{"id":5734,"date":"2024-08-22T09:05:38","date_gmt":"2024-08-22T07:05:38","guid":{"rendered":"https:\/\/www.kreisklinik-gg.de\/?page_id=5734"},"modified":"2024-09-11T09:08:55","modified_gmt":"2024-09-11T07:08:55","slug":"lob-beschwerde-formular","status":"publish","type":"page","link":"https:\/\/www.kreisklinik-gg.de\/en\/patienten-besucher\/lob-beschwerde-formular\/","title":{"rendered":"Lob &amp; Complaints form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><div data-vc-full-width=\"true\" data-vc-full-width-temp=\"true\" data-vc-full-width-init=\"false\" data-vc-stretch-content=\"true\" class=\"vc_row wpb_row vc_row-fluid vc_row-no-padding vc_row-o-equal-height vc_row-flex\"><div class=\"wpb_column vc_column_container vc_col-sm-6 vc_hidden-sm vc_hidden-xs\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><\/div><\/div><\/div><div class=\"wpb_column vc_column_container vc_col-sm-6 vc_hidden-sm vc_hidden-xs\"><div class=\"vc_column-inner vc_custom_1650535550235\"><div class=\"wpb_wrapper\"><div id=\"ultimate-heading-84536ae0448f96bb0\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-84536ae0448f96bb0 uvc-923  uvc-heading-default-font-sizes\" data-hspacer=\"no_spacer\"  data-halign=\"left\" style=\"text-align:left\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-main-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-84536ae0448f96bb0 h1'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}' ><h1 style=\"--font-weight:theme;color:#ffffff;margin-top:120px;margin-bottom:0px;\">Lob &amp; Complaints - Form<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"wpb_column vc_column_container vc_col-sm-12 vc_hidden-lg vc_hidden-md vc_hidden-xl\"><div class=\"vc_column-inner vc_custom_1650535577017\"><div class=\"wpb_wrapper\"><div id=\"ultimate-heading-5556ae0448f96e8e\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-5556ae0448f96e8e uvc-6338  uvc-heading-default-font-sizes\" data-hspacer=\"no_spacer\"  data-halign=\"center\" style=\"text-align:center\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-sub-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-5556ae0448f96e8e .uvc-sub-heading '  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  style=\"font-weight:normal;\"><\/p>\n<h2><span style=\"color: #ffffff;\">Patient<br \/>\nfeedback sheet<\/span><\/h2>\n<p><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row-full-width vc_clearfix\"><\/div><!-- Row Backgrounds --><div class=\"upb_bg_img\" data-ultimate-bg=\"url(https:\/\/www.kreisklinik-gg.de\/wp-content\/uploads\/2022\/04\/patienten-aerzte-banner.png)\" data-image-id=\"id^3418|url^https:\/\/www.kreisklinik-gg.de\/wp-content\/uploads\/2022\/04\/patienten-aerzte-banner.png|caption^null|alt^null|title^patienten-aerzte-banner|description^null\" data-ultimate-bg-style=\"vcpb-default\" data-bg-img-repeat=\"no-repeat\" data-bg-img-size=\"cover\" data-bg-img-position=\"\" data-parallx_sense=\"30\" data-bg-override=\"ex-full\" data-bg_img_attach=\"scroll\" data-upb-overlay-color=\"\" data-upb-bg-animation=\"\" data-fadeout=\"\" data-bg-animation=\"left-animation\" data-bg-animation-type=\"h\" data-animation-repeat=\"repeat\" data-fadeout-percentage=\"30\" data-parallax-content=\"\" data-parallax-content-sense=\"30\" data-row-effect-mobile-disable=\"true\" data-img-parallax-mobile-disable=\"true\" data-rtl=\"false\"  data-custom-vc-row=\"\"  data-vc=\"9.0.1\"  data-is_old_vc=\"\"  data-theme-support=\"\"   data-overlay=\"false\" data-overlay-color=\"\" data-overlay-pattern=\"\" data-overlay-pattern-opacity=\"\" data-overlay-pattern-size=\"\"    ><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1639655758535\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div id=\"ultimate-heading-25666ae0448f97c17\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-25666ae0448f97c17 uvc-1184  uvc-heading-default-font-sizes\" data-hspacer=\"no_spacer\"  data-halign=\"left\" style=\"text-align:left\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-main-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-25666ae0448f97c17 h2'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}' ><h2 style=\"--font-weight:theme;margin-bottom:20px;\">Feedback sheet<\/h2><\/div><\/div>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f5766-o1\" lang=\"de-DE\" dir=\"ltr\" data-wpcf7-id=\"5766\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/5734#wpcf7-f5766-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\" data-etm-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/5734#wpcf7-f5766-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"5766\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"de_DE\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5766-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7dtx_version\" value=\"5.0.7\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1645185963118\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-6017563\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Dear patient, Dear patient\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<p>Your opinion is important to us. For this reason, we ask you to give us a short feedback on your hospital stay, so that we can better adapt to your wishes and needs.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<p>The data in the questionnaire are only collected for statistical purposes in the context of quality assurance. We guarantee that personal data will not be passed on to third parties or can be viewed by third parties.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-6731484\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-5981507\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Personal information\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-5727087\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-8858725\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Name\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"Name\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-1645185739517\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Your e-mail address*\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email-adress\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"@\" value=\"\" type=\"email\" name=\"email-adress\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1511678423660\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1645185539626\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Age*\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Alter\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"Alter\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1645185562040\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Gender*\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Geschlecht\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Geschlecht\" value=\"m\" \/><span class=\"wpcf7-list-item-label\">m<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Geschlecht\" value=\"w\" \/><span class=\"wpcf7-list-item-label\">w<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Geschlecht\" value=\"d\" \/><span class=\"wpcf7-list-item-label\">d<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1645185512055\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-261507\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>hospitalisation\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-5022536\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-8074660\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Date of\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"datum-von\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"datum-von\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-1645185641867\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Date to\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"datum-bis\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"datum-bis\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-4535309\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-685689\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>In which station were you located?*\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"abteilung\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"abteilung\" value=\"Innere\" \/><span class=\"wpcf7-list-item-label\">Interior<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"abteilung\" value=\"Chirurgie\" \/><span class=\"wpcf7-list-item-label\">surgery<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-8521275\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Which station was responsible for you?