{"id":16902,"date":"2023-03-14T06:38:57","date_gmt":"2023-03-14T06:38:57","guid":{"rendered":"https:\/\/adiwanahotels.com\/form\/?page_id=16902"},"modified":"2023-03-14T07:03:13","modified_gmt":"2023-03-14T07:03:13","slug":"cf-adiwana-jembawan","status":"publish","type":"page","link":"https:\/\/adiwanahotels.com\/form\/cf-adiwana-jembawan\/","title":{"rendered":"CF Adiwana Jembawan"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"16902\" class=\"elementor elementor-16902\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1a08301 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1a08301\" data-element_type=\"section\">\n\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-bc3e6b9\" data-id=\"bc3e6b9\" data-element_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-708fb01 elementor-widget elementor-widget-image\" data-id=\"708fb01\" data-element_type=\"widget\" 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<img decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/adiwanahotels.com\/form\/wp-content\/uploads\/2023\/03\/all-unit-logo-24-150x150-1.png\" class=\"attachment-medium_large size-medium_large wp-image-16886\" alt=\"Tejas Spa at Adiwana Jembawan\" \/>\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<div class=\"elementor-element elementor-element-e8e9e79 elementor-widget elementor-widget-heading\" data-id=\"e8e9e79\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5 class=\"elementor-heading-title elementor-size-small\">Tejas Spa at Adiwana Resort Jembawan<\/h5>\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-273b128 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"273b128\" data-element_type=\"section\">\n\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-1637d7d\" data-id=\"1637d7d\" data-element_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-e50f265 elementor-mobile-button-align-stretch elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"e50f265\" 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<form class=\"elementor-form\" method=\"post\" name=\"CF - Adiwana Resort Jembawan\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"16902\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"e50f265\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\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-date elementor-field-group elementor-column elementor-field-group-Arivaldate elementor-col-100 elementor-sm-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-Arivaldate\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tArrival 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[Arivaldate]\" id=\"form-field-Arivaldate\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" required=\"required\" aria-required=\"true\" 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-email elementor-field-group elementor-column elementor-field-group-Email elementor-col-100 elementor-sm-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\tEmail\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\" aria-required=\"true\">\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-Name elementor-col-50 elementor-sm-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\tName\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\" aria-required=\"true\">\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-Treatment elementor-col-50 elementor-sm-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-Treatment\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTreatment\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[Treatment]\" id=\"form-field-Treatment\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\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-Tel elementor-col-50 elementor-sm-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-Tel\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelephone\/Whatsapp\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[Tel]\" id=\"form-field-Tel\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\" 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-text elementor-field-group elementor-column elementor-field-group-field_50c8ecd elementor-col-50 elementor-sm-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_50c8ecd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTherapist\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_50c8ecd]\" id=\"form-field-field_50c8ecd\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\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-select elementor-field-group elementor-column elementor-field-group-field_7b76a0f 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_7b76a0f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich best describes your skin?\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_7b76a0f]\" id=\"form-field-field_7b76a0f\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"- Tends to be dry and always needs to be moisturized\">- Tends to be dry and always needs to be moisturized<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- My skin is fairly thick (may be prone to acne)\">- My skin is fairly thick (may be prone to acne)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- Tends to be sensitive, warm, reddish, inflamed, and\/or oily\">- Tends to be sensitive, warm, reddish, inflamed, and\/or oily<\/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_a026728 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_a026728\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich best describes your build?\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_a026728]\" id=\"form-field-field_a026728\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"- I am small-boned with a thin build and prominent joints\">- I am small-boned with a thin build and prominent joints<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- I am of medium build and have a fairly well-balanced body\">- I am of medium build and have a fairly well-balanced body<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- I have a solid, ample or stocky build with larger bone structure.\">- I have a solid, ample or stocky build with larger bone structure.<\/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_1633e08 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_1633e08\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich best describes your appetite\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_1633e08]\" id=\"form-field-field_1633e08\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"I have a hearty appetite and digest food quickly. I can get irritable if I miss a meal or can\u2019t eat when I&#039;m hungry\">I have a hearty appetite and digest food quickly. I can get irritable if I miss a meal or can\u2019t eat when I&#039;m hungry<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"My appetite is irregular, sometimes I&#039;m hungry and other times I&#039;m not\">My appetite is irregular, sometimes I&#039;m hungry and other times I&#039;m not<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"I tend to feel heavy after eating and have a sluggish digestion.