File: //var/www/html/wpcurated/wp-content/themes/curatedbkk/page-intake-form.php
<?php /* Template Name: Intake Form Page */
get_header();
?>
<section class="sub-bnr intake-form-bnr">
<div class="container custom-container">
<div class="content-area">
<div class="title">Intake <span>Form</span></div>
<div class="sub-para">Odio cras proin proin sit quis fringilla aliquet. Consectetur elementum viverra egestas egestas nulla ullamcorper varius quam.</div>
</div>
<div class="bnr-img">
<img src="<?php echo get_template_directory_uri(); ?>/img/intake-bnr-img.png" alt="">
</div>
</div>
<div class="bnt-txt-btm">
<img src="<?php echo get_template_directory_uri(); ?>/img/service-detail-bnr-txt.png" alt="">
</div>
</section>
<section class="intake-form-sec">
<div class="container custom-container">
<div class="intake-form-wrapper">
<div class="row">
<div class="form-group col-md-6">
<label for="" class="form-label">Username</label>
<input type="text" class="form-control" placeholder="Enter username">
<span class="info-label error">Error message informing me of a problem</span>
</div>
<div class="form-group col-md-6">
<label for="" class="form-label">Password</label>
<input type="text" class="form-control" placeholder="Enter password">
<span class="info-label">Your password is between 4 and 12 characters</span>
</div>
<div class="form-group col-md-6 error">
<label for="" class="form-label">Input Text Label</label>
<input type="text" class="form-control" placeholder="Enter username" Value="Typing.">
<span class="input-error-info"><img src="<?php echo get_template_directory_uri(); ?>/img/input-error-info.png" alt=""></span>
<span class="info-label error">Error message informing me of a problem</span>
</div>
<div class="form-group col-md-6">
<label for="" class="form-label">Dropdown Title</label>
<input type="text" class="form-control" placeholder="Enter password">
<span class="info-label error">Error message informing me of a problem</span>
</div>
</div>
<div class="row">
<div class="col-12">
<div class="custom-radio-area">
<label class="custom-radios">
<input type="radio" checked="checked">
<span class="checkmark"></span>
Radio selection 1
</label>
<label class="custom-radios">
<input type="radio">
<span class="checkmark"></span>
Radio selection 2
</label>
<label class="custom-radios">
<input type="radio">
<span class="checkmark"></span>
Radio selection 3
</label>
</div>
</div>
</div>
<div class="btn-blk">
<div class="switch-wrp">
<span class="txt">Turn On/Off</span>
<label class="switch">
<input type="checkbox">
<span class="slider round"></span>
</label>
</div>
<div class="btn-sec">
<button class="primary-btn btn-cancel" fdprocessedid="91sqb">
<span>Cancel</span>
<span><img src="<?php echo get_template_directory_uri(); ?>/img/left-arrow1.svg"></span>
</button>
<button class="primary-btn" fdprocessedid="91sqb">
<span>Next</span>
<span><img src="<?php echo get_template_directory_uri(); ?>/img/left-arrow1.svg"></span>
</button>
</div>
</div>
</div>
</div>
</section>
<section class="faq-sec">
<div class="container custom-container">
<div class="title-blk">
<div class="small-title-sec">FAQ</div>
<div class="title">Your Questions Answered</div>
</div>
<div class="faq-blk-wrp">
<div class="accordion" id="faqCollapse">
<div class="accordion-item">
<h2 class="accordion-header" >
<!-- <div class="count-round">
01
</div> -->
<button class="accordion-button" type="button" data-bs-toggle="collapse" data-bs-target="#faqCollapseOne" aria-expanded="true" aria-controls="collapseOne">
How can I schedule an appointment?
</button>
</h2>
<div id="faqCollapseOne" class="accordion-collapse collapse show" data-bs-parent="#faqCollapse">
<div class="accordion-body">
While our practice is specialized in delivering care for treatment-resistant anxiety and depression disorders, our multi-disciplinary team is well-versed in treating comorbid insomnia, attention deficit or PTSD disorders.
</div>
</div>
</div>
<div class="accordion-item">
<h2 class="accordion-header">
<button class="accordion-button collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#faqCollapseTwo" aria-expanded="false" aria-controls="collapseTwo">
Do you accept insurance?
</button>
</h2>
<div id="faqCollapseTwo" class="accordion-collapse collapse" data-bs-parent="#faqCollapse">
<div class="accordion-body">
<strong>This is the second item's accordion body.</strong>
</div>
</div>
</div>
<div class="accordion-item">
<h2 class="accordion-header">
<button class="accordion-button collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#faqCollapseThree" aria-expanded="false" aria-controls="collapseThree">
What types of payment do you accept?
</button>
</h2>
<div id="faqCollapseThree" class="accordion-collapse collapse" data-bs-parent="#faqCollapse">
<div class="accordion-body">
<strong>This is the third item's accordion body.</strong>
</div>
</div>
</div>
<div class="accordion-item">
<h2 class="accordion-header">
<button class="accordion-button collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#faqCollapseFour" aria-expanded="false" aria-controls="collapseFour">
Are your services confidential?
</button>
</h2>
<div id="faqCollapseFour" class="accordion-collapse collapse" data-bs-parent="#faqCollapse">
<div class="accordion-body">
<strong>This is the third item's accordion body.</strong>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<section class="logo-slider-sec">
<div class="logo-slider">
<div class="logo-slide">
<div class="inner">
<img src="<?php echo get_template_directory_uri(); ?>/img/logo-1.svg" alt="">
</div>
</div>
<div class="logo-slide">
<div class="inner">
<img src="<?php echo get_template_directory_uri(); ?>/img/logo-2.svg" alt="">
</div>
</div>
<div class="logo-slide">
<div class="inner">
<img src="<?php echo get_template_directory_uri(); ?>/img/logo-3.svg" alt="">
</div>
</div>
<div class="logo-slide">
<div class="inner">
<img src="<?php echo get_template_directory_uri(); ?>/img/logo-4.svg" alt="">
</div>
</div>
</div>
</section>
<?php get_footer(); ?>