{"id":950,"date":"2024-10-27T09:56:24","date_gmt":"2024-10-27T09:56:24","guid":{"rendered":"http:\/\/courpack.de\/?page_id=950"},"modified":"2024-10-29T09:48:59","modified_gmt":"2024-10-29T09:48:59","slug":"umfrage","status":"publish","type":"page","link":"https:\/\/vitalhane.de\/en\/umfrage\/","title":{"rendered":"Survey"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"950\" class=\"elementor elementor-950\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2c42e2a elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"2c42e2a\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f9efd03\" data-id=\"f9efd03\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9073588 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"9073588\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Survey<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-cc81114\" data-id=\"cc81114\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0bca4aa elementor-invisible elementor-widget elementor-widget-image\" data-id=\"0bca4aa\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInRight&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"600\" height=\"400\" src=\"https:\/\/vitalhane.de\/wp-content\/uploads\/2024\/10\/Removal-985.png\" class=\"attachment-large size-large wp-image-952\" alt=\"\" srcset=\"https:\/\/vitalhane.de\/wp-content\/uploads\/2024\/10\/Removal-985.png 600w, https:\/\/vitalhane.de\/wp-content\/uploads\/2024\/10\/Removal-985-300x200.png 300w, https:\/\/vitalhane.de\/wp-content\/uploads\/2024\/10\/Removal-985-18x12.png 18w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-fb066ac e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"fb066ac\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a98f8a4 fluentform-widget-submit-button-custom elementor-widget elementor-widget-fluent-form-widget\" data-id=\"a98f8a4\" data-element_type=\"widget\" data-widget_type=\"fluent-form-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n            <div class=\"fluentform-widget-wrapper fluentform-widget-align-default\">\n\n            \n            <div class='fluentform ff-default fluentform_wrapper_3 ffs_default_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" action=\"\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Survey for checkout<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='950' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"2452d1273f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/950\" \/><div data-name=\"welcome_screen-3_1\" class=\"ff-el-group ff-el-section-break  ff_center\" ><h3 class='ff-el-section-title'>By completing our questionnaire, you enable us to offer you the best service.<\/h3><div class='ff-section_break_desk'><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_2\" ><h3 class='ff-el-section-title'>General information<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text' aria-label=\"First name\">First name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"eg: John\" data-name=\"input_text\" id=\"ff_3_input_text\"  aria-invalid=\"false\" aria-required=\"true\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_11' aria-label=\"Surname\">Surname<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_11\" class=\"ff-el-form-control\" placeholder=\"eg: Doe\" data-name=\"input_text_11\" id=\"ff_3_input_text_11\"  aria-invalid=\"false\" aria-required=\"true\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_14' aria-label=\"Which diet have you chosen?\">Which diet have you chosen?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_14\" class=\"ff-el-form-control\" placeholder=\"eg: Keto diet\" data-name=\"input_text_14\" id=\"ff_3_input_text_14\"  aria-invalid=\"false\" aria-required=\"true\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_13' aria-label=\"Which package have you booked?\">Which package have you booked?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_13\" class=\"ff-el-form-control\" placeholder=\"eg: Standard\" data-name=\"input_text_13\" id=\"ff_3_input_text_13\"  aria-invalid=\"false\" aria-required=\"true\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_email' aria-label=\"e-mail\">e-mail<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_3_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=\"true\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_12' aria-label=\"Date of birth\">Date of birth<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_12\" class=\"ff-el-form-control\" placeholder=\"dd.mm.yy\" data-name=\"input_text_12\" id=\"ff_3_input_text_12\"  aria-invalid=\"false\" aria-required=\"true\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Gender\">Gender<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_23569add07f30f5edf46962ee90cc273\"><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"M\u00e4nnlich\"  id='input_radio_23569add07f30f5edf46962ee90cc273' aria-label='Male' aria-invalid='false' aria-required=\"true\"> <span>Male<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_27a4283915e3d45c9758d28518ccf368\"><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Weiblich\"  id='input_radio_27a4283915e3d45c9758d28518ccf368' aria-label='Female' aria-invalid='false' aria-required=\"true\"> <span>Female<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_c6b7b443885990e9f850445bdb0c1774\"><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Sonstiges (keine Angabe)\"  id='input_radio_c6b7b443885990e9f850445bdb0c1774' aria-label='Other (not specified)' aria-invalid='false' aria-required=\"true\"> <span>Other (not specified)<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_3\" ><h3 class='ff-el-section-title'>Physical data<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_numeric_field' aria-label=\"Body weight (kg)\">Body weight (kg)<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field\" id=\"ff_3_numeric_field\" class=\"ff-el-form-control\" placeholder=\"kg\" data-name=\"numeric_field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=\"true\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_numeric_field_1' aria-label=\"Size (cm)\">Size (cm)<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_1\" id=\"ff_3_numeric_field_1\" class=\"ff-el-form-control\" placeholder=\"cm\" data-name=\"numeric_field_1\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=\"true\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_numeric_field_5' aria-label=\"Lowest weight in the last 2 years\">Lowest weight in the last 2 years<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_5\" id=\"ff_3_numeric_field_5\" class=\"ff-el-form-control\" placeholder=\"kg\" data-name=\"numeric_field_5\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_numeric_field_6' aria-label=\"Highest weight in the last 2 years\">Highest weight in the last 2 years<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_6\" id=\"ff_3_numeric_field_6\" class=\"ff-el-form-control\" placeholder=\"kg\" data-name=\"numeric_field_6\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Has your appetite changed recently?\">Has your appetite changed recently?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_1_5b2c3108e3472ca010aef3699e2ecb91\"><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Gestiegen\"  id='input_radio_1_5b2c3108e3472ca010aef3699e2ecb91' aria-label='Increased' aria-invalid='false' aria-required=\"false\"> <span>Increased<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_1_d819c2ce60131677b9c52c2e343bdba2\"><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Gesunken\"  id='input_radio_1_d819c2ce60131677b9c52c2e343bdba2' aria-label='Sunk' aria-invalid='false' aria-required=\"false\"> <span>Sunk<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_1_73a675c056509165f7bfde32fb5fbef6\"><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Unver\u00e4ndert\"  id='input_radio_1_73a675c056509165f7bfde32fb5fbef6' aria-label='Unchanged' aria-invalid='false' aria-required=\"false\"> <span>Unchanged<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_numeric_field_7' aria-label=\"How much weight have you gained in the last 3 months?\">How much weight have you gained in the last 3 months?<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_7\" id=\"ff_3_numeric_field_7\" class=\"ff-el-form-control\" data-name=\"numeric_field_7\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_numeric_field_8' aria-label=\"How many kilos have you lost in the last 3 months?\">How many kilos have you lost in the last 3 months?<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_8\" id=\"ff_3_numeric_field_8\" class=\"ff-el-form-control\" data-name=\"numeric_field_8\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_4\" ><h3 class='ff-el-section-title'>Health information<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_1' aria-label=\"Do you have a medically diagnosed health disorder?\">Do you have a medically diagnosed health disorder?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" placeholder=\"what, if anything\" data-name=\"input_text_1\" id=\"ff_3_input_text_1\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_2' aria-label=\"Do you have allergies\/intolerances to certain foods?\">Do you have allergies\/intolerances to certain foods?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" placeholder=\"what, if anything\" data-name=\"input_text_2\" id=\"ff_3_input_text_2\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_3' aria-label=\"Are there any foods that cause you discomfort?\">Are there any foods that cause you discomfort?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" placeholder=\"what, if anything\" data-name=\"input_text_3\" id=\"ff_3_input_text_3\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_4' aria-label=\"Do you have digestive problems?\">Do you have digestive problems?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_4\" class=\"ff-el-form-control\" placeholder=\"what, if anything\" data-name=\"input_text_4\" id=\"ff_3_input_text_4\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_5' aria-label=\"Are you taking medication prescribed by a doctor?** Name of medication\">Are you taking medication prescribed by a doctor?** Name of medication<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_5\" class=\"ff-el-form-control\" placeholder=\"what, if anything\" data-name=\"input_text_5\" id=\"ff_3_input_text_5\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_6' aria-label=\"Do you take dietary supplements?\">Do you take dietary supplements?