{"id":4642,"date":"2026-06-11T14:46:32","date_gmt":"2026-06-11T12:46:32","guid":{"rendered":"https:\/\/www.skoliosenetzwerkoesterreich.at\/experten\/form\/eintrag-in-der-expertensuche-aenderungen-copy\/"},"modified":"2026-08-11T16:44:07","modified_gmt":"2026-08-11T14:44:07","slug":"eintrag-in-der-expertensuche-aenderungen-copy","status":"publish","type":"formgent_form","link":"https:\/\/www.skoliosenetzwerkoesterreich.at\/experten\/form\/eintrag-in-der-expertensuche-aenderungen-copy\/","title":{"rendered":"Daten\u00e4nderung &#8211; Physiotherapie"},"content":{"rendered":"\n<style>\n    .formgent-form-4642 {\n        \/* Form variables *\/\n        --formgent-form-background-color: #ffffff;\n        --formgent-form-background-image: ;\n        --formgent-form-background-image-position:\n        center center;\n\n        --formgent-form-padding-desktop: 20px 20px 40px 20px;\n        --formgent-form-padding-tablet: 20px 20px 40px 20px;\n        --formgent-form-padding-mobile: 20px 20px 40px 20px;\n        --formgent-form-margin-desktop: 0 0 0 0;\n        --formgent-form-margin-tablet: 0 0 0 0;\n        --formgent-form-margin-mobile: 0 0 0 0;\n        --formgent-form-border-width: 0;\n        --formgent-form-border: 0 solid transparent;\n        --formgent-form-border-radius: 16px 16px 16px 16px;\n\n        \/* Field variables *\/\n        --formgent-field-vertical-spacing-desktop: 35px;\n        --formgent-field-vertical-spacing-tablet: 35px;\n        --formgent-field-vertical-spacing-mobile: 35px;\n        --formgent-field-horizontal-spacing-desktop: 12px;\n        --formgent-field-horizontal-spacing-tablet: 12px;\n        --formgent-field-horizontal-spacing-mobile: 12px;\n        --formgent-field-background-color: transparent;\n        --formgent-field-background-color-hover: transparent;\n        --formgent-field-placeholder-color: #a1a9b2;\n        --formgent-field-label-color: #000000;\n        --formgent-field-description-color: #747c89;\n        --formgent-field-error-message-color: #c83a3a;\n        --formgent-field-input-color: #4d5761 ;\n        --formgent-field-options-color: #4d5761;\n        --formgent-field-border: 1px solid #d2d6db;\n        --formgent-field-border-radius: 8px 8px 8px 8px;\n        --formgent-field-rating-color: #a1a9b2;\n        --formgent-field-rating-color-hover: #5e53f9;\n        --formgent-field-range-slider-color: #000000;\n        \/* Fixed submit button variables *\/\n        --formgent-fixed-btn-bg-color: #000000;\n        --formgent-fixed-btn-text-color: #ffffff;\n        --formgent-fixed-btn-border-color: #000000;\n        --formgent-fixed-btn-style: default;\n        --formgent-fixed-btn-alignment: block;\n    }\n    .display-none {\n        display: none;\n    }\n<\/style><style>\n    <\/style>\n<div class=\"formgent-form formgent-form-4642 formgent-form-general \">\n            <div class=\"formgent-confirmation-wrap formgent-confirmation-wrap--hidden\">\n            <div class=\"formgent-notices formgent-notices--classic-form\"\n                data-message=\"&lt;div&gt;\n&lt;h2&gt;Vielen Dank&lt;\/h2&gt;\n&lt;\/div&gt;\n&lt;div&gt;\n&lt;p&gt;Ihr \u00c4nderungsformular ist bei uns eingegangen. 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\\u00d6sterreich&quot;,&quot;login_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-login.php&quot;,&quot;registration_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-login.php?action=register&quot;,&quot;lost_password_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-login.php?action=lostpassword&quot;,&quot;forgot_password_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-login.php?action=lostpassword&quot;,&quot;logout_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-login.php?action=logout\\u0026amp;_wpnonce=909943b856&quot;,&quot;cookie_value&quot;:&quot;&quot;,&quot;cookie_values&quot;:&quot;&quot;},&quot;is_form_loaded&quot;:false,&quot;is_partial_submitting&quot;:false,&quot;global&quot;:{&quot;is_response_submitting&quot;:false,&quot;is_response_token_generating&quot;:false,&quot;is_enabled_honeypot_protection&quot;:false,&quot;payment&quot;:{&quot;enable_summary&quot;:false,&quot;payment_summary&quot;:&quot;&quot;,&quot;items&quot;:[],&quot;total_amount&quot;:&quot;&quot;}},&quot;quiz_result&quot;:false,&quot;show_quiz_results&quot;:true,&quot;confirmation&quot;:{&quot;type&quot;:&quot;message&quot;,&quot;page&quot;:0,&quot;url&quot;:&quot;https:\\\/\\\/google.com&quot;,&quot;after_submission&quot;:&quot;reset&quot;},&quot;_ccOverride&quot;:false,&quot;_confirmationDisplayed&quot;:false,&quot;submit_label&quot;:&quot;Submit&quot;,&quot;redirecting_label&quot;:&quot;You will be redirected in&quot;,&quot;plugin_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-content\\\/plugins&quot;,&quot;external_data&quot;:[]}'\n        data-wp-init=\"callbacks.initClassicForm\"\n        data-wp-bind--disabled=\"context.global.is_response_submitting\" data-wp-watch=\"callbacks.watchForm\">\n                        <div class=\"formgent-field-list formgent-field-list--frontend\"\n            data-wp-class--formgent-field-list-loading=\"!context.is_form_loaded\"\n            data-wp-class--formgent-partial-submitting=\"!context.is_partial_submitting\">\n            \n<h2 data-wp-bind--hidden=\"state.hideField\" data-wp-context=\"{ &quot;name&quot;: &quot;qtcP7wk_pMn3Ak6ypgxHu&quot; }\" class=\"wp-block-heading has-text-align-center display-none\">Daten\u00e4nderung <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-black-color\">Physiotherapie - Eintrag in der Expertensuche<\/mark><\/h2>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initSelectField\"\n    data-wp-context='{&quot;name&quot;:&quot;multiple-choice-2&quot;,&quot;field_label&quot;:&quot;Bitte w\\u00e4hlen Sie aus&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;24COr9MYgfZKid8A3ZKOe&quot;,&quot;label&quot;:&quot;Ich m\\u00f6chte eine Daten\\u00e4nderung, Erg\\u00e4nzung oder Korrektur bekanntgeben.&quot;,&quot;value&quot;:&quot;ich-m-chte-eine-daten-nderung-erg-nzung-oder-korrektur-bekanntgeben&quot;}],&quot;field_type&quot;:&quot;multiple-choice&quot;}'\n    data-wp-bind--hidden=\"state.hideField\"\n    class=\"display-none formgent-field formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label for=\"formgent-multiple-choice-2\"\n                class=\"formgent-field-label formgent-label-align-top\">\n                Bitte w\u00e4hlen Sie aus                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--multi-choice\">\n            <div class=\"formgent-field-single__box formgent-multiple-choice-multiple-choice-2 formgent-field-single__box--full_width\"\n                id=\"formgent-lysL9kv0UaDF\"\n                data-wp-init=\"callbacks.multipleChoiceKeyboard\">\n                                        <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;24COr9MYgfZKid8A3ZKOe&quot;,&quot;label&quot;:&quot;Ich m\\u00f6chte eine Daten\\u00e4nderung, Erg\\u00e4nzung oder Korrektur bekanntgeben.