{"id":25860,"date":"2022-03-22T14:11:19","date_gmt":"2022-03-22T13:11:19","guid":{"rendered":"https:\/\/portal.smartcareservice.de\/?page_id=25860"},"modified":"2022-04-19T13:03:32","modified_gmt":"2022-04-19T11:03:32","slug":"pflegegrad-analyse","status":"publish","type":"page","link":"https:\/\/portal.smartcareservice.de\/?page_id=25860","title":{"rendered":"Pflegegrad-Analyse"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"25860\" class=\"elementor elementor-25860\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a02720c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a02720c\" data-element_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-94cd3a2\" data-id=\"94cd3a2\" 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-f94c240 elementor-widget elementor-widget-heading\" data-id=\"f94c240\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Analysieren sie ihren Pflegegrad<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3eeea0 elementor-widget elementor-widget-text-editor\" data-id=\"d3eeea0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Um festzustellen, wie selbstst\u00e4ndig eine pflegebed\u00fcrftige Person ist, wirft unser Fragebogen einen genauen Blick auf folgende Lebensbereiche:<\/p><p><b>Modul 1 &#8222;Mobilit\u00e4t&#8220;:<\/b> Die k\u00f6rperliche Beweglichkeit steht im Fokus. Zum Beispiel: Kann die betroffene Person alleine aufstehen und vom Bett ins Badezimmer gehen? Kann sie sich selbstst\u00e4ndig in den eigenen vier W\u00e4nden bewegen, ist Treppensteigen m\u00f6glich?<\/p><p><b>Modul 2 &#8222;Geistige und kommunikative F\u00e4higkeiten&#8220;:<\/b>\u00a0Dieser Bereich umfasst das Verstehen und Reden. Zum Beispiel: Kann sich die betroffene Person zeitlich und r\u00e4umlich orientieren? Versteht sie Sachverhalte, erkennt sie Risiken und kann sie Gespr\u00e4che mit anderen Menschen f\u00fchren?<\/p><p><b>Modul 3 &#8222;Verhaltensweisen und psychische Problemlagen&#8220;:<\/b>\u00a0Hierunter fallen unter anderem Unruhe in der Nacht oder \u00c4ngste und Aggressionen, die f\u00fcr die pflegebed\u00fcrftige Person, aber auch f\u00fcr ihre Angeh\u00f6rigen, belastend sind. Auch wenn Abwehrreaktionen bei pflegerischen Ma\u00dfnahmen bestehen, wird dies hier ber\u00fccksichtigt.<\/p><p><b>Modul 4 &#8222;Selbstversorgung&#8220;:<\/b>\u00a0Kann sich die Antragstellerin oder der Antragsteller sich zum Beispiel waschen und anziehen, kann sie oder er selbstst\u00e4ndig die Toilette aufsuchen sowie essen und trinken?<\/p><p><b>Modul 5 &#8222;Selbstst\u00e4ndiger Umgang mit krankheits- oder therapiebedingten Anforderungen und Belastungen \u2013 sowie deren Bew\u00e4ltigung&#8220;:<\/b>\u00a0Die Gutachterin oder der Gutachter schaut, ob die betroffene Person zum Beispiel Medikamente selbst einnehmen, den Blutzucker eigenst\u00e4ndig messen, mit Hilfsmitteln wie Prothesen oder Rollator umgehen und eine \u00c4rztin beziehungsweise einen Arzt aufsuchen kann.<\/p><p><b>Modul 6 &#8222;Gestaltung des Alltagslebens und sozialer Kontakte&#8220;:<\/b>\u00a0Kann die betroffene Person zum Beispiel ihren Tagesablauf selbstst\u00e4ndig gestalten? Kann sie mit anderen Menschen in direkten Kontakt treten oder die Skatrunde ohne Hilfe besuchen?<\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-478154a elementor-align-right elementor-widget elementor-widget-button\" data-id=\"478154a\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"https:\/\/www.bundesgesundheitsministerium.de\/pflegegrade.html\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Bundesministerium f\u00fcr Gesundheit<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0545114 elementor-widget elementor-widget-spacer\" data-id=\"0545114\" 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\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d7ab5aa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d7ab5aa\" data-element_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-6680d25\" data-id=\"6680d25\" 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-00c68df elementor-widget elementor-widget-shortcode\" data-id=\"00c68df\" data-element_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\"><form\n\t\t\t\tid=\"forminator-module-25858\"\n\t\t\t\tclass=\"forminator-ui forminator-quiz forminator-quiz-25858 forminator-quiz--list forminator-design--default  \"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"25858\"\n\t\t\t\t data-color-option=\"default\" data-design=\"default\" data-quiz=\"nowrong\" aria-live=\"polite\" data-spacing=\"default\" data-alignment=\"center\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69fc96d8f3df6\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error forminator-hidden\"><\/div><div class=\"forminator-quiz-intro\">\n\t\t\t\t\t<h3 class=\"forminator-quiz--title\">Bedarfs- und Ma\u00dfnahmenanalyse<\/h3>\n\t\t\n\t\t\n\t\t\t\t\t<div class=\"forminator-quiz--description\">Ermitteln Sie als Orientierungshilfe den voraussichtlichen Pflegegrad.<\/div>\n\t\t\n\t\t<button class=\"forminator-button forminator-quiz-start\" style=\"margin: 0 auto; display: block;\">Starte Fragebogen<\/button><\/div><div role=\"tabpanel\" id=\"forminator-custom-form-25858--page-0\" class=\"forminator-pagination forminator-hidden\" aria-labelledby=\"forminator-custom-form-25858--page-0-label\" data-step=\"0\" data-label=\"Seite 0\"><div class=\"forminator-pagination--content\"><div class=\"forminator-page-indicator\"><span>Seite 1 von 7<\/span><\/div>\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-6307-9917\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-6307-9917-label\"\n\t\t\taria-describedby=\"question-6307-9917-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<div class=\"forminator-image\" aria-hidden=\"true\"><img decoding=\"async\" src=\"https:\/\/portal.smartcareservice.de\/wp-content\/uploads\/2022\/03\/Mobility.jpg\" \/><\/div><span id=\"question-6307-9917-label\" class=\"forminator-legend\">1.1 Positionswechsel im Bett<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-6307-9917-0-69fc96d9003e4\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6307-9917]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-6307-9917-0-69fc96d9003e4\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6307-9917-0-69fc96d9003e4\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6307-9917-1-69fc96d9003e4\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6307-9917]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-6307-9917-1-69fc96d9003e4\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6307-9917-1-69fc96d9003e4\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend Selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6307-9917-2-69fc96d9003e4\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6307-9917]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-6307-9917-2-69fc96d9003e4\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6307-9917-2-69fc96d9003e4\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6307-9917-3-69fc96d9003e4\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6307-9917]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-6307-9917-3-69fc96d9003e4\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6307-9917-3-69fc96d9003e4\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-3427-1566\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-3427-1566-label\"\n\t\t\taria-describedby=\"question-3427-1566-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-3427-1566-label\" class=\"forminator-legend\">1.2 Stabile Sitzposition halten<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-3427-1566-0-69fc96d9004ba\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3427-1566]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-3427-1566-0-69fc96d9004ba\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3427-1566-0-69fc96d9004ba\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3427-1566-1-69fc96d9004ba\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3427-1566]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-3427-1566-1-69fc96d9004ba\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3427-1566-1-69fc96d9004ba\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3427-1566-2-69fc96d9004ba\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3427-1566]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-3427-1566-2-69fc96d9004ba\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3427-1566-2-69fc96d9004ba\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3427-1566-3-69fc96d9004ba\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3427-1566]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-3427-1566-3-69fc96d9004ba\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3427-1566-3-69fc96d9004ba\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-4206-5838\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-4206-5838-label\"\n\t\t\taria-describedby=\"question-4206-5838-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-4206-5838-label\" class=\"forminator-legend\">1.3 Aufstehen aus sitzender Position \/ Umsetzen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-4206-5838-0-69fc96d900528\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4206-5838]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-4206-5838-0-69fc96d900528\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4206-5838-0-69fc96d900528\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4206-5838-1-69fc96d900528\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4206-5838]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-4206-5838-1-69fc96d900528\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4206-5838-1-69fc96d900528\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4206-5838-2-69fc96d900528\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4206-5838]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-4206-5838-2-69fc96d900528\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4206-5838-2-69fc96d900528\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4206-5838-3-69fc96d900528\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4206-5838]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-4206-5838-3-69fc96d900528\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4206-5838-3-69fc96d900528\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-3446-3399\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-3446-3399-label\"\n\t\t\taria-describedby=\"question-3446-3399-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-3446-3399-label\" class=\"forminator-legend\">1.4 Fortbewegen innerhalb des Wohnbereichs<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-3446-3399-0-69fc96d900590\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3446-3399]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-3446-3399-0-69fc96d900590\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3446-3399-0-69fc96d900590\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3446-3399-1-69fc96d900590\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3446-3399]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-3446-3399-1-69fc96d900590\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3446-3399-1-69fc96d900590\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3446-3399-2-69fc96d900590\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3446-3399]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-3446-3399-2-69fc96d900590\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3446-3399-2-69fc96d900590\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3446-3399-3-69fc96d900590\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3446-3399]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-3446-3399-3-69fc96d900590\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3446-3399-3-69fc96d900590\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-2391-2773\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-2391-2773-label\"\n\t\t\taria-describedby=\"question-2391-2773-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-2391-2773-label\" class=\"forminator-legend\">1.5 Treppensteigen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-2391-2773-0-69fc96d9005f9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2391-2773]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-2391-2773-0-69fc96d9005f9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2391-2773-0-69fc96d9005f9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2391-2773-1-69fc96d9005f9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2391-2773]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-2391-2773-1-69fc96d9005f9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2391-2773-1-69fc96d9005f9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2391-2773-2-69fc96d9005f9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2391-2773]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-2391-2773-2-69fc96d9005f9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2391-2773-2-69fc96d9005f9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2391-2773-3-69fc96d9005f9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2391-2773]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-2391-2773-3-69fc96d9005f9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2391-2773-3-69fc96d9005f9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t<\/div><\/div><div role=\"tabpanel\" id=\"forminator-custom-form-25858--page-1\" class=\"forminator-pagination forminator-hidden\" aria-labelledby=\"forminator-custom-form-25858--page-1-label\" data-step=\"1\" data-label=\"Seite 1\"><div class=\"forminator-pagination--content\"><div class=\"forminator-page-indicator\"><span>Seite 2 von 7<\/span><\/div>\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-3289-5396\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-3289-5396-label\"\n\t\t\taria-describedby=\"question-3289-5396-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<div class=\"forminator-image\" aria-hidden=\"true\"><img decoding=\"async\" src=\"https:\/\/portal.smartcareservice.de\/wp-content\/uploads\/2022\/03\/Kognitive.jpg\" \/><\/div><span id=\"question-3289-5396-label\" class=\"forminator-legend\">2.1 \u00d6rtliche Orientierung<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-3289-5396-0-69fc96d900679\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3289-5396]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-3289-5396-0-69fc96d900679\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3289-5396-0-69fc96d900679\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">unbeeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3289-5396-1-69fc96d900679\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3289-5396]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-3289-5396-1-69fc96d900679\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3289-5396-1-69fc96d900679\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">gr\u00f6\u00dftenteils unbeeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3289-5396-2-69fc96d900679\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3289-5396]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-3289-5396-2-69fc96d900679\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3289-5396-2-69fc96d900679\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">in geringem Ma\u00dfe beeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3289-5396-3-69fc96d900679\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3289-5396]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-3289-5396-3-69fc96d900679\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3289-5396-3-69fc96d900679\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">beeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-1126-5320\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-1126-5320-label\"\n\t\t\taria-describedby=\"question-1126-5320-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-1126-5320-label\" class=\"forminator-legend\">2.2 Zeitliche Orientierung<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-1126-5320-0-69fc96d90072c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-1126-5320]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-1126-5320-0-69fc96d90072c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-1126-5320-0-69fc96d90072c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">unbeeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-1126-5320-1-69fc96d90072c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-1126-5320]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-1126-5320-1-69fc96d90072c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-1126-5320-1-69fc96d90072c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">gr\u00f6\u00dftenteils unbeeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-1126-5320-2-69fc96d90072c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-1126-5320]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-1126-5320-2-69fc96d90072c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-1126-5320-2-69fc96d90072c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">in geringem Ma\u00dfe beeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-1126-5320-3-69fc96d90072c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-1126-5320]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-1126-5320-3-69fc96d90072c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-1126-5320-3-69fc96d90072c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">beeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-7753-9381\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-7753-9381-label\"\n\t\t\taria-describedby=\"question-7753-9381-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-7753-9381-label\" class=\"forminator-legend\">2.3 Ged\u00e4chtnis<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-7753-9381-0-69fc96d900796\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7753-9381]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-7753-9381-0-69fc96d900796\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7753-9381-0-69fc96d900796\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">unbeeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7753-9381-1-69fc96d900796\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7753-9381]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-7753-9381-1-69fc96d900796\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7753-9381-1-69fc96d900796\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">gr\u00f6\u00dftenteils unbeeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7753-9381-2-69fc96d900796\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7753-9381]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-7753-9381-2-69fc96d900796\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7753-9381-2-69fc96d900796\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">in geringem Ma\u00dfe beeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7753-9381-3-69fc96d900796\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7753-9381]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-7753-9381-3-69fc96d900796\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7753-9381-3-69fc96d900796\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">beeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-6237-4402\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-6237-4402-label\"\n\t\t\taria-describedby=\"question-6237-4402-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-6237-4402-label\" class=\"forminator-legend\">2.4 Mehrschrittige Alltagshandlungen ausf\u00fchren<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-6237-4402-0-69fc96d900801\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6237-4402]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-6237-4402-0-69fc96d900801\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6237-4402-0-69fc96d900801\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">unbeeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6237-4402-1-69fc96d900801\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6237-4402]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-6237-4402-1-69fc96d900801\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6237-4402-1-69fc96d900801\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">gr\u00f6\u00dftenteils unbeeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6237-4402-2-69fc96d900801\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6237-4402]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-6237-4402-2-69fc96d900801\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6237-4402-2-69fc96d900801\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">in geringem Ma\u00dfe beeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6237-4402-3-69fc96d900801\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6237-4402]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-6237-4402-3-69fc96d900801\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6237-4402-3-69fc96d900801\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">beeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-9433-3360\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-9433-3360-label\"\n\t\t\taria-describedby=\"question-9433-3360-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-9433-3360-label\" class=\"forminator-legend\">2.5 Risiken und Gefahren erkennen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-9433-3360-0-69fc96d900869\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9433-3360]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-9433-3360-0-69fc96d900869\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9433-3360-0-69fc96d900869\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">unbeeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9433-3360-1-69fc96d900869\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9433-3360]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-9433-3360-1-69fc96d900869\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9433-3360-1-69fc96d900869\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">gr\u00f6\u00dftenteils unbeeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9433-3360-2-69fc96d900869\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9433-3360]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-9433-3360-2-69fc96d900869\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9433-3360-2-69fc96d900869\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">in geringem Ma\u00dfe beeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9433-3360-3-69fc96d900869\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9433-3360]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-9433-3360-3-69fc96d900869\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9433-3360-3-69fc96d900869\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">beeintr\u00e4chtigt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t<\/div><\/div><div role=\"tabpanel\" id=\"forminator-custom-form-25858--page-2\" class=\"forminator-pagination forminator-hidden\" aria-labelledby=\"forminator-custom-form-25858--page-2-label\" data-step=\"2\" data-label=\"Seite 2\"><div class=\"forminator-pagination--content\"><div class=\"forminator-page-indicator\"><span>Seite 3 von 7<\/span><\/div>\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-2359-2405\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-2359-2405-label\"\n\t\t\taria-describedby=\"question-2359-2405-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<div class=\"forminator-image\" aria-hidden=\"true\"><img decoding=\"async\" src=\"https:\/\/portal.smartcareservice.de\/wp-content\/uploads\/2022\/03\/Verhaltensweisen.jpg\" \/><\/div><span id=\"question-2359-2405-label\" class=\"forminator-legend\">3.1 Motorisch gepr\u00e4gte Verhaltensauff\u00e4lligkeiten<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-2359-2405-0-69fc96d9008e9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2359-2405]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-2359-2405-0-69fc96d9008e9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2359-2405-0-69fc96d9008e9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nie<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2359-2405-1-69fc96d9008e9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2359-2405]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-2359-2405-1-69fc96d9008e9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2359-2405-1-69fc96d9008e9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nur sporadisch<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2359-2405-2-69fc96d9008e9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2359-2405]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-2359-2405-2-69fc96d9008e9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2359-2405-2-69fc96d9008e9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selten (1 - 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2359-2405-3-69fc96d9008e9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2359-2405]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-2359-2405-3-69fc96d9008e9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2359-2405-3-69fc96d9008e9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">h\u00e4ufig (mehr als 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2359-2405-4-69fc96d9008e9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2359-2405]\"\n\t\t\t\t\t\t\tvalue=\"4\"\n\t\t\t\t\t\t\tid=\"question-2359-2405-4-69fc96d9008e9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2359-2405-4-69fc96d9008e9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-4350-9389\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-4350-9389-label\"\n\t\t\taria-describedby=\"question-4350-9389-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-4350-9389-label\" class=\"forminator-legend\">3.2 N\u00e4chtliche Unruhe<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-4350-9389-0-69fc96d90099d\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4350-9389]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-4350-9389-0-69fc96d90099d\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4350-9389-0-69fc96d90099d\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nie<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4350-9389-1-69fc96d90099d\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4350-9389]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-4350-9389-1-69fc96d90099d\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4350-9389-1-69fc96d90099d\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nur sporadisch<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4350-9389-2-69fc96d90099d\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4350-9389]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-4350-9389-2-69fc96d90099d\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4350-9389-2-69fc96d90099d\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selten (1 - 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4350-9389-3-69fc96d90099d\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4350-9389]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-4350-9389-3-69fc96d90099d\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4350-9389-3-69fc96d90099d\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">h\u00e4ufig (mehr als 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4350-9389-4-69fc96d90099d\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4350-9389]\"\n\t\t\t\t\t\t\tvalue=\"4\"\n\t\t\t\t\t\t\tid=\"question-4350-9389-4-69fc96d90099d\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4350-9389-4-69fc96d90099d\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-9433-1043\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-9433-1043-label\"\n\t\t\taria-describedby=\"question-9433-1043-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-9433-1043-label\" class=\"forminator-legend\">3.3 Selbstsch\u00e4digendes und autoaggressives Verhalten<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-9433-1043-0-69fc96d900a1c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9433-1043]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-9433-1043-0-69fc96d900a1c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9433-1043-0-69fc96d900a1c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nie<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9433-1043-1-69fc96d900a1c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9433-1043]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-9433-1043-1-69fc96d900a1c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9433-1043-1-69fc96d900a1c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nur