{"id":7794,"date":"2022-06-27T17:49:11","date_gmt":"2022-06-27T15:49:11","guid":{"rendered":"https:\/\/www.efaflex.cn\/?page_id=7794"},"modified":"2022-07-27T14:54:38","modified_gmt":"2022-07-27T12:54:38","slug":"feedback","status":"publish","type":"page","link":"https:\/\/www.efaflex.cn\/en\/service\/service-international\/feedback\/","title":{"rendered":"Feedback"},"content":{"rendered":"\r\n\r\n<div id=\"breadcrump-block_6297167b55956\" class=\"inner\">\r\n        <nav class=\"breadcrumb\"><a href=\"https:\/\/www.efaflex.cn\/en\/\">Homepage<\/a> \/ <span class=\"current-page\">Page<\/span><\/nav>    <\/div>\n\n\n<div style=\"height:150px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\r\n\r\n<div id=\"textmodul-3-spalten-block_629727f98ab3b\" class=\"textmodul-3-spalten\">\r\n    <div class=\"inner\">\r\n        <div class=\"custom-flex-box\">\r\n                            <h2 class=\"flex-box-thirty break headline-two false\">Why we need your feedback.<\/h2>\r\n                        <div class=\"flex-box-thirty\"><p>At the international level, we work together with our own subsidiaries and service partners in our service network. So that we can live up to our claim of being a premium service provider, we also need your help and information on your experiences with our service. Both positive and negative aspects help us to provide the best possible service to our customers.<\/p>\n<\/div>\r\n            <div class=\"flex-box-thirty\"><\/div>\r\n        <\/div>\r\n    <\/div>\r\n<\/div>\r\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\r\n\r\n<div class=\"inner\">\r\n    <script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() 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#112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5' class='efaflex-form' action='\/en\/wp-json\/wp\/v2\/pages\/7794' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_81\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_81'>Instagram<\/label><div class='ginput_container'><input name='input_81' id='input_5_81' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_5_81'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_5_28\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div><\/div><div id=\"field_5_40\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your personal data<\/h3><\/div><div id=\"field_5_3\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full thirty-flex-form field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_3'>Title<\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_5_3' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Title<\/option><option value='\u5148\u751f' >\u5148\u751f<\/option><option value='\u5973\u6027' >\u5973\u6027<\/option><option value='\u591a\u5143\u5316' >\u591a\u5143\u5316<\/option><\/select><\/div><\/div><div id=\"field_5_1\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_1'>First name<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_5_1' type='text' value='' class='large'    placeholder='First name'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_11'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_5_11' type='text' value='' class='large'    placeholder='Name*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_44\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_44'>Company<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_5_44' type='text' value='' class='large'    placeholder='Company*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_45'>Department<\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_5_45' type='text' value='' class='large'    placeholder='Department'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half sixty-flex-form gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_7'>Street<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_5_7' type='text' value='' class='large'    placeholder='Street*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half thirty-flex-form gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_8'>No.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_5_8' type='text' value='' class='large'    placeholder='No.*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half thirty-flex-form gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_10'>Zip code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_5_10' type='text' value='' class='large'    placeholder='Zip code*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half sixty-flex-form gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_9'>Place<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_5_9' type='text' value='' class='large'    placeholder='Place*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_6'>Country<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_5_6' type='text' value='' class='large'    placeholder='Country*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_25\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/div><\/div><div id=\"field_5_29\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div><\/div><div id=\"field_5_54\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Questionnaire<\/h2><\/div><fieldset id=\"field_5_58\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full abstimmung field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How do you rate the availability of your service contact?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_58'>\n\t\t\t<div class='gchoice gchoice_5_58_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='\u4e0d\u591f'  id='choice_5_58_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_58_0' id='label_5_58_0' class='gform-field-label gform-field-label--type-inline'>\u4e0d\u591f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_58_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='\u5dee'  id='choice_5_58_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_58_1' id='label_5_58_1' class='gform-field-label gform-field-label--type-inline'>\u5dee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_58_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='\u6ee1\u610f'  id='choice_5_58_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_58_2' id='label_5_58_2' class='gform-field-label gform-field-label--type-inline'>\u6ee1\u610f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_58_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='\u597d'  id='choice_5_58_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_58_3' id='label_5_58_3' class='gform-field-label gform-field-label--type-inline'>\u597d<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_58_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='\u975e\u5e38\u597d'  id='choice_5_58_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_58_4' id='label_5_58_4' class='gform-field-label gform-field-label--type-inline'>\u975e\u5e38\u597d<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_53\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_5_59\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full abstimmung field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How do you rate the assistance provided by the telephone support (hotline)?