{"id":1199,"date":"2026-01-02T20:22:36","date_gmt":"2026-01-02T20:22:36","guid":{"rendered":"http:\/\/demowebdesign.live\/michelle\/?page_id=1199"},"modified":"2026-01-08T17:29:21","modified_gmt":"2026-01-08T17:29:21","slug":"intake-form","status":"publish","type":"page","link":"https:\/\/demowebdesign.live\/michelle\/intake-form\/","title":{"rendered":"Intake Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1199\" class=\"elementor elementor-1199\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9a453ac e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"9a453ac\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;video&quot;,&quot;background_video_link&quot;:&quot;http:\\\/\\\/demowebdesign.live\\\/michelle\\\/wp-content\\\/uploads\\\/2025\\\/12\\\/7031326_Underwater_Angle_1280x720.mp4&quot;,&quot;background_play_on_mobile&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-background-video-container\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<video class=\"elementor-background-video-hosted\" autoplay muted playsinline loop><\/video>\n\t\t\t\t\t<\/div><div class=\"elementor-element elementor-element-7bdfdd8 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"7bdfdd8\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-322cffa elementor-widget__width-initial elementor-invisible elementor-widget elementor-widget-hfe-infocard\" data-id=\"322cffa\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"hfe-infocard.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div class=\"hfe-infocard\">\n\t\t\t\t\t\t\t\t\t<div class=\"hfe-infocard-title-wrap\">\n\t\t\t\t<h1 class=\"hfe-infocard-title elementor-inline-editing\" data-elementor-setting-key=\"infocard_title\" data-elementor-inline-editing-toolbar=\"basic\" >Earth H\u2082O Intake Form<\/h1>\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"hfe-infocard-text-wrap\">\n\t\t\t\t<div class=\"hfe-infocard-text elementor-inline-editing\" data-elementor-setting-key=\"infocard_description\" data-elementor-inline-editing-toolbar=\"advanced\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f914336 elementor-widget__width-initial elementor-widget-mobile__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"f914336\" 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><span data-contrast=\"auto\">Welcome to the Earth H\u2082O Intake Form.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p><p><span data-ccp-props=\"{}\">\u00a0<\/span><span data-contrast=\"auto\">Our streamlined intake process allows us to quickly understand your organization\u2019s needs and\u00a0determine\u00a0the right fractional executive or advisory support. Once\u00a0submitted, your information will be reviewed by our internal team and you will be contacted within one business day or sooner.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\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-8712719 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"8712719\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-425ba63 elementor-widget elementor-widget-html\" data-id=\"425ba63\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n<!-- Google Fonts -->\r\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Playfair+Display:wght@400;500;600;700;900&family=Inter:wght@300;400;500;600&display=swap\" rel=\"stylesheet\">\r\n\r\n<style>\r\n:root {\r\n    --primary-dark: #0F1A25;\r\n    --accent-gold: #916C34;\r\n    --text-gray: #555555;\r\n    --card-bg: #ffffff;\r\n    --section-bg: #f8f8f8;\r\n    --input-border: #cccccc;\r\n}\r\n\r\n\/* Reset *\/\r\n* { box-sizing: border-box; margin:0; padding:0; }\r\n\r\nbody {\r\n    font-family: 'Inter', sans-serif;\r\n    background: var(--section-bg);\r\n    color: var(--primary-dark);\r\n    line-height: 1.6;\r\n}\r\n\r\nh2 {\r\n    font-family: 'Playfair Display', serif;\r\n    font-weight: 500;\r\n    font-size: 2.5rem;\r\n    color: var(--primary-dark);\r\n    margin-bottom: 1rem;\r\n    text-align: center;\r\n}\r\n\r\np.subheading {\r\n    text-align: center;\r\n    color: var(--text-gray);\r\n    margin-bottom: 2rem;\r\n}\r\n\r\n.container {\r\n    max-width: 1200px;\r\n    margin: 0 auto;\r\n    padding: 2rem;\r\n}\r\n\r\nform {\r\n    background: var(--card-bg);\r\n    padding: 2rem;\r\n    border-radius: 1.5rem;\r\n    box-shadow: 0 8px 25px rgba(0,0,0,0.08);\r\n}\r\n\r\n\/* Grid for two-column layout *\/\r\n.form-grid {\r\n    display: grid;\r\n    grid-template-columns: 1fr 1fr;\r\n    gap: 1.5rem;\r\n}\r\n\r\n.form-grid.full-width {\r\n    grid-template-columns: 1fr;\r\n}\r\n\r\nlabel {\r\n    display: block;\r\n    font-weight: 500;\r\n    margin-bottom: 0.25rem;\r\n    font-size: 0.95rem;\r\n    color: var(--primary-dark);\r\n}\r\n\r\ninput, select, textarea {\r\n    width: 100%;\r\n    padding: 0.65rem 0.8rem;\r\n    border: 1px solid var(--input-border);\r\n    border-radius: 0.75rem;\r\n    font-size: 