sporadisch<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9433-1043-2-69fc96d900a1c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9433-1043]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-9433-1043-2-69fc96d900a1c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9433-1043-2-69fc96d900a1c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selten (1 - 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9433-1043-3-69fc96d900a1c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9433-1043]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-9433-1043-3-69fc96d900a1c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9433-1043-3-69fc96d900a1c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">h\u00e4ufig (mehr als 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9433-1043-4-69fc96d900a1c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9433-1043]\"\n\t\t\t\t\t\t\tvalue=\"4\"\n\t\t\t\t\t\t\tid=\"question-9433-1043-4-69fc96d900a1c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9433-1043-4-69fc96d900a1c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-9766-2162\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-9766-2162-label\"\n\t\t\taria-describedby=\"question-9766-2162-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-9766-2162-label\" class=\"forminator-legend\">3.4 Besch\u00e4digung von Gegenst\u00e4nden<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-9766-2162-0-69fc96d900a8f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9766-2162]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-9766-2162-0-69fc96d900a8f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9766-2162-0-69fc96d900a8f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nie<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9766-2162-1-69fc96d900a8f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9766-2162]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-9766-2162-1-69fc96d900a8f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9766-2162-1-69fc96d900a8f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nur sporadisch<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9766-2162-2-69fc96d900a8f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9766-2162]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-9766-2162-2-69fc96d900a8f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9766-2162-2-69fc96d900a8f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selten (1 - 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9766-2162-3-69fc96d900a8f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9766-2162]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-9766-2162-3-69fc96d900a8f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9766-2162-3-69fc96d900a8f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">h\u00e4ufig (mehr als 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9766-2162-4-69fc96d900a8f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9766-2162]\"\n\t\t\t\t\t\t\tvalue=\"4\"\n\t\t\t\t\t\t\tid=\"question-9766-2162-4-69fc96d900a8f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9766-2162-4-69fc96d900a8f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-3031-7053\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-3031-7053-label\"\n\t\t\taria-describedby=\"question-3031-7053-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-3031-7053-label\" class=\"forminator-legend\">3.5 Physisch aggressives Verhalten gegen\u00fcber anderen Personen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-3031-7053-0-69fc96d900b04\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3031-7053]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-3031-7053-0-69fc96d900b04\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3031-7053-0-69fc96d900b04\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nie<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3031-7053-1-69fc96d900b04\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3031-7053]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-3031-7053-1-69fc96d900b04\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3031-7053-1-69fc96d900b04\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nur sporadisch<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3031-7053-2-69fc96d900b04\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3031-7053]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-3031-7053-2-69fc96d900b04\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3031-7053-2-69fc96d900b04\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selten (1 - 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3031-7053-3-69fc96d900b04\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3031-7053]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-3031-7053-3-69fc96d900b04\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3031-7053-3-69fc96d900b04\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">h\u00e4ufig (mehr als 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3031-7053-4-69fc96d900b04\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3031-7053]\"\n\t\t\t\t\t\t\tvalue=\"4\"\n\t\t\t\t\t\t\tid=\"question-3031-7053-4-69fc96d900b04\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3031-7053-4-69fc96d900b04\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t<\/div><\/div><div role=\"tabpanel\" id=\"forminator-custom-form-25858--page-3\" class=\"forminator-pagination forminator-hidden\" aria-labelledby=\"forminator-custom-form-25858--page-3-label\" data-step=\"3\" data-label=\"Seite 3\"><div class=\"forminator-pagination--content\"><div class=\"forminator-page-indicator\"><span>Seite 4 von 7<\/span><\/div>\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-2352-5387\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-2352-5387-label\"\n\t\t\taria-describedby=\"question-2352-5387-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<div class=\"forminator-image\" aria-hidden=\"true\"><img decoding=\"async\" src=\"https:\/\/portal.smartcareservice.de\/wp-content\/uploads\/2022\/03\/Verhaltensweisen.jpg\" \/><\/div><span id=\"question-2352-5387-label\" class=\"forminator-legend\">3.6 Verbale Aggression<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-2352-5387-0-69fc96d900b9e\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2352-5387]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-2352-5387-0-69fc96d900b9e\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2352-5387-0-69fc96d900b9e\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nie<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2352-5387-1-69fc96d900b9e\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2352-5387]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-2352-5387-1-69fc96d900b9e\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2352-5387-1-69fc96d900b9e\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nur sporadisch<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2352-5387-2-69fc96d900b9e\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2352-5387]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-2352-5387-2-69fc96d900b9e\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2352-5387-2-69fc96d900b9e\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selten (1 - 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2352-5387-3-69fc96d900b9e\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2352-5387]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-2352-5387-3-69fc96d900b9e\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2352-5387-3-69fc96d900b9e\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">h\u00e4ufig (mehr als 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2352-5387-4-69fc96d900b9e\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2352-5387]\"\n\t\t\t\t\t\t\tvalue=\"4\"\n\t\t\t\t\t\t\tid=\"question-2352-5387-4-69fc96d900b9e\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2352-5387-4-69fc96d900b9e\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-4408-9665\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-4408-9665-label\"\n\t\t\taria-describedby=\"question-4408-9665-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-4408-9665-label\" class=\"forminator-legend\">3.7 Abwehr pflegerischer oder anderer unterst\u00fctzender Massnahmen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-4408-9665-0-69fc96d900c50\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4408-9665]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-4408-9665-0-69fc96d900c50\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4408-9665-0-69fc96d900c50\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nie<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4408-9665-1-69fc96d900c50\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4408-9665]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-4408-9665-1-69fc96d900c50\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4408-9665-1-69fc96d900c50\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nur