{"id":1400,"date":"2021-02-11T19:05:07","date_gmt":"2021-02-11T19:05:07","guid":{"rendered":"https:\/\/hypnoticoaching.com\/?page_id=1400"},"modified":"2021-02-19T16:43:02","modified_gmt":"2021-02-19T16:43:02","slug":"consultation-form-hypnosis","status":"publish","type":"page","link":"https:\/\/hypnoticoaching.com\/ro\/consultation-form-hypnosis\/","title":{"rendered":"Consultation Form &#8211; Hypnosis"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"1400\" class=\"elementor elementor-1400\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4b63d03 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4b63d03\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6229628\" data-id=\"6229628\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c9fb3cf elementor-widget elementor-widget-spacer\" data-id=\"c9fb3cf\" 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\t\t<div class=\"elementor-element elementor-element-89664cb elementor-widget elementor-widget-spacer\" data-id=\"89664cb\" 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\t\t<div class=\"elementor-element elementor-element-3fda6e0 elementor-widget elementor-widget-heading\" data-id=\"3fda6e0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Formular de consultatie - Hipnoza<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0b73fbd elementor-widget elementor-widget-spacer\" data-id=\"0b73fbd\" 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\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\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-002d05f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"002d05f\" 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\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-47e52c0\" data-id=\"47e52c0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-464989e elementor-widget elementor-widget-text-editor\" data-id=\"464989e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p class=\"translation-block\"><br>Pentru a v\u0103 ajuta s\u0103 profita\u021bi la maximum de timpul petrecut \u00eempreun\u0103, v\u0103 rog s\u0103 v\u0103 face\u021bi timp s\u0103 analiza\u021bi \u0219i s\u0103 completa\u021bi urm\u0103torul formular (v\u0103 rog s\u0103 introduce\u021bi r\u0103spunsurile \u00een acest document) cu cel pu\u021bin o zi \u00eenainte de prima noastr\u0103 \u0219edin\u021b\u0103.<br>Dup\u0103 ce l-a\u021bi completat, ap\u0103sa\u021bi  butonul de trimitere. Permite\u021bi-v\u0103 s\u0103 v\u0103 lua\u021bi timp pentru a r\u0103spunde complet la fiecare \u00eentrebare.\u00a0 Sinceritatea este CHEIE - nu pentru mine, ci pentru dumneavoastr\u0103 \u0219i pentru a avansa rapid.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\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-1bf6f1f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1bf6f1f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-59d7756\" data-id=\"59d7756\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4683f31 elementor-widget elementor-widget-wpforms\" data-id=\"4683f31\" data-element_type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1387\"><form id=\"wpforms-form-1387\" class=\"wpforms-validate wpforms-form\" data-formid=\"1387\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/ro\/wp-json\/wp\/v2\/pages\/1400\" data-token=\"41b3497652bdd488856555e65a72a3ac\" data-token-time=\"1776511697\" data-trp-original-action=\"\/ro\/wp-json\/wp\/v2\/pages\/1400\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1387-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\">Nume <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1387-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-1387-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1387-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-1387-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1387-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_3\">Data <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1387-field_3\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-1387-field_9-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_9\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1387-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-1387-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_4\">Adresa <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1387-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-1387-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_5\">Data nasterii <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1387-field_5\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-1387-field_7-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"7\"><label class=\"wpforms-field-label\">Statut<\/label><ul id=\"wpforms-1387-field_7\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_7_1\" name=\"wpforms[fields][7][]\" value=\"Single\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_7_1\">Singur<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_7_2\" name=\"wpforms[fields][7][]\" value=\"Married\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_7_2\">Casatorit<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_7_3\" name=\"wpforms[fields][7][]\" value=\"Divorced\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_7_3\">Divortat<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_7_4\" name=\"wpforms[fields][7][]\" value=\"In a relationship\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_7_4\">Intr-o relatie<\/label><\/li><\/ul><\/div><div id=\"wpforms-1387-field_8-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"8\"><label class=\"wpforms-field-label\">Ai copii?