{"id":105,"date":"2026-01-29T19:04:26","date_gmt":"2026-01-29T19:04:26","guid":{"rendered":"https:\/\/forms.raleway.uk\/?page_id=105"},"modified":"2026-01-29T19:04:27","modified_gmt":"2026-01-29T19:04:27","slug":"spiking-submission","status":"publish","type":"page","link":"https:\/\/forms.raleway.uk\/index.php\/spiking-submission\/","title":{"rendered":"spiking-submission"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_employee-satisfaction-survey-styling2\" id=\"frm_form_9_container\" data-token=\"0edd8d84d8b4daaebbdf55a7774ec772\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_spiking-can-get-fucked\" data-token=\"0edd8d84d8b4daaebbdf55a7774ec772\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">spiking-can-get-fucked<\/legend>\n\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"9\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_9\" id=\"frm_hide_fields_9\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"spiking-can-get-fucked\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_9\" name=\"frm_submit_entry_9\" value=\"27b8819b6a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/105\" \/><div id=\"frm_field_130_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n\t<div  id=\"field_wnm6i_label\" class=\"frm_primary_label\">Name\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/div>\n\t<fieldset aria-labelledby=\"field_wnm6i_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tName\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_130\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_130-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_wnm6i_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst Name\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_wnm6i_first\" value=\"\" name=\"item_meta[130][first]\" autocomplete=\"given-name\" data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_130_first_desc\">First Name<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_130-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_wnm6i_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast Name\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_wnm6i_last\" value=\"\" name=\"item_meta[130][last]\" autocomplete=\"family-name\" data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_130_last_desc\">Last Name<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\n\t\n\t\n<\/div>\n<div id=\"frm_field_136_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n\t<label for=\"field_2npmx\" id=\"field_2npmx_label\" class=\"frm_primary_label\">Email\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"email\" id=\"field_2npmx\" name=\"item_meta[136]\" value=\"\"  autocomplete=\"email\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_2npmx\"\/>\n\t<div class=\"frm_description\" id=\"frm_desc_field_2npmx\">We will never share this information, we only use it to send you a confirmation email we have your report.<\/div>\n\t\n<\/div>\n<div id=\"frm_field_131_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first vertical_radio\">\n\t<div  id=\"field_fjmd1_label\" class=\"frm_primary_label\">I wish to remain anonymous\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_fjmd1_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_131-0\">\t\t\t<label  for=\"field_fjmd1-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[131][]\" id=\"field_fjmd1-0\" value=\"Yes\"  data-reqmsg=\"I wish to remain anonymous cannot be blank.\" data-invmsg=\"I wish to remain anonymous is invalid\"   aria-required=\"true\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_131-1\">\t\t\t<label  for=\"field_fjmd1-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[131][]\" id=\"field_fjmd1-1\" value=\"No\"  data-reqmsg=\"I wish to remain anonymous cannot be blank.\" data-invmsg=\"I wish to remain anonymous is invalid\"   \/> No<\/label><\/div>\n<\/div>\n\t\n\t\n<\/div>\n<div id=\"frm_field_132_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\n\t<label for=\"field_utqaz\" id=\"field_utqaz_label\" class=\"frm_primary_label\">Where did you get spiked (Venue)\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input  type=\"text\" id=\"field_utqaz\" name=\"item_meta[132]\" value=\"\"  data-reqmsg=\"Where did you get spiked (Venue) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Where did you get spiked (Venue) is invalid\" aria-invalid=\"false\"   \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_140_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n\t<label for=\"field_iffb2\" id=\"field_iffb2_label\" class=\"frm_primary_label\">What is your Sex\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t\t\t<select name=\"item_meta[140]\" id=\"field_iffb2\"  data-reqmsg=\"What is your Sex cannot be blank.\" aria-required=\"true\" data-invmsg=\"What is your Sex is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Female\">Female<\/option><option  value=\"Male\">Male<\/option><option  value=\"Transgender\">Transgender<\/option><option  value=\"Other\">Other<\/option>\t<\/select>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_133_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n\t<label for=\"field_10wrk\" id=\"field_10wrk_label\" class=\"frm_primary_label\">Write you Symptoms \/ Experiance\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<textarea name=\"item_meta[133]\" id=\"field_10wrk\" rows=\"5\"  data-reqmsg=\"Write you Symptoms \/ Experiance cannot be blank.