{"id":10248,"date":"2026-06-10T20:12:05","date_gmt":"2026-06-10T18:12:05","guid":{"rendered":"https:\/\/www.atlaspraxis.de\/?page_id=10248"},"modified":"2026-07-08T19:31:42","modified_gmt":"2026-07-08T17:31:42","slug":"fragebogen","status":"publish","type":"page","link":"https:\/\/www.atlaspraxis.de\/en\/fragebogen\/","title":{"rendered":"Fragebogen"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"200\" src=\"https:\/\/www.atlaspraxis.de\/wp-content\/uploads\/Fragebogen.png\" alt=\"Fragebogen\" class=\"wp-image-10572\" style=\"width:600px\" srcset=\"https:\/\/www.atlaspraxis.de\/wp-content\/uploads\/Fragebogen.png 1600w, https:\/\/www.atlaspraxis.de\/wp-content\/uploads\/Fragebogen-600x75.png 600w, https:\/\/www.atlaspraxis.de\/wp-content\/uploads\/Fragebogen-1024x128.png 1024w, https:\/\/www.atlaspraxis.de\/wp-content\/uploads\/Fragebogen-768x96.png 768w, https:\/\/www.atlaspraxis.de\/wp-content\/uploads\/Fragebogen-1536x192.png 1536w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/figure>\n\n\n<div class=\"wpforms-container wpforms-render-modern\" id=\"wpforms-10250\"><form id=\"wpforms-form-10250\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"10250\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/10248\" data-token=\"10ca40d3266701fa5273a499b533311c\" data-token-time=\"1785082147\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-10250-field_8-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_8\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-10250-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-10250-field_8-error\" required><\/div><div id=\"wpforms-10250-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_4\">Datum <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-10250-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" value=\"26.07.2026\" aria-errormessage=\"wpforms-10250-field_4-error\" required><\/div><div id=\"wpforms-10250-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_2\">Patienten-ID (wenn vorhanden)<\/label><input type=\"text\" id=\"wpforms-10250-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-10250-field_2-error\" ><\/div><div id=\"wpforms-10250-field_56-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"56\"><fieldset><legend class=\"wpforms-field-label\">Aufnahme, Folgetermin oder R\u00fcckmeldung <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-10250-field_56\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_56_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][56][]\" value=\"Aufnahme\" aria-errormessage=\"wpforms-10250-field_56_1-error\" aria-describedby=\"wpforms-10250-field_56-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_56_1\">Aufnahme<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_56_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][56][]\" value=\"Folgetermin\" aria-errormessage=\"wpforms-10250-field_56_2-error\" aria-describedby=\"wpforms-10250-field_56-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_56_2\">Folgetermin<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_56_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][56][]\" value=\"R\u00fcckmeldung\" aria-errormessage=\"wpforms-10250-field_56_3-error\" aria-describedby=\"wpforms-10250-field_56-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_56_3\">R\u00fcckmeldung<\/label><\/li><\/ul><div id=\"wpforms-10250-field_56-description\" class=\"wpforms-field-description\"><br \/><br \/><br \/><br \/><br \/><br \/><hr style=\"border-color:#448a85;\" \/><\/div><\/fieldset><\/div><div id=\"wpforms-10250-field_5-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_5\">Beschwerden<\/label><textarea id=\"wpforms-10250-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-10250-field_5-error\" aria-describedby=\"wpforms-10250-field_5-description\" ><\/textarea><div id=\"wpforms-10250-field_5-description\" class=\"wpforms-field-description\">Bemerkungen<\/div><\/div><div id=\"wpforms-10250-field_69-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"69\"><fieldset><legend class=\"wpforms-field-label\">Schmerzen in der HWS<\/legend><ul id=\"wpforms-10250-field_69\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_69_1\" name=\"wpforms[fields][69][]\" value=\"rechts\" aria-errormessage=\"wpforms-10250-field_69_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_69_1\">rechts<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_69_2\" name=\"wpforms[fields][69][]\" value=\"links\" aria-errormessage=\"wpforms-10250-field_69_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_69_2\">links<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_71-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"71\"><fieldset><legend class=\"wpforms-field-label\">Schmerzen in der BWS<\/legend><ul id=\"wpforms-10250-field_71\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_71_1\" name=\"wpforms[fields][71][]\" value=\"rechts\" aria-errormessage=\"wpforms-10250-field_71_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_71_1\">rechts<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_71_2\" name=\"wpforms[fields][71][]\" value=\"links\" aria-errormessage=\"wpforms-10250-field_71_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_71_2\">links<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_72-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"72\"><fieldset><legend class=\"wpforms-field-label\">Schmerzen in der LWS<\/legend><ul id=\"wpforms-10250-field_72\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_72_1\" name=\"wpforms[fields][72][]\" value=\"rechts\" aria-errormessage=\"wpforms-10250-field_72_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_72_1\">rechts<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_72_2\" name=\"wpforms[fields][72][]\" value=\"links\" aria-errormessage=\"wpforms-10250-field_72_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_72_2\">links<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_73-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"73\"><fieldset><legend class=\"wpforms-field-label\">Schmerzen in den Schultern \/ Armen<\/legend><ul id=\"wpforms-10250-field_73\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_73_1\" name=\"wpforms[fields][73][]\" value=\"rechts\" aria-errormessage=\"wpforms-10250-field_73_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_73_1\">rechts<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_73_2\" name=\"wpforms[fields][73][]\" value=\"links\" aria-errormessage=\"wpforms-10250-field_73_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_73_2\">links<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_74-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"74\"><fieldset><legend