{"id":489,"date":"2022-08-01T16:47:40","date_gmt":"2022-08-01T16:47:40","guid":{"rendered":"https:\/\/prothomestacare.com\/prothomesta-clinic\/?page_id=489"},"modified":"2022-08-01T16:49:22","modified_gmt":"2022-08-01T16:49:22","slug":"feedback-form","status":"publish","type":"page","link":"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/","title":{"rendered":"Feedback Form"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f488-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"488\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/prothomesta-clinic\/wp-json\/wp\/v2\/pages\/489#wpcf7-f488-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-no-scroll cf7mls-no-moving-animation\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"488\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f488-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"row g-3\">\n\t<div class=\"col-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name*\" value=\"\" type=\"text\" name=\"text-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email-patient\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email form-control\" aria-invalid=\"false\" placeholder=\"Email ID\" value=\"\" type=\"email\" name=\"email-patient\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel-379\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone No*\" value=\"\" type=\"tel\" name=\"tel-379\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"doctorknowledge\"><select class=\"wpcf7-form-control wpcf7-select form-control\" aria-invalid=\"false\" name=\"doctorknowledge\"><option value=\"Select Doctor Knowledge\">Select Doctor Knowledge<\/option><option value=\"Very satisfied\">Very satisfied<\/option><option value=\"Satisfied\">Satisfied<\/option><option value=\"Unsatisfied\">Unsatisfied<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"doctorkindness\"><select class=\"wpcf7-form-control wpcf7-select form-control\" aria-invalid=\"false\" name=\"doctorkindness\"><option value=\"Select Doctor Kindness\">Select Doctor Kindness<\/option><option value=\"Very satisfied\">Very satisfied<\/option><option value=\"Satisfied\">Satisfied<\/option><option value=\"Unsatisfied\">Unsatisfied<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"waitingtime\"><select class=\"wpcf7-form-control wpcf7-select form-control\" aria-invalid=\"false\" name=\"waitingtime\"><option value=\"Select Waiting Time\">Select Waiting Time<\/option><option value=\"Very satisfied\">Very satisfied<\/option><option value=\"Satisfied\">Satisfied<\/option><option value=\"Unsatisfied\">Unsatisfied<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"hygiene\"><select class=\"wpcf7-form-control wpcf7-select form-control\" aria-invalid=\"false\" name=\"hygiene\"><option value=\"Select Hygiene\">Select Hygiene<\/option><option value=\"Very satisfied\">Very satisfied<\/option><option value=\"Satisfied\">Satisfied<\/option><option value=\"Unsatisfied\">Unsatisfied<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"learn_about\"><select class=\"wpcf7-form-control wpcf7-select form-control\" aria-invalid=\"false\" name=\"learn_about\"><option value=\"How did you learn about our clinic?\">How did you learn about our clinic?<\/option><option value=\"Social media\">Social media<\/option><option value=\"Website\">Website<\/option><option value=\"From a friend\">From a friend<\/option><option value=\"Other\">Other<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"feedback\"><textarea cols=\"3\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea form-control\" aria-invalid=\"false\" name=\"feedback\">How can we improve our service?<\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-12\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn btn-primary w-100 py-3\" type=\"submit\" value=\"Submit\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-feedbackform.php","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-489","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.10 - aioseo.com -->\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<link rel=\"canonical\" href=\"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 4.9.10\" \/>\n\t\t<meta property=\"og:locale\" content=\"en_US\" \/>\n\t\t<meta property=\"og:site_name\" content=\"Prothomesta Clinic -\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"Feedback Form - Prothomesta Clinic\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/\" \/>\n\t\t<meta