{"id":53516,"date":"2024-10-14T16:25:58","date_gmt":"2024-10-14T14:25:58","guid":{"rendered":"https:\/\/biorius.com\/unerwuenschte-wirkungen-biorius\/"},"modified":"2025-11-19T15:27:56","modified_gmt":"2025-11-19T14:27:56","slug":"unerwuenschte-wirkungen","status":"publish","type":"page","link":"https:\/\/biorius.com\/de\/unerwuenschte-wirkungen\/","title":{"rendered":"Unerw\u00fcnschte Wirkungen Biorius"},"content":{"rendered":"\n<div data-elementor-type=\"wp-page\" data-elementor-id=\"53516\" class=\"elementor elementor-53516 elementor-53443\" data-elementor-post-type=\"page\">\n<div class=\"elementor-element elementor-element-dff03a5 e-flex e-con-boxed e-con e-parent\" data-id=\"dff03a5\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n<div class=\"e-con-inner\">\n<div class=\"elementor-element elementor-element-bddeb46 elementor-widget elementor-widget-heading\" data-id=\"bddeb46\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n<div class=\"elementor-widget-container\">\n<h1 class=\"elementor-heading-title elementor-size-default\">Kosmetische unerw\u00fcnschte Wirkung<\/h1>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"elementor-element elementor-element-7d47fe3 elementor-widget elementor-widget-html\" data-id=\"7d47fe3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n<div class=\"elementor-widget-container\">\n<div class=\"breadcrumbs\">\n<ul>\n<li>\n            <a href=\"https:\/\/biorius.com\/de\/\">Startseite<\/a>\n        <\/li>\n<li>\n            <a href=\"#\">Kosmetische unerw\u00fcnschte Wirkung<\/a>\n        <\/li>\n<\/ul>\n<\/div><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"elementor-element elementor-element-b9ca7fb e-flex e-con-boxed e-con e-parent\" data-id=\"b9ca7fb\" data-element_type=\"container\" data-e-type=\"container\">\n<div class=\"e-con-inner\">\n<div class=\"elementor-element elementor-element-ddc1df5 elementor-widget elementor-widget-image\" data-id=\"ddc1df5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"242\" src=\"https:\/\/biorius.com\/wp-content\/uploads\/2023\/11\/LOGO_RVB-1024x242.png\" class=\"attachment-large size-large wp-image-51219\" alt=\"\" srcset=\"https:\/\/biorius.com\/wp-content\/uploads\/2023\/11\/LOGO_RVB-1024x242.png 1024w, https:\/\/biorius.com\/wp-content\/uploads\/2023\/11\/LOGO_RVB-300x71.png 300w, https:\/\/biorius.com\/wp-content\/uploads\/2023\/11\/LOGO_RVB-768x182.png 768w, https:\/\/biorius.com\/wp-content\/uploads\/2023\/11\/LOGO_RVB-1536x364.png 1536w, https:\/\/biorius.com\/wp-content\/uploads\/2023\/11\/LOGO_RVB.png 1799w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"elementor-element elementor-element-49325a5 e-con-full e-flex e-con e-child\" data-id=\"49325a5\" data-element_type=\"container\" data-e-type=\"container\">\n<div class=\"elementor-element elementor-element-d4d2328 elementor-widget elementor-widget-heading\" data-id=\"d4d2328\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n<div class=\"elementor-widget-container\">\n<h1 class=\"elementor-heading-title elementor-size-default\">Verbraucher <br \/>Fragebogen<\/h1>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"elementor-element elementor-element-f8c4058 e-flex e-con-boxed e-con e-parent\" data-id=\"f8c4058\" data-element_type=\"container\" data-e-type=\"container\">\n<div class=\"e-con-inner\">\n<div class=\"elementor-element elementor-element-efc3a1f e-con-full e-flex e-con e-child\" data-id=\"efc3a1f\" data-element_type=\"container\" data-e-type=\"container\">\n<div class=\"elementor-element elementor-element-96256d0 elementor-widget elementor-widget-text-editor\" data-id=\"96256d0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n<div class=\"elementor-widget-container\">\n<p><strong>Biorius<\/strong> ist die <strong>verantwortliche Person<\/strong> f\u00fcr verschiedene Kosmetikmarken. Sowohl Biorius als auch die Marken, die wir vertreten, legen gr\u00f6\u00dften Wert auf die Sicherheit der auf den Markt gebrachten Produkte und sind in dieser Hinsicht sehr wachsam. Es ist f\u00fcr uns von gr\u00f6\u00dfter Bedeutung, die m\u00f6gliche Ursache der von Ihnen beobachteten unerw\u00fcnschten Wirkung zu verstehen.  <\/p>\n<p>Um uns zu helfen, die Situation gr\u00fcndlich zu untersuchen und gegebenenfalls Schritte zur Verbesserung des Produkts zu unternehmen, bitten wir Sie, das folgende Formular auszuf\u00fcllen. Die Fragen basieren auf den Richtlinien der <strong>Resolution ResAP(2006)1 des Europarates<\/strong>. Sobald Sie das Formular ausgef\u00fcllt haben, wird sich einer unserer Experten per E-Mail mit Ihnen in Verbindung setzen, um Ihren Fall weiterzuverfolgen.  <\/p>\n<p>Bitte beachten Sie, dass Sie <strong>nicht verpflichtet sind,<\/strong> alle Fragen zu beantworten oder vollst\u00e4ndige Angaben zu machen. Je mehr Details Sie jedoch angeben, desto besser und schneller k\u00f6nnen wir Ihnen helfen. <\/p>\n<p>Die von Biorius gesammelten Daten werden in voller \u00dcbereinstimmung mit allen gesetzlichen Verpflichtungen zum <strong>Schutz pers\u00f6nlicher Daten<\/strong> verarbeitet.