{"id":362,"date":"2020-10-12T11:44:07","date_gmt":"2020-10-12T11:44:07","guid":{"rendered":"http:\/\/eurotrat.ro\/m\/?page_id=362"},"modified":"2020-10-28T10:09:34","modified_gmt":"2020-10-28T10:09:34","slug":"chestionar-de-satisfactie","status":"publish","type":"page","link":"https:\/\/eurotrat.ro\/m\/en\/chestionar-de-satisfactie\/","title":{"rendered":"Satisfaction questionnaire"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"362\" class=\"elementor elementor-362\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cf6878a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cf6878a\" 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-6cc2d10\" data-id=\"6cc2d10\" 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-53a1c5e elementor-widget elementor-widget-shortcode\" data-id=\"53a1c5e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-489 forminator-design--flat  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-489\" data-uid=\"6a01eb8dbce56\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-489\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-489 forminator-design--flat  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"489\"\n\t\t\t\t data-color-option=\"default\" data-design=\"flat\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a01eb8dbce56\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Acest chestionar este menit s\u0103 ne sprijine \u00een ameliorarea performan\u021bei activit\u0103\u021bii spitalului; r\u0103spunsurile la acest chestionar r\u0103m\u00e2n anonime.<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12  font size 50 px\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">1. C\u00e2nd a\u021bi intrat prima dat\u0103 \u00een aceast\u0103 unitate, ce impresie v-a\u021bi f\u0103cut? Evalua\u021bi experien\u021b\u0103 dumneavoastr\u0103 pe o scala de la 1 la 5, 1 reprezantand foarte nesatisf\u0103cut \u0219i 5 reprezent\u00e2nd foarte satisf\u0103cut.<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-3\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-6a01eb8dbce56-label\" class=\"forminator-label\">Luxury <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-2-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-2-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very satisfactory\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"foarte-satisfctor\" id=\"forminator-field-checkbox-2-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-2-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-2-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-2-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Satisfactory\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"satisfctor\" id=\"forminator-field-checkbox-2-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-2-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-2-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-2-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"neutru\" id=\"forminator-field-checkbox-2-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-2-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-2-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-2-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"nesatisfctor\" id=\"forminator-field-checkbox-2-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-2-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-2-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-2-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"foarte-nesatisfctor\" id=\"forminator-field-checkbox-2-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-2-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very unsatisfactory<\/span><\/label><\/div><\/div><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-3\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6a01eb8dbce56-label\" class=\"forminator-label\">Cleanliness <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-1-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-1-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very satisfactory\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"foarte-satisfctor\" id=\"forminator-field-checkbox-1-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-1-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-1-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Satisfactory\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"satisfctor\" id=\"forminator-field-checkbox-1-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-1-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-1-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"neutru\" id=\"forminator-field-checkbox-1-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-1-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-1-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-1-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"nesatisfctor\" id=\"forminator-field-checkbox-1-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-1-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-1-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-1-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"foarte-nesatisfctor\" id=\"forminator-field-checkbox-1-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-1-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very unsatisfactory<\/span><\/label><\/div><\/div><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-3\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-3-6a01eb8dbce56-label\" class=\"forminator-label\">Agglomeration <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-3-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-3-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very satisfactory\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"foarte-satisfctor\" id=\"forminator-field-checkbox-3-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-3-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-3-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-3-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Satisfactory\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"satisfctor\" id=\"forminator-field-checkbox-3-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-3-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-3-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-3-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"neutru\" id=\"forminator-field-checkbox-3-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-3-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-3-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-3-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"nesatisfctor\" id=\"forminator-field-checkbox-3-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-3-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-3-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-3-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"foarte-nesatisfctor\" id=\"forminator-field-checkbox-3-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-3-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very unsatisfactory<\/span><\/label><\/div><\/div><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-3\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-4-6a01eb8dbce56-label\" class=\"forminator-label\">Tidiness <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-4-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-4-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very satisfactory\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"foarte-satisfctor\" id=\"forminator-field-checkbox-4-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-4-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-4-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-4-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Satisfactory\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"satisfctor\" id=\"forminator-field-checkbox-4-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-4-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-4-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-4-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"neutru\" id=\"forminator-field-checkbox-4-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-4-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-4-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-4-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"nesatisfctor\" id=\"forminator-field-checkbox-4-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-4-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-4-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-4-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"foarte-nesatisfctor\" id=\"forminator-field-checkbox-4-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-4-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very