property=\"og:image\" content=\"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-content\/uploads\/2023\/08\/PROTHOMESTA-CLINIC-final-2-scaled.png\" \/>\n\t\t<meta property=\"og:image:secure_url\" content=\"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-content\/uploads\/2023\/08\/PROTHOMESTA-CLINIC-final-2-scaled.png\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2022-08-01T16:47:40+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2022-08-01T16:49:22+00:00\" \/>\n\t\t<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/prothomestacare\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"Feedback Form - Prothomesta Clinic\" \/>\n\t\t<meta name=\"twitter:image\" content=\"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-content\/uploads\/2023\/08\/PROTHOMESTA-CLINIC-final-2-scaled.png\" \/>\n\t\t<script type=\"application\/ld+json\" class=\"aioseo-schema\">\n\t\t\t{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/feedback-form\\\/#breadcrumblist\",\"itemListElement\":[{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic#listItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\",\"nextItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/feedback-form\\\/#listItem\",\"name\":\"Feedback Form\"}},{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/feedback-form\\\/#listItem\",\"position\":2,\"name\":\"Feedback Form\",\"previousItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic#listItem\",\"name\":\"Home\"}}]},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/#organization\",\"name\":\"Prothomesta Clinic\",\"url\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/\",\"telephone\":\"+919971533224\",\"logo\":{\"@type\":\"ImageObject\",\"url\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/wp-content\\\/uploads\\\/2023\\\/08\\\/PROTHOMESTA-CLINIC-final-2-scaled.png\",\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/feedback-form\\\/#organizationLogo\",\"width\":2560,\"height\":719,\"caption\":\"logo\"},\"image\":{\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/feedback-form\\\/#organizationLogo\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/prothomestacare\",\"https:\\\/\\\/www.instagram.com\\\/prothomesta.care\\\/\"]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/feedback-form\\\/#webpage\",\"url\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/feedback-form\\\/\",\"name\":\"Feedback Form - Prothomesta Clinic\",\"inLanguage\":\"en-US\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/#website\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/feedback-form\\\/#breadcrumblist\"},\"datePublished\":\"2022-08-01T16:47:40+00:00\",\"dateModified\":\"2022-08-01T16:49:22+00:00\"},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/#website\",\"url\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/\",\"name\":\"Prothomesta Clinic\",\"inLanguage\":\"en-US\",\"publisher\":{\"@id\":\"https:\\\/\\\/prothomestacare.com\\\/prothomesta-clinic\\\/#organization\"}}]}\n\t\t<\/script>\n\t\t<!-- All in One SEO -->\n\n","aioseo_head_json":{"title":"Feedback Form - Prothomesta Clinic","description":"","canonical_url":"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/","robots":"max-image-preview:large","keywords":"","webmasterTools":{"miscellaneous":""},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"BreadcrumbList","@id":"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/#breadcrumblist","itemListElement":[{"@type":"ListItem","@id":"https:\/\/prothomestacare.com\/prothomesta-clinic#listItem","position":1,"name":"Home","item":"https:\/\/prothomestacare.com\/prothomesta-clinic","nextItem":{"@type":"ListItem","@id":"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/#listItem","name":"Feedback Form"}},{"@type":"ListItem","@id":"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/#listItem","position":2,"name":"Feedback Form","previousItem":{"@type":"ListItem","@id":"https:\/\/prothomestacare.com\/prothomesta-clinic#listItem","name":"Home"}}]},{"@type":"Organization","@id":"https:\/\/prothomestacare.com\/prothomesta-clinic\/#organization","name":"Prothomesta Clinic","url":"https:\/\/prothomestacare.com\/prothomesta-clinic\/","telephone":"+919971533224","logo":{"@type":"ImageObject","url":"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-content\/uploads\/2023\/08\/PROTHOMESTA-CLINIC-final-2-scaled.png","@id":"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/#organizationLogo","width":2560,"height":719,"caption":"logo"},"image":{"@id":"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/#organizationLogo"},"sameAs":["https:\/\/www.facebook.com\/prothomestacare","https:\/\/www.instagram.com\/prothomesta.care\/"]},{"@type":"WebPage","@id":"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/#webpage","url":"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/","name":"Feedback