serviceagreements.com.au
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192.185.16.186
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URL:
https://serviceagreements.com.au/
Submission: On April 24 via api from US — Scanned from AU
Submission: On April 24 via api from US — Scanned from AU
Form analysis 1 forms found in the DOM
<form id="ndis-form">
<label for="name">Name:</label>
<input type="text" id="name" name="name">
<label for="ndis-no">NDIS No:</label>
<input type="text" id="ndis-no" name="ndis-no">
<label for="start-date">Start Date:</label>
<input type="date" id="start-date" name="start-date">
<label for="end-date">End Date:</label>
<input type="date" id="end-date" name="end-date">
<label for="establishment-fee">Establishment Fee:</label>
<select id="establishment-fee" name="establishment-fee">
<option value="yes">Yes</option>
<option value="no">No</option>
</select>
<label for="pricing">Pricing:</label>
<select id="pricing" name="pricing">
<option value="ttp">TTP</option>
<option value="regular">Regular</option>
</select>
<label for="intensity">Intensity:</label>
<select id="intensity" name="intensity">
<option value="standard">Standard</option>
<option value="higher">Higher</option>
</select>
<label for="state">State:</label>
<select id="state" name="state">
<option value="nsw">NSW</option>
<option value="qld">QLD</option>
<option value="vic">VIC</option>
<option value="sa">SA</option>
<option value="wa">WA</option>
<option value="tasmania">Tasmania</option>
</select>
<label for="budget">Budget:</label>
<select id="budget" name="budget">
<option value="sil">SIL</option>
<option value="cp">CP</option>
<option value="group">Group</option>
<option value="sta">STA</option>
<option value="mta">MTA</option>
</select>
<!-- Travel Per Day -->
<div>
<label for="travel-per-day">Travel Per Day:</label>
<input type="number" id="travel-per-day" name="travel-per-day" placeholder="Travel Per Day" min="0" step="0.1">
</div>
<!-- Total Days -->
<div>
<label for="total-days">Total Days:</label>
<input type="number" id="total-days" name="total-days" placeholder="Total Days" min="0">
</div>
<!-- Service Hours and Ratios -->
<h3>Service Hours and Ratios:</h3>
<!-- Create a table for service hours and ratios -->
<table>
<!-- Table header -->
<thead>
<tr>
<th>Day</th>
<th>Day Hours</th>
<th>Evening Hours</th>
<th>Ratio</th>
</tr>
</thead>
<!-- Table body -->
<tbody>
<!-- Day: Mon -->
<tr>
<td>Mon</td>
<td><input type="number" id="day-hours-mon" name="day-hours-mon" placeholder="Day Hours" min="0" step="0.5"></td>
<td><input type="number" id="evening-hours-mon" name="evening-hours-mon" placeholder="Evening Hours" min="0" step="0.5"></td>
<td>
<select id="ratio-mon" name="ratio-mon">
<option value="1:1">1:1</option>
<option value="1:2">1:2</option>
<option value="1:3">1:3</option>
<option value="1:4">1:4</option>
</select>
</td>
</tr>
<!-- Day: Tue -->
<tr>
<td>Tue</td>
<td><input type="number" id="day-hours-tue" name="day-hours-tue" placeholder="Day Hours" min="0" step="0.5"></td>
<td><input type="number" id="evening-hours-tue" name="evening-hours-tue" placeholder="Evening Hours" min="0" step="0.5"></td>
<td>
<select id="ratio-tue" name="ratio-tue">
<option value="1:1">1:1</option>
<option value="1:2">1:2</option>
<option value="1:3">1:3</option>
<option value="1:4">1:4</option>
</select>
</td>
</tr>
<!-- Repeat the structure for other days (Wed, Thu, Fri, Sat, Sun) -->
<tr>
<td>Wed</td>
<td><input type="number" id="day-hours-wed" name="day-hours-wed" placeholder="Day Hours" min="0" step="0.5"></td>
<td><input type="number" id="evening-hours-wed" name="evening-hours-wed" placeholder="Evening Hours" min="0" step="0.5"></td>
