{"id":72,"date":"2018-10-17T04:44:25","date_gmt":"2018-10-17T04:44:25","guid":{"rendered":"http:\/\/basirclinic.com\/en\/?page_id=72"},"modified":"2018-10-21T03:24:44","modified_gmt":"2018-10-21T03:24:44","slug":"free-consult","status":"publish","type":"page","link":"https:\/\/basirclinic.com\/en\/free-consult","title":{"rendered":"free-consult"},"content":{"rendered":"<div class=\"form_reception_box form_box\">\r\n    <form action=\"#contact_frm\" name=\"contact_frm\" id=\"contact_frm\" method=\"post\" autocomplete=\"off\" enctype=\"multipart\/form-data\">\r\n        <input name=\"current-page\" type=\"hidden\"\r\n               value=\"https:\/\/basirclinic.com\/en\/wp-json\/wp\/v2\/pages\/72\"\/>\r\n        <h3 class=\"title\">\r\n            Ask Your Questions        <\/h3>\r\n                        <div class=\"message error\"><\/div>\r\n        <div class=\"row\">\r\n            <div class=\"col-md-12\">\r\n                <input type=\"text\" placeholder=\"First and Last Name\" name=\"full_name\" id=\"full_name\" required>\r\n            <\/div>\r\n            <div class=\"col-md-6 col-sm-12\">\r\n                <input type=\"email\" placeholder=\"E-mail\" name=\"email\" id=\"email\" required>\r\n            <\/div>\r\n            <div class=\"col-md-6 col-sm-12\">\r\n                <input type=\"text\" placeholder=\"Phone Number\" name=\"subject\" id=\"number\" required>\r\n            <\/div>\r\n            <div class=\"col-md-12\">\r\n                <textarea type=\"text\" name=\"content\" id=\"message\" cols=\"30\" rows=\"6\" placeholder=\"Ask Your Questions\"\r\n                          required><\/textarea>\r\n            <\/div>\r\n            <div class=\"col-md-12\">\r\n                <div class=\"input-file-container\">\r\n                    <input class=\"input-file\" id=\"my-file\" type=\"file\" name=\"file\">\r\n                    <label tabindex=\"0\" for=\"my-file\" class=\"input-file-trigger\">\r\n                        <span class=\"fileSelect\">Attach files<i class=\"fa fa-paperclip\"><\/i><\/span>\r\n                    <\/label>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"col-md-12\">\r\n                <input type=\"submit\" name=\"contact_submit\" class=\"form_submit\" value=\"Submission\">\r\n            <\/div>\r\n        <\/div>\r\n    <\/form>\r\n<\/div>\r\n\r\n<script>\r\n    document.querySelector(\"html\").classList.add('js');\r\n    var fileInput = document.querySelector(\".input-file\"),\r\n        button = document.querySelector(\".input-file-trigger\"),\r\n        the_return = document.querySelector(\".file-return\");\r\n    button.addEventListener(\"keydown\", function (event) {\r\n        if (event.keyCode == 13 || event.keyCode == 32) {\r\n            fileInput.focus();\r\n        }\r\n    });\r\n    button.addEventListener(\"click\", function (event) {\r\n        fileInput.focus();\r\n        return false;\r\n    });\r\n    fileInput.addEventListener(\"change\", function (event) {\r\n        the_return.innerHTML = this.value;\r\n    });\r\n<\/script>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/free-consult.php","meta":{"footnotes":""},"class_list":["post-72","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/basirclinic.com\/en\/wp-json\/wp\/v2\/pages\/72","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/basirclinic.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/basirclinic.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/basirclinic.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/basirclinic.com\/en\/wp-json\/wp\/v2\/comments?post=72"}],"version-history":[{"count":4,"href":"https:\/\/basirclinic.com\/en\/wp-json\/wp\/v2\/pages\/72\/revisions"}],"predecessor-version":[{"id":94,"href":"https:\/\/basirclinic.com\/en\/wp-json\/wp\/v2\/pages\/72\/revisions\/94"}],"wp:attachment":[{"href":"https:\/\/basirclinic.com\/en\/wp-json\/wp\/v2\/media?parent=72"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}