{"id":14980,"date":"2022-04-05T11:56:15","date_gmt":"2022-04-05T11:56:15","guid":{"rendered":"https:\/\/trans.pakumed.de\/questionnaire-anokryokombiset-patient\/"},"modified":"2023-06-28T08:09:18","modified_gmt":"2023-06-28T08:09:18","slug":"questionnaire-anokryokombiset-patient","status":"publish","type":"page","link":"https:\/\/pakumed.de\/en\/questionnaire-anokryokombiset-patient\/","title":{"rendered":"Customer feedback ANOKRYO (patient)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"14980\" class=\"elementor elementor-14980 elementor-7424\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5a3cfdd3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5a3cfdd3\" 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-16df92f1\" data-id=\"16df92f1\" 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-6da67800 elementor-widget elementor-widget-image\" data-id=\"6da67800\" 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-5a43cc99 elementor-widget elementor-widget-heading\" data-id=\"5a43cc99\" 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-e1a518c elementor-widget elementor-widget-heading\" data-id=\"e1a518c\" 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 Patient English<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a71f0e5 elementor-button-align-center elementor-widget elementor-widget-form\" data-id=\"7a71f0e5\" 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=\"eng-AnokryoKombiset\" aria-label=\"eng-AnokryoKombiset\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"14980\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"7a71f0e5\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Customer feedback ANOKRYO (patient)\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"14980\"\/>\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\t\nDear Sir or Madam,\n<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.\n<br>\n<br> Dear Sir or Madam, Against the background above, we are dependent on your support within the framework of the practical implementation of the EU Regulation 2017\/745 enacted by European Parliament and the Council.\n\nThe evaluation of your answers is anonymous and no conclusions about individual patients are included in the corresponding evaluation.\n<br>\n<br>The questionnaire is divided into the following topics:\n<br>\n<br>I. Information about the patient\n<br>II. Information on the product Anokryo\u00ae Combi Set\n<br>III. general\n<br>\n<br>Please take 5-10 minutes to answer the questionnaire.\n<br>\nYour 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<br>\n<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=\"Profile\" 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-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\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[geschlecht]\" id=\"form-field-geschlecht\" class=\"elementor-field-textual elementor-size-sm\">\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=\"female\">female<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"diverse\">diverse<\/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-number 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\tAge\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[alter]\" id=\"form-field-alter\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"30\" min=\"0\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-groesse elementor-col-25\">\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\tSize\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[groesse]\" id=\"form-field-groesse\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"in cm\" min=\"0\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number 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\tWeight\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[gewicht]\" id=\"form-field-gewicht\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"in kg\" min=\"0\" max=\"\" >\n\t\t\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_30eaab4 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_30eaab4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDiagnose\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_30eaab4]\" id=\"form-field-field_30eaab4\" rows=\"4\"><\/textarea>\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=\"Diagnosis\" 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-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=\"Anal fissure\" id=\"form-field-erkrankung-0\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-0\">Anal fissure<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Haemorrhoids (I. and II. degree)\" id=\"form-field-erkrankung-1\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-1\">Haemorrhoids (I. and II. degree)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Perianal thrombosis\" id=\"form-field-erkrankung-2\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-2\">Perianal thrombosis<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"itching\" id=\"form-field-erkrankung-3\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-3\">itching<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Postoperative pain\" id=\"form-field-erkrankung-4\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-4\">Postoperative pain<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Anal discomfort during pregnancy and breastfeeding\" id=\"form-field-erkrankung-5\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-5\">Anal discomfort during pregnancy and breastfeeding<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other\" id=\"form-field-erkrankung-6\" name=\"form_fields[erkrankung][]\"> <label for=\"form-field-erkrankung-6\">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 when selecting others.