{"id":1812,"date":"2019-08-29T10:34:39","date_gmt":"2019-08-29T08:34:39","guid":{"rendered":"https:\/\/aoz.branddev.de\/?page_id=1812"},"modified":"2022-10-18T16:26:02","modified_gmt":"2022-10-18T14:26:02","slug":"aoz-test","status":"publish","type":"page","link":"https:\/\/www.aoz-hd.de\/en\/aoz-test\/","title":{"rendered":"AOZ Test"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1812\" class=\"elementor elementor-1812 elementor-78\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f22f7a6 elementor-section-stretched elementor-section-full_width elementor-section-height-min-height elementor-section-items-top elementor-section-height-default\" data-id=\"f22f7a6\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-017e91a\" data-id=\"017e91a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9527e3d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9527e3d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-110035c\" data-id=\"110035c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-31cb016 elementor-widget elementor-widget-heading\" data-id=\"31cb016\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">The AOZ Test<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8357234 elementor-widget elementor-widget-heading\" data-id=\"8357234\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Am I suitable for an eye laser treatment?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f8b59cd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f8b59cd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8111dcd\" data-id=\"8111dcd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-39c6788 elementor-widget elementor-widget-shortcode\" data-id=\"39c6788\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div id=\"quform-9f00b9\" class=\"quform quform-19 quform-support-page-caching quform-is-first-page\"><form id=\"quform-form-9f00b9\" class=\"quform-form quform-form-19\" action=\"\/en\/wp-json\/wp\/v2\/pages\/1812#quform-9f00b9\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-options=\"{&quot;id&quot;:19,&quot;uniqueId&quot;:&quot;9f00b9&quot;,&quot;theme&quot;:&quot;&quot;,&quot;ajax&quot;:true,&quot;logic&quot;:{&quot;logic&quot;:{&quot;46&quot;:{&quot;action&quot;:false,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Unter 18 Jahre&quot;}]},&quot;49&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;47&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Weiblich&quot;}]},&quot;50&quot;:{&quot;action&quot;:false,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Unter 18 Jahre&quot;},{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja&quot;},{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;\\u00dcber 40 Jahre&quot;}]},&quot;82&quot;:{&quot;action&quot;:false,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Unter 18 Jahre&quot;},{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja&quot;},{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;\\u00dcber 18 Jahre&quot;}]},&quot;54&quot;:{&quot;action&quot;:false,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Unter 18 Jahre&quot;},{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja&quot;}]},&quot;57&quot;:{&quot;action&quot;:false,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Unter 18 Jahre&quot;},{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja&quot;}]},&quot;60&quot;:{&quot;action&quot;:false,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Unter 18 Jahre&quot;},{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja&quot;}]},&quot;64&quot;:{&quot;action&quot;:false,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Unter 18 Jahre&quot;},{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja&quot;}]},&quot;89&quot;:{&quot;action&quot;:false,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Unter 18 Jahre&quot;},{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja&quot;}]},&quot;120&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;\\u00dcber 18 Jahre&quot;},{&quot;elementId&quot;:&quot;61&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Nein&quot;},{&quot;elementId&quot;:&quot;65&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Nein&quot;}]},&quot;129&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;\\u00dcber 18 Jahre&quot;},{&quot;elementId&quot;:&quot;61&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja &quot;},{&quot;elementId&quot;:&quot;65&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Nein&quot;}]},&quot;130&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;\\u00dcber 18 Jahre&quot;},{&quot;elementId&quot;:&quot;61&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Nein&quot;},{&quot;elementId&quot;:&quot;65&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja &quot;}]},&quot;131&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;\\u00dcber 18 Jahre&quot;},{&quot;elementId&quot;:&quot;61&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja &quot;},{&quot;elementId&quot;:&quot;65&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja &quot;}]},&quot;132&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;\\u00dcber 40 Jahre&quot;},{&quot;elementId&quot;:&quot;61&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Nein&quot;},{&quot;elementId&quot;:&quot;65&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Nein&quot;}]},&quot;133&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;\\u00dcber 40 Jahre&quot;},{&quot;elementId&quot;:&quot;61&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja &quot;},{&quot;elementId&quot;:&quot;65&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Nein&quot;}]},&quot;134&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;\\u00dcber 40 Jahre&quot;},{&quot;elementId&quot;:&quot;61&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Nein&quot;},{&quot;elementId&quot;:&quot;65&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja &quot;}]},&quot;135&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;\\u00dcber 40 Jahre&quot;},{&quot;elementId&quot;:&quot;61&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja &quot;},{&quot;elementId&quot;:&quot;65&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja &quot;}]},&quot;108&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;107&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Abend- bzw. Wochenendtermine&quot;}]},&quot;109&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;107&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Informationsgespr\\u00e4ch Mo-Fr 8-17 Uhr&quot;}]},&quot;110&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;107&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Informationsgespr\\u00e4ch Mo-Fr 8-17 Uhr&quot;}]},&quot;13&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Unter 18 Jahre&quot;},{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja&quot;}]},&quot;73&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;3&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Unter 