sporadisch<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4408-9665-2-69fc96d900c50\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4408-9665]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-4408-9665-2-69fc96d900c50\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4408-9665-2-69fc96d900c50\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selten (1 - 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4408-9665-3-69fc96d900c50\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4408-9665]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-4408-9665-3-69fc96d900c50\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4408-9665-3-69fc96d900c50\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">h\u00e4ufig (mehr als 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4408-9665-4-69fc96d900c50\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4408-9665]\"\n\t\t\t\t\t\t\tvalue=\"4\"\n\t\t\t\t\t\t\tid=\"question-4408-9665-4-69fc96d900c50\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4408-9665-4-69fc96d900c50\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-7390-9204\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-7390-9204-label\"\n\t\t\taria-describedby=\"question-7390-9204-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-7390-9204-label\" class=\"forminator-legend\">3.8 Wahnvorstellungen, \u00c4ngste, Sinnest\u00e4uschungen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-7390-9204-0-69fc96d900cd8\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7390-9204]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-7390-9204-0-69fc96d900cd8\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7390-9204-0-69fc96d900cd8\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nie<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7390-9204-1-69fc96d900cd8\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7390-9204]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-7390-9204-1-69fc96d900cd8\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7390-9204-1-69fc96d900cd8\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nur sporadisch<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7390-9204-2-69fc96d900cd8\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7390-9204]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-7390-9204-2-69fc96d900cd8\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7390-9204-2-69fc96d900cd8\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selten (1 - 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7390-9204-3-69fc96d900cd8\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7390-9204]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-7390-9204-3-69fc96d900cd8\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7390-9204-3-69fc96d900cd8\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">h\u00e4ufig (mehr als 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7390-9204-4-69fc96d900cd8\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7390-9204]\"\n\t\t\t\t\t\t\tvalue=\"4\"\n\t\t\t\t\t\t\tid=\"question-7390-9204-4-69fc96d900cd8\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7390-9204-4-69fc96d900cd8\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-6087-6861\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-6087-6861-label\"\n\t\t\taria-describedby=\"question-6087-6861-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-6087-6861-label\" class=\"forminator-legend\">3.9 Antriebslosigkeit, depressive Stimmungslage<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-6087-6861-0-69fc96d900d4f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6087-6861]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-6087-6861-0-69fc96d900d4f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6087-6861-0-69fc96d900d4f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nie<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6087-6861-1-69fc96d900d4f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6087-6861]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-6087-6861-1-69fc96d900d4f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6087-6861-1-69fc96d900d4f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nur sporadisch<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6087-6861-2-69fc96d900d4f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6087-6861]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-6087-6861-2-69fc96d900d4f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6087-6861-2-69fc96d900d4f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selten (1 - 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6087-6861-3-69fc96d900d4f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6087-6861]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-6087-6861-3-69fc96d900d4f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6087-6861-3-69fc96d900d4f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">h\u00e4ufig (mehr als 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6087-6861-4-69fc96d900d4f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6087-6861]\"\n\t\t\t\t\t\t\tvalue=\"4\"\n\t\t\t\t\t\t\tid=\"question-6087-6861-4-69fc96d900d4f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6087-6861-4-69fc96d900d4f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-3001-6932\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-3001-6932-label\"\n\t\t\taria-describedby=\"question-3001-6932-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-3001-6932-label\" class=\"forminator-legend\">3.10 Sozial inad\u00e4quate Verhaltensweisen &amp; sonstige unangemessene Handlungen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-3001-6932-0-69fc96d900dc3\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3001-6932]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-3001-6932-0-69fc96d900dc3\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3001-6932-0-69fc96d900dc3\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nie<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3001-6932-1-69fc96d900dc3\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3001-6932]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-3001-6932-1-69fc96d900dc3\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3001-6932-1-69fc96d900dc3\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">nur sporadisch<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3001-6932-2-69fc96d900dc3\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3001-6932]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-3001-6932-2-69fc96d900dc3\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3001-6932-2-69fc96d900dc3\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selten (1 - 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3001-6932-3-69fc96d900dc3\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3001-6932]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-3001-6932-3-69fc96d900dc3\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3001-6932-3-69fc96d900dc3\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">h\u00e4ufig (mehr als 2 Mal w\u00f6chentlich)<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3001-6932-4-69fc96d900dc3\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3001-6932]\"\n\t\t\t\t\t\t\tvalue=\"4\"\n\t\t\t\t\t\t\tid=\"question-3001-6932-4-69fc96d900dc3\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3001-6932-4-69fc96d900dc3\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t<\/div><\/div><div role=\"tabpanel\" id=\"forminator-custom-form-25858--page-4\" class=\"forminator-pagination forminator-hidden\" aria-labelledby=\"forminator-custom-form-25858--page-4-label\" data-step=\"4\" data-label=\"Seite 4\"><div class=\"forminator-pagination--content\"><div class=\"forminator-page-indicator\"><span>Seite 5 von 7<\/span><\/div>\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-4781-6805\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-4781-6805-label\"\n\t\t\taria-describedby=\"question-4781-6805-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<div class=\"forminator-image\" aria-hidden=\"true\"><img decoding=\"async\" src=\"https:\/\/portal.smartcareservice.de\/wp-content\/uploads\/2022\/03\/Selbstversorgung-.jpg\" \/><\/div><span id=\"question-4781-6805-label\" class=\"forminator-legend\">4.1 Sauberhaltung des K\u00f6rpers<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-4781-6805-0-69fc96d900e72\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4781-6805]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-4781-6805-0-69fc96d900e72\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4781-6805-0-69fc96d900e72\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4781-6805-1-69fc96d900e72\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4781-6805]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-4781-6805-1-69fc96d900e72\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4781-6805-1-69fc96d900e72\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4781-6805-2-69fc96d900e72\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4781-6805]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-4781-6805-2-69fc96d900e72\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4781-6805-2-69fc96d900e72\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4781-6805-3-69fc96d900e72\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4781-6805]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-4781-6805-3-69fc96d900e72\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4781-6805-3-69fc96d900e72\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-9015-8938\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-9015-8938-label\"\n\t\t\taria-describedby=\"question-9015-8938-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-9015-8938-label\" class=\"forminator-legend\">4.2 