*\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"station\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"station\" value=\"2A\/B\" \/><span class=\"wpcf7-list-item-label\">2A\/B<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"station\" value=\"3A\/B\" \/><span class=\"wpcf7-list-item-label\">3A\/B<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"station\" value=\"Intensiv\" \/><span class=\"wpcf7-list-item-label\">Intense<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"station\" value=\"4A\" \/><span class=\"wpcf7-list-item-label\">4A<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1645185776513\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1645185813008\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Were you welcomed at the information?\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check1\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check1\" value=\"ja\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">yeah<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check1\" value=\"nein\" \/><span class=\"wpcf7-list-item-label\">no<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"ui-sortable-placeholder cf7-text cf7-main-builder dropped ui-sortable-handle\" >\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"ui-sortable-placeholder cf7-text cf7-main-builder dropped ui-sortable-handle\" >\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"ui-sortable-placeholder cf7-text cf7-main-builder dropped ui-sortable-handle\" >\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-8808094\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>The reception in the patient reception was friendly?\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check2\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check2\" value=\"ja\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">yeah<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check2\" value=\"nein\" \/><span class=\"wpcf7-list-item-label\">no<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-8398371\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Have you been informed about the possibility of elective performance?\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check3\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check3\" value=\"ja\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">yeah<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check3\" value=\"nein\" \/><span class=\"wpcf7-list-item-label\">no<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-2415589\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Did the hospital make a clean impression?\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check4\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check4\" value=\"ja\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">yeah<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check4\" value=\"nein\" \/><span class=\"wpcf7-list-item-label\">no<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-9363533\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-6253927\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Please assess:\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-6450327\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"ui-sortable-placeholder cf7-text cf7-main-builder dropped ui-sortable-handle\" >\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"ui-sortable-placeholder cf7-text cf7-main-builder dropped ui-sortable-handle\" >\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"ui-sortable-placeholder cf7-text cf7-main-builder dropped ui-sortable-handle\" >\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-3880190\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>medical care\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check5\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check5\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check5\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check5\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check5\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-92464\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>nursing care\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check6\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check6\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check6\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check6\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check6\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-7564763\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>ambulance\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check7\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check7\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check7\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check7\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check7\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-6651047\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>ECG\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check8\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check8\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check8\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check8\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check8\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-9110136\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>endoscopy\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check9\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check9\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check9\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check9\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check9\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-5348936\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>physiotherapy\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check10\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check10\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check10\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check10\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check10\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-465004\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>X-ray department\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check11\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check11\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check11\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check11\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check11\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-8794560\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Soziel service\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check12\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check12\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check12\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check12\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check12\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-4415518\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Central OP\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check13\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check13\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check13\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check13\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check13\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-6126812\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>circle of helpers\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check14\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check14\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check14\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check14\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check14\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1645187319309\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"ui-sortable-placeholder cf7-text cf7-main-builder dropped ui-sortable-handle\" >\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1645187322717\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>They support us in our efforts to provide you and all other patients with the best possible care.