\" aria-required=\"true\" data-invmsg=\"Write you Symptoms \/ Experiance is invalid\" aria-invalid=\"false\"  ><\/textarea>\n\t\n\t\n<\/div>\n<div id=\"frm_field_135_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n\t<label for=\"field_tiu32\" id=\"field_tiu32_label\" class=\"frm_primary_label\">When did it happen\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_tiu32\" name=\"item_meta[135]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"When did it happen cannot be blank.\" aria-required=\"true\" data-invmsg=\"When did it happen is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_134_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\n\t<div  id=\"field_kspoz_label\" class=\"frm_primary_label\">Did you report to the police\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_kspoz_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_134-0\">\t\t\t<label  for=\"field_kspoz-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[134][]\" id=\"field_kspoz-0\" value=\"Yes\"  data-reqmsg=\"Did you report to the police cannot be blank.\" data-invmsg=\"Did you report to the police is invalid\"   aria-required=\"true\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_134-1\">\t\t\t<label  for=\"field_kspoz-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[134][]\" id=\"field_kspoz-1\" value=\"No\"  data-reqmsg=\"Did you report to the police cannot be blank.\" data-invmsg=\"Did you report to the police is invalid\"   \/> No<\/label><\/div>\n<\/div>\n\t\n\t\n<\/div>\n<div id=\"frm_field_138_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3 style=\"text-align: center;\">We advise that you report this incident to the police on 101 or via the crime stoppers website<\/h3>\n<\/div>\n<div id=\"frm_field_139_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\n\t<div  id=\"field_hznoc_label\" class=\"frm_primary_label\">The information submitted will only be used to collect statistics on venues and symptoms, information may be shared or published on our website. We will never share your personal information, including but not limited your name, email or attended venue. We may use information obtained via this form, to publish a summary of venues. We do not share this information with the police or any other agency, reports should be made directly to the police for all spiking incidents. \n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_hznoc_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_139-0\">\t\t\t<label  for=\"field_hznoc-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[139][]\" id=\"field_hznoc-0\" value=\"I Agree\"  data-frmval=\"[&quot;Option 1&quot;]\" data-reqmsg=\"The information submitted will only be used to collect statistics on venues and symptoms, information may be shared or published on our website. We will never share your personal information, including but not limited your name, email or attended venue. We may use information obtained via this form, to publish a summary of venues. We do not share this information with the police or any other agency, reports should be made directly to the police for all spiking incidents.  cannot be blank.\" data-invmsg=\"The information submitted will only be used to collect statistics on venues and symptoms, information may be shared or published on our website. We will never share your personal information, including but not limited your name, email or attended venue. We may use information obtained via this form, to publish a summary of venues. We do not share this information with the police or any other agency, reports should be made directly to the police for all spiking incidents.  is invalid\"   aria-required=\"true\"  \/> I Agree<\/label><\/div>\n<\/div>\n\t\n\t\n<\/div>\n<div id=\"frm_field_129_container\" class=\"frm_form_field form-field \">\n\t<div class=\"frm_submit frm_flex\">\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Submit<\/button>\n\n\n\n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t<input name=\"frm_state\" type=\"hidden\" value=\"dXKTLr3kYliiJRUhgNH4V4HiUE+autXZFzBVtJHcq68=\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-105","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/forms.raleway.uk\/index.php\/wp-json\/wp\/v2\/pages\/105","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forms.raleway.uk\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/forms.raleway.uk\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/forms.raleway.uk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/forms.raleway.uk\/index.php\/wp-json\/wp\/v2\/comments?post=105"}],"version-history":[{"count":1,"href":"https:\/\/forms.raleway.uk\/index.php\/wp-json\/wp\/v2\/pages\/105\/revisions"}],"predecessor-version":[{"id":106,"href":"https:\/\/forms.raleway.uk\/index.php\/wp-json\/wp\/v2\/pages\/105\/revisions\/106"}],"wp:attachment":[{"href":"https:\/\/forms.raleway.uk\/index.php\/wp-json\/wp\/v2\/media?parent=105"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}