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_6\" class=\"ff-el-form-control\" placeholder=\"what, if anything\" data-name=\"input_text_6\" id=\"ff_3_input_text_6\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_5\" ><h3 class='ff-el-section-title'>Lifestyle habits<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_7' aria-label=\"Do you smoke?\">Do you smoke?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_7\" class=\"ff-el-form-control\" placeholder=\"if you smoke, how often\" data-name=\"input_text_7\" id=\"ff_3_input_text_7\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Do you consume alcoholic beverages?\">Do you consume alcoholic beverages?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_10_365af0460aa04ae2ea26dc2abc86e26c\"><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ja\"  id='input_radio_10_365af0460aa04ae2ea26dc2abc86e26c' aria-label='Yes' aria-invalid='false' aria-required=\"false\"> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_10_58ce6725da70aea040b6bfa6c7ee0395\"><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nein\"  id='input_radio_10_58ce6725da70aea040b6bfa6c7ee0395' aria-label='No' aria-invalid='false' aria-required=\"false\"> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_8' aria-label=\"Do you exercise regularly?\">Do you exercise regularly?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_8\" class=\"ff-el-form-control\" placeholder=\"Type of activity\" data-name=\"input_text_8\" id=\"ff_3_input_text_8\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_6\" ><h3 class='ff-el-section-title'>Eating habits<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Do you skip meals?\">Do you skip meals?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_fcdc237a52d6a1b6059cbe638a5dad65\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ja\"  id='input_radio_2_fcdc237a52d6a1b6059cbe638a5dad65' aria-label='Yes' aria-invalid='false' aria-required=\"false\"> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_717e1bbcc94f1be9e471b5eb2361be16\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nein\"  id='input_radio_2_717e1bbcc94f1be9e471b5eb2361be16' aria-label='No' aria-invalid='false' aria-required=\"false\"> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"If your answer is &quot;Yes&quot; or &quot;Sometimes&quot;, which meal do you usually skip?\">If your answer is \"Yes\" or \"Sometimes\", which meal do you usually skip?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_3_435a83550534a0ad2e46185a43ffb538\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Fr\u00fchst\u00fcck\"  id='input_radio_3_435a83550534a0ad2e46185a43ffb538' aria-label='Breakfast' aria-invalid='false' aria-required=\"false\"> <span>Breakfast<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_3_a0e88a9d9e4459dbc5b05327fceaf812\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Mittagessen\"  id='input_radio_3_a0e88a9d9e4459dbc5b05327fceaf812' aria-label='Lunch' aria-invalid='false' aria-required=\"false\"> <span>Lunch<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_3_bbf32c938103df0e16bcb4875dd88526\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Abendessen\"  id='input_radio_3_bbf32c938103df0e16bcb4875dd88526' aria-label='Dinner' aria-invalid='false' aria-required=\"false\"> <span>Dinner<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_3_18e9bb3c80ebd91e9eca3353d441e51f\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Zwischenmahlzeit\"  id='input_radio_3_18e9bb3c80ebd91e9eca3353d441e51f' aria-label='Snack' aria-invalid='false' aria-required=\"false\"> <span>Snack<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_numeric_field_2' aria-label=\"How many glasses or liters of water do you drink every day?\">How many glasses or liters of water do you drink every day?<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_2\" id=\"ff_3_numeric_field_2\" class=\"ff-el-form-control\" placeholder=\"(1 glass = 200 ml)  \" data-name=\"numeric_field_2\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_mask_3' aria-label=\"Daily coffee consumption\">Daily coffee consumption<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_mask_3\" data-mask=\"00 Tassen\" class=\"ff-el-form-control\" placeholder=\".... Cups\" data-name=\"input_mask_3\" id=\"ff_3_input_mask_3\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_mask_4' aria-label=\"Daily tea consumption\">Daily tea consumption<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_mask_4\" data-mask=\"00 Tassen\" class=\"ff-el-form-control\" placeholder=\".... Cups\" data-name=\"input_mask_4\" id=\"ff_3_input_mask_4\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_mask_5' aria-label=\"Consumption of carbonated drinks\">Consumption of carbonated drinks<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_mask_5\" data-mask=\"00 Tassen\" class=\"ff-el-form-control\" placeholder=\".... Cups\" data-name=\"input_mask_5\" id=\"ff_3_input_mask_5\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Sugar in daily drinks\">Sugar in daily drinks<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_4_ec5f80b4fc2928cd954d504fa00dc749\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Null\"  id='input_radio_4_ec5f80b4fc2928cd954d504fa00dc749' aria-label='Zero' aria-invalid='false' aria-required=\"false\"> <span>Zero<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_4_e26593cc497b6f4f90470bf1b2e8fcc4\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Wenig\"  