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"elementor-element elementor-element-d94b334 e-flex e-con-boxed e-con e-parent\" data-id=\"d94b334\" data-element_type=\"container\" data-e-type=\"container\">\n<div class=\"e-con-inner\">\n<div class=\"elementor-element elementor-element-7c25ac9 elementor-widget__width-inherit elementor-widget elementor-widget-gk_elementor_gravity_form\" data-id=\"7c25ac9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"gk_elementor_gravity_form.default\">\n<div class=\"elementor-widget-container\">\n<div class=\"gk-gravity-form\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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an<\/p>\n<\/p><\/div>\n<form method='post' enctype='multipart\/form-data'  id='gform_10'  action='\/de\/wp-json\/wp\/v2\/pages\/53516' data-formid='10' novalidate>\n<div class='gf_invisible ginput_recaptchav3' data-sitekey='6LeU9SIqAAAAAFxZQ73mH3MP9-aJLNPkaprZhj7H' data-tabindex='0'><input id=\"input_aad7e94068a873bc06ed3ec27580d45f\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_aad7e94068a873bc06ed3ec27580d45f\" value=\"\"\/><\/div>\n<div class='gform-body gform_body'>\n<div id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_below validation_below'>\n<div id=\"field_10_136\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--honeypot gfield--\"  data-field-class=\"gfield--honeypot gfield--\" ><label class='gfield_label gform-field-label' for='input_10_136'>Facebook<\/label><\/p>\n<div class='ginput_container'><input name='input_136' id='input_10_136' type='text' value='' autocomplete='new-password'\/><\/div>\n<div class='gfield_description' id='gfield_description_10_136'>Dieses Feld dient zur Validierung und sollte nicht ver\u00e4ndert werden.<\/div>\n<\/div>\n<fieldset id=\"field_10_135\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--consent gfield--large\"  data-field-class=\"gfield--consent gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Einverst\u00e4ndnis<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>\n<div class='ginput_container ginput_container_consent'><input name='input_135.1' id='input_10_135_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_10_135_1' >Ich bin mit der Verarbeitung meiner pers\u00f6nlichen Daten einverstanden.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_135.2' value='Ich bin mit der Verarbeitung meiner pers\u00f6nlichen Daten einverstanden.' class='gform_hidden' \/><input type='hidden' name='input_135.3' value='1' class='gform_hidden' \/><\/div>\n<\/fieldset>\n<fieldset id=\"field_10_134\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--consent gfield--large\"  data-field-class=\"gfield--consent gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Einverst\u00e4ndnis<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>\n<div class='ginput_container ginput_container_consent'><input name='input_134.1' id='input_10_134_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_10_134_1' >Ich bin damit einverstanden, dass diese Daten an den Vertreiber und\/oder die Kosmetikmarke und\/oder die Beh\u00f6rden meines Landes weitergegeben werden k\u00f6nnen.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_134.2' value='Ich bin damit einverstanden, dass diese Daten an den Vertreiber und\/oder die Kosmetikmarke und\/oder die Beh\u00f6rden meines Landes weitergegeben werden k\u00f6nnen.' class='gform_hidden' \/><input type='hidden' name='input_134.3' value='1' 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Informationen f\u00fcr Verbraucher<\/h3>\n<\/div>\n<fieldset id=\"field_10_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--name gfield--medium\"  data-field-class=\"gfield--name gfield--medium\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Vorname<\/legend>\n<div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_10_1'>\n<p>                            <span id='input_10_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' ><br \/>\n                                                    <input type='text' name='input_1.3' id='input_10_1_3' value=''   aria-required='false'    autocomplete=\"given-name\" \/><br \/>\n                                                    <label for='input_10_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Vorname<\/label><br \/>\n                                                <\/span><\/p><\/div>\n<\/fieldset>\n<fieldset id=\"field_10_133\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--name gfield--medium\"  data-field-class=\"gfield--name gfield--medium\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Nachname<\/legend>\n<div class='ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_10_133'>\n<p>                            <span id='input_10_133_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' ><br \/>\n                                                    <input type='text' name='input_133.6' id='input_10_133_6' value=''   aria-required='false'    autocomplete=\"family-name\" \/><br \/>\n                                                    <label for='input_10_133_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Nachname<\/label><br \/>\n                                                <\/span><\/p><\/div>\n<\/fieldset>\n<div id=\"field_10_61\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--date gfield--large\"  data-field-class=\"gfield--date gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_61'>Geburtsdatum<\/label><\/p>\n<div class='ginput_container ginput_container_date'>\n                            <input name='input_61' id='input_10_61' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_10_61_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_10_61_date_format' class='screen-reader-text'>MM Schr\u00e4gstrich TT Schr\u00e4gstrich JJJJ<\/span>\n                        <\/div>\n<p>                        <input type='hidden' id='gforms_calendar_icon_input_10_61' class='gform_hidden' value='https:\/\/biorius.