{"id":17211,"date":"2023-02-06T16:20:31","date_gmt":"2023-02-06T15:20:31","guid":{"rendered":"https:\/\/www.activeoncokids.org\/?page_id=17211"},"modified":"2023-11-14T14:50:55","modified_gmt":"2023-11-14T13:50:55","slug":"1-aktionstag-fuer-kinder-und-jugendliche-in-der-krebsnachsorge-in-erlangen","status":"publish","type":"page","link":"https:\/\/www.activeoncokids.org\/en\/1-aktionstag-fuer-kinder-und-jugendliche-in-der-krebsnachsorge-in-erlangen\/","title":{"rendered":"Qustionaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"17211\" class=\"elementor elementor-17211\" data-elementor-post-type=\"page\">\n\t\t\t\t<!-- dce invisible element 017cb57 --><!-- dce invisible element 476a2c1 -->\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bd869e0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bd869e0\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7c3ee0b\" data-id=\"7c3ee0b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a78de60 elementor-widget elementor-widget-spacer\" data-id=\"a78de60\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f6fa4b elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"2f6fa4b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;N\\u00e4chster&quot;,&quot;step_previous_label&quot;:&quot;Voriger&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Neues Formular\" aria-label=\"Neues Formular\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"17211\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"2f6fa4b\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Netzwerk ActiveOncoKids\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFirst contact\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-xl  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d51a838 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d51a838\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSurname, first name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d51a838]\" id=\"form-field-field_d51a838\" class=\"elementor-field elementor-size-xl  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-message elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAccess to sports advice\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Clinic staff\" id=\"form-field-message-0\" name=\"form_fields[message][]\"> <label for=\"form-field-message-0\">Clinic staff<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Presence event\" id=\"form-field-message-1\" name=\"form_fields[message][]\"> <label for=\"form-field-message-1\">Presence event<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Contact on your own initiative\" id=\"form-field-message-2\" name=\"form_fields[message][]\"> <label for=\"form-field-message-2\">Contact on your own initiative<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Further\" id=\"form-field-message-3\" name=\"form_fields[message][]\"> <label for=\"form-field-message-3\">Further<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_adc46c1 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_adc46c1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tYear of birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_adc46c1]\" id=\"form-field-field_adc46c1\" class=\"elementor-field elementor-size-xl  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_57b73c8 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_57b73c8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAge\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"under 6\" id=\"form-field-field_57b73c8-0\" name=\"form_fields[field_57b73c8][]\"> <label for=\"form-field-field_57b73c8-0\">under 6<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"6-10\" id=\"form-field-field_57b73c8-1\" name=\"form_fields[field_57b73c8][]\"> <label for=\"form-field-field_57b73c8-1\">6-10<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"11-15\" id=\"form-field-field_57b73c8-2\" name=\"form_fields[field_57b73c8][]\"> <label for=\"form-field-field_57b73c8-2\">11-15<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"16-18\" id=\"form-field-field_57b73c8-3\" name=\"form_fields[field_57b73c8][]\"> <label for=\"form-field-field_57b73c8-3\">16-18<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"over 18\" id=\"form-field-field_57b73c8-4\" name=\"form_fields[field_57b73c8][]\"> <label for=\"form-field-field_57b73c8-4\">over 18<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tE-Mail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-xl  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_d11d745 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d11d745\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelephone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_d11d745]\" id=\"form-field-field_d11d745\" class=\"elementor-field elementor-size-xl  elementor-field-textual\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f6b286a elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f6b286a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPlace of residence\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f6b286a]\" id=\"form-field-field_f6b286a\" class=\"elementor-field elementor-size-xl  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_754b51e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_754b51e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDisease\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\" Brain tumor\" id=\"form-field-field_754b51e-0\" name=\"form_fields[field_754b51e][]\"> <label for=\"form-field-field_754b51e-0\"> Brain tumor<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\" Bone tumor\" id=\"form-field-field_754b51e-1\" name=\"form_fields[field_754b51e][]\"> <label for=\"form-field-field_754b51e-1\"> Bone tumor<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\" Leukemia\/lymphoma\" id=\"form-field-field_754b51e-2\" name=\"form_fields[field_754b51e][]\"> <label for=\"form-field-field_754b51e-2\"> Leukemia\/lymphoma<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\" other