\">I tend to feel heavy after eating and have a sluggish digestion.<\/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_c529343 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_c529343\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich best describes your memory?\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_c529343]\" id=\"form-field-field_c529343\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"- I&#039;m good at picking up new things but my long-term memory is poor\">- I&#039;m good at picking up new things but my long-term memory is poor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- Good\">- Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- Slow but once I remember something it tends to stick\">- Slow but once I remember something it tends to stick<\/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_7cd42bd 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_7cd42bd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich best describes how you react to stress?\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_7cd42bd]\" id=\"form-field-field_7cd42bd\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"- It makes me angry, frustrated, and\/or irritable\">- It makes me angry, frustrated, and\/or irritable<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- It makes me anxious, fearful, and\/or insecure\">- It makes me anxious, fearful, and\/or insecure<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- I&#039;m fairly calm under stress. However, I tend to\">- I&#039;m fairly calm under stress. However, I tend to<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"avoid difficult situations\">avoid difficult situations<\/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_957274c 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_957274c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich best describes your sleep?\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_957274c]\" id=\"form-field-field_957274c\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"- I&#039;m a light sleeper\">- I&#039;m a light sleeper<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- I sleep well\">- I sleep well<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- I&#039;m a heavy, sound sleeper\">- I&#039;m a heavy, sound sleeper<\/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_4d9b051 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_4d9b051\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich best describes your bowel movements?\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_4d9b051]\" id=\"form-field-field_4d9b051\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"- Irregular, hard, dry\">- Irregular, hard, dry<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- Easy, regular, soft, loose\">- Easy, regular, soft, loose<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- Thick, heavy, slow\">- Thick, heavy, slow<\/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_bfd375f 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_bfd375f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich best describes you?\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_bfd375f]\" id=\"form-field-field_bfd375f\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"- I don&#039;t like the cold. I prefer warm food and drinks\">- I don&#039;t like the cold. I prefer warm food and drinks<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- I don&#039;t like heat. It makes me tired and I perspire easily\">- I don&#039;t like heat. It makes me tired and I perspire easily<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- I don&#039;t like humid or damp environments\">- I don&#039;t like humid or damp environments<\/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_3d98ac6 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_3d98ac6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich best describes you?\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_3d98ac6]\" id=\"form-field-field_3d98ac6\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"- It&#039;s relatively hard for me to put on weight\">- It&#039;s relatively hard for me to put on weight<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- I put on weight like most people\">- I put on weight like most people<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- I gain weight easily and find it hard to lose\">- I gain weight easily and find it hard to lose<\/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_a8406b5 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_a8406b5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich best describes your build?\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_a8406b5]\" id=\"form-field-field_a8406b5\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"- Creative, enthusiastic, active, and somewhat restless\">- Creative, enthusiastic, active, and somewhat restless<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- Determined, impatient, critical, stubborn, and easy to anger\">- Determined, impatient, critical, stubborn, and easy to anger<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- Even-tempered, patient, compassionate, and not particularly\">- Even-tempered, patient, compassionate, and not particularly<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"high-energy\">high-energy<\/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_b1e7215 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_b1e7215\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich best describes the kind of illnesses you are susceptible to?\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_b1e7215]\" id=\"form-field-field_b1e7215\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"- Congestion, water retention, cystic acne, and\/or lethargy\">- Congestion, water retention, cystic acne, and\/or lethargy<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- Inflammation, hypertension, hypersensitivity (allergies, rashes, arthritis, etc) and\/or aggression\">- Inflammation, hypertension, hypersensitivity (allergies, rashes, arthritis, etc) and\/or aggression<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"- Constipation, anxiety, nervousness, and\/or insomnia\">- Constipation, anxiety, nervousness, and\/or insomnia<\/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_c4ce891 elementor-col-100\">\n\t\t\t\t\t<hr class=\"solid\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_de178a5 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_de178a5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you suffer any allergy to any of the following?