{"id":8970,"date":"2026-02-12T09:16:14","date_gmt":"2026-02-12T09:16:14","guid":{"rendered":"https:\/\/akayukthi.com\/home\/?page_id=8970"},"modified":"2026-03-18T07:06:31","modified_gmt":"2026-03-18T07:06:31","slug":"feedback","status":"publish","type":"page","link":"https:\/\/akayukthi.com\/home\/feedback\/","title":{"rendered":"Feedback"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8970\" class=\"elementor elementor-8970\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b04ebc5 elementor-section-full_width elementor-section-height-full elementor-section-stretched elementor-section-height-default elementor-section-items-middle\" data-id=\"b04ebc5\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8a0346d sc-laptop_inner_width_none sc_column_fixed sc_inner_width_none sc_layouts_column_icons_position_left\" data-id=\"8a0346d\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-83b894f elementor-fixed sc_fly_static elementor-widget elementor-widget-image\" data-id=\"83b894f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;fixed&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"2000\" height=\"2500\" src=\"https:\/\/akayukthi.com\/home\/wp-content\/uploads\/2026\/02\/fi.webp\" class=\"attachment-full size-full wp-image-9010\" alt=\"\" srcset=\"https:\/\/akayukthi.com\/home\/wp-content\/uploads\/2026\/02\/fi.webp 2000w, https:\/\/akayukthi.com\/home\/wp-content\/uploads\/2026\/02\/fi-240x300.webp 240w, https:\/\/akayukthi.com\/home\/wp-content\/uploads\/2026\/02\/fi-819x1024.webp 819w, https:\/\/akayukthi.com\/home\/wp-content\/uploads\/2026\/02\/fi-768x960.webp 768w, https:\/\/akayukthi.com\/home\/wp-content\/uploads\/2026\/02\/fi-1229x1536.webp 1229w, https:\/\/akayukthi.com\/home\/wp-content\/uploads\/2026\/02\/fi-1638x2048.webp 1638w, https:\/\/akayukthi.com\/home\/wp-content\/uploads\/2026\/02\/fi-370x463.webp 370w, https:\/\/akayukthi.com\/home\/wp-content\/uploads\/2026\/02\/fi-760x950.webp 760w\" sizes=\"(max-width: 2000px) 100vw, 2000px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-9cb98a4 sc_column_fixed sc_inner_width_none sc_layouts_column_icons_position_left\" data-id=\"9cb98a4\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-c79888b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c79888b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-716da0b sc_column_fixed sc_inner_width_none sc_layouts_column_icons_position_left\" data-id=\"716da0b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dd844e8 sc_fly_static elementor-widget elementor-widget-trx_sc_title\" data-id=\"dd844e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"trx_sc_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"trx_sc_title_122596499\"\n\t\tclass=\"sc_title sc_title_default\"><h2 class=\"sc_item_title sc_title_title sc_align_center sc_item_title_style_default\"><span class=\"sc_item_title_text\">Please Share your<br> Valuable Feedback<\/span><\/h2><\/div><!-- \/.sc_title -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-7eaf4ae elementor-tabs-alignment-center elementor-tabs-view-horizontal sc_fly_static elementor-widget elementor-widget-tabs\" data-id=\"7eaf4ae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1321\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1321\" aria-expanded=\"false\">Patient Feedback Form<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1322\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1322\" aria-expanded=\"false\">OT Feedback Form<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1323\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1323\" aria-expanded=\"false\">Guest House Feedback<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1321\" aria-expanded=\"false\">Patient Feedback Form<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1321\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1321\" tabindex=\"0\" hidden=\"false\"><style id=\"elementor-post-8369\">.elementor-8369 .elementor-element.elementor-element-28e75545 > .elementor-container{max-width:1200px;}.elementor-8369 .elementor-element.elementor-element-28e75545{padding:50px 0px 50px 0px;}.elementor-8369 .elementor-element.elementor-element-16c28b2f{-ms-flex-pack:inherit;-webkit-justify-content:inherit;justify-content:inherit;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-field-group{padding-right:calc( 30px\/2 );padding-left:calc( 30px\/2 );margin-bottom:30px;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-form-fields-wrapper{margin-left:calc( -30px\/2 );margin-right:calc( -30px\/2 );margin-bottom:-30px;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-field-group.recaptcha_v3-bottomleft, .elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-field-group.recaptcha_v3-bottomright{margin-bottom:0;}body.rtl .elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-labels-inline .elementor-field-group > label{padding-left:10px;}body:not(.rtl) .elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-labels-inline .elementor-field-group > label{padding-right:10px;}body .elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-labels-above .elementor-field-group > label{padding-bottom:10px;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-field-group > label, .elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-field-subgroup label{color:#572D43;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-mark-required .elementor-field-label:after{color:#FF6363;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-field-group > label{font-size:15px;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-field-type-html{padding-bottom:0px;color:var( --e-global-color-29e992c2 );}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-field-group .elementor-field, .elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-field-subgroup label{font-size:14px;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-field-group .elementor-field:not(.elementor-select-wrapper){background-color:#FFFFFF;border-color:#572D43;border-radius:8px 8px 8px 8px;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-field-group .elementor-select-wrapper select{background-color:#FFFFFF;border-color:#572D43;border-radius:8px 8px 8px 8px;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-field-group .elementor-select-wrapper::before{color:#572D43;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-button{font-family:\"Poppins\", Sans-serif;font-size:16px;font-weight:400;letter-spacing:0.5px;border-radius:10px 10px 10px 10px;}.elementor-8369 .elementor-element.elementor-element-1551f199 .e-form__buttons__wrapper__button-next{background-color:#A22E31;color:#ffffff;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-button[type=\"submit\"]{background-color:#A22E31;color:#ffffff;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-button[type=\"submit\"] svg *{fill:#ffffff;}.elementor-8369 .elementor-element.elementor-element-1551f199 .e-form__buttons__wrapper__button-previous{background-color:#A22E31;color:#ffffff;}.elementor-8369 .elementor-element.elementor-element-1551f199 .e-form__buttons__wrapper__button-next:hover{color:#ffffff;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-button[type=\"submit\"]:hover{color:#ffffff;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-button[type=\"submit\"]:hover svg *{fill:#ffffff;}.elementor-8369 .elementor-element.elementor-element-1551f199 .e-form__buttons__wrapper__button-previous:hover{color:#ffffff;}.elementor-8369 .elementor-element.elementor-element-1551f199 .elementor-message.elementor-message-success{color:#D5692A;}.elementor-8369 .elementor-element.elementor-element-1551f199 .e-form__indicators__indicator, .elementor-8369 .elementor-element.elementor-element-1551f199 .e-form__indicators__indicator__label{font-family:\"Lora\", Sans-serif;font-size:13px;font-weight:700;line-height:1.5em;}.elementor-8369 .elementor-element.elementor-element-1551f199{--e-form-steps-indicators-spacing:40px;--e-form-steps-indicator-padding:40px;--e-form-steps-indicator-inactive-primary-color:#000000;--e-form-steps-indicator-inactive-secondary-color:#FFFFFF00;--e-form-steps-indicator-active-primary-color:#572D43;--e-form-steps-indicator-active-secondary-color:#572D4300;--e-form-steps-indicator-completed-primary-color:var( --e-global-color-a9a47d5 );--e-form-steps-indicator-completed-secondary-color:#ffffff;--e-form-steps-divider-width:1px;--e-form-steps-divider-gap:6px;}\/* Start custom CSS for form, class: .elementor-element-1551f199 *\/select_container select:not(.esg-sorting-select):not([class*=\"trx_addons_attrib_\"]) {\r\n    visibility: visible;\r\n    background-color: #FFFFFF00 !important;\r\n}\r\n.select_container select:not(.esg-sorting-select):not([class*=\"trx_addons_attrib_\"]) {\r\n    visibility: visible;\r\n    background-color: #ffefe2 !important;\r\n    border:1px solid #572D43!important;\r\n}\r\n\r\n.scheme_default .select_container:before {\r\nbackground-color: #ffffff!important;\r\n}\/* End custom CSS *\/<\/style><p>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"8369\" class=\"elementor elementor-8369\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-28e75545 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"28e75545\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-16c28b2f sc_inner_width_none sc_layouts_column_icons_position_left\" data-id=\"16c28b2f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1551f199 native-date elementor-button-align-stretch sc_fly_static elementor-widget elementor-widget-form\" data-id=\"1551f199\" data-element_type=\"widget\" data-e-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\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"PATIENT FEEDBACK FORM\" aria-label=\"PATIENT FEEDBACK FORM\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"8369\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"1551f199\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Feedback - Akayukthi\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"8970\"\/>\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-step elementor-field-group elementor-column elementor-field-group-field_4cc43e4 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Patient Details\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\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-name elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPatient 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[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name\" required=\"required\">\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-email elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAge \/ Gender:\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[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Age \/ Gender:\" required=\"required\">\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_d3d547d elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d3d547d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCountry\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_d3d547d]\" id=\"form-field-field_d3d547d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Country:\" required=\"required\">\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_5ea0d50 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5ea0d50\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCity\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_5ea0d50]\" id=\"form-field-field_5ea0d50\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"City\" required=\"required\">\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_a7958fd elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a7958fd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMobile Number \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_a7958fd]\" id=\"form-field-field_a7958fd\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Mobile Number \/ WhatsApp\" required=\"required\">\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-date elementor-field-group elementor-column elementor-field-group-field_3b81388 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3b81388\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTreatment Start Date\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_3b81388]\" id=\"form-field-field_3b81388\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\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_5aa3fe5 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5aa3fe5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDepartment \/ Therapy Taken\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_5aa3fe5]\" id=\"form-field-field_5aa3fe5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\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_f0e6c3f elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f0e6c3f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t Major Health Concern \/ Problem\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_f0e6c3f]\" id=\"form-field-field_f0e6c3f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\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-step elementor-field-group elementor-column elementor-field-group-field_12ad785 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Rating Scale\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_2f41a5e elementor-col-100\">\n\t\t\t\t\t<h4>Reception &#038; Appointments<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_3e6e71f elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3e6e71f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEase of Booking Appointments\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_3e6e71f]\" id=\"form-field-field_3e6e71f\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_d2a793a elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d2a793a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBilling &#038; Registration Process\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_d2a793a]\" id=\"form-field-field_d2a793a\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_5523960 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5523960\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWaiting time Management\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_5523960]\" id=\"form-field-field_5523960\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_62f1daf elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_62f1daf\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tReception Staff Politeness &#038; Front desk Management\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_62f1daf]\" id=\"form-field-field_62f1daf\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_f5b2619 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f5b2619\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOverall Coordination\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_f5b2619]\" id=\"form-field-field_f5b2619\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_bad8400 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bad8400\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOverall Cleanliness &#038; Hygiene at the Clinic\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_bad8400]\" id=\"form-field-field_bad8400\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_5ba9a24 elementor-col-100\">\n\t\t\t\t\t\n<h4>Treatment (Doctors &#038; Therapists)<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_126b036 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_126b036\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid Doctor Kaviarasu explain your condition clearly?