oncological disease\" id=\"form-field-field_754b51e-3\" name=\"form_fields[field_754b51e][]\"> <label for=\"form-field-field_754b51e-3\"> other oncological disease<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\" other chronic disease\" id=\"form-field-field_754b51e-4\" name=\"form_fields[field_754b51e][]\"> <label for=\"form-field-field_754b51e-4\"> other chronic disease<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_8b005b6 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8b005b6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tInitial diagnosis  [year_month]\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_8b005b6]\" id=\"form-field-field_8b005b6\" class=\"elementor-field elementor-size-xl  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_0e77d4a elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0e77d4a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tClinic(s)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_0e77d4a]\" id=\"form-field-field_0e77d4a\" class=\"elementor-field elementor-size-xl  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_32c8cb0 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_32c8cb0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWas there sports therapy?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Yes\" id=\"form-field-field_32c8cb0-0\" name=\"form_fields[field_32c8cb0][]\"> <label for=\"form-field-field_32c8cb0-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"No\" id=\"form-field-field_32c8cb0-1\" name=\"form_fields[field_32c8cb0][]\"> <label for=\"form-field-field_32c8cb0-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_6a94a84 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6a94a84\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAt a location cooperating with the NAOK?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Yes\" id=\"form-field-field_6a94a84-0\" name=\"form_fields[field_6a94a84][]\"> <label for=\"form-field-field_6a94a84-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"No\" id=\"form-field-field_6a94a84-1\" name=\"form_fields[field_6a94a84][]\"> <label for=\"form-field-field_6a94a84-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_ddab7de elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ddab7de\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTherapy phase on the status of the initial consultation\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Acute therapy\" id=\"form-field-field_ddab7de-0\" name=\"form_fields[field_ddab7de][]\"> <label for=\"form-field-field_ddab7de-0\">Acute therapy<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Long-term therapy\" id=\"form-field-field_ddab7de-1\" name=\"form_fields[field_ddab7de][]\"> <label for=\"form-field-field_ddab7de-1\">Long-term therapy<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Aftercare\" id=\"form-field-field_ddab7de-2\" name=\"form_fields[field_ddab7de][]\"> <label for=\"form-field-field_ddab7de-2\">Aftercare<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Palliative\" id=\"form-field-field_ddab7de-3\" name=\"form_fields[field_ddab7de][]\"> <label for=\"form-field-field_ddab7de-3\">Palliative<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other\" id=\"form-field-field_ddab7de-4\" name=\"form_fields[field_ddab7de][]\"> <label for=\"form-field-field_ddab7de-4\">Other<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Unknown\" id=\"form-field-field_ddab7de-5\" name=\"form_fields[field_ddab7de][]\"> <label for=\"form-field-field_ddab7de-5\">Unknown<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_f053865 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f053865\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCompulsory schooling?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Yes\" id=\"form-field-field_f053865-0\" name=\"form_fields[field_f053865][]\"> <label for=\"form-field-field_f053865-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"No\" id=\"form-field-field_f053865-1\" name=\"form_fields[field_f053865][]\"> <label for=\"form-field-field_f053865-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_04c3803 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_04c3803\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMedical history\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_04c3803]\" id=\"form-field-field_04c3803\" class=\"elementor-field elementor-size-xl  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_dcd0134 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_dcd0134\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tt0 Restrictions\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Exhaustion\" id=\"form-field-field_dcd0134-0\" name=\"form_fields[field_dcd0134][]\"> <label for=\"form-field-field_dcd0134-0\">Exhaustion<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Balance\" id=\"form-field-field_dcd0134-1\" name=\"form_fields[field_dcd0134][]\"> <label for=\"form-field-field_dcd0134-1\">Balance<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Functionality\" id=\"form-field-field_dcd0134-2\" name=\"form_fields[field_dcd0134][]\"> <label for=\"form-field-field_dcd0134-2\">Functionality<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Strength\" id=\"form-field-field_dcd0134-3\" name=\"form_fields[field_dcd0134][]\"> <label for=\"form-field-field_dcd0134-3\">Strength<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Endurance\" id=\"form-field-field_dcd0134-4\" name=\"form_fields[field_dcd0134][]\"> <label for=\"form-field-field_dcd0134-4\">Endurance<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Overweight\" id=\"form-field-field_dcd0134-5\" name=\"form_fields[field_dcd0134][]\"> <label for=\"form-field-field_dcd0134-5\">Overweight<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Underweight\" id=\"form-field-field_dcd0134-6\" name=\"form_fields[field_dcd0134][]\"> <label