<\/label><ul id=\"wpforms-1387-field_8\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1387-field_8_1\" name=\"wpforms[fields][8]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_8_1\">Da<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1387-field_8_2\" name=\"wpforms[fields][8]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_8_2\">Nu<\/label><\/li><\/ul><\/div><div id=\"wpforms-1387-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_6\">Ocupatie<\/label><input type=\"text\" id=\"wpforms-1387-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" ><\/div><div id=\"wpforms-1387-field_29-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_29\">A\u021bi mai fost vreodat\u0103 hipnotizat \u0219i dac\u0103 da, v\u0103 rog s\u0103 explica\u021bi <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1387-field_29\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][29]\" required><\/textarea><\/div><div id=\"wpforms-1387-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_31\">Ave\u021bi vreo afec\u021biune medical\u0103\/fizic\u0103?  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1387-field_31\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][31]\" required><\/div><div id=\"wpforms-1387-field_11-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_11\">Lua\u021bi \u00een prezent vreun medicament? Dac\u0103 r\u0103spunsul este afirmativ, v\u0103 rug\u0103m s\u0103 explica\u021bi pentru ce sunt medicamentele <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1387-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/textarea><\/div><div id=\"wpforms-1387-field_33-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_33\">Ai o tulburare psihologic\u0103, mental\u0103 sau psihiatric\u0103? Dac\u0103 r\u0103spunsul este da, te rog s\u0103 explici  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1387-field_33\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][33]\" required><\/textarea><\/div><div id=\"wpforms-1387-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_10\">A\u021bi urmat vreodat\u0103 un tratament psihiatric? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1387-field_10\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-1387-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_13\">A\u021bi luat sau a\u021bi pierdut recent \u00een greutate?<\/label><input type=\"text\" id=\"wpforms-1387-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" ><\/div><div id=\"wpforms-1387-field_14-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"14\"><label class=\"wpforms-field-label\">Bifati tot ce constituie o problema pt dvs:  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1387-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_1\" name=\"wpforms[fields][14][]\" value=\"Relationships\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_1\">Relatii<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_2\" name=\"wpforms[fields][14][]\" value=\"Addictions\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_2\">Dependente<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_3\" name=\"wpforms[fields][14][]\" value=\"Smoking\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_3\">Fumatul<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_4\" name=\"wpforms[fields][14][]\" value=\"Alcohol\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_4\">Dependenta de Alcool<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_5\" name=\"wpforms[fields][14][]\" value=\"Drugs\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_5\">Droguri<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_6\" name=\"wpforms[fields][14][]\" value=\"Physical Pain\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_6\">Durere fizica<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_7\" name=\"wpforms[fields][14][]\" value=\"Depression\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_7\">Depresie<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_8\" name=\"wpforms[fields][14][]\" value=\"Anxiety\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_8\">Anxietate<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_9\" name=\"wpforms[fields][14][]\" value=\"Panic Attacks\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_9\">Atacuri de Panica<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_10\" name=\"wpforms[fields][14][]\" value=\"Unusual Fears\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_10\">Temeri irationale<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_11\" name=\"wpforms[fields][14][]\" value=\"Stress\/Pressure\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_11\">Stress<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_12\" name=\"wpforms[fields][14][]\" value=\"Low Self Esteem\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_12\">Stima de sine scazuta<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_13\" name=\"wpforms[fields][14][]\" value=\"Insecurity\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_13\">Nesiguranta<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_14\" name=\"wpforms[fields][14][]\" value=\"Appetite\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_14\">Apetit scazut sau ridicat<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_15\" name=\"wpforms[fields][14][]\" value=\"Weight Problems\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_15\">Probleme de greutate<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_16\" name=\"wpforms[fields][14][]\" value=\"Eating Disorder\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_16\">Mancat excesiv sau prea putin<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_17\" name=\"wpforms[fields][14][]\" value=\"Insomnia\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_17\">Insomnia<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_18\" name=\"wpforms[fields][14][]\" value=\"Low Energy \" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_18\">Energie scazuta<\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_19\" name=\"wpforms[fields][14][]\" value=\"Suicide Thoughts\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_19\">Ganduri suicidale<\/label><\/li><li class=\"choice-20 