{"id":388,"date":"2016-03-14T10:41:30","date_gmt":"2016-03-14T09:41:30","guid":{"rendered":"https:\/\/www.gzm-physio.com\/en\/footer-navigation\/kontakt\/"},"modified":"2018-10-19T17:48:57","modified_gmt":"2018-10-19T15:48:57","slug":"contact","status":"publish","type":"page","link":"https:\/\/www.gzm-physio.com\/en\/footer-navigation\/contact\/","title":{"rendered":"Contact Form"},"content":{"rendered":"<style>\n.failed{\npadding-top:20px; margin-bottom:-20px;\n    color: #f00;\n    font-size: 1em;\n    display: block;\n}\n.checkbox__element {\n    opacity: 0;\n    margin:-57px 0 0 -9px;\n    position: absolute;\n    margin-left: 3px;\n    cursor:pointer;\n    display:block;\n    float: left;\n    }.checkbox__label {a:hover {text-decoration:underline;color: white;}}.checkbox__chest{   \n    margin-right: 7px;\n    margin-bottom: 40px;\n    background-color:white;\n    bottom: -1px;\n    display: block;\n    height: 16px;\n    margin-left: -10px;\n    left: 0;\n    position: relative;\n    width: 16px;\n    cursor: pointer;\n    border-radius: 0;\n    border: 1px solid #a5a6a7;\n    float: left;\n    }.checkbox__text{\n        width: 100%;\n        text-align: left;\n        margin-top:-3px;\nfont-size: 17px;\nline-height: 1.42857143;\nfont-weight: 400;}.checkbox__tick::after {\n        background-image: url(..\/..\/..\/wp-content\/uploads\/2018\/05\/haken_green.jpg);\n        background-position: center;\n        background-repeat: no-repeat;\n        background-size: 11px;\n        content: ' ';\n        width: 12px;\n        height: 12px;\n        position: absolute;\n        top: 1px;\n        left: 1px;} @media (min-width:992px) and (max-width: 1097px) {\n        .finalInformation {\n            margin-top:-30px;}\n        .checkbox__wrapper{\n            margin-top: -10px;}}@media (min-width:780px) and (max-width: 826px) {\n        .finalInformation {\n            margin-top:15px;\n        }.checkbox__wrapper{\n            margin-top: -5px;}}.checkbox__wrapper{margin-left:10px;}\n<\/style>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f456-o1\" lang=\"de-DE\" dir=\"ltr\" data-wpcf7-id=\"456\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/388#wpcf7-f456-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Kontaktformular\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"456\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"de_DE\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f456-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<fieldset class=\"greenline\">\n\t<div class=\"qfrow\">\n\t\t<p><label class=\"qflabel\" for=\"kontakt_el_0\">Title <span class=\"required\">*<\/span><\/label>\n\t\t<\/p>\n\t\t<div class=\"qfelement \">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Title\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required selectGender\" aria-required=\"true\" aria-invalid=\"false\" name=\"Title\"><option value=\"Mr\">Mr<\/option><option value=\"Mrs\">Mrs<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"qfrow\">\n\t\t<p><label class=\"qflabel\" for=\"kontakt_el_0\"><br \/>\nFirst Name <span class=\"required\">*<\/span><\/label>\n\t\t<\/p>\n\t\t<div class=\"qfelement \">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"qfrow\">\n\t\t<p><label class=\"qflabel\" for=\"kontakt_el_0\">Surname <span class=\"required\">*<\/span><\/label>\n\t\t<\/p>\n\t\t<div class=\"qfelement \">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"surname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"surname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"qfrow\">\n\t\t<p><label class=\"qflabel\" for=\"kontakt_el_0\">Street\/House number <\/label>\n\t\t<\/p>\n\t\t<div class=\"qfelement \">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"str-num\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"str-num\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"qfrow\">\n\t\t<p><label class=\"qflabel\" for=\"kontakt_el_0\">Post code\/Town <\/label>\n\t\t<\/p>\n\t\t<div class=\"qfelement \">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"code-town\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"code-town\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"qfrow\">\n\t\t<p><label class=\"qflabel\" for=\"kontakt_el_0\">Mobile phone<\/label>\n\t\t<\/p>\n\t\t<div class=\"qfelement \">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mobile\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"mobile\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"qfrow\">\n\t\t<p><label class=\"qflabel\" for=\"kontakt_el_0\">Telephone<span class=\"required\">*<\/span><\/label>\n\t\t<\/p>\n\t\t<div class=\"qfelement \">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"qfrow\">\n\t\t<p><label