{"id":13647,"date":"2023-02-07T10:52:55","date_gmt":"2023-02-07T10:52:55","guid":{"rendered":"https:\/\/softitcares.com\/?page_id=13647"},"modified":"2023-02-07T10:56:39","modified_gmt":"2023-02-07T10:56:39","slug":"appointment-request","status":"publish","type":"page","link":"https:\/\/soft.gravityformpro.com\/de\/gravity-form\/appointment-request\/","title":{"rendered":"Appointment Request"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"13647\" class=\"elementor elementor-13647\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-805739b elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"805739b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cb5ca09\" data-id=\"cb5ca09\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e2049e2 elementor-widget elementor-widget-text-editor\" data-id=\"e2049e2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework appointment_request_wrapper' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_10' style='display:none'><div id='gf_10' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u201e<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u201c zeigt erforderliche Felder an<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_10' id='gform_10' class='appointment_request' action='\/de\/wp-json\/wp\/v2\/pages\/13647#gf_10' data-formid='10' novalidate data-trp-original-action=\"\/de\/wp-json\/wp\/v2\/pages\/13647#gf_10\">\n                        <div class='gform-body gform_body'><div id='gform_page_10_1' class='gform_page first_page' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><div id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_10_24\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_10_24\" ><style type=\"text\/css\">\n    .appointment_request_wrapper form {\n    min-height: auto;\n    border-radius: 6px;\n    max-width: 940px;\n    background: #fff;\n    margin: 0 auto;\n    box-shadow: -1px 15px 33px 4px rgb(0 0 0 \/ 15%);\n    padding: 40px;\n    padding-bottom: 0;\n}\nbody .appointment_request_wrapper .gform_ajax_spinner{\n    position: absolute;\n    right: 6px;\n    top: 20px;\n}\nbody .appointment_request_wrapper.gform_wrapper .gform_validation_errors {\n    max-width: 940px;\n    margin: 0 auto 10px;\n}\nbody .appointment_request_wrapper.gform_wrapper .gform_validation_errors>h2 {\n    font-size: 16px !important;\n}\nbody .appointment_request_wrapper.gform_wrapper.gravity-theme .field_description_above .gfield_description {\n    padding-bottom: 10px !important;\n    padding-top: 10px !important;\n}\nbody .appointment_request_wrapper.gform_wrapper .start_page {\n    text-align: center;\n    max-width: 740px;\n    margin: 0 auto;\n    font-size: 20px;\n    line-height: 1.3;\n    color: #1e3e66;\n    padding-bottom: 45px;\n}\nbody .appointment_request_wrapper.gform_wrapper .start_page .gform_page_footer .button.gform_previous_button {\n    display: none;\n}\nbody .appointment_request_wrapper.gform_wrapper .start_page .gform_page_footer {\n    justify-content: center;\n}\nbody .appointment_request_wrapper.gform_wrapper .start_page .icon_image img{\n    width: 84px;\n}\nbody .appointment_request_wrapper.gform_wrapper .start_page .gform_page_footer:after {\n    display: none;\n}\nbody .appointment_request_wrapper.gform_wrapper .start_page h2 {\n    margin-top: 0;\n    margin-bottom: 12px;\n    font-size: 33px !important;\n    color: #0981b0;\n    font-weight: 500 !important;\n}\n.appointment_request .gform_confirmation_message {\n    min-height: auto;\n    border-radius: 30px;\n    max-width: 770px;\n    background: #2b79c2;\n    margin: 0 auto;\n    color: #fff;\n    font-size: 20px;\n    padding: 40px 20px;\n    text-align: center;\n}\nbody .appointment_request_wrapper.gform_wrapper.gravity-theme form .gfield_label {\n    display: block;\n    font-size: 20px;\n    font-weight: 600;\n    margin-bottom: 15px !important;\n    line-height: 1.2;\n    color: #272d3a;\n    font-family: 'Poppins';\n}\nbody .appointment_request_wrapper.gform_wrapper.gravity-theme form .main_title {\n    display: block;\n    font-size: 20px;\n    font-weight: 700;\n    margin-bottom: 0 !important;\n    line-height: 1.2;\n    color: #272d3a;\n    font-family: 'Poppins';\n}\n.primary_clr{\n    color: #0981b0 !important;\n}\nbody .appointment_request_wrapper.gform_wrapper.gravity-theme form .field_description_above .gfield_label{\n    margin-bottom: 0 !important;\n}\nbody .appointment_request_wrapper.gform_wrapper.gravity-theme .gf_progressbar_percentage.percentbar_blue {\n    background-color: #47ccc8;\n    color: #fff;\n    height: 10px;\n}\nbody .appointment_request_wrapper.gform_wrapper.gravity-theme .gf_progressbar_blue {\n    background: #fff;\n    border: 1px solid #fff;\n    margin-bottom: 40px;\n}\nbody .appointment_request_wrapper.gform_wrapper.gravity-theme .gf_progressbar_percentage span {\n    display: none;\n}\nbody .appointment_request_wrapper.gform_wrapper.gravity-theme .gf_progressbar_title {\n    color: #fff;\n}\n.text_left{\n    text-align: left !important;\n}\nbody .appointment_request_wrapper.gform_wrapper .gfield input[type=email], \nbody .appointment_request_wrapper.gform_wrapper .gfield input[type=number], \nbody .appointment_request_wrapper.gform_wrapper .gfield input[type=password],\nbody .appointment_request_wrapper.gform_wrapper .gfield input[type=tel], \nbody .appointment_request_wrapper.gform_wrapper .gfield input[type=text], \nbody .appointment_request_wrapper.gform_wrapper .gfield input[type=url],\nbody .appointment_request_wrapper.gform_wrapper form textarea,\nbody .appointment_request_wrapper.gform_wrapper .gfield select{\n    border: 1px solid #a9b3c6 !important;\n    font-weight: 400;\n    font-size: 16px !important;\n    background: #fff !important;\n    border-radius: 3px !important;\n    padding: 8px 15px !important;\n    height: 47px !important;\n}\nbody .appointment_request_wrapper.gform_wrapper .gfield input[type=email]:focus,\nbody .appointment_request_wrapper.gform_wrapper .gfield input[type=number]:focus, \nbody .appointment_request_wrapper.gform_wrapper .gfield input[type=password]:focus,\nbody .appointment_request_wrapper.gform_wrapper .gfield input[type=tel]:focus,\nbody .appointment_request_wrapper.gform_wrapper .gfield input[type=text]:focus,\nbody .appointment_request_wrapper.gform_wrapper form textarea:focus,\nbody .appointment_request_wrapper.gform_wrapper .gfield input[type=url]:focus,\nbody .appointment_request_wrapper.gform_wrapper .gfield select:focus {\n    box-shadow: 0 0 0 2px rgb(74 133 239 \/ 30%);\n    border-color: #4a85ef !important;\n}\n.appointment_request_wrapper.gform_wrapper form ::-webkit-input-placeholder {\n  color: #999;\n  opacity: 1 !important;\n}\n.appointment_request_wrapper.gform_wrapper form ::-moz-placeholder {\n  color: #999;\n  opacity: 1 !important;\n}\n.appointment_request_wrapper.gform_wrapper form :-ms-input-placeholder {\n  color: #999;\n  opacity: 1 !important;\n}\n.appointment_request_wrapper.gform_wrapper form :-moz-placeholder {\n  color: #999;\n  opacity: 1 !important;\n}\nbody .appointment_request_wrapper.gform_wrapper.gravity-theme form .sm_input .gfield_label {\n    display: inline-block;\n    font-size: 18px;\n    font-weight: 600;\n    margin-bottom: 4px;\n    color: #fff;\n}\nbody .gform_wrapper .emgf_check.sm_check label {\n    border: none !important;\n    font-weight: normal;\n    background-color: transparent !important;\n    font-size: 13px !important;\n    padding-left: 35px;\n    color: #fff !important;\n}\nbody .gform_wrapper .emgf_check.sm_check label:before{\n    left: 0;\n}\nbody .appointment_request_wrapper .iti--allow-dropdown{\n    display: block;\n}\nbody .appointment_request_wrapper.gform_wrapper .gfield .iti--allow-dropdown input[type=tel]{\n    padding-left: 52px !important;\n}\nbody .appointment_request_wrapper.gform_wrapper .ltx-btn-wrap{\n    position: static;\n}\nbody .appointment_request_wrapper.gform_wrapper .gform_page_footer .button.gform_previous_button {\n    opacity: 0.5;\n}\nbody .appointment_request_wrapper.gform_wrapper .gform_page_footer .button.gform_previous_button:hover {\n    opacity: 1;\n}\nbody .appointment_request_wrapper.gform_wrapper .gf_progressbar_wrapper{\n    padding-left: 50px;\n    padding-right: 50px;\n}\nbody .appointment_request_wrapper.gform_wrapper .gform_page{\n    position: relative;\n}\nbody .appointment_request_wrapper.gform_wrapper .gform_page_footer {\n    margin: 25px -40px 0;\n    padding: 0;\n    background: #0981b0;\n    display: flex;\n    justify-content: space-between;\n    border-radius: 0 0 6px 6px;\n    position: relative;\n}\nbody .appointment_request_wrapper.gform_wrapper .first_page .gform_page_footer {\n    justify-content: right;\n}\nbody .appointment_request_wrapper.gform_wrapper .gform_page_footer:after{\n    width: 50%;\n    height: 100%;\n    content: \"\";\n    display: block;\n    position: absolute;\n    right: 0;\n    top: 0;\n    background-color: rgba(0, 0, 0, .1);\n    border-left: 1px solidrgba(255, 255, 255, .1);\n    z-index: 1;\n}\nbody .appointment_request_wrapper.gform_wrapper .gform_page_footer input {\n    margin-bottom: 0;\n    background-color: transparent !important;\n    border: none;\n    color: #fff !important;\n    font-size: 18px;\n    font-weight: 400;\n    padding: 20px 36px;\n    position: relative;\n    z-index: 2;\n}\nbody .appointment_request_wrapper.gform_wrapper .last_page .gform_page_footer{\n    height: auto;\n}\n\nbody .gform_wrapper  .emgf_radio input[type=radio],\nbody .gform_wrapper  .emgf_check input[type=checkbox] {\n    position: absolute;\n    left: 0;\n    opacity: 0;\n    display: none !important;\n}\nbody .gform_wrapper .emgf_radio label,\nbody .gform_wrapper .emgf_check label {\n    cursor: pointer;\n    text-decoration: none;\n    border-radius: 5px;\n    border: solid 1px #a9b3c6;\n    transition: background-color 0.2s ease-in-out,border 0.2s ease-in-out,transform 0.25s cubic-bezier(0.17, 0.88, 0.42, 2.1);\n    margin: 0 auto 10px auto !important;\n    font-weight: 400;\n    background-color: #fff;\n    position: relative;\n    width: 100% !important;\n    font-size: 16px !important;\n    padding-left: 45px !important;\n    max-width: 100% !important;\n    transition: all 0.3s;\n    padding: 12px 15px;\n    color: #323232;\n    line-height: 1.2;\n}\nbody .gform_wrapper .emgf_check.style2 label {\n    padding: 0 0 0 47px !important;\n    border: none !important;\n    font-size: 18px !important;\n    background: none !important;\n}\nbody .gform_wrapper .emgf_check.style2 label:before{\n    top: 16px !important;\n}\nbody .gform_wrapper .emgf_check.style2 label:after{\n    top: 16px !important;\n}\nbody .gform_wrapper .emgf_radio label:before,\nbody .gform_wrapper .emgf_check label:before {\n    width: 20px;\n    height: 20px;\n    color: #00b29f;\n    content: '';\n    left: 12px;\n    display: block;\n    position: absolute;\n    top: 50%;\n    -webkit-transform: translateY(-50%);\n    transform: translateY(-50%);\n    background-image: none;\n    background-color: #fff;\n    transition: -webkit-box-shadow .2s ease-out;\n    transition: box-shadow .2s ease-out;\n    transition: box-shadow .2s ease-out,-webkit-box-shadow .2s ease-out;\n    border-radius: 50%;\n    border: 1px solid #a9b3c6;\n    transition: all 0.3s;\n}\nbody .gform_wrapper .emgf_radio label:after,\nbody .gform_wrapper .emgf_check label:after{\n    width: 12px;\n    height: 12px;\n    color: #00b29f;\n    content: '';\n    left: 16px;\n    display: block;\n    position: absolute;\n    top: 50%;\n    -webkit-transform: translateY(-50%);\n    transform: translateY(-50%);\n    background-image: none;\n    background-color: #fff;\n    transition: -webkit-box-shadow .2s ease-out;\n    transition: box-shadow .2s ease-out;\n    transition: box-shadow .2s ease-out,-webkit-box-shadow .2s ease-out;\n    border-radius: 50%;\n    transition: all 0.3s;\n}\nbody .gform_wrapper .emgf_check label:before,\nbody .gform_wrapper .emgf_check label:after{\n    border-radius: 0 !important;\n}\nbody .gform_wrapper .emgf_radio input[type=radio] ~ label:hover,\nbody .gform_wrapper .emgf_check input[type=checkbox] ~ label:hover {\n    background-color: #f7f7f7;\n    border-color: #a9b3c6;\n}\n.gform_wrapper .gfield.gf_list_2col.emgf_check .gfield_checkbox, \n.gform_wrapper .gfield.gf_list_2col.emgf_check .gfield_radio {\n    grid-column-gap: 10px;\n}\nbody .gform_wrapper  .emgf_radio label:hover,\nbody .gform_wrapper  .emgf_check label:hover{\n    background-color: #f2fcf8;\n    border-color: #00b29f;\n    color: #555;\n}\nbody .gform_wrapper  .emgf_radio input[type=radio]:checked ~ label:before,\nbody .gform_wrapper  .emgf_check input[type=checkbox]:checked ~ label:before{\n    border-color: #71a9dc;\n    background: #fff;\n}\nbody .gform_wrapper  .emgf_radio input[type=radio]:checked ~ label:after,\nbody .gform_wrapper  .emgf_check input[type=checkbox]:checked ~ label:after{\n    background-color: #71a9dc;\n}\nbody .gform_wrapper  .emgf_radio input[type=radio]:checked ~ label,\nbody .gform_wrapper  .emgf_check input[type=checkbox]:checked ~ label{\n    border-color: #71a9dc;\n    background: #d9eafc;\n}\nbody .appointment_request_wrapper .gform_required_legend{\n    display: none;\n}\n<\/style><\/div><fieldset id=\"field_10_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full emgf_check has-input-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_10_8\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >F\u00fcr welche Themen w\u00fcnschst Du eine Beratung? &#8211; Mehrfachauswahl ist m\u00f6glich<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_8'><div class='gchoice gchoice_10_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='Haftpflicht-, Hausrat-, Rechtsschutz-, Unfall-, Geb\u00e4udeversicherung, Kfz-Versicherung'  id='choice_10_8_1' tabindex='49'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_8_1' id='label_10_8_1' class='gform-field-label gform-field-label--type-inline'>Haftpflicht-, Hausrat-, Rechtsschutz-, Unfall-, Geb\u00e4udeversicherung, Kfz-Versicherung<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='Berufsunf\u00e4higkeitsversicherung (BU und Grundf\u00e4higkeitsversicherung)'  id='choice_10_8_2' tabindex='50'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_8_2' id='label_10_8_2' class='gform-field-label gform-field-label--type-inline'>Berufsunf\u00e4higkeitsversicherung (BU und Grundf\u00e4higkeitsversicherung)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_8_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.3' type='checkbox'  value='Altersvorsorge (RV, LV, ETF-Rentenversicherung, R\u00fcrup-Rente, Riester etc.)'  id='choice_10_8_3' tabindex='51'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_8_3' id='label_10_8_3' class='gform-field-label gform-field-label--type-inline'>Altersvorsorge (RV, LV, ETF-Rentenversicherung, R\u00fcrup-Rente, Riester etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_8_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='Private Krankenversicherung f\u00fcr Arbeitnehmer und Selbst\u00e4ndige'  id='choice_10_8_4' tabindex='52'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_8_4' id='label_10_8_4' class='gform-field-label gform-field-label--type-inline'>Private Krankenversicherung f\u00fcr Arbeitnehmer und Selbst\u00e4ndige<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_8_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.5' type='checkbox'  value='Private Krankenversicherung f\u00fcr Beamte und Beamtenanw\u00e4rter (Keine Beratung von PKV zu PKV-Wechsel, Anwartschaften &amp; \u00d6ffnungsaktionen)'  id='choice_10_8_5' tabindex='53'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_8_5' id='label_10_8_5' class='gform-field-label gform-field-label--type-inline'>Private Krankenversicherung f\u00fcr Beamte und Beamtenanw\u00e4rter (Keine Beratung von PKV zu PKV-Wechsel, Anwartschaften &#038; \u00d6ffnungsaktionen)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_8_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.6' type='checkbox'  value='Dienstunf\u00e4higkeitsversicherung f\u00fcr Beamte und Beamtenanw\u00e4rter'  id='choice_10_8_6' tabindex='54'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_8_6' id='label_10_8_6' class='gform-field-label gform-field-label--type-inline'>Dienstunf\u00e4higkeitsversicherung f\u00fcr Beamte und Beamtenanw\u00e4rter<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_8_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.7' type='checkbox'  value='Betriebliche Altersvorsorge (Direktversicherung)'  id='choice_10_8_7' tabindex='55'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_8_7' id='label_10_8_7' class='gform-field-label gform-field-label--type-inline'>Betriebliche Altersvorsorge (Direktversicherung)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_8_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.8' type='checkbox'  value='Todesfallabsicherung (Risiko LV)'  id='choice_10_8_8' tabindex='56'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_8_8' id='label_10_8_8' class='gform-field-label gform-field-label--type-inline'>Todesfallabsicherung (Risiko LV)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_8_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.9' type='checkbox'  value='Kindervorsorge'  id='choice_10_8_9' tabindex='57'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_8_9' id='label_10_8_9' class='gform-field-label