&quot;,&quot;value&quot;:&quot;ich-m-chte-eine-daten-nderung-erg-nzung-oder-korrektur-bekanntgeben&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                <\/div>\n\n                            <span class=\"formgent-field-sub-label\">\n                    Pflichtfeld                <\/span>\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<h4 data-wp-bind--hidden=\"state.hideField\" data-wp-context=\"{ &quot;name&quot;: &quot;OFFlhc_Dvamb3iSWtLOBe&quot; }\" class=\"wp-block-heading has-text-align-left display-none\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-green-cyan-color\">Informationen zu Ihrer Praxis<\/mark><\/h4>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"text-5\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-T6imJ3003YqB\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Praxisname                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n      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class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-yGrfYQPDnmZh\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Titel                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-yGrfYQPDnmZh\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"middle_name\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-33\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-3wIp6ylDlrHi\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Vorname                                     <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-3wIp6ylDlrHi\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                            <span class=\"formgent-field-sub-label\">\n                    Pflichtfeld                <\/span>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"last_name\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-33\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-j9KSySkoOz-O\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Nachname                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-j9KSySkoOz-O\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                            <span class=\"formgent-field-sub-label\">\n                    Pflichtfeld                <\/span>\n                    <\/div>\n    <\/div>\n<\/div><\/div>\n    <\/div>\n<\/div>\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"address\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\" id=\"formgent-5DrZhLrbiEcz\">\n    <div class=\"formgent-field-single formgent-field-align-top\" data-wp-context='{ \"parent_name\": \"address\" }'>\n        <span class=\"formgent-field-label formgent-label-align-top\">\n        Kontaktinformationen (bitte keine privaten Daten!)     <\/span>\n    \n<div class=\"formgent-field-list formgent-field-list--frontend\">\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"address_line_one\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-w-xfBKfjtEgY\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Stra\u00dfe und Hausnummer                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-w-xfBKfjtEgY\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"zip_code\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-50\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-Oa7y-fBLmwBX\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Postleitzahl                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-Oa7y-fBLmwBX\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"zip_code-1\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-50\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-TOtu5O6cYEp7\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Ort                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-TOtu5O6cYEp7\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div><\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"email\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field formgent-field-width-100 formgent-field-email\">\n    <div class=\"formgent-field-single formgent-field-align-top formgent-field-single-email-primary\">\n                    <label\n                for=\"formgent-iV0HZhmo49Eb\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                E-Mail                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <div class='formgent-has-input-icon'>\n                \n                <input\n                    class=\"formgent-field-single__input\"\n                    type=\"email\"\n                    id=\"formgent-iV0HZhmo49Eb\"\n                    placeholder=\"\"\n                    data-wp-on--input=\"actions.updateInput\"\n                    data-wp-bind--value=\"state.getValue\"\n                \/>\n            <\/div>\n\n                    <\/div>\n    <\/div>\n\n    <\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"phone-number\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-single--csr formgent-field-align-top\">\n                    <label\n                for=\"formgent--Sx1BKWbqMnl\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Telefon                            <\/label>\n                <div\n            class=\"formgent-field-single__wrapper\"\n        >\n            <div class=\"formgent-field-single__phone\">\n                <div class=\"formgent-field-single__dialer__content\">\n                    <input\n                        class=\"formgent-field-single__input \"\n                        type=\"tel\"\n                        id=\"formgent--Sx1BKWbqMnl\"\n                        placeholder=\"+43\"\n                        data-wp-init=\"callbacks.phoneNumberInit\"\n                    >\n                <\/div>\n            <\/div>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"phone-number-1\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-single--csr formgent-field-align-top\">\n                    <label\n                for=\"formgent-PIzjJ4Bgef3F\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Telefon 2                            <\/label>\n                <div\n            class=\"formgent-field-single__wrapper\"\n        >\n            <div class=\"formgent-field-single__phone\">\n                <div class=\"formgent-field-single__dialer__content\">\n                    <input\n                        class=\"formgent-field-single__input \"\n                        type=\"tel\"\n                        id=\"formgent-PIzjJ4Bgef3F\"\n                        placeholder=\"+43\"\n                        data-wp-init=\"callbacks.phoneNumberInit\"\n                    >\n                <\/div>\n            <\/div>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initSelectField\"\n    data-wp-context='{&quot;name&quot;:&quot;multiple-choice&quot;,&quot;field_label&quot;:&quot;Krankenkassen&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;RBLsc4v6zqrgj5LtMZ7e7&quot;,&quot;label&quot;:&quot;\\u00d6GK&quot;,&quot;value&quot;:&quot;gk&quot;},{&quot;id&quot;:&quot;t_o9eaUqE6zxpEHkt12Fn&quot;,&quot;label&quot;:&quot;BVAEB&quot;,&quot;value&quot;:&quot;bvaeb&quot;},{&quot;id&quot;:&quot;gsZGVoKrmiWGfAbgJveQ7&quot;,&quot;label&quot;:&quot;SVS&quot;,&quot;value&quot;:&quot;svs&quot;},{&quot;id&quot;:&quot;CZcEKXkTmZDPjP7MpRIo-&quot;,&quot;label&quot;:&quot;KFA&quot;,&quot;value&quot;:&quot;kfa&quot;},{&quot;id&quot;:&quot;ojA2qqLOxz-Otou5v14vk&quot;,&quot;label&quot;:&quot;Wahltherapie-Praxis&quot;,&quot;value&quot;:&quot;wahltherapie-praxis&quot;},{&quot;id&quot;:&quot;EjRaCbLOs0eRVzFxzS8I0&quot;,&quot;label&quot;:&quot;Patienten aus dem Ausland (EU)&quot;,&quot;value&quot;:&quot;patienten-aus-dem-ausland-eu&quot;},{&quot;id&quot;:&quot;NZd4UWCC2_tqt6hllSu6E&quot;,&quot;label&quot;:&quot;Wahlarztpraxis&quot;,&quot;value&quot;:&quot;wahlarztpraxis&quot;},{&quot;id&quot;:&quot;3Lgu73wN3eRTMcKQbyTOO&quot;,&quot;label&quot;:&quot;Privat&quot;,&quot;value&quot;:&quot;privat&quot;}],&quot;field_type&quot;:&quot;multiple-choice&quot;}'\n    data-wp-bind--hidden=\"state.hideField\"\n    class=\"display-none formgent-field formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label for=\"formgent-multiple-choice\"\n                class=\"formgent-field-label formgent-label-align-top\">\n                Krankenkassen                            <\/label>\n                <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--multi-choice\">\n            <div class=\"formgent-field-single__box formgent-multiple-choice-multiple-choice formgent-field-single__box--two_columns\"\n                id=\"formgent-5BDOFWfhtVmq\"\n                data-wp-init=\"callbacks.multipleChoiceKeyboard\">\n                                        <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;RBLsc4v6zqrgj5LtMZ7e7&quot;,&quot;label&quot;:&quot;\\u00d6GK&quot;,&quot;value&quot;:&quot;gk&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;t_o9eaUqE6zxpEHkt12Fn&quot;,&quot;label&quot;:&quot;BVAEB&quot;,&quot;value&quot;:&quot;bvaeb&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;gsZGVoKrmiWGfAbgJveQ7&quot;,&quot;label&quot;:&quot;SVS&quot;,&quot;value&quot;:&quot;svs&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;CZcEKXkTmZDPjP7MpRIo-&quot;,&quot;label&quot;:&quot;KFA&quot;,&quot;value&quot;:&quot;kfa&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;ojA2qqLOxz-Otou5v14vk&quot;,&quot;label&quot;:&quot;Wahltherapie-Praxis&quot;,&quot;value&quot;:&quot;wahltherapie-praxis&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;EjRaCbLOs0eRVzFxzS8I0&quot;,&quot;label&quot;:&quot;Patienten