{"id":2378,"date":"2022-12-28T13:18:09","date_gmt":"2022-12-28T13:18:09","guid":{"rendered":"http:\/\/khoo.com.au\/?page_id=2378"},"modified":"2022-12-28T13:19:22","modified_gmt":"2022-12-28T13:19:22","slug":"complaints-online-form","status":"publish","type":"page","link":"https:\/\/khoo.com.au\/index.php\/complaints-online-form\/","title":{"rendered":"Complaints Online Form"},"content":{"rendered":"\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-2374\"><form id=\"wpforms-form-2374\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"2374\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/2378\" data-token=\"c3f3097313f506e355f4aa64815098a4\" data-token-time=\"1775292941\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2374-field_8-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"8\"><textarea id=\"wpforms-2374-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" placeholder=\"We appreciate you telling us when we could do better in serving you but please keep in mind that reception is super busy most of the time during business hours and we are not able to drop everything to get you your &quot;urgent prescriptions because you are on your last tablet&quot; or you are at the specialist&#039;s rooms and you forgot to bring your referral letter.  \" ><\/textarea><\/div><div id=\"wpforms-2374-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-2374-field_1\">Name (0ptional)<\/label><input type=\"text\" id=\"wpforms-2374-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" ><\/div><div id=\"wpforms-2374-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-2374-field_2\">Date of Encounter (Optional)<\/label><input type=\"text\" id=\"wpforms-2374-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" ><\/div><div id=\"wpforms-2374-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-2374-field_3\">Nature of complaint <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-2374-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"Unable to get appointment on the same day\"  selected='selected'>Unable to get appointment on the same day<\/option><option value=\"Waiting &gt;40 mins \" >Waiting &gt;40 mins<\/option><option value=\"Problems with a staff member \" >Problems with a staff member<\/option><option value=\"Not informed of out-of-pocket fees\" >Not informed of out-of-pocket fees<\/option><option value=\"Others (please specify below in details)\" >Others (please specify below in details)<\/option><\/select><\/div><div id=\"wpforms-2374-field_6-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-2374-field_6\">Details of complaint <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-2374-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/textarea><\/div><div id=\"wpforms-2374-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-2374-field_7\">Email (optional)<\/label><input type=\"email\" id=\"wpforms-2374-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" spellcheck=\"false\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2374\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/pages\/2378\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2374\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/khoo.com.au\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"<p><span class=\"more-link\"><a href=\"https:\/\/khoo.com.au\/index.php\/complaints-online-form\/\">Continue Reading<\/a><\/span><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["entry","author-chee1404","post-2378","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/pages\/2378","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/comments?post=2378"}],"version-history":[{"count":2,"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/pages\/2378\/revisions"}],"predecessor-version":[{"id":2381,"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/pages\/2378\/revisions\/2381"}],"wp:attachment":[{"href":"https:\/\/khoo.com.au\/index.php\/wp-json\/wp\/v2\/media?parent=2378"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}