class=\"wpforms-field-label\">Schmerzen in den H\u00fcften<\/legend><ul id=\"wpforms-10250-field_74\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_74_1\" name=\"wpforms[fields][74][]\" value=\"rechts\" aria-errormessage=\"wpforms-10250-field_74_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_74_1\">rechts<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_74_2\" name=\"wpforms[fields][74][]\" value=\"links\" aria-errormessage=\"wpforms-10250-field_74_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_74_2\">links<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_75-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"75\"><fieldset><legend class=\"wpforms-field-label\">Schmerzen in den Beinen<\/legend><ul id=\"wpforms-10250-field_75\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_75_1\" name=\"wpforms[fields][75][]\" value=\"rechts\" aria-errormessage=\"wpforms-10250-field_75_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_75_1\">rechts<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_75_2\" name=\"wpforms[fields][75][]\" value=\"links\" aria-errormessage=\"wpforms-10250-field_75_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_75_2\">links<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_76-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"76\"><fieldset><legend class=\"wpforms-field-label\">Schmerzen in den H\u00e4nden<\/legend><ul id=\"wpforms-10250-field_76\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_76_1\" name=\"wpforms[fields][76][]\" value=\"rechts\" aria-errormessage=\"wpforms-10250-field_76_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_76_1\">rechts<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_76_2\" name=\"wpforms[fields][76][]\" value=\"links\" aria-errormessage=\"wpforms-10250-field_76_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_76_2\">links<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_77-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"77\"><fieldset><legend class=\"wpforms-field-label\">Schmerzen in den F\u00fc\u00dfen<\/legend><ul id=\"wpforms-10250-field_77\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_77_1\" name=\"wpforms[fields][77][]\" value=\"rechts\" aria-errormessage=\"wpforms-10250-field_77_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_77_1\">rechts<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_77_2\" name=\"wpforms[fields][77][]\" value=\"links\" aria-errormessage=\"wpforms-10250-field_77_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_77_2\">links<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_78-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"78\"><fieldset><legend class=\"wpforms-field-label\">Kopfschmerzen<\/legend><ul id=\"wpforms-10250-field_78\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_78_1\" name=\"wpforms[fields][78][]\" value=\"ja\" aria-errormessage=\"wpforms-10250-field_78_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_78_1\">ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_78_2\" name=\"wpforms[fields][78][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_78_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_78_2\">nein<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_79-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"79\"><fieldset><legend class=\"wpforms-field-label\">Migr\u00e4ne<\/legend><ul id=\"wpforms-10250-field_79\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_79_1\" name=\"wpforms[fields][79][]\" value=\"ja\" aria-errormessage=\"wpforms-10250-field_79_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_79_1\">ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_79_2\" name=\"wpforms[fields][79][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_79_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_79_2\">nein<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_80-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"80\"><fieldset><legend class=\"wpforms-field-label\">Schwindel<\/legend><ul id=\"wpforms-10250-field_80\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_80_1\" name=\"wpforms[fields][80][]\" value=\"ja\" aria-errormessage=\"wpforms-10250-field_80_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_80_1\">ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_80_2\" name=\"wpforms[fields][80][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_80_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_80_2\">nein<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_81-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"81\"><fieldset><legend class=\"wpforms-field-label\">Verdauungsprobleme<\/legend><ul id=\"wpforms-10250-field_81\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_81_1\" name=\"wpforms[fields][81][]\" value=\"ja\" aria-errormessage=\"wpforms-10250-field_81_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_81_1\">ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_81_2\" name=\"wpforms[fields][81][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_81_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_81_2\">nein<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_82-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"82\"><fieldset><legend class=\"wpforms-field-label\">Tinnitus<\/legend><ul id=\"wpforms-10250-field_82\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_82_1\" name=\"wpforms[fields][82][]\" value=\"ja\" aria-errormessage=\"wpforms-10250-field_82_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_82_1\">ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_82_2\" name=\"wpforms[fields][82][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_82_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_82_2\">nein<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_83-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"83\"><fieldset><legend class=\"wpforms-field-label\">Depressionen oder psychische Belastung<\/legend><ul