Form - Prothomesta Clinic","inLanguage":"en-US","isPartOf":{"@id":"https:\/\/prothomestacare.com\/prothomesta-clinic\/#website"},"breadcrumb":{"@id":"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/#breadcrumblist"},"datePublished":"2022-08-01T16:47:40+00:00","dateModified":"2022-08-01T16:49:22+00:00"},{"@type":"WebSite","@id":"https:\/\/prothomestacare.com\/prothomesta-clinic\/#website","url":"https:\/\/prothomestacare.com\/prothomesta-clinic\/","name":"Prothomesta Clinic","inLanguage":"en-US","publisher":{"@id":"https:\/\/prothomestacare.com\/prothomesta-clinic\/#organization"}}]},"og:locale":"en_US","og:site_name":"Prothomesta Clinic -","og:type":"article","og:title":"Feedback Form - Prothomesta Clinic","og:url":"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/","og:image":"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-content\/uploads\/2023\/08\/PROTHOMESTA-CLINIC-final-2-scaled.png","og:image:secure_url":"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-content\/uploads\/2023\/08\/PROTHOMESTA-CLINIC-final-2-scaled.png","article:published_time":"2022-08-01T16:47:40+00:00","article:modified_time":"2022-08-01T16:49:22+00:00","article:publisher":"https:\/\/www.facebook.com\/prothomestacare","twitter:card":"summary_large_image","twitter:title":"Feedback Form - Prothomesta Clinic","twitter:image":"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-content\/uploads\/2023\/08\/PROTHOMESTA-CLINIC-final-2-scaled.png"},"aioseo_meta_data":{"post_id":"489","title":null,"description":null,"keywords":null,"keyphrases":null,"primary_term":null,"canonical_url":null,"og_title":null,"og_description":null,"og_object_type":"default","og_image_type":"default","og_image_url":null,"og_image_width":null,"og_image_height":null,"og_image_custom_url":null,"og_image_custom_fields":null,"og_video":null,"og_custom_url":null,"og_article_section":null,"og_article_tags":null,"twitter_use_og":false,"twitter_card":"default","twitter_image_type":"default","twitter_image_url":null,"twitter_image_custom_url":null,"twitter_image_custom_fields":null,"twitter_title":null,"twitter_description":null,"schema":{"blockGraphs":[],"customGraphs":[],"default":{"data":{"Article":[],"Course":[],"Dataset":[],"FAQPage":[],"Movie":[],"Person":[],"Product":[],"ProductReview":[],"Car":[],"Recipe":[],"Service":[],"SoftwareApplication":[],"WebPage":[]},"graphName":"","isEnabled":true},"graphs":[]},"schema_type":"default","schema_type_options":null,"pillar_content":false,"robots_default":true,"robots_noindex":false,"robots_noarchive":false,"robots_nosnippet":false,"robots_nofollow":false,"robots_noimageindex":false,"robots_noodp":false,"robots_notranslate":false,"robots_max_snippet":null,"robots_max_videopreview":null,"robots_max_imagepreview":"large","priority":null,"frequency":null,"local_seo":null,"breadcrumb_settings":null,"limit_modified_date":false,"ai":null,"created":"2026-04-16 11:10:13","updated":"2026-04-16 11:10:13","seo_analyzer_scan_date":null},"aioseo_breadcrumb":"<div class=\"aioseo-breadcrumbs\"><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/prothomestacare.com\/prothomesta-clinic\" title=\"Home\">Home<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">&raquo;<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\tFeedback Form\n\t\t<\/span><\/div>","aioseo_breadcrumb_json":[{"label":"Home","link":"https:\/\/prothomestacare.com\/prothomesta-clinic"},{"label":"Feedback Form","link":"https:\/\/prothomestacare.com\/prothomesta-clinic\/feedback-form\/"}],"_links":{"self":[{"href":"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-json\/wp\/v2\/pages\/489","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-json\/wp\/v2\/comments?post=489"}],"version-history":[{"count":1,"href":"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-json\/wp\/v2\/pages\/489\/revisions"}],"predecessor-version":[{"id":490,"href":"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-json\/wp\/v2\/pages\/489\/revisions\/490"}],"wp:attachment":[{"href":"https:\/\/prothomestacare.com\/prothomesta-clinic\/wp-json\/wp\/v2\/media?parent=489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}