aus dem Ausland (EU)&quot;,&quot;value&quot;:&quot;patienten-aus-dem-ausland-eu&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;NZd4UWCC2_tqt6hllSu6E&quot;,&quot;label&quot;:&quot;Wahlarztpraxis&quot;,&quot;value&quot;:&quot;wahlarztpraxis&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;3Lgu73wN3eRTMcKQbyTOO&quot;,&quot;label&quot;:&quot;Privat&quot;,&quot;value&quot;:&quot;privat&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                <\/div>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initSelectField\"\n    data-wp-context='{&quot;name&quot;:&quot;multiple-choice-3&quot;,&quot;field_label&quot;:&quot;Gesprochene Sprachen&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;AcadVdjB6wlRwD0xzQtho&quot;,&quot;label&quot;:&quot;Deutsch&quot;,&quot;value&quot;:&quot;deutsch&quot;},{&quot;id&quot;:&quot;8F8ePLL8cxZp9R540uVy9&quot;,&quot;label&quot;:&quot;Englisch&quot;,&quot;value&quot;:&quot;englisch&quot;},{&quot;id&quot;:&quot;je_IX3m06pLQQQbkBP-Ry&quot;,&quot;label&quot;:&quot;Italienisch&quot;,&quot;value&quot;:&quot;italienisch&quot;},{&quot;id&quot;:&quot;0CTko1FUuG7CsRa4FIP9h&quot;,&quot;label&quot;:&quot;Ungarisch&quot;,&quot;value&quot;:&quot;ungarisch&quot;},{&quot;id&quot;:&quot;other-formgent-_JYy1AXQcetn&quot;,&quot;label&quot;:&quot;Weitere Sprachen&quot;,&quot;value&quot;:&quot;formgent_other&quot;,&quot;is_other&quot;:&quot;1&quot;}],&quot;field_type&quot;:&quot;multiple-choice&quot;}'\n    data-wp-bind--hidden=\"state.hideField\"\n    class=\"display-none formgent-field formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label for=\"formgent-multiple-choice-3\"\n                class=\"formgent-field-label formgent-label-align-top\">\n                Gesprochene Sprachen                            <\/label>\n                <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--multi-choice\">\n            <div class=\"formgent-field-single__box formgent-multiple-choice-multiple-choice-3 formgent-field-single__box--two_columns\"\n                id=\"formgent-_JYy1AXQcetn\"\n                data-wp-init=\"callbacks.multipleChoiceKeyboard\">\n                                        <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;AcadVdjB6wlRwD0xzQtho&quot;,&quot;label&quot;:&quot;Deutsch&quot;,&quot;value&quot;:&quot;deutsch&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;8F8ePLL8cxZp9R540uVy9&quot;,&quot;label&quot;:&quot;Englisch&quot;,&quot;value&quot;:&quot;englisch&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;je_IX3m06pLQQQbkBP-Ry&quot;,&quot;label&quot;:&quot;Italienisch&quot;,&quot;value&quot;:&quot;italienisch&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;0CTko1FUuG7CsRa4FIP9h&quot;,&quot;label&quot;:&quot;Ungarisch&quot;,&quot;value&quot;:&quot;ungarisch&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;other-formgent-_JYy1AXQcetn&quot;,&quot;label&quot;:&quot;Weitere Sprachen&quot;,&quot;value&quot;:&quot;formgent_other&quot;,&quot;is_other&quot;:&quot;1&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                                    <input type=\"text\" class=\"formgent-field-other-input\"\n                                        data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                        data-wp-bind--value=\"state.getOtherOptionValue\"\n                                        data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                        placeholder=\"Please specify\" \/>\n                                                            <\/label>\n                        <\/div>\n                                <\/div>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initSelectField\"\n    data-wp-context='{&quot;name&quot;:&quot;multiple-choice-1&quot;,&quot;field_label&quot;:&quot;Behandlungszielgruppe&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;vhMx2FgV0AqdTscmHd6Dw&quot;,&quot;label&quot;:&quot;Kleinkinder&quot;,&quot;value&quot;:&quot;kleinkinder&quot;},{&quot;id&quot;:&quot;uJuxozhlhbwlflsKUlAG0&quot;,&quot;label&quot;:&quot;Kinder und Jugendliche&quot;,&quot;value&quot;:&quot;kinder-und-jugendliche&quot;},{&quot;id&quot;:&quot;R_wIxNBrtz52-eErAt_MS&quot;,&quot;label&quot;:&quot;Erwachsene&quot;,&quot;value&quot;:&quot;erwachsene&quot;},{&quot;id&quot;:&quot;cwe8Lx9WXDLJlSqzKf18O&quot;,&quot;label&quot;:&quot;Neurogene Skoliosen&quot;,&quot;value&quot;:&quot;neurogene-skoliosen&quot;},{&quot;id&quot;:&quot;zN4aXRr8NAUYp9Uqx-L01&quot;,&quot;label&quot;:&quot;Idiopathische Skoliosen&quot;,&quot;value&quot;:&quot;idiopathische-skoliosen&quot;},{&quot;id&quot;:&quot;AodwJPNoLnNdt9T52nMUT&quot;,&quot;label&quot;:&quot;Postoperative Skoliosen&quot;,&quot;value&quot;:&quot;postoperative-skoliosen&quot;},{&quot;id&quot;:&quot;bwVIn6iEeP66XMcReSf3y&quot;,&quot;label&quot;:&quot;Korsetttr\\u00e4ger&quot;,&quot;value&quot;:&quot;korsetttr-ger&quot;},{&quot;id&quot;:&quot;other-formgent-h-pnSBx9Ih5N&quot;,&quot;label&quot;:&quot;Weitere&quot;,&quot;value&quot;:&quot;formgent_other&quot;,&quot;is_other&quot;:&quot;1&quot;}],&quot;field_type&quot;:&quot;multiple-choice&quot;}'\n    data-wp-bind--hidden=\"state.hideField\"\n    class=\"display-none formgent-field formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label for=\"formgent-multiple-choice-1\"\n                class=\"formgent-field-label formgent-label-align-top\">\n                Behandlungszielgruppe                            <\/label>\n                <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--multi-choice\">\n            <div class=\"formgent-field-single__box formgent-multiple-choice-multiple-choice-1 formgent-field-single__box--two_columns\"\n                id=\"formgent-h-pnSBx9Ih5N\"\n                data-wp-init=\"callbacks.multipleChoiceKeyboard\">\n                                        <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;vhMx2FgV0AqdTscmHd6Dw&quot;,&quot;label&quot;:&quot;Kleinkinder&quot;,&quot;value&quot;:&quot;kleinkinder&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;uJuxozhlhbwlflsKUlAG0&quot;,&quot;label&quot;:&quot;Kinder und Jugendliche&quot;,&quot;value&quot;:&quot;kinder-und-jugendliche&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;R_wIxNBrtz52-eErAt_MS&quot;,&quot;label&quot;:&quot;Erwachsene&quot;,&quot;value&quot;:&quot;erwachsene&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;cwe8Lx9WXDLJlSqzKf18O&quot;,&quot;label&quot;:&quot;Neurogene Skoliosen&quot;,&quot;value&quot;:&quot;neurogene-skoliosen&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;zN4aXRr8NAUYp9Uqx-L01&quot;,&quot;label&quot;:&quot;Idiopathische Skoliosen&quot;,&quot;value&quot;:&quot;idiopathische-skoliosen&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;AodwJPNoLnNdt9T52nMUT&quot;,&quot;label&quot;:&quot;Postoperative Skoliosen&quot;,&quot;value&quot;:&quot;postoperative-skoliosen&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;bwVIn6iEeP66XMcReSf3y&quot;,&quot;label&quot;:&quot;Korsetttr\\u00e4ger&quot;,&quot;value&quot;:&quot;korsetttr-ger&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;other-formgent-h-pnSBx9Ih5N&quot;,&quot;label&quot;:&quot;Weitere&quot;,&quot;value&quot;:&quot;formgent_other&quot;,&quot;is_other&quot;:&quot;1&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                                    <input type=\"text\" class=\"formgent-field-other-input\"\n                                        data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                        data-wp-bind--value=\"state.getOtherOptionValue\"\n                                        data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                        placeholder=\"Hier schreiben ....