id=\"wpforms-10250-field_83\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_83_1\" name=\"wpforms[fields][83][]\" value=\"ja\" aria-errormessage=\"wpforms-10250-field_83_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_83_1\">ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_83_2\" name=\"wpforms[fields][83][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_83_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_83_2\">nein<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_6-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_6\">Ziele beim Ersttermin oder Ver\u00e4nderungen bei Folgeterminen und R\u00fcckmeldungen<\/label><textarea id=\"wpforms-10250-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-10250-field_6-error\" aria-describedby=\"wpforms-10250-field_6-description\" ><\/textarea><div id=\"wpforms-10250-field_6-description\" class=\"wpforms-field-description\"><br \/><br \/><br \/><br \/><br \/><br \/><hr style=\"border-color:#448a85;\" \/><\/div><\/div><div id=\"wpforms-10250-field_10-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_10\">Haltung im Stand<\/label><textarea id=\"wpforms-10250-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-10250-field_10-error\" aria-describedby=\"wpforms-10250-field_10-description\" ><\/textarea><div id=\"wpforms-10250-field_10-description\" class=\"wpforms-field-description\">Bemerkungen<\/div><\/div><div id=\"wpforms-10250-field_11-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">Kopfhaltung asymmetrisch<\/legend><ul id=\"wpforms-10250-field_11\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_11_1\" name=\"wpforms[fields][11][]\" value=\"unauff\u00e4llig\" aria-errormessage=\"wpforms-10250-field_11_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_11_1\">unauff\u00e4llig<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_11_2\" name=\"wpforms[fields][11][]\" value=\"leicht\" aria-errormessage=\"wpforms-10250-field_11_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_11_2\">leicht<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_11_3\" name=\"wpforms[fields][11][]\" value=\"deutlich\" aria-errormessage=\"wpforms-10250-field_11_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_11_3\">deutlich<\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-10250-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-10250-field_1\" >BWS Rotation Sitz<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-10250-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-10250-field_12-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"12\"><fieldset><legend class=\"wpforms-field-label\">Schulterh\u00f6he unterschiedlich<\/legend><ul id=\"wpforms-10250-field_12\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_12_1\" name=\"wpforms[fields][12][]\" value=\"unauff\u00e4llig\" aria-errormessage=\"wpforms-10250-field_12_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_12_1\">unauff\u00e4llig<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_12_2\" name=\"wpforms[fields][12][]\" value=\"leicht\" aria-errormessage=\"wpforms-10250-field_12_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_12_2\">leicht<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_12_3\" name=\"wpforms[fields][12][]\" value=\"deutlich\" aria-errormessage=\"wpforms-10250-field_12_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_12_3\">deutlich<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_13-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Beckenschiefstand<\/legend><ul id=\"wpforms-10250-field_13\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_13_1\" name=\"wpforms[fields][13][]\" value=\"unauff\u00e4llig\" aria-errormessage=\"wpforms-10250-field_13_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_13_1\">unauff\u00e4llig<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_13_2\" name=\"wpforms[fields][13][]\" value=\"leicht\" aria-errormessage=\"wpforms-10250-field_13_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_13_2\">leicht<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_13_3\" name=\"wpforms[fields][13][]\" value=\"deutlich\" aria-errormessage=\"wpforms-10250-field_13_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_13_3\">deutlich<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_14-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">Knieachse valgus(X)\/varus(O)<\/legend><ul id=\"wpforms-10250-field_14\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_14_1\" name=\"wpforms[fields][14][]\" value=\"unauff\u00e4llig\" aria-errormessage=\"wpforms-10250-field_14_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_14_1\">unauff\u00e4llig<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_14_2\" name=\"wpforms[fields][14][]\" value=\"leicht\" aria-errormessage=\"wpforms-10250-field_14_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_14_2\">leicht<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_14_3\" name=\"wpforms[fields][14][]\" value=\"deutlich\" aria-errormessage=\"wpforms-10250-field_14_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_14_3\">deutlich<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_15-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"15\"><fieldset><legend class=\"wpforms-field-label\">Fu\u00dfstellung auff\u00e4llig<\/legend><ul id=\"wpforms-10250-field_15\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_15_1\" name=\"wpforms[fields][15][]\" value=\"unauff\u00e4llig\" aria-errormessage=\"wpforms-10250-field_15_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_15_1\">unauff\u00e4llig<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_15_2\" name=\"wpforms[fields][15][]\" value=\"leicht\" aria-errormessage=\"wpforms-10250-field_15_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_15_2\">leicht<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_15_3\" name=\"wpforms[fields][15][]\" value=\"deutlich\" aria-errormessage=\"wpforms-10250-field_15_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_15_3\">deutlich<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_57-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"57\"><fieldset><legend class=\"wpforms-field-label\">Vorverlagerter Kopf<\/legend><ul id=\"wpforms-10250-field_57\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_57_1\" name=\"wpforms[fields][57][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_57_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_57_1\">nein<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_57_2\" name=\"wpforms[fields][57][]\" value=\"leicht\" aria-errormessage=\"wpforms-10250-field_57_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_57_2\">leicht<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_57_3\" name=\"wpforms[fields][57][]\" value=\"deutlich\" aria-errormessage=\"wpforms-10250-field_57_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_57_3\">deutlich<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_58-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"58\"><fieldset><legend