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_20\" name=\"wpforms[fields][14][]\" value=\"Bad Habits\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_20\">Obiceiuri nesanatoase<\/label><\/li><li class=\"choice-27 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_27\" name=\"wpforms[fields][14][]\" value=\"Sex\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_27\">Sex<\/label><\/li><li class=\"choice-21 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_21\" name=\"wpforms[fields][14][]\" value=\"Worry\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_21\">Griji excesive<\/label><\/li><li class=\"choice-22 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_22\" name=\"wpforms[fields][14][]\" value=\"Guilt\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_22\">Vinovatie<\/label><\/li><li class=\"choice-23 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_23\" name=\"wpforms[fields][14][]\" value=\"Grief\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_23\">Doliu<\/label><\/li><li class=\"choice-26 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_26\" name=\"wpforms[fields][14][]\" value=\"Trauma\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_26\">Trauma<\/label><\/li><li class=\"choice-28 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_28\" name=\"wpforms[fields][14][]\" value=\"Anger\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_28\">Furie<\/label><\/li><li class=\"choice-29 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_29\" name=\"wpforms[fields][14][]\" value=\"Self Harm\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_29\">Auto-vatamare<\/label><\/li><li class=\"choice-30 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_30\" name=\"wpforms[fields][14][]\" value=\"Jealosy\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_30\">Gelozie<\/label><\/li><li class=\"choice-31 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_31\" name=\"wpforms[fields][14][]\" value=\"Fear for the Future\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_31\">Frica de viitor<\/label><\/li><li class=\"choice-32 depth-1\"><input type=\"checkbox\" id=\"wpforms-1387-field_14_32\" name=\"wpforms[fields][14][]\" value=\"Childhood Trauma\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_14_32\">Traume din copilarie<\/label><\/li><\/ul><\/div><div id=\"wpforms-1387-field_34-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_34\">Ce iubesti cel mai mult la viata ta actuala?<\/label><textarea id=\"wpforms-1387-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\" ><\/textarea><\/div><div id=\"wpforms-1387-field_35-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_35\">Care sunt cele mai mari provocari in momentul de fata, in viata ta?<\/label><textarea id=\"wpforms-1387-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\" ><\/textarea><\/div><div id=\"wpforms-1387-field_27-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-1387-field_27\">Ce vrei sa realizezi cu ajutorul sedintelor de hipnoza? Care sunt intentiile tale? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1387-field_27\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][27]\" required><\/textarea><\/div><div id=\"wpforms-1387-field_25-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"25\"><label class=\"wpforms-field-label\">Sunt de acord c\u0103 toate informa\u021biile furnizate de mine sunt corecte \u0219i adev\u0103rate (**TOATE INFORMA\u021aIILE PE CARE LE-A\u021aI OFERIT SUNT COMPLET CONFIDEN\u021aIALE**). <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1387-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1387-field_25_1\" name=\"wpforms[fields][25]\" value=\"Yes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_25_1\">Da<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1387-field_25_2\" name=\"wpforms[fields][25]\" value=\"No\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-1387-field_25_2\">Nu<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3\" ><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1387\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/hypnoticoaching.com\/ro\/wp-json\/wp\/v2\/pages\/1400\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1387\" class=\"wpforms-submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Trimite<\/button><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"ro\"\/><\/form><\/div>  <!-- .wpforms-container -->\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Consultation Form &#8211; Hypnosis Session To support making the most of our time together please take some time to review and fill out the following ( please type your answers in this actual document ) at least one day prior to our first session together.Once you have it completed, simply press the submit button. Allow &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/hypnoticoaching.com\/ro\/consultation-form-hypnosis\/\"> <span class=\"screen-reader-text\">Consultation Form &#8211; Hypnosis<\/span> Read More &raquo;<\/a><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1400","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/hypnoticoaching.com\/ro\/wp-json\/wp\/v2\/pages\/1400","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hypnoticoaching.com\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hypnoticoaching.com\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hypnoticoaching.com\/ro\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hypnoticoaching.com\/ro\/wp-json\/wp\/v2\/comments?post=1400"}],"version-history":[{"count":10,"href":"https:\/\/hypnoticoaching.com\/ro\/wp-json\/wp\/v2\/pages\/1400\/revisions"}],"predecessor-version":[{"id":1989,"href":"https:\/\/hypnoticoaching.com\/ro\/wp-json\/wp\/v2\/pages\/1400\/revisions\/1989"}],"wp:attachment":[{"href":"https:\/\/hypnoticoaching.com\/ro\/wp-json\/wp\/v2\/media?parent=1400"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}