\" \/>\n                                                            <\/label>\n                        <\/div>\n                                <\/div>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<h4 data-wp-bind--hidden=\"state.hideField\" data-wp-context=\"{ &quot;name&quot;: &quot;157aabD2BPbq7IO9tlNKZ&quot; }\" class=\"wp-block-heading display-none\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-green-cyan-color\">Mediale Pr\u00e4senz<\/mark><\/h4>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"website\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-942B1PDm6VDF\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Webseite URL - Premium** und VIP Paket***                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"url\"\n                id=\"formgent-942B1PDm6VDF\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                            <span class=\"formgent-field-sub-label\">\n                    Nicht im Basis-Paket enthalten! Ausschlie\u00dflich Paket Premium und VIP                <\/span>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"website-1\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-GLJUZXAMN74C\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                YouTube - VIP Paket***                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"url\"\n                id=\"formgent-GLJUZXAMN74C\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                            <span class=\"formgent-field-sub-label\">\n                    Nicht im Basis-Paket enthalten! Ausschlie\u00dflich Paket VIP                <\/span>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"website-2\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-Vx7sMMCpAd8V\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Facebook VIP Paket***                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"url\"\n                id=\"formgent-Vx7sMMCpAd8V\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                            <span class=\"formgent-field-sub-label\">\n                    Nicht im Basis-Paket enthalten! Ausschlie\u00dflich Paket VIP                <\/span>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"website-3\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-l5HYkA6JlpyX\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Instagram VIP Paket***                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"url\"\n                id=\"formgent-l5HYkA6JlpyX\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                            <span class=\"formgent-field-sub-label\">\n                    Nicht im Basis-Paket enthalten! Ausschlie\u00dflich Paket VIP                <\/span>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initSelectField\"\n    data-wp-context='{&quot;name&quot;:&quot;multiple-choice-10&quot;,&quot;field_label&quot;:&quot;Fachrichtung \\\/ Zusatzausbildungen \\\/ Zertifizierungen  &quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;xCKk7XKLviMx3uxjNk444&quot;,&quot;label&quot;:&quot;PhysiotherapeutIn&quot;,&quot;value&quot;:&quot;physiotherapeutin&quot;},{&quot;id&quot;:&quot;TxXuFnZE6ElwSAxJu5BR-&quot;,&quot;label&quot;:&quot;Zertifizierung nach Schroth&quot;,&quot;value&quot;:&quot;zertifizierung-nach-schroth&quot;},{&quot;id&quot;:&quot;7t7BzX4bDfjvGMyqNLVNF&quot;,&quot;label&quot;:&quot;Schroth-Refresher&quot;,&quot;value&quot;:&quot;schroth-refresher&quot;},{&quot;id&quot;:&quot;GaJygAUTYs9PkDCV2xLIg&quot;,&quot;label&quot;:&quot;4D-Skoliosetherapie&quot;,&quot;value&quot;:&quot;4d-skoliosetherapie&quot;},{&quot;id&quot;:&quot;-qw0d5x_PePN6UxdDd5rV&quot;,&quot;label&quot;:&quot;Spiraldynamik&quot;,&quot;value&quot;:&quot;spiraldynamik&quot;},{&quot;id&quot;:&quot;tDlH4RAvjm1A8CAVxzYS-&quot;,&quot;label&quot;:&quot;Osteopathie&quot;,&quot;value&quot;:&quot;osteopathie&quot;},{&quot;id&quot;:&quot;other-formgent-BWzbHFURSqAH&quot;,&quot;label&quot;:&quot;Weitere&quot;,&quot;value&quot;:&quot;formgent_other&quot;,&quot;is_other&quot;:&quot;1&quot;}],&quot;field_type&quot;:&quot;multiple-choice&quot;}'\n    data-wp-bind--hidden=\"state.hideField\"\n    class=\"display-none formgent-field formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label for=\"formgent-multiple-choice-10\"\n                class=\"formgent-field-label formgent-label-align-top\">\n                Fachrichtung \/ Zusatzausbildungen \/ Zertifizierungen                              <\/label>\n                <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--multi-choice\">\n            <div class=\"formgent-field-single__box formgent-multiple-choice-multiple-choice-10 formgent-field-single__box--two_columns\"\n                id=\"formgent-BWzbHFURSqAH\"\n                data-wp-init=\"callbacks.multipleChoiceKeyboard\">\n                                        <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;xCKk7XKLviMx3uxjNk444&quot;,&quot;label&quot;:&quot;PhysiotherapeutIn&quot;,&quot;value&quot;:&quot;physiotherapeutin&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;TxXuFnZE6ElwSAxJu5BR-&quot;,&quot;label&quot;:&quot;Zertifizierung nach Schroth&quot;,&quot;value&quot;:&quot;zertifizierung-nach-schroth&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;7t7BzX4bDfjvGMyqNLVNF&quot;,&quot;label&quot;:&quot;Schroth-Refresher&quot;,&quot;value&quot;:&quot;schroth-refresher&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;GaJygAUTYs9PkDCV2xLIg&quot;,&quot;label&quot;:&quot;4D-Skoliosetherapie&quot;,&quot;value&quot;:&quot;4d-skoliosetherapie&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;-qw0d5x_PePN6UxdDd5rV&quot;,&quot;label&quot;:&quot;Spiraldynamik&quot;,&quot;value&quot;:&quot;spiraldynamik&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;tDlH4RAvjm1A8CAVxzYS-&quot;,&quot;label&quot;:&quot;Osteopathie&quot;,&quot;value&quot;:&quot;osteopathie&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;other-formgent-BWzbHFURSqAH&quot;,&quot;label&quot;:&quot;Weitere&quot;,&quot;value&quot;:&quot;formgent_other&quot;,&quot;is_other&quot;:&quot;1&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                                    <input type=\"text\" class=\"formgent-field-other-input\"\n                                        data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                        data-wp-bind--value=\"state.getOtherOptionValue\"\n                                        data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                        placeholder=\"Hier schreiben ...\" \/>\n                                                            <\/label>\n                        <\/div>\n                                <\/div>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initSelectField\"\n    data-wp-context='{&quot;name&quot;:&quot;multiple-choice-9&quot;,&quot;field_label&quot;:&quot;Therapeutische Leistungen bei Skoliose&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;f1obXYk048ooNhUsX_hx5&quot;,&quot;label&quot;:&quot;Dreidimensionale Skoliosetherapie nach K. Schroth&quot;,&quot;value&quot;:&quot;dreidimensionale-skoliosetherapie-nach-k-schroth&quot;},{&quot;id&quot;:&quot;nFFHFlpK8tskWbeedaZ_j&quot;,&quot;label&quot;:&quot;4D-Skoliosetherapie&quot;,&quot;value&quot;:&quot;4d-skoliosetherapie&quot;},{&quot;id&quot;:&quot;Yb1_WTPpDc3DnzpyB4vge&quot;,&quot;label&quot;:&quot;Allgemeine Skoliosetherapie&quot;,&quot;value&quot;:&quot;allgemeine-skoliosetherapie&quot;},{&quot;id&quot;:&quot;_4HKS-H9HR02yjhqrzMbz&quot;,&quot;label&quot;:&quot;Spiraldynamik&quot;,&quot;value&quot;:&quot;spiraldynamik&quot;},{&quot;id&quot;:&quot;Dn91vIGHNcdKlXFZ_J6zB&quot;,&quot;label&quot;:&quot;FBL (Funktionelle Bewegungslehre&quot;,&quot;value&quot;:&quot;fbl-funktionelle-bewegungslehre&quot;},{&quot;id&quot;:&quot;dMceJ5HVqn3KUq4aqzsF-&quot;,&quot;label&quot;:&quot;Vojta&quot;,&quot;value&quot;:&quot;vojta&quot;},{&quot;id&quot;:&quot;58CinqDMCwV-NgYdm2mT_&quot;,&quot;label&quot;:&quot;Viszeral Therapie&quot;,&quot;value&quot;:&quot;viszeral-therapie&quot;},{&quot;id&quot;:&quot;_bC_Ywdca_4M1A679eIY0&quot;,&quot;label&quot;:&quot;Manuelle