{"id":106,"date":"2022-12-28T23:56:36","date_gmt":"2022-12-29T04:56:36","guid":{"rendered":"https:\/\/eaomonsey.com\/?page_id=106"},"modified":"2023-01-21T19:30:04","modified_gmt":"2023-01-22T00:30:04","slug":"post-appointment-survey","status":"publish","type":"page","link":"https:\/\/eaomonsey.com\/post-appointment-survey\/","title":{"rendered":"Post-Appointment Survey"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"106\" class=\"elementor elementor-106\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-31f21cd e-flex e-con-boxed e-con e-parent\" data-id=\"31f21cd\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a12f793 elementor-widget elementor-widget-text-editor\" data-id=\"a12f793\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 25-04-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>We appreciate you choosing our practice, and we are committed to making sure that your time spent with us is as comfortable and fulfilling as possible. In order to continue providing the kind of care that keeps our patients smiling, we encourage your comments and suggestions about the treatments and personal care you\u2019ve received while visiting our practice.<\/p><p>Please take a moment to provide us with your feedback. When you\u2019re finished, click on the SUBMIT button at the bottom of the page.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-13d6365 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"13d6365\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor-pro - v3.21.0 - 24-04-2024 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.e-font-icon-svg{height:1em}.elementor-select-wrapper .select-caret-down-wrapper{position:absolute;top:50%;transform:translateY(-50%);inset-inline-end:10px;pointer-events:none;font-size:11px}.elementor-select-wrapper .select-caret-down-wrapper svg{display:unset;width:1em;aspect-ratio:unset;fill:currentColor}.elementor-select-wrapper .select-caret-down-wrapper i{font-size:19px;line-height:2}.elementor-select-wrapper.remove-before:before{content:\"\"!important}<\/style>\t\t<form class=\"elementor-form\" method=\"post\" name=\"Post Appointment Survey\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"106\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"13d6365\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_864ce90 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_864ce90\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEase of scheduling urgent appointments\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Poor\" id=\"form-field-field_864ce90-0\" name=\"form_fields[field_864ce90]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_864ce90-0\">Poor<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Fair\" id=\"form-field-field_864ce90-1\" name=\"form_fields[field_864ce90]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_864ce90-1\">Fair<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Good\" id=\"form-field-field_864ce90-2\" name=\"form_fields[field_864ce90]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_864ce90-2\">Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Very Good\" id=\"form-field-field_864ce90-3\" name=\"form_fields[field_864ce90]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_864ce90-3\">Very Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Excellent\" id=\"form-field-field_864ce90-4\" name=\"form_fields[field_864ce90]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_864ce90-4\">Excellent<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_9c81499 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9c81499\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\toffice environment, cleaniness, comfort, etc.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Poor\" id=\"form-field-field_9c81499-0\" name=\"form_fields[field_9c81499]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_9c81499-0\">Poor<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Fair\" id=\"form-field-field_9c81499-1\" name=\"form_fields[field_9c81499]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_9c81499-1\">Fair<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Good\" id=\"form-field-field_9c81499-2\" name=\"form_fields[field_9c81499]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_9c81499-2\">Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Very Good\" id=\"form-field-field_9c81499-3\" name=\"form_fields[field_9c81499]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_9c81499-3\">Very Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Excellent\" id=\"form-field-field_9c81499-4\" name=\"form_fields[field_9c81499]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_9c81499-4\">Excellent<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_64e1eae elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_64e1eae\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStaff friendliness and courteousness\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Poor\" id=\"form-field-field_64e1eae-0\" name=\"form_fields[field_64e1eae]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_64e1eae-0\">Poor<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Fair\" id=\"form-field-field_64e1eae-1\" name=\"form_fields[field_64e1eae]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_64e1eae-1\">Fair<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Good\" id=\"form-field-field_64e1eae-2\" name=\"form_fields[field_64e1eae]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_64e1eae-2\">Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Very Good\" id=\"form-field-field_64e1eae-3\" name=\"form_fields[field_64e1eae]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_64e1eae-3\">Very Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Excellent\" id=\"form-field-field_64e1eae-4\" name=\"form_fields[field_64e1eae]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_64e1eae-4\">Excellent<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_02e290e elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_02e290e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTotal wait the (waiting and exam rooms)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"under 10 min\" id=\"form-field-field_02e290e-0\" name=\"form_fields[field_02e290e]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_02e290e-0\">under 10 min<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"10-15 min\" id=\"form-field-field_02e290e-1\" name=\"form_fields[field_02e290e]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_02e290e-1\">10-15 min<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"16-30 min\" id=\"form-field-field_02e290e-2\" name=\"form_fields[field_02e290e]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_02e290e-2\">16-30 min<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"31-45 min\" id=\"form-field-field_02e290e-3\" name=\"form_fields[field_02e290e]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_02e290e-3\">31-45 min<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"over 45\" id=\"form-field-field_02e290e-4\" name=\"form_fields[field_02e290e]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_02e290e-4\">over 45<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_d6cb73c elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d6cb73c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tExperience with doctor\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Poor\" id=\"form-field-field_d6cb73c-0\" name=\"form_fields[field_d6cb73c]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_d6cb73c-0\">Poor<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Fair\" id=\"form-field-field_d6cb73c-1\" name=\"form_fields[field_d6cb73c]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_d6cb73c-1\">Fair<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Good\" id=\"form-field-field_d6cb73c-2\" name=\"form_fields[field_d6cb73c]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_d6cb73c-2\">Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Very Good\" id=\"form-field-field_d6cb73c-3\" name=\"form_fields[field_d6cb73c]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_d6cb73c-3\">Very Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Excellent\" id=\"form-field-field_d6cb73c-4\" name=\"form_fields[field_d6cb73c]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_d6cb73c-4\">Excellent<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_d2bd37d elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d2bd37d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLevel of trust in provider's decisions\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Poor\" id=\"form-field-field_d2bd37d-0\" name=\"form_fields[field_d2bd37d]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_d2bd37d-0\">Poor<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Fair\" id=\"form-field-field_d2bd37d-1\" name=\"form_fields[field_d2bd37d]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_d2bd37d-1\">Fair<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Good\" id=\"form-field-field_d2bd37d-2\" name=\"form_fields[field_d2bd37d]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_d2bd37d-2\">Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Very Good\" id=\"form-field-field_d2bd37d-3\" name=\"form_fields[field_d2bd37d]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_d2bd37d-3\">Very Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Excellent\" id=\"form-field-field_d2bd37d-4\" name=\"form_fields[field_d2bd37d]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_d2bd37d-4\">Excellent<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_90ed707 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_90ed707\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow well provider explains medical condition(s)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Poor\" id=\"form-field-field_90ed707-0\" name=\"form_fields[field_90ed707]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_90ed707-0\">Poor<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Fair\" id=\"form-field-field_90ed707-1\" name=\"form_fields[field_90ed707]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_90ed707-1\">Fair<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Good\" id=\"form-field-field_90ed707-2\" name=\"form_fields[field_90ed707]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_90ed707-2\">Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Very Good\" id=\"form-field-field_90ed707-3\" name=\"form_fields[field_90ed707]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_90ed707-3\">Very Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Excellent\" id=\"form-field-field_90ed707-4\" name=\"form_fields[field_90ed707]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_90ed707-4\">Excellent<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_104149a elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_104149a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow well provider listens and answers questions\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Poor\" id=\"form-field-field_104149a-0\" name=\"form_fields[field_104149a]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_104149a-0\">Poor<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Fair\" id=\"form-field-field_104149a-1\" name=\"form_fields[field_104149a]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_104149a-1\">Fair<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Good\" id=\"form-field-field_104149a-2\" name=\"form_fields[field_104149a]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_104149a-2\">Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Very