class=\"wpforms-field-label\">Hyperkyphose BWS<\/legend><ul id=\"wpforms-10250-field_58\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_58_1\" name=\"wpforms[fields][58][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_58_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_58_1\">nein<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_58_2\" name=\"wpforms[fields][58][]\" value=\"leicht\" aria-errormessage=\"wpforms-10250-field_58_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_58_2\">leicht<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_58_3\" name=\"wpforms[fields][58][]\" value=\"deutlich\" aria-errormessage=\"wpforms-10250-field_58_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_58_3\">deutlich<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_59-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"59\"><fieldset><legend class=\"wpforms-field-label\">Hyperlordose LWS<\/legend><ul id=\"wpforms-10250-field_59\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_59_1\" name=\"wpforms[fields][59][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_59_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_59_1\">nein<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_59_2\" name=\"wpforms[fields][59][]\" value=\"leicht\" aria-errormessage=\"wpforms-10250-field_59_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_59_2\">leicht<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_59_3\" name=\"wpforms[fields][59][]\" value=\"deutlich\" aria-errormessage=\"wpforms-10250-field_59_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_59_3\">deutlich<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_84-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"84\"><fieldset><legend class=\"wpforms-field-label\">Skoliose<\/legend><ul id=\"wpforms-10250-field_84\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_84_1\" name=\"wpforms[fields][84][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_84_1-error\" aria-describedby=\"wpforms-10250-field_84-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_84_1\">nein<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_84_2\" name=\"wpforms[fields][84][]\" value=\"leicht\" aria-errormessage=\"wpforms-10250-field_84_2-error\" aria-describedby=\"wpforms-10250-field_84-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_84_2\">leicht<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_84_3\" name=\"wpforms[fields][84][]\" value=\"deutlich\" aria-errormessage=\"wpforms-10250-field_84_3-error\" aria-describedby=\"wpforms-10250-field_84-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_84_3\">deutlich<\/label><\/li><\/ul><div id=\"wpforms-10250-field_84-description\" class=\"wpforms-field-description\"><br \/><br \/><br \/><br \/><br \/><br \/><hr style=\"border-color:#448a85;\" \/><\/div><\/fieldset><\/div><div id=\"wpforms-10250-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_20\">Halswirbels\u00e4ule<\/label><textarea id=\"wpforms-10250-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-10250-field_20-error\" aria-describedby=\"wpforms-10250-field_20-description\" ><\/textarea><div id=\"wpforms-10250-field_20-description\" class=\"wpforms-field-description\">Bemerkungen<\/div><\/div><div id=\"wpforms-10250-field_21-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"21\"><fieldset><legend class=\"wpforms-field-label\">Rotation rechts<\/legend><ul id=\"wpforms-10250-field_21\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_21_1\" name=\"wpforms[fields][21][]\" value=\"frei\" aria-errormessage=\"wpforms-10250-field_21_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_21_1\">frei<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_21_2\" name=\"wpforms[fields][21][]\" value=\"eingeschr\u00e4nkt\" aria-errormessage=\"wpforms-10250-field_21_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_21_2\">eingeschr\u00e4nkt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_21_3\" name=\"wpforms[fields][21][]\" value=\"eingeschr\u00e4nkt und schmerzhaft\" aria-errormessage=\"wpforms-10250-field_21_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_21_3\">eingeschr\u00e4nkt und schmerzhaft<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_22-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">Rotation links<\/legend><ul id=\"wpforms-10250-field_22\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_22_1\" name=\"wpforms[fields][22][]\" value=\"frei\" aria-errormessage=\"wpforms-10250-field_22_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_22_1\">frei<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_22_2\" name=\"wpforms[fields][22][]\" value=\"eingeschr\u00e4nkt\" aria-errormessage=\"wpforms-10250-field_22_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_22_2\">eingeschr\u00e4nkt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_22_3\" name=\"wpforms[fields][22][]\" value=\"eingeschr\u00e4nkt und schmerzhaft\" aria-errormessage=\"wpforms-10250-field_22_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_22_3\">eingeschr\u00e4nkt und schmerzhaft<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_23-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"23\"><fieldset><legend class=\"wpforms-field-label\">Seitneigung rechts<\/legend><ul id=\"wpforms-10250-field_23\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_23_1\" name=\"wpforms[fields][23][]\" value=\"frei\" aria-errormessage=\"wpforms-10250-field_23_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_23_1\">frei<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_23_2\" name=\"wpforms[fields][23][]\" value=\"eingeschr\u00e4nkt\" aria-errormessage=\"wpforms-10250-field_23_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_23_2\">eingeschr\u00e4nkt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_23_3\" name=\"wpforms[fields][23][]\" value=\"eingeschr\u00e4nkt und schmerzhaft\" aria-errormessage=\"wpforms-10250-field_23_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_23_3\">eingeschr\u00e4nkt und