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_126b036]\" id=\"form-field-field_126b036\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_eb9554d elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_eb9554d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tClarity of treatment plan given by Doctor Kaviarasu\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_eb9554d]\" id=\"form-field-field_eb9554d\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_2ddbd42 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2ddbd42\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tJunior Doctor\u2019s treatment and care\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_2ddbd42]\" id=\"form-field-field_2ddbd42\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_403e024 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_403e024\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTherapist\u2019s friendliness &#038; approachability\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_403e024]\" id=\"form-field-field_403e024\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_ac53868 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ac53868\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTherapist\u2019s skill &#038; knowledge\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_ac53868]\" id=\"form-field-field_ac53868\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_623161e elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_623161e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIndividual attention during therapy\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_623161e]\" id=\"form-field-field_623161e\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_ef2d04c elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ef2d04c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPunctuality of sessions\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_ef2d04c]\" id=\"form-field-field_ef2d04c\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_278a10b elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_278a10b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tComfort during treatment procedures\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_278a10b]\" id=\"form-field-field_278a10b\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_d3a4aa2 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d3a4aa2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCommunication &#038; clarity of instructions\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_d3a4aa2]\" id=\"form-field-field_d3a4aa2\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_4bff923 elementor-col-100\">\n\t\t\t\t\t<h4>Doctor-wise Rating<\/h4>\nDoctor Name\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_6dd2c2a elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6dd2c2a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDr. Archanaa\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_6dd2c2a]\" id=\"form-field-field_6dd2c2a\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6 -- Not Attended\">6 &#8212; Not Attended<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7 -- Need to improve\">7 &#8212; Need to improve<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_889ebd0 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_889ebd0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDr. Jyothika\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_889ebd0]\" id=\"form-field-field_889ebd0\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6 -- Not Attended\">6 &#8212; Not Attended<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7 -- Need to improve\">7 &#8212; Need to improve<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_2142a54 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2142a54\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDr. Muppudathi\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_2142a54]\" id=\"form-field-field_2142a54\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6 -- Not Attended\">6 &#8212; Not Attended<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7 -- Need to improve\">7 &#8212; Need to improve<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_f99aecf elementor-col-100\">\n\t\t\t\t\t<h4>Therapist-wise Rating<\/h4>\nTherapist Name\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_4767136 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4767136\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKavya\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_4767136]\" id=\"form-field-field_4767136\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6 -- Not Attended\">6 &#8212; Not Attended<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7 -- Need to improve\">7 &#8212; Need to improve<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_ade9aa6 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ade9aa6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKaviselvi\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_ade9aa6]\" id=\"form-field-field_ade9aa6\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6 -- Not Attended\">6 &#8212; Not Attended<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7 -- Need to improve\">7 &#8212; Need to improve<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_f479d7a elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f479d7a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPeriakka\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_f479d7a]\" id=\"form-field-field_f479d7a\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6 -- Not Attended\">6 &#8212; Not Attended<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7 -- Need to improve\">7 &#8212; Need to improve<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\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_6aabd63 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6aabd63\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t<b>Suggestions for Improving the Treatment and Therapy Process<\/b>\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_6aabd63]\" id=\"form-field-field_6aabd63\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\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-step elementor-field-group elementor-column elementor-field-group-field_3f291e7 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Overall Experience\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_fdc9cdc elementor-col-100\">\n\t\t\t\t\t<h4> Overall Experience<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_643b796 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_643b796\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLevel of improvement in your health condition since the start of treatment\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_643b796]\" id=\"form-field-field_643b796\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_a6253b1 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a6253b1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you attending treatment regularly?