{"id":10222,"date":"2022-10-08T19:15:33","date_gmt":"2022-10-08T15:15:33","guid":{"rendered":"https:\/\/bl.omni.ge\/?page_id=10222"},"modified":"2022-10-14T20:18:25","modified_gmt":"2022-10-14T16:18:25","slug":"new-customer","status":"publish","type":"page","link":"https:\/\/balance.com.ge\/en\/new-customer\/","title":{"rendered":"Questionnaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"10222\" class=\"elementor elementor-10222\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5a0ceed elementor-hidden-desktop elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5a0ceed\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6ffb37f\" data-id=\"6ffb37f\" 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-36e72a0 elementor-widget-mobile__width-auto elementor-widget elementor-widget-shortcode\" data-id=\"36e72a0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpml-ls-statics-shortcode_actions wpml-ls wpml-ls-legacy-list-horizontal\">\n\t<ul><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-en wpml-ls-current-language wpml-ls-first-item wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/balance.com.ge\/en\/\" class=\"wpml-ls-link\">\n                    <span class=\"wpml-ls-native\">EN<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-ka-ge wpml-ls-last-item wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/balance.com.ge\/\" class=\"wpml-ls-link\">\n                    <span class=\"wpml-ls-native\" lang=\"ka-ge\">GE<\/span><\/a>\n\t\t\t<\/li><\/ul>\n<\/div>\n<\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6b33524 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6b33524\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8c8f620\" data-id=\"8c8f620\" 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-686e62c8 elementor-widget elementor-widget-hub_fancy_heading lqd-el-has-inner-anim\" data-id=\"686e62c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;enable_split&quot;:&quot;true&quot;,&quot;split_type&quot;:&quot;chars, words&quot;}\" data-widget_type=\"hub_fancy_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div id=\"ld-fancy-heading-6a24dd1b437d3\" class=\"ld-fancy-heading pos-rel\">\n\t\t\t<h1 class=\"ld-fh-element d-inline-block pos-rel  elementor-heading-title lqd-highlight-classic lqd-highlight-grow-left lqd-split-chars h1\"  data-split-text=\"true\" data-split-options='{\"type\":\"chars, words\"}'> Application form<\/h1>\t\t<\/div>\n\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-72814cd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"72814cd\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-18e8e72\" data-id=\"18e8e72\" 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-d8c81d4 elementor-widget-mobile__width-inherit elementor-widget elementor-widget-ld_cf722\" data-id=\"d8c81d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"ld_cf722.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t<div class=\"lqd-contact-form lqd-contact-form-inputs-underlined lqd-contact-form-inputs-border-thick lqd-contact-form-inputs-round lqd-contact-form-button-block  lqd-contact-form-button-lg   lqd-contact-form-inputs-md\">\n\t\t\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f10552-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"10552\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/10222#wpcf7-f10552-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"10552\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f10552-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"row\">\n\t<div class=\"col-xs-12 col-sm-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"name-customer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First name\" value=\"\" type=\"text\" name=\"name-customer\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-xs-12 col-sm-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"surname-customer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last name\" value=\"\" type=\"text\" name=\"surname-customer\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-xs-12 col-sm-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mail-customer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Please input valid email\" value=\"\" type=\"email\" name=\"mail-customer\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-xs-12 col-sm-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel-num\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Mobile (+995)\" value=\"\" type=\"tel\" name=\"tel-num\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-xs-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"message-address\"><textarea cols=\"10\" rows=\"5\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Detailed address and instructions to courier\" name=\"message-address\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-xs-12 col-sm-6\" style=\"margin-top:50px;\">\n\t\t<p><span class=\"quiz-quest\">How often do you work out? Your Activity Level:<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-555\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-555\"><option value=\"Spend most of the day sitting, with little or no exercise\">Spend most of the day sitting, with little or no exercise<\/option><option value=\"Exercise 1-3 times\/week\">Exercise 1-3 times\/week<\/option><option value=\"Exercise 4-5 times\/week\">Exercise 4-5 times\/week<\/option><option value=\"Daily exercise or intense exercise 3-4 times\/week\">Daily exercise or intense exercise 3-4 times\/week<\/option><option value=\"Very intense exercise daily, or physical job\">Very intense exercise daily, or physical job<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-xs-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"weightloss-customer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Do you wish to lose weight?\" value=\"\" type=\"text\" name=\"weightloss-customer\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-xs-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"alergic-customer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Are you allergic towards certain products?\" value=\"\" type=\"text\" name=\"alergic-customer\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-xs-12\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"time-customer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"When do you wish to receive your ration\/detox?\" value=\"\" type=\"text\" name=\"time-customer\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-xs-12\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"SEND\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\t<\/div>\n\n\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>Application form How often do you work out? Your Activity Level: Spend most of the day sitting, with little or no exerciseExercise 1-3 times\/weekExercise 4-5 times\/weekDaily exercise or intense exercise 3-4 times\/weekVery intense exercise daily, or physical job<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10222","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/balance.com.ge\/en\/wp-json\/wp\/v2\/pages\/10222","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/balance.com.ge\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/balance.com.ge\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/balance.com.ge\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/balance.com.ge\/en\/wp-json\/wp\/v2\/comments?post=10222"}],"version-history":[{"count":68,"href":"https:\/\/balance.com.ge\/en\/wp-json\/wp\/v2\/pages\/10222\/revisions"}],"predecessor-version":[{"id":10755,"href":"https:\/\/balance.com.ge\/en\/wp-json\/wp\/v2\/pages\/10222\/revisions\/10755"}],"wp:attachment":[{"href":"https:\/\/balance.com.ge\/en\/wp-json\/wp\/v2\/media?parent=10222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}