{"id":14945,"date":"2022-04-05T11:44:07","date_gmt":"2022-04-05T11:44:07","guid":{"rendered":"https:\/\/trans.pakumed.de\/customer-feedback-form-user\/"},"modified":"2024-02-26T08:16:54","modified_gmt":"2024-02-26T08:16:54","slug":"customer-feedback-form-user","status":"publish","type":"page","link":"https:\/\/pakumed.de\/en\/customer-feedback-form-user\/","title":{"rendered":"customer feedback ANOKRYO (user)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"14945\" class=\"elementor elementor-14945 elementor-7405\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4a11b2d6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4a11b2d6\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_background&quot;:&quot;classic&quot;,&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\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-100 elementor-top-column elementor-element elementor-element-298e890d\" data-id=\"298e890d\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-5d595655 elementor-widget elementor-widget-image\" data-id=\"5d595655\" data-element_type=\"widget\" data-e-type=\"widget\" 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 decoding=\"async\" width=\"350\" height=\"125\" src=\"https:\/\/pakumed.de\/wp-content\/uploads\/2021\/10\/PM-Logo-Kolor-350x125-1.png\" class=\"attachment-large size-large wp-image-14617\" alt=\"\" srcset=\"https:\/\/pakumed.de\/wp-content\/uploads\/2021\/10\/PM-Logo-Kolor-350x125-1.png 350w, https:\/\/pakumed.de\/wp-content\/uploads\/2021\/10\/PM-Logo-Kolor-350x125-1-300x107.png 300w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/>\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<div class=\"elementor-element elementor-element-3c5863a5 elementor-widget elementor-widget-heading\" data-id=\"3c5863a5\" data-element_type=\"widget\" data-e-type=\"widget\" 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\">Questionnaire for market observation ANOKRYO\u00ae Combi Set<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7693359 elementor-widget elementor-widget-heading\" data-id=\"7693359\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Customer Feedback User English<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56f5929 elementor-button-align-center elementor-widget elementor-widget-form\" data-id=\"56f5929\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Further&quot;,&quot;step_previous_label&quot;:&quot;Back&quot;,&quot;step_type&quot;:&quot;text&quot;,&quot;button_width&quot;:&quot;100&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"ger-AnokryoKombiset\" aria-label=\"ger-AnokryoKombiset\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"14945\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"56f5929\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"customer feedback ANOKRYO (user)\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"14945\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_3e4c7b2 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Information\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_dc43dd5 elementor-col-100\">\n\t\t\t\t\tDear Sir or Madam,<br><br>   \n\nAgainst the background above, we are dependent on your support within the framework of the practical implementation of the EU Regulation 2017\/745 enacted by the European Parliament and the Council.<br>Feedback from long-standing customers and users, who have known and used our products for a long time and are therefore able to evaluate them adequately, is of particular help to us. The evaluation of your answers is anonymous. and no conclusions about individual customers are included in the corresponding evaluation. \n\n \n\n<br><br>The questionnaire is divided into the following topics: \n\n<br><br>I. Information on the feedback provider (medical background)<br>  \n\nII. General product information <br>\n\nIII. Patient group to be treated<br>  \n\nIV. Therapy and application of the product ANOKRYO\u00ae Combi Set<br>  \n\nV. Remarks\/comments<br><br>  \n\n \n\nWe kindly ask you to take a few moments to answer the questionnaire. The questionnaire will take about 5-10 minutes to complete. \n\n<br>Your answers will help us to improve medical products in the future, to make them even safer and to make them available in the usual form. \n\n<br><br>Thank you very much for your support! \n\n<br>The team of PakuMed gmbh<br><br>\n\n\n<p style=\"font-size:20px;font-weight:600\">Contact:<\/p>\n\nPakuMed medical products gmbh<br><br>\n\nIm L\u00f6wental 79<br>\n45239 Essen <br><br>\n\nE-Mail: <a style=\"color: #1BA2E0;\" href=\"mailTo:info@pakumed.de\">info@pakumed.de<\/a><br>\nTel.: +49 201 \u2013 43 70 97 \u2013 0\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_e5dfdfd elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\" User\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-geschlecht elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-geschlecht\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName (optional)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[geschlecht]\" id=\"form-field-geschlecht\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-alter elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-alter\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPatient group\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[alter]\" id=\"form-field-alter\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"hospital\">hospital<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"surgery \">surgery <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sales partner\">Sales partner<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Pharmacy\">Pharmacy<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-groesse elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-groesse\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tArea\/Department\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[groesse]\" id=\"form-field-groesse\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Proctology\">Proctology<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Gynaecology\">Gynaecology<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Oncology\">Oncology<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"surgery\">surgery<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Dermatology\">Dermatology<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Other\">Other<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ac95bf9 elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ac95bf9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIf \"Other\" was selected\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ac95bf9]\" id=\"form-field-field_ac95bf9\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-gewicht elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-gewicht\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tProfession\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[gewicht]\" id=\"form-field-gewicht\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Doctor\">Doctor<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nursing staff\">Nursing staff<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Other\">Other<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_8769c07 elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8769c07\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIf \"Other\" was selected\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_8769c07]\" id=\"form-field-field_8769c07\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ee7504c elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ee7504c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of the establishment\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ee7504c]\" id=\"form-field-field_ee7504c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"optional\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_6d03c86 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Product details\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_d170696 elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d170696\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tProduct\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_d170696]\" id=\"form-field-field_d170696\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Anokryo\u00ae