{"id":1936,"date":"2023-03-30T20:44:40","date_gmt":"2023-03-30T20:44:40","guid":{"rendered":"https:\/\/practicebytes.com\/?page_id=1936"},"modified":"2024-01-22T09:32:51","modified_gmt":"2024-01-22T09:32:51","slug":"assessment-form","status":"publish","type":"page","link":"https:\/\/practicebytes.com\/assessment-form\/","title":{"rendered":"Assessment Form"},"content":{"rendered":"\n<h1>\n\t\tFREE Assessment Form\n\t<\/h1>\n\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1923\"><form id=\"wpforms-form-1923\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1923\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp-json\/wp\/v2\/pages\/1936\" data-token=\"2a866f4e900773462953367b4d21705f\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#72b239\" data-scroll=\"1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> - <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 5<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:20%;background-color:#72b239\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-1923-field_7-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"7\"><\/div><div id=\"wpforms-1923-field_4-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"4\"><h3 id=\"wpforms-1923-field_4\" name=\"wpforms[fields][4]\">Welcome to our interactive assessment form.<\/h3><div class=\"wpforms-field-description\">Please fill out our FREE assessment form to get a better understanding of your website, software, and marketing needs. At the end of this assessment, you will be presented with a full marketing report and analytics.<\/div><\/div><div id=\"wpforms-1923-field_6-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"6\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"1923\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-1923-field_11-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"11\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1923-field_11\">Marketing Assessment<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1923-field_10-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-1923-field_10\">I currently pay for: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1923-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1923-field_10_1\" name=\"wpforms[fields][10][]\" value=\"Google Ads (PPC)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_10_1\">Google Ads (PPC)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1923-field_10_2\" name=\"wpforms[fields][10][]\" value=\"Search Engine Optimization (SEO)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_10_2\">Search Engine Optimization (SEO)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1923-field_10_3\" name=\"wpforms[fields][10][]\" value=\"Social Media Ads\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_10_3\">Social Media Ads<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1923-field_9-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1923-field_9\">I&#039;m currently happy with my marketing <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1923-field_9\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_9_1\" name=\"wpforms[fields][9]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_9_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_9_2\" name=\"wpforms[fields][9]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_9_2\">No<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_9_3\" name=\"wpforms[fields][9]\" value=\"Not applicable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_9_3\">Not applicable<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1923-field_12-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-1923-field_12\">I&#039;ve been doing marketing for: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1923-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_12_1\" name=\"wpforms[fields][12]\" value=\"Under 1 year\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_12_1\">Under 1 year<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_12_2\" name=\"wpforms[fields][12]\" value=\"Over 3 years\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_12_2\">Over 3 years<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_12_3\" name=\"wpforms[fields][12]\" value=\"Not Applicable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_12_3\">Not Applicable<\/label><\/li><\/ul><\/div><\/div><\/div><\/div><div id=\"wpforms-1923-field_13-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"13\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"2\" data-formid=\"1923\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-1923-field_14-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"14\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1923-field_14\">Website Assessment<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1923-field_15-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-1923-field_15\">I currently have a website <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1923-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1923-field_15_1\" name=\"wpforms[fields][15][]\" value=\"Yes and I love it\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_15_1\">Yes and I love it<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1923-field_15_2\" name=\"wpforms[fields][15][]\" value=\"Yes but needs work\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_15_2\">Yes but needs work<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1923-field_15_3\" name=\"wpforms[fields][15][]\" value=\"I don&#039;t have a website\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_15_3\">I don't have a website<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1923-field_16-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-1923-field_16\">My current website is built on: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1923-field_16\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_16_1\" name=\"wpforms[fields][16]\" value=\"WordPress\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_16_1\">WordPress<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_16_2\" name=\"wpforms[fields][16]\" value=\"Another platform\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_16_2\">Another platform<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_16_3\" name=\"wpforms[fields][16]\" value=\"Not applicable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_16_3\">Not applicable<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1923-field_17-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-1923-field_17\">My website generate leads <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1923-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_17_1\" name=\"wpforms[fields][17]\" value=\"Yes