{"id":2292,"date":"2014-03-05T03:49:06","date_gmt":"2014-03-05T03:49:06","guid":{"rendered":"https:\/\/surehairtransplants.com\/shidev\/?page_id=2292"},"modified":"2014-10-15T13:17:27","modified_gmt":"2014-10-15T13:17:27","slug":"online-consultation","status":"publish","type":"page","link":"https:\/\/surehairtransplants.com\/online-consultation\/","title":{"rendered":"Free Online Consultation"},"content":{"rendered":"<div style=\"float: left;\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework ConsultForm_wrapper' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_6' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Online Consultation Form<\/h3>\n                            <p class='gform_description'>Fill Out The Form Below to schedule a free Online Hair Loss Consultation at Sure Hair via phone, Skype or in person if you choose.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6' class='ConsultForm' action='\/wp-json\/wp\/v2\/pages\/2292' data-formid='6' >\n                        <div class='gform-body gform_body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_6_12\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_12\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_6_12'>\n                            <span id='input_6_12_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_12.3' id='input_6_12_3' value=''   aria-required='true'    \/>\n                                                    <label for='input_6_12_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_6_12_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_12.6' id='input_6_12_6' value=''   aria-required='true'    \/>\n                                                    <label for='input_6_12_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                               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gform-field-label' for='input_6_4' >Phone Number<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_6_4' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_14\"  class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_14\"><label class='gfield_label gform-field-label' for='input_6_14' >City \/ Town<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_6_14' type='text' value='' class='large' maxlength='130'     aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_15\"  class=\"gfield gfield--type-text gf_right_half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_15\"><label class='gfield_label gform-field-label' for='input_6_15' >State \/ Province<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_6_15' type='text' value='' class='large' maxlength='120'     aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_17\"  class=\"gfield gfield--type-select gf_right_half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_17\"><label class='gfield_label gform-field-label' for='input_6_17' >Which Office Would You Prefer To Visit<\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_6_17' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' >Please Select<\/option><option value='Toronto' >Toronto<\/option><option value='Ottawa' >Ottawa<\/option><option value='Mississauga' >Mississauga<\/option><option value='Vaughan' >Vaughan<\/option><option value='Guelph' >Guelph<\/option><option value='Pickering' >Pickering<\/option><option value='London Ontario' >London Ontario<\/option><option value='Hamilton' >Hamilton<\/option><option value='Long Distance' >Long Distance<\/option><\/select><\/div><\/li><li id=\"field_6_16\"  class=\"gfield gfield--type-select gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_16\"><label class='gfield_label gform-field-label' for='input_6_16' >Current Age<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_6_16' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected'>Please Select<\/option><option value='18-24' >18-24<\/option><option value='25-34' >25-34<\/option><option value='35-44' >35-44<\/option><option value='45-54' >45-54<\/option><option value='55-64' >55-64<\/option><option value='65 or Over' >65 or Over<\/option><\/select><\/div><\/li><li id=\"field_6_18\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_18\"><label class='gfield_label gform-field-label' for='input_6_18' >According to the chart on the right which stage of hair loss most closely resembles your hair loss?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_6_18' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Men Stage 1' >Men Stage 1<\/option><option value='Men Stage 2' >Men Stage 2<\/option><option value='Men Stage 3' >Men Stage 3<\/option><option value='Men Stage 4' >Men Stage 4<\/option><option value='Men Stage 5' >Men Stage 5<\/option><option value='Men Stage 6' >Men Stage 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Please schedule a FREE 10-Minute Online consultation with a Sure Hair specialist via my choice of <strong>Phone, Skype or In person<\/strong>.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_25\"  class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_25\"><label class='gfield_label gform-field-label' for='input_6_25' >CAPTCHA<\/label><div id='input_6_25' class='ginput_container ginput_recaptcha' data-sitekey='6LceK8MUAAAAAH5B0AibpAXM68Kt3dHs37Z9cEbc'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><li id=\"field_6_20\"  class=\"gfield gfield--type-html privacypolicy gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_20\"><a href=\"\/\/surehairtransplants.com\/privacy-small.htm?iframe=true\" rel=\"prettyPhoto[form_PP_policy]\">Our Privacy Policy<\/a><\/li><li id=\"field_6_8\"  class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_8\"><div class='ginput_container ginput_container_text'><input name='input_8' id='input_6_8' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='26\/03\/2024' \/><\/div><\/li><li id=\"field_6_7\"  class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_7\"><div class='ginput_container ginput_container_text'><input name='input_7' id='input_6_7' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='64.124.8.46' \/><\/div><\/li><li id=\"field_6_21\"  class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_21\"><div class='ginput_container ginput_container_text'><input name='input_21' id='input_6_21' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='https:\/\/surehairtransplants.com\/wp-json\/wp\/v2\/pages\/2292' \/><\/div><\/li><li id=\"field_6_23\"  class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_23\"><div class='ginput_container ginput_container_text'><input name='input_23' id='input_6_23' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_6_24\"  class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_24\"><div class='ginput_container ginput_container_text'><input name='input_24' id='input_6_24' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='Mozilla\/5.0 (compatible; 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