schmerzhaft<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><fieldset><legend class=\"wpforms-field-label\">Seitneigung links<\/legend><ul id=\"wpforms-10250-field_24\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_24_1\" name=\"wpforms[fields][24][]\" value=\"frei\" aria-errormessage=\"wpforms-10250-field_24_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_24_1\">frei<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_24_2\" name=\"wpforms[fields][24][]\" value=\"eingeschr\u00e4nkt\" aria-errormessage=\"wpforms-10250-field_24_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_24_2\">eingeschr\u00e4nkt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_24_3\" name=\"wpforms[fields][24][]\" value=\"eingeschr\u00e4nkt und schmerzhaft\" aria-errormessage=\"wpforms-10250-field_24_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_24_3\">eingeschr\u00e4nkt und schmerzhaft<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_25-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"25\"><fieldset><legend class=\"wpforms-field-label\">Flexion (nach unten schauen)<\/legend><ul id=\"wpforms-10250-field_25\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_25_1\" name=\"wpforms[fields][25][]\" value=\"frei\" aria-errormessage=\"wpforms-10250-field_25_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_25_1\">frei<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_25_2\" name=\"wpforms[fields][25][]\" value=\"eingeschr\u00e4nkt\" aria-errormessage=\"wpforms-10250-field_25_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_25_2\">eingeschr\u00e4nkt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_25_3\" name=\"wpforms[fields][25][]\" value=\"eingeschr\u00e4nkt und schmerzhaft\" aria-errormessage=\"wpforms-10250-field_25_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_25_3\">eingeschr\u00e4nkt und schmerzhaft<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_26-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"26\"><fieldset><legend class=\"wpforms-field-label\">Extension (nach oben schauen)<\/legend><ul id=\"wpforms-10250-field_26\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_26_1\" name=\"wpforms[fields][26][]\" value=\"frei\" aria-errormessage=\"wpforms-10250-field_26_1-error\" aria-describedby=\"wpforms-10250-field_26-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_26_1\">frei<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_26_2\" name=\"wpforms[fields][26][]\" value=\"eingeschr\u00e4nkt\" aria-errormessage=\"wpforms-10250-field_26_2-error\" aria-describedby=\"wpforms-10250-field_26-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_26_2\">eingeschr\u00e4nkt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_26_3\" name=\"wpforms[fields][26][]\" value=\"eingeschr\u00e4nkt und schmerzhaft\" aria-errormessage=\"wpforms-10250-field_26_3-error\" aria-describedby=\"wpforms-10250-field_26-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_26_3\">eingeschr\u00e4nkt und schmerzhaft<\/label><\/li><\/ul><div id=\"wpforms-10250-field_26-description\" class=\"wpforms-field-description\"><br \/><br \/><br \/><br \/><br \/><br \/><hr style=\"border-color:#448a85;\" \/><\/div><\/fieldset><\/div><div id=\"wpforms-10250-field_27-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_27\">Arme \/ Schulter<\/label><textarea id=\"wpforms-10250-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-10250-field_27-error\" aria-describedby=\"wpforms-10250-field_27-description\" ><\/textarea><div id=\"wpforms-10250-field_27-description\" class=\"wpforms-field-description\">Bemerkungen\n<\/div><\/div><div id=\"wpforms-10250-field_28-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"28\"><fieldset><legend class=\"wpforms-field-label\">Armbeweglichkeit rechts<\/legend><ul id=\"wpforms-10250-field_28\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_28_1\" name=\"wpforms[fields][28][]\" value=\"frei\" aria-errormessage=\"wpforms-10250-field_28_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_28_1\">frei<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_28_2\" name=\"wpforms[fields][28][]\" value=\"eingeschr\u00e4nkt\" aria-errormessage=\"wpforms-10250-field_28_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_28_2\">eingeschr\u00e4nkt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_28_3\" name=\"wpforms[fields][28][]\" value=\"eingeschr\u00e4nkt und schmerzhaft\" aria-errormessage=\"wpforms-10250-field_28_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_28_3\">eingeschr\u00e4nkt und schmerzhaft<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_29-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"29\"><fieldset><legend class=\"wpforms-field-label\">Armbeweglichkeit links<\/legend><ul id=\"wpforms-10250-field_29\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_29_1\" name=\"wpforms[fields][29][]\" value=\"frei\" aria-errormessage=\"wpforms-10250-field_29_1-error\" aria-describedby=\"wpforms-10250-field_29-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_29_1\">frei<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_29_2\" name=\"wpforms[fields][29][]\" value=\"eingeschr\u00e4nkt\" aria-errormessage=\"wpforms-10250-field_29_2-error\" aria-describedby=\"wpforms-10250-field_29-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_29_2\">eingeschr\u00e4nkt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_29_3\" name=\"wpforms[fields][29][]\" value=\"eingeschr\u00e4nkt und schmerzhaft\" aria-errormessage=\"wpforms-10250-field_29_3-error\" aria-describedby=\"wpforms-10250-field_29-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_29_3\">eingeschr\u00e4nkt und schmerzhaft<\/label><\/li><\/ul><div id=\"wpforms-10250-field_29-description\" class=\"wpforms-field-description\"><br \/><br \/><br \/><br \/><br \/><br \/><hr style=\"border-color:#448a85;\" \/><\/div><\/fieldset><\/div><div id=\"wpforms-10250-field_32-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_32\">H\u00fcfte<\/label><textarea id=\"wpforms-10250-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" aria-errormessage=\"wpforms-10250-field_32-error\" aria-describedby=\"wpforms-10250-field_32-description\" ><\/textarea><div id=\"wpforms-10250-field_32-description\" class=\"wpforms-field-description\">Bemerkungen<\/div><\/div><div id=\"wpforms-10250-field_60-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"60\"><fieldset><legend class=\"wpforms-field-label\">H\u00fcfte