Therapie&quot;,&quot;value&quot;:&quot;manuelle-therapie&quot;},{&quot;id&quot;:&quot;cJ9nT6OKYpdl2_ut84Yhl&quot;,&quot;label&quot;:&quot;Therapeutisches Klettern&quot;,&quot;value&quot;:&quot;therapeutisches-klettern&quot;},{&quot;id&quot;:&quot;other-formgent-NoKsh8ucQNYE&quot;,&quot;label&quot;:&quot;Weitere&quot;,&quot;value&quot;:&quot;formgent_other&quot;,&quot;is_other&quot;:&quot;1&quot;}],&quot;field_type&quot;:&quot;multiple-choice&quot;}'\n    data-wp-bind--hidden=\"state.hideField\"\n    class=\"display-none formgent-field formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label for=\"formgent-multiple-choice-9\"\n                class=\"formgent-field-label formgent-label-align-top\">\n                Therapeutische Leistungen bei Skoliose                            <\/label>\n                <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--multi-choice\">\n            <div class=\"formgent-field-single__box formgent-multiple-choice-multiple-choice-9 formgent-field-single__box--two_columns\"\n                id=\"formgent-NoKsh8ucQNYE\"\n                data-wp-init=\"callbacks.multipleChoiceKeyboard\">\n                                        <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;f1obXYk048ooNhUsX_hx5&quot;,&quot;label&quot;:&quot;Dreidimensionale Skoliosetherapie nach K. Schroth&quot;,&quot;value&quot;:&quot;dreidimensionale-skoliosetherapie-nach-k-schroth&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;nFFHFlpK8tskWbeedaZ_j&quot;,&quot;label&quot;:&quot;4D-Skoliosetherapie&quot;,&quot;value&quot;:&quot;4d-skoliosetherapie&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;Yb1_WTPpDc3DnzpyB4vge&quot;,&quot;label&quot;:&quot;Allgemeine Skoliosetherapie&quot;,&quot;value&quot;:&quot;allgemeine-skoliosetherapie&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;_4HKS-H9HR02yjhqrzMbz&quot;,&quot;label&quot;:&quot;Spiraldynamik&quot;,&quot;value&quot;:&quot;spiraldynamik&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;Dn91vIGHNcdKlXFZ_J6zB&quot;,&quot;label&quot;:&quot;FBL (Funktionelle Bewegungslehre&quot;,&quot;value&quot;:&quot;fbl-funktionelle-bewegungslehre&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;dMceJ5HVqn3KUq4aqzsF-&quot;,&quot;label&quot;:&quot;Vojta&quot;,&quot;value&quot;:&quot;vojta&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;58CinqDMCwV-NgYdm2mT_&quot;,&quot;label&quot;:&quot;Viszeral Therapie&quot;,&quot;value&quot;:&quot;viszeral-therapie&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;_bC_Ywdca_4M1A679eIY0&quot;,&quot;label&quot;:&quot;Manuelle Therapie&quot;,&quot;value&quot;:&quot;manuelle-therapie&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;cJ9nT6OKYpdl2_ut84Yhl&quot;,&quot;label&quot;:&quot;Therapeutisches Klettern&quot;,&quot;value&quot;:&quot;therapeutisches-klettern&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;other-formgent-NoKsh8ucQNYE&quot;,&quot;label&quot;:&quot;Weitere&quot;,&quot;value&quot;:&quot;formgent_other&quot;,&quot;is_other&quot;:&quot;1&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                                    <input type=\"text\" class=\"formgent-field-other-input\"\n                                        data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                        data-wp-bind--value=\"state.getOtherOptionValue\"\n                                        data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                        placeholder=\"Hier schreiben ....\" \/>\n                                                            <\/label>\n                        <\/div>\n                                <\/div>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initSelectField\"\n    data-wp-context='{&quot;name&quot;:&quot;multiple-choice-8&quot;,&quot;field_label&quot;:&quot;Zusatzleistungen&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;TAV8TPTrxDcwufSza1nqu&quot;,&quot;label&quot;:&quot;Hausbesuche&quot;,&quot;value&quot;:&quot;hausbesuche&quot;},{&quot;id&quot;:&quot;other-formgent-_tfyV3g9DMjR&quot;,&quot;label&quot;:&quot;Weitere&quot;,&quot;value&quot;:&quot;formgent_other&quot;,&quot;is_other&quot;:&quot;1&quot;}],&quot;field_type&quot;:&quot;multiple-choice&quot;}'\n    data-wp-bind--hidden=\"state.hideField\"\n    class=\"display-none formgent-field formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label for=\"formgent-multiple-choice-8\"\n                class=\"formgent-field-label formgent-label-align-top\">\n                Zusatzleistungen                            <\/label>\n                <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--multi-choice\">\n            <div class=\"formgent-field-single__box formgent-multiple-choice-multiple-choice-8 formgent-field-single__box--two_columns\"\n                id=\"formgent-_tfyV3g9DMjR\"\n                data-wp-init=\"callbacks.multipleChoiceKeyboard\">\n                                        <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;TAV8TPTrxDcwufSza1nqu&quot;,&quot;label&quot;:&quot;Hausbesuche&quot;,&quot;value&quot;:&quot;hausbesuche&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;other-formgent-_tfyV3g9DMjR&quot;,&quot;label&quot;:&quot;Weitere&quot;,&quot;value&quot;:&quot;formgent_other&quot;,&quot;is_other&quot;:&quot;1&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                                    <input type=\"text\" class=\"formgent-field-other-input\"\n                                        data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                        data-wp-bind--value=\"state.getOtherOptionValue\"\n                                        data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                        placeholder=\"Hier schreiben ...\" \/>\n                                                            <\/label>\n                        <\/div>\n                                <\/div>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"textarea-1\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-EreNOQdFY4ip\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                <strong>Ihre Termine f\u00fcr Vortr\u00e4ge, Events, Webinare, Online-Fortbildungsprogramm, Tag der offenen T\u00fcr, Gruppentraining, Online-Kurse, etc., einschlie\u00dflich aller wichtigen Informationen.(VIP Paket)*** <\/strong>                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <textarea\n                class=\"formgent-field-single__input formgent-field-single__input--textarea\"\n                type=\"text\"\n                id=\"formgent-EreNOQdFY4ip\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            ><\/textarea>\n                            <span class=\"formgent-field-sub-label\">\n                    Termine werden sowohl auf unserer Webseite unter \u201eVeranstaltungen\u201c als auch \u00fcber unseren Newsletter angek\u00fcndigt.                <\/span>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"textarea\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-KixVe-kLJN0e\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                <strong>Anmerkungen und Hinweise<\/strong>                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <textarea\n                class=\"formgent-field-single__input formgent-field-single__input--textarea\"\n                type=\"text\"\n                id=\"formgent-KixVe-kLJN0e\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            ><\/textarea>\n                            <span class=\"formgent-field-sub-label\">\n                    Hier haben Sie die M\u00f6glichkeit uns weitere Informationen mitzuteilen.<br><strong>Wichtig:\u00a0<\/strong>F\u00fcr die Ver\u00f6ffentlichung von Website Adresse, Sozialmedia Links und \u00d6ffnungszeiten bitte das jeweilige Paket ausw\u00e4hlen!                <\/span>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<h3 data-wp-bind--hidden=\"state.hideField\" data-wp-context=\"{ &quot;name&quot;: &quot;VtdR-eTUFFu_axjfU5dJ-&quot; }\" class=\"wp-block-heading display-none\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-green-cyan-color\">Folgende Pakete stehen Ihnen zur Auswahl<\/mark><\/strong><\/h3>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initSelectField\"\n    data-wp-context='{&quot;name&quot;:&quot;multiple-choice-5&quot;,&quot;field_label&quot;:&quot;Sie m\\u00f6chten Ihr Paket wechseln? Kein Problem - W\\u00e4hlen Sie hier das passendes Paket f\\u00fcr Ihre zuk\\u00fcnftige Eintragung.&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;P8Iu7kycV4o_NlBVgVif7&quot;,&quot;label&quot;:&quot;Basis-Paket - Kostenlos (exkl. Logo und Verlinkung Webseite - siehe unten)*&quot;,&quot;value&quot;:&quot;paket-xs-150-00-j-hrlich-u-strong-nd-auch-strong-ihre-patient-innen-profitieren-davon&quot;,&quot;isCustomValue&quot;:&quot;1&quot;,&quot;collapsed&quot;:&quot;1&quot;},{&quot;id&quot;:&quot;pu002du002dqy7YOoPnwANRnXi2n4&quot;,&quot;label&quot;:&quot;Premium-Paket - 50\\u20ac (J\\u00e4hrliche Abrechnung) **&quot;,&quot;value&quot;:&quot;premium-paket-50-j-hrliche-abrechnung&quot;},{&quot;id&quot;:&quot;iI8SqQzszqm6A4hIR06Xl&quot;,&quot;label&quot;:&quot;VIP-Paket - 170\\u20ac (J\\u00e4hrliche Abrechnung) ***&quot;,&quot;value&quot;:&quot;vip-paket-170-j-hrliche-abrechnung&quot;}],&quot;field_type&quot;:&quot;multiple-choice&quot;}'\n    data-wp-bind--hidden=\"state.hideField\"\n    class=\"display-none formgent-field formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label for=\"formgent-multiple-choice-5\"\n                class=\"formgent-field-label formgent-label-align-top\">\n                Sie m\u00f6chten Ihr Paket wechseln? Kein Problem - W\u00e4hlen Sie hier das passendes Paket f\u00fcr Ihre zuk\u00fcnftige Eintragung.                            <\/label>\n                <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--multi-choice\">\n            <div class=\"formgent-field-single__box formgent-multiple-choice-multiple-choice-5 formgent-field-single__box--full_width\"\n                id=\"formgent-eoQC5YxgDzHx\"\n                data-wp-init=\"callbacks.multipleChoiceKeyboard\">\n                                        <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;P8Iu7kycV4o_NlBVgVif7&quot;,&quot;label&quot;:&quot;Basis-Paket - Kostenlos (exkl. Logo und Verlinkung Webseite - siehe unten)*&quot;,&quot;value&quot;:&quot;paket-xs-150-00-j-hrlich-u-strong-nd-auch-strong-ihre-patient-innen-profitieren-davon&quot;,&quot;isCustomValue&quot;:&quot;1&quot;,&quot;collapsed&quot;:&quot;1&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;pu002du002dqy7YOoPnwANRnXi2n4&quot;,&quot;label&quot;:&quot;Premium-Paket - 50\\u20ac (J\\u00e4hrliche Abrechnung) **&quot;,&quot;value&quot;:&quot;premium-paket-50-j-hrliche-abrechnung&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;iI8SqQzszqm6A4hIR06Xl&quot;,&quot;label&quot;:&quot;VIP-Paket - 170\\u20ac (J\\u00e4hrliche Abrechnung) ***&quot;,&quot;value&quot;:&quot;vip-paket-170-j-hrliche-abrechnung&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                <\/div>\n\n                            <span class=\"formgent-field-sub-label\">\n                    *<strong>Basis-Paket:<\/strong>\u00a0Es werden ausschlie\u00dflich Ihre Kontaktdate, Behandlungszielgruppe und Leistungen Ihrem Eintrag hinzugef\u00fcgt. Exklusiv Logo und Verlinkung Webseite!<br><br>**<strong>Premium-Paket<\/strong>: Neben dem Basis-Paket wird Ihrem Profil Ihr Portraitfoto\u00a0<strong>oder<\/strong>\u00a0Logo hinzugef\u00fcgt, sowie eine Verlinkung zu Ihrer Praxis-Website. Dar\u00fcber hinaus erhalten Sie einen Rabattcode in Form von Rabattkarten, der Ihren Patienten einen Rabatt von 25 % in unserem Online-Shop (ausgenommen Aktionsware) gew\u00e4hrt.<br><br><strong>***VIP-Paket:<\/strong>\u00a0Zus\u00e4tzlich zu den Leistungen des Premium-Pakets haben Sie die M\u00f6glichkeit weitere Bilder zB Ihrer Praxis, Behandlungen, etc., Videodateien und eine Unternehmensanzeige einzuf\u00fcgen. Dar\u00fcber hinaus wird Ihr Praxislogo oder Ihre Unternehmensanzeige als Banner auf der Startseite des Skoliose Netzwerks \u00d6sterreich und in der Expertensuche angezeigt.\u00a0Zudem besteht die Option, einen Blogbeitrag \u00fcber Ihr Leistungsangebot, Ihre T\u00e4tigkeit oder ein Thema im Zusammenhang mit Skoliose zu verfassen. Weiters wird Ihr Eintrag mit Ihrer Praxis-Homepage sowie Ihren Profilen auf Facebook, Instagram und YouTube verlinkt, sofern diese vorhanden sind.\u00a0Zus\u00e4tzlich erhalten Sie einen Rabattcode in Form von Rabattkarten, der Ihren Patienten einen Rabatt von 30 % in unserem Online-Shop (ausgenommen Aktionsware) gew\u00e4hrt.\u00a0Weitere Leistungen zum VIP-Paket erfahren Sie<mark>\u00a0<strong><a href=\"https:\/\/www.skoliosenetzwerkoesterreich.at\/fuer-experten-2\/\">hier<\/a><\/strong><\/mark><strong>.<\/strong><br><br>Das Premium- und VIP-Paket stellt einen j\u00e4hrlichen Beitrag dar. Die Mindestvertragslaufzeit betr\u00e4gt 12 Monate. Nach Ablauf dieser Frist verl\u00e4ngert sich der Vertrag automatisch auf unbestimmte Zeit und kann jederzeit schriftlich per E-Mail oder Post mit einer K\u00fcndigungsfrist von 4 Wochen gek\u00fcndigt werden.                <\/span>\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initSelectField\"\n    data-wp-context='{&quot;name&quot;:&quot;multiple-choice-6&quot;,&quot;field_label&quot;:&quot;Bitte w\\u00e4hlen Sie aus, wie die Rechnung f\\u00fcr Ihr Paket (Premium und VIP Paket) \\u00fcbermittelt werden soll:&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;d0RGSlBBgjFrEiU3vk8FV&quot;,&quot;label&quot;:&quot;Per Postweg&quot;,&quot;value&quot;:&quot;per-postweg&quot;},{&quot;id&quot;:&quot;other-formgent-ZfXTyLlUVEi9&quot;,&quot;label&quot;:&quot;Per E-Mail&quot;,&quot;value&quot;:&quot;formgent_other&quot;,&quot;is_other&quot;:&quot;1&quot;}],&quot;field_type&quot;:&quot;multiple-choice&quot;}'\n    data-wp-bind--hidden=\"state.hideField\"\n    class=\"display-none formgent-field formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-justify\">\n                    <label for=\"formgent-multiple-choice-6\"\n                class=\"formgent-field-label formgent-label-align-justify\">\n                Bitte w\u00e4hlen Sie aus, wie die Rechnung f\u00fcr Ihr Paket (Premium und VIP Paket) \u00fcbermittelt werden soll:                            <\/label>\n                <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--multi-choice\">\n            <div class=\"formgent-field-single__box formgent-multiple-choice-multiple-choice-6 formgent-field-single__box--full_width\"\n                id=\"formgent-ZfXTyLlUVEi9\"\n                data-wp-init=\"callbacks.multipleChoiceKeyboard\">\n                                        <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;d0RGSlBBgjFrEiU3vk8FV&quot;,&quot;label&quot;:&quot;Per Postweg&quot;,&quot;value&quot;:&quot;per-postweg&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                            <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;other-formgent-ZfXTyLlUVEi9&quot;,&quot;label&quot;:&quot;Per E-Mail&quot;,&quot;value&quot;:&quot;formgent_other&quot;,&quot;is_other&quot;:&quot;1&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                                    <input type=\"text\" class=\"formgent-field-other-input\"\n                                        data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                        data-wp-bind--value=\"state.getOtherOptionValue\"\n                                        data-wp-on--input=\"actions.updateMultiSelectSpecify\"\n                                        placeholder=\"\" \/>\n                                                            <\/label>\n                        <\/div>\n                                <\/div>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n<style>\n        .formgent-upload-container {\n            min-height: 150px;\n            display: flex;\n            align-items: center;\n            justify-content: center;\n            flex-direction: column;\n            cursor: pointer;\n            border-radius: 8px;\n            border: 1px dashed var(--formgent-color-gray-300);\n            