Good\" id=\"form-field-field_104149a-3\" name=\"form_fields[field_104149a]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_104149a-3\">Very Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Excellent\" id=\"form-field-field_104149a-4\" name=\"form_fields[field_104149a]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_104149a-4\">Excellent<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_3ef4477 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3ef4477\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSpends appropriate amount of time with patients\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Poor\" id=\"form-field-field_3ef4477-0\" name=\"form_fields[field_3ef4477]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_3ef4477-0\">Poor<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Fair\" id=\"form-field-field_3ef4477-1\" name=\"form_fields[field_3ef4477]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_3ef4477-1\">Fair<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Good\" id=\"form-field-field_3ef4477-2\" name=\"form_fields[field_3ef4477]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_3ef4477-2\">Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Very Good\" id=\"form-field-field_3ef4477-3\" name=\"form_fields[field_3ef4477]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_3ef4477-3\">Very Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Excellent\" id=\"form-field-field_3ef4477-4\" name=\"form_fields[field_3ef4477]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_3ef4477-4\">Excellent<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_2d79a40 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2d79a40\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLikelihood of recommending this doctor to family and friends\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Poor\" id=\"form-field-field_2d79a40-0\" name=\"form_fields[field_2d79a40]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_2d79a40-0\">Poor<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Fair\" id=\"form-field-field_2d79a40-1\" name=\"form_fields[field_2d79a40]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_2d79a40-1\">Fair<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Good\" id=\"form-field-field_2d79a40-2\" name=\"form_fields[field_2d79a40]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_2d79a40-2\">Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Very Good\" id=\"form-field-field_2d79a40-3\" name=\"form_fields[field_2d79a40]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_2d79a40-3\">Very Good<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Excellent\" id=\"form-field-field_2d79a40-4\" name=\"form_fields[field_2d79a40]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_2d79a40-4\">Excellent<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ee8785d elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ee8785d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFirst Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ee8785d]\" id=\"form-field-field_ee8785d\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_64d670e elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_64d670e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLast Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_64d670e]\" id=\"form-field-field_64d670e\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_8c431f6 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8c431f6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_8c431f6]\" id=\"form-field-field_8c431f6\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_4734101 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4734101\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_4734101]\" id=\"form-field-field_4734101\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_a6fbc58 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a6fbc58\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGeneral Feedback\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-md\" name=\"form_fields[field_a6fbc58]\" id=\"form-field-field_a6fbc58\" rows=\"4\" required=\"required\" aria-required=\"true\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_2598383 elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_2598383\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LcpgyQkAAAAACthgxGrZmENJ9eO65Pl_sCBZWWy\" data-type=\"v3\" data-action=\"Form\" data-badge=\"bottomright\" data-size=\"invisible\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button type=\"submit\" class=\"elementor-button elementor-size-sm\">\n\t\t\t\t\t\t<span >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\" elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">SUBMIT<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>We appreciate you choosing our practice, and we are committed to making sure that your time spent with us is as comfortable and fulfilling as possible. In order to continue providing the kind of care that keeps our patients smiling, we encourage your comments and suggestions about the treatments and personal care you\u2019ve received while [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"acf":[],"_links":{"self":[{"href":"https:\/\/eaomonsey.com\/wp-json\/wp\/v2\/pages\/106"}],"collection":[{"href":"https:\/\/eaomonsey.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/eaomonsey.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/eaomonsey.com\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/eaomonsey.com\/wp-json\/wp\/v2\/comments?post=106"}],"version-history":[{"count":49,"href":"https:\/\/eaomonsey.com\/wp-json\/wp\/v2\/pages\/106\/revisions"}],"predecessor-version":[{"id":3300,"href":"https:\/\/eaomonsey.com\/wp-json\/wp\/v2\/pages\/106\/revisions\/3300"}],"wp:attachment":[{"href":"https:\/\/eaomonsey.com\/wp-json\/wp\/v2\/media?parent=106"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}