{"id":1723,"date":"2023-04-30T23:55:07","date_gmt":"2023-04-30T14:55:07","guid":{"rendered":"https:\/\/backdoor-g.com\/?page_id=1723"},"modified":"2025-04-10T14:40:56","modified_gmt":"2025-04-10T05:40:56","slug":"after_enquete_bdnagoya","status":"publish","type":"page","link":"https:\/\/backdoor-g.com\/en\/after_enquete_bdnagoya\/","title":{"rendered":"Therapist Satisfaction Questionnaire"},"content":{"rendered":"<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f1727-o1\" lang=\"ja\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1723#wpcf7-f1727-o1\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/1723#wpcf7-f1727-o1\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1727\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.1.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1727-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"g-recaptcha-response\" value=\"\" \/>\n<\/div>\n<p><!--\u6ce8\u610f\u4e8b\u9805--><\/p>\n<div class=\"wpcf7c-elm-step1\">\n<p class=\"m-0\">\n<div class=\"mb-0 wp-block-vk-blocks-heading vk_heading vk_heading-style-default\" style=\"margin-bottom:2.5rem\" id=\"formtop\">\n<p style=\"color:#000000;font-size:1rem;text-align:center\" class=\"vk_heading_subtext vk_heading_subtext-style-default\" placeholder=\"THANK YOU\"><span data-color=\"#fffd6b\" style=\"background: linear-gradient(transparent 60%,rgba(255, 253, 107, 0.7) 0);\" class=\"vk_highlighter\"><span class=\"h1\">THANK YOU!!!<\/span><\/span><br>Thank you for your interest in BackDoor. We would appreciate it if you could answer a short survey for our future operation.<\/p>\n<\/div>\n<\/div>\n<p><!--\u6ce8\u610f\u4e8b\u9805--><\/p>\n<p><!--\u78ba\u8a8d\u753b\u9762\u7528\u30a2\u30e9\u30fc\u30c8--><\/p>\n<div class=\"wpcf7c-elm-step2 wp-block-vk-blocks-alert undefined alert alert-warning\">\n<p class=\"m-0\"><i class=\"fas fa-exclamation-circle mr-2\"><\/i>Transmission is not yet complete. Please check the information and if everything is correct, please click the \"Send\" button at the bottom of the page.<\/p>\n<\/div>\n<p><!--\u6ce8\u610f\u4e8b\u9805--><\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><br \/>\n<table class=\"table table-responsive table-striped\">\n<tr>\n<th>Your Name<\/th>\n<td><span class=\"wpcf7-form-control-wrap username\"><input type=\"text\" name=\"username\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"floater (e.g. on a train)\" \/><\/span><small class=\"wpcf7c-elm-step1\">*Nicknames are acceptable. Only initials will be published!<\/small><\/td>\n<\/tr>\n<tr>\n<th>date<\/th>\n<td><span class=\"wpcf7-form-control-wrap age\"><select name=\"age\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"10\u4ee3\">the teens (10-19)<\/option><option value=\"20\u4ee3\">one's twenties<\/option><option value=\"30\u4ee3\">30s<\/option><option value=\"40\u4ee3\">40s<\/option><option value=\"50\u4ee3\">50s<\/option><option value=\"60\u4ee3\">60s<\/option><option value=\"70\u4ee3\">70s<\/option><option value=\"80\u4ee3\">80s<\/option><option value=\"90\u4ee3\">90s<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<th>Email Address<\/th>\n<td><span class=\"wpcf7-form-control-wrap user-email\"><input type=\"email\" name=\"user-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" placeholder=\"abc@abc.com\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th>Store Name<span class=\"badge badge-danger ml-1 wpcf7c-elm-step1\">*<\/span><\/th>\n<td><span class=\"wpcf7-form-control-wrap user-store\"><select name=\"user-store\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"\u540d\u53e4\u5c4b\u5e97\">Nagoya Store<\/option><option value=\"\u5927\u962a\u5e97\">Osaka