rechts Flexion (nach vorne)<\/legend><ul id=\"wpforms-10250-field_60\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_60_1\" name=\"wpforms[fields][60][]\" value=\"normal\" aria-errormessage=\"wpforms-10250-field_60_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_60_1\">normal<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_60_2\" name=\"wpforms[fields][60][]\" value=\"vermindert\" aria-errormessage=\"wpforms-10250-field_60_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_60_2\">vermindert<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_60_3\" name=\"wpforms[fields][60][]\" value=\"vermindert und schmerzhaft\" aria-errormessage=\"wpforms-10250-field_60_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_60_3\">vermindert und schmerzhaft<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_61-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"61\"><fieldset><legend class=\"wpforms-field-label\">H\u00fcfte links Flexion (nach vorne) <\/legend><ul id=\"wpforms-10250-field_61\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_61_1\" name=\"wpforms[fields][61][]\" value=\"normal\" aria-errormessage=\"wpforms-10250-field_61_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_61_1\">normal<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_61_2\" name=\"wpforms[fields][61][]\" value=\"vermindert\" aria-errormessage=\"wpforms-10250-field_61_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_61_2\">vermindert<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_61_3\" name=\"wpforms[fields][61][]\" value=\"vermindert und schmerzhaft\" aria-errormessage=\"wpforms-10250-field_61_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_61_3\">vermindert und schmerzhaft<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_62-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"62\"><fieldset><legend class=\"wpforms-field-label\">H\u00fcfte rechts Extension (nach hinten)<\/legend><ul id=\"wpforms-10250-field_62\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_62_1\" name=\"wpforms[fields][62][]\" value=\"normal\" aria-errormessage=\"wpforms-10250-field_62_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_62_1\">normal<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_62_2\" name=\"wpforms[fields][62][]\" value=\"vermindert\" aria-errormessage=\"wpforms-10250-field_62_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_62_2\">vermindert<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_62_3\" name=\"wpforms[fields][62][]\" value=\"vermindert und schmerzhaft\" aria-errormessage=\"wpforms-10250-field_62_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_62_3\">vermindert und schmerzhaft<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_63-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"63\"><fieldset><legend class=\"wpforms-field-label\">H\u00fcfte links Extension (nach hinten)<\/legend><ul id=\"wpforms-10250-field_63\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_63_1\" name=\"wpforms[fields][63][]\" value=\"normal\" aria-errormessage=\"wpforms-10250-field_63_1-error\" aria-describedby=\"wpforms-10250-field_63-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_63_1\">normal<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_63_2\" name=\"wpforms[fields][63][]\" value=\"vermindert\" aria-errormessage=\"wpforms-10250-field_63_2-error\" aria-describedby=\"wpforms-10250-field_63-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_63_2\">vermindert<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_63_3\" name=\"wpforms[fields][63][]\" value=\"vermindert und schmerzhaft\" aria-errormessage=\"wpforms-10250-field_63_3-error\" aria-describedby=\"wpforms-10250-field_63-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_63_3\">vermindert und schmerzhaft<\/label><\/li><\/ul><div id=\"wpforms-10250-field_63-description\" class=\"wpforms-field-description\"><br \/><br \/><br \/><br \/><br \/><br \/><hr style=\"border-color:#448a85;\" \/><\/div><\/fieldset><\/div><div id=\"wpforms-10250-field_37-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_37\">Gleichgewicht \/ Koordination<\/label><textarea id=\"wpforms-10250-field_37\" class=\"wpforms-field-medium\" name=\"wpforms[fields][37]\" aria-errormessage=\"wpforms-10250-field_37-error\" aria-describedby=\"wpforms-10250-field_37-description\" ><\/textarea><div id=\"wpforms-10250-field_37-description\" class=\"wpforms-field-description\">Bemerkungen<\/div><\/div><div id=\"wpforms-10250-field_70-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"70\"><fieldset><legend class=\"wpforms-field-label\">Romberg<\/legend><ul id=\"wpforms-10250-field_70\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_70_1\" name=\"wpforms[fields][70][]\" value=\"unauff\u00e4llig\" aria-errormessage=\"wpforms-10250-field_70_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_70_1\">unauff\u00e4llig<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_70_2\" name=\"wpforms[fields][70][]\" value=\"auff\u00e4llig\" aria-errormessage=\"wpforms-10250-field_70_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_70_2\">auff\u00e4llig<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_64-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"64\"><fieldset><legend class=\"wpforms-field-label\">Einbeinstand<\/legend><ul id=\"wpforms-10250-field_64\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_64_1\" name=\"wpforms[fields][64][]\" value=\"unauff\u00e4llig\" aria-errormessage=\"wpforms-10250-field_64_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_64_1\">unauff\u00e4llig<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_64_2\" name=\"wpforms[fields][64][]\" value=\"auff\u00e4llig\" aria-errormessage=\"wpforms-10250-field_64_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_64_2\">auff\u00e4llig<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_65-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"65\"><fieldset><legend class=\"wpforms-field-label\">Finger-Nase-Test<\/legend><ul id=\"wpforms-10250-field_65\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_65_1\" name=\"wpforms[fields][65][]\" value=\"unauff\u00e4llig\" aria-errormessage=\"wpforms-10250-field_65_1-error\" aria-describedby=\"wpforms-10250-field_65-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_65_1\">unauff\u00e4llig<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_65_2\" name=\"wpforms[fields][65][]\" value=\"auff\u00e4llig\" aria-errormessage=\"wpforms-10250-field_65_2-error\" aria-describedby=\"wpforms-10250-field_65-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_65_2\">auff\u00e4llig<\/label><\/li><\/ul><div