{"id":4993,"date":"2022-09-16T10:48:00","date_gmt":"2022-09-16T10:48:00","guid":{"rendered":"https:\/\/carepromise.ca\/?page_id=4993"},"modified":"2022-09-16T11:18:31","modified_gmt":"2022-09-16T11:18:31","slug":"assessment","status":"publish","type":"page","link":"https:\/\/carepromise.ca\/index.php\/assessment\/","title":{"rendered":"Assessment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4993\" class=\"elementor elementor-4993\">\n\t\t\t\t\t\t\t        <section class=\"elementor-section elementor-top-section elementor-element elementor-element-aca5b8c elementor-section-boxed elementor-section-height-default elementor-section-height-default ct-header-fixed-none ct-row-max-none\" data-id=\"aca5b8c\" data-element_type=\"section\">\n            \n                        <div class=\"elementor-container elementor-column-gap-default \">\n                    <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-515b04e\" data-id=\"515b04e\" data-element_type=\"column\">\n            <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-36d55cd elementor-widget elementor-widget-spacer\" data-id=\"36d55cd\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.7.5 - 14-09-2022 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-container{--container-widget-width:100%}.e-container>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));-ms-flex-item-align:stretch;align-self:stretch;-ms-flex-negative:0;flex-shrink:0}.e-container>.elementor-widget-spacer>.elementor-widget-container,.e-container>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-container>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t            <\/div>\n        <\/div>\n                            <\/div>\n        <\/section>\n                <section class=\"elementor-section elementor-top-section elementor-element elementor-element-323aa44 elementor-section-boxed elementor-section-height-default elementor-section-height-default ct-header-fixed-none ct-row-max-none\" data-id=\"323aa44\" data-element_type=\"section\">\n            \n                        <div class=\"elementor-container elementor-column-gap-default \">\n                    <div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-3440041\" data-id=\"3440041\" data-element_type=\"column\">\n            <div class=\"elementor-widget-wrap\">\n                                    <\/div>\n        <\/div>\n                <div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-85648ef\" data-id=\"85648ef\" data-element_type=\"column\">\n            <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-70d23c6 fluentform-widget-submit-button-center fluent-form-widget-step-header-yes fluent-form-widget-step-progressbar-yes fluentform-widget-submit-button-custom elementor-widget elementor-widget-fluent-form-widget\" data-id=\"70d23c6\" data-element_type=\"widget\" data-widget_type=\"fluent-form-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\n            <div class=\"fluentform-widget-wrapper fluentform-widget-align-default\">\n\n                \n                <div class='fluentform fluentform_wrapper_3'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><p style=\"display: none !important;\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"51\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><input type='hidden' name='__fluent_form_embded_post_id' value='4993' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"7e410f2563\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/4993\" \/><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_1  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff_list_2col'><div class='ff-el-input--label asterisk-right'><label >Are  You Looking for home support for Yourself or a Loved one?<\/label> <\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_c2becbe02d649ef32992bd559ba8a09e><input type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Myself\"  id='input_radio_c2becbe02d649ef32992bd559ba8a09e'> <span>Myself<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_e9dec33c3aa56bb7df19e976d5292a00><input type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Loved One\r\"  id='input_radio_e9dec33c3aa56bb7df19e976d5292a00'> <span>Loved One\r<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_1  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_dropdown'>Which Location is closest to where this person requires Home care?<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_3_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\" ><option value=\"\">- Select -location<\/option><option value=\"St.Catharines\"  >St.Catharines<\/option><option value=\"Niagara-on-the Lake\"  >Niagara-on-the Lake<\/option><option value=\"Niagara Falls\"  >Niagara Falls<\/option><option value=\"Fort Erie\"  >Fort Erie<\/option><option value=\"Welland\"  >Welland<\/option><option value=\"Fonthill\"  >Fonthill<\/option><option value=\"Port Colborne\"  >Port Colborne<\/option><option value=\"Vineland \"  >Vineland <\/option><option value=\"Grimsby \"  >Grimsby <\/option><option value=\"Stoney Creek\"  >Stoney Creek<\/option><option value=\"Winnipeg \"  >Winnipeg <\/option><option value=\"Selkirk\"  >Selkirk<\/option><option value=\"Stonewall\"  >Stonewall<\/option><option value=\"Morris\"  >Morris<\/option><option value=\"Carman \"  >Carman <\/option><option value=\"Winkler \"  >Winkler <\/option><option value=\"Beausejour\"  >Beausejour<\/option><option value=\"Oakbank\"  >Oakbank<\/option><option value=\"Pinawa\"  >Pinawa<\/option><option value=\"Steinbach\"  >Steinbach<\/option><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_1  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff_list_3col'><div class='ff-el-input--label asterisk-right'><label >How quickly do you wish to have home care services?