background: var(--formgent-field-background-color);\n            width: 100%;\n            padding: 20px;\n            text-align: center;\n        }\n        .formgent-upload-container .formgent-upload-area {\n            border: 0 none;\n        }\n        .formgent-upload-container p {\n            color: var(--formgent-field-placeholder-color);\n            text-align: center;\n            font-size: 14px;\n            font-weight: 400;\n            line-height: 1.6;\n            margin: 8px 0 0 0;\n        }\n        .formgent-upload-button {\n            display: inline-flex;\n            padding: 8px 12px;\n            justify-content: center;\n            align-items: center;\n            gap: 6px;\n            border-radius: 8px;\n            background: var(--formgent-color-gray-500, #747c89);\n            cursor: pointer;\n            color: #fff;\n            text-align: center;\n            font-size: 13px;\n            font-weight: 500;\n            transition: 0.3s ease;\n            border: 0 none;\n            box-shadow: none;\n        }\n    <\/style>\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{\"name\":\"file-upload-1\",\"highlightFileUpload\":false,\"uploadedFiles\":[],\"maxSizeError\":false,\"maxFileError\":false,\"maxAllowed\":5,\"notAllowed\":false,\"maxAllowedReached\":false}' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-single--file-upload formgent-field-align-top\">\n                    <span\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Hochladen von Bilddateien, Portraitfotos, Logos, Unternehmensanzeigen, Videos und Textdokumenten, Flyer, Folder (Premium und VIP Paket).**\/***                            <\/span>\n                <div\n            class=\"formgent-upload-container\"\n        >\n            <label aria-disabled=\"false\"\n                for=\"formgent-O2M6xChDW5_r\"\n                class=\"formgent-upload-area\"\n                tabindex=\"0\"\n                role=\"button\"\n                aria-label=\"Upload\"\n                data-wp-class--formgent-file-upload-highlight=\"context.highlightFileUpload\"\n                data-wp-class--formgent-file-upload-disabled=\"context.maxAllowedReached\"\n                data-wp-bind--aria-disabled=\"context.maxAllowedReached\"\n                data-wp-on--dragenter=\"actions.fileDragEnter\"\n                data-wp-on--dragover=\"actions.fileDragEnter\"\n                data-wp-on--dragleave=\"actions.fileDragLeave\"\n                data-wp-on--drop=\"actions.fileDrop\"\n                data-wp-on--keydown=\"actions.handleUploadAreaKeydown\"\n            >\n                <span class=\"formgent-upload-button\">\n                    <svg width=\"14\" height=\"14\" viewBox=\"0 0 14 14\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0.333252 1.00016C0.333252 0.631973 0.631729 0.333496 0.999919 0.333496H12.9999C13.3681 0.333496 13.6666 0.631973 13.6666 1.00016C13.6666 1.36835 13.3681 1.66683 12.9999 1.66683H0.999919C0.631729 1.66683 0.333252 1.36835 0.333252 1.00016ZM6.99992 3.00016C7.17673 3.00016 7.3463 3.0704 7.47132 3.19542L11.4713 7.19543C11.7317 7.45577 11.7317 7.87788 11.4713 8.13823C11.211 8.39858 10.7889 8.39858 10.5285 8.13823L7.66659 5.27631V13.0002C7.66659 13.3684 7.36811 13.6668 6.99992 13.6668C6.63173 13.6668 6.33325 13.3684 6.33325 13.0002V5.27631L3.47132 8.13823C3.21097 8.39858 2.78886 8.39858 2.52851 8.13823C2.26816 7.87788 2.26816 7.45577 2.52851 7.19543L6.52851 3.19542C6.65354 3.0704 6.82311 3.00016 6.99992 3.00016Z\" fill=\"currentColor\"\/>\n<\/svg>\n                    Upload                <\/span>\n                <input\n                    multiple\n                    type=\"file\"\n                    class=\"formgent-file-input\"\n                    style=\"display: none;\"\n                    id=\"formgent-O2M6xChDW5_r\"\n                    data-wp-on--change=\"actions.onChangeFile\"\n                    data-wp-bind--disabled=\"context.maxAllowedReached\"\n                \/>\n\n                <!-- Hidden validation input for required field validation -->\n                <input\n                    type=\"hidden\"\n                    class=\"formgent-validate-field-input\"\n                    name=\"file-upload-1\"\n                    value=\"\"\n                \/>\n\n                <p>Datei hier herziehen oder zum Hochladen klicken. Maximal zul\u00e4ssige Dateigr\u00f6\u00dfe: <\/p>\n\n                                    <p> 250KB<\/p>\n                \n                            <\/label>\n\n            <span hidden class=\"formgent-warning-message\" data-wp-bind--hidden=\"!context.maxSizeError\">\n                 250KB            <\/span>\n            <span hidden class=\"formgent-warning-message\" data-wp-bind--hidden=\"!context.maxFileError\">\n                Maximum number of files allowed: 5            <\/span>\n            <span hidden class=\"formgent-warning-message\" data-wp-bind--hidden=\"!context.notAllowed\">\n                File type not allowed. Allowed file types: image\/jpeg, image\/png, application\/pdf            <\/span>\n\n\n            <div hidden class=\"formgent-file-preview\" data-wp-bind--hidden=\"!state.hasFiles\">\n                <ul class=\"formgent-preview-items\">\n                    <template data-wp-each=\"context.uploadedFiles\">\n                        <li class=\"formgent-preview-container\">\n                            <div class=\"formgent-file-preview-media\">\n                                <div>\n                                    <img\n                                        data-wp-bind--hidden=\"!context.item.isImage\"\n                                        class=\"formgent-preview-image\"\n                                        data-wp-bind--src=\"context.item.src\"\n                                    \/>\n                                    <video\n                                        data-wp-bind--hidden=\"!context.item.isVideo\"\n                                        class=\"formgent-preview-image\"\n                                        width=\"120\"\n                                        height=\"100\"\n                                    >\n                                        <source data-wp-bind--src=\"context.item.src\">\n                                    <\/video>\n                                    <span data-wp-bind--hidden=\"!context.item.isOther\">\n                                                                            <\/span>\n                                <\/div>\n                                <p class=\"formgent-file-name\">\n                                    <span data-wp-text=\"context.item.name\"><\/span><br\/>\n                                    <span data-wp-text=\"context.item.size\"><\/span>\n                                <\/p>\n                                <div\n                                    data-wp-bind--hidden=\"context.item.uploaded\"\n                                    class=\"formgent-file-preview-status\"\n                                >\n                                    <span\n                                        data-wp-style----formgent-file-upload-progress=\"context.item.progress\"\n                                        class=\"formgent-file-upload-progress\"\n                                    ><\/span>\n                                    <span\n                                        data-wp-text=\"context.item.progress\"\n                                        class=\"formgent-file-upload-progress-text\"\n                                    >\n                                        0%\n                                    <\/span>\n                                <\/div>\n                            <\/div>\n                            <div data-wp-bind--hidden=\"!context.item.uploaded\" class=\"formgent-file-preview-action\">\n                                <span\n                                    class=\"formgent-file-delete\"\n                                    tabindex=\"0\"\n                                    role=\"button\"\n                                    