18 Jahre&quot;}]},&quot;74&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ja&quot;}]}},&quot;dependents&quot;:{&quot;3&quot;:[46,50,50,82,82,54,57,60,64,89,120,129,130,131,132,133,134,135,13,73],&quot;47&quot;:[49],&quot;49&quot;:[50,82,54,57,60,64,89,13,74],&quot;61&quot;:[120,129,130,131,132,133,134,135],&quot;65&quot;:[120,129,130,131,132,133,134,135],&quot;107&quot;:[108,109,110]},&quot;elementIds&quot;:[46,49,50,82,54,57,60,64,89,120,129,130,131,132,133,134,135,108,109,110,13,73,74],&quot;dependentElementIds&quot;:[&quot;3&quot;,&quot;47&quot;,&quot;49&quot;,&quot;61&quot;,&quot;65&quot;,&quot;107&quot;],&quot;animate&quot;:true},&quot;currentPageId&quot;:1,&quot;errorsIcon&quot;:&quot;&quot;,&quot;updateFancybox&quot;:true,&quot;hasPages&quot;:true,&quot;pages&quot;:[1,46,50,82,54,57,60,64,89,13,37],&quot;pageProgressType&quot;:&quot;percentage&quot;,&quot;tooltipsEnabled&quot;:true,&quot;tooltipClasses&quot;:&quot;qtip-quform-dark qtip-shadow&quot;,&quot;tooltipMy&quot;:&quot;left center&quot;,&quot;tooltipAt&quot;:&quot;right center&quot;,&quot;isRtl&quot;:false,&quot;scrollOffset&quot;:-50,&quot;scrollSpeed&quot;:800}\"><button class=\"quform-default-submit\" name=\"quform_submit\" type=\"submit\" value=\"submit\" aria-hidden=\"true\" tabindex=\"-1\"><\/button><div class=\"quform-form-inner quform-form-inner-19\"><input type=\"hidden\" name=\"quform_form_id\" value=\"19\" \/><input type=\"hidden\" name=\"quform_form_uid\" value=\"9f00b9\" \/><input type=\"hidden\" name=\"quform_count\" value=\"1\" \/><input type=\"hidden\" name=\"form_url\" value=\"https:\/\/www.aoz-hd.de\/en\/wp-json\/wp\/v2\/pages\/1812\" \/><input type=\"hidden\" name=\"referring_url\" value=\"\" \/><input type=\"hidden\" name=\"post_id\" value=\"\" \/><input type=\"hidden\" name=\"post_title\" value=\"\" \/><input type=\"hidden\" name=\"quform_current_page_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_loaded\" value=\"1789331049|71871359ae99211e3a0d14a0c51cee0d\" \/><input type=\"hidden\" name=\"quform_csrf_token\" value=\"b6g1eiE0x1ADA3PBikVJNx9hLSU6lksBrlBeb496\" \/><div class=\"quform-elements quform-elements-19 quform-cf quform-responsive-elements-phone-landscape\"><div class=\"quform-page-progress quform-page-progress-type-percentage\"><div class=\"quform-page-progress-bar\" style=\"width: 9%;\"><span class=\"quform-page-progress-text\"><span class=\"quform-page-progress-percentage\">9<\/span>%<\/span><\/div><\/div><div class=\"quform-element quform-element-page quform-page-1 quform-page-19_1 quform-cf quform-group-style-plain quform-first-page quform-current-page\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-radio quform-element-19_3 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_3\"><label class=\"quform-label-text\" id=\"quform_19_3_9f00b9_label\">How old are you?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_3\"><div class=\"quform-input quform-input-radio quform-input-19_3 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_3_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_3\" id=\"quform_19_3_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_3 quform-field-19_3_1 quform-submit-on-choice\" value=\"Unter 18 Jahre\" \/><label for=\"quform_19_3_9f00b9_1\" class=\"quform-option-label quform-option-label-19_3_1\"><span class=\"quform-option-text\">Below 18 years<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_3\" id=\"quform_19_3_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_3 quform-field-19_3_2 quform-submit-on-choice\" value=\"\u00dcber 18 Jahre\" \/><label for=\"quform_19_3_9f00b9_2\" class=\"quform-option-label quform-option-label-19_3_2\"><span class=\"quform-option-text\">Above 18 years<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_3\" id=\"quform_19_3_9f00b9_4\" class=\"quform-field quform-field-radio quform-field-19_3 quform-field-19_3_4 quform-submit-on-choice\" value=\"\u00dcber 40 Jahre\" \/><label for=\"quform_19_3_9f00b9_4\" class=\"quform-option-label quform-option-label-19_3_4\"><span class=\"quform-option-text\">Above 40 years<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-19_2 quform-cf quform-button-style-theme\"><div class=\"quform-button-next quform-button-next-default quform-button-next-19_2\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-next\" value=\"submit\"><span class=\"quform-button-text quform-button-next-text\">Next<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-page quform-page-46 quform-page-19_46 quform-cf quform-group-style-plain\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-radio quform-element-19_47 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_47\"><label class=\"quform-label-text\" id=\"quform_19_47_9f00b9_label\">Are you male or female?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_47\"><div class=\"quform-input quform-input-radio quform-input-19_47 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_47_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_47\" id=\"quform_19_47_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_47 quform-field-19_47_1 quform-submit-on-choice\" value=\"M\u00e4nnlich\" \/><label for=\"quform_19_47_9f00b9_1\" class=\"quform-option-label quform-option-label-19_47_1\"><span class=\"quform-option-text\">Male<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_47\" id=\"quform_19_47_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_47 quform-field-19_47_2 quform-submit-on-choice\" value=\"Weiblich\" \/><label for=\"quform_19_47_9f00b9_2\" class=\"quform-option-label quform-option-label-19_47_2\"><span class=\"quform-option-text\">Female<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-19_49 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_49\"><label class=\"quform-label-text\" id=\"quform_19_49_9f00b9_label\">Are you pregnant or are you breastfeeding?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_49\"><div class=\"quform-input quform-input-radio quform-input-19_49 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_49_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_49\" id=\"quform_19_49_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_49 quform-field-19_49_1 quform-submit-on-choice\" value=\"Ja\" \/><label for=\"quform_19_49_9f00b9_1\" class=\"quform-option-label quform-option-label-19_49_1\"><span class=\"quform-option-text\">Yes<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_49\" id=\"quform_19_49_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_49 quform-field-19_49_2 quform-submit-on-choice\" value=\"Nein\" \/><label for=\"quform_19_49_9f00b9_2\" class=\"quform-option-label quform-option-label-19_49_2\"><span class=\"quform-option-text\">No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-19_48 quform-cf quform-button-style-theme\"><div class=\"quform-button-back quform-button-back-default quform-button-back-19_48\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-back\" value=\"back\"><span class=\"quform-button-text quform-button-back-text\">Previous<\/span><\/button><\/div><div class=\"quform-button-next quform-button-next-default quform-button-next-19_48\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-next\" value=\"submit\"><span class=\"quform-button-text quform-button-next-text\">Next<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-page quform-page-50 quform-page-19_50 quform-cf quform-group-style-plain\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-radio quform-element-19_51 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_51\"><label class=\"quform-label-text\" id=\"quform_19_51_9f00b9_label\">Do you wear glasses or contact lenses?