0.95rem;\r\n    font-family: 'Inter', sans-serif;\r\n    margin-bottom: 1rem;\r\n    transition: all 0.3s ease;\r\n}\r\n\r\ninput:focus, select:focus, textarea:focus {\r\n    outline: none;\r\n    border-color: var(--accent-gold);\r\n    box-shadow: 0 0 0 2px rgba(145,108,52,0.2);\r\n}\r\n\r\ntextarea {\r\n    resize: vertical;\r\n    min-height: 120px;\r\n}\r\n\r\n\/* Section Headings *\/\r\n.section-heading {\r\n    font-family: 'Playfair Display', serif;\r\n    font-weight: 500;\r\n    font-size: 1.5rem;\r\n    margin: 1.5rem 0 0.75rem 0;\r\n    color: var(--primary-dark);\r\n    grid-column: span 2;\r\n}\r\n\r\n\/* Submit button *\/\r\nbutton {\r\n    background: var(--accent-gold);\r\n    color: #fff;\r\n    padding: 0.8rem 1.5rem;\r\n    border: none;\r\n    border-radius: 0.75rem;\r\n    font-size: 1rem;\r\n    font-weight: 500;\r\n    cursor: pointer;\r\n    transition: all 0.3s ease;\r\n}\r\n\r\nbutton:hover {\r\n    background: #7a5530;\r\n}\r\n\r\n\/* Responsive *\/\r\n@media (max-width: 900px) {\r\n    .form-grid {\r\n        grid-template-columns: 1fr;\r\n    }\r\n}\r\n<\/style>\r\n<\/head>\r\n<body>\r\n\r\n<div class=\"container\">\r\n    <!--<h2>Earth H\u2082O Intake Form<\/h2>-->\r\n    <!--<p class=\"subheading\">Submit your details and our team will contact you within one business day.<\/p>-->\r\n\r\n    <form action=\"mailto:admin@earthh20corporation.com\" method=\"post\" enctype=\"text\/plain\">\r\n\r\n        <!-- Section 1: Company Information -->\r\n        <div class=\"section-heading\">Company Information<\/div>\r\n\r\n        <div class=\"form-grid\">\r\n            <div>\r\n                <label for=\"company\">Company Name *<\/label>\r\n                <input type=\"text\" id=\"company\" name=\"company\" required>\r\n            <\/div>\r\n\r\n            <div>\r\n                <label for=\"website\">Website<\/label>\r\n                <input type=\"url\" id=\"website\" name=\"website\" placeholder=\"https:\/\/\">\r\n            <\/div>\r\n\r\n            <div>\r\n                <label for=\"industry\">Industry \/ Sector *<\/label>\r\n                <select id=\"industry\" name=\"industry\" required>\r\n                    <option value=\"\">Select Industry<\/option>\r\n                    <option>Technology<\/option>\r\n                    <option>Healthcare<\/option>\r\n                    <option>Finance<\/option>\r\n                    <option>Manufacturing<\/option>\r\n                    <option>Education<\/option>\r\n                    <option>Other<\/option>\r\n                <\/select>\r\n            <\/div>\r\n\r\n            <div>\r\n                <label for=\"employees\">Total Number of Employees *<\/label>\r\n                <input type=\"number\" id=\"employees\" name=\"employees\" required>\r\n            <\/div>\r\n\r\n            <div>\r\n                <label for=\"years\">Years in Business *<\/label>\r\n                <input type=\"number\" id=\"years\" name=\"years\" required>\r\n            <\/div>\r\n\r\n            <div>\r\n                <label for=\"headquarters\">Headquarters (City, State) *<\/label>\r\n                <input type=\"text\" id=\"headquarters\" name=\"headquarters\" required>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <!-- Section 2: Primary Contact -->\r\n        <div class=\"section-heading\">Primary Contact Information<\/div>\r\n        <div class=\"form-grid\">\r\n            <div>\r\n                <label for=\"fullname\">Full Name *<\/label>\r\n                <input type=\"text\" id=\"fullname\" name=\"fullname\" required>\r\n            <\/div>\r\n            <div>\r\n                <label for=\"title\">Title *<\/label>\r\n                <input type=\"text\" id=\"title\" name=\"title\" required>\r\n            <\/div>\r\n            <div>\r\n                <label for=\"email\">Email Address *<\/label>\r\n                <input type=\"email\" id=\"email\" name=\"email\" required>\r\n            <\/div>\r\n            <div>\r\n                <label for=\"phone\">Phone Number<\/label>\r\n                <input type=\"tel\" id=\"phone\" name=\"phone\">\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <!-- Section 3: Services Requested -->\r\n        <div class=\"section-heading\">Services Requested *<\/div>\r\n        <div class=\"form-grid full-width\">\r\n            <label for=\"services\">Select Category *<\/label>\r\n            <select id=\"services\" name=\"services\" required>\r\n                <option value=\"\">Select Service<\/option>\r\n                <option>Fractional Executive Leadership<\/option>\r\n                <option>Strategic Advisory & Organizational Transformation<\/option>\r\n                <option>AI Transformation & Intelligent Automation<\/option>\r\n                <option>Program \/ Project Leadership<\/option>\r\n                <option>HR \/ People Operations & Culture Advisory<\/option>\r\n                <option>Business Development or Sales Leadership<\/option>\r\n                <option>Customer Success Strategy<\/option>\r\n                <option>Other<\/option>\r\n            <\/select>\r\n\r\n            <label for=\"details\">Additional Details *<\/label>\r\n            <textarea id=\"details\" name=\"details\" placeholder=\"Describe your organization\u2019s needs\" required><\/textarea>\r\n        <\/div>\r\n\r\n        <!