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_59'>\n\t\t\t<div class='gchoice gchoice_5_59_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='\u4e0d\u591f'  id='choice_5_59_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_59_0' id='label_5_59_0' class='gform-field-label gform-field-label--type-inline'>\u4e0d\u591f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_59_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='\u5dee'  id='choice_5_59_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_59_1' id='label_5_59_1' class='gform-field-label gform-field-label--type-inline'>\u5dee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_59_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='\u6ee1\u610f'  id='choice_5_59_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_59_2' id='label_5_59_2' class='gform-field-label gform-field-label--type-inline'>\u6ee1\u610f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_59_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='\u597d'  id='choice_5_59_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_59_3' id='label_5_59_3' class='gform-field-label gform-field-label--type-inline'>\u597d<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_59_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='\u975e\u5e38\u597d'  id='choice_5_59_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_59_4' id='label_5_59_4' class='gform-field-label gform-field-label--type-inline'>\u975e\u5e38\u597d<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_62\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_5_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full abstimmung field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How do you assess the time between initial reaction and problem solving?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_61'>\n\t\t\t<div class='gchoice gchoice_5_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='\u4e0d\u591f'  id='choice_5_61_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_61_0' id='label_5_61_0' class='gform-field-label gform-field-label--type-inline'>\u4e0d\u591f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='\u5dee'  id='choice_5_61_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_61_1' id='label_5_61_1' class='gform-field-label gform-field-label--type-inline'>\u5dee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_61_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='\u6ee1\u610f'  id='choice_5_61_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_61_2' id='label_5_61_2' class='gform-field-label gform-field-label--type-inline'>\u6ee1\u610f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_61_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='\u597d'  id='choice_5_61_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_61_3' id='label_5_61_3' class='gform-field-label gform-field-label--type-inline'>\u597d<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_61_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='\u975e\u5e38\u597d'  id='choice_5_61_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_61_4' id='label_5_61_4' class='gform-field-label gform-field-label--type-inline'>\u975e\u5e38\u597d<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_5_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full abstimmung field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How do you rate the response time of the service organization responsible for you to your concerns? (erste Reaktion)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_63'>\n\t\t\t<div class='gchoice gchoice_5_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='\u4e0d\u591f'  id='choice_5_63_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_63_0' id='label_5_63_0' class='gform-field-label gform-field-label--type-inline'>\u4e0d\u591f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='\u5dee'  id='choice_5_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_63_1' id='label_5_63_1' class='gform-field-label gform-field-label--type-inline'>\u5dee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_63_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='\u6ee1\u610f'  id='choice_5_63_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_63_2' id='label_5_63_2' class='gform-field-label gform-field-label--type-inline'>\u6ee1\u610f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_63_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='\u597d'  id='choice_5_63_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_63_3' id='label_5_63_3' class='gform-field-label gform-field-label--type-inline'>\u597d<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_63_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='\u975e\u5e38\u597d'  id='choice_5_63_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_63_4' id='label_5_63_4' class='gform-field-label gform-field-label--type-inline'>\u975e\u5e38\u597d<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_66\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_5_67\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full abstimmung field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How do you rate the problem-solving skills of the service technicians deployed?