{"id":20861,"date":"2022-04-26T09:47:13","date_gmt":"2022-04-26T07:47:13","guid":{"rendered":"https:\/\/vitabelis.sk\/?page_id=20861"},"modified":"2022-04-27T10:12:18","modified_gmt":"2022-04-27T08:12:18","slug":"information-form","status":"publish","type":"page","link":"https:\/\/vitabelis.sk\/en\/information-form\/","title":{"rendered":"Information form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"20861\" class=\"elementor elementor-20861 elementor-18408\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-21007b6 elementor-section-stretched scheme_light elementor-section-boxed elementor-section-height-default elementor-section-height-default sc_fly_static\" data-id=\"21007b6\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cfe325e sc_inner_width_none sc_content_align_inherit sc_layouts_column_icons_position_left sc_fly_static\" data-id=\"cfe325e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-154b1c3 elementor-section-boxed elementor-section-height-default elementor-section-height-default sc_fly_static\" data-id=\"154b1c3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-6f51ef1 sc_inner_width_none sc_content_align_inherit sc_layouts_column_icons_position_left sc_fly_static\" data-id=\"6f51ef1\" data-element_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-841eaf6 sc_fly_static elementor-widget elementor-widget-spacer\" data-id=\"841eaf6\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a2bf65 sc_height_tiny sc_fly_static elementor-widget elementor-widget-spacer\" data-id=\"5a2bf65\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3e78129 sc_fly_static elementor-widget elementor-widget-trx_sc_title\" data-id=\"3e78129\" data-element_type=\"widget\" data-widget_type=\"trx_sc_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div\t\tclass=\"sc_title sc_title_default\" ><span class=\"sc_item_subtitle sc_title_subtitle sc_item_subtitle_above sc_item_title_style_default\">FOR INTERESTED PERSONS<\/span><h1 class=\"sc_item_title sc_title_title sc_item_title_style_default sc_item_title_tag trx_addons_inline_507044022\"\n\t\t\t><span class=\"sc_item_title_text\">Information form<\/span><\/h1><div class=\"sc_item_descr sc_title_descr\"><p><b> All the information you provide is strictly protected. <\/b> The form will be delivered directly to our employee Mgr. Diana Nagyov\u00e1, who is in charge of the first contact with clients in our facility. Upon processing, you will be promptly contacted in order to agree on the further steps: a face-to-face meeting or a date of visual inspection.<\/p>\n<\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7317bac sc_fly_static elementor-widget elementor-widget-trx_sc_contact_form_7\" data-id=\"7317bac\" data-element_type=\"widget\" data-widget_type=\"trx_sc_contact_form_7.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f20927-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/20861#wpcf7-f20927-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"20927\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f20927-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div class=\"form-style-1\">\n\t<div class=\"columns_wrap\">\n\t\t<h3>Contact person\n\t\t<\/h3>\n\t\t<div class=\"column-1_5\">\n\t\t\t<p><label>TITLE<\/label><span class=\"style-line icon-graduation-light\"><span class=\"wpcf7-form-control-wrap\" data-name=\"kontakt-titul\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"title\" value=\"\" type=\"text\" name=\"kontakt-titul\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-2_5\">\n\t\t\t<p><label>FIRST NAME<\/label><span class=\"style-line icon-name\"><span class=\"wpcf7-form-control-wrap\" data-name=\"kontakt-meno\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"first name\" value=\"\" type=\"text\" name=\"kontakt-meno\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-2_5\">\n\t\t\t<p><label> SURNAME<\/label><span class=\"style-line icon-name\"><span class=\"wpcf7-form-control-wrap\" data-name=\"kontakt-priezvisko\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"surname\" value=\"\" type=\"text\" name=\"kontakt-priezvisko\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_2\">\n\t\t\t<p><label>E-mail<\/label><span class=\"style-line icon-email\"><span class=\"wpcf7-form-control-wrap\" data-name=\"kontakt-email\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"e-mail\" value=\"\" type=\"text\" name=\"kontakt-email\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_2\">\n\t\t\t<p><label>PHONE<\/label><span class=\"style-line icon-phone\"><span class=\"wpcf7-form-control-wrap\" data-name=\"kontakt-telefon\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"phone\" value=\"\" type=\"tel\" name=\"kontakt-telefon\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_1\">\n\t\t\t<p><label>WHAT IS YOUR FAMILY RELATION TO THE CLIENT?<\/label><span class=\"style-line icon-heart-light\"><span class=\"wpcf7-form-control-wrap\" data-name=\"pribuzensky-vztah\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"husband, wife, daughter, son, sister, brother, other...