unsatisfactory<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-5\" class=\"forminator-field-checkbox forminator-col forminator-col-3\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-5-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-5-6a01eb8dbce56-label\" class=\"forminator-label\">Discipline <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-5-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-5-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very satisfactory\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"foarte-satisfctor\" id=\"forminator-field-checkbox-5-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-5-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-5-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-5-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Satisfactory\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"satisfctor\" id=\"forminator-field-checkbox-5-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-5-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-5-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-5-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"neutru\" id=\"forminator-field-checkbox-5-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-5-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-5-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-5-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"nesatisfctor\" id=\"forminator-field-checkbox-5-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-5-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-5-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-5-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"foarte-nesatisfctor\" id=\"forminator-field-checkbox-5-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-5-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very unsatisfactory<\/span><\/label><\/div><\/div><div id=\"checkbox-6\" class=\"forminator-field-checkbox forminator-col forminator-col-3\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-6-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-6-6a01eb8dbce56-label\" class=\"forminator-label\">Quietness <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-6-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-6-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very satisfactory\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"foarte-satisfctor\" id=\"forminator-field-checkbox-6-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-6-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-6-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-6-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Satisfactory\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"satisfctor\" id=\"forminator-field-checkbox-6-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-6-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-6-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-6-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"neutru\" id=\"forminator-field-checkbox-6-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-6-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-6-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-6-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"nesatisfctor\" id=\"forminator-field-checkbox-6-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-6-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-6-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-6-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"foarte-nesatisfctor\" id=\"forminator-field-checkbox-6-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-6-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very unsatisfactory<\/span><\/label><\/div><\/div><div id=\"checkbox-7\" class=\"forminator-field-checkbox forminator-col forminator-col-3\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-7-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-7-6a01eb8dbce56-label\" class=\"forminator-label\">Staff courtesy <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-7-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-7-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very satisfactory\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"foarte-satisfctor\" id=\"forminator-field-checkbox-7-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-7-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-7-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-7-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Satisfactory\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"satisfctor\" id=\"forminator-field-checkbox-7-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-7-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-7-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-7-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"neutru\" id=\"forminator-field-checkbox-7-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-7-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-7-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-7-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"nesatisfctor\" id=\"forminator-field-checkbox-7-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-7-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-7-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-7-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"foarte-nesatisfctor\" id=\"forminator-field-checkbox-7-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-7-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very unsatisfactory<\/span><\/label><\/div><\/div><div id=\"checkbox-8\" class=\"forminator-field-checkbox forminator-col forminator-col-3\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-8-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-8-6a01eb8dbce56-label\" class=\"forminator-label\">Atmosphere <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-8-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-8-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very satisfactory\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"foarte-satisfctor\" id=\"forminator-field-checkbox-8-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-8-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-8-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-8-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Satisfactory\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"satisfctor\" id=\"forminator-field-checkbox-8-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-8-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Satisfactory<\/span><\/label><label id=\"forminator-field-checkbox-8-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-8-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"neutru\" id=\"forminator-field-checkbox-8-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-8-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-8-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-8-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"nesatisfctor\" id=\"forminator-field-checkbox-8-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-8-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-8-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-8-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"foarte-nesatisfctor\" id=\"forminator-field-checkbox-8-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-8-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very unsatisfactory<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">2. V-a modificat starea de spirit situa\u021bia din unitatea de primire pe care tocmai a\u021bi descris-o ?