{"id":137,"date":"2022-12-12T13:48:35","date_gmt":"2022-12-12T03:48:35","guid":{"rendered":"https:\/\/lifeincolour-cw.com\/?page_id=137"},"modified":"2022-12-22T18:04:05","modified_gmt":"2022-12-22T08:04:05","slug":"request-intake-form","status":"publish","type":"page","link":"https:\/\/lifeincolour-cw.com\/request-intake-form\/","title":{"rendered":"Request Intake Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"137\" class=\"elementor elementor-137\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a7d26ea e-flex e-con-boxed e-con e-parent\" data-id=\"a7d26ea\" data-element_type=\"container\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e5e03d5 elementor-widget elementor-widget-heading\" data-id=\"e5e03d5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 06-03-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Life in colour: counselling + wellbeing<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5af52f elementor-widget elementor-widget-heading\" data-id=\"e5af52f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">New Client Enquiry Form<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-62aec5b elementor-widget elementor-widget-shortcode\" data-id=\"62aec5b\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f365-o1\" lang=\"en-AU\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/137#wpcf7-f365-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" 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class=\"wpcf7-list-item-label\">Counselling Services<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-521[]\" value=\"Organisational Consultation\" \/><span class=\"wpcf7-list-item-label\">Organisational Consultation<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"checkbox-521[]\" value=\"Career Coaching\" \/><span class=\"wpcf7-list-item-label\">Career Coaching<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-521[]\" value=\"Not sure!\" \/><span class=\"wpcf7-list-item-label\">Not sure!<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"additional-information\"><textarea cols=\"20\" rows=\"5\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required mandatory\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"How can we help you?\" name=\"additional-information\"><\/textarea><\/span><br 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