class=\"qflabel\" for=\"kontakt_el_0\">Fax<\/label>\n\t\t<\/p>\n\t\t<div class=\"qfelement \">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fax\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"fax\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"qfrow\">\n\t\t<p><label class=\"qflabel\" for=\"kontakt_el_0\">EMail address <span class=\"required\">*<\/span><\/label>\n\t\t<\/p>\n\t\t<div class=\"qfelement \">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"qfrow\">\n\t\t<p><label class=\"qflabel\" for=\"kontakt_el_0\">Your message <span class=\"required\">*<\/span><\/label>\n\t\t<\/p>\n\t\t<div class=\"qfelement \">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea kontaktTextfield\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"qfrow\">\n\t\t<p><label class=\"qflabel\" for=\"kontakt_el_0\">Spam filter <span class=\"required\">*<\/span><\/label>\n\t\t<\/p>\n\t\t<div class=\"qfelement \">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"spamabfrage\"><label><span class=\"wpcf7-quiz-label\">7 - 1<\/span> <input size=\"10\" class=\"wpcf7-form-control wpcf7-quiz\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" type=\"text\" name=\"spamabfrage\" \/><\/label><input type=\"hidden\" name=\"_wpcf7_quiz_answer_spamabfrage\" value=\"41eb7aac946b446f57f19deb025f241f\" \/><\/span><br \/>\n<span id=\"vali\" class=\"failed\"><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"checkbox__wrapper\">\n\t\t\t\t<p><label class=\"checkbox__label\" for=\"haveRead\"><br \/>\n<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"checkbox__chest\" id=\"ct\">\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"checkbox__text\">\n\t\t\t\t\t<p>I have read and accept the <a href=\"https:\/\/www.gzm-physio.com\/en\/footer-navigation\/legal-notice\/#dataprotection\" target=\"_blank\" title=\"Datenschutzhinweise\">privacy policy<\/a>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/fieldset>\n<p><span id=\"wpcf7-6a0079135c988-wrapper\" class=\"wpcf7-form-control-wrap massiveBoops-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-6a0079135c988-field\" class=\"hp-message\">Bitte lasse dieses Feld leer.<\/label><input id=\"wpcf7-6a0079135c988-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"massiveBoops\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span>\n<\/p>\n<fieldset class=\"lowerContactButton\">\n\t<div class=\"qfrow floatleft\">\n\t\t<div class=\"qfelement\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner lowerContactButton-btn\" id=\"submitMe\" type=\"submit\" value=\"Send\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"qfreqnote\">\n\t\t<p>The fields marked with an asterisk * are mandatory fields\n\t\t<\/p>\n\t<\/div>\n<\/fieldset><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"176\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p><script>\ndocument.getElementById(\"submitMe\").disabled = true;\ndocument.getElementById(\"ct\").addEventListener(\"click\", function(){\n    document.getElementById(\"ct\").classList.toggle(\"checkbox__tick\");\n        if(!document.getElementById(\"ct\").classList.contains(\"checkbox__tick\")) {\n            document.getElementById(\"submitMe\").disabled = true;\n document.getElementById(\"vali\").innerHTML=\"Please accept:\";}\n        else{document.getElementById(\"submitMe\").disabled = false;\n document.getElementById(\"vali\").innerHTML=\"\";}\n});        \nfunction gzm() {console.log('not accepted')};\n<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":371,"parent":364,"menu_order":6020,"comment_status":"closed","ping_status":"closed","template":"template-contact.php","meta":{"footnotes":""},"class_list":["post-388","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/www.gzm-physio.com\/en\/wp-json\/wp\/v2\/pages\/388","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gzm-physio.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.gzm-physio.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.gzm-physio.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gzm-physio.com\/en\/wp-json\/wp\/v2\/comments?post=388"}],"version-history":[{"count":9,"href":"https:\/\/www.gzm-physio.com\/en\/wp-json\/wp\/v2\/pages\/388\/revisions"}],"predecessor-version":[{"id":1256,"href":"https:\/\/www.gzm-physio.com\/en\/wp-json\/wp\/v2\/pages\/388\/revisions\/1256"}],"up":[{"embeddable":true,"href":"https:\/\/www.gzm-physio.com\/en\/wp-json\/wp\/v2\/pages\/364"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.gzm-physio.com\/en\/wp-json\/wp\/v2\/media\/371"}],"wp:attachment":[{"href":"https:\/\/www.gzm-physio.com\/en\/wp-json\/wp\/v2\/media?parent=388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}