id='input_radio_4_e26593cc497b6f4f90470bf1b2e8fcc4' aria-label='Little' aria-invalid='false' aria-required=\"false\"> <span>Little<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_4_765fdf7575d1463cb5ac973a0c7d1cd1\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Mittel\"  id='input_radio_4_765fdf7575d1463cb5ac973a0c7d1cd1' aria-label='Medium' aria-invalid='false' aria-required=\"false\"> <span>Medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_4_7451e5fd239c90d3dc67a35c8083f973\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Viel\"  id='input_radio_4_7451e5fd239c90d3dc67a35c8083f973' aria-label='Much' aria-invalid='false' aria-required=\"false\"> <span>Much<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Sweetener consumption\">Sweetener consumption<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_5_7cf0661d058b7a6e4f7a9c116da99a42\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Null\"  id='input_radio_5_7cf0661d058b7a6e4f7a9c116da99a42' aria-label='Zero' aria-invalid='false' aria-required=\"false\"> <span>Zero<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_5_93f435faa9055f9a70234b1c52769fb8\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Wenig\"  id='input_radio_5_93f435faa9055f9a70234b1c52769fb8' aria-label='Little' aria-invalid='false' aria-required=\"false\"> <span>Little<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_5_eefaa5edba6b93246002cbe8ced7ed6c\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Mittel\"  id='input_radio_5_eefaa5edba6b93246002cbe8ced7ed6c' aria-label='Medium' aria-invalid='false' aria-required=\"false\"> <span>Medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_5_e21481d7a98823af39fac67cafe5c232\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Viel\"  id='input_radio_5_e21481d7a98823af39fac67cafe5c232' aria-label='Much' aria-invalid='false' aria-required=\"false\"> <span>Much<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_7\" ><h3 class='ff-el-section-title'>Diet and nutrition programs<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_9' aria-label=\"Have you ever followed a diet\/nutrition program?\">Have you ever followed a diet\/nutrition program?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_9\" class=\"ff-el-form-control\" placeholder=\"name\/duration\" data-name=\"input_text_9\" id=\"ff_3_input_text_9\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_10' aria-label=\"From which expert have you received help with a diet\/nutrition program so far?\">From which expert have you received help with a diet\/nutrition program so far?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_10\" class=\"ff-el-form-control\" placeholder=\"Dietician - Nutritionist\/Physician\/Other (Title: .............) \" data-name=\"input_text_10\" id=\"ff_3_input_text_10\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_8\" ><h3 class='ff-el-section-title'>Goals<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_numeric_field_3' aria-label=\"Target weight\">Target weight<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_3\" id=\"ff_3_numeric_field_3\" class=\"ff-el-form-control\" placeholder=\"kg\" data-name=\"numeric_field_3\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Do you consciously eat less than you would like?\">Do you consciously eat less than you would like?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_6_b6beaaebfb54b30ea2e1528ed8b8a607\"><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ja\"  id='input_radio_6_b6beaaebfb54b30ea2e1528ed8b8a607' aria-label='Yes' aria-invalid='false' aria-required=\"false\"> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_6_256817f6aac642a4a07a1d3cb34d67b8\"><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nein\"  id='input_radio_6_256817f6aac642a4a07a1d3cb34d67b8' aria-label='No' aria-invalid='false' aria-required=\"false\"> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Do you have binge eating episodes where you are not hungry (eat a lot in one episode)?\">Do you have binge eating episodes where you are not hungry (eat a lot in one episode)?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_7_085280c76fbb3652997cd2036bd55383\"><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ja\"  id='input_radio_7_085280c76fbb3652997cd2036bd55383' aria-label='Yes' aria-invalid='false' aria-required=\"false\"> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_7_d43e69ca3db79af9ad2cf69fb41e572b\"><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nein\"  id='input_radio_7_d43e69ca3db79af9ad2cf69fb41e572b' aria-label='No' aria-invalid='false' aria-required=\"false\"> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Do you have a habit of eating before going to bed?\">Do you have a habit of eating before going to bed?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_8_2cddef1aa45b22976deb791d61be1f84\"><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ja\"  id='input_radio_8_2cddef1aa45b22976deb791d61be1f84' aria-label='Yes' aria-invalid='false' aria-required=\"false\"> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_8_328937bf7f47c37e778a964966aca26c\"><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nein\"  id='input_radio_8_328937bf7f47c37e778a964966aca26c' aria-label='No' aria-invalid='false' aria-required=\"false\"> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Do you have a habit of waking up and eating at night?