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div>\n<fieldset id=\"field_10_27\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Sex<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_27'>\n<div class='gchoice gchoice_10_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='M\u00e4nnlich'  id='choice_10_27_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_27_1' id='label_10_27_1' class='gform-field-label gform-field-label--type-inline'>M\u00e4nnlich<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_27_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.2' type='checkbox'  value='Weiblich'  id='choice_10_27_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_27_2' id='label_10_27_2' class='gform-field-label gform-field-label--type-inline'>Weiblich<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_27_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.3' type='checkbox'  value='Divers'  id='choice_10_27_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_27_3' id='label_10_27_3' class='gform-field-label gform-field-label--type-inline'>Divers<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_27_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.4' type='checkbox'  value='Keine Angabe'  id='choice_10_27_4'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_27_4' id='label_10_27_4' class='gform-field-label gform-field-label--type-inline'>Keine Angabe<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_10_132\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_132'>Vollst\u00e4ndige Adresse (optional)<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_132' id='input_10_132' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_69\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--email gfield--large\"  data-field-class=\"gfield--email gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_69'>E-Mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><\/p>\n<div class='ginput_container ginput_container_email'>\n                            <input name='input_69' id='input_10_69' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div>\n<\/div>\n<div id=\"field_10_122\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--phone gfield--large\"  data-field-class=\"gfield--phone gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_122'>Telefon (optional)<\/label><\/p>\n<div class='ginput_container ginput_container_phone'><input name='input_122' id='input_10_122' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_29\" class=\"gfield gfield--type-section gfield--input-type-section gsection information-title field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--section gfield--large\"  data-field-class=\"gfield--section gfield--large\" >\n<h3 class=\"gsection_title\">Anamnese<\/h3>\n<\/div>\n<fieldset id=\"field_10_72\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Haben Sie empfindliche oder reaktive Haut?<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_72'>\n<div class='gchoice gchoice_10_72_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_72.1' type='checkbox'  value='Ja'  id='choice_10_72_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_72_1' id='label_10_72_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_72_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_72.2' type='checkbox'  value='Nein'  id='choice_10_72_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_72_2' id='label_10_72_2' class='gform-field-label gform-field-label--type-inline'>Nein<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_10_124\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--textarea gfield--large\"  data-field-class=\"gfield--textarea gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_124'>Hatten Sie bereits eine Reaktion auf dieses Produkt oder ein anderes kosmetisches Produkt?<\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_124' id='input_10_124' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/div>\n<fieldset id=\"field_10_74\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Sind Sie empfindlich oder allergisch gegen<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_74'>\n<div class='gchoice gchoice_10_74_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.1' type='checkbox'  value='Kosmetika'  id='choice_10_74_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_74_1' id='label_10_74_1' class='gform-field-label gform-field-label--type-inline'>Kosmetika<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_74_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.2' type='checkbox'  value='Parf\u00fcms'  id='choice_10_74_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_74_2' id='label_10_74_2' class='gform-field-label gform-field-label--type-inline'>Parf\u00fcms<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_74_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.3' type='checkbox'  value='Schwermetalle'  id='choice_10_74_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_74_3' id='label_10_74_3' class='gform-field-label gform-field-label--type-inline'>Schwermetalle<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_74_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.4' type='checkbox'  value='Pollen'  id='choice_10_74_4'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_74_4' id='label_10_74_4' class='gform-field-label gform-field-label--type-inline'>Pollen<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_10_75\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_75'>Andere Substanzen?