-- Section 4: Preferred Start Date -->\r\n        <div class=\"section-heading\">Preferred Start Date<\/div>\r\n        <div class=\"form-grid\">\r\n            <div>\r\n                <label for=\"start-date\">Select Date<\/label>\r\n                <input type=\"date\" id=\"start-date\" name=\"start-date\">\r\n            <\/div>\r\n            <div>\r\n                <label for=\"urgency\">Urgency Level<\/label>\r\n                <select id=\"urgency\" name=\"urgency\">\r\n                    <option value=\"\">Select Urgency<\/option>\r\n                    <option>Immediate<\/option>\r\n                    <option>Within 30 Days<\/option>\r\n                    <option>60\u201390 Days<\/option>\r\n                    <option>Planning Only<\/option>\r\n                <\/select>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <!-- Section 5: Engagement Context (Optional) -->\r\n        <div class=\"section-heading\">Engagement Context (Optional)<\/div>\r\n        <div class=\"form-grid full-width\">\r\n            <label for=\"challenges\">Current Challenges<\/label>\r\n            <textarea id=\"challenges\" name=\"challenges\" placeholder=\"Optional\"><\/textarea>\r\n\r\n            <label for=\"outcomes\">Desired Outcomes \/ Success Metrics<\/label>\r\n            <textarea id=\"outcomes\" name=\"outcomes\" placeholder=\"Optional\"><\/textarea>\r\n\r\n            <label for=\"tools\">Existing Tools \/ Systems \/ Processes<\/label>\r\n            <textarea id=\"tools\" name=\"tools\" placeholder=\"Optional\"><\/textarea>\r\n\r\n            <label for=\"budget\">Budget Considerations<\/label>\r\n            <textarea id=\"budget\" name=\"budget\" placeholder=\"Optional\"><\/textarea>\r\n        <\/div>\r\n\r\n        <!-- Submit Button -->\r\n        <div style=\"text-align:center; margin-top:2rem;\">\r\n            <button type=\"submit\">Submit Intake Form<\/button>\r\n        <\/div>\r\n\r\n    <\/form>\r\n<\/div>\r\n\r\n<\/body>\r\n<\/html>\r\n\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\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Earth H\u2082O Intake Form Welcome to the Earth H\u2082O Intake Form.\u00a0 \u00a0Our streamlined intake process allows us to quickly understand your organization\u2019s needs and\u00a0determine\u00a0the right fractional executive or advisory support. Once\u00a0submitted, your information will be reviewed by our internal team and you will be contacted within one business day or sooner.\u00a0 Company Information Company Name * Website Industry \/ Sector * Select IndustryTechnologyHealthcareFinanceManufacturingEducationOther Total Number of Employees * Years in Business * Headquarters (City, State) * Primary Contact Information Full Name * Title * Email Address * Phone Number Services Requested * Select Category * Select ServiceFractional Executive LeadershipStrategic Advisory &#038; Organizational TransformationAI Transformation &#038; Intelligent AutomationProgram \/ Project LeadershipHR \/ People Operations &#038; Culture AdvisoryBusiness Development or Sales LeadershipCustomer Success StrategyOther Additional Details * Preferred Start Date Select Date Urgency Level Select UrgencyImmediateWithin 30 Days60\u201390 DaysPlanning Only Engagement Context (Optional) Current Challenges Desired Outcomes \/ Success Metrics Existing Tools \/ Systems \/ Processes Budget Considerations Submit Intake Form<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"enabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1199","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/demowebdesign.live\/michelle\/wp-json\/wp\/v2\/pages\/1199","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/demowebdesign.live\/michelle\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/demowebdesign.live\/michelle\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/demowebdesign.live\/michelle\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/demowebdesign.live\/michelle\/wp-json\/wp\/v2\/comments?post=1199"}],"version-history":[{"count":22,"href":"https:\/\/demowebdesign.live\/michelle\/wp-json\/wp\/v2\/pages\/1199\/revisions"}],"predecessor-version":[{"id":1384,"href":"https:\/\/demowebdesign.live\/michelle\/wp-json\/wp\/v2\/pages\/1199\/revisions\/1384"}],"wp:attachment":[{"href":"https:\/\/demowebdesign.live\/michelle\/wp-json\/wp\/v2\/media?parent=1199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}