\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-step elementor-field-group elementor-column elementor-field-group-field_5407d6b elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Product specification\" 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-nutzungsdauer elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nutzungsdauer\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow long have you been using the Anokryo\u00ae 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[nutzungsdauer]\" id=\"form-field-nutzungsdauer\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"&lt;1 month &lt;1 Jahr&gt; 1 year\">&lt;1 month &lt;1 Jahr&gt; 1 year<\/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-anwendung elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anwendung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow often do you use the product? (multiple selection possible)\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[anwendung]\" id=\"form-field-anwendung\" class=\"elementor-field-textual elementor-size-sm\">\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<\/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-anwendungstyp elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anwendungstyp\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you use the product on your own ?\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[anwendungstyp]\" id=\"form-field-anwendungstyp\" class=\"elementor-field-textual elementor-size-sm\">\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, application by qualified personnel\">No, application by qualified personnel<\/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_8d7388c elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8d7388c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you use the product in your home environment ?\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_8d7388c]\" id=\"form-field-field_8d7388c\" class=\"elementor-field-textual elementor-size-sm\">\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-behandlungsanzahl elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-behandlungsanzahl\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAfter how many treatments has there been an alleviating 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[behandlungsanzahl]\" id=\"form-field-behandlungsanzahl\" class=\"elementor-field-textual elementor-size-sm\">\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-gleitmittelart elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-gleitmittelart\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIs the dilator used with the enclosed lubricant?\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[gleitmittelart]\" id=\"form-field-gleitmittelart\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Yes, exclusively\">Yes, exclusively<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"no\">no<\/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-gleitmittelartandere elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-gleitmittelartandere\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOnly to be filled in when selecting others.\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[gleitmittelartandere]\" id=\"form-field-gleitmittelartandere\" 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-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_ee4e290 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"General\" 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_a62d606 elementor-col-100\">\n\t\t\t\t\tSatisfaction (0= dissatisfied, 4=very satisfied)\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-produktzufriedenheit elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-produktzufriedenheit\" 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=\"0\" id=\"form-field-produktzufriedenheit-0\" name=\"form_fields[produktzufriedenheit]\"> <label for=\"form-field-produktzufriedenheit-0\">0<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"1\" id=\"form-field-produktzufriedenheit-1\" name=\"form_fields[produktzufriedenheit]\"> <label for=\"form-field-produktzufriedenheit-1\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"2\" id=\"form-field-produktzufriedenheit-2\" name=\"form_fields[produktzufriedenheit]\"> <label for=\"form-field-produktzufriedenheit-2\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"3\" id=\"form-field-produktzufriedenheit-3\" name=\"form_fields[produktzufriedenheit]\"> <label for=\"form-field-produktzufriedenheit-3\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"4\" id=\"form-field-produktzufriedenheit-4\" name=\"form_fields[produktzufriedenheit]\"> <label for=\"form-field-produktzufriedenheit-4\">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-benutzerfreundlichkeit elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-benutzerfreundlichkeit\" 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=\"0\" id=\"form-field-benutzerfreundlichkeit-0\" name=\"form_fields[benutzerfreundlichkeit]\"> <label for=\"form-field-benutzerfreundlichkeit-0\">0<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"1\" id=\"form-field-benutzerfreundlichkeit-1\" name=\"form_fields[benutzerfreundlichkeit]\"> <label for=\"form-field-benutzerfreundlichkeit-1\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"2\" id=\"form-field-benutzerfreundlichkeit-2\" name=\"form_fields[benutzerfreundlichkeit]\"> <label for=\"form-field-benutzerfreundlichkeit-2\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"3\" id=\"form-field-benutzerfreundlichkeit-3\" name=\"form_fields[benutzerfreundlichkeit]\"> <label