🧪 Appointment Form Test

Testing the updated form without time selection

What's New
❌ No Time Selection
✏️ "Full Name" Placeholder
đź“… "Preferred Date" Label
đź“ť "Submit Request" Button
Form Fields
Full Name
Phone Number
Email Address
Preferred Date
Service & Location
Additional Info
Book Your Physiotherapy Appointment
Fill out the form below and we'll contact you to confirm your appointment timing

Email is optional, but recommended for appointment confirmations.

Include any relevant medical history or specific concerns.

🧪 Test Instructions

Test Data to Use:

  • Name: Priya Sharma
  • Email: test@example.com
  • Phone: +91 98765 43210
  • Date: Any future date
  • Service: Back Pain Treatment
  • Location: Anna Nagar Clinic

What to Check:

  • âś… No time selection field
  • âś… "Full Name" placeholder
  • âś… Form validation works
  • âś… Date picker excludes Sundays
  • âś… Success toast appears
  • âś… Form resets after submission
đź“‹ Expected Behavior
1

Form Submission

Data sent to HubSpot without time field

2

Success Message

"We'll contact you shortly to confirm"

3

Form Reset

All fields cleared for next user