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_51\"><div class=\"quform-input quform-input-radio quform-input-19_51 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_51_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_51\" id=\"quform_19_51_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_51 quform-field-19_51_1 quform-submit-on-choice\" value=\"Brille\" \/><label for=\"quform_19_51_9f00b9_1\" class=\"quform-option-label quform-option-label-19_51_1\"><span class=\"quform-option-text\">Glasses<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_51\" id=\"quform_19_51_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_51 quform-field-19_51_2 quform-submit-on-choice\" value=\"Kontaktlinsen\" \/><label for=\"quform_19_51_9f00b9_2\" class=\"quform-option-label quform-option-label-19_51_2\"><span class=\"quform-option-text\">Contact lenses<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_51\" id=\"quform_19_51_9f00b9_4\" class=\"quform-field quform-field-radio quform-field-19_51 quform-field-19_51_4 quform-submit-on-choice\" value=\"Beides\" \/><label for=\"quform_19_51_9f00b9_4\" class=\"quform-option-label quform-option-label-19_51_4\"><span class=\"quform-option-text\">Both<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_51\" id=\"quform_19_51_9f00b9_5\" class=\"quform-field quform-field-radio quform-field-19_51 quform-field-19_51_5 quform-submit-on-choice\" value=\"Weder noch\" \/><label for=\"quform_19_51_9f00b9_5\" class=\"quform-option-label quform-option-label-19_51_5\"><span class=\"quform-option-text\">Neither<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-19_53 quform-cf quform-button-style-theme\"><div class=\"quform-button-back quform-button-back-default quform-button-back-19_53\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-back\" value=\"back\"><span class=\"quform-button-text quform-button-back-text\">Previous<\/span><\/button><\/div><div class=\"quform-button-next quform-button-next-default quform-button-next-19_53\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-next\" value=\"submit\"><span class=\"quform-button-text quform-button-next-text\">Next<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-page quform-page-82 quform-page-19_82 quform-cf quform-group-style-plain\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-radio quform-element-19_83 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_83\"><label class=\"quform-label-text\" id=\"quform_19_83_9f00b9_label\">Are you already using reading assistance?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_83\"><div class=\"quform-input quform-input-radio quform-input-19_83 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_83_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_83\" id=\"quform_19_83_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_83 quform-field-19_83_1 quform-submit-on-choice\" value=\"Gleitsicht- oder Lesebrille\" \/><label for=\"quform_19_83_9f00b9_1\" class=\"quform-option-label quform-option-label-19_83_1\"><span class=\"quform-option-text\"> Progressive or reading glasses<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_83\" id=\"quform_19_83_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_83 quform-field-19_83_2 quform-submit-on-choice\" value=\"Spezielle Kontaktlinse\" \/><label for=\"quform_19_83_9f00b9_2\" class=\"quform-option-label quform-option-label-19_83_2\"><span class=\"quform-option-text\"> Special contact lens<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_83\" id=\"quform_19_83_9f00b9_4\" class=\"quform-field quform-field-radio quform-field-19_83 quform-field-19_83_4 quform-submit-on-choice\" value=\"Beides\" \/><label for=\"quform_19_83_9f00b9_4\" class=\"quform-option-label quform-option-label-19_83_4\"><span class=\"quform-option-text\">Both<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_83\" id=\"quform_19_83_9f00b9_5\" class=\"quform-field quform-field-radio quform-field-19_83 quform-field-19_83_5 quform-submit-on-choice\" value=\"Weder noch\" \/><label for=\"quform_19_83_9f00b9_5\" class=\"quform-option-label quform-option-label-19_83_5\"><span class=\"quform-option-text\">Neither<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-19_84 quform-cf quform-button-style-theme\"><div class=\"quform-button-back quform-button-back-default quform-button-back-19_84\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-back\" value=\"back\"><span class=\"quform-button-text quform-button-back-text\">Previous<\/span><\/button><\/div><div class=\"quform-button-next quform-button-next-default quform-button-next-19_84\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-next\" value=\"submit\"><span class=\"quform-button-text quform-button-next-text\">Next<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-page quform-page-54 quform-page-19_54 quform-cf quform-group-style-plain\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-radio quform-element-19_55 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_55\"><label class=\"quform-label-text\" id=\"quform_19_55_9f00b9_label\">Are you short-sighted or far-sighted?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_55\"><div class=\"quform-input quform-input-radio quform-input-19_55 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_55_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_55\" id=\"quform_19_55_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_55 quform-field-19_55_1 quform-submit-on-choice\" value=\"Kurzsichtig\" \/><label for=\"quform_19_55_9f00b9_1\" class=\"quform-option-label quform-option-label-19_55_1\"><span class=\"quform-option-text\">short-sighted<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_55\" id=\"quform_19_55_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_55 quform-field-19_55_2 quform-submit-on-choice\" value=\"Weitsichtig\" \/><label for=\"quform_19_55_9f00b9_2\" class=\"quform-option-label quform-option-label-19_55_2\"><span class=\"quform-option-text\">far-sighted<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_55\" id=\"quform_19_55_9f00b9_4\" class=\"quform-field quform-field-radio quform-field-19_55 quform-field-19_55_4 