id=\"wpforms-10250-field_65-description\" class=\"wpforms-field-description\"><br \/><br \/><br \/><br \/><br \/><br \/><hr style=\"border-color:#448a85;\" \/><\/div><\/fieldset><\/div><div id=\"wpforms-10250-field_41-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_41\">Funktionelle Tests<\/label><textarea id=\"wpforms-10250-field_41\" class=\"wpforms-field-medium\" name=\"wpforms[fields][41]\" aria-errormessage=\"wpforms-10250-field_41-error\" aria-describedby=\"wpforms-10250-field_41-description\" ><\/textarea><div id=\"wpforms-10250-field_41-description\" class=\"wpforms-field-description\">Bemerkungen<\/div><\/div><div id=\"wpforms-10250-field_42-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"42\"><fieldset><legend class=\"wpforms-field-label\">Kniebeuge<\/legend><ul id=\"wpforms-10250-field_42\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_42_1\" name=\"wpforms[fields][42][]\" value=\"m\u00f6glich\" aria-errormessage=\"wpforms-10250-field_42_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_42_1\">m\u00f6glich<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_42_2\" name=\"wpforms[fields][42][]\" value=\"eingeschr\u00e4nkt\" aria-errormessage=\"wpforms-10250-field_42_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_42_2\">eingeschr\u00e4nkt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_42_3\" name=\"wpforms[fields][42][]\" value=\"nicht m\u00f6glich\" aria-errormessage=\"wpforms-10250-field_42_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_42_3\">nicht m\u00f6glich<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_43-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"43\"><fieldset><legend class=\"wpforms-field-label\">Treppensteigen<\/legend><ul id=\"wpforms-10250-field_43\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_43_1\" name=\"wpforms[fields][43][]\" value=\"m\u00f6glich\" aria-errormessage=\"wpforms-10250-field_43_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_43_1\">m\u00f6glich<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_43_2\" name=\"wpforms[fields][43][]\" value=\"eingeschr\u00e4nkt\" aria-errormessage=\"wpforms-10250-field_43_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_43_2\">eingeschr\u00e4nkt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_43_3\" name=\"wpforms[fields][43][]\" value=\"nicht m\u00f6glich\" aria-errormessage=\"wpforms-10250-field_43_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_43_3\">nicht m\u00f6glich<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_44-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"44\"><fieldset><legend class=\"wpforms-field-label\">Aufstehen aus Sitz<\/legend><ul id=\"wpforms-10250-field_44\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_44_1\" name=\"wpforms[fields][44][]\" value=\"m\u00f6glich\" aria-errormessage=\"wpforms-10250-field_44_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_44_1\">m\u00f6glich<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_44_2\" name=\"wpforms[fields][44][]\" value=\"eingeschr\u00e4nkt\" aria-errormessage=\"wpforms-10250-field_44_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_44_2\">eingeschr\u00e4nkt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_44_3\" name=\"wpforms[fields][44][]\" value=\"nicht m\u00f6glich\" aria-errormessage=\"wpforms-10250-field_44_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_44_3\">nicht m\u00f6glich<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_45-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"45\"><fieldset><legend class=\"wpforms-field-label\">\u00dcberkopfarbeit<\/legend><ul id=\"wpforms-10250-field_45\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_45_1\" name=\"wpforms[fields][45][]\" value=\"m\u00f6glich\" aria-errormessage=\"wpforms-10250-field_45_1-error\" aria-describedby=\"wpforms-10250-field_45-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_45_1\">m\u00f6glich<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_45_2\" name=\"wpforms[fields][45][]\" value=\"eingeschr\u00e4nkt\" aria-errormessage=\"wpforms-10250-field_45_2-error\" aria-describedby=\"wpforms-10250-field_45-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_45_2\">eingeschr\u00e4nkt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_45_3\" name=\"wpforms[fields][45][]\" value=\"nicht m\u00f6glich\" aria-errormessage=\"wpforms-10250-field_45_3-error\" aria-describedby=\"wpforms-10250-field_45-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_45_3\">nicht m\u00f6glich<\/label><\/li><\/ul><div id=\"wpforms-10250-field_45-description\" class=\"wpforms-field-description\"><br \/><br \/><br \/><br \/><br \/><br \/><hr style=\"border-color:#448a85;\" \/><\/div><\/fieldset><\/div><div id=\"wpforms-10250-field_46-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_46\">Schmerzangaben und Patienteneinsch\u00e4tzung<\/label><textarea id=\"wpforms-10250-field_46\" class=\"wpforms-field-medium\" name=\"wpforms[fields][46]\" aria-errormessage=\"wpforms-10250-field_46-error\" aria-describedby=\"wpforms-10250-field_46-description\" ><\/textarea><div id=\"wpforms-10250-field_46-description\" class=\"wpforms-field-description\">Bemerkungen<\/div><\/div><div id=\"wpforms-10250-field_66-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_66\">Schmerzen im Ruhezustand (Numerische Ratingskala, Ruhezustand 0\u201310)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-10250-field_66\" class=\"wpforms-field-medium\" name=\"wpforms[fields][66]\" value=\"0\" aria-errormessage=\"wpforms-10250-field_66-error\"\t\tmin=\"0\"\n\tmax=\"10\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Gew\u00e4hlter Wert: {value}\">\n\tGew\u00e4hlter Wert: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-10250-field_67-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"67\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_67\">Schmerzen unter Belastung (Numerische Ratingskala, Ruhezustand 0\u201310) <\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-10250-field_67\" class=\"wpforms-field-medium\" name=\"wpforms[fields][67]\" value=\"0\" aria-errormessage=\"wpforms-10250-field_67-error\"\t\tmin=\"0\"\n\tmax=\"10\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Gew\u00e4hlter