for=\"form-field-field_dcd0134-6\">Underweight<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Concentration\" id=\"form-field-field_dcd0134-7\" name=\"form_fields[field_dcd0134][]\"> <label for=\"form-field-field_dcd0134-7\">Concentration<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"More\" id=\"form-field-field_dcd0134-8\" name=\"form_fields[field_dcd0134][]\"> <label for=\"form-field-field_dcd0134-8\">More<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c31079c elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c31079c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPrevious sporting experience\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c31079c]\" id=\"form-field-field_c31079c\" class=\"elementor-field elementor-size-xl  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_bcc6e72 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bcc6e72\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPsychosocial background\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_bcc6e72]\" id=\"form-field-field_bcc6e72\" class=\"elementor-field elementor-size-xl  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_98fbce7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_98fbce7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGoals, wishes, concerns\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_98fbce7]\" id=\"form-field-field_98fbce7\" class=\"elementor-field elementor-size-xl  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_6a0d3db elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6a0d3db\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tt0 Targets\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Improvement in state of health\" id=\"form-field-field_6a0d3db-0\" name=\"form_fields[field_6a0d3db][]\"> <label for=\"form-field-field_6a0d3db-0\">Improvement in state of health<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Improving fitness\" id=\"form-field-field_6a0d3db-1\" name=\"form_fields[field_6a0d3db][]\"> <label for=\"form-field-field_6a0d3db-1\">Improving fitness<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Finding a club\" id=\"form-field-field_6a0d3db-2\" name=\"form_fields[field_6a0d3db][]\"> <label for=\"form-field-field_6a0d3db-2\">Finding a club<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Social contacts\" id=\"form-field-field_6a0d3db-3\" name=\"form_fields[field_6a0d3db][]\"> <label for=\"form-field-field_6a0d3db-3\">Social contacts<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Return to school sports\" id=\"form-field-field_6a0d3db-4\" name=\"form_fields[field_6a0d3db][]\"> <label for=\"form-field-field_6a0d3db-4\">Return to school sports<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Optimization of leisure activities\" id=\"form-field-field_6a0d3db-5\" name=\"form_fields[field_6a0d3db][]\"> <label for=\"form-field-field_6a0d3db-5\">Optimization of leisure activities<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Participation in camps etc.\" id=\"form-field-field_6a0d3db-6\" name=\"form_fields[field_6a0d3db][]\"> <label for=\"form-field-field_6a0d3db-6\">Participation in camps etc.<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Further\" id=\"form-field-field_6a0d3db-7\" name=\"form_fields[field_6a0d3db][]\"> <label for=\"form-field-field_6a0d3db-7\">Further<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_954a695 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_954a695\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tt0 Current movement behavior\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_954a695]\" id=\"form-field-field_954a695\" class=\"elementor-field elementor-size-xl  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_cd06f08 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cd06f08\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tt0 Assessment of resilience (1= very poor; 7= excellent)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"1\" id=\"form-field-field_cd06f08-0\" name=\"form_fields[field_cd06f08][]\"> <label for=\"form-field-field_cd06f08-0\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"2\" id=\"form-field-field_cd06f08-1\" name=\"form_fields[field_cd06f08][]\"> <label for=\"form-field-field_cd06f08-1\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"3\" id=\"form-field-field_cd06f08-2\" name=\"form_fields[field_cd06f08][]\"> <label for=\"form-field-field_cd06f08-2\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"4\" id=\"form-field-field_cd06f08-3\" name=\"form_fields[field_cd06f08][]\"> <label for=\"form-field-field_cd06f08-3\">4<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"5\" id=\"form-field-field_cd06f08-4\" name=\"form_fields[field_cd06f08][]\"> <label for=\"form-field-field_cd06f08-4\">5<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"6\" id=\"form-field-field_cd06f08-5\" name=\"form_fields[field_cd06f08][]\"> <label for=\"form-field-field_cd06f08-5\">6<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"7\" id=\"form-field-field_cd06f08-6\" name=\"form_fields[field_cd06f08][]\"> <label for=\"form-field-field_cd06f08-6\">7<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_70acc55 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_70acc55\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tt0 Assessment of \"physical\" exhaustion  (1= very strongly present; 7= not present)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"1\" id=\"form-field-field_70acc55-0\" name=\"form_fields[field_70acc55][]\"> <label for=\"form-field-field_70acc55-0\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"2\" id=\"form-field-field_70acc55-1\" name=\"form_fields[field_70acc55][]\"> <label for=\"form-field-field_70acc55-1\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"3\" id=\"form-field-field_70acc55-2\" name=\"form_fields[field_70acc55][]\"> <label for=\"form-field-field_70acc55-2\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"4\" id=\"form-field-field_70acc55-3\" name=\"form_fields[field_70acc55][]\"> <label