About
(current)
Services
Occupational therapy for adults
Nutrition and dietetics for adults
Oral Health
Childrens therapies
› Speech pathology
› Nutrition and dietetics for children
› Occupational therapy for children
Community Nurse
Diabetes educator
Medical
Counselling & casework
IMPAC
Alchole and other drugs
Your Healthcare
Get Involved
News
Contact
Language
› English
› German
› Spanish
Language
› English
› German
› Spanish
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Services
NRCH Services
Occupational therapy for adults
Nutrition and dietetics for adults
Oral Health
Medical
Counselling & casework
IMPAC
Alchole and other drugs
Childrens therapies
› Speech pathology
› Nutrition and dietetics for children
› Occupational therapy for children
Community Nurse
Diabetes educator
Sample Form - Single Page
This is an example of a standard form with the various available field types.
Use the Form Settings to control:
- form title
- form description
- field label placement (global setting, can be override on a per-field basis)
- field description placement (global setting, can be override on a per-field basis)
- sub-label placement (global setting, can be override on a per-field basis)
- custom form classes
- submit button text (and optional conditional logic for display of submit button)
- enabling of the save & continue feature
- limiting the number of entries
- scheduling the form
- restricting the form to logged in users only
- enabling anti-spam honeypot (recommended for all forms)
Single Line Text
*
Single Line Text (with date input mask)
*
Input masks provide a visual guide allowing users to more easily enter data in a specific format such as dates and phone numbers.
More info
Password Field
Paragraph Text
*
Drop Down
First Choice
Second Choice
Third Choice
Multi Select
First Choice
Second Choice
Third Choice
Fourth Choice
Fifth Choice
Sixth Choice
Section Break
Forms can be separated into sections using Section Break. Optionally include description / content as well as a section title
Number
Please enter a value greater than or equal to
0
.
Checkboxes
First Choice
Second Choice
Third Choice
Radio Buttons
First Choice
Second Choice
Third Choice
HTML Blocks
can be added to forms, allowing
custom
HTML content.
See Gravity Form help for more info
Advanced Fields
Advanced Fields include Name, Date, Time, Website, Email, File Upload and List type fields.
Name
*
First
Last
Date (Picker)
Date (Field)
DD
MM
YYYY
Date (Drop Down)
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Time
:
HH
MM
AM
PM
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Website
Email
File Upload (Single)
Accepted file types: jpg, gif, png, pdf.
File Upload fields can be configured to only allow specific file extensions and a max file size
File (Multiple)
Drop files here or
Accepted file types: jpg, gif, png, pdf.
List (Single Column)
List (Multi Column)
Column 1
Column 2
Column 3
Post Fields
Post Fields can be used to allow users to submit data that is then used to populate a Post (e.g. Article)
Post Title
Post Excerpt
Post Body
Post Tags
Post Category
Uncategorised
Post Image (including Caption field)
File
Caption
Post Custom Field
Custom Field types can be set as any of the standard or advanced fields (Single line text, Paragraph text, Drop down, File upload etc)
Conditional Logic
Conditional Logic allows you to configure your form to show or hide fields, sections, pages or even the submit button based on user selections. Entire sections can have their display set conditionally based on one or more other fields in a form. This allows you to easily control what information your user is asked to provide, and tailor the form specifically to their needs.
Drop Down (with conditional control)
First Choice
Second Choice
Third Choice
Single Line Text
Triggered by First Choice in Drop Down
Radio Buttons
First Choice
Second Choice
Third Choice
Triggered by Second Choice in Drop Down
Drop Down
First Choice
Second Choice
Third Choice
Triggered by First and/or Second
Comments
This field is for validation purposes and should be left unchanged.