Combi set \">Anokryo\u00ae Combi set <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c893f43 elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c893f43\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLot\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c893f43]\" id=\"form-field-field_c893f43\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"optional\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_2373b40 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Patient\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_8ee29ba elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8ee29ba\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPatient group\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_8ee29ba]\" id=\"form-field-field_8ee29ba\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Adult \">Adult <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Child\">Child<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"both\">both<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_43857d3 elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_43857d3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGender\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_43857d3]\" id=\"form-field-field_43857d3\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"male \">male <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"femal \">femal <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"diverse\">diverse<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"mixed\">mixed<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_0063399 elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0063399\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPatient age\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_0063399]\" id=\"form-field-field_0063399\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"from - to\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_38b1f4f elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_38b1f4f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIndication\/ Application\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_38b1f4f]\" id=\"form-field-field_38b1f4f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"optional\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-erkrankung elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-erkrankung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat disease is the treatment based on?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"\" id=\"form-field-erkrankung-0\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-0\"><\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Anal fissure\" id=\"form-field-erkrankung-1\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-1\">Anal fissure<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Haemorrhoids (I. and II. degree)\" id=\"form-field-erkrankung-2\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-2\">Haemorrhoids (I. and II. degree)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Perianal thrombosis\" id=\"form-field-erkrankung-3\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-3\">Perianal thrombosis<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"itching\" id=\"form-field-erkrankung-4\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-4\">itching<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Postoperative pain\" id=\"form-field-erkrankung-5\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-5\">Postoperative pain<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Anal discomfort during pregnancy and breastfeeding\" id=\"form-field-erkrankung-6\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-6\">Anal discomfort during pregnancy and breastfeeding<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other\" id=\"form-field-erkrankung-7\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-7\">Other<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-erkrankungandere elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-erkrankungandere\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOnly to be filled in if \"Other\" is selected or if there are other diseases.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[erkrankungandere]\" id=\"form-field-erkrankungandere\" rows=\"4\" placeholder=\"Optional\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_2f4bd63 elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2f4bd63\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAfter how many treatments has there been an effect?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_2f4bd63]\" id=\"form-field-field_2f4bd63\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Directly after the 1st application \">Directly after the 1st application <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"After 2-5 applications \">After 2-5 applications <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"After more than 5 applications \">After more than 5 applications <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_dcb58c4 elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_dcb58c4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you recommend home self-administration of the product? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_dcb58c4]\" id=\"form-field-field_dcb58c4\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"yes\">yes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"no\">no<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_f66103f elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f66103f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow often should the product be used? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_f66103f]\" id=\"form-field-field_f66103f\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"daily \">daily <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"weekly \">weekly <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"acutely \">acutely <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"as required\">as required<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_cc002fc elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cc002fc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow long have you known about the product Anokryo\u00ae Kombiset?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_cc002fc]\" id=\"form-field-field_cc002fc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_b9ec75b elementor-col-100\">\n\t\t\t\t\t<p style=\"text-align:center;\">Satisfaction (0= dissatisfied, 4=very satisfied) <\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_684ead3 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_684ead3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you satisfied with the product?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"\" id=\"form-field-field_684ead3-0\" name=\"form_fields[field_684ead3]\"> <label for=\"form-field-field_684ead3-0\"><\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"0\" id=\"form-field-field_684ead3-1\" name=\"form_fields[field_684ead3]\"> <label for=\"form-field-field_684ead3-1\">0<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"1\" id=\"form-field-field_684ead3-2\" name=\"form_fields[field_684ead3]\"> <label for=\"form-field-field_684ead3-2\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"2\" id=\"form-field-field_684ead3-3\" name=\"form_fields[field_684ead3]\"> <label for=\"form-field-field_684ead3-3\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"3\" id=\"form-field-field_684ead3-4\" name=\"form_fields[field_684ead3]\"> <label for=\"form-field-field_684ead3-4\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"4\" id=\"form-field-field_684ead3-5\" name=\"form_fields[field_684ead3]\"> <label for=\"form-field-field_684ead3-5\">4<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_93a1a08 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_93a1a08\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow would you rate the user-friendliness?