quform-submit-on-choice\" value=\"Wei\u00df ich nicht\" \/><label for=\"quform_19_55_9f00b9_4\" class=\"quform-option-label quform-option-label-19_55_4\"><span class=\"quform-option-text\">Not sure<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-19_56 quform-cf quform-button-style-theme\"><div class=\"quform-button-back quform-button-back-default quform-button-back-19_56\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-back\" value=\"back\"><span class=\"quform-button-text quform-button-back-text\">Previous<\/span><\/button><\/div><div class=\"quform-button-next quform-button-next-default quform-button-next-19_56\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-next\" value=\"submit\"><span class=\"quform-button-text quform-button-next-text\">Next<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-page quform-page-57 quform-page-19_57 quform-cf quform-group-style-plain\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-radio quform-element-19_58 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_58\"><label class=\"quform-label-text\" id=\"quform_19_58_9f00b9_label\">Do you have a corneal curvature?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_58\"><div class=\"quform-input quform-input-radio quform-input-19_58 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_58_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_58\" id=\"quform_19_58_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_58 quform-field-19_58_1 quform-submit-on-choice\" value=\"Ja \" \/><label for=\"quform_19_58_9f00b9_1\" class=\"quform-option-label quform-option-label-19_58_1\"><span class=\"quform-option-text\">Yes<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_58\" id=\"quform_19_58_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_58 quform-field-19_58_2 quform-submit-on-choice\" value=\"Nein\" \/><label for=\"quform_19_58_9f00b9_2\" class=\"quform-option-label quform-option-label-19_58_2\"><span class=\"quform-option-text\">No<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_58\" id=\"quform_19_58_9f00b9_4\" class=\"quform-field quform-field-radio quform-field-19_58 quform-field-19_58_4 quform-submit-on-choice\" value=\"Wei\u00df ich nicht\" \/><label for=\"quform_19_58_9f00b9_4\" class=\"quform-option-label quform-option-label-19_58_4\"><span class=\"quform-option-text\">Not sure<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-19_59 quform-cf quform-button-style-theme\"><div class=\"quform-button-back quform-button-back-default quform-button-back-19_59\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-back\" value=\"back\"><span class=\"quform-button-text quform-button-back-text\">Previous<\/span><\/button><\/div><div class=\"quform-button-next quform-button-next-default quform-button-next-19_59\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-next\" value=\"submit\"><span class=\"quform-button-text quform-button-next-text\">Next<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-page quform-page-60 quform-page-19_60 quform-cf quform-group-style-plain\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-radio quform-element-19_61 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_61\"><label class=\"quform-label-text\" id=\"quform_19_61_9f00b9_label\">General diseases<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_61\"><p class=\"quform-description quform-description-above\"><b>Do you have any of the following?<\/b><br><br>\n- Delayed wound healing <br>\n- Diabetes <br>\n- Immunological issues like lupus <br>\n- Rheumatoid arthritis <br>\n- Thyroid issues  <br>\n- Collagenosis <br>\n- Dermatitis <br>\n- Neurodermatitis\n<\/p><div class=\"quform-input quform-input-radio quform-input-19_61 quform-cf\"><div class=\"quform-options quform-cf quform-options-inline quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_61_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_61\" id=\"quform_19_61_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_61 quform-field-19_61_1 quform-submit-on-choice\" value=\"Ja \" \/><label for=\"quform_19_61_9f00b9_1\" class=\"quform-option-label quform-option-label-19_61_1\"><span class=\"quform-option-text\">Yes<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_61\" id=\"quform_19_61_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_61 quform-field-19_61_2 quform-submit-on-choice\" value=\"Nein\" \/><label for=\"quform_19_61_9f00b9_2\" class=\"quform-option-label quform-option-label-19_61_2\"><span class=\"quform-option-text\">No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-19_62 quform-cf quform-button-style-theme\"><div class=\"quform-button-back quform-button-back-default quform-button-back-19_62\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-back\" value=\"back\"><span class=\"quform-button-text quform-button-back-text\">Previous<\/span><\/button><\/div><div class=\"quform-button-next quform-button-next-default quform-button-next-19_62\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-next\" value=\"submit\"><span class=\"quform-button-text quform-button-next-text\">Next<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-page quform-page-64 quform-page-19_64 quform-cf quform-group-style-plain\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-radio quform-element-19_65 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_65\"><label class=\"quform-label-text\" id=\"quform_19_65_9f00b9_label\">Diseases of the eye<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_65\"><p class=\"quform-description quform-description-above\"><b>Do you have any of the following?<\/b><br><br>\n- Unstable or fluctuating spectacle values <br>\n- Keratokonus <br>\n- Corneal diseases  <br>\n- Dry eyes<br>\n- Corneal herpes <br>\n- Corneal scars <br>\n- Intraocular Infection<br>\n- Diseases of the Retina<br>\n- Lid dysfunction<br>\n- Glaucoma <br>\n- Strabism <br>\n- Amblyopia\n<\/p><div class=\"quform-input quform-input-radio quform-input-19_65 quform-cf\"><div class=\"quform-options quform-cf quform-options-inline quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_65_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_65\" id=\"quform_19_65_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_65 quform-field-19_65_1 quform-submit-on-choice\" value=\"Ja \" \/><label for=\"quform_19_65_9f00b9_1\" class=\"quform-option-label quform-option-label-19_65_1\"><span class=\"quform-option-text\">Yes<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_65\" id=\"quform_19_65_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_65 quform-field-19_65_2 quform-submit-on-choice\" value=\"Nein\" \/><label for=\"quform_19_65_9f00b9_2\" class=\"quform-option-label quform-option-label-19_65_2\"><span class=\"quform-option-text\">No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-19_66 quform-cf quform-button-style-theme\"><div class=\"quform-button-back quform-button-back-default quform-button-back-19_66\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-back\" value=\"back\"><span class=\"quform-button-text quform-button-back-text\">Previous<\/span><\/button><\/div><div class=\"quform-button-next quform-button-next-default quform-button-next-19_66\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-next\" value=\"submit\"><span class=\"quform-button-text quform-button-next-text\">Next<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-page quform-page-89 quform-page-19_89 quform-cf quform-group-style-plain\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-html quform-element-19_120 quform-cf\"><div class=\"quform-spacer\"><h2 style=\"color: #13284c;\">Congratulations!