aria-label=\"Delete file\"\n                                    data-wp-on--click=\"actions.removeFile\"\n                                    data-wp-on--keydown=\"actions.handleRemoveFileKeydown\"\n                                >\n                                    <svg width=\"100%\" height=\"100%\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n <path d=\"M16 6V5.2C16 4.0799 16 3.51984 15.782 3.09202C15.5903 2.71569 15.2843 2.40973 14.908 2.21799C14.4802 2 13.9201 2 12.8 2H11.2C10.0799 2 9.51984 2 9.09202 2.21799C8.71569 2.40973 8.40973 2.71569 8.21799 3.09202C8 3.51984 8 4.0799 8 5.2V6M10 11.5V16.5M14 11.5V16.5M3 6H21M19 6V17.2C19 18.8802 19 19.7202 18.673 20.362C18.3854 20.9265 17.9265 21.3854 17.362 21.673C16.7202 22 15.8802 22 14.2 22H9.8C8.11984 22 7.27976 22 6.63803 21.673C6.07354 21.3854 5.6146 20.9265 5.32698 20.362C5 19.7202 5 18.8802 5 17.2V6\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n <\/svg>\n                                <\/span>\n                            <\/div>\n                        <\/li>\n                    <\/template>\n                <\/ul>\n            <\/div>\n        <\/div>\n    <\/div>\n            <span class=\"formgent-field-sub-label\">\n            Bitte senden Sie uns Bilddateien (Logo, Unternehmensanzeige, Portraitbild etc.) f\u00fcr Ihren Eintrag im JPG- oder PNG-Format.\u00a0        <\/span>\n    <\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initSelectField\"\n    data-wp-context='{&quot;name&quot;:&quot;single-choice&quot;,&quot;field_label&quot;:&quot;Infopaket f\\u00fcr Ihre Praxis&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;default_option&quot;,&quot;label&quot;:&quot;Bitte senden Sie mir ein Infopaket (beinhaltet 20 Infoflyer, 5 Fr\\u00fcherkennungsbrosch\\u00fcren und ein Reiskissen 250g) an meine Praxisadresse.&quot;,&quot;value&quot;:&quot;bitte-senden-sie-mir-ein-infopaket-beinhaltet-20-infoflyer-5-fr-herkennungsbrosch-ren-und-ein-reiskissen-250g-an-meine-praxisadresse&quot;}]}'\n    data-wp-bind--hidden=\"state.hideField\"\n    class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label for=\"formgent-single-choice\"\n                class=\"formgent-field-label formgent-label-align-top\">\n                Infopaket f\u00fcr Ihre Praxis                            <\/label>\n                <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--single-choice\">\n            <div class=\"formgent-field-single__box formgent-single-choice-single-choice formgent-field-single__box--full_width\"\n                id=\"formgent-rlSXlNTBytDl\"\n                data-wp-init=\"callbacks.singleChoiceKeyboard\">\n                                        <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;default_option&quot;,&quot;label&quot;:&quot;Bitte senden Sie mir ein Infopaket (beinhaltet 20 Infoflyer, 5 Fr\\u00fcherkennungsbrosch\\u00fcren und ein Reiskissen 250g) an meine Praxisadresse.&quot;,&quot;value&quot;:&quot;bitte-senden-sie-mir-ein-infopaket-beinhaltet-20-infoflyer-5-fr-herkennungsbrosch-ren-und-ein-reiskissen-250g-an-meine-praxisadresse&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--radio\" type=\"radio\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isSingleSelectOptionSelect\"\n                                data-wp-on--change=\"actions.updateSingleChoice\" data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                <\/div>\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n<script>\n    document.querySelectorAll('.formgent-other__option').forEach(element => {\n        element.addEventListener('focus', (evt) => {\n            evt.target.closest('div').querySelector('label').click();\n        })\n    });\n<\/script>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"gdpr\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single\">\n        <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--gdpr formgent-label-align-left\">\n            <input\n                class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                type=\"checkbox\"\n                id=\"formgent-gTnM0IMykuVL\"\n                data-wp-on--change=\"actions.updateGdpr\"\n                data-wp-bind--checked=\"state.getValue\"\n            \/>\n            <label for=\"formgent-gTnM0IMykuVL\" class=\"formgent-field-label\">\n                <span class=\"formgent-field-gdpr-checkbox\">\n                                    <\/span>\n                <span class=\"formgent-field-sub-label\">\n                    Ich stimme den Bestimmungen der DSGVO zu.                    <span class=\"formgent-field-required\">*<\/span>\n                <\/span>\n            <\/label>\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"text\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-2KRCErZjPMrf\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Mit dem Absenden best\u00e4tige ich, dass ich den allgemeinen Vertragsbedingungen des SN\u00d6 zustimme.                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-2KRCErZjPMrf\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                            <span class=\"formgent-field-sub-label\">\n                    Ort, Datum - Pflichtfeld                <\/span>\n                    <\/div>\n    <\/div>\n<\/div>\n                            <!-- Custom Submit Button -->\n                <div\n    class=\"formgent-fixed-submit-button formgent-field-single formgent-field-single--button formgent-show-button formgent-field-align-block\"\n    style=\"--formgent-btn-bg-color: #000000;\n        --formgent-btn-text-color: #ffffff;\n        --formgent-btn-border-color: #000000;\"\n    data-wp-class--formgent-show-button=\"!state.showPaypalButton\"\n    data-wp-class--formgent-hide-button=\"state.showPaypalButton\"\n>\n    <button\n        type=\"submit\"\n        id=\"formgent-fixed-submit-4642\"\n        class=\"formgent-field-list__button-text formgent-btn formgent-btn-md formgent-btn-default\"\n        data-wp-bind--disabled=\"context.global.is_response_submitting\"\n        data-wp-on--keydown=\"actions.handleSubmitButtonKeydown\"\n    >\n        Absenden    <\/button>\n<\/div>\n\n<div\n    class=\"formgent-field-single formgent-field-single--button formgent-field-single--paypal-button formgent-hide-button formgent-field-align-block\"\n    data-wp-class--formgent-show-button=\"state.showPaypalButton\"\n    data-wp-class--formgent-hide-button=\"!state.showPaypalButton\"\n>\n    <button type=\"submit\" class=\"formgent-btn formgent-btn-md formgent-btn-paypal\">\n        <span><svg height=\"16px\" id=\"Layer_1\" version=\"1.1\" viewBox=\"0 25 63 16\" width=\"63px\" xml:space=\"preserve\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\"><g><g><path d=\"M49.2,28.2h-3.4c-0.2,0-0.4,0.2-0.5,0.4l-1.4,8.8c0,0.2,0.1,0.3,0.3,0.3h1.8c0.2,0,0.3-0.1,0.3-0.3    l0.4-2.5c0-0.2,0.2-0.4,0.5-0.4h1.1c2.3,0,3.6-1.1,3.9-3.3c0.2-0.9,0-1.7-0.4-2.2C51.2,28.5,50.3,28.2,49.2,28.2 M49.6,31.5    c-0.2,1.2-1.1,1.2-2,1.2H47l0.4-2.3c0-0.1,0.1-0.2,0.3-0.2h0.2c0.6,0,1.2,0,1.5,0.4C49.6,30.7,49.6,31,49.6,31.5\" fill=\"#139AD6\"\/><\/g><g><path d=\"M24.7,28.2h-3.4c-0.2,0-0.4,0.2-0.5,0.4l-1.4,8.8c0,0.2,0.1,0.3,0.3,0.3h1.6c0.2,0,0.4-0.2,0.5-0.4    l0.4-2.4c0-0.2,0.2-0.4,0.5-0.4h1.1c2.3,0,3.6-1.1,3.9-3.3c0.2-0.9,0-1.7-0.4-2.2C26.7,28.5,25.9,28.2,24.7,28.2 M25.1,31.5    c-0.2,1.2-1.1,1.2-2,1.2h-0.5l0.4-2.3c0-0.1,0.1-0.2,0.3-0.2h0.2c0.6,0,1.2,0,1.5,0.4C25.1,30.7,25.2,31,25.1,31.5\" fill=\"#263B80\"\/><\/g><g><path d=\"M35,31.4h-1.6c-0.1,0-0.3,0.1-0.3,0.2L33,32.1l-0.1-0.2c-0.4-0.5-1.1-0.7-1.9-0.7c-1.8,0-3.4,1.4-3.7,3.3    c-0.2,1,0.1,1.9,0.6,2.5c0.5,0.6,1.2,0.8,2.1,0.8c1.5,0,2.3-0.9,2.3-0.9l-0.1,0.5c0,0.2,0.1,0.3,0.3,0.3h1.5    c0.2,0,0.4-0.2,0.5-0.4l0.9-5.6C35.3,31.6,35.1,31.4,35,31.4 M32.7,34.6c-0.2,0.9-0.9,1.6-1.9,1.6c-0.5,0-0.9-0.2-1.1-0.4    c-0.2-0.3-0.3-0.7-0.3-1.2c0.1-0.9,0.9-1.6,1.8-1.6c0.5,0,0.8,0.2,1.1,0.4C32.6,33.7,32.7,34.2,32.7,34.6\" fill=\"#263B80\"\/><\/g><g><path d=\"M59.4,31.4h-1.6c-0.1,0-0.3,0.1-0.3,0.2l-0.1,0.5l-0.1-0.2c-0.4-0.5-1.1-0.7-1.9-0.7    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