{"id":54591,"date":"2024-10-14T16:25:58","date_gmt":"2024-10-14T14:25:58","guid":{"rendered":"https:\/\/biorius.com\/dzialania-niepozadane-biorius\/"},"modified":"2025-11-19T15:28:13","modified_gmt":"2025-11-19T14:28:13","slug":"efekt-niepozadany","status":"publish","type":"page","link":"https:\/\/biorius.com\/pl\/efekt-niepozadany\/","title":{"rendered":"Dzia\u0142ania niepo\u017c\u0105dane Biorius"},"content":{"rendered":"\n<div data-elementor-type=\"wp-page\" data-elementor-id=\"54591\" class=\"elementor elementor-54591 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\">Kosmetyczny efekt niepo\u017c\u0105dany<\/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\/pl\/\">Strona g\u0142\u00f3wna<\/a>\n        <\/li>\n<li>\n            <a href=\"#\">Kosmetyczny efekt niepo\u017c\u0105dany<\/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.webp\" class=\"attachment-large size-large wp-image-45660\" alt=\"Biorius Logo\" srcset=\"https:\/\/biorius.com\/wp-content\/uploads\/2023\/11\/LOGO_RVB-1024x242.webp 1024w, https:\/\/biorius.com\/wp-content\/uploads\/2023\/11\/LOGO_RVB-300x71.webp 300w, https:\/\/biorius.com\/wp-content\/uploads\/2023\/11\/LOGO_RVB-768x182.webp 768w, https:\/\/biorius.com\/wp-content\/uploads\/2023\/11\/LOGO_RVB-1536x364.webp 1536w, https:\/\/biorius.com\/wp-content\/uploads\/2023\/11\/LOGO_RVB-e1768482371629.webp 845w\" 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\">Kwestionariusz konsumencki <br \/><\/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> pe\u0142ni rol\u0119 <strong>osoby odpowiedzialnej<\/strong> dla r\u00f3\u017cnych marek kosmetycznych. Zar\u00f3wno Biorius, jak i reprezentowane przez nas marki priorytetowo traktuj\u0105 bezpiecze\u0144stwo produkt\u00f3w wprowadzanych na rynek i zachowuj\u0105 w tym wzgl\u0119dzie wysok\u0105 czujno\u015b\u0107. Zrozumienie potencjalnej przyczyny niepo\u017c\u0105danego dzia\u0142ania, kt\u00f3rego do\u015bwiadczy\u0142e\u015b, jest dla nas niezwykle wa\u017cne.  <\/p>\n<p>Aby pom\u00f3c nam w dok\u0142adnym zbadaniu sytuacji i, w razie potrzeby, podj\u0119ciu krok\u00f3w w celu ulepszenia produktu, uprzejmie prosimy o wype\u0142nienie poni\u017cszego formularza. Pytania s\u0105 oparte na wytycznych okre\u015blonych w <strong>rezolucji ResAP(2006)1 Rady Europy<\/strong>. Po przes\u0142aniu formularza jeden z naszych ekspert\u00f3w skontaktuje si\u0119 z Tob\u0105 za po\u015brednictwem poczty elektronicznej, aby podj\u0105\u0107 dalsze dzia\u0142ania w Twojej sprawie.  <\/p>\n<p>Nale\u017cy pami\u0119ta\u0107, \u017ce udzielenie odpowiedzi na wszystkie pytania lub podanie pe\u0142nych informacji <strong>nie<\/strong> jest obowi\u0105zkowe. Jednak im wi\u0119cej szczeg\u00f3\u0142\u00f3w podasz, tym lepiej i szybciej b\u0119dziemy mogli Ci pom\u00f3c. <\/p>\n<p>Dane gromadzone przez Biorius b\u0119d\u0105 przetwarzane w pe\u0142nej zgodno\u015bci ze wszystkimi zobowi\u0105zaniami prawnymi dotycz\u0105cymi <strong>ochrony danych osobowych<\/strong>.<\/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[ 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wymagane<\/p>\n<\/p><\/div>\n<form method='post' enctype='multipart\/form-data'  id='gform_10'  action='\/pl\/wp-json\/wp\/v2\/pages\/54591' 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'>Comments<\/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'>To pole jest u\u017cywane do walidacji i powinno pozosta\u0107 niezmienione.<\/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' >Zgoda<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' >Wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_135.2' value='Wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych.' 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' >Zgoda<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' >Wyra\u017cam zgod\u0119 na udost\u0119pnienie tych danych dystrybutorowi i\/lub marce produktu kosmetycznego i\/lub w\u0142adzom mojego kraju.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_134.2' value='Wyra\u017cam zgod\u0119 na udost\u0119pnienie tych danych dystrybutorowi i\/lub marce produktu kosmetycznego i\/lub w\u0142adzom mojego kraju.' class='gform_hidden' \/><input type='hidden' name='input_134.3' value='1' class='gform_hidden' \/><\/div>\n<\/fieldset>\n<div id=\"field_10_12\" 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--medium\"  data-field-class=\"gfield--section gfield--medium\" >\n<h3 class=\"gsection_title\">A. Informacje dla konsument\u00f3w<\/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' >Imi\u0119<\/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'>Imi\u0119<\/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' >Nazwisko<\/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'>Nazwisko<\/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'>Data urodzenia<\/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\/rrrr' aria-describedby=\"input_10_61_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_10_61_date_format' class='screen-reader-text'>MM uko\u015bnik DD uko\u015bnik