<\/h2>\n<h3 style=\"color: #ea5b0c;\">You are basically suitable for laser eye treatment.<\/h3>\nBased on the information you have provided, there is probably nothing standing in the way of laser eye treatment. Of course, this cannot be definitively assessed here. We will be happy to clarify the rest with you during your personal information session at the AOZ Heidelberg. Here, we will also discuss with you which procedures are best suited for you.\n<h5 style=\"color: #ea5b0c;\">The best thing to do is to arrange your individual information meeting right here.<\/h5><\/div><\/div><div class=\"quform-element quform-element-html quform-element-19_129 quform-cf\"><div class=\"quform-spacer\"><h2 style=\"color: #13284c;\">Congratulations!<\/h2>\n<h3 style=\"color: #ea5b0c;\">You might be suitable for laser eye treatment.<\/h3>\nLaser eye treatment may also be possible with a pre-existing condition. Of course, this cannot be conclusively assessed here, so we invite you to your personal information session at the AOZ Heidelberg. Here we will discuss with you which procedures, if any, are best suited for you.\n<h5 style=\"color: #ea5b0c;\">The best thing to do is to arrange your individual information meeting right here.\n<\/h5><\/div><\/div><div class=\"quform-element quform-element-html quform-element-19_130 quform-cf\"><div class=\"quform-spacer\"><h2 style=\"color: #13284c;\">Congratulations!<\/h2>\n<h3 style=\"color: #ea5b0c;\">You might be suitable for laser eye treatment.<\/h3>\nLaser eye treatment may also be possible with a previous eye disease. Of course, this cannot be conclusively assessed here, so we invite you to your personal information session at the AOZ Heidelberg. Here we will discuss with you which procedures, if any, are best suited for you.\n<h5 style=\"color: #ea5b0c;\">The best thing to do is to arrange your individual information meeting right here.<\/h5><\/div><\/div><div class=\"quform-element quform-element-html quform-element-19_131 quform-cf\"><div class=\"quform-spacer\"><h2 style=\"color: #13284c;\">Congratulations!<\/h2>\n<h3 style=\"color: #ea5b0c;\">You might be suitable for laser eye treatment.<\/h3>\nLaser eye treatment may also be possible with a pre-existing condition. Of course, this cannot be conclusively assessed here, so we invite you to your personal information session at the AOZ Heidelberg. Here we will discuss with you which procedures, if any, are best suited for you.\n<h5 style=\"color: #ea5b0c;\">The best thing to do is to arrange your individual information meeting right here.<\/h5><\/div><\/div><div class=\"quform-element quform-element-html quform-element-19_132 quform-cf\"><div class=\"quform-spacer\"><h2 style=\"color: #13284c;\">Congratulations!<\/h2>\n<h3 style=\"color: #ea5b0c;\">You are basically suitable for laser eye treatment.<\/h3>\nBased on your information, there is probably nothing standing in the way of laser eye treatment. We can also treat possible presbyopia at the AOZ Heidelberg with the PRESBYOND Laser Blended Vision eye laser procedure. Of course, this cannot be definitively assessed here. We will be happy to clarify further details with you during your personal information session at the AOZ Heidelberg. Here, we will also discuss with you which procedures are best suited for you.\n<h5 style=\"color: #ea5b0c;\">The best thing to do is to arrange your individual information meeting right here.<\/h5><\/div><\/div><div class=\"quform-element quform-element-html quform-element-19_133 quform-cf\"><div class=\"quform-spacer\"><h2 style=\"color: #13284c;\">Congratulations!<\/h2>\n<h3 style=\"color: #ea5b0c;\">You might be suitable for laser eye treatment.<\/h3>\nLaser eye treatment may also be possible with a pre-existing condition. Of course, this cannot be conclusively assessed here, so we invite you to your personal information session at the AOZ Heidelberg. Here we will discuss with you which procedures, if any, are best suited for you.\n<h5 style=\"color: #ea5b0c;\">The best thing to do is to arrange your individual information meeting right here.<\/h5><\/div><\/div><div class=\"quform-element quform-element-html quform-element-19_134 quform-cf\"><div class=\"quform-spacer\"><h2 style=\"color: #13284c;\">Congratulations!<\/h2>\n<h3 style=\"color: #ea5b0c;\">You might be suitable for laser eye treatment.<\/h3>\nLaser eye treatment may also be possible with a previous eye disease. Of course, this cannot be conclusively assessed here, so we invite you to your personal information session at the AOZ Heidelberg. Here we will discuss with you which procedures, if any, are best suited for you.\n<h5 style=\"color: #ea5b0c;\">The best thing to do is to arrange your individual information meeting right here.<\/h5><\/div><\/div><div class=\"quform-element quform-element-html quform-element-19_135 quform-cf\"><div class=\"quform-spacer\"><h2 style=\"color: #13284c;\">Congratulations!<\/h2>\n<h3 style=\"color: #ea5b0c;\">You might be suitable for laser eye treatment.<\/h3>\nLaser eye treatment may also be possible with a pre-existing condition. Of course, this cannot be conclusively assessed here, so we invite you to your personal information session at the AOZ Heidelberg. Here we will discuss with you which procedures, if any, are best suited for you.\n<h5 style=\"color: #ea5b0c;\">The best thing to do is to arrange your individual information meeting right here.<\/h5><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-19_96 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_96\"><label class=\"quform-label-text\" id=\"quform_19_96_9f00b9_label\">Form of address<\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_96\"><div class=\"quform-input quform-input-radio quform-input-19_96 quform-cf\"><div class=\"quform-options quform-cf quform-options-inline quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_96_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_96\" id=\"quform_19_96_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_96 quform-field-19_96_1\" value=\"Mr.\" \/><label for=\"quform_19_96_9f00b9_1\" class=\"quform-option-label quform-option-label-19_96_1\"><span class=\"quform-option-text\">Mr.