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_67'>\n\t\t\t<div class='gchoice gchoice_5_67_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='\u4e0d\u591f'  id='choice_5_67_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_67_0' id='label_5_67_0' class='gform-field-label gform-field-label--type-inline'>\u4e0d\u591f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_67_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='\u5dee'  id='choice_5_67_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_67_1' id='label_5_67_1' class='gform-field-label gform-field-label--type-inline'>\u5dee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_67_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='\u6ee1\u610f'  id='choice_5_67_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_67_2' id='label_5_67_2' class='gform-field-label gform-field-label--type-inline'>\u6ee1\u610f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_67_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='\u597d'  id='choice_5_67_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_67_3' id='label_5_67_3' class='gform-field-label gform-field-label--type-inline'>\u597d<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_67_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='\u975e\u5e38\u597d'  id='choice_5_67_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_67_4' id='label_5_67_4' class='gform-field-label gform-field-label--type-inline'>\u975e\u5e38\u597d<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_68\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_5_69\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full abstimmung field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How do you rate the reliability of appointments in service?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_69'>\n\t\t\t<div class='gchoice gchoice_5_69_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='\u4e0d\u591f'  id='choice_5_69_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_69_0' id='label_5_69_0' class='gform-field-label gform-field-label--type-inline'>\u4e0d\u591f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_69_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='\u5dee'  id='choice_5_69_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_69_1' id='label_5_69_1' class='gform-field-label gform-field-label--type-inline'>\u5dee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_69_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='\u6ee1\u610f'  id='choice_5_69_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_69_2' id='label_5_69_2' class='gform-field-label gform-field-label--type-inline'>\u6ee1\u610f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_69_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='\u597d'  id='choice_5_69_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_69_3' id='label_5_69_3' class='gform-field-label gform-field-label--type-inline'>\u597d<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_69_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='\u975e\u5e38\u597d'  id='choice_5_69_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_69_4' id='label_5_69_4' class='gform-field-label gform-field-label--type-inline'>\u975e\u5e38\u597d<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_64\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_5_65\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full abstimmung field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How satisfied are you with the price\/performance ratio of the service?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_65'>\n\t\t\t<div class='gchoice gchoice_5_65_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='\u4e0d\u591f'  id='choice_5_65_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_65_0' id='label_5_65_0' class='gform-field-label gform-field-label--type-inline'>\u4e0d\u591f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_65_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='\u5dee'  id='choice_5_65_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_65_1' id='label_5_65_1' class='gform-field-label gform-field-label--type-inline'>\u5dee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_65_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='\u6ee1\u610f'  id='choice_5_65_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_65_2' id='label_5_65_2' class='gform-field-label gform-field-label--type-inline'>\u6ee1\u610f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_65_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='\u597d'  id='choice_5_65_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_65_3' id='label_5_65_3' class='gform-field-label gform-field-label--type-inline'>\u597d<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_65_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='\u975e\u5e38\u597d'  id='choice_5_65_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_65_4' id='label_5_65_4' class='gform-field-label gform-field-label--type-inline'>\u975e\u5e38\u597d<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_75\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_5_70\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full abstimmung field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How satisfied are you with the service in general?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_70'>\n\t\t\t<div class='gchoice gchoice_5_70_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='\u4e0d\u591f'  id='choice_5_70_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_70_0' id='label_5_70_0' class='gform-field-label gform-field-label--type-inline'>\u4e0d\u591f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_70_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='\u5dee'  id='choice_5_70_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_70_1' id='label_5_70_1' class='gform-field-label gform-field-label--type-inline'>\u5dee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_70_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='\u6ee1\u610f'  id='choice_5_70_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_70_2' id='label_5_70_2' class='gform-field-label gform-field-label--type-inline'>\u6ee1\u610f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_70_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='\u597d'  id='choice_5_70_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_70_3' id='label_5_70_3' class='gform-field-label gform-field-label--type-inline'>\u597d<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_70_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='\u975e\u5e38\u597d'  id='choice_5_70_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_70_4' id='label_5_70_4' class='gform-field-label gform-field-label--type-inline'>\u975e\u5e38\u597d<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_76\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_5_71\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full abstimmung field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How satisfied are you with the EFAFLEX products in general?