\" value=\"\" type=\"text\" name=\"pribuzensky-vztah\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"columns_wrap\">\n\t\t<h3>Client\n\t\t<\/h3>\n\t\t<div class=\"column-1_5\">\n\t\t\t<p><label>TITLE<\/label><span class=\"style-line icon-graduation-light\"><span class=\"wpcf7-form-control-wrap\" data-name=\"klient-titul\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"title\" value=\"\" type=\"text\" name=\"klient-titul\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-2_5\">\n\t\t\t<p><label>FIRST NAME<\/label><span class=\"style-line icon-name\"><span class=\"wpcf7-form-control-wrap\" data-name=\"klient-meno\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"first name\" value=\"\" type=\"text\" name=\"klient-meno\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-2_5\">\n\t\t\t<p><label> SURNAME<\/label><span class=\"style-line icon-name\"><span class=\"wpcf7-form-control-wrap\" data-name=\"klient-priezvisko\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"surname\" value=\"\" type=\"text\" name=\"klient-priezvisko\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_5\">\n\t\t\t<p><label>AGE<\/label><span class=\"style-line icon-calendar-light\"><span class=\"wpcf7-form-control-wrap\" data-name=\"klient-vek\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"age\" value=\"\" type=\"text\" name=\"klient-vek\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-4_5\">\n\t\t\t<p><label>MARITAL STATUS<\/label><span class=\"style-line icon-name\"><span class=\"wpcf7-form-control-wrap\" data-name=\"klient-rodinnystav\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"single, married, widow\/widower, divorced\" value=\"\" type=\"text\" name=\"klient-rodinnystav\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_1\">\n\t\t\t<p><label>HEALTH STATUS<\/label><span class=\"style-line icon-help-1\"><span class=\"wpcf7-form-control-wrap\" data-name=\"klient-stav\"><textarea cols=\"40\" rows=\"10\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"zdravotn\u00fd stav\" name=\"klient-stav\"><\/textarea><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_2\">\n\t\t\t<p><label>SPECIALISED MEDICAL CAR<\/label><span class=\"style-line icon-reaction\"><span class=\"wpcf7-form-control-wrap\" data-name=\"specialna-lekarska-starostlivost\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"please state the necessary specialised medical care\" value=\"\" type=\"text\" name=\"specialna-lekarska-starostlivost\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_2\">\n\t\t\t<p><label>DEGREE OF RELIANCE ON CARE<\/label><span class=\"style-line icon-walker\"><span class=\"wpcf7-form-control-wrap\" data-name=\"stupen-odkazanosti\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"please state the degree of reliance on care, if any\" value=\"\" type=\"text\" name=\"stupen-odkazanosti\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_1\">\n\t\t\t<p><label>IMPORTANT CLIENT INFORMATION<\/label><span class=\"style-line icon-comment-light\"><span class=\"wpcf7-form-control-wrap\" data-name=\"dolezite-skutocnosti\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"important client information\" value=\"\" type=\"text\" name=\"dolezite-skutocnosti\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-1_1\">\n\t\t\t<p><label>HOBBIES\/FAVOURITE ACTIVITIES<\/label><span class=\"style-line icon-music-light\"><span class=\"wpcf7-form-control-wrap\" data-name=\"klient-zaluby\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"hobbies\/favourite activities\" value=\"\" type=\"text\" name=\"klient-zaluby\" \/><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"columns_wrap\">\n\t\t<div class=\"column-1_2\">\n\t\t\t<p><label>TERM OF PROVISION OF THE SOCIAL SERVICE<\/label>\n\t\t\t<\/p>\n\t\t\t<div class=\"column-1_1\">\n\t\t\t\t<p><span class=\"rr-chck-radio\"><span class=\"wpcf7-form-control-wrap\" data-name=\"cas-poskytovania-sluzbieb\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Indefinite<\/span><input type=\"radio\" name=\"cas-poskytovania-sluzbieb\" value=\"Indefinite\" checked=\"checked\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Definite<\/span><input type=\"radio\" name=\"cas-poskytovania-sluzbieb\" value=\"Definite\" \/><\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"column-1_1 hidden-default\" id=\"do-kedy-wrapper\">\n\t\t\t\t<p><span class=\"style-line icon-calendar-light\"><span class=\"wpcf7-form-control-wrap\" data-name=\"do-kedy\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"do kedy?\" value=\"\" type=\"text\" name=\"do-kedy\" \/><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"column-1_2\">\n\t\t\t<p><label>HAS THE CLIENT ALREADY BEEN ACCOMMODATED IN A SIMILAR FACILITY?<\/label>\n\t\t\t<\/p>\n\t\t\t<div class=\"column-1_1\">\n\t\t\t\t<p><span class=\"rr-chck-radio\"><span class=\"wpcf7-form-control-wrap\" data-name=\"predchadzajuce-umiestnenie\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"predchadzajuce-umiestnenie\" value=\"No\" checked=\"checked\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"predchadzajuce-umiestnenie\" value=\"Yes\" \/><\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"column-1_1 hidden-default\" id=\"ako-dlho-wrapper\">\n\t\t\t\t<p><span class=\"style-line icon-calendar-light\"><span class=\"wpcf7-form-control-wrap\" data-name=\"ako-dlho\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"ako dlho?