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_a6253b1]\" id=\"form-field-field_a6253b1\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Regular\" selected=\"selected\">1 \u2013 Regular<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Rarely miss a session\">2 \u2013 Rarely miss a session<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Irregular\">3 \u2013 Irregular<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_bfec04f elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bfec04f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOverall rating of the clinic\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_bfec04f]\" id=\"form-field-field_bfec04f\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\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_c09c5ff elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c09c5ff\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWould you recommend Akayukthi Nature Cure Centre and its Naturopathy treatment to others?\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=\"Yes\" id=\"form-field-field_c09c5ff-0\" name=\"form_fields[field_c09c5ff]\" checked=\"checked\" required=\"required\"> <label for=\"form-field-field_c09c5ff-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_c09c5ff-1\" name=\"form_fields[field_c09c5ff]\" required=\"required\"> <label for=\"form-field-field_c09c5ff-1\">No<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Maybe\" id=\"form-field-field_c09c5ff-2\" name=\"form_fields[field_c09c5ff]\" required=\"required\"> <label for=\"form-field-field_c09c5ff-2\">Maybe<\/label><\/span><\/div>\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_8da5f8d elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8da5f8d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSuggestions \/ Additional 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-sm\" name=\"form_fields[field_8da5f8d]\" id=\"form-field-field_8da5f8d\" rows=\"4\" required=\"required\"><\/textarea>\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 class=\"elementor-button elementor-size-xs\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\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\">Send<\/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\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1322\" aria-expanded=\"false\">OT Feedback Form<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1322\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1322\" tabindex=\"0\" hidden=\"hidden\"><style id=\"elementor-post-8407\">.elementor-8407 .elementor-element.elementor-element-28e75545 > .elementor-container{max-width:1200px;}.elementor-8407 .elementor-element.elementor-element-28e75545{padding:50px 0px 50px 0px;}.elementor-8407 .elementor-element.elementor-element-16c28b2f{-ms-flex-pack:inherit;-webkit-justify-content:inherit;justify-content:inherit;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-group{padding-right:calc( 30px\/2 );padding-left:calc( 30px\/2 );margin-bottom:30px;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-form-fields-wrapper{margin-left:calc( -30px\/2 );margin-right:calc( -30px\/2 );margin-bottom:-30px;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-group.recaptcha_v3-bottomleft, .elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-group.recaptcha_v3-bottomright{margin-bottom:0;}body.rtl .elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-labels-inline .elementor-field-group > label{padding-left:10px;}body:not(.rtl) .elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-labels-inline .elementor-field-group > label{padding-right:10px;}body .elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-labels-above .elementor-field-group > label{padding-bottom:10px;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-group > label, .elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-subgroup label{color:#572D43;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-mark-required .elementor-field-label:after{color:#FF6363;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-group > label{font-size:15px;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-type-html{padding-bottom:0px;font-size:11px;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-group .elementor-field, .elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-subgroup label{font-size:14px;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-group .elementor-field:not(.elementor-select-wrapper){background-color:#FFFFFF;border-color:#572D43;border-radius:8px 8px 8px 8px;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-group .elementor-select-wrapper select{background-color:#FFFFFF;border-color:#572D43;border-radius:8px 8px 8px 8px;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-group .elementor-select-wrapper::before{color:#572D43;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-button{font-family:\"Poppins\", Sans-serif;font-size:16px;font-weight:400;letter-spacing:0.5px;border-radius:10px 10px 10px 10px;}.elementor-8407 .elementor-element.elementor-element-1551f199 .e-form__buttons__wrapper__button-next{background-color:#A22E30;color:#ffffff;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-button[type=\"submit\"]{background-color:#A22E30;color:#ffffff;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-button[type=\"submit\"] svg *{fill:#ffffff;}.elementor-8407 .elementor-element.elementor-element-1551f199 .e-form__buttons__wrapper__button-previous{background-color:#A22E30;color:#ffffff;}.elementor-8407 .elementor-element.elementor-element-1551f199 .e-form__buttons__wrapper__button-next:hover{color:#ffffff;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-button[type=\"submit\"]:hover{color:#ffffff;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-button[type=\"submit\"]:hover svg *{fill:#ffffff;}.elementor-8407 .elementor-element.elementor-element-1551f199 .e-form__buttons__wrapper__button-previous:hover{color:#ffffff;}.