Store<\/option><option value=\"\u30d1\u30fc\u30bd\u30ca\u30eb\u30b8\u30e0\">personal gym<\/option><option value=\"\u305d\u306e\u4ed6\">Other<\/option><\/select><\/span><\/td>\n<\/tr>\n<tr>\n<th>Therapist in charge<span class=\"badge badge-danger ml-1 wpcf7c-elm-step1\">*<\/span><\/th>\n<td><span class=\"wpcf7-form-control-wrap user-staff\"><input type=\"text\" name=\"user-staff\" value=\"\u30bb\u30e9\u30d4\u30b9\u30c8\u540d\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<th>evaluation<span class=\"badge badge-danger ml-1 wpcf7c-elm-step1\">*<\/span><\/th>\n<td><span class=\"wpcf7-form-control-wrap user-review\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"user-review\" value=\"5\uff08\u3068\u3066\u3082\u6e80\u8db3\uff09\" \/><span class=\"wpcf7-list-item-label\">5 (Very satisfied)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"user-review\" value=\"4\uff08\u6e80\u8db3\uff09\" \/><span class=\"wpcf7-list-item-label\">4 (Satisfied)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"user-review\" value=\"3\uff08\u3075\u3064\u3046\uff09\" \/><span class=\"wpcf7-list-item-label\">3 (normal)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"user-review\" value=\"2\uff08\u4e0d\u6e80\uff09\" \/><span class=\"wpcf7-list-item-label\">2 (Dissatisfied)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"user-review\" value=\"1\uff08\u3068\u3066\u3082\u4e0d\u6e80\uff09\" \/><span class=\"wpcf7-list-item-label\">1 (very dissatisfied)<\/span><\/span><\/span><\/span><\/td>\n<tr>\n<th>Customer Comments and Messages to Therapists<br>(20 characters minimum, 500 characters maximum.<br>(Required field for discount campaign)<\/th>\n<td><span class=\"wpcf7-form-control-wrap user-other\"><textarea name=\"user-other\" cols=\"40\" rows=\"10\" maxlength=\"500\" minlength=\"20\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span><\/td>\n<\/tr>\n<\/table>\n<p class=\"text-center\"><input type=\"submit\" value=\"Go to confirmation screen\" class=\"wpcf7-form-control wpcf7-confirm btn btn-primary btn-lg btn-block wpcf7c-elm-step1 wpcf7c-btn-confirm wpcf7c-force-hide\" \/><\/p>\n<p class=\"text-left\"><input type=\"button\" value=\"Change\" class=\"wpcf7-form-control wpcf7-back btn vk_button_link btn-md btn-default wpcf7c-elm-step2 wpcf7c-btn-back wpcf7c-force-hide\" \/><\/p>\n<p class=\"text-center\"><input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control wpcf7-submit btn btn-primary btn-lg btn-block\" id=\"reserve-btn\" \/><\/p>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div>\n\n\n<script src=\"https:\/\/backdoor-g.com\/wp-content\/themes\/lightning\/assets\/js\/contactform7mod.js\"><\/script>","protected":false},"excerpt":{"rendered":"","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"page-onecolumn.php","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","vkexunit_cta_each_option":""},"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/backdoor-g.com\/en\/wp-json\/wp\/v2\/pages\/1723"}],"collection":[{"href":"https:\/\/backdoor-g.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/backdoor-g.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/backdoor-g.com\/en\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/backdoor-g.com\/en\/wp-json\/wp\/v2\/comments?post=1723"}],"version-history":[{"count":3,"href":"https:\/\/backdoor-g.com\/en\/wp-json\/wp\/v2\/pages\/1723\/revisions"}],"predecessor-version":[{"id":2583,"href":"https:\/\/backdoor-g.com\/en\/wp-json\/wp\/v2\/pages\/1723\/revisions\/2583"}],"wp:attachment":[{"href":"https:\/\/backdoor-g.com\/en\/wp-json\/wp\/v2\/media?parent=1723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}