{"id":2877,"date":"2021-05-25T11:30:24","date_gmt":"2021-05-25T17:30:24","guid":{"rendered":"https:\/\/sweetlivity.com\/?page_id=2877"},"modified":"2021-05-25T11:30:24","modified_gmt":"2021-05-25T17:30:24","slug":"survey","status":"publish","type":"page","link":"https:\/\/sweetlivity.com\/survey\/","title":{"rendered":"Survey"},"content":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column][vc_column_text]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1169-o1\" lang=\"en-CA\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/2877#wpcf7-f1169-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1169\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_CA\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1169-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div id=\"survey-stress\">\n\t<p><label>First Name *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label>Last Name *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-last\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-last\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label>Email *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label>Phone No.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span> <\/label>\n\t<\/p>\n\t<p><label>When is the best time to reach you? *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-time\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-time\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<p id=\"hearus\"><br \/>\nHow did you hear about us? *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-hear\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"your-hear[]\" value=\"Community event\" \/><span class=\"wpcf7-list-item-label\">Community event<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-hear[]\" value=\"Word of mouth\" \/><span class=\"wpcf7-list-item-label\">Word of mouth<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-hear[]\" value=\"Sweet Livity team member\" \/><span class=\"wpcf7-list-item-label\">Sweet Livity team member<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-hear[]\" value=\"Sweet Livity marketing material\" \/><span class=\"wpcf7-list-item-label\">Sweet Livity marketing material<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-hear[]\" value=\"Sweet Livity workshop or training\" \/><span class=\"wpcf7-list-item-label\">Sweet Livity workshop or training<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-hear[]\" value=\"Sweet Livity client\" \/><span class=\"wpcf7-list-item-label\">Sweet Livity client<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-hear[]\" value=\"Search engine\" \/><span class=\"wpcf7-list-item-label\">Search engine<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-hear[]\" value=\"Facebook\" \/><span class=\"wpcf7-list-item-label\">Facebook<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-hear[]\" value=\"LinkedIn\" \/><span class=\"wpcf7-list-item-label\">LinkedIn<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-hear[]\" value=\"Article\" \/><span class=\"wpcf7-list-item-label\">Article<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-hear[]\" value=\"Health Provider\" \/><span class=\"wpcf7-list-item-label\">Health Provider<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"your-hear[]\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>If Other, please describe below:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-other\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-other\" \/><\/span> <\/label>\n<\/p>\n<h2>Stress Survey\n<\/h2>\n<p>Do you feel stress in your life or work?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-stress\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"your-stress\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"your-stress\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Do you have any of the following responses to stress?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-responses\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"your-responses[]\" value=\"Unhealthy eating habits\" \/><span class=\"wpcf7-list-item-label\">Unhealthy eating habits<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-responses[]\" value=\"Hiding \/ withdrawing\" \/><span class=\"wpcf7-list-item-label\">Hiding \/ withdrawing<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-responses[]\" value=\"Tenseness in your relationships\" \/><span class=\"wpcf7-list-item-label\">Tenseness in your relationships<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"your-responses[]\" value=\"Working too much\" \/><span class=\"wpcf7-list-item-label\">Working too much<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"your-responses[]\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>If Other, please describe below:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-other2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-other2\" \/><\/span> <\/label>\n<\/p>\n<p><label>What do you do to relieve stress?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-relieve\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-relieve\"><\/textarea><\/span><\/label>\n<\/p>\n<p><label>What are the three biggest sources of stress in your life?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-sources\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-sources\"><\/textarea><\/span><\/label>\n<\/p>\n<p>How often do you practice holistic health (massage, acupuncture, meditation, etc.)?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-practice\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"your-practice\" value=\"Have not tried yet\" \/><span class=\"wpcf7-list-item-label\">Have not tried yet<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"your-practice\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"your-practice\" value=\"A few times a year\" \/><span class=\"wpcf7-list-item-label\">A few times a year<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"your-practice\" value=\"monthly\" \/><span class=\"wpcf7-list-item-label\">monthly<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"your-practice\" value=\"weekly\" \/><span class=\"wpcf7-list-item-label\">weekly<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"your-practice\" value=\"daily\" \/><span class=\"wpcf7-list-item-label\">daily<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Would you like Sweet Livity to contact you for a complimentary consultation?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-complimentary\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"your-complimentary\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"your-complimentary\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>What do you want from a session with Sweet Livity?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-session\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-session\"><\/textarea><\/span><\/label>\n<\/p>\n<div id=\"cf7sr-6617284e78dbb\" class=\"cf7sr-g-recaptcha\" data-theme=\"light\" data-type=\"image\" data-size=\"normal\" data-sitekey=\"6LfPb5UUAAAAAFu8cH6aTWHoR9hOjfhcZYRkFxgz\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-recaptcha\" 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