gform-field-label--type-inline'>Kindervorsorge<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_8_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.11' type='checkbox'  value='Zusatzkrankenversicherung (Zahnzusatz, Ambulant, Station\u00e4r, Krankentagegeld)'  id='choice_10_8_11' tabindex='58'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_8_11' id='label_10_8_11' class='gform-field-label gform-field-label--type-inline'>Zusatzkrankenversicherung (Zahnzusatz, Ambulant, Station\u00e4r, Krankentagegeld)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_10_4' class='gform_next_button gform-theme-button button' value='Absenden' tabindex='59' onclick='jQuery(\"#gform_target_page_number_10\").val(\"2\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"2\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_10_2' class='gform_page start_page' data-js='page-field-id-4' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_10_2' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_10_6\" class=\"gfield gfield--type-html gfield--width-full icon_image gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_10_6\" ><img decoding=\"async\" src=\"https:\/\/www.versicherungenmitkopf.de\/wp-content\/uploads\/2023\/01\/icon.png\"><\/div><div id=\"field_10_5\" class=\"gfield gfield--type-html gfield--width-full lets_go gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_10_5\" ><h2>Terminanfrage<\/h2>\nDamit wir deine Terminanfrage bearbeiten und beantworten k\u00f6nnen, brauchen wir noch ein paar wenige Informationen von dir. Deine Daten werden \u00fcber eine sichere, SSL-verschl\u00fcsselte Verbindung an uns \u00fcbertragen.<\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_10_9' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='\u2190 ZUR\u00dcCK' tabindex='60' onclick='jQuery(\"#gform_target_page_number_10\").val(\"1\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"1\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_10_9' class='gform_next_button gform-theme-button button' value='START \u2192' tabindex='61' onclick='jQuery(\"#gform_target_page_number_10\").val(\"3\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"3\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_10_3' class='gform_page' data-js='page-field-id-9' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_10_3' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_10_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full emgf_radio has-input-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_10_12\" ><legend class='gfield_label gform-field-label' >Wir m\u00f6chten Dich bestm\u00f6glich unterst\u00fctzen. Wie dringend ben\u00f6tigst Du einen R\u00fcckruf von uns?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_12'>\n\t\t\t<div class='gchoice gchoice_10_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='(Ganz entspannt) Innerhalb der n\u00e4chsten 5 Werktage reicht mir vollkommen aus'  id='choice_10_12_0' onchange='gformToggleRadioOther( this )'  tabindex='62'  \/>\n\t\t\t\t\t<label for='choice_10_12_0' id='label_10_12_0' class='gform-field-label gform-field-label--type-inline'>(Ganz entspannt) Innerhalb der n\u00e4chsten 5 Werktage reicht mir vollkommen aus<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='(Schnellstm\u00f6glich) Innerhalb der n\u00e4chsten 2 Werktage'  id='choice_10_12_1' onchange='gformToggleRadioOther( this )'  tabindex='63'  \/>\n\t\t\t\t\t<label for='choice_10_12_1' id='label_10_12_1' class='gform-field-label gform-field-label--type-inline'>(Schnellstm\u00f6glich) Innerhalb der n\u00e4chsten 2 Werktage<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_10_11' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='\u2190 ZUR\u00dcCK' tabindex='64' onclick='jQuery(\"#gform_target_page_number_10\").val(\"2\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"2\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_10_11' class='gform_next_button gform-theme-button button' value='WEITER \u2192' tabindex='65' onclick='jQuery(\"#gform_target_page_number_10\").val(\"4\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"4\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_10_4' class='gform_page' data-js='page-field-id-11' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_10_4' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_10_14\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_10_14\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Dein Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_10_14'>\n                            \n                            <span id='input_10_14_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.3' id='input_10_14_3' value='' tabindex='67'  aria-required='true'   placeholder='Vorname'  \/>\n                                                    <label for='input_10_14_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Vorname<\/label>\n                                                <\/span>\n                            \n                            <span id='input_10_14_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.6' id='input_10_14_6' value='' tabindex='69'  aria-required='true'   placeholder='Nachname'  \/>\n                                                    <label for='input_10_14_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Nachname<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_10_13' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='\u2190 ZUR\u00dcCK' tabindex='71' onclick='jQuery(\"#gform_target_page_number_10\").val(\"3\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"3\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_10_13' class='gform_next_button gform-theme-button button' value='WEITER \u2192' tabindex='72' onclick='jQuery(\"#gform_target_page_number_10\").val(\"5\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"5\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_10_5' class='gform_page' data-js='page-field-id-13' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_10_5' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_10_16\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_10_16\" ><label class='gfield_label gform-field-label' for='input_10_16'>Deine Email-Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_10_16'>Dorthin senden wir die Eingangsbest\u00e4tigung deiner Terminanfrage und auch den ben\u00f6tigten Link f\u00fcr die Onlineberatung.<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_16' id='input_10_16' type='email' value='' class='large' tabindex='73'  placeholder='z.B. max.mustermann@gmx.de' aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_10_16\" \/>\n                        <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_10_15' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='\u2190 ZUR\u00dcCK' tabindex='74' onclick='jQuery(\"#gform_target_page_number_10\").val(\"4\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"4\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_10_15' class='gform_next_button gform-theme-button button' value='WEITER \u2192' tabindex='75' onclick='jQuery(\"#gform_target_page_number_10\").val(\"6\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"6\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_10_6' class='gform_page' data-js='page-field-id-15' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_10_6' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_10_18\" class=\"gfield gfield--type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_10_18\" ><label class='gfield_label gform-field-label' for='input_10_18'>Deine Mobilfunk-Nummer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_10_18'>wird ben\u00f6tigt, damit wir dich kontaktieren k\u00f6nnen, um einen passenden Termin mit dir abzustimmen.<\/div><div class='ginput_container ginput_container_phone'><input name='input_18' id='input_10_18' type='tel' value='' class='large' tabindex='76'  aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_10_18\"  \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_10_17' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='\u2190 ZUR\u00dcCK' tabindex='77' onclick='jQuery(\"#gform_target_page_number_10\").val(\"5\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"5\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_10_17' class='gform_next_button gform-theme-button button' value='WEITER \u2192' tabindex='78' onclick='jQuery(\"#gform_target_page_number_10\").val(\"7\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"7\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_10_7' class='gform_page' data-js='page-field-id-17' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_10_7' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_10_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full