<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-9\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-9-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-9-6a01eb8dbce56-label\" class=\"forminator-label\">It demoralized me <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-9-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-9-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"YES\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"da\" id=\"forminator-field-checkbox-9-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-9-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">YES<\/span><\/label><label id=\"forminator-field-checkbox-9-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-9-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"nu\" id=\"forminator-field-checkbox-9-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-9-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-10\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-10-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-10-6a01eb8dbce56-label\" class=\"forminator-label\">It had no effect <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-10-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-10-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"YES\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"da\" id=\"forminator-field-checkbox-10-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-10-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">YES<\/span><\/label><label id=\"forminator-field-checkbox-10-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-10-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"nu\" id=\"forminator-field-checkbox-10-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-10-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-11\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-11-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-11-6a01eb8dbce56-label\" class=\"forminator-label\">It lifted my spirits <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-11-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-11-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"YES\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"da\" id=\"forminator-field-checkbox-11-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-11-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">YES<\/span><\/label><label id=\"forminator-field-checkbox-11-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-11-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-11[]\" value=\"nu\" id=\"forminator-field-checkbox-11-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-11-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">3. Cum a\u021bi ajuns s\u0103 apela\u021bi la internare pentru spitalul nostru?<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-12\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-12-6a01eb8dbce56-label\"><label id=\"forminator-field-checkbox-12-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-12-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"A\u021bi avut trimitere de la medicul dumneavoastr\u0103 de familie\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"ai-avut-trimitere-de-la-medicul-dumneavoastr-de-familie\" id=\"forminator-field-checkbox-12-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-12-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">A\u021bi avut trimitere de la medicul dumneavoastr\u0103 de familie<\/span><\/label><label id=\"forminator-field-checkbox-12-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-12-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"A\u021bi venit cu trimitere de la medicul din ambulator\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"ai-venit-cu-trimitere-de-la-medicul-din-ambulator\" id=\"forminator-field-checkbox-12-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-12-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">A\u021bi venit cu trimitere de la medicul din ambulator<\/span><\/label><label id=\"forminator-field-checkbox-12-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-12-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"A\u021bi venit cu ambulan\u021ba\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"ai-venit-cu-ambulana\" id=\"forminator-field-checkbox-12-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-12-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">A\u021bi venit cu ambulan\u021ba<\/span><\/label><label id=\"forminator-field-checkbox-12-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-12-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Alt\u0103 situa\u021bie\"><input type=\"checkbox\" name=\"checkbox-12[]\" value=\"alt-situaie\" id=\"forminator-field-checkbox-12-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-12-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Alt\u0103 situa\u021bie<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">4. Sunte\u021bi la prima internare sau la o reinternare?<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-13\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-13-6a01eb8dbce56-label\"><label id=\"forminator-field-checkbox-13-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-13-1-6a01eb8dbce56\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"First hospitalization\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"prima-internare\" id=\"forminator-field-checkbox-13-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-13-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">First hospitalization<\/span><\/label><label id=\"forminator-field-checkbox-13-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-13-2-6a01eb8dbce56\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Rehospitalization\"><input type=\"checkbox\" name=\"checkbox-13[]\" value=\"reinternare\" id=\"forminator-field-checkbox-13-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-13-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Rehospitalization<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00cen cadrul acestei intern\u0103ri, pute\u021bi spune c\u0103:<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-14\" class=\"forminator-field-checkbox forminator-col forminator-col-4\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-14-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-14-6a01eb8dbce56-label\" class=\"forminator-label\">A\u021bi fost primit cu amabilitate de la \u00eenceput? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-14-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-14-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"YES\"><input type=\"checkbox\" name=\"checkbox-14[]\" value=\"da\" id=\"forminator-field-checkbox-14-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-14-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">YES<\/span><\/label><label id=\"forminator-field-checkbox-14-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-14-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-14[]\" value=\"nu\" id=\"forminator-field-checkbox-14-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-14-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><div id=\"checkbox-15\" class=\"forminator-field-checkbox forminator-col forminator-col-4\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-15-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-15-6a01eb8dbce56-label\" class=\"forminator-label\">A\u021bi fost condus la explor\u0103ri? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-15-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-15-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"YES\"><input type=\"checkbox\" name=\"checkbox-15[]\" value=\"da\" id=\"forminator-field-checkbox-15-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-15-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">YES<\/span><\/label><label id=\"forminator-field-checkbox-15-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-15-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-15[]\" value=\"nu\" id=\"forminator-field-checkbox-15-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-15-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><div id=\"checkbox-16\" class=\"forminator-field-checkbox forminator-col forminator-col-4\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-16-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-16-6a01eb8dbce56-label\" class=\"forminator-label\">A\u021bi f\u0103cut baie la internare? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-16-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-16-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"YES\"><input type=\"checkbox\" name=\"checkbox-16[]\" value=\"da\" id=\"forminator-field-checkbox-16-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-16-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">YES<\/span><\/label><label id=\"forminator-field-checkbox-16-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-16-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-16[]\" value=\"nu\" id=\"forminator-field-checkbox-16-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-16-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-17\" class=\"forminator-field-checkbox forminator-col forminator-col-6\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-17-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-17-6a01eb8dbce56-label\" class=\"forminator-label\">A\u021bi fost informat pe \u00een\u021belesul dumneavoastr\u0103 despre boal\u0103, tratament, prognostic? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-17-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-17-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"YES\"><input type=\"checkbox\" name=\"checkbox-17[]\" value=\"da\" id=\"forminator-field-checkbox-17-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-17-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">YES<\/span><\/label><label id=\"forminator-field-checkbox-17-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-17-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-17[]\" value=\"nu\" id=\"forminator-field-checkbox-17-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-17-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><div id=\"checkbox-18\" class=\"forminator-field-checkbox forminator-col forminator-col-6\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-18-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-18-6a01eb8dbce56-label\" class=\"forminator-label\">Did you bring medicine from home? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-18-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-18-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"YES\"><input type=\"checkbox\" name=\"checkbox-18[]\" value=\"da\" id=\"forminator-field-checkbox-18-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-18-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">YES<\/span><\/label><label id=\"forminator-field-checkbox-18-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-18-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-18[]\" value=\"nu\" id=\"forminator-field-checkbox-18-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-18-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-20\" class=\"forminator-field-checkbox forminator-col forminator-col-4\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-20-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-20-6a01eb8dbce56-label\" class=\"forminator-label\">Did the ampoules opened in front of you? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-20-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-20-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"YES\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"da\" id=\"forminator-field-checkbox-20-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-20-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">YES<\/span><\/label><label id=\"forminator-field-checkbox-20-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-20-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-20[]\" value=\"nu\" id=\"forminator-field-checkbox-20-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-20-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><div id=\"checkbox-21\" class=\"forminator-field-checkbox forminator-col forminator-col-4\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-21-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-21-6a01eb8dbce56-label\" class=\"forminator-label\">Did you notice any form of conditioning of the caregivers you needed? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-21-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-21-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"YES\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"da\" id=\"forminator-field-checkbox-21-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-21-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">YES<\/span><\/label><label id=\"forminator-field-checkbox-21-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-21-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-21[]\" value=\"nu\" id=\"forminator-field-checkbox-21-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-21-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><div id=\"checkbox-22\" class=\"forminator-field-checkbox forminator-col forminator-col-4\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-22-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-22-6a01eb8dbce56-label\" class=\"forminator-label\">Did you feel the need to reward a medical professional with various means in order to receive more attention from him? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-22-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-22-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"YES\"><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"da\" id=\"forminator-field-checkbox-22-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-22-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">YES<\/span><\/label><label id=\"forminator-field-checkbox-22-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-22-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"NO\"><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"nu\" id=\"forminator-field-checkbox-22-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-22-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Aprecia\u021bi pe o scal\u0103 de la 1 la 5 calitatea serviciilor primite men\u021bionate mai jos.<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-23\" class=\"forminator-field-checkbox forminator-col forminator-col-4\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-23-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-23-6a01eb8dbce56-label\" class=\"forminator-label\">Attitude of the staff at the reception <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-23-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-23-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very good\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"foarte-bun\" id=\"forminator-field-checkbox-23-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-23-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very good<\/span><\/label><label id=\"forminator-field-checkbox-23-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-23-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Good\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"bun\" id=\"forminator-field-checkbox-23-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-23-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Good<\/span><\/label><label id=\"forminator-field-checkbox-23-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-23-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"neutru\" id=\"forminator-field-checkbox-23-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-23-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-23-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-23-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"nesatisfctoare\" id=\"forminator-field-checkbox-23-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-23-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-23-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-23-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Total unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-23[]\" value=\"total-nesatisfctoare\" id=\"forminator-field-checkbox-23-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-23-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Total unsatisfactory<\/span><\/label><\/div><\/div><div id=\"checkbox-24\" class=\"forminator-field-checkbox forminator-col forminator-col-4\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-24-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-24-6a01eb8dbce56-label\" class=\"forminator-label\">Atitudinea personalului pe parcursul \u0219ederii dumneavoastr\u0103 \u00een unitate <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-24-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-24-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very good\"><input type=\"checkbox\" name=\"checkbox-24[]\" value=\"foarte-bun\" id=\"forminator-field-checkbox-24-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-24-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very good<\/span><\/label><label id=\"forminator-field-checkbox-24-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-24-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Good\"><input type=\"checkbox\" name=\"checkbox-24[]\" value=\"bun\" id=\"forminator-field-checkbox-24-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-24-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Good<\/span><\/label><label id=\"forminator-field-checkbox-24-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-24-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-24[]\" value=\"neutru\" id=\"forminator-field-checkbox-24-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-24-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-24-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-24-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-24[]\" value=\"nesatisfctoare\" id=\"forminator-field-checkbox-24-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-24-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-24-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-24-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Total unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-24[]\" value=\"total-nesatisfctoare\" id=\"forminator-field-checkbox-24-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-24-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Total