and it goes to my EHR\/CRM\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_17_1\">Yes and it goes to my EHR\/CRM<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_17_2\" name=\"wpforms[fields][17]\" value=\"Yes and it goes to my e-mail\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_17_2\">Yes and it goes to my e-mail<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_17_4\" name=\"wpforms[fields][17]\" value=\"No, it does not generate leads\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_17_4\">No, it does not generate leads<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_17_3\" name=\"wpforms[fields][17]\" value=\"Not Applicable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_17_3\">Not Applicable<\/label><\/li><\/ul><\/div><\/div><\/div><\/div><div id=\"wpforms-1923-field_18-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"18\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"3\" data-formid=\"1923\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-1923-field_19-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"19\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1923-field_19\">Software Assessment<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1923-field_20-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-1923-field_20\">I current have an EHR\/EMR system <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1923-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1923-field_20_1\" name=\"wpforms[fields][20][]\" value=\"Yes and I love it\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_20_1\">Yes and I love it<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1923-field_20_2\" name=\"wpforms[fields][20][]\" value=\"Yes but I don&#039;t like it\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_20_2\">Yes but I don't like it<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1923-field_20_3\" name=\"wpforms[fields][20][]\" value=\"I don&#039;t have a system\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_20_3\">I don't have a system<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1923-field_21-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-1923-field_21\">My current system is easy to use <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1923-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_21_1\" name=\"wpforms[fields][21]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_21_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_21_2\" name=\"wpforms[fields][21]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_21_2\">No<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_21_3\" name=\"wpforms[fields][21]\" value=\"Not applicable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_21_3\">Not applicable<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1923-field_22-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-1923-field_22\">My current system needs more features <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1923-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_22_1\" name=\"wpforms[fields][22]\" value=\"Yes, we are missing functionalities\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_22_1\">Yes, we are missing functionalities<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_22_2\" name=\"wpforms[fields][22]\" value=\"No, we have all we need\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_22_2\">No, we have all we need<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1923-field_22_3\" name=\"wpforms[fields][22]\" value=\"Not Applicable\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1923-field_22_3\">Not Applicable<\/label><\/li><\/ul><\/div><\/div><\/div><\/div><div id=\"wpforms-1923-field_23-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"23\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"4\" data-formid=\"1923\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5 last \" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-1923-field_24-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"24\"><h3 id=\"wpforms-1923-field_24\" name=\"wpforms[fields][24]\">Almost done!<\/h3><div class=\"wpforms-field-description\">Please let us know who you are so we can send the assessment to the right place.<\/div><\/div><div id=\"wpforms-1923-field_25-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-1923-field_25\">Name <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-1923-field_25\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][25][first]\" required><label for=\"wpforms-1923-field_25\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1923-field_25-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][25][last]\" required><label for=\"wpforms-1923-field_25-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1923-field_26-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-1923-field_26\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1923-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-1923-field_27-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-1923-field_27\">Phone<\/label><input type=\"tel\" id=\"wpforms-1923-field_27\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][27]\" ><\/div><div id=\"wpforms-1923-field_8-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"8\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"1923\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"2\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1923\" class=\"wpforms-submit\" data-alt-text=\"Processing...\" data-submit-text=\"Next\" aria-live=\"assertive\" value=\"wpforms-submit\">Next<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/practicebytes.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n","protected":false},"excerpt":{"rendered":"<p>FREE Assessment Form<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"aioseo_notices":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/practicebytes.com\/wp-json\/wp\/v2\/pages\/1936"}],"collection":[{"href":"https:\/\/practicebytes.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/practicebytes.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/practicebytes.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/practicebytes.com\/wp-json\/wp\/v2\/comments?post=1936"}],"version-history":[{"count":4,"href":"https:\/\/practicebytes.com\/wp-json\/wp\/v2\/pages\/1936\/revisions"}],"predecessor-version":[{"id":2517,"href":"https:\/\/practicebytes.com\/wp-json\/wp\/v2\/pages\/1936\/revisions\/2517"}],"wp:attachment":[{"href":"https:\/\/practicebytes.com\/wp-json\/wp\/v2\/media?parent=1936"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}