<td>
<select id="ratio-wed" name="ratio-wed">
<option value="1:1">1:1</option>
<option value="1:2">1:2</option>
<option value="1:3">1:3</option>
<option value="1:4">1:4</option>
</select>
</td>
</tr>
<tr>
<td>Thu</td>
<td><input type="number" id="day-hours-thu" name="day-hours-thu" placeholder="Day Hours" min="0" step="0.5"></td>
<td><input type="number" id="evening-hours-thu" name="evening-hours-thu" placeholder="Evening Hours" min="0" step="0.5"></td>
<td>
<select id="ratio-thu" name="ratio-thu">
<option value="1:1">1:1</option>
<option value="1:2">1:2</option>
<option value="1:3">1:3</option>
<option value="1:4">1:4</option>
</select>
</td>
</tr>
<tr>
<td>Fri</td>
<td><input type="number" id="day-hours-fri" name="day-hours-fri" placeholder="Day Hours" min="0" step="0.5"></td>
<td><input type="number" id="evening-hours-fri" name="evening-hours-fri" placeholder="Evening Hours" min="0" step="0.5"></td>
<td>
<select id="ratio-fri" name="ratio-fri">
<option value="1:1">1:1</option>
<option value="1:2">1:2</option>
<option value="1:3">1:3</option>
<option value="1:4">1:4</option>
</select>
</td>
</tr>
<tr>
<td>Sat</td>
<td><input type="number" id="day-hours-sat" name="day-hours-sat" placeholder="Day Hours" min="0" step="0.5"></td>
<td><input type="number" id="evening-hours-sat" name="evening-hours-sat" placeholder="Evening Hours" min="0" step="0.5"></td>
<td>
<select id="ratio-sat" name="ratio-sat">
<option value="1:1">1:1</option>
<option value="1:2">1:2</option>
<option value="1:3">1:3</option>
<option value="1:4">1:4</option>
</select>
</td>
</tr>
<tr>
<td>Sun</td>
<td><input type="number" id="day-hours-sun" name="day-hours-sun" placeholder="Day Hours" min="0" step="0.5"></td>
<td><input type="number" id="evening-hours-sun" name="evening-hours-sun" placeholder="Evening Hours" min="0" step="0.5"></td>
<td>
<select id="ratio-sun" name="ratio-sun">
<option value="1:1">1:1</option>
<option value="1:2">1:2</option>
<option value="1:3">1:3</option>
<option value="1:4">1:4</option>
</select>
</td>
</tr>
</tbody>
</table>
<button type="submit">Calculate</button>
</form>Text Content
Skip to content * Home * About * Services * Contact Main Menu * Home * About * Services * Contact SERVICE AGREEMENTS QUOTE FASTER, SERVE BETTER Explore Now ABOUT US I made it so it is super easy to update and so that it flows perfectly with my tutorials. Lots of love and hundreds of hours went into making it. I hope you love it as much as I do. I wish you the best of luck with your business, enjoy the adventure. TALK TO US Have any questions? We are always open to talk about your business, new projects, creative opportunities and how we can help you. Get In Touch F.A.Q. SUPPORTING SUBHEADING Occaecati simili terafvd que? Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. Massa quosoluta yrvagsv aja? Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. Nam error corrupssa, suspendisse pv ehicula eleifend? Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. Doloremque placeat iaculis, minim adipisicing? Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. Voluptates omnis quasi do esse qui? Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. Name: NDIS No: Start Date: End Date: Establishment Fee: Yes No Pricing: TTP Regular Intensity: Standard Higher State: NSW QLD VIC SA WA Tasmania Budget: SIL CP Group STA MTA Travel Per Day: Total Days: SERVICE HOURS AND RATIOS: Day Day Hours Evening Hours Ratio Mon 1:1 1:2 1:3 1:4 Tue 1:1 1:2 1:3 1:4 Wed 1:1 1:2 1:3 1:4 Thu 1:1 1:2 1:3 1:4 Fri 1:1 1:2 1:3 1:4 Sat 1:1 1:2 1:3 1:4 Sun 1:1 1:2 1:3 1:4 Calculate * Home * About * Services * Contact ©2024 Service Agreements. All right reserved.