<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_96\" id=\"quform_19_96_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_96 quform-field-19_96_2\" value=\"Mrs.\" \/><label for=\"quform_19_96_9f00b9_2\" class=\"quform-option-label quform-option-label-19_96_2\"><span class=\"quform-option-text\">Mrs.<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_96\" id=\"quform_19_96_9f00b9_3\" class=\"quform-field quform-field-radio quform-field-19_96 quform-field-19_96_3\" value=\"-\" \/><label for=\"quform_19_96_9f00b9_3\" class=\"quform-option-label quform-option-label-19_96_3\"><span class=\"quform-option-text\">-<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-19_97 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-19_98\"><div class=\"quform-element quform-element-text quform-element-19_99 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_99\"><label class=\"quform-label-text\" for=\"quform_19_99_9f00b9\">First Name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-19_99\"><div class=\"quform-input quform-input-text quform-input-19_99 quform-cf\"><input type=\"text\" id=\"quform_19_99_9f00b9\" name=\"quform_19_99\" class=\"quform-field quform-field-text quform-field-19_99\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-19_100\"><div class=\"quform-element quform-element-text quform-element-19_101 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_101\"><label class=\"quform-label-text\" for=\"quform_19_101_9f00b9\">Last Name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-19_101\"><div class=\"quform-input quform-input-text quform-input-19_101 quform-cf\"><input type=\"text\" id=\"quform_19_101_9f00b9\" name=\"quform_19_101\" class=\"quform-field quform-field-text quform-field-19_101\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-19_102 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-19_103\"><div class=\"quform-element quform-element-text quform-element-19_104 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_104\"><label class=\"quform-label-text\" for=\"quform_19_104_9f00b9\">Phone<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-19_104\"><div class=\"quform-input quform-input-text quform-input-19_104 quform-cf\"><input type=\"text\" id=\"quform_19_104_9f00b9\" name=\"quform_19_104\" class=\"quform-field quform-field-text quform-field-19_104\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-19_105\"><div class=\"quform-element quform-element-email quform-element-19_106 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_106\"><label class=\"quform-label-text\" for=\"quform_19_106_9f00b9\">E-Mail<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-19_106\"><div class=\"quform-input quform-input-email quform-input-19_106 quform-cf\"><input type=\"email\" id=\"quform_19_106_9f00b9\" name=\"quform_19_106\" class=\"quform-field quform-field-email quform-field-19_106\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-19_107 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_107\"><label class=\"quform-label-text\" id=\"quform_19_107_9f00b9_label\">Which date do you prefer?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_107\"><div class=\"quform-input quform-input-radio quform-input-19_107 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_107_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_107\" id=\"quform_19_107_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_107 quform-field-19_107_1\" value=\"Informationsgespr\u00e4ch Mo-Fr 8-17 Uhr\" \/><label for=\"quform_19_107_9f00b9_1\" class=\"quform-option-label quform-option-label-19_107_1\"><span class=\"quform-option-text\">Book an consultation appointment<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_107\" id=\"quform_19_107_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_107 quform-field-19_107_2\" value=\"Abend- bzw. Wochenendtermine\" \/><label for=\"quform_19_107_9f00b9_2\" class=\"quform-option-label quform-option-label-19_107_2\"><span class=\"quform-option-text\">Special opening hours thursday evening \/saturday<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-19_108 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_108\"><label class=\"quform-label-text\" id=\"quform_19_108_9f00b9_label\">Special opening hours thursday evening \/saturday<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_108\"><div class=\"quform-input quform-input-radio quform-input-19_108 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_108_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_108\" id=\"quform_19_108_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_108 quform-field-19_108_1\" value=\"Donnerstag 17:00 - 19:00 Uhr\" \/><label for=\"quform_19_108_9f00b9_1\" class=\"quform-option-label quform-option-label-19_108_1\"><span class=\"quform-option-text\">Thursday 17.00 - 19:00 o'clock<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_108\" id=\"quform_19_108_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_108 quform-field-19_108_2\" value=\"Samstag 09:00 - 09:30 Uhr\" \/><label for=\"quform_19_108_9f00b9_2\" class=\"quform-option-label quform-option-label-19_108_2\"><span class=\"quform-option-text\">Any Saturday morning<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-19_109 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_109\"><label class=\"quform-label-text\" for=\"quform_19_109_9f00b9\">Desired date:<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-19_109 quform-field-width-small\"><div class=\"quform-input quform-input-date quform-input-19_109 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_19_109_9f00b9\" name=\"quform_19_109\" class=\"quform-field quform-field-date quform-field-19_109\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;2026-09-15&quot;,&quot;max&quot;:&quot;2026-11-29&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;en-US&quot;,&quot;placeholder&quot;:&quot;YYYY-MM-DD&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;19_109&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-19_110 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_110\"><label class=\"quform-label-text\" id=\"quform_19_110_9f00b9_label\">Daytime<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_110\"><div class=\"quform-input quform-input-radio quform-input-19_110 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_110_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_110\" id=\"quform_19_110_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_110 quform-field-19_110_1\" value=\"Vormittags\" \/><label for=\"quform_19_110_9f00b9_1\" class=\"quform-option-label quform-option-label-19_110_1\"><span class=\"quform-option-text\">In the morning<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_110\" id=\"quform_19_110_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_110 quform-field-19_110_2\" value=\"Nachmittags\" \/><label for=\"quform_19_110_9f00b9_2\" class=\"quform-option-label quform-option-label-19_110_2\"><span class=\"quform-option-text\">In the afternoon<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-html quform-element-19_111 quform-cf\"><div class=\"quform-spacer\"><p style=\"color:#13284c\">Note: We will do our best to make your desired date possible. We will coordinate the exact date and time with you personally.