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_71'>\n\t\t\t<div class='gchoice gchoice_5_71_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='\u4e0d\u591f'  id='choice_5_71_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_71_0' id='label_5_71_0' class='gform-field-label gform-field-label--type-inline'>\u4e0d\u591f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_71_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='\u5dee'  id='choice_5_71_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_71_1' id='label_5_71_1' class='gform-field-label gform-field-label--type-inline'>\u5dee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_71_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='\u6ee1\u610f'  id='choice_5_71_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_71_2' id='label_5_71_2' class='gform-field-label gform-field-label--type-inline'>\u6ee1\u610f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_71_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='\u597d'  id='choice_5_71_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_71_3' id='label_5_71_3' class='gform-field-label gform-field-label--type-inline'>\u597d<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_71_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_71' type='radio' value='\u975e\u5e38\u597d'  id='choice_5_71_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_71_4' id='label_5_71_4' class='gform-field-label gform-field-label--type-inline'>\u975e\u5e38\u597d<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_77\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_5_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full abstimmung field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you see potential for improvement in service?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_72'>\n\t\t\t<div class='gchoice gchoice_5_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='\u4e0d\u591f'  id='choice_5_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_0' id='label_5_72_0' class='gform-field-label gform-field-label--type-inline'>\u4e0d\u591f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='\u5dee'  id='choice_5_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_1' id='label_5_72_1' class='gform-field-label gform-field-label--type-inline'>\u5dee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_72_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='\u6ee1\u610f'  id='choice_5_72_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_2' id='label_5_72_2' class='gform-field-label gform-field-label--type-inline'>\u6ee1\u610f<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_72_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='\u597d'  id='choice_5_72_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_3' id='label_5_72_3' class='gform-field-label gform-field-label--type-inline'>\u597d<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_72_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='\u975e\u5e38\u597d'  id='choice_5_72_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_4' id='label_5_72_4' class='gform-field-label gform-field-label--type-inline'>\u975e\u5e38\u597d<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_79\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_5_78\" 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\"  ><label class='gfield_label gform-field-label' for='input_5_78'>Your message to us.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_78' id='input_5_78' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_74\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_5_80\" 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\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_5_80'>File<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_5_80' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_5_80&quot;,&quot;container&quot;:&quot;gform_multifile_upload_5_80&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_5_80&quot;,&quot;filelist&quot;:&quot;gform_preview_5_80&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.efaflex.cn\\\/en\\\/?gf_page=e0b3d76ce7bf81f&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.efaflex.cn\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.efaflex.cn\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;267386880b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:5,&quot;field_id&quot;:80,&quot;_gform_file_upload_nonce_5_80&quot;:&quot;578a6c25f1&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_5_80&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\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_5_80' 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'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_5_80' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_5_80\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_80'>Max. file size: 255 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_5_80'><\/ul> <div id='gform_preview_5_80' class='ginput_preview_list'><\/div><\/div><\/div><fieldset id=\"field_5_43\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full datenschutz-box field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<\/legend><div class='ginput_container ginput_container_consent'><input name='input_43.1' id='input_5_43_1' type='checkbox' value='1'    aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_5_43_1' >I have read and agree to the <a href=\"http:\/\/www.efaflex.cloud\/datenschutz\/\">privacy policy<\/a>.<\/label><input type='hidden' name='input_43.2' value='I have read and agree to the &lt;a href=&quot;http:\/\/www.efaflex.cloud\/datenschutz\/&quot;&gt;privacy policy&lt;\/a&gt;.' class='gform_hidden' \/><input type='hidden' name='input_43.3' value='4' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_5_30\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Send now'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' id='gform_style_settings_5' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='Omiz6bN\/SSfyAyU5uR6oVyeK0QyRYPA6ix5i\/C0RJL\/z7oNJkPoAblvCEBD5MoNhkMqa\/\/sYI6hHi3AwqF6+9u5sVSu8v4YNlZmOcGZxTVkfrH0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' 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