RRRR<\/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' >Seks<\/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\u0119\u017cczyzna'  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\u0119\u017cczyzna<\/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='Kobieta'  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'>Kobieta<\/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='Niezr\u00f3\u017cnicowany'  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'>Niezr\u00f3\u017cnicowany<\/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='Odmowa odpowiedzi'  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'>Odmowa odpowiedzi<\/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'>Pe\u0142ny adres (opcjonalnie)<\/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 (opcjonalnie)<\/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\">Historia medyczna<\/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' >Czy masz wra\u017cliw\u0105 lub reaktywn\u0105 sk\u00f3r\u0119?<\/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='Tak'  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'>Tak<\/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='Nie'  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'>Nie<\/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'>Czy wyst\u0105pi\u0142a ju\u017c reakcja na ten lub inny produkt kosmetyczny?<\/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' >Czy jeste\u015b wra\u017cliwy lub uczulony na<\/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='Kosmetyki'  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'>Kosmetyki<\/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='Perfumy'  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'>Perfumy<\/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='Metale ci\u0119\u017ckie'  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'>Metale ci\u0119\u017ckie<\/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='Py\u0142ek'  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'>Py\u0142ek<\/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'>Inne substancje?<\/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' >Czy wcze\u015bniej cierpia\u0142e\u015b na<\/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='Astma'  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'>Astma<\/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='Egzema'  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'>Egzema<\/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='Nie\u017cyt nosa'  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'>Nie\u017cyt nosa<\/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='Pokrzywka'  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'>Pokrzywka<\/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='Obrz\u0119k naczynioruchowy'  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'>Obrz\u0119k naczynioruchowy<\/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='Wstrz\u0105s anafilaktyczny'  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'>Wstrz\u0105s anafilaktyczny<\/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='Nietolerancja'  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'>Nietolerancja<\/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'>Nietolerancja? (prosz\u0119 opisa\u0107) <\/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. Podejrzany 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'>Nazwa marki<\/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'>Nazwa produktu (umieszczona na produkcie)<\/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'>Numer partii (opcjonalnie)<\/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'>W przypadku produkt\u00f3w do makija\u017cu, nazwa odcienia (odcieni) (oznaczona na produkcie).<\/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'>Zakup produktu (kraj, miasto, sklep, strona internetowa)<\/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'>Wygl\u0105d produktu: normalny \/ nieprawid\u0142owy (nale\u017cy opisa\u0107, je\u015bli jest nieprawid\u0142owy)<\/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. Warunki korzystania z Produktu<\/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'>Data zakupu produktu<\/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\/rrrr' aria-describedby=\"input_10_83_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_10_83_date_format' class='screen-reader-text'>MM uko\u015bnik DD uko\u015bnik RRRR<\/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'>Data pierwszego u\u017cycia<\/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\/rrrr' aria-describedby=\"input_10_84_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_10_84_date_format' class='screen-reader-text'>MM uko\u015bnik DD uko\u015bnik RRRR<\/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'>Data ostatniego u\u017cycia<\/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\/rrrr' aria-describedby=\"input_10_86_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_10_86_date_format' class='screen-reader-text'>MM uko\u015bnik DD uko\u015bnik RRRR<\/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'>Jak d\u0142ugo u\u017cywasz produktu?