\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=\"checkbox\" value=\"Ginger\" id=\"form-field-field_de178a5-0\" name=\"form_fields[field_de178a5][]\"> <label for=\"form-field-field_de178a5-0\">Ginger<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Milk\" id=\"form-field-field_de178a5-1\" name=\"form_fields[field_de178a5][]\"> <label for=\"form-field-field_de178a5-1\">Milk<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Lime\" id=\"form-field-field_de178a5-2\" name=\"form_fields[field_de178a5][]\"> <label for=\"form-field-field_de178a5-2\">Lime<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Cucumber\" id=\"form-field-field_de178a5-3\" name=\"form_fields[field_de178a5][]\"> <label for=\"form-field-field_de178a5-3\">Cucumber<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Avocado\" id=\"form-field-field_de178a5-4\" name=\"form_fields[field_de178a5][]\"> <label for=\"form-field-field_de178a5-4\">Avocado<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other\" id=\"form-field-field_de178a5-5\" name=\"form_fields[field_de178a5][]\"> <label for=\"form-field-field_de178a5-5\">Other<\/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_cabc8a0 elementor-col-100\">\n\t\t\t\t\t<hr class=\"solid\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_c9c67ef elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c9c67ef\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAny area of your body that we should concentrate on?\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=\"checkbox\" value=\"Head\" id=\"form-field-field_c9c67ef-0\" name=\"form_fields[field_c9c67ef][]\"> <label for=\"form-field-field_c9c67ef-0\">Head<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Hand\" id=\"form-field-field_c9c67ef-1\" name=\"form_fields[field_c9c67ef][]\"> <label for=\"form-field-field_c9c67ef-1\">Hand<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Face\" id=\"form-field-field_c9c67ef-2\" name=\"form_fields[field_c9c67ef][]\"> <label for=\"form-field-field_c9c67ef-2\">Face<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Feet\" id=\"form-field-field_c9c67ef-3\" name=\"form_fields[field_c9c67ef][]\"> <label for=\"form-field-field_c9c67ef-3\">Feet<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Shoulder\" id=\"form-field-field_c9c67ef-4\" name=\"form_fields[field_c9c67ef][]\"> <label for=\"form-field-field_c9c67ef-4\">Shoulder<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Thigh\" id=\"form-field-field_c9c67ef-5\" name=\"form_fields[field_c9c67ef][]\"> <label for=\"form-field-field_c9c67ef-5\">Thigh<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Neck\" id=\"form-field-field_c9c67ef-6\" name=\"form_fields[field_c9c67ef][]\"> <label for=\"form-field-field_c9c67ef-6\">Neck<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Lower back\" id=\"form-field-field_c9c67ef-7\" name=\"form_fields[field_c9c67ef][]\"> <label for=\"form-field-field_c9c67ef-7\">Lower back<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Leg\" id=\"form-field-field_c9c67ef-8\" name=\"form_fields[field_c9c67ef][]\"> <label for=\"form-field-field_c9c67ef-8\">Leg<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other\" id=\"form-field-field_c9c67ef-9\" name=\"form_fields[field_c9c67ef][]\"> <label for=\"form-field-field_c9c67ef-9\">Other<\/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_6b4c2fb elementor-col-100\">\n\t\t\t\t\t<hr class=\"solid\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_9ccd6fe elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9ccd6fe\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow did you heard about Tejas Spa\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=\"checkbox\" value=\"Web\" id=\"form-field-field_9ccd6fe-0\" name=\"form_fields[field_9ccd6fe][]\"> <label for=\"form-field-field_9ccd6fe-0\">Web<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Magazine\" id=\"form-field-field_9ccd6fe-1\" name=\"form_fields[field_9ccd6fe][]\"> <label for=\"form-field-field_9ccd6fe-1\">Magazine<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Instagram\" id=\"form-field-field_9ccd6fe-2\" name=\"form_fields[field_9ccd6fe][]\"> <label for=\"form-field-field_9ccd6fe-2\">Instagram<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Facebook\" id=\"form-field-field_9ccd6fe-3\" name=\"form_fields[field_9ccd6fe][]\"> <label for=\"form-field-field_9ccd6fe-3\">Facebook<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Tripadvisor\" id=\"form-field-field_9ccd6fe-4\" name=\"form_fields[field_9ccd6fe][]\"> <label for=\"form-field-field_9ccd6fe-4\">Tripadvisor<\/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_a689b2b elementor-col-100\">\n\t\t\t\t\t<hr class=\"solid\">\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_3d02b16 elementor-col-100\">\n\t\t\t\t\t<center><br>I fully undertand that this consultation is only intended for treatment purposes at Tejas Spa, and not for medical purposses.\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 type=\"submit\" class=\"elementor-button elementor-size-sm elementor-animation-shrink\">\n\t\t\t\t\t\t<span >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-align-icon-left elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-check-circle\"><\/i>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\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\">Submit<\/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<\/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>Tejas Spa at Adiwana Resort Jembawan<\/p>\n","protected":false},"author":1,"featured_media":16886,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-16902","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/adiwanahotels.com\/form\/wp-json\/wp\/v2\/pages\/16902","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/adiwanahotels.com\/form\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/adiwanahotels.com\/form\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/adiwanahotels.com\/form\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/adiwanahotels.com\/form\/wp-json\/wp\/v2\/comments?post=16902"}],"version-history":[{"count":11,"href":"https:\/\/adiwanahotels.com\/form\/wp-json\/wp\/v2\/pages\/16902\/revisions"}],"predecessor-version":[{"id":17537,"href":"https:\/\/adiwanahotels.com\/form\/wp-json\/wp\/v2\/pages\/16902\/revisions\/17537"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/adiwanahotels.com\/form\/wp-json\/wp\/v2\/media\/16886"}],"wp:attachment":[{"href":"https:\/\/adiwanahotels.com\/form\/wp-json\/wp\/v2\/media?parent=16902"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}