<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_75' id='input_10_75' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<fieldset id=\"field_10_76\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Haben Sie fr\u00fcher unter<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_76'>\n<div class='gchoice gchoice_10_76_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.1' type='checkbox'  value='Asthma'  id='choice_10_76_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_76_1' id='label_10_76_1' class='gform-field-label gform-field-label--type-inline'>Asthma<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_76_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.2' type='checkbox'  value='Ekzem'  id='choice_10_76_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_76_2' id='label_10_76_2' class='gform-field-label gform-field-label--type-inline'>Ekzem<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_76_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.3' type='checkbox'  value='Rhinitis'  id='choice_10_76_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_76_3' id='label_10_76_3' class='gform-field-label gform-field-label--type-inline'>Rhinitis<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_76_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.4' type='checkbox'  value='Urtikaria'  id='choice_10_76_4'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_76_4' id='label_10_76_4' class='gform-field-label gform-field-label--type-inline'>Urtikaria<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_76_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.5' type='checkbox'  value='Angio\u00f6dem'  id='choice_10_76_5'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_76_5' id='label_10_76_5' class='gform-field-label gform-field-label--type-inline'>Angio\u00f6dem<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_76_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.6' type='checkbox'  value='Anaphylaktischer Schock'  id='choice_10_76_6'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_76_6' id='label_10_76_6' class='gform-field-label gform-field-label--type-inline'>Anaphylaktischer Schock<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_76_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.7' type='checkbox'  value='Intoleranz'  id='choice_10_76_7'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_76_7' id='label_10_76_7' class='gform-field-label gform-field-label--type-inline'>Intoleranz<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_10_77\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_77'>Intoleranz ? (bitte beschreiben Sie sie) <\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_77' id='input_10_77' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_71\" class=\"gfield gfield--type-section gfield--input-type-section gsection information-title field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--section gfield--large\"  data-field-class=\"gfield--section gfield--large\" >\n<h3 class=\"gsection_title\">B. Verd\u00e4chtiges Produkt<\/h3>\n<\/div>\n<div id=\"field_10_131\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_131'>Markenname<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_131' id='input_10_131' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_78\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_78'>Name des Produkts (auf Ihrem Produkt angegeben)<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_78' id='input_10_78' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_80\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_80'>Chargennummer (optional)<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_80' id='input_10_80' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_79\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_79'>Im Falle eines Make-up-Produkts: Name des\/der betreffenden Farbt\u00f6ne(s) (auf Ihrem Produkt angegeben)<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_79' id='input_10_79' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_81\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_81'>Kauf des Produkts (Land, Stadt, Gesch\u00e4ft oder Website)<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_81' id='input_10_81' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_82\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_82'>Zustand des Produkts: normal \/ abweichend (bitte beschreiben Sie, falls abweichend)<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_82' id='input_10_82' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_40\" class=\"gfield gfield--type-section gfield--input-type-section gsection information-title field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--section gfield--large\"  data-field-class=\"gfield--section gfield--large\" >\n<h3 class=\"gsection_title\">C. Bedingungen f\u00fcr die Verwendung des Produkts<\/h3>\n<\/div>\n<div id=\"field_10_83\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--date gfield--large\"  data-field-class=\"gfield--date gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_83'>Kaufdatum des Produkts<\/label><\/p>\n<div class='ginput_container ginput_container_date'>\n                            <input name='input_83' id='input_10_83' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_10_83_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_10_83_date_format' class='screen-reader-text'>MM Schr\u00e4gstrich TT Schr\u00e4gstrich JJJJ<\/span>\n                        <\/div>\n<p>                        <input type='hidden' id='gforms_calendar_icon_input_10_83' class='gform_hidden' value='https:\/\/biorius.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div>\n<div id=\"field_10_84\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--date gfield--large\"  data-field-class=\"gfield--date gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_84'>Datum der ersten Verwendung<\/label><\/p>\n<div class='ginput_container ginput_container_date'>\n                            <input name='input_84' id='input_10_84' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_10_84_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_10_84_date_format' class='screen-reader-text'>MM Schr\u00e4gstrich TT Schr\u00e4gstrich JJJJ<\/span>\n                        <\/div>\n<p>                        <input type='hidden' id='gforms_calendar_icon_input_10_84' class='gform_hidden' value='https:\/\/biorius.