for=\"form-field-benutzerfreundlichkeit-3\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"4\" id=\"form-field-benutzerfreundlichkeit-4\" name=\"form_fields[benutzerfreundlichkeit]\"> <label for=\"form-field-benutzerfreundlichkeit-4\">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-ergonomie elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-ergonomie\" 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=\"0\" id=\"form-field-ergonomie-0\" name=\"form_fields[ergonomie]\"> <label for=\"form-field-ergonomie-0\">0<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"1\" id=\"form-field-ergonomie-1\" name=\"form_fields[ergonomie]\"> <label for=\"form-field-ergonomie-1\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"2\" id=\"form-field-ergonomie-2\" name=\"form_fields[ergonomie]\"> <label for=\"form-field-ergonomie-2\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"3\" id=\"form-field-ergonomie-3\" name=\"form_fields[ergonomie]\"> <label for=\"form-field-ergonomie-3\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"4\" id=\"form-field-ergonomie-4\" name=\"form_fields[ergonomie]\"> <label for=\"form-field-ergonomie-4\">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-beilage elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-beilage\" 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-beilage-0\" name=\"form_fields[beilage]\"> <label for=\"form-field-beilage-0\">0<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"1\" id=\"form-field-beilage-1\" name=\"form_fields[beilage]\"> <label for=\"form-field-beilage-1\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"2\" id=\"form-field-beilage-2\" name=\"form_fields[beilage]\"> <label for=\"form-field-beilage-2\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"3\" id=\"form-field-beilage-3\" name=\"form_fields[beilage]\"> <label for=\"form-field-beilage-3\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"4\" id=\"form-field-beilage-4\" name=\"form_fields[beilage]\"> <label for=\"form-field-beilage-4\">4<\/label><\/span><\/div>\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-radio elementor-field-group elementor-column elementor-field-group-weiterempfehlen elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-weiterempfehlen\" 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<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"yes\" id=\"form-field-weiterempfehlen-0\" name=\"form_fields[weiterempfehlen]\"> <label for=\"form-field-weiterempfehlen-0\">yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"no\" id=\"form-field-weiterempfehlen-1\" name=\"form_fields[weiterempfehlen]\"> <label for=\"form-field-weiterempfehlen-1\">no<\/label><\/span><\/div>\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-empfehlungdurch elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-empfehlungdurch\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow did you become aware of the Anokryo\u00ae Combi Set 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=\"checkbox\" value=\"On the basis of a doctor&#039;s recommendation\" id=\"form-field-empfehlungdurch-0\" name=\"form_fields[empfehlungdurch][]\"> <label for=\"form-field-empfehlungdurch-0\">On the basis of a doctor's recommendation<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"via the internet\" id=\"form-field-empfehlungdurch-1\" name=\"form_fields[empfehlungdurch][]\"> <label for=\"form-field-empfehlungdurch-1\">via the internet<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"By recommendation\" id=\"form-field-empfehlungdurch-2\" name=\"form_fields[empfehlungdurch][]\"> <label for=\"form-field-empfehlungdurch-2\">By recommendation<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Through an advertisement\" id=\"form-field-empfehlungdurch-3\" name=\"form_fields[empfehlungdurch][]\"> <label for=\"form-field-empfehlungdurch-3\">Through an advertisement<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other\" id=\"form-field-empfehlungdurch-4\" name=\"form_fields[empfehlungdurch][]\"> <label for=\"form-field-empfehlungdurch-4\">Other<\/label><\/span><\/div>\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-empfehlungdurchandere elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-empfehlungdurchandere\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOnly to be filled in when selecting others.\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[empfehlungdurchandere]\" id=\"form-field-empfehlungdurchandere\" 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-textarea elementor-field-group elementor-column elementor-field-group-field_a061b39 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a061b39\" 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<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_a061b39]\" id=\"form-field-field_a061b39\" rows=\"4\"><\/textarea>\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 Patient 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-14980","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-27 18:02:42","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"translation_priority","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/pages\/14980","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/comments?post=14980"}],"version-history":[{"count":8,"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/pages\/14980\/revisions"}],"predecessor-version":[{"id":17698,"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/pages\/14980\/revisions\/17698"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/media\/14419"}],"wp:attachment":[{"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/media?parent=14980"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}