<\/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'>Cz\u0119stotliwo\u015b\u0107 korzystania (w ci\u0105gu dnia, miesi\u0105ca lub w inny spos\u00f3b)<\/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'>Obszar(y) zastosowania (nale\u017cy poda\u0107 dok\u0142adny opis sposobu zastosowania produktu)<\/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'>Czy u\u017cywa\u0142e\u015b ju\u017c tego produktu lub innego produktu tej samej marki kosmetycznej?<\/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'>Uwagi dotycz\u0105ce warunk\u00f3w stosowania: sucha lub uszkodzona sk\u00f3ra przed u\u017cyciem, jednoczesne stosowanie z innymi produktami kosmetycznymi lub farmaceutycznymi, ekspozycja na s\u0142o\u0144ce po aplikacji, leczenie...<\/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. Opis dzia\u0142ania niepo\u017c\u0105danego<\/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'>Kraj, w kt\u00f3rym wyst\u0105pi\u0142 niepo\u017c\u0105dany efekt<\/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'>Data wyst\u0105pienia objaw\u00f3w<\/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\/rrrr' aria-describedby=\"input_10_93_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_10_93_date_format' class='screen-reader-text'>MM uko\u015bnik DD uko\u015bnik RRRR<\/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'>Data ust\u0105pienia objaw\u00f3w<\/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\/rrrr' aria-describedby=\"input_10_94_date_format\" aria-invalid=\"false\" \/><br \/>\n                            <span id='input_10_94_date_format' class='screen-reader-text'>MM uko\u015bnik DD uko\u015bnik RRRR<\/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' >Objawy wci\u0105\u017c trwaj\u0105<\/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='Tak'  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'>Tak<\/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='Nie'  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'>Nie<\/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'>Po ilu zastosowaniach pojawi\u0142y si\u0119 objawy?<\/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' >Jak d\u0142ugo po aplikacji wyst\u0105pi\u0142a reakcja?<\/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='Natychmiast'  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'>Natychmiast<\/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='Mniej ni\u017c godzin\u0119'  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'>Mniej ni\u017c godzin\u0119<\/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='Ponad godzin\u0119'  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'>Ponad godzin\u0119<\/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='Jeden dzie\u0144'  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'>Jeden dzie\u0144<\/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='Wi\u0119cej ni\u017c jeden dzie\u0144'  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'>Wi\u0119cej ni\u017c jeden dzie\u0144<\/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' >Jak d\u0142ugo trwa\u0142a ta reakcja?<\/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='Kilka godzin'  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'>Kilka godzin<\/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='Jeden dzie\u0144'  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'>Jeden dzie\u0144<\/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='Wi\u0119cej ni\u017c jeden dzie\u0144'  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'>Wi\u0119cej ni\u017c jeden dzie\u0144<\/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'>Opis niepo\u017c\u0105danego dzia\u0142ania, kt\u00f3re wyst\u0105pi\u0142o (odczucia, wygl\u0105d, b\u00f3l, ...)? Nale\u017cy poda\u0107 szczeg\u00f3\u0142owy opis objaw\u00f3w i obszar\u00f3w reakcji. Wszystkie szczeg\u00f3\u0142y mog\u0105 by\u0107 wa\u017cne.  <\/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' >Czy przesta\u0142e\u015b u\u017cywa\u0107 produktu?<\/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='Tak'  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'>Tak<\/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='Nie'  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'>Nie<\/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'>Jak rozwija\u0142y si\u0119 objawy w kolejnych godzinach i dniach?<\/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'>Co zrobi\u0142e\u015b, \u017ceby to si\u0119 sko\u0144czy\u0142o?<\/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' >Czy szuka\u0142e\u015b pomocy medycznej u specjalisty?<\/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='Tak'  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'>Tak<\/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='Nie'  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'>Nie<\/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'>Je\u015bli tak, prosimy o podanie daty konsultacji oraz nazwiska i adresu pracownika s\u0142u\u017cby zdrowia.