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div>\n<div id=\"field_10_86\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--date gfield--large\"  data-field-class=\"gfield--date gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_86'>Datum der letzten Verwendung<\/label><\/p>\n<div class='ginput_container ginput_container_date'>\n                            <input name='input_86' id='input_10_86' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_10_86_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_10_86_date_format' class='screen-reader-text'>MM Schr\u00e4gstrich TT Schr\u00e4gstrich JJJJ<\/span>\n                        <\/div>\n<p>                        <input type='hidden' id='gforms_calendar_icon_input_10_86' class='gform_hidden' value='https:\/\/biorius.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div>\n<div id=\"field_10_87\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_87'>Wie lange haben Sie das Produkt verwendet?<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_87' id='input_10_87' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_88\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_88'>H\u00e4ufigkeit der Nutzung (pro Tag oder pro Monat oder andere)<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_88' id='input_10_88' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_126\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--textarea gfield--large\"  data-field-class=\"gfield--textarea gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_126'>Anwendungsbereich(e) (bitte geben Sie eine genaue Beschreibung der Art und Weise, wie Sie das Produkt angewendet haben)<\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_126' id='input_10_126' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/div>\n<div id=\"field_10_127\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--textarea gfield--large\"  data-field-class=\"gfield--textarea gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_127'>Haben Sie dieses Produkt oder ein anderes Produkt der gleichen Kosmetikmarke schon einmal verwendet?<\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_127' id='input_10_127' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/div>\n<div id=\"field_10_128\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--textarea gfield--large\"  data-field-class=\"gfield--textarea gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_128'>Bedingungen w\u00e4hrend der Anwendung: trockene oder gesch\u00e4digte Haut, gleichzeitige Anwendung mit anderen Kosmetik- oder Arzneimitteln, Sonnenexposition nach der Anwendung, medizinische Behandlungen...<\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_128' id='input_10_128' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/div>\n<div id=\"field_10_53\" class=\"gfield gfield--type-section gfield--input-type-section gsection information-title field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--section gfield--large\"  data-field-class=\"gfield--section gfield--large\" >\n<h3 class=\"gsection_title\">D. Unerw\u00fcnschte Wirkung Beschreibung<\/h3>\n<\/div>\n<div id=\"field_10_92\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_92'>Land, in dem die unerw\u00fcnschte Wirkung aufgetreten ist<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_92' id='input_10_92' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_93\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--date gfield--large\"  data-field-class=\"gfield--date gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_93'>Datum des Auftretens der Symptome<\/label><\/p>\n<div class='ginput_container ginput_container_date'>\n                            <input name='input_93' id='input_10_93' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_10_93_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_10_93_date_format' class='screen-reader-text'>MM Schr\u00e4gstrich TT Schr\u00e4gstrich JJJJ<\/span>\n                        <\/div>\n<p>                        <input type='hidden' id='gforms_calendar_icon_input_10_93' class='gform_hidden' value='https:\/\/biorius.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div>\n<div id=\"field_10_94\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--date gfield--large\"  data-field-class=\"gfield--date gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_94'>Datum des Endes der Symptome<\/label><\/p>\n<div class='ginput_container ginput_container_date'>\n                            <input name='input_94' id='input_10_94' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_10_94_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_10_94_date_format' class='screen-reader-text'>MM Schr\u00e4gstrich TT Schr\u00e4gstrich JJJJ<\/span>\n                        <\/div>\n<p>                        <input type='hidden' id='gforms_calendar_icon_input_10_94' class='gform_hidden' value='https:\/\/biorius.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div>\n<fieldset id=\"field_10_96\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Symptome immer noch vorhanden<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_96'>\n<div class='gchoice gchoice_10_96_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.1' type='checkbox'  value='Ja'  id='choice_10_96_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_96_1' id='label_10_96_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_96_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.2' type='checkbox'  value='Nein'  id='choice_10_96_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_96_2' id='label_10_96_2' class='gform-field-label gform-field-label--type-inline'>Nein<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_10_123\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_123'>Nach wie vielen Anwendungen traten die Symptome auf?<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_123' id='input_10_123' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<fieldset id=\"field_10_99\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Wie lange nach der Anwendung trat die Reaktion auf?