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"\" id=\"form-field-field_93a1a08-0\" name=\"form_fields[field_93a1a08]\"> <label for=\"form-field-field_93a1a08-0\"><\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"0\" id=\"form-field-field_93a1a08-1\" name=\"form_fields[field_93a1a08]\"> <label for=\"form-field-field_93a1a08-1\">0<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"1\" id=\"form-field-field_93a1a08-2\" name=\"form_fields[field_93a1a08]\"> <label for=\"form-field-field_93a1a08-2\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"2\" id=\"form-field-field_93a1a08-3\" name=\"form_fields[field_93a1a08]\"> <label for=\"form-field-field_93a1a08-3\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"3\" id=\"form-field-field_93a1a08-4\" name=\"form_fields[field_93a1a08]\"> <label for=\"form-field-field_93a1a08-4\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"4\" id=\"form-field-field_93a1a08-5\" name=\"form_fields[field_93a1a08]\"> <label for=\"form-field-field_93a1a08-5\">4<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_c5637fd elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c5637fd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow do you rate the ergonomics? (Related to the dilator)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"\" id=\"form-field-field_c5637fd-0\" name=\"form_fields[field_c5637fd]\"> <label for=\"form-field-field_c5637fd-0\"><\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"0\" id=\"form-field-field_c5637fd-1\" name=\"form_fields[field_c5637fd]\"> <label for=\"form-field-field_c5637fd-1\">0<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"1\" id=\"form-field-field_c5637fd-2\" name=\"form_fields[field_c5637fd]\"> <label for=\"form-field-field_c5637fd-2\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"2\" id=\"form-field-field_c5637fd-3\" name=\"form_fields[field_c5637fd]\"> <label for=\"form-field-field_c5637fd-3\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"3\" id=\"form-field-field_c5637fd-4\" name=\"form_fields[field_c5637fd]\"> <label for=\"form-field-field_c5637fd-4\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"4\" id=\"form-field-field_c5637fd-5\" name=\"form_fields[field_c5637fd]\"> <label for=\"form-field-field_c5637fd-5\">4<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_6915f67 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6915f67\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you satisfied with the information provided with the product?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"0\" id=\"form-field-field_6915f67-0\" name=\"form_fields[field_6915f67]\"> <label for=\"form-field-field_6915f67-0\">0<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"1\" id=\"form-field-field_6915f67-1\" name=\"form_fields[field_6915f67]\"> <label for=\"form-field-field_6915f67-1\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"2\" id=\"form-field-field_6915f67-2\" name=\"form_fields[field_6915f67]\"> <label for=\"form-field-field_6915f67-2\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"3\" id=\"form-field-field_6915f67-3\" name=\"form_fields[field_6915f67]\"> <label for=\"form-field-field_6915f67-3\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"4\" id=\"form-field-field_6915f67-4\" name=\"form_fields[field_6915f67]\"> <label for=\"form-field-field_6915f67-4\">4<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_d9883ce elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d9883ce\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWould you recommend the product?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_d9883ce]\" id=\"form-field-field_d9883ce\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"yes\">yes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"no\">no<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_18308f5 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_18308f5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tComment\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_18308f5]\" id=\"form-field-field_18308f5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text\">\n\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2388d63]\" id=\"form-field-field_2388d63\" class=\"elementor-field elementor-size-sm \" style=\"display:none !important;\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_0a388ec elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Finished\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_90e2e98 elementor-col-100\">\n\t\t\t\t\t<p style=\"margin-bottom:-2rem;font-size: 18px;\">Functionality<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_473f3cf elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_473f3cf\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat did you like?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_473f3cf]\" id=\"form-field-field_473f3cf\" rows=\"2\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_b6d9041 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b6d9041\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat did you not like about it?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_b6d9041]\" id=\"form-field-field_b6d9041\" rows=\"2\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8c12062 elementor-col-100\">\n\t\t\t\t\t<p style=\"margin-bottom:-2rem;font-size: 18px;\">Operability:<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_2ac27a3 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2ac27a3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat did you like?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_2ac27a3]\" id=\"form-field-field_2ac27a3\" rows=\"2\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_ea5cfa4 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ea5cfa4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat did you not like about it?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_ea5cfa4]\" id=\"form-field-field_ea5cfa4\" rows=\"2\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_179f057 elementor-col-100\">\n\t\t\t\t\t<p style=\"margin-bottom:-2rem;font-size: 18px;\">workflows and compatibility:<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_0841a5e elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0841a5e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat did you like?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_0841a5e]\" id=\"form-field-field_0841a5e\" rows=\"2\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_0f63fd5 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0f63fd5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat did you not like about it?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_0f63fd5]\" id=\"form-field-field_0f63fd5\" rows=\"2\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_f1829c7 elementor-col-100\">\n\t\t\t\t\t<p style=\"margin-bottom:-2rem;font-size: 18px;\">Suggestions for improvement:<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_66ce513 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_66ce513\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat did you like?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_66ce513]\" id=\"form-field-field_66ce513\" rows=\"2\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_cc8418b elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cc8418b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat did you not like about it?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_cc8418b]\" id=\"form-field-field_cc8418b\" rows=\"2\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d9596ae elementor-col-100\">\n\t\t\t\t\t<p style=\"margin-bottom:-2rem;font-size: 18px;\">Training needs:<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_cc601fb elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cc601fb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIs there a need for training?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_cc601fb]\" id=\"form-field-field_cc601fb\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"yes\">yes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"no\">no<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\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\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Questionnaire for market observation ANOKRYO\u00ae Combi Set Customer Feedback User English<\/p>\n","protected":false},"author":3,"featured_media":14419,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-14945","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-27 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