K\u00e4mmen, Zahnpflege\/ Prothesenreinigung, Rasieren<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-9015-8938-0-69fc96d900f3f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9015-8938]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-9015-8938-0-69fc96d900f3f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9015-8938-0-69fc96d900f3f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9015-8938-1-69fc96d900f3f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9015-8938]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-9015-8938-1-69fc96d900f3f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9015-8938-1-69fc96d900f3f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9015-8938-2-69fc96d900f3f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9015-8938]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-9015-8938-2-69fc96d900f3f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9015-8938-2-69fc96d900f3f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9015-8938-3-69fc96d900f3f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9015-8938]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-9015-8938-3-69fc96d900f3f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9015-8938-3-69fc96d900f3f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-4094-5540\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-4094-5540-label\"\n\t\t\taria-describedby=\"question-4094-5540-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-4094-5540-label\" class=\"forminator-legend\">4.3 An- und auskleiden<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-4094-5540-0-69fc96d900fad\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4094-5540]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-4094-5540-0-69fc96d900fad\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4094-5540-0-69fc96d900fad\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4094-5540-1-69fc96d900fad\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4094-5540]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-4094-5540-1-69fc96d900fad\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4094-5540-1-69fc96d900fad\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4094-5540-2-69fc96d900fad\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4094-5540]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-4094-5540-2-69fc96d900fad\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4094-5540-2-69fc96d900fad\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4094-5540-3-69fc96d900fad\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4094-5540]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-4094-5540-3-69fc96d900fad\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4094-5540-3-69fc96d900fad\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-7397-8039\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-7397-8039-label\"\n\t\t\taria-describedby=\"question-7397-8039-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-7397-8039-label\" class=\"forminator-legend\">4.4 Essen \/ Trinken<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-7397-8039-0-69fc96d901017\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7397-8039]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-7397-8039-0-69fc96d901017\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7397-8039-0-69fc96d901017\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7397-8039-1-69fc96d901017\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7397-8039]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-7397-8039-1-69fc96d901017\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7397-8039-1-69fc96d901017\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7397-8039-2-69fc96d901017\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7397-8039]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-7397-8039-2-69fc96d901017\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7397-8039-2-69fc96d901017\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7397-8039-3-69fc96d901017\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7397-8039]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-7397-8039-3-69fc96d901017\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7397-8039-3-69fc96d901017\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-6685-6179\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-6685-6179-label\"\n\t\t\taria-describedby=\"question-6685-6179-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-6685-6179-label\" class=\"forminator-legend\">4.5 Toilette\/ Toilettenstuhl benutzen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-6685-6179-0-69fc96d90107f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6685-6179]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-6685-6179-0-69fc96d90107f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6685-6179-0-69fc96d90107f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6685-6179-1-69fc96d90107f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6685-6179]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-6685-6179-1-69fc96d90107f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6685-6179-1-69fc96d90107f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6685-6179-2-69fc96d90107f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6685-6179]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-6685-6179-2-69fc96d90107f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6685-6179-2-69fc96d90107f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00dcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6685-6179-3-69fc96d90107f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6685-6179]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-6685-6179-3-69fc96d90107f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6685-6179-3-69fc96d90107f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t<\/div><\/div><div role=\"tabpanel\" id=\"forminator-custom-form-25858--page-5\" class=\"forminator-pagination forminator-hidden\" aria-labelledby=\"forminator-custom-form-25858--page-5-label\" data-step=\"5\" data-label=\"Seite 5\"><div class=\"forminator-pagination--content\"><div class=\"forminator-page-indicator\"><span>Seite 6 von 7<\/span><\/div>\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-2273-7278\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-2273-7278-label\"\n\t\t\taria-describedby=\"question-2273-7278-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<div class=\"forminator-image\" aria-hidden=\"true\"><img decoding=\"async\" src=\"https:\/\/portal.smartcareservice.de\/wp-content\/uploads\/2022\/03\/Belastungem.jpg\" \/><\/div><span id=\"question-2273-7278-label\" class=\"forminator-legend\">5.1 Medikation<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-2273-7278-0-69fc96d901100\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2273-7278]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-2273-7278-0-69fc96d901100\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2273-7278-0-69fc96d901100\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig\/ entf\u00e4llt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2273-7278-1-69fc96d901100\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2273-7278]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-2273-7278-1-69fc96d901100\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2273-7278-1-69fc96d901100\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2273-7278-2-69fc96d901100\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2273-7278]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-2273-7278-2-69fc96d901100\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2273-7278-2-69fc96d901100\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">w\u00f6chentlich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-2273-7278-3-69fc96d901100\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-2273-7278]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-2273-7278-3-69fc96d901100\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-2273-7278-3-69fc96d901100\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">monatlich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-8476-1633\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-8476-1633-label\"\n\t\t\taria-describedby=\"question-8476-1633-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-8476-1633-label\" class=\"forminator-legend\">5.2 Injektionen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-8476-1633-0-69fc96d9011c4\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-8476-1633]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-8476-1633-0-69fc96d9011c4\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-8476-1633-0-69fc96d9011c4\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig\/ entf\u00e4llt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-8476-1633-1-69fc96d9011c4\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-8476-1633]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-8476-1633-1-69fc96d9011c4\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-8476-1633-1-69fc96d9011c4\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-8476-1633-2-69fc96d9011c4\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-8476-1633]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-8476-1633-2-69fc96d9011c4\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-8476-1633-2-69fc96d9011c4\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">w\u00f6chentlich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-8476-1633-3-69fc96d9011c4\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-8476-1633]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-8476-1633-3-69fc96d9011c4\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-8476-1633-3-69fc96d9011c4\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">monatlich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-7994-2203\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-7994-2203-label\"\n\t\t\taria-describedby=\"question-7994-2203-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-7994-2203-label\" class=\"forminator-legend\">5.3 Versorgung intraven\u00f6ser Zug\u00e4nge (Port)<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-7994-2203-0-69fc96d901234\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7994-2203]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-7994-2203-0-69fc96d901234\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7994-2203-0-69fc96d901234\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig\/ entf\u00e4llt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7994-2203-1-69fc96d901234\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7994-2203]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-7994-2203-1-69fc96d901234\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7994-2203-1-69fc96d901234\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7994-2203-2-69fc96d901234\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7994-2203]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-7994-2203-2-69fc96d901234\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7994-2203-2-69fc96d901234\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">w\u00f6chentlich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7994-2203-3-69fc96d901234\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7994-2203]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-7994-2203-3-69fc96d901234\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7994-2203-3-69fc96d901234\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">monatlich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-6891-4415\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-6891-4415-label\"\n\t\t\taria-describedby=\"question-6891-4415-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-6891-4415-label\" class=\"forminator-legend\">5.4 Therapiemassnahmen in h\u00e4uslicher Umgebung (z.B. Bewegungs\u00fcbungen, Atemgymnastik)<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-6891-4415-0-69fc96d90129f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6891-4415]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-6891-4415-0-69fc96d90129f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6891-4415-0-69fc96d90129f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig\/ entf\u00e4llt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6891-4415-1-69fc96d90129f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6891-4415]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-6891-4415-1-69fc96d90129f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6891-4415-1-69fc96d90129f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6891-4415-2-69fc96d90129f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6891-4415]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-6891-4415-2-69fc96d90129f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6891-4415-2-69fc96d90129f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">w\u00f6chentlich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-6891-4415-3-69fc96d90129f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-6891-4415]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-6891-4415-3-69fc96d90129f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-6891-4415-3-69fc96d90129f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">monatlich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-7494-6774\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-7494-6774-label\"\n\t\t\taria-describedby=\"question-7494-6774-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-7494-6774-label\" class=\"forminator-legend\">5.5 Arztbesuche<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-7494-6774-0-69fc96d90131a\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7494-6774]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-7494-6774-0-69fc96d90131a\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7494-6774-0-69fc96d90131a\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">Selbstst\u00e4ndig\/ entf\u00e4llt<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7494-6774-1-69fc96d90131a\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7494-6774]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-7494-6774-1-69fc96d90131a\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7494-6774-1-69fc96d90131a\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">t\u00e4glich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7494-6774-2-69fc96d90131a\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7494-6774]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-7494-6774-2-69fc96d90131a\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7494-6774-2-69fc96d90131a\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">w\u00f6chentlich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7494-6774-3-69fc96d90131a\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7494-6774]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-7494-6774-3-69fc96d90131a\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7494-6774-3-69fc96d90131a\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">monatlich<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t<\/div><\/div><div role=\"tabpanel\" id=\"forminator-custom-form-25858--page-6\" class=\"forminator-pagination forminator-hidden\" aria-labelledby=\"forminator-custom-form-25858--page-6-label\" data-step=\"6\" data-label=\"Seite 6\"><div class=\"forminator-pagination--content\"><div class=\"forminator-page-indicator\"><span>Seite 7 von 7<\/span><\/div>\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-9426-5858\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-9426-5858-label\"\n\t\t\taria-describedby=\"question-9426-5858-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<div class=\"forminator-image\" aria-hidden=\"true\"><img decoding=\"async\" src=\"https:\/\/portal.smartcareservice.de\/wp-content\/uploads\/2022\/03\/Alltagsleben.jpg\" \/><\/div><span id=\"question-9426-5858-label\" class=\"forminator-legend\">6.1 Tagesablauf gestalten und an Ver\u00e4nderungen anpassen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-9426-5858-0-69fc96d90139c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9426-5858]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-9426-5858-0-69fc96d90139c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9426-5858-0-69fc96d90139c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9426-5858-1-69fc96d90139c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9426-5858]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-9426-5858-1-69fc96d90139c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9426-5858-1-69fc96d90139c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00fcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9426-5858-2-69fc96d90139c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9426-5858]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-9426-5858-2-69fc96d90139c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9426-5858-2-69fc96d90139c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00fcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-9426-5858-3-69fc96d90139c\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-9426-5858]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-9426-5858-3-69fc96d90139c\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-9426-5858-3-69fc96d90139c\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-3895-2546\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-3895-2546-label\"\n\t\t\taria-describedby=\"question-3895-2546-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-3895-2546-label\" class=\"forminator-legend\">6.2 Ruhen und Schlafen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-3895-2546-0-69fc96d90143f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3895-2546]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-3895-2546-0-69fc96d90143f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3895-2546-0-69fc96d90143f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3895-2546-1-69fc96d90143f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3895-2546]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-3895-2546-1-69fc96d90143f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3895-2546-1-69fc96d90143f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00fcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3895-2546-2-69fc96d90143f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3895-2546]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-3895-2546-2-69fc96d90143f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3895-2546-2-69fc96d90143f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00fcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3895-2546-3-69fc96d90143f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3895-2546]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-3895-2546-3-69fc96d90143f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3895-2546-3-69fc96d90143f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-4093-1193\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-4093-1193-label\"\n\t\t\taria-describedby=\"question-4093-1193-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-4093-1193-label\" class=\"forminator-legend\">6.3 