<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_99'>\n<div class='gchoice gchoice_10_99_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.1' type='checkbox'  value='Unmittelbar'  id='choice_10_99_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_99_1' id='label_10_99_1' class='gform-field-label gform-field-label--type-inline'>Unmittelbar<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_99_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.2' type='checkbox'  value='Weniger als eine Stunde'  id='choice_10_99_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_99_2' id='label_10_99_2' class='gform-field-label gform-field-label--type-inline'>Weniger als eine Stunde<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_99_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.3' type='checkbox'  value='Mehr als eine Stunde'  id='choice_10_99_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_99_3' id='label_10_99_3' class='gform-field-label gform-field-label--type-inline'>Mehr als eine Stunde<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_99_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.4' type='checkbox'  value='Ein Tag'  id='choice_10_99_4'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_99_4' id='label_10_99_4' class='gform-field-label gform-field-label--type-inline'>Ein Tag<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_99_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.5' type='checkbox'  value='Mehr als ein Tag'  id='choice_10_99_5'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_99_5' id='label_10_99_5' class='gform-field-label gform-field-label--type-inline'>Mehr als ein Tag<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<fieldset id=\"field_10_101\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Wie lange hielt die Reaktion an?<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_101'>\n<div class='gchoice gchoice_10_101_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_101.1' type='checkbox'  value='Ein paar Stunden'  id='choice_10_101_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_101_1' id='label_10_101_1' class='gform-field-label gform-field-label--type-inline'>Ein paar Stunden<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_101_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_101.2' type='checkbox'  value='Ein Tag'  id='choice_10_101_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_101_2' id='label_10_101_2' class='gform-field-label gform-field-label--type-inline'>Ein Tag<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_101_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_101.3' type='checkbox'  value='Mehr als ein Tag'  id='choice_10_101_3'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_101_3' id='label_10_101_3' class='gform-field-label gform-field-label--type-inline'>Mehr als ein Tag<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_10_102\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--textarea gfield--large\"  data-field-class=\"gfield--textarea gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_102'>Beschreibung der aufgetretenen unerw\u00fcnschten Wirkung (Empfindungen, Aussehen, Schmerzen, ...) ? Bitte geben Sie eine detaillierte Beschreibung der Symptome und der Bereiche, in denen die Reaktion aufgetreten ist. Alle Details k\u00f6nnen wichtig sein.  <\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_102' id='input_10_102' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/div>\n<fieldset id=\"field_10_103\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Haben Sie das Produkt nicht mehr verwendet?<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_103'>\n<div class='gchoice gchoice_10_103_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.1' type='checkbox'  value='Ja'  id='choice_10_103_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_103_1' id='label_10_103_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_103_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.2' type='checkbox'  value='Nein'  id='choice_10_103_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_103_2' id='label_10_103_2' class='gform-field-label gform-field-label--type-inline'>Nein<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_10_129\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--textarea gfield--large\"  data-field-class=\"gfield--textarea gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_129'>Wie haben sich die Symptome in den folgenden Stunden und Tagen entwickelt?<\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_129' id='input_10_129' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/div>\n<div id=\"field_10_130\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--textarea gfield--large\"  data-field-class=\"gfield--textarea gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_130'>Was haben Sie getan, damit es aufh\u00f6rt?<\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_130' id='input_10_130' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/div>\n<fieldset id=\"field_10_108\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Haben Sie einen Arzt oder eine medizinische Fachkraft aufgesucht?