\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"ui-sortable-placeholder cf7-text cf7-main-builder dropped ui-sortable-handle\" >\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-2577771\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>What did you particularly like or not like at all?\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check15\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"check15\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-3734027\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>What suggestions for improvement can you make to us?\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check16\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"check16\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-265969\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Please rate our food:\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-882373\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>taste\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check17\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check17\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check17\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check17\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check17\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-550085\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Serving size\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check18\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check18\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check18\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check18\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check18\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-4918775\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>variety\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check19\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check19\" value=\"vorbildlich\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">exemplary<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check19\" value=\"gut\" \/><span class=\"wpcf7-list-item-label\">good<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check19\" value=\"verbesserungsf\u00e4hig\" \/><span class=\"wpcf7-list-item-label\">Can be improved<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check19\" value=\"ungen\u00fcgend\" \/><span class=\"wpcf7-list-item-label\">insufficient<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"cf7-builder-container-row1 cf7-builder-container-row-inner cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-813069\">\n\t<div class=\"cf7-ctrl\">\n\t\t<div class=\"cf7-move\">\n\t\t<\/div>\n\t\t<div class=\"cf7-colunm\">\n\t\t<\/div>\n\t\t<div class=\"cf7-dub cf7-dub-row\">\n\t\t<\/div>\n\t\t<div class=\"cf7-remove\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"cf7-builder-container-row-inner-drop ui-droppable ui-sortable\">\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-1416167\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>How did you become aware of us or the district clinic?\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check20\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"check20\" value=\"bereits Patient gewesen\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">have already been a patient<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check20\" value=\"anderes Krankenhaus\" \/><span class=\"wpcf7-list-item-label\">Other hospital<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check20\" value=\"durch Empfehlung des Haus- bzw. Facharztes\" \/><span class=\"wpcf7-list-item-label\">by recommendation of the general practitioner or specialist<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"check20\" value=\"durch Empfehlung von Freunden\/Bekannten\/Nachbarn\" \/><span class=\"wpcf7-list-item-label\">by recommendation of friends\/acquaintances\/neighbors<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"check20\" value=\"durch Internet\/Prospekt\/Presse\/TV\" \/><span class=\"wpcf7-list-item-label\">by Internet\/Prospectus\/Press\/TV<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-6619944\" >\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"check25\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"other\" value=\"\" type=\"text\" name=\"check25\" \/><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-3550193\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_label\">\n\t\t\t\t\t\t<p>Would you recommend our district clinic?\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"weiterempfehlung\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"weiterempfehlung\" value=\"Ja\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"weiterempfehlung\" value=\"Nein\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-helper ui-sortable-handle\" id=\"cf7-container-builder-8508650\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p>Thank you for the feedback, please download the Google reCAPTCHA before submitting the form\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"ui-sortable-placeholder cf7-text cf7-main-builder dropped ui-sortable-handle\" >\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"cf7-text cf7-main-builder dropped ui-sortable-handle\" id=\"cf7-container-builder-6329488\">\n\t\t\t\t\t<div class=\"cf7-ctrl cf7-ctrl-inner\">\n\t\t\t\t\t\t<div class=\"cf7-move\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-edit\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-dub cf7-dub-text\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"cf7-remove\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_font\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"cf7_text_shortcode\">\n\t\t\t\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"SEND QUESTIONNAIRE\" \/>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><input type=\"text\" class=\"wpcf7_hp_field\" name=\"wpcf7_hp_field\" value=\"\" tabindex=\"-1\" autocomplete=\"off\" \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"etm-form-language\" value=\"en\"\/><\/form>\n<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>[borlabs-cookie id=\u2019recaptcha\u2019 type=\u2019content-blocker\u2019]Google reCAPTCHA has been loaded.[\/borlabs-cookie]<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><!-- Row Backgrounds --><div class=\"upb_color\" data-bg-override=\"full\" data-bg-color=\"#f1f1f1\" data-fadeout=\"\" data-fadeout-percentage=\"30\" data-parallax-content=\"\" data-parallax-content-sense=\"30\" data-row-effect-mobile-disable=\"true\" data-img-parallax-mobile-disable=\"true\" data-rtl=\"false\"  data-custom-vc-row=\"\"  data-vc=\"9.0.1\"  data-is_old_vc=\"\"  data-theme-support=\"\"   data-overlay=\"false\" data-overlay-color=\"\" data-overlay-pattern=\"\" data-overlay-pattern-opacity=\"\" data-overlay-pattern-size=\"\"    ><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Lob &amp; Complaints - Patient form - feedback sheet Dear patient Your opinion is important to us. For this reason, we ask you to give us a short feedback on your hospital stay, so that we can better adapt to your wishes and needs. The data of the questionnaire will only be used for statistical purposes within the framework of...<\/p>","protected":false},"author":5,"featured_media":0,"parent":1331,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-5734","page","type-page","status-publish","hentry","description-off"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.kreisklinik-gg.de\/en\/wp-json\/wp\/v2\/pages\/5734","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kreisklinik-gg.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.kreisklinik-gg.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.kreisklinik-gg.de\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kreisklinik-gg.de\/en\/wp-json\/wp\/v2\/comments?post=5734"}],"version-history":[{"count":5,"href":"https:\/\/www.kreisklinik-gg.de\/en\/wp-json\/wp\/v2\/pages\/5734\/revisions"}],"predecessor-version":[{"id":5767,"href":"https:\/\/www.kreisklinik-gg.de\/en\/wp-json\/wp\/v2\/pages\/5734\/revisions\/5767"}],"up":[{"embeddable":true,"href":"https:\/\/www.kreisklinik-gg.de\/en\/wp-json\/wp\/v2\/pages\/1331"}],"wp:attachment":[{"href":"https:\/\/www.kreisklinik-gg.de\/en\/wp-json\/wp\/v2\/media?parent=5734"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}