Sich besch\u00e4ftigen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-4093-1193-0-69fc96d9014a9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4093-1193]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-4093-1193-0-69fc96d9014a9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4093-1193-0-69fc96d9014a9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4093-1193-1-69fc96d9014a9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4093-1193]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-4093-1193-1-69fc96d9014a9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4093-1193-1-69fc96d9014a9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00fcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4093-1193-2-69fc96d9014a9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4093-1193]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-4093-1193-2-69fc96d9014a9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4093-1193-2-69fc96d9014a9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00fcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-4093-1193-3-69fc96d9014a9\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-4093-1193]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-4093-1193-3-69fc96d9014a9\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-4093-1193-3-69fc96d9014a9\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-7775-6930\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-7775-6930-label\"\n\t\t\taria-describedby=\"question-7775-6930-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-7775-6930-label\" class=\"forminator-legend\">6.4 In die Zukunft gerichtete Planungen vornehmen<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-7775-6930-0-69fc96d901513\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7775-6930]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-7775-6930-0-69fc96d901513\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7775-6930-0-69fc96d901513\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7775-6930-1-69fc96d901513\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7775-6930]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-7775-6930-1-69fc96d901513\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7775-6930-1-69fc96d901513\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00fcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7775-6930-2-69fc96d901513\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7775-6930]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-7775-6930-2-69fc96d901513\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7775-6930-2-69fc96d901513\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00fcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-7775-6930-3-69fc96d901513\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-7775-6930]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-7775-6930-3-69fc96d901513\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-7775-6930-3-69fc96d901513\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t\n\t\t<div\n\t\t\ttabindex=\"0\"\n\t\t\trole=\"radiogroup\"\n\t\t\tid=\"question-3085-4956\"\n\t\t\tclass=\"forminator-question\"\n\t\t\tdata-question-type=\"personality\"\n\t\t\taria-labelledby=\"question-3085-4956-label\"\n\t\t\taria-describedby=\"question-3085-4956-description\"\n\t\t\taria-required=\"true\"\n\t\t>\n\n\t\t\t<span id=\"question-3085-4956-label\" class=\"forminator-legend\">6.5 Interaktion mit Personen im direkten und indirekten Umfeld<\/span>\n\t\t\t\n\t\t\t\t\t<label for=\"question-3085-4956-0-69fc96d90157f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3085-4956]\"\n\t\t\t\t\t\t\tvalue=\"0\"\n\t\t\t\t\t\t\tid=\"question-3085-4956-0-69fc96d90157f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3085-4956-0-69fc96d90157f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3085-4956-1-69fc96d90157f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3085-4956]\"\n\t\t\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\t\t\tid=\"question-3085-4956-1-69fc96d90157f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3085-4956-1-69fc96d90157f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00fcberwiegend selbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3085-4956-2-69fc96d90157f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3085-4956]\"\n\t\t\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\t\t\tid=\"question-3085-4956-2-69fc96d90157f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3085-4956-2-69fc96d90157f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">\u00fcberwiegend unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<label for=\"question-3085-4956-3-69fc96d90157f\" class=\"forminator-answer forminator-only--text\">\n\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\t\t\tname=\"answers[question-3085-4956]\"\n\t\t\t\t\t\t\tvalue=\"3\"\n\t\t\t\t\t\t\tid=\"question-3085-4956-3-69fc96d90157f\"\n\t\t\t\t\t\t\tclass=\"\"\n\t\t\t\t\t\t\/>\n\n\t\t\t\t\t\t<span class=\"forminator-answer--design\" for=\"question-3085-4956-3-69fc96d90157f\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t<span class=\"forminator-answer--status\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t<i class=\"forminator-icon-check\"><\/i>\n\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"forminator-answer--name\">unselbstst\u00e4ndig<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/label>\n\n\t\t\t\t\t\n\t\t<\/div>\n\n\t\t<\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div role=\"tabpanel\" id=\"forminator-custom-form-25858--page-7\" class=\"forminator-pagination forminator-hidden\" aria-labelledby=\"forminator-custom-form-25858--page-7-label\" data-step=\"7\" data-label=\"Seite 7\"><div class=\"forminator-pagination--content\"><div class=\"forminator-quiz--result\"><button class=\"forminator-button forminator-button-submit  forminator-pagination-submit\" data-loading=\"Ergebnis wird berechnet\" >Fertig zum Senden<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"939a573731\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F25860\" \/><input type=\"hidden\" name=\"has_lead\" value=\"\"><input type=\"hidden\" name=\"form_id\" value=\"25858\"><input type=\"hidden\" name=\"page_id\" value=\"25860\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/portal.smartcareservice.de\/?page_id=25860\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_quizzes\" \/><\/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>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Analysieren sie ihren Pflegegrad Um festzustellen, wie selbstst\u00e4ndig eine pflegebed\u00fcrftige Person ist, wirft unser Fragebogen einen genauen Blick auf folgende Lebensbereiche: Modul 1 &#8222;Mobilit\u00e4t&#8220;: Die k\u00f6rperliche Beweglichkeit steht im Fokus. Zum Beispiel: Kann die betroffene Person alleine aufstehen und vom Bett ins Badezimmer gehen? Kann sie sich selbstst\u00e4ndig in den eigenen vier W\u00e4nden bewegen, ist Treppensteigen m\u00f6glich? Modul 2 &#8222;Geistige und kommunikative F\u00e4higkeiten&#8220;:\u00a0Dieser Bereich umfasst das Verstehen und Reden. Zum Beispiel: Kann sich die betroffene Person zeitlich und r\u00e4umlich orientieren? Versteht sie Sachverhalte, erkennt sie Risiken und kann sie Gespr\u00e4che mit anderen Menschen f\u00fchren? Modul 3 &#8222;Verhaltensweisen und psychische Problemlagen&#8220;:\u00a0Hierunter fallen unter anderem Unruhe in der Nacht oder \u00c4ngste und Aggressionen, die f\u00fcr die pflegebed\u00fcrftige Person, aber auch f\u00fcr ihre Angeh\u00f6rigen, belastend sind. Auch wenn Abwehrreaktionen bei pflegerischen Ma\u00dfnahmen bestehen, wird dies hier ber\u00fccksichtigt. Modul 4 &#8222;Selbstversorgung&#8220;:\u00a0Kann sich die Antragstellerin oder der Antragsteller sich zum Beispiel waschen und anziehen, kann&hellip;<\/p>\n<p> <a class=\"more-link\" href=\"https:\/\/portal.smartcareservice.de\/?page_id=25860\">Weiterlesen<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-25860","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/portal.smartcareservice.de\/index.php?rest_route=\/wp\/v2\/pages\/25860","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/portal.smartcareservice.de\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/portal.smartcareservice.de\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/portal.smartcareservice.de\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/portal.smartcareservice.de\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25860"}],"version-history":[{"count":0,"href":"https:\/\/portal.smartcareservice.de\/index.php?rest_route=\/wp\/v2\/pages\/25860\/revisions"}],"wp:attachment":[{"href":"https:\/\/portal.smartcareservice.de\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25860"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}