<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_108'>\n<div class='gchoice gchoice_10_108_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_108.1' type='checkbox'  value='Ja'  id='choice_10_108_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_108_1' id='label_10_108_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_108_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_108.2' type='checkbox'  value='Nein'  id='choice_10_108_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_108_2' id='label_10_108_2' class='gform-field-label gform-field-label--type-inline'>Nein<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_10_109\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_109'>Wenn ja, geben Sie bitte das Datum der Konsultation sowie den Namen und die Adresse der medizinischen Fachkraft an<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_109' id='input_10_109' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<div id=\"field_10_111\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_111'>Wenn ja, wie lautete seine\/ihre Diagnose?<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_111' id='input_10_111' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<fieldset id=\"field_10_106\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Haben Sie eine medizinische Behandlung in Anspruch genommen?<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_106'>\n<div class='gchoice gchoice_10_106_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_106.1' type='checkbox'  value='Ja'  id='choice_10_106_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_106_1' id='label_10_106_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_106_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_106.2' type='checkbox'  value='Nein'  id='choice_10_106_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_106_2' id='label_10_106_2' class='gform-field-label gform-field-label--type-inline'>Nein<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_10_107\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_107'>Wenn ja, geben Sie bitte den Namen des Medikaments an<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_107' id='input_10_107' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<fieldset id=\"field_10_112\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Haben Sie das Produkt erneut aufgetragen, nachdem die Symptome verschwunden waren?<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_112'>\n<div class='gchoice gchoice_10_112_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.1' type='checkbox'  value='Ja'  id='choice_10_112_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_112_1' id='label_10_112_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_112_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.2' type='checkbox'  value='Nein'  id='choice_10_112_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_112_2' id='label_10_112_2' class='gform-field-label gform-field-label--type-inline'>Nein<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<fieldset id=\"field_10_113\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Wurde die erneute Anwendung auf \u00e4hnliche Weise durchgef\u00fchrt?<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_113'>\n<div class='gchoice gchoice_10_113_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_113.1' type='checkbox'  value='Ja'  id='choice_10_113_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_113_1' id='label_10_113_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_113_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_113.2' type='checkbox'  value='Nein'  id='choice_10_113_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_113_2' id='label_10_113_2' class='gform-field-label gform-field-label--type-inline'>Nein<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<fieldset id=\"field_10_114\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Sind die Symptome wieder aufgetreten?<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_114'>\n<div class='gchoice gchoice_10_114_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.1' type='checkbox'  value='Ja'  id='choice_10_114_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_114_1' id='label_10_114_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_114_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.2' type='checkbox'  value='Nein'  id='choice_10_114_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_114_2' id='label_10_114_2' class='gform-field-label gform-field-label--type-inline'>Nein<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_10_115\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--large\"  data-field-class=\"gfield--text gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_115'>Waren die Symptome die gleichen wie bei der ersten Reaktion?<\/label><\/p>\n<div class='ginput_container ginput_container_text'><input name='input_115' id='input_10_115' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div>\n<\/div>\n<fieldset id=\"field_10_116\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Wurden Sie im Zusammenhang mit diesem Ereignis ins Krankenhaus eingeliefert?<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_116'>\n<div class='gchoice gchoice_10_116_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_116.1' type='checkbox'  value='Ja'  id='choice_10_116_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_116_1' id='label_10_116_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_116_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_116.2' type='checkbox'  value='Nein'  id='choice_10_116_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_116_2' id='label_10_116_2' class='gform-field-label gform-field-label--type-inline'>Nein<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<fieldset id=\"field_10_118\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Wenn ja, dauerte sie l\u00e4nger als 24 Stunden?