"vfb-88-1\" value=\"Female\" class=\"vfb-radio  \" \/><label for=\"vfb-88-1\" class=\"vfb-choice\">Female<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-88\" id=\"vfb-88-2\" value=\"Male\" class=\"vfb-radio  \" \/><label for=\"vfb-88-2\" class=\"vfb-choice\">Male<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-37\"><label for=\"vfb-37\" class=\"vfb-desc\">Nationality <\/label><input type=\"text\" name=\"vfb-37\" id=\"vfb-37\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-32\"><label for=\"vfb-32\" class=\"vfb-desc\">Email  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"email\" name=\"vfb-32\" id=\"vfb-32\" value=\"\" class=\"vfb-text  vfb-medium  required  email \" \/><\/li><li class=\"vfb-item vfb-item-number  \" id=\"item-vfb-39\"><label for=\"vfb-39\" class=\"vfb-desc\">Mobile Phone  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-39\" id=\"vfb-39\" value=\"\" class=\"vfb-text  vfb-medium  required  digits \" \/><\/li><li class=\"vfb-item vfb-item-number  \" id=\"item-vfb-33\"><label for=\"vfb-33\" class=\"vfb-desc\">Land Phone <\/label><input type=\"text\" name=\"vfb-33\" id=\"vfb-33\" value=\"\" class=\"vfb-text  vfb-medium   digits \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-34\"><label for=\"vfb-34\" class=\"vfb-desc\">Describe Your Condition <\/label><div><textarea name=\"vfb-34\" id=\"vfb-34\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-35\"><label for=\"vfb-35\" class=\"vfb-desc\">Notes <\/label><div><textarea name=\"vfb-35\" id=\"vfb-35\" class=\"vfb-textarea  vfb-small  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-date  \" id=\"item-vfb-44\"><label for=\"vfb-44\" class=\"vfb-desc\">Pick a Date  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-44\" id=\"vfb-44\" value=\"\" class=\"vfb-text vfb-date-picker  vfb-medium  required \" data-dp-dateFormat=\"dd\/mm\/yy\" \/><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-87\"><label class=\"vfb-desc\">Set a Time  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-87\" id=\"vfb-87-1\" value=\"7:30 PM\" class=\"vfb-radio  required \" \/><label for=\"vfb-87-1\" class=\"vfb-choice\">7:30 PM<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-87\" id=\"vfb-87-2\" value=\"8:00 PM\" class=\"vfb-radio  required \" \/><label for=\"vfb-87-2\" class=\"vfb-choice\">8:00 PM<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-87\" id=\"vfb-87-3\" value=\"8:30 PM\" class=\"vfb-radio  required \" \/><label for=\"vfb-87-3\" class=\"vfb-choice\">8:30 PM<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-42\"><label class=\"vfb-desc\">Please Note <\/label>Working Days are Saturday to Wednesday, and the Online Booking form should be submitted at least one week ahead of the chosen date for booking<\/li><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-43\"><label class=\"vfb-desc\">Please Note <\/label>After pressing the \"Send\" button, don't leave the page until the page is reloaded, then check your mail for confirmation of delivery. Thank you<\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 26 \" id=\"item-vfb-26\" style=\"display:block\"><div class=\"vfb-legend\"><h3><\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-27\" class=\"vfb-desc\">Please enter any two digits <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-27\" \/><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-27\" id=\"vfb-27\" value=\"\" class=\"vfb-text  vfb-small  required {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><label>Example: 12<\/label><\/span><li style=\"display:none;\"><label>This box is for spam protection - &lt;strong&gt;please leave it blank&lt;\/strong&gt;:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-28\">\n\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-28\" value=\"Send\" class=\"vfb-submit \" \/>\n\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/blog\/wp-json\/wp\/v2\/pages\/430\" \/><\/form><\/div> <!-- .visual-form-builder-container -->\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-430","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/doctoradham.com\/blog\/wp-json\/wp\/v2\/pages\/430","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctoradham.com\/blog\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/doctoradham.com\/blog\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/doctoradham.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/doctoradham.com\/blog\/wp-json\/wp\/v2\/comments?post=430"}],"version-history":[{"count":11,"href":"https:\/\/doctoradham.com\/blog\/wp-json\/wp\/v2\/pages\/430\/revisions"}],"predecessor-version":[{"id":1285,"href":"https:\/\/doctoradham.com\/blog\/wp-json\/wp\/v2\/pages\/430\/revisions\/1285"}],"wp:attachment":[{"href":"https:\/\/doctoradham.com\/blog\/wp-json\/wp\/v2\/media?parent=430"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}