unsatisfactory<\/span><\/label><\/div><\/div><div id=\"checkbox-25\" class=\"forminator-field-checkbox forminator-col forminator-col-4\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-25-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-25-6a01eb8dbce56-label\" class=\"forminator-label\">\u00cengrijirea acordat\u0103 de medic <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-25-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-25-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very good\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"foarte-bun\" id=\"forminator-field-checkbox-25-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-25-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very good<\/span><\/label><label id=\"forminator-field-checkbox-25-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-25-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Good\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"bun\" id=\"forminator-field-checkbox-25-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-25-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Good<\/span><\/label><label id=\"forminator-field-checkbox-25-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-25-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\" Neutral\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"neutru\" id=\"forminator-field-checkbox-25-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-25-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"> Neutral<\/span><\/label><label id=\"forminator-field-checkbox-25-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-25-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\" Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"nesatisfctoare\" id=\"forminator-field-checkbox-25-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-25-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"> Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-25-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-25-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Total unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-25[]\" value=\"total-nesatisfctoare\" id=\"forminator-field-checkbox-25-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-25-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Total unsatisfactory<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-26\" class=\"forminator-field-checkbox forminator-col forminator-col-6\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-26-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-26-6a01eb8dbce56-label\" class=\"forminator-label\">Nursing care <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-26-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-26-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very good\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"foarte-bun\" id=\"forminator-field-checkbox-26-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-26-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very good<\/span><\/label><label id=\"forminator-field-checkbox-26-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-26-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Good\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"bun\" id=\"forminator-field-checkbox-26-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-26-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Good<\/span><\/label><label id=\"forminator-field-checkbox-26-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-26-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\" Neutral\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"neutru\" id=\"forminator-field-checkbox-26-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-26-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"> Neutral<\/span><\/label><label id=\"forminator-field-checkbox-26-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-26-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"nesatisfctoare\" id=\"forminator-field-checkbox-26-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-26-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-26-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-26-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Total unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-26[]\" value=\"total-nesatisfctoare\" id=\"forminator-field-checkbox-26-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-26-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Total unsatisfactory<\/span><\/label><\/div><\/div><div id=\"checkbox-27\" class=\"forminator-field-checkbox forminator-col forminator-col-6\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-27-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-27-6a01eb8dbce56-label\" class=\"forminator-label\">\u00cengrijirea acordat\u0103 de infirmiere <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-27-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-27-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very good\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"foarte-bun\" id=\"forminator-field-checkbox-27-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-27-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very good<\/span><\/label><label id=\"forminator-field-checkbox-27-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-27-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Good\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"bun\" id=\"forminator-field-checkbox-27-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-27-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Good<\/span><\/label><label id=\"forminator-field-checkbox-27-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-27-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"neutru\" id=\"forminator-field-checkbox-27-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-27-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-27-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-27-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\" Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"nesatisfctoare\" id=\"forminator-field-checkbox-27-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-27-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"> Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-27-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-27-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Total unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-27[]\" value=\"total-nesatisfctoare\" id=\"forminator-field-checkbox-27-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-27-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Total unsatisfactory<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-29\" class=\"forminator-field-checkbox forminator-col forminator-col-4\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-29-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-29-6a01eb8dbce56-label\" class=\"forminator-label\">The quality of the meals served <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-29-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-29-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very good\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"foarte-bun\" id=\"forminator-field-checkbox-29-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-29-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very good<\/span><\/label><label id=\"forminator-field-checkbox-29-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-29-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Good\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"bun\" id=\"forminator-field-checkbox-29-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-29-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Good<\/span><\/label><label id=\"forminator-field-checkbox-29-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-29-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"neutru\" id=\"forminator-field-checkbox-29-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-29-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-29-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-29-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\" Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"nesatisfctoare\" id=\"forminator-field-checkbox-29-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-29-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"> Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-29-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-29-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Total unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-29[]\" value=\"total-nesatisfctoare\" id=\"forminator-field-checkbox-29-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-29-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Total unsatisfactory<\/span><\/label><\/div><\/div><div id=\"checkbox-30\" class=\"forminator-field-checkbox forminator-col forminator-col-4\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-30-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-30-6a01eb8dbce56-label\" class=\"forminator-label\">Quality of accommodation conditions - lounge (equipment, facilities) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-30-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-30-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\" Very good\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"foarte-bun\" id=\"forminator-field-checkbox-30-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-30-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"> Very good<\/span><\/label><label id=\"forminator-field-checkbox-30-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-30-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Good\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"bun\" id=\"forminator-field-checkbox-30-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-30-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Good<\/span><\/label><label id=\"forminator-field-checkbox-30-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-30-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"neutru\" id=\"forminator-field-checkbox-30-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-30-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-30-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-30-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\" Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"nesatisfctoare\" id=\"forminator-field-checkbox-30-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-30-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"> Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-30-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-30-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Total unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-30[]\" value=\"total-nesatisfctoare\" id=\"forminator-field-checkbox-30-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-30-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Total unsatisfactory<\/span><\/label><\/div><\/div><div id=\"checkbox-31\" class=\"forminator-field-checkbox forminator-col forminator-col-4\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-31-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-31-6a01eb8dbce56-label\" class=\"forminator-label\">Quality of bathrooms (bathrooms + toilets) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-31-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-31-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very good\"><input type=\"checkbox\" name=\"checkbox-31[]\" value=\"foarte-bun\" id=\"forminator-field-checkbox-31-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-31-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very good<\/span><\/label><label id=\"forminator-field-checkbox-31-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-31-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Good\"><input type=\"checkbox\" name=\"checkbox-31[]\" value=\"bun\" id=\"forminator-field-checkbox-31-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-31-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Good<\/span><\/label><label id=\"forminator-field-checkbox-31-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-31-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-31[]\" value=\"neutru\" id=\"forminator-field-checkbox-31-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-31-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-31-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-31-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-31[]\" value=\"nesatisfctoare\" id=\"forminator-field-checkbox-31-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-31-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-31-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-31-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Total unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-31[]\" value=\"total-nesatisfctoare\" id=\"forminator-field-checkbox-31-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-31-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Total unsatisfactory<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-32\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-32-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-32-6a01eb8dbce56-label\" class=\"forminator-label\">Overall cleanliness <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-32-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-32-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very good\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"foarte-bun\" id=\"forminator-field-checkbox-32-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-32-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very good<\/span><\/label><label id=\"forminator-field-checkbox-32-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-32-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Good\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"bun\" id=\"forminator-field-checkbox-32-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-32-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Good<\/span><\/label><label id=\"forminator-field-checkbox-32-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-32-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"neutru\" id=\"forminator-field-checkbox-32-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-32-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-32-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-32-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\" Unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"nesatisfctoare\" id=\"forminator-field-checkbox-32-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-32-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"> Unsatisfactory<\/span><\/label><label id=\"forminator-field-checkbox-32-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-32-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Total unsatisfactory\"><input type=\"checkbox\" name=\"checkbox-32[]\" value=\"total-nesatisfctoare\" id=\"forminator-field-checkbox-32-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-32-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Total unsatisfactory<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u021ain\u00e2nd cont de toate cele men\u021bionate mai sus, va rug\u0103m s\u0103 ne spune\u021bi:<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-33\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-33-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-33-6a01eb8dbce56-label\" class=\"forminator-label\">How satisfied are you? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-33-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-33-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Very satisfied\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"foarte-mulumit\" id=\"forminator-field-checkbox-33-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-33-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Very satisfied<\/span><\/label><label id=\"forminator-field-checkbox-33-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-33-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Satisfied\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"mulumit\" id=\"forminator-field-checkbox-33-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-33-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Satisfied<\/span><\/label><label id=\"forminator-field-checkbox-33-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-33-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"neutru\" id=\"forminator-field-checkbox-33-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-33-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-33-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-33-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Dissatisfied\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"nemulumit\" id=\"forminator-field-checkbox-33-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-33-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Dissatisfied<\/span><\/label><label id=\"forminator-field-checkbox-33-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-33-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Foarte nemul\u021bumit\"><input type=\"checkbox\" name=\"checkbox-33[]\" value=\"foarte-nemulumit\" id=\"forminator-field-checkbox-33-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-33-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Foarte nemul\u021bumit<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-34\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-34-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-34-6a01eb8dbce56-label\" class=\"forminator-label\">If you needed a medical service available in this unit, would you return? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-34-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-34-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Definitely YES\"><input type=\"checkbox\" name=\"checkbox-34[]\" value=\"cu-siguran-da\" id=\"forminator-field-checkbox-34-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-34-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Definitely YES<\/span><\/label><label id=\"forminator-field-checkbox-34-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-34-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Probably YES\"><input type=\"checkbox\" name=\"checkbox-34[]\" value=\"probabil-da\" id=\"forminator-field-checkbox-34-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-34-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Probably YES<\/span><\/label><label id=\"forminator-field-checkbox-34-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-34-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-34[]\" value=\"neutru\" id=\"forminator-field-checkbox-34-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-34-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-34-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-34-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Probably NOT\"><input type=\"checkbox\" name=\"checkbox-34[]\" value=\"probabil-nu\" id=\"forminator-field-checkbox-34-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-34-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Probably NOT<\/span><\/label><label id=\"forminator-field-checkbox-34-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-34-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\" Definitely NOT\"><input type=\"checkbox\" name=\"checkbox-34[]\" value=\"cu-siguran-nu\" id=\"forminator-field-checkbox-34-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-34-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"> Definitely NOT<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-35\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-35-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-35-6a01eb8dbce56-label\" class=\"forminator-label\">Dac\u0103 un apropiat, un prieten sau alt\u0103 persoan\u0103 ar avea nevoie de un serviciu medical despre care \u0219ti\u021bi c\u0103 este disponibil aici, i-a\u021bi recomand\u0103 s\u0103 vin\u0103? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-35-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-35-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Definitely YES\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"cu-siguran-da\" id=\"forminator-field-checkbox-35-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-35-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Definitely YES<\/span><\/label><label id=\"forminator-field-checkbox-35-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-35-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\" Probably YES\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"probabil-da\" id=\"forminator-field-checkbox-35-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-35-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"> Probably YES<\/span><\/label><label id=\"forminator-field-checkbox-35-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-35-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Neutral\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"neutru\" id=\"forminator-field-checkbox-35-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-35-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Neutral<\/span><\/label><label id=\"forminator-field-checkbox-35-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-35-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Probably NOT\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"probabil-nu\" id=\"forminator-field-checkbox-35-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-35-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Probably NOT<\/span><\/label><label id=\"forminator-field-checkbox-35-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-35-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Definitely NOT\"><input type=\"checkbox\" name=\"checkbox-35[]\" value=\"cu-siguran-nu\" id=\"forminator-field-checkbox-35-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-35-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Definitely NOT<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a01eb8dbce56\" id=\"forminator-field-text-1_6a01eb8dbce56-label\" class=\"forminator-label\">After all this time spent here, what is the positive thing that comes to mind? What did you like most? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"Your message\" id=\"forminator-field-text-1_6a01eb8dbce56\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a01eb8dbce56\" id=\"forminator-field-text-2_6a01eb8dbce56-label\" class=\"forminator-label\">But negative? What didn't you like? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"Your message\" id=\"forminator-field-text-2_6a01eb8dbce56\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-9\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Elemente de socio-demografie:<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-36\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-36-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-36-6a01eb8dbce56-label\" class=\"forminator-label\">Sex <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-36-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-36-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Female\"><input type=\"checkbox\" name=\"checkbox-36[]\" value=\"feminin\" id=\"forminator-field-checkbox-36-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-36-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Female<\/span><\/label><label id=\"forminator-field-checkbox-36-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-36-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Male\"><input type=\"checkbox\" name=\"checkbox-36[]\" value=\"masculin\" id=\"forminator-field-checkbox-36-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-36-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Male<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-37\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-37-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-37-6a01eb8dbce56-label\" class=\"forminator-label\">Age <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-37-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-37-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Under 20 years old\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"sub-20-de-ani\" id=\"forminator-field-checkbox-37-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-37-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Under 20 years old<\/span><\/label><label id=\"forminator-field-checkbox-37-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-37-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Between 20 and 29 years old\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"ntre-20-i-29-de-ani\" id=\"forminator-field-checkbox-37-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-37-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Between 20 and 29 years old<\/span><\/label><label id=\"forminator-field-checkbox-37-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-37-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Between 30 and 39 years old\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"ntre-30-i-39-de-ani\" id=\"forminator-field-checkbox-37-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-37-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Between 30 and 39 years old<\/span><\/label><label id=\"forminator-field-checkbox-37-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-37-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Between 40 and 49 years old\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"ntre-40-i-49-de-ani\" id=\"forminator-field-checkbox-37-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-37-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Between 40 and 49 years old<\/span><\/label><label id=\"forminator-field-checkbox-37-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-37-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Between 50 and 59 years