<\/p><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-19_119 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_119\"><label class=\"quform-label-text\" id=\"quform_19_119_9f00b9_label\">Have you already had eye surgery?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_119\"><div class=\"quform-input quform-input-radio quform-input-19_119 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_119_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_119\" id=\"quform_19_119_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_119 quform-field-19_119_1\" value=\"Ja\" \/><label for=\"quform_19_119_9f00b9_1\" class=\"quform-option-label quform-option-label-19_119_1\"><span class=\"quform-option-text\">Yes<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_119\" id=\"quform_19_119_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_119 quform-field-19_119_2\" value=\"Nein\" \/><label for=\"quform_19_119_9f00b9_2\" class=\"quform-option-label quform-option-label-19_119_2\"><span class=\"quform-option-text\">No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-19_112 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_112\"><label class=\"quform-label-text\" for=\"quform_19_112_9f00b9\">Your Message<\/label><\/div><div class=\"quform-inner quform-inner-textarea quform-inner-19_112\"><div class=\"quform-input quform-input-textarea quform-input-19_112 quform-cf\"><textarea id=\"quform_19_112_9f00b9\" name=\"quform_19_112\" class=\"quform-field quform-field-textarea quform-field-19_112\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-19_113 quform-cf quform-button-style-theme\"><div class=\"quform-button-back quform-button-back-default quform-button-back-19_113\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-back\" value=\"back\"><span class=\"quform-button-text quform-button-back-text\">Previous<\/span><\/button><\/div><div class=\"quform-button-next quform-button-next-default quform-button-next-19_113\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-next\" value=\"submit\"><span class=\"quform-button-text quform-button-next-text\">Next<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-page quform-page-13 quform-page-19_13 quform-cf quform-group-style-plain\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-html quform-element-19_73 quform-cf\"><div class=\"quform-spacer\"><h3 style=\"color: #ea5b0c;\">You are probably too young for laser eye treatment.<\/h3>\nWe do not treat people under the age of 18 with the laser. The reason is simple: you are still growing and therefore your eye or a possible defective vision is also changing.\n<h5 style=\"color: #ea5b0c;\">We would be pleased if you would nevertheless (completely anonymously) answer a few questions about our website!<\/h5><\/div><\/div><div class=\"quform-element quform-element-html quform-element-19_74 quform-cf\"><div class=\"quform-spacer\"><h3 style=\"color: #ea5b0c;\">No laser eye surgery during pregnancy and breastfeeding!<\/h3>\nWe strongly recommend that you do not have laser treatment during pregnancy or while breastfeeding. The visual acuity can change due to hormonal changes. For this reason, no laser eye treatment should be performed up to one year after pregnancy.\n<h5 style=\"color: #ea5b0c;\">We would be pleased if you would nevertheless (completely anonymously) answer a few questions about our website!<\/h5><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-19_115 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_115\"><label class=\"quform-label-text\" id=\"quform_19_115_9f00b9_label\">How do you like our website overall?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_115\"><div class=\"quform-input quform-input-radio quform-input-19_115 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_115_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_115\" id=\"quform_19_115_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_115 quform-field-19_115_1\" value=\"1 - Very nice\" \/><label for=\"quform_19_115_9f00b9_1\" class=\"quform-option-label quform-option-label-19_115_1\"><span class=\"quform-option-text\">1 - Very nice<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_115\" id=\"quform_19_115_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_115 quform-field-19_115_2\" value=\"2 - Beautiful\" \/><label for=\"quform_19_115_9f00b9_2\" class=\"quform-option-label quform-option-label-19_115_2\"><span class=\"quform-option-text\">2 - Beautiful<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_115\" id=\"quform_19_115_9f00b9_3\" class=\"quform-field quform-field-radio quform-field-19_115 quform-field-19_115_3\" value=\"3 - Okay\" \/><label for=\"quform_19_115_9f00b9_3\" class=\"quform-option-label quform-option-label-19_115_3\"><span class=\"quform-option-text\">3 - Okay<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_115\" id=\"quform_19_115_9f00b9_4\" class=\"quform-field quform-field-radio quform-field-19_115 quform-field-19_115_4\" value=\"4 - Not beautiful\" \/><label for=\"quform_19_115_9f00b9_4\" class=\"quform-option-label quform-option-label-19_115_4\"><span class=\"quform-option-text\">4 - Not beautiful<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_115\" id=\"quform_19_115_9f00b9_5\" class=\"quform-field quform-field-radio quform-field-19_115 quform-field-19_115_5\" value=\"5 - not beautiful at all\" \/><label for=\"quform_19_115_9f00b9_5\" class=\"quform-option-label quform-option-label-19_115_5\"><span class=\"quform-option-text\">5 - not beautiful at all<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-19_116 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_116\"><label class=\"quform-label-text\" id=\"quform_19_116_9f00b9_label\">Were you able to find the info you were looking for?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-19_116\"><div class=\"quform-input quform-input-radio quform-input-19_116 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-style-button quform-button-icon-left\" role=\"radiogroup\" aria-labelledby=\"quform_19_116_9f00b9_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_116\" id=\"quform_19_116_9f00b9_1\" class=\"quform-field quform-field-radio quform-field-19_116 quform-field-19_116_1\" value=\"Yes all found\" \/><label for=\"quform_19_116_9f00b9_1\" class=\"quform-option-label quform-option-label-19_116_1\"><span class=\"quform-option-text\">Yes all found<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_116\" id=\"quform_19_116_9f00b9_2\" class=\"quform-field quform-field-radio quform-field-19_116 quform-field-19_116_2\" value=\"I had to search something\" \/><label for=\"quform_19_116_9f00b9_2\" class=\"quform-option-label quform-option-label-19_116_2\"><span class=\"quform-option-text\">I had to search something<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_19_116\" id=\"quform_19_116_9f00b9_3\" class=\"quform-field quform-field-radio quform-field-19_116 quform-field-19_116_3\" value=\"Unfortunately nothing found\" \/><label for=\"quform_19_116_9f00b9_3\" class=\"quform-option-label quform-option-label-19_116_3\"><span class=\"quform-option-text\">Unfortunately nothing found<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-19_118 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_118\"><label class=\"quform-label-text\" for=\"quform_19_118_9f00b9\">Is there anything else you would like to tell us?