Wert: {value}\">\n\tGew\u00e4hlter Wert: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-10250-field_68-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"68\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_68\">Schmerzen in der Nacht (Numerische Ratingskala, Ruhezustand 0\u201310) <\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-10250-field_68\" class=\"wpforms-field-medium\" name=\"wpforms[fields][68]\" value=\"0\" aria-errormessage=\"wpforms-10250-field_68-error\"\t\tmin=\"0\"\n\tmax=\"10\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Gew\u00e4hlter Wert: {value}\">\n\tGew\u00e4hlter Wert: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-10250-field_51-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"51\"><fieldset><legend class=\"wpforms-field-label\">Beschwerden beeinflussen Alltag<\/legend><ul id=\"wpforms-10250-field_51\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_51_1\" name=\"wpforms[fields][51][]\" value=\"ja\" aria-errormessage=\"wpforms-10250-field_51_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_51_1\">ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_51_2\" name=\"wpforms[fields][51][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_51_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_51_2\">nein<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_52-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"52\"><fieldset><legend class=\"wpforms-field-label\">Beschwerden beeinflussen Schlaf<\/legend><ul id=\"wpforms-10250-field_52\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_52_1\" name=\"wpforms[fields][52][]\" value=\"ja\" aria-errormessage=\"wpforms-10250-field_52_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_52_1\">ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_52_2\" name=\"wpforms[fields][52][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_52_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_52_2\">nein<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_53-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"53\"><fieldset><legend class=\"wpforms-field-label\">Beschwerden beeinflussen Arbeit<\/legend><ul id=\"wpforms-10250-field_53\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_53_1\" name=\"wpforms[fields][53][]\" value=\"ja\" aria-errormessage=\"wpforms-10250-field_53_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_53_1\">ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_53_2\" name=\"wpforms[fields][53][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_53_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_53_2\">nein<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10250-field_54-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"54\"><fieldset><legend class=\"wpforms-field-label\">Beschwerden beeinflussen Sport<\/legend><ul id=\"wpforms-10250-field_54\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_54_1\" name=\"wpforms[fields][54][]\" value=\"ja\" aria-errormessage=\"wpforms-10250-field_54_1-error\" aria-describedby=\"wpforms-10250-field_54-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_54_1\">ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_54_2\" name=\"wpforms[fields][54][]\" value=\"nein\" aria-errormessage=\"wpforms-10250-field_54_2-error\" aria-describedby=\"wpforms-10250-field_54-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_54_2\">nein<\/label><\/li><\/ul><div id=\"wpforms-10250-field_54-description\" class=\"wpforms-field-description\"><br \/><br \/><br \/><br \/><br \/><br \/><hr style=\"border-color:#448a85;\" \/><\/div><\/fieldset><\/div><div id=\"wpforms-10250-field_55-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-10250-field_55\">Anmerkungen<\/label><textarea id=\"wpforms-10250-field_55\" class=\"wpforms-field-medium\" name=\"wpforms[fields][55]\" aria-errormessage=\"wpforms-10250-field_55-error\" ><\/textarea><\/div><div id=\"wpforms-10250-field_85-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-id=\"85\"><label class=\"wpforms-field-label\">DSGVO-Einverst\u00e4ndnis <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><ul id=\"wpforms-10250-field_85\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-10250-field_85_1\" name=\"wpforms[fields][85][]\" value=\"Ich willige ein, dass diese Website meine \u00fcbermittelten Informationen speichert, sodass meine Anfrage beantwortet werden kann.\" aria-errormessage=\"wpforms-10250-field_85_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10250-field_85_1\">Ich willige ein, dass diese Website meine \u00fcbermittelten Informationen speichert, sodass meine Anfrage beantwortet werden kann.<\/label><\/li><\/ul><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-10250-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-10250-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-10250-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3\" ><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"10250\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/pages\/10248\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-10250\" class=\"wpforms-submit\" data-alt-text=\"Wird gesendet\u00a0\u2026\" data-submit-text=\"Absenden\" aria-live=\"assertive\" value=\"wpforms-submit\">Absenden<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.atlaspraxis.de\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n\n<p class=\"wp-block-paragraph\">Mit * gekennzeichnete Felder sind Pflichtfelder.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mit * gekennzeichnete Felder sind Pflichtfelder.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10248","page","type-page","status-publish","hentry"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"en","enabled_languages":["de","en"],"languages":{"de":{"title":true,"content":true,"excerpt":false},"en":{"title":false,"content":false,"excerpt":false}}},"_links":{"self":[{"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/pages\/10248","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/comments?post=10248"}],"version-history":[{"count":16,"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/pages\/10248\/revisions"}],"predecessor-version":[{"id":10825,"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/pages\/10248\/revisions\/10825"}],"wp:attachment":[{"href":"https:\/\/www.atlaspraxis.de\/en\/wp-json\/wp\/v2\/media?parent=10248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}