{"id":1422,"date":"2018-08-03T15:24:26","date_gmt":"2018-08-03T15:24:26","guid":{"rendered":"http:\/\/tonywatkins.net\/?page_id=1422"},"modified":"2018-09-25T19:26:08","modified_gmt":"2018-09-25T19:26:08","slug":"testimonial-form","status":"publish","type":"page","link":"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/","title":{"rendered":"Testimonial Form"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\"><b>Thank you<\/b><\/span><span class=\"s2\"> for taking the time to share your experiences.<span class=\"Apple-converted-space\">\u00a0 <\/span>Your time and thoughtfulness will be helping future patients learn about and receive the care they need.<\/span><\/p>\n<p class=\"p3\"><span class=\"s2\"><i>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 -Gabe Karter L.Ac and Monona Bay Health<\/i><\/span><\/p>\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1424\"><form id=\"wpforms-form-1424\" class=\"wpforms-validate wpforms-form\" data-formid=\"1424\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/1422\" data-token=\"64310f56e35ad28c5ece678ddc4b5588\" data-token-time=\"1776333078\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1424-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1424-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-1424-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1424-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-1424-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1424-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-1424-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1424-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-1424-field_2-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Please Select One <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1424-field_2\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1424-field_2_1\" name=\"wpforms[fields][2]\" value=\"It is ok to use my full name when displaying my testimonial (ie Gabe Karter)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1424-field_2_1\">It is ok to use my full name when displaying my testimonial (ie Gabe Karter)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1424-field_2_2\" name=\"wpforms[fields][2]\" value=\"Please only use my first name and last initial when displaying my testimonial (ie Gabe K)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1424-field_2_2\">Please only use my first name and last initial when displaying my testimonial (ie Gabe K)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1424-field_2_3\" name=\"wpforms[fields][2]\" value=\"Please only use my initials when displaying my testimonial (ie G.K.)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1424-field_2_3\">Please only use my initials when displaying my testimonial (ie G.K.)<\/label><\/li><\/ul><\/div><div id=\"wpforms-1424-field_4-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1424-field_4\">Testimonial <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1424-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/textarea><div class=\"wpforms-field-description\"><strong>The following are details to consider including in your testimonial:<\/strong><br>\r\nThe health problems for which you were seeking treatment<br>\r\nThe amount of time you had been dealing with these problems<br>\r\nHow these health problems affected your daily life<br>\r\nOther health care options you tried (doctors, medications, etc)<br>\r\nHow long you received treatment with Gabe<br>\r\nThe results from working with Gabe<br>\r\nYour general experience working with Gabe<\/div><\/div><div id=\"wpforms-1424-field_5-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"5\"><label class=\"wpforms-field-label wpforms-label-hide\">Electronic Signature <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1424-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1424-field_5_1\" name=\"wpforms[fields][5][]\" value=\"I hereby give my permission to Gabe Karter L.Ac and Monona Bay Health to use my testimonial to spread awareness of their services.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1424-field_5_1\">I hereby give my permission to Gabe Karter L.Ac and Monona Bay Health to use my testimonial to spread awareness of their services.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-1424-field-hp\" class=\"wpforms-field-label\">Comment<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-1424-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1424\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/tonywatkins.net\/index.php\/wp-json\/wp\/v2\/pages\/1422\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1424\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Send\" aria-live=\"assertive\" value=\"wpforms-submit\">Send<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"<p>Thank you for taking the time to share your experiences.\u00a0 Your time and thoughtfulness will be helping future patients learn about and receive the care they need. \u00a0 \u00a0 \u00a0 &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-fullwidth.php","meta":{"footnotes":""},"class_list":["post-1422","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Testimonial Form - Tony Watkins L.Ac<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Testimonial Form - Tony Watkins L.Ac\" \/>\n<meta property=\"og:description\" content=\"Thank you for taking the time to share your experiences.