{"id":4281,"date":"2025-08-02T08:12:28","date_gmt":"2025-08-02T08:12:28","guid":{"rendered":"https:\/\/divfarrahenterprise.com\/?page_id=4281"},"modified":"2025-11-10T08:55:34","modified_gmt":"2025-11-10T08:55:34","slug":"client-intake-form","status":"publish","type":"page","link":"https:\/\/divfarrahenterprise.com\/fr\/client-intake-form\/","title":{"rendered":"client intake form"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"4281\" class=\"elementor elementor-4281\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-441c930 e-flex e-con-boxed e-con e-parent\" data-id=\"441c930\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e88c68d e-con-full e-flex e-con e-child\" data-id=\"e88c68d\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-613f0d9 e-con-full e-flex e-con e-child\" data-id=\"613f0d9\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-512c0bb elementor-widget elementor-widget-heading\" data-id=\"512c0bb\" data-element_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\">CLIENT INTAKE FORM<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8d1f287 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"8d1f287\" data-element_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=\"New Form\" aria-label=\"Nouvelle Forme\" action=\"\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"4281\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"8d1f287\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"client intake form\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"4281\"\/>\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-text elementor-field-group elementor-column elementor-field-group-name 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-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNom\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\" 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-email elementor-field-group elementor-column elementor-field-group-email 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-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tE-mail\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=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" 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-tel elementor-field-group elementor-column elementor-field-group-field_a860b2a 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_a860b2a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLe Num\u00e9ro De T\u00e9l\u00e9phone\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_a860b2a]\" id=\"form-field-field_a860b2a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Seuls les num\u00e9ros de t\u00e9l\u00e9phone et de caract\u00e8res (#, -, *, etc) sont accept\u00e9s.\">\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_32de55c 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_32de55c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tComment Avez-Vous Entendu Parler De Nous?\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<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewbox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_32de55c]\" id=\"form-field-field_32de55c\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"1. Social Media\">1. Les M\u00e9dias Sociaux<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2. Search Engine\">2. Le Moteur De Recherche<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3. Referral\">3. R\u00e9f\u00e9rence<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4. Online Ad\">4. La Publicit\u00e9 En Ligne<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5. Event or Conference\">5. \u00c9v\u00e9nement ou d'une Conf\u00e9rence<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6. Email Newsletter\">6. Newsletter Par E-Mail<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7. Other\">7. D'autres<\/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-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMessage\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[message]\" id=\"form-field-message\" rows=\"4\" placeholder=\"Message\"><\/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-sm\" 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\">Envoyer <\/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<input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>CLIENT INTAKE FORM<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_jf_save_progress":"","_jet_sm_ready_style":"","_jet_sm_style":"","_jet_sm_controls_values":"","_jet_sm_fonts_collection":"","_jet_sm_fonts_links":"","footnotes":""},"class_list":["post-4281","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/divfarrahenterprise.com\/fr\/wp-json\/wp\/v2\/pages\/4281","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/divfarrahenterprise.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/divfarrahenterprise.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/divfarrahenterprise.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/divfarrahenterprise.com\/fr\/wp-json\/wp\/v2\/comments?post=4281"}],"version-history":[{"count":13,"href":"https:\/\/divfarrahenterprise.com\/fr\/wp-json\/wp\/v2\/pages\/4281\/revisions"}],"predecessor-version":[{"id":5282,"href":"https:\/\/divfarrahenterprise.com\/fr\/wp-json\/wp\/v2\/pages\/4281\/revisions\/5282"}],"wp:attachment":[{"href":"https:\/\/divfarrahenterprise.com\/fr\/wp-json\/wp\/v2\/media?parent=4281"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}