<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_118'>\n<div class='gchoice gchoice_10_118_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.1' type='checkbox'  value='Ja'  id='choice_10_118_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_118_1' id='label_10_118_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_118_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.2' type='checkbox'  value='Nein'  id='choice_10_118_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_118_2' id='label_10_118_2' class='gform-field-label gform-field-label--type-inline'>Nein<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<fieldset id=\"field_10_117\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--large\"  data-field-class=\"gfield--checkbox gfield--large\" >\n<legend class='gfield_label gform-field-label gfield_label_before_complex' >Waren Sie im Zusammenhang mit diesem Ereignis krankgeschrieben?<\/legend>\n<div class='ginput_container ginput_container_checkbox'>\n<div class='gfield_checkbox ' id='input_10_117'>\n<div class='gchoice gchoice_10_117_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_117.1' type='checkbox'  value='Ja'  id='choice_10_117_1'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_117_1' id='label_10_117_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t\t\t\t\t<\/div>\n<div class='gchoice gchoice_10_117_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_117.2' type='checkbox'  value='Nein'  id='choice_10_117_2'   \/><br \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_117_2' id='label_10_117_2' class='gform-field-label gform-field-label--type-inline'>Nein<\/label>\n\t\t\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<div id=\"field_10_119\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--fileupload gfield--large\"  data-field-class=\"gfield--fileupload gfield--large\" ><label class='gfield_label gform-field-label' for='gform_browse_button_10_119'>Wenn Sie ein Rezept, eine Krankschreibung, ein \u00e4rztliches Attest, einen Bericht \u00fcber eine Notaufnahme oder einen Krankenhausaufenthalt im Zusammenhang mit der unerw\u00fcnschten Wirkung haben, k\u00f6nnten Sie es bitte beif\u00fcgen?<\/label><\/p>\n<div class='ginput_container ginput_container_fileupload'>\n<div id='gform_multifile_upload_10_119' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_10_119&quot;,&quot;container&quot;:&quot;gform_multifile_upload_10_119&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_10_119&quot;,&quot;filelist&quot;:&quot;gform_preview_10_119&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/biorius.com\\\/de\\\/?gf_page=a0b2b301dc2d428&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/biorius.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/biorius.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Erlaubte Dateitypen&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:10,&quot;field_id&quot;:119,&quot;_gform_file_upload_nonce_10_119&quot;:&quot;b88d1fd0a7&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_10_119&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n<div id='gform_drag_drop_area_10_119' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Ziehe Dateien hier her oder <\/span><br \/>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_10_119' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_10_119\"  >W\u00e4hle Dateien aus<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n<\/p><\/div>\n<p><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_119'>Max. Dateigr\u00f6\u00dfe: 50 MB.<\/span><\/p>\n<ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_10_119'><\/ul>\n<div id='gform_preview_10_119' class='ginput_preview_list'><\/div>\n<\/div>\n<\/div>\n<div id=\"field_10_120\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--fileupload gfield--large\"  data-field-class=\"gfield--fileupload gfield--large\" ><label class='gfield_label gform-field-label' for='gform_browse_button_10_120'>Wenn Sie Bilder des Produkts und\/oder des unerw\u00fcnschten Effekts haben, k\u00f6nnten Sie diese bitte beif\u00fcgen?<\/label><\/p>\n<div class='ginput_container ginput_container_fileupload'>\n<div id='gform_multifile_upload_10_120' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_10_120&quot;,&quot;container&quot;:&quot;gform_multifile_upload_10_120&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_10_120&quot;,&quot;filelist&quot;:&quot;gform_preview_10_120&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/biorius.com\\\/de\\\/?gf_page=a0b2b301dc2d428&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/biorius.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/biorius.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Erlaubte Dateitypen&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:10,&quot;field_id&quot;:120,&quot;_gform_file_upload_nonce_10_120&quot;:&quot;ade69f6267&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_10_120&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n<div id='gform_drag_drop_area_10_120' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Ziehe Dateien hier her oder <\/span><br \/>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_10_120' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_10_120\"  >W\u00e4hle Dateien aus<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n<\/p><\/div>\n<p><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_10_120'>Max. Dateigr\u00f6\u00dfe: 50 MB.<\/span><\/p>\n<ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_10_120'><\/ul>\n<div id='gform_preview_10_120' class='ginput_preview_list'><\/div>\n<\/div>\n<\/div>\n<div id=\"field_10_121\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--textarea gfield--large\"  data-field-class=\"gfield--textarea gfield--large\" ><label class='gfield_label gform-field-label' for='input_10_121'>Haben Sie weitere Kommentare oder Fragen?<\/label><\/p>\n<div class='ginput_container ginput_container_textarea'><textarea name='input_121' id='input_10_121' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_10' 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