emgf_check style2 has-input-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_10_20\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Datenschutz<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_20'><div class='gchoice gchoice_10_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='Hiermit stimme ich der &lt;a href=&quot;https:\/\/www.versicherungenmitkopf.de\/wp-content\/uploads\/2022\/03\/Datenschutzerkla\u0308rung_mit_SDV_Stand_03_2022.pdf&quot; target=&quot;_blank&quot; id=&quot;_terms&quot; rel=&quot;nofollow&quot;&gt;Datenschutzerkl\u00e4rung&lt;\/a&gt; und den dort genannten Kommunikationswegen zum Zwecke der Beratung zu.'  id='choice_10_20_1' tabindex='79'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_20_1' id='label_10_20_1' class='gform-field-label gform-field-label--type-inline'>Hiermit stimme ich der <a href=\"https:\/\/www.versicherungenmitkopf.de\/wp-content\/uploads\/2022\/03\/Datenschutzerkla\u0308rung_mit_SDV_Stand_03_2022.pdf\" target=\"_blank\" id=\"_terms\" rel=\"nofollow\">Datenschutzerkl\u00e4rung<\/a> und den dort genannten Kommunikationswegen zum Zwecke der Beratung zu.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_10_19' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='\u2190 ZUR\u00dcCK' tabindex='80' onclick='jQuery(\"#gform_target_page_number_10\").val(\"6\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"6\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_10_19' class='gform_next_button gform-theme-button button' value='WEITER \u2192' tabindex='81' onclick='jQuery(\"#gform_target_page_number_10\").val(\"8\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"8\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_10_8' class='gform_page' data-js='page-field-id-19' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_10_8' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_10_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full emgf_check style2 has-input-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_10_22\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Erstinformation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_10_22'><div class='gchoice gchoice_10_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Ich best\u00e4tige, die &lt;a href=&quot;https:\/\/www.versicherungenmitkopf.de\/wp-content\/uploads\/2022\/07\/Erstinfo_alle_Vermittler_SDV_072022-1.pdf&quot; target=&quot;_blank&quot; id=&quot;_terms&quot; rel=&quot;nofollow&quot;&gt;Erstinformation&lt;\/a&gt; gelesen und gespeichert zu haben.'  id='choice_10_22_1' tabindex='82'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_1' id='label_10_22_1' class='gform-field-label gform-field-label--type-inline'>Ich best\u00e4tige, die <a href=\"https:\/\/www.versicherungenmitkopf.de\/wp-content\/uploads\/2022\/07\/Erstinfo_alle_Vermittler_SDV_072022-1.pdf\" target=\"_blank\" id=\"_terms\" rel=\"nofollow\">Erstinformation<\/a> gelesen und gespeichert zu haben.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_10_23' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='\u2190 ZUR\u00dcCK' tabindex='83' onclick='jQuery(\"#gform_target_page_number_10\").val(\"7\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"7\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_10_23' class='gform_next_button gform-theme-button button' value='WEITER \u2192' tabindex='84' onclick='jQuery(\"#gform_target_page_number_10\").val(\"9\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_10\").val(\"9\");  jQuery(\"#gform_10\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_10_9' class='gform_page' data-js='page-field-id-23' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_10_9' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_10_1\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full emgf_radio has-input-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_10_1\" ><legend class='gfield_label gform-field-label' >Zum Abschluss noch eine &#8211; f\u00fcr uns sehr wichtige &#8211; Frage:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_10_1'>Wie bist du auf Versicherungen mit Kopf aufmerksam geworden?<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' 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