old\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"ntre-50-i-59-de-ani\" id=\"forminator-field-checkbox-37-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-37-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Between 50 and 59 years old<\/span><\/label><label id=\"forminator-field-checkbox-37-6-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-37-6-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Between 60 and 69 years old\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"ntre-60-i-69-de-ani\" id=\"forminator-field-checkbox-37-6-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-37-6-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Between 60 and 69 years old<\/span><\/label><label id=\"forminator-field-checkbox-37-7-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-37-7-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"70 years old and over\"><input type=\"checkbox\" name=\"checkbox-37[]\" value=\"70-de-ani-i-peste\" id=\"forminator-field-checkbox-37-7-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-37-7-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">70 years old and over<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-38\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-38-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-38-6a01eb8dbce56-label\" class=\"forminator-label\">Environment of residence <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-38-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-38-1-6a01eb8dbce56\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Urban\"><input type=\"checkbox\" name=\"checkbox-38[]\" value=\"urban\" id=\"forminator-field-checkbox-38-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-38-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Urban<\/span><\/label><label id=\"forminator-field-checkbox-38-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-38-2-6a01eb8dbce56\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Rural\"><input type=\"checkbox\" name=\"checkbox-38[]\" value=\"rural\" id=\"forminator-field-checkbox-38-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-38-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Rural<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-39\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-39-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-39-6a01eb8dbce56-label\" class=\"forminator-label\">Education level <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-39-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-39-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Primary school (1-4 classes)\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"primar-14-clase\" id=\"forminator-field-checkbox-39-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-39-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Primary school (1-4 classes)<\/span><\/label><label id=\"forminator-field-checkbox-39-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-39-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Secondary school (5-8 classes)\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"gimnazial-58-clase\" id=\"forminator-field-checkbox-39-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-39-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Secondary school (5-8 classes)<\/span><\/label><label id=\"forminator-field-checkbox-39-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-39-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Highschool (9-12 classes)\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"liceu-912-clase\" id=\"forminator-field-checkbox-39-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-39-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Highschool (9-12 classes)<\/span><\/label><label id=\"forminator-field-checkbox-39-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-39-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"College\"><input type=\"checkbox\" name=\"checkbox-39[]\" value=\"facultate\" id=\"forminator-field-checkbox-39-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-39-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">College<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-40\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-40-6a01eb8dbce56-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-40-6a01eb8dbce56-label\" class=\"forminator-label\">Your status <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-40-1-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-40-1-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Married\"><input type=\"checkbox\" name=\"checkbox-40[]\" value=\"cstorit\" id=\"forminator-field-checkbox-40-1-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-40-1-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Married<\/span><\/label><label id=\"forminator-field-checkbox-40-2-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-40-2-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Unmarried\"><input type=\"checkbox\" name=\"checkbox-40[]\" value=\"necstorit\" id=\"forminator-field-checkbox-40-2-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-40-2-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Unmarried<\/span><\/label><label id=\"forminator-field-checkbox-40-3-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-40-3-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Concubinaj\"><input type=\"checkbox\" name=\"checkbox-40[]\" value=\"concubinaj\" id=\"forminator-field-checkbox-40-3-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-40-3-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Concubinaj<\/span><\/label><label id=\"forminator-field-checkbox-40-4-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-40-4-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Widover\"><input type=\"checkbox\" name=\"checkbox-40[]\" value=\"vduv\" id=\"forminator-field-checkbox-40-4-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-40-4-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Widover<\/span><\/label><label id=\"forminator-field-checkbox-40-5-6a01eb8dbce56-label\" for=\"forminator-field-checkbox-40-5-6a01eb8dbce56\" class=\"forminator-checkbox\" title=\"Divorced\"><input type=\"checkbox\" name=\"checkbox-40[]\" value=\"divorat\" id=\"forminator-field-checkbox-40-5-6a01eb8dbce56\" aria-labelledby=\"forminator-field-checkbox-40-5-6a01eb8dbce56-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Divorced<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-10\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">NOT\u0102: Colectarea informa\u021biilor pe baza prezentului chestionar se face cu respectarea prevederilor art. 12 din Legea nr. 677\/2001 pentru protec\u021bia persoanelor cu privire la prelucrarea datelor cu caracter personal \u0219i liber\u0103 circula\u021bie a acestor date, cu modific\u0103rile \u0219i complet\u0103rile anterioare.<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"gdprcheckbox-1\" class=\"forminator-field-gdprcheckbox forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-gdprcheckbox-1_6a01eb8dbce56\" id=\"forminator-field-gdprcheckbox-1_6a01eb8dbce56-label\" class=\"forminator-label\">GDPR <span class=\"forminator-required\">*<\/span><\/label><label for=\"forminator-field-gdprcheckbox-1_6a01eb8dbce56\" class=\"forminator-checkbox\"><input type=\"checkbox\" name=\"gdprcheckbox-1\" value=\"true\" id=\"forminator-field-gdprcheckbox-1_6a01eb8dbce56\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">I agree to the processing of personal data.<\/span><\/label><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Send Message<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"3922810a3c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/m\/en\/wp-json\/wp\/v2\/pages\/362\" \/><input type=\"hidden\" name=\"form_id\" value=\"489\"><input type=\"hidden\" name=\"page_id\" value=\"362\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/eurotrat.ro\/m\/en\/chestionar-de-satisfactie\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/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>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-362","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/eurotrat.ro\/m\/en\/wp-json\/wp\/v2\/pages\/362","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eurotrat.ro\/m\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/eurotrat.ro\/m\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/eurotrat.ro\/m\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eurotrat.ro\/m\/en\/wp-json\/wp\/v2\/comments?post=362"}],"version-history":[{"count":0,"href":"https:\/\/eurotrat.ro\/m\/en\/wp-json\/wp\/v2\/pages\/362\/revisions"}],"wp:attachment":[{"href":"https:\/\/eurotrat.ro\/m\/en\/wp-json\/wp\/v2\/media?parent=362"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}