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-message.elementor-message-success{color:#D5692A;}.elementor-8407 .elementor-element.elementor-element-1551f199 .e-form__indicators__indicator, .elementor-8407 .elementor-element.elementor-element-1551f199 .e-form__indicators__indicator__label{font-family:\"Lora\", Sans-serif;font-size:15px;font-weight:700;line-height:1.5em;}.elementor-8407 .elementor-element.elementor-element-1551f199{--e-form-steps-indicators-spacing:40px;--e-form-steps-indicator-padding:40px;--e-form-steps-indicator-inactive-primary-color:#000000;--e-form-steps-indicator-inactive-secondary-color:#FFFFFF00;--e-form-steps-indicator-active-primary-color:#572D43;--e-form-steps-indicator-active-secondary-color:#572D4300;--e-form-steps-indicator-completed-primary-color:var( --e-global-color-a9a47d5 );--e-form-steps-indicator-completed-secondary-color:#ffffff;--e-form-steps-divider-width:1px;--e-form-steps-divider-gap:6px;}\/* Start custom CSS for form, class: .elementor-element-1551f199 *\/\/*.select_container select:not(.esg-sorting-select):not([class*=\"trx_addons_attrib_\"]) {*\/\r\n\/*    visibility: visible;*\/\r\n\/*    background-color: #ffffff !important;*\/\r\n\/*    border: 1px solid #572D43 !important;*\/\r\n\/*}*\/\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n.select_container select:not(.esg-sorting-select):not([class*=\"trx_addons_attrib_\"]) {\r\n    visibility: visible;\r\n    background-color: #FFFFFF00 !important;\r\n}\r\n.select_container select:not(.esg-sorting-select):not([class*=\"trx_addons_attrib_\"]) {\r\n    visibility: visible;\r\n    background-color: #ffffff !important;\r\n    border:1px solid #572D43!important;\r\n}\r\n\r\n.elementor-8407 .elementor-element.elementor-element-1551f199 .elementor-field-group .elementor-field:not(.elementor-select-wrapper) {\r\n    background-color: #ffffff;\r\n    border-color: #572D43;\r\n    border-radius: 4px 4px 4px 4px;\r\n}\r\n\r\n.select_container select {\r\n    visibility: visible;\r\n    background-color: #ffffff !important;\r\n    border: 1px solid #572D43 !important;\r\n}\r\n.select_container select:not(.esg-sorting-select):not([class*=\"trx_addons_attrib_\"]) {\r\n   background-color: #ffF !important;\r\n}\/* End custom CSS *\/<\/style><p>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"8407\" class=\"elementor elementor-8407\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-28e75545 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"28e75545\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-16c28b2f sc_inner_width_none sc_layouts_column_icons_position_left\" data-id=\"16c28b2f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1551f199 elementor-button-align-stretch sc_fly_static elementor-widget elementor-widget-form\" data-id=\"1551f199\" data-element_type=\"widget\" data-e-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\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"PATIENT FEEDBACK FORM\" aria-label=\"PATIENT FEEDBACK FORM\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"8407\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"1551f199\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Feedback - Akayukthi\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"8970\"\/>\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-step elementor-field-group elementor-column elementor-field-group-field_4cc43e4 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 1\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\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-name elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPatient 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[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name\" required=\"required\">\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-email elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAge \/ Gender:\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[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Age \/ Gender:\" required=\"required\">\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-date elementor-field-group elementor-column elementor-field-group-field_de32c58 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_de32c58\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of Visit:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_de32c58]\" id=\"form-field-field_de32c58\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" placeholder=\"Date of Visit:\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_2f41a5e elementor-col-100\">\n\t\t\t\t\t<h4>Administration &#038; Scheduling<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_3e6e71f elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3e6e71f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSmoothness of appointment \/ booking process\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_3e6e71f]\" id=\"form-field-field_3e6e71f\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_d2a793a elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d2a793a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tClarity of information provided about session timings\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_d2a793a]\" id=\"form-field-field_d2a793a\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_5523960 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5523960\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWaiting time before sessions\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_5523960]\" id=\"form-field-field_5523960\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_5ba9a24 elementor-col-100\">\n\t\t\t\t\t\n<h4>Senior Therapist Feedback<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_126b036 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_126b036\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tExplanation of condition and treatment plan\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_126b036]\" id=\"form-field-field_126b036\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_eb9554d elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_eb9554d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUnderstanding of your needs and challenges\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_eb9554d]\" id=\"form-field-field_eb9554d\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_2ddbd42 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2ddbd42\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tProfessionalism and communication\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_2ddbd42]\" id=\"form-field-field_2ddbd42\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_403e024 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_403e024\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tClarity of instructions for home exercises\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_403e024]\" id=\"form-field-field_403e024\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_4bff923 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 2\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_20d7fa7 elementor-col-100\">\n\t\t\t\t\t<h4>Junior Therapist Feedback<\/h4>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_6dd2c2a elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6dd2c2a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAssistance provided during therapy sessions\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_6dd2c2a]\" id=\"form-field-field_6dd2c2a\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_2142a54 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2142a54\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tProfessionalism, behaviour, and communication\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_2142a54]\" id=\"form-field-field_2142a54\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_5abee4a elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5abee4a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCare, patience, and attentiveness\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_5abee4a]\" id=\"form-field-field_5abee4a\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_f99aecf elementor-col-100\">\n\t\t\t\t\t<h4>Facility &#038; Environment<\/h4>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_ade9aa6 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ade9aa6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tComfort and organisation of the waiting area\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_ade9aa6]\" id=\"form-field-field_ade9aa6\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_1eed095 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1eed095\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOverall ambience of the department\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_1eed095]\" id=\"form-field-field_1eed095\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_87553cb elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_87553cb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOverall cleanliness of the department \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_87553cb]\" id=\"form-field-field_87553cb\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_64a2cd5 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_64a2cd5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWas the space child friendly?