\">Do you have a habit of waking up and eating at night?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_9_e50fd9b3989a12a7537a27e8bdf691f4\"><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ja\"  id='input_radio_9_e50fd9b3989a12a7537a27e8bdf691f4' aria-label='Yes' aria-invalid='false' aria-required=\"false\"> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_9_35e51efb266b66c6caab53008c9666f4\"><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nein\"  id='input_radio_9_35e51efb266b66c6caab53008c9666f4' aria-label='No' aria-invalid='false' aria-required=\"false\"> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_numeric_field_4' aria-label=\"How many hours do you sleep?\">How many hours do you sleep?<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_4\" id=\"ff_3_numeric_field_4\" class=\"ff-el-form-control\" data-name=\"numeric_field_4\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_mask_6' aria-label=\"When do you go to bed?\">When do you go to bed?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_mask_6\" data-mask=\"00.00\" class=\"ff-el-form-control\" data-name=\"input_mask_6\" id=\"ff_3_input_mask_6\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_mask_7' aria-label=\"When do you get up?\">When do you get up?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_mask_7\" data-mask=\"00.00\" class=\"ff-el-form-control\" data-name=\"input_mask_7\" id=\"ff_3_input_mask_7\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Sending<\/button><\/div><\/fieldset><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><div id='fluentform_3_errors' class='ff-errors-in-stack ff_form_instance_3_1 ff-form-loading_errors ff_form_instance_3_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_3_1 = {\"id\":\"3\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\",\"asteriskPlacement\":\"asterisk-right\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_3_1\",\"form_id_selector\":\"fluentform_3\",\"rules\":{\"input_text\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":true,\"global_message\":\"This field is 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Allgemeine Informationen VornameNachnameE-MailGeburtsdatumGeschlecht M\u00e4nnlich Weiblich Sonstiges (keine Angabe) K\u00f6rperliche Angaben K\u00f6rpergewicht (kg)Gr\u00f6\u00dfe (cm)Niedrigstes Gewicht der letzten 2 JahreH\u00f6chstes Gewicht in den letzten 2 JahrenHat sich Ihr Appetit in letzter Zeit ver\u00e4ndert? Gestiegen Gesunken Unver\u00e4ndertWie viel haben Sie in den letzten 3 Monaten zugenommen?Wie viele Kilos haben Sie in den letzten 3 Monaten abgenommen? Gesundheitliche Angaben Haben Sie eine \u00e4rztlich diagnostizierte gesundheitliche St\u00f6rung?Haben Sie Allergien\/Intoleranzen gegen bestimmte Lebensmittel?Gibt es Lebensmittel, die Ihnen Beschwerden bereiten?Haben Sie Verdauungsprobleme?Nehmen Sie \u00e4rztlich verschriebene Medikamente ein?** MedikamentennameNehmen Sie Nahrungserg\u00e4nzungsmittel ein? Lebensgewohnheiten Rauchen Sie?Konsumieren Sie alkoholische Getr\u00e4nke? Ja NeinWelche Getr\u00e4nke trinken Sie? Spirituosen Whisky Gin Wodka Rum Tequila Wein BierWie oft trinken Sie? T\u00e4glich (Jeden Tag) Mehrmals pro Woche Einmal pro Woche Selten (Einmal im Monat oder seltener) Nie (Ich trinke keinen Alkohol)Treiben Sie regelm\u00e4\u00dfig Sport? Ern\u00e4hrungsgewohnheiten Lassen Sie Mahlzeiten aus? Ja NeinWenn Ihre Antwort \u201eJa\u201c oder \u201eManchmal\u201c ist, welche Mahlzeit lassen Sie meistens aus? Fr\u00fchst\u00fcck Mittagessen Abendessen ZwischenmahlzeitWie viele Gl\u00e4ser oder Liter Wasser trinken Sie t\u00e4glich?T\u00e4glicher KaffeekonsumT\u00e4glicher TeekonsumKonsum von kohlens\u00e4urehaltigen Getr\u00e4nkenZucker in t\u00e4glichen Getr\u00e4nken Null Wenig Mittel VielS\u00fc\u00dfstoffkonsum Null Wenig Mittel Viel Di\u00e4t und Ern\u00e4hrungsprogramme Haben Sie jemals eine Di\u00e4t\/ein Ern\u00e4hrungsprogramm durchgef\u00fchrt?Von welchem Experten haben Sie bisher Hilfe bei einer Di\u00e4t\/einem Ern\u00e4hrungsprogramm erhalten? Ziele ZielgewichtEssen Sie bewusst weniger als Sie m\u00f6chten? Ja NeinHaben Sie Essattacken, bei denen Sie nicht hungrig sind (in einem Schub sehr viel essen)? Ja NeinHaben Sie die Gewohnheit, vor dem Schlafengehen zu essen? Ja NeinHaben Sie die Gewohnheit, nachts aufzuwachen und zu essen? Ja NeinWie viele Stunden schlafen Sie?Wann gehen Sie ins Bett und wann stehen Sie auf?Absenden<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"footnotes":""},"class_list":["post-950","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/vitalhane.de\/en\/wp-json\/wp\/v2\/pages\/950","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vitalhane.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vitalhane.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vitalhane.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vitalhane.de\/en\/wp-json\/wp\/v2\/comments?post=950"}],"version-history":[{"count":0,"href":"https:\/\/vitalhane.de\/en\/wp-json\/wp\/v2\/pages\/950\/revisions"}],"wp:attachment":[{"href":"https:\/\/vitalhane.de\/en\/wp-json\/wp\/v2\/media?parent=950"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}