<\/label><\/div><div class=\"quform-inner quform-inner-textarea quform-inner-19_118\"><div class=\"quform-input quform-input-textarea quform-input-19_118 quform-cf\"><textarea id=\"quform_19_118_9f00b9\" name=\"quform_19_118\" class=\"quform-field quform-field-textarea quform-field-19_118\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-19_14 quform-cf quform-button-style-theme\"><div class=\"quform-button-back quform-button-back-default quform-button-back-19_14\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-back\" value=\"back\"><span class=\"quform-button-text quform-button-back-text\">Previous<\/span><\/button><\/div><div class=\"quform-button-next quform-button-next-default quform-button-next-19_14\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-next\" value=\"submit\"><span class=\"quform-button-text quform-button-next-text\">Next<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-page quform-page-37 quform-page-19_37 quform-cf quform-group-style-plain quform-last-page\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-checkbox quform-element-19_39 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_39\"><label class=\"quform-label-text\" id=\"quform_19_39_9f00b9_label\">Data protection<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-checkbox quform-inner-19_39\"><div class=\"quform-input quform-input-checkbox quform-input-19_39 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"group\" aria-labelledby=\"quform_19_39_9f00b9_label\"><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_19_39[]\" id=\"quform_19_39_9f00b9_3\" class=\"quform-field quform-field-checkbox quform-field-19_39 quform-field-19_39_3\" value=\"I agree that my contact details and assignment will be saved for any queries. This consent is revocable at any time with affect for the future by sending an e-mail to info@aoz-hd.de .\" \/><label for=\"quform_19_39_9f00b9_3\" class=\"quform-option-label quform-option-label-19_39_3\"><span class=\"quform-option-text\">I agree that my contact details and assignment will be saved for any queries. This consent is revocable at any time with affect for the future by sending an e-mail to info@aoz-hd.de .<\/span><\/label><\/div><\/div><\/div><p class=\"quform-description quform-description-below\">Further information can be found in our <a href=\"https:\/\/www.aoz-hd.de\/datenschutz\/\" target=\"_blank\" rel=\"noopener\">privacy policy<\/a>.<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-checkbox quform-element-19_77 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_77\"><label class=\"quform-label-text\" id=\"quform_19_77_9f00b9_label\">AOZ newsletter (only in German)<\/label><\/div><div class=\"quform-inner quform-inner-checkbox quform-inner-19_77\"><div class=\"quform-input quform-input-checkbox quform-input-19_77 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"group\" aria-labelledby=\"quform_19_77_9f00b9_label\"><div class=\"quform-option\"><input type=\"checkbox\" name=\"quform_19_77[]\" id=\"quform_19_77_9f00b9_1\" class=\"quform-field quform-field-checkbox quform-field-19_77 quform-field-19_77_1\" value=\"Yes, I would like to be informed with the AOZ information service free of charge and without obligation.\" \/><label for=\"quform_19_77_9f00b9_1\" class=\"quform-option-label quform-option-label-19_77_1\"><span class=\"quform-option-text\">Yes, I would like to be informed with the AOZ information service free of charge and without obligation.<\/span><\/label><\/div><\/div><\/div><p class=\"quform-description quform-description-below\">I agree that my details will be used to send our newsletter. This consent can be withdrawn at any time with effect for the future by sending an e-mail to info@aoz-hd.de. For further information, please refer to our <a href=\"https:\/\/www.aoz-hd.de\/datenschutz\" target=\"_blank\">privacy policy.<\/a><\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-19_528006 quform-sr-only quform-cf\" style=\"clip: rect(1px, 1px, 1px, 1px); clip-path: inset(50%); position: absolute !important; height: 1px; width: 1px; overflow: hidden;\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-19_528006\"><label class=\"quform-label-text\" for=\"quform_19_528006_9f00b9\">Website URL<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-19_528006\"><textarea id=\"quform_19_528006_9f00b9\" name=\"quform_19_528006\" class=\"quform-field quform-field-textarea quform-field-19_528006\" tabindex=\"-1\" autocomplete=\"new-password\"><\/textarea><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-19_38 quform-cf quform-button-style-theme\"><div class=\"quform-button-back quform-button-back-default quform-button-back-19_38\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-back\" value=\"back\"><span class=\"quform-button-text quform-button-back-text\">Previous<\/span><\/button><\/div><div class=\"quform-button-submit quform-button-submit-default quform-button-submit-19_38\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-submit\" value=\"submit\"><span class=\"quform-button-text quform-button-submit-text\">Send<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/form><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>The AOZ Test Am I suitable for an eye laser treatment?<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"hf_cat_page":[],"class_list":["post-1812","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.aoz-hd.de\/en\/wp-json\/wp\/v2\/pages\/1812","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.aoz-hd.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.aoz-hd.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.aoz-hd.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.aoz-hd.de\/en\/wp-json\/wp\/v2\/comments?post=1812"}],"version-history":[{"count":0,"href":"https:\/\/www.aoz-hd.de\/en\/wp-json\/wp\/v2\/pages\/1812\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.aoz-hd.de\/en\/wp-json\/wp\/v2\/media?parent=1812"}],"wp:term":[{"taxonomy":"hf_cat_page","embeddable":true,"href":"https:\/\/www.aoz-hd.de\/en\/wp-json\/wp\/v2\/hf_cat_page?post=1812"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}