<\/label> <\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_d22b8e4ccf451776c8b080897b052b4a><input type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"As soon as Possible\"  id='input_radio_1_d22b8e4ccf451776c8b080897b052b4a'> <span>As soon as Possible<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_9b4fc7aaf6150c0f99baecc5102ad780><input type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"This week\"  id='input_radio_1_9b4fc7aaf6150c0f99baecc5102ad780'> <span>This week<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_f0f06fb553a87cdc0cf37946e59b139a><input type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"This Month\"  id='input_radio_1_f0f06fb553a87cdc0cf37946e59b139a'> <span>This Month<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label asterisk-right'><label for='ff_3_names_first_name_'>Name<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_3_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Name\" ><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_email'>Email<\/label> <\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_3_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\" ><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_phone'>Phone\/Mobile<\/label> <\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"phone\" id=\"ff_3_phone\" inputmode=\"tel\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_input_text'>Postal Code<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_3_input_text\" ><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_1  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group'><div class='ff-el-input--label asterisk-right'><label for='ff_3_description'>Tell us about Your Needs<\/label> <\/div><div class='ff-el-input--content'><textarea name=\"description\" id=\"ff_3_description\" class=\"ff-el-form-control\" placeholder=\"Message\" rows=\"3\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_1  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Submit Form<\/button><\/div><\/form><div id='fluentform_3_errors' class='ff-errors-in-stack ff_form_instance_3_1 ff-form-loading_errors ff_form_instance_3_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_3_1 = {\"id\":\"3\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\",\"asteriskPlacement\":\"asterisk-right\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_3_1\",\"form_id_selector\":\"fluentform_3\",\"rules\":{\"input_radio\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"dropdown\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"input_radio_1\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"names[first_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"names[last_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"email\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"email\":{\"value\":true,\"message\":\"This field must contain a valid email\"}},\"phone\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"valid_phone_number\":{\"value\":false,\"message\":\"Phone number is not valid\"}},\"input_text\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"description\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}}}};\n                    <\/script>\n                    <\/div>\n\n            \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t            <\/div>\n        <\/div>\n                <div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-63c633d\" data-id=\"63c633d\" data-element_type=\"column\">\n            <div class=\"elementor-widget-wrap\">\n                                    <\/div>\n        <\/div>\n                            <\/div>\n        <\/section>\n                <section class=\"elementor-section elementor-top-section elementor-element elementor-element-b5a8014 elementor-section-boxed elementor-section-height-default elementor-section-height-default ct-header-fixed-none ct-row-max-none\" data-id=\"b5a8014\" data-element_type=\"section\">\n            \n                        <div class=\"elementor-container elementor-column-gap-default \">\n                    <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0fee4c9\" data-id=\"0fee4c9\" data-element_type=\"column\">\n            <div class=\"elementor-widget-wrap elementor-element-populated\">\n                        \t\t<div class=\"elementor-element elementor-element-0ad2423 elementor-widget elementor-widget-spacer\" data-id=\"0ad2423\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t            <\/div>\n        <\/div>\n                            <\/div>\n        <\/section>\n        \t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>&#916; Are You Looking for home support for Yourself or a Loved one? Myself Loved One Which Location is closest to where this person requires Home care? &#8211; Select -locationAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonHow quickly do you wish to have home care services? As soon as Possible This week This MonthName [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_mi_skip_tracking":false},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/carepromise.ca\/index.php\/wp-json\/wp\/v2\/pages\/4993"}],"collection":[{"href":"https:\/\/carepromise.ca\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/carepromise.ca\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/carepromise.ca\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/carepromise.ca\/index.php\/wp-json\/wp\/v2\/comments?post=4993"}],"version-history":[{"count":8,"href":"https:\/\/carepromise.ca\/index.php\/wp-json\/wp\/v2\/pages\/4993\/revisions"}],"predecessor-version":[{"id":5027,"href":"https:\/\/carepromise.ca\/index.php\/wp-json\/wp\/v2\/pages\/4993\/revisions\/5027"}],"wp:attachment":[{"href":"https:\/\/carepromise.ca\/index.php\/wp-json\/wp\/v2\/media?parent=4993"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}