\" value=\"\" type=\"text\" name=\"ako-dlho\" \/><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"columns_wrap\">\n\t\t<div class=\"column-1_2\">\n\t\t\t<h4>Accommodation\n\t\t\t<\/h4>\n\t\t\t<div class=\"columns_wrap\">\n\t\t\t\t<div class=\"column-1_1\">\n\t\t\t\t\t<p><label>ARE YOU INTERESTED IN A SINGLE BEDROOM?<\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"column-1_1\">\n\t\t\t\t\t\t<p><span class=\"rr-chck-radio\"><span class=\"wpcf7-form-control-wrap\" data-name=\"jednolozkova-izba\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"jednolozkova-izba\" value=\"Yes\" checked=\"checked\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"jednolozkova-izba\" value=\"No\" \/><\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"columns_wrap\">\n\t\t\t\t<div class=\"column-1_1\">\n\t\t\t\t\t<p><label class=\"rr-label\">DO YOU PREFER YOUR OWN FURNITURE IN THE ROOM?<\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"column-1_1\">\n\t\t\t\t\t\t<p><span class=\"rr-chck-radio\"><span class=\"wpcf7-form-control-wrap\" data-name=\"vlastny-nabytok\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"vlastny-nabytok\" value=\"Yes\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"vlastny-nabytok\" value=\"No\" checked=\"checked\" \/><\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<p style=\"margin-top:20px;\"> We allow our clients to furnish the room with their own furniture, accessories and decorations. We can provide assistance with transport and furnishing.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"column-1_2\">\n\t\t\t<h4>Meals\n\t\t\t<\/h4>\n\t\t\t<div class=\"columns_wrap\">\n\t\t\t\t<div class=\"column-1_1\">\n\t\t\t\t\t<p><label>IS THE CLIENT ON A SPECIAL DIET?<\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"column-1_1\">\n\t\t\t\t\t\t<p><span class=\"rr-chck-radio\"><span class=\"wpcf7-form-control-wrap\" data-name=\"dieta\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"dieta\" value=\"No\" checked=\"checked\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"dieta\" value=\"Yes\" \/><\/span><\/span><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"column-1_1 hidden-default\" id=\"specialna-dieta-wrapper\">\n\t\t\t\t\t\t<p><span class=\"style-line icon-help-1\"><span class=\"wpcf7-form-control-wrap\" data-name=\"specialna-dieta\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"ak\u00e1\" value=\"\" type=\"text\" name=\"specialna-dieta\" \/><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"columns_wrap\">\n\t\t\t\t<div class=\"column-1_1\">\n\t\t\t\t\t<p><label>PREFERRED MEALS<\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"column-1_1\">\n\t\t\t\t\t\t<p><span class=\"style-line icon-food-light\"><span class=\"wpcf7-form-control-wrap\" data-name=\"preferovana-strava\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"vegetarian, vegan, diabetes...\" value=\"\" type=\"text\" name=\"preferovana-strava\" \/><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"columns_wrap\">\n\t\t\t\t<div class=\"column-1_1\">\n\t\t\t\t\t<p><label> FOOD INTOLERANCES<\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t\t<div class=\"column-1_1\">\n\t\t\t\t\t\t<p><span class=\"style-line icon-cookie\"><span class=\"wpcf7-form-control-wrap\" data-name=\"intolerancie\"><input size=\"40\" maxlength=\"80\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"gluten, lactose...\" value=\"\" type=\"text\" name=\"intolerancie\" \/><\/span><\/span>\n\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I CONSENT TO PERSONAL DATA PROCESSING.<\/span><\/label><\/span><\/span><\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\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 class=\"elementor-element elementor-element-53ac9d7 sc_height_huge sc_fly_static elementor-widget elementor-widget-spacer\" data-id=\"53ac9d7\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>FOR INTERESTED PERSONS Information form All the information you provide is strictly protected. The form will be delivered directly to our employee Mgr. Diana Nagyov\u00e1, who is in charge of&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Information form - BELIS<\/title>\n<meta name=\"description\" content=\"Po spracovan\u00ed formul\u00e1ru v\u00e1s budeme neodkladne kontaktova\u0165 a dohodneme si \u010fal\u0161ie kroky - osobn\u00e9 stretnutie alebo term\u00edn prehliadky.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vitabelis.sk\/en\/information-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Information form - BELIS\" \/>\n<meta property=\"og:description\" content=\"Po spracovan\u00ed formul\u00e1ru v\u00e1s budeme neodkladne kontaktova\u0165 a dohodneme si \u010fal\u0161ie kroky - 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