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_64a2cd5]\" id=\"form-field-field_64a2cd5\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_3f291e7 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 3\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_fdc9cdc elementor-col-100\">\n\t\t\t\t\t<h4>Accessibility &#038; Location<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_b1bd505 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b1bd505\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEase of locating the Occupational Therapy Department\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_b1bd505]\" id=\"form-field-field_b1bd505\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_a6253b1 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a6253b1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tParking \/ transport access convenience\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_a6253b1]\" id=\"form-field-field_a6253b1\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_ebfa6d7 elementor-col-100\">\n\t\t\t\t\t<h4>Safety &#038; Comfort<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_1547848 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1547848\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFeeling of safety throughout therapy\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_1547848]\" id=\"form-field-field_1547848\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_35109d9 elementor-col-100\">\n\t\t\t\t\t<h4>Treatment Outcome<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_bd70494 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bd70494\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tImprovement noticed since starting therapy\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_bd70494]\" id=\"form-field-field_bd70494\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"No improvement\">No improvement<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Slight improvement\">Slight improvement<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Moderate improvement\">Moderate improvement<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Significant improvement\">Significant improvement<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Excellent improvement\" selected=\"selected\">Excellent improvement<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_38b39d9 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_38b39d9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tConfidence in continuing home exercises\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_38b39d9]\" id=\"form-field-field_38b39d9\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d703abf elementor-col-100\">\n\t\t\t\t\t<h4>Overall Experience<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_603cfa5 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_603cfa5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOverall satisfaction with the Occupational Therapy Department\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_603cfa5]\" id=\"form-field-field_603cfa5\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1 \u2013 Very Poor\">1 \u2013 Very Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 \u2013 Poor\">2 \u2013 Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 \u2013 Average\">3 \u2013 Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 \u2013 Good\" selected=\"selected\">4 \u2013 Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 \u2013 Excellent\">5 \u2013 Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\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_b020913 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b020913\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWould you recommend this department to others?\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=\"Yes\" id=\"form-field-field_b020913-0\" name=\"form_fields[field_b020913]\" checked=\"checked\" required=\"required\"> <label for=\"form-field-field_b020913-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_b020913-1\" name=\"form_fields[field_b020913]\" required=\"required\"> <label for=\"form-field-field_b020913-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_fdb2e76 elementor-col-100\">\n\t\t\t\t\t<h4>Additional Comments \/ Suggestions<\/h4>\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_000e5ea elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_000e5ea\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat did you like most about the therapy?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_000e5ea]\" id=\"form-field-field_000e5ea\" rows=\"4\" required=\"required\"><\/textarea>\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 class=\"elementor-button elementor-size-xs\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\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\">Send<\/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\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1323\" aria-expanded=\"false\">Guest House Feedback<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1323\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1323\" tabindex=\"0\" 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.elementor-button[type=\"submit\"]:hover svg *{fill:#ffffff;}.elementor-8464 .elementor-element.elementor-element-1551f199 .e-form__buttons__wrapper__button-previous:hover{color:#ffffff;}.elementor-8464 .elementor-element.elementor-element-1551f199 .elementor-message.elementor-message-success{color:#D5692A;}.elementor-8464 .elementor-element.elementor-element-1551f199 .e-form__indicators__indicator, .elementor-8464 .elementor-element.elementor-element-1551f199 .e-form__indicators__indicator__label{font-family:\"Lora\", Sans-serif;font-size:15px;font-weight:700;line-height:1.5em;}.elementor-8464 .elementor-element.elementor-element-1551f199{--e-form-steps-indicators-spacing:40px;--e-form-steps-indicator-padding:40px;--e-form-steps-indicator-inactive-primary-color:#000000;--e-form-steps-indicator-inactive-secondary-color:#FFFFFF00;--e-form-steps-indicator-active-primary-color:#572D43;--e-form-steps-indicator-active-secondary-color:#572D4300;--e-form-steps-indicator-completed-primary-color:var( --e-global-color-a9a47d5 );--e-form-steps-indicator-completed-secondary-color:#ffffff;--e-form-steps-divider-width:1px;--e-form-steps-divider-gap:6px;}.elementor-8464 .elementor-element.elementor-element-1551f199 > .elementor-widget-container{margin:40px 0px 0px 0px;}@media(max-width:1024px){.elementor-8464 .elementor-element.elementor-element-28e75545{padding:50px 20px 50px 20px;}.elementor-8464 .elementor-element.elementor-element-c35b216{text-align:center;}.elementor-8464 .elementor-element.elementor-element-c35b216 .elementor-heading-title{font-size:25px;line-height:1.4em;}}@media(max-width:767px){.elementor-8464 .elementor-element.elementor-element-28e75545{padding:40px 0px 0px 0px;}}\/* Start custom CSS for heading, class: .elementor-element-c35b216 *\/.elementor-8464 .elementor-element.elementor-element-c35b216 .elementor-heading-title {\r\n    font-family: \"Lora\", Sans-serif;\r\n    font-weight: 700;\r\n    font-size: 28px;\r\n    text-align: left;\r\n    line-height: 1.5em;\r\n}\/* End custom CSS *\/\n\/* Start custom CSS for form, class: .elementor-element-1551f199 *\/.select_container select:not(.esg-sorting-select):not([class*=\"trx_addons_attrib_\"]) {\r\n    visibility: visible;\r\n    background-color: #FFFFFF00 !important;\r\n}\r\n.select_container select:not(.esg-sorting-select):not([class*=\"trx_addons_attrib_\"]) {\r\n    visibility: visible;\r\n    background-color: #ffefe2 !important;\r\n    border:1px solid #572D43!important;\r\n}\/* End custom CSS *\/<\/style><p>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"8464\" class=\"elementor elementor-8464\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-28e75545 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"28e75545\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-16c28b2f sc_inner_width_none sc_layouts_column_icons_position_left\" data-id=\"16c28b2f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c35b216 sc_fly_static elementor-widget elementor-widget-heading\" data-id=\"c35b216\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Akayukthi Nature Cure Centre &#8211; <br> Guest House Feedback Form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1551f199 elementor-button-align-stretch sc_fly_static elementor-widget elementor-widget-form\" data-id=\"1551f199\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width_tablet&quot;:&quot;80&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\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"PATIENT FEEDBACK FORM\" aria-label=\"PATIENT FEEDBACK FORM\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"8464\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"1551f199\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Feedback - Akayukthi\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"8970\"\/>\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-step elementor-field-group elementor-column elementor-field-group-field_4cc43e4 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"General Information\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\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-name elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGuest 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[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name\" required=\"required\">\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-email elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAge\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[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Age\" required=\"required\">\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-date elementor-field-group elementor-column elementor-field-group-field_5ea0d50 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5ea0d50\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCheck-in Date\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_5ea0d50]\" id=\"form-field-field_5ea0d50\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" placeholder=\"Check-in Date\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_e76daf7 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e76daf7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCheck-out Date\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_e76daf7]\" id=\"form-field-field_e76daf7\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field elementor-use-native\" placeholder=\"Check-out Date\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\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_054f21d elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_054f21d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRoom No.\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_054f21d]\" id=\"form-field-field_054f21d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Room No.\" required=\"required\">\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_e3de5a9 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e3de5a9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tContact No\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_e3de5a9]\" id=\"form-field-field_e3de5a9\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Contact No\" required=\"required\" 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-step elementor-field-group elementor-column elementor-field-group-field_2f41a5e elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Feedback Questions\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_3e6e71f elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3e6e71f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow would you rate the cleanliness of your room and bathroom?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_3e6e71f]\" id=\"form-field-field_3e6e71f\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Poor\">Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Good\" selected=\"selected\">Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Excellent\">Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_d2a793a elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d2a793a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWas your room comfortable (bed, lighting, ventilation, temperature)?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_d2a793a]\" id=\"form-field-field_d2a793a\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Not comfortable\">Not comfortable<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Moderate\">Moderate<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Very comfortable\" selected=\"selected\">Very comfortable<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_5523960 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5523960\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow would you rate the quality and taste of the food provided?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_5523960]\" id=\"form-field-field_5523960\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Poor\">Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Good\" selected=\"selected\">Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Excellent\">Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_62f1daf elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_62f1daf\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWere meals served on time and as per your diet\/therapy requirements?