<\/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'>Je\u015bli tak, jaka by\u0142a jego\/jej diagnoza?<\/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' >Czy korzysta\u0142e\u015b z zabieg\u00f3w medycznych?<\/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='Tak'  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'>Tak<\/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='Nie'  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'>Nie<\/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'>Je\u015bli tak, prosimy o podanie nazwy lek\u00f3w<\/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' >Czy ponownie zastosowa\u0142e\u015b produkt po ust\u0105pieniu objaw\u00f3w?<\/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='Tak'  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'>Tak<\/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='Nie'  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'>Nie<\/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' >Czy ponowna aplikacja zosta\u0142a przeprowadzona w podobny spos\u00f3b?<\/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='Tak'  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'>Tak<\/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='Nie'  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'>Nie<\/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' >Czy objawy pojawi\u0142y si\u0119 ponownie?<\/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='Tak'  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'>Tak<\/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='Nie'  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'>Nie<\/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'>Czy objawy by\u0142y takie same jak w przypadku pierwszej reakcji?<\/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' >Czy by\u0142e\u015b hospitalizowany w zwi\u0105zku z tym wydarzeniem?<\/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='Tak'  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'>Tak<\/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='Nie'  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'>Nie<\/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' >Je\u015bli tak, czy trwa\u0142o to d\u0142u\u017cej ni\u017c 24 godziny?<\/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='Tak'  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'>Tak<\/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='Nie'  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'>Nie<\/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' >Czy otrzyma\u0142e\u015b zwolnienie lekarskie w zwi\u0105zku z tym wydarzeniem?<\/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='Tak'  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'>Tak<\/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='Nie'  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'>Nie<\/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'>Je\u015bli posiadasz recept\u0119, zwolnienie lekarskie, za\u015bwiadczenie lekarskie, raport o przyj\u0119ciu w trybie nag\u0142ym, raport o hospitalizacji zwi\u0105zane z dzia\u0142aniem niepo\u017c\u0105danym, czy m\u00f3g\u0142by\u015b je do\u0142\u0105czy\u0107?<\/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\\\/pl\\\/?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;Akceptowane pliki&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'>Upu\u015b\u0107 pliki tutaj lub <\/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\"  >Wybierz pliki<\/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'>Maks. rozmiar pliku: 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'>Je\u015bli masz jakie\u015b zdj\u0119cie (zdj\u0119cia) produktu i \/ lub niepo\u017c\u0105danego efektu, czy mo\u017cesz do\u0142\u0105czy\u0107 zdj\u0119cie (zdj\u0119cia)?<\/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\\\/pl\\\/?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;Akceptowane pliki&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'>Upu\u015b\u0107 pliki tutaj lub <\/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\"  >Wybierz pliki<\/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'>Maks. rozmiar pliku: 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 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Zar\u00f3wno Biorius, jak i reprezentowane przez&#8230;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","footnotes":""},"categories":[],"tags":[],"class_list":["post-54591","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dzia\u0142ania niepo\u017c\u0105dane Biorius - Biorius<\/title>\n<meta name=\"description\" content=\"Przykro nam z powodu z\u0142ych lub niepo\u017c\u0105danych reakcji, ale nie martw si\u0119, mamy dla Ciebie ochron\u0119 i zajmiemy si\u0119 Tob\u0105.\" \/>\n<meta name=\"robots\" content=\"noindex, nofollow\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dzia\u0142ania niepo\u017c\u0105dane Biorius - 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