for=\"form-field-field_70acc55-3\">4<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"5\" id=\"form-field-field_70acc55-4\" name=\"form_fields[field_70acc55][]\"> <label for=\"form-field-field_70acc55-4\">5<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"6\" id=\"form-field-field_70acc55-5\" name=\"form_fields[field_70acc55][]\"> <label for=\"form-field-field_70acc55-5\">6<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"7\" id=\"form-field-field_70acc55-6\" name=\"form_fields[field_70acc55][]\"> <label for=\"form-field-field_70acc55-6\">7<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_5a5f8ab elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5a5f8ab\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tt0 Assessment of \"mental\" exhaustion (1= very strongly present; 7= not present)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"1\" id=\"form-field-field_5a5f8ab-0\" name=\"form_fields[field_5a5f8ab][]\"> <label for=\"form-field-field_5a5f8ab-0\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"2\" id=\"form-field-field_5a5f8ab-1\" name=\"form_fields[field_5a5f8ab][]\"> <label for=\"form-field-field_5a5f8ab-1\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"3\" id=\"form-field-field_5a5f8ab-2\" name=\"form_fields[field_5a5f8ab][]\"> <label for=\"form-field-field_5a5f8ab-2\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"4\" id=\"form-field-field_5a5f8ab-3\" name=\"form_fields[field_5a5f8ab][]\"> <label for=\"form-field-field_5a5f8ab-3\">4<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"5\" id=\"form-field-field_5a5f8ab-4\" name=\"form_fields[field_5a5f8ab][]\"> <label for=\"form-field-field_5a5f8ab-4\">5<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"6\" id=\"form-field-field_5a5f8ab-5\" name=\"form_fields[field_5a5f8ab][]\"> <label for=\"form-field-field_5a5f8ab-5\">6<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"7\" id=\"form-field-field_5a5f8ab-6\" name=\"form_fields[field_5a5f8ab][]\"> <label for=\"form-field-field_5a5f8ab-6\">7<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_28621c9 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_28621c9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIntervention\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Basic information\" id=\"form-field-field_28621c9-0\" name=\"form_fields[field_28621c9][]\"> <label for=\"form-field-field_28621c9-0\">Basic information<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Connection to NAOK center\" id=\"form-field-field_28621c9-1\" name=\"form_fields[field_28621c9][]\"> <label for=\"form-field-field_28621c9-1\">Connection to NAOK center<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Connection to NAOK center\" id=\"form-field-field_28621c9-2\" name=\"form_fields[field_28621c9][]\"> <label for=\"form-field-field_28621c9-2\">Connection to NAOK center<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Connection to specific project\" id=\"form-field-field_28621c9-3\" name=\"form_fields[field_28621c9][]\"> <label for=\"form-field-field_28621c9-3\">Connection to specific project<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Connection to club\" id=\"form-field-field_28621c9-4\" name=\"form_fields[field_28621c9][]\"> <label for=\"form-field-field_28621c9-4\">Connection to club<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Writing a training plan\" id=\"form-field-field_28621c9-5\" name=\"form_fields[field_28621c9][]\"> <label for=\"form-field-field_28621c9-5\">Writing a training plan<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Connection to disease-specific advice such as &quot;MukoFit&quot;\" id=\"form-field-field_28621c9-6\" name=\"form_fields[field_28621c9][]\"> <label for=\"form-field-field_28621c9-6\">Connection to disease-specific advice such as \"MukoFit\"<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Referral to experts\" id=\"form-field-field_28621c9-7\" name=\"form_fields[field_28621c9][]\"> <label for=\"form-field-field_28621c9-7\">Referral to experts<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Contacting a sports teacher\" id=\"form-field-field_28621c9-8\" name=\"form_fields[field_28621c9][]\"> <label for=\"form-field-field_28621c9-8\">Contacting a sports teacher<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other advice\" id=\"form-field-field_28621c9-9\" name=\"form_fields[field_28621c9][]\"> <label for=\"form-field-field_28621c9-9\">Other advice<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Senden<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0b7b178 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0b7b178\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-721778a\" data-id=\"721778a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d72a4d4 elementor-widget elementor-widget-text-editor\" data-id=\"d72a4d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 style=\"text-align: center;\">Wir freuen uns auf Euch.<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-db0ba8d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"db0ba8d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-82a6c28\" data-id=\"82a6c28\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-06ec9c1 elementor-widget elementor-widget-spacer\" data-id=\"06ec9c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Sportberatung Wir freuen uns auf Euch.<\/p>","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-17211","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Qustionaire - Netzwerk ActiveOncoKids<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.activeoncokids.org\/en\/1-aktionstag-fuer-kinder-und-jugendliche-in-der-krebsnachsorge-in-erlangen\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Qustionaire - Netzwerk ActiveOncoKids\" \/>\n<meta property=\"og:description\" content=\"Sportberatung Wir freuen uns auf 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