\u00a0 Your time and thoughtfulness will be helping future patients learn about and receive the care they need. \u00a0 \u00a0 \u00a0 ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/\" \/>\n<meta property=\"og:site_name\" content=\"Tony Watkins L.Ac\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/mononabayhealth\" \/>\n<meta property=\"article:modified_time\" content=\"2018-09-25T19:26:08+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@ShenMenDesign\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/\",\"url\":\"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/\",\"name\":\"Testimonial Form - Tony Watkins L.Ac\",\"isPartOf\":{\"@id\":\"https:\/\/tonywatkins.net\/#website\"},\"datePublished\":\"2018-08-03T15:24:26+00:00\",\"dateModified\":\"2018-09-25T19:26:08+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/tonywatkins.net\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Testimonial Form\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/tonywatkins.net\/#website\",\"url\":\"https:\/\/tonywatkins.net\/\",\"name\":\"Tony Watkins L.Ac\",\"description\":\"Acupuncture\",\"publisher\":{\"@id\":\"https:\/\/tonywatkins.net\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/tonywatkins.net\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/tonywatkins.net\/#organization\",\"name\":\"Monona Bay Health\",\"url\":\"https:\/\/tonywatkins.net\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/tonywatkins.net\/#\/schema\/logo\/image\/\",\"url\":\"http:\/\/tonywatkins.net\/wp-content\/uploads\/2018\/10\/MBH-LOGO-SMALL.gif\",\"contentUrl\":\"http:\/\/tonywatkins.net\/wp-content\/uploads\/2018\/10\/MBH-LOGO-SMALL.gif\",\"width\":400,\"height\":400,\"caption\":\"Monona Bay Health\"},\"image\":{\"@id\":\"https:\/\/tonywatkins.net\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/mononabayhealth\",\"https:\/\/x.com\/ShenMenDesign\",\"https:\/\/www.instagram.com\/mononabayhealth\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Testimonial Form - Tony Watkins L.Ac","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/","og_locale":"en_US","og_type":"article","og_title":"Testimonial Form - Tony Watkins L.Ac","og_description":"Thank you for taking the time to share your experiences.\u00a0 Your time and thoughtfulness will be helping future patients learn about and receive the care they need. \u00a0 \u00a0 \u00a0 ...","og_url":"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/","og_site_name":"Tony Watkins L.Ac","article_publisher":"https:\/\/www.facebook.com\/mononabayhealth","article_modified_time":"2018-09-25T19:26:08+00:00","twitter_card":"summary_large_image","twitter_site":"@ShenMenDesign","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/","url":"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/","name":"Testimonial Form - Tony Watkins L.Ac","isPartOf":{"@id":"https:\/\/tonywatkins.net\/#website"},"datePublished":"2018-08-03T15:24:26+00:00","dateModified":"2018-09-25T19:26:08+00:00","breadcrumb":{"@id":"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/tonywatkins.net\/index.php\/testimonial-form\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/tonywatkins.net\/index.php\/testimonial-form\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/tonywatkins.net\/"},{"@type":"ListItem","position":2,"name":"Testimonial Form"}]},{"@type":"WebSite","@id":"https:\/\/tonywatkins.net\/#website","url":"https:\/\/tonywatkins.net\/","name":"Tony Watkins L.Ac","description":"Acupuncture","publisher":{"@id":"https:\/\/tonywatkins.net\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/tonywatkins.net\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/tonywatkins.net\/#organization","name":"Monona Bay Health","url":"https:\/\/tonywatkins.net\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/tonywatkins.net\/#\/schema\/logo\/image\/","url":"http:\/\/tonywatkins.net\/wp-content\/uploads\/2018\/10\/MBH-LOGO-SMALL.gif","contentUrl":"http:\/\/tonywatkins.net\/wp-content\/uploads\/2018\/10\/MBH-LOGO-SMALL.gif","width":400,"height":400,"caption":"Monona Bay Health"},"image":{"@id":"https:\/\/tonywatkins.net\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/mononabayhealth","https:\/\/x.com\/ShenMenDesign","https:\/\/www.instagram.com\/mononabayhealth"]}]}},"_links":{"self":[{"href":"https:\/\/tonywatkins.net\/index.php\/wp-json\/wp\/v2\/pages\/1422","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tonywatkins.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/tonywatkins.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/tonywatkins.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tonywatkins.net\/index.php\/wp-json\/wp\/v2\/comments?post=1422"}],"version-history":[{"count":3,"href":"https:\/\/tonywatkins.net\/index.php\/wp-json\/wp\/v2\/pages\/1422\/revisions"}],"predecessor-version":[{"id":1593,"href":"https:\/\/tonywatkins.net\/index.php\/wp-json\/wp\/v2\/pages\/1422\/revisions\/1593"}],"wp:attachment":[{"href":"https:\/\/tonywatkins.net\/index.php\/wp-json\/wp\/v2\/media?parent=1422"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}