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Contact formLive
on /contact/, 1,947 views and 41 messages in 30 days, all in Leads
FieldsFour fields. Short forms get more messages.
Form type
Contact formCallback request
Callback request asks for a time slot instead of a message.NameRequired
MobileRequired, Indian mobile format, used for the WhatsApp reply
What do you need?The 6 services from your price list, plus "Something else"
MessageOptional
Consent line, under the buttonWe use these details only to reply to you.
Thank-you textThanks. We reply on WhatsApp within 2 working hours (Mon to Sat 9:30 to 19:30).Hours come from your facts. Outside hours it says "We reply when we open at 9:30".
Where each message goes
Leads, with the page and the add-on it came from
WhatsApp alert to Meera Iyer, front desk
Email to Dr. Kavya Rao, kavya@sunrisesmiles.example
Spam
Hidden field that only bots fill in
Rate limit per mobile number and per connection
CAPTCHA, off until spam starts
Sunrise Smiles DentalTreatmentsAboutReviewsContact
Send us a messagePaud Road, Kothrud · +91 20 4000 1234 · Open now, until 19:30
NameYour name
Mobile10-digit mobile
What do you need?
Check-up and cleaningFillingRoot canalClear alignersTeeth whiteningChildren's check-upSomething else
Message (optional)Tell us what is going on
Send messageWe use these details only to reply to you.
The form prints in the page HTML, works without JavaScript and is labelled for screen readers.
Last 30 daysOpen Leads
41Messages, all in Leads
21.1Leads per 1,000 views
1,947Views of /contact/
Today so far: Faisal Qureshi at 10:21 and a callback request from Anita Desai at 08:47.