navigatingseniorliving.com Open in urlscan Pro
69.163.228.209  Public Scan

Form analysis
2 forms found in the DOM

GET https://navigatingseniorliving.com/

<form role="search" method="get" class="et-search-form" action="https://navigatingseniorliving.com/">
  <input type="search" class="et-search-field" placeholder="Search …" value="" name="s" title="Search for:">
</form>

POST https://navigatingseniorliving.com/

<form class="et_pb_contact_form clearfix" method="post" action="https://navigatingseniorliving.com/">
  <p class="et_pb_contact_field et_pb_contact_field_0 et_pb_contact_field_last" data-id="name" data-type="input">
    <label for="et_pb_contact_name_0" class="et_pb_contact_form_label">Name</label>
    <input type="text" id="et_pb_contact_name_0" class="input" value="" name="et_pb_contact_name_0" data-required_mark="required" data-field_type="input" data-original_id="name" placeholder="Name">
  </p>
  <p class="et_pb_contact_field et_pb_contact_field_1 et_pb_contact_field_half" data-id="email" data-type="email">
    <label for="et_pb_contact_email_0" class="et_pb_contact_form_label">Email Address</label>
    <input type="text" id="et_pb_contact_email_0" class="input" value="" name="et_pb_contact_email_0" data-required_mark="required" data-field_type="email" data-original_id="email" placeholder="Email Address">
  </p>
  <p class="et_pb_contact_field et_pb_contact_field_2 et_pb_contact_field_half et_pb_contact_field_last" data-id="phone" data-type="input">
    <label for="et_pb_contact_phone_0" class="et_pb_contact_form_label">Phone</label>
    <input type="text" id="et_pb_contact_phone_0" class="input" value="" name="et_pb_contact_phone_0" data-required_mark="required" data-field_type="input" data-original_id="phone" placeholder="Phone">
  </p>
  <p class="et_pb_contact_field et_pb_contact_field_3 et_pb_contact_field_last" data-id="city" data-type="input">
    <label for="et_pb_contact_city_0" class="et_pb_contact_form_label">City</label>
    <input type="text" id="et_pb_contact_city_0" class="input" value="" name="et_pb_contact_city_0" data-required_mark="required" data-field_type="input" data-original_id="city" placeholder="City">
  </p>
  <p class="et_pb_contact_field et_pb_contact_field_4 et_pb_contact_field_half" data-id="state" data-type="input">
    <label for="et_pb_contact_state_0" class="et_pb_contact_form_label">State</label>
    <input type="text" id="et_pb_contact_state_0" class="input" value="" name="et_pb_contact_state_0" data-required_mark="required" data-field_type="input" data-original_id="state" placeholder="State">
  </p>
  <p class="et_pb_contact_field et_pb_contact_field_5 et_pb_contact_field_half et_pb_contact_field_last" data-id="zip" data-type="input">
    <label for="et_pb_contact_zip_0" class="et_pb_contact_form_label">Zip</label>
    <input type="text" id="et_pb_contact_zip_0" class="input" value="" name="et_pb_contact_zip_0" data-required_mark="required" data-field_type="input" data-original_id="zip" placeholder="Zip">
  </p>
  <input type="hidden" value="et_contact_proccess" name="et_pb_contactform_submit_0">
  <div class="et_contact_bottom_container">
    <button type="submit" name="et_builder_submit_button" class="et_pb_contact_submit et_pb_button">Start the Search</button>
  </div>
  <input type="hidden" id="_wpnonce-et-pb-contact-form-submitted-0" name="_wpnonce-et-pb-contact-form-submitted-0" value="806a2dafd2"><input type="hidden" name="_wp_http_referer" value="/">
</form>

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Email Address

Phone

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Zip

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