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_62f1daf]\" id=\"form-field-field_62f1daf\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sometimes\">Sometimes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Always\" selected=\"selected\">Always<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_0f92721 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0f92721\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWas the food served hot and fresh?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_0f92721]\" id=\"form-field-field_0f92721\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Yes\">Yes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sometimes\">Sometimes<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_03bbc96 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_03bbc96\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow would you rate the hospitality and friendliness of the guest house staff?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_03bbc96]\" id=\"form-field-field_03bbc96\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Poor\">Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Good\" selected=\"selected\">Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Excellent\">Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_750b8ca elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_750b8ca\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid you feel safe and secure during your stay?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_750b8ca]\" id=\"form-field-field_750b8ca\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Somewhat\u2003\">Somewhat\u2003<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Completely\" selected=\"selected\">Completely<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_9764337 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9764337\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWas the guest house environment calm, peaceful, and supportive for healing?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_9764337]\" id=\"form-field-field_9764337\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\" Not at all\u2003\"> Not at all\u2003<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"To some extent\">To some extent<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Completely\" selected=\"selected\">Completely<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_a94bfcf elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a94bfcf\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow would you rate the availability and cleanliness of common areas (dining hall, lounge, etc.)?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_a94bfcf]\" id=\"form-field-field_a94bfcf\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Poor\">Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Good\" selected=\"selected\">Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Excellent\">Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_534f588 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_534f588\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWas the stay well-coordinated with your therapy schedule (timely communication and guidance)?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_534f588]\" id=\"form-field-field_534f588\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Partly\" selected=\"selected\">Partly<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Yes, completely\">Yes, completely<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_3031ed2 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3031ed2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow would you rate the transport facility between the clinic and the guest house?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_3031ed2]\" id=\"form-field-field_3031ed2\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Poor\">Poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Good\" selected=\"selected\">Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Excellent\">Excellent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_e85da1b elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e85da1b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOverall, how satisfied are you with your stay at the guest house?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_e85da1b]\" id=\"form-field-field_e85da1b\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Unsatisfied\">Unsatisfied<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Satisfied\">Satisfied<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Very Satisfied\" selected=\"selected\">Very Satisfied<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_4699434 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4699434\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWould you recommend our guest house to others?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_4699434]\" id=\"form-field-field_4699434\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Maybe\">Maybe<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Definitely Yes\" selected=\"selected\">Definitely Yes<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_4bff923 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Improvement\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_5ba9a24 elementor-col-100\">\n\t\t\t\t\t\n<h4>Appreciation (Optional)<\/h4>\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_126b036 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_126b036\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWould you like to mention anyone specific who has done an excellent job? Please share their name and what you appreciated:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_126b036]\" id=\"form-field-field_126b036\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_7bc2944 elementor-col-100\">\n\t\t\t\t\t<h4>Areas for Improvement (Optional)<\/h4>\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_8e7d669 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8e7d669\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWould you like to mention anyone specific or any service that could be improved? Please explain:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_8e7d669]\" id=\"form-field-field_8e7d669\" rows=\"4\"><\/textarea>\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_677ad8c elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_677ad8c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t<h4>Suggestions for Improvement<\/h4>\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_677ad8c]\" id=\"form-field-field_677ad8c\" rows=\"4\"><\/textarea>\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 elementor-md-80\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-xs\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\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\">Send<\/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\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/p><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Please Share your Valuable Feedback Patient Feedback Form OT Feedback Form Guest House Feedback Patient Feedback Form Patient Name Age \/ Gender: Country City Mobile Number Treatment Start Date Department&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"give_campaign_id":0,"footnotes":""},"class_list":["post-8970","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - 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