{"id":66905,"date":"2024-11-18T15:07:24","date_gmt":"2024-11-18T13:07:24","guid":{"rendered":"https:\/\/wp.djc.com.ua\/subscription-form\/"},"modified":"2024-11-21T14:27:04","modified_gmt":"2024-11-21T12:27:04","slug":"fill-out-the-questionnaire","status":"publish","type":"page","link":"https:\/\/djc.com.ua\/en\/fill-out-the-questionnaire\/","title":{"rendered":"Fill out the questionnaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"66905\" class=\"elementor elementor-66905 elementor-66892\">\n\t\t\t\t<div class=\"elementor-element elementor-element-28f76962 e-flex e-con-boxed e-con e-parent\" data-id=\"28f76962\" data-element_type=\"container\" id=\"page-header-details-button\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51b0bfc4 elementor-widget elementor-widget-heading\" data-id=\"51b0bfc4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Fill out the questionnaire<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-acdc046 e-flex e-con-boxed e-con e-parent\" data-id=\"acdc046\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b7dd502 elementor-widget elementor-widget-text-editor\" data-id=\"b7dd502\" 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\t\t\t\t<p class=\"p1\">We invite you to fill out our questionnaire and participate in the creation of a unified database of the Jewish community of Dnipro:<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cfbc7c6 anketa-form elementor-widget elementor-widget-shortcode\" data-id=\"cfbc7c6\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class='fluentform ff-default fluentform_wrapper_8 ffs_default_wrap'><form data-form_id=\"8\" id=\"fluentform_8\" class=\"frm-fluent-form fluent_form_8 ff-el-form-top ff_form_instance_8_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_8_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">\u0410\u043d\u043a\u0435\u0442\u0430 \u0444\u043e\u0440\u043c\u0430 ENG<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='66905' \/><input type=\"hidden\" id=\"_fluentform_8_fluentformnonce\" name=\"_fluentform_8_fluentformnonce\" value=\"76902864b0\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/66905\" \/><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_8_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_8_email\" class=\"ff-el-form-control\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_8_input_text_1' aria-label=\"Your full name\">Your full name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_8_input_text_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_input_text_2' aria-label=\"Jewish name\">Jewish name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" data-name=\"input_text_2\" id=\"ff_8_input_text_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_8_datetime_1' aria-label=\"Date of birth according to the Gregorian calendar\">Date of birth according to the Gregorian calendar<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date of birth according to the Gregorian calendar Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_8_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_input_text' aria-label=\"Date of birth according to the Jewish calendar\">Date of birth according to the Jewish calendar<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_8_input_text\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Your gender\">Your gender<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_ef495eb164e3a4a3f04004012d034640><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Male\"  id='input_radio_ef495eb164e3a4a3f04004012d034640' aria-label='Male' aria-invalid='false' aria-required=false> <span>Male<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_352682b3561cf59bf16abc7f174182a1><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Female\"  id='input_radio_352682b3561cf59bf16abc7f174182a1' aria-label='Female' aria-invalid='false' aria-required=false> <span>Female<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"I am a Jew by\">I am a Jew by<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_5061908bbdcf123a5f41d0d0fe97f343><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Mother\"  id='input_radio_1_5061908bbdcf123a5f41d0d0fe97f343' aria-label='Mother' aria-invalid='false' aria-required=true> <span>Mother<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_91da9afe89cebfabc975194fcfa96b9a><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Father\"  id='input_radio_1_91da9afe89cebfabc975194fcfa96b9a' aria-label='Father' aria-invalid='false' aria-required=true> <span>Father<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_aa50a038ff911301164852bf4a1739f1><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Both parents\"  id='input_radio_1_aa50a038ff911301164852bf4a1739f1' aria-label='Both parents' aria-invalid='false' aria-required=true> <span>Both parents<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_e3f6b88f2c7769f9ad34afd067c0b676><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Other\"  id='input_radio_1_e3f6b88f2c7769f9ad34afd067c0b676' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_numeric_field' aria-label=\"Phone\">Phone<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field\" id=\"ff_8_numeric_field\" class=\"ff-el-form-control\" data-name=\"numeric_field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_8_multi_select' aria-label=\"Do you have children?\">Do you have children?<\/label><\/div><div class='ff-el-input--content'><select name=\"multi_select[]\" id=\"ff_8_multi_select\" class=\"ff-el-form-control  ff_has_multi_select\" multiple=\"1\" data-name=\"multi_select\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=false><option value=\"No\"  >No<\/option><option value=\"0-3 years\"  >0-3 years<\/option><option value=\"3-6 years\"  >3-6 years<\/option><option value=\"6-10 years\"  >6-10 years<\/option><option value=\"10-13 years\"  >10-13 years<\/option><option value=\"Older than 13 years\"  >Older than 13 years<\/option><\/select><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Dear friends! In order for us to offer you the most relevant events and useful information, we need your consent to contact us. This will allow our consultants to learn a little more about your family in order to take into account the age and interests of each person when formulating our offers. Please confirm your consent so that we can be even closer and more useful to you.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_1_a8783bc253fa5ef0109d09b74a26bec7><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition_1\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition_1\" id=\"terms-n-condition_1_a8783bc253fa5ef0109d09b74a26bec7\"  value='on' aria-invalid='false' aria-required=false><\/span> <div class='ff_t_c'><p>Dear friends! In order for us to offer you the most relevant events and useful information, we need your consent to contact us. This will allow our consultants to learn a little more about your family in order to take into account the age and interests of each person when formulating our offers. <strong>Please confirm your consent so that we can be even closer and more useful to you.<\/strong><\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='* In accordance with the information I have provided to create a database of the Jewish Community of Dnipro, guided by the Law of Ukraine &quot;On the Protection of Personal Data&quot;, I grant the Jewish Religious Community of Dnipro permission to process my personal data (information and sets of information about me).' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_aa5a2b49e1ba2d85889ae757ed1e46aa><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition\" id=\"terms-n-condition_aa5a2b49e1ba2d85889ae757ed1e46aa\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p><span style=\"color: #ff0000\">*<\/span> In accordance with the information I have provided to create a database of the Jewish Community of Dnipro, guided by the Law of Ukraine \"On the Protection of Personal Data\", I grant the Jewish Religious Community of Dnipro permission to process my personal data (information and sets of information about me).<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Subscribe<\/button><\/div><\/fieldset><\/form><div id='fluentform_8_errors' class='ff-errors-in-stack ff_form_instance_8_1 ff-form-loading_errors ff_form_instance_8_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_8_1 = 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