Energie Check für Menschen mit Verantwortung

{"url":"\/Balance-Rad","form_action_on_submit":"display_text","form_action_on_submit_text":"Vielen Dank f\u00fcr das Einreichen des Formulars.","form_include_text_fields_in_notification_emails":null,"rows":[{"columns":[{"columnWidth":null,"fields":[{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-47","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-47","field_type":"line"}]}]},{"columns":[{"columnWidth":null,"fields":[{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-41","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-41","field_type":"text","text":"<p>1. Wie oft merkst du, dass dein Atem flacher wird oder du die Luft anh\u00e4ltst?<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-52","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-52","field_type":"spacer","height":"16px"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-42","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-42","field_type":"radio","field_label":"Antwortm\u00f6glichkeiten","field_placeholder":"","field_required":"1","field_label_required_error":"kaum","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"selten","option_value":"0","option_selected":false,"option_assigned_groups":null},{"option_label":"manchmal","option_value":"1","option_selected":false,"option_assigned_groups":null},{"option_label":"oft","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"fast st\u00e4ndig","option_value":"3","option_selected":false,"option_assigned_groups":null}]},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-40","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-40","field_type":"text","text":"<p>3. Wie oft erlebst du inneren Druck oder Herzklopfen?<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-39","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-39","field_type":"radio","field_label":"Antwortm\u00f6glichkeiten","field_placeholder":"","field_required":"1","field_label_required_error":"kaum","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"nie","option_value":"0","option_selected":false,"option_assigned_groups":null},{"option_label":"selten","option_value":"1","option_selected":false,"option_assigned_groups":null},{"option_label":"manchmal","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"h\u00e4ufig","option_value":"3","option_selected":false,"option_assigned_groups":null},{"option_label":"fast st\u00e4ndig","option_value":"4","option_selected":false,"option_assigned_groups":null}]},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-32","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-32","field_type":"text","text":"<p>5. Wie f\u00fchlst du dich meist nach dem Aufwachen?<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-33","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-33","field_type":"radio","field_label":"Antwortm\u00f6glichkeiten","field_placeholder":"","field_required":"1","field_label_required_error":"kaum","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"erholt und klar","option_value":"0","option_selected":false,"option_assigned_groups":null},{"option_label":"okay, aber nicht frisch","option_value":"1","option_selected":false,"option_assigned_groups":null},{"option_label":"m\u00fcde oder wie erschlagen","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"mit Druck im Kopf oder Brust","option_value":"3","option_selected":false,"option_assigned_groups":null}]},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-30","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-30","field_type":"text","text":"<p>7. Wie oft erlebst du Gr\u00fcbelschleifen, in denen sich Gedanken im Kreis drehen?<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-31","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-31","field_type":"radio","field_label":"Antwortm\u00f6glichkeiten","field_placeholder":"","field_required":"1","field_label_required_error":"kaum","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"selten","option_value":"0","option_selected":false,"option_assigned_groups":null},{"option_label":"ungef\u00e4hr einmal t\u00e4glich","option_value":"1","option_selected":false,"option_assigned_groups":null},{"option_label":"mehrmals t\u00e4glich","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"fast dauerhafth","option_value":"3","option_selected":false,"option_assigned_groups":null}]},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-54","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-54","field_type":"spacer","height":"14px"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-26","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-26","field_type":"text","text":"<p>9. Wie schwer f\u00e4llt es dir aktuell, nach der Arbeit innerlich abzuschalten?<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-27","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-27","field_type":"radio","field_label":"Antwortm\u00f6glichkeiten","field_placeholder":"","field_required":"1","field_label_required_error":"kaum","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"leicht","option_value":"0","option_selected":false,"option_assigned_groups":null},{"option_label":"mittel","option_value":"1","option_selected":false,"option_assigned_groups":null},{"option_label":"schwer","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"fast unm\u00f6glich","option_value":"3","option_selected":false,"option_assigned_groups":null}]},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-21","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-21","field_type":"text","text":"<p>11. An wie vielen Tagen pro Woche nimmst du dir mindestens 10 Minuten nur f\u00fcr dich?<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-23","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-23","field_type":"radio","field_label":"Antwortm\u00f6glichkeiten","field_placeholder":"","field_required":"1","field_label_required_error":"kaum","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"an keinem Tag","option_value":"0","option_selected":false,"option_assigned_groups":null},{"option_label":"an 1\u20132 Tagen","option_value":"1","option_selected":false,"option_assigned_groups":null},{"option_label":"an 3\u20134 Tagen","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"an 5\u20137 Tagen","option_value":"3","option_selected":false,"option_assigned_groups":null}]}]},{"columnWidth":null,"fields":[{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-43","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-43","field_type":"text","text":"<p>2. Wo sp\u00fcrst du Anspannung am st\u00e4rksten?<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-44","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-44","field_type":"radio","field_label":"Antwortm\u00f6glichkeiten","field_placeholder":"","field_required":"1","field_label_required_error":"kaum","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"Nacken und Schultern","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"Brustkorb \/ Herzbereich","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"Magen oder Bauch","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"Kopf oder Kiefer","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"kaum sp\u00fcrbar","option_value":"0","option_selected":false,"option_assigned_groups":null}]},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-36","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-36","field_type":"text","text":"<p>4. Wie oft ist dein Schlaf in der Nacht unterbrochen?<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-37","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-37","field_type":"radio","field_label":"Antwortm\u00f6glichkeiten","field_placeholder":"","field_required":"1","field_label_required_error":"kaum","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"nie","option_value":"0","option_selected":false,"option_assigned_groups":null},{"option_label":"ungef\u00e4hr einmal pro Woche","option_value":"1","option_selected":false,"option_assigned_groups":null},{"option_label":"zwei bis drei Mal pro Woche","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"fast jede Nacht","option_value":"3","option_selected":false,"option_assigned_groups":null}]},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-53","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-53","field_type":"spacer","height":"16px"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-34","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-34","field_type":"text","text":"<p>6. Wie lange brauchst du durchschnittlich zum Einschlafen?<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-35","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-35","field_type":"radio","field_label":"Antwortm\u00f6glichkeiten","field_placeholder":"","field_required":"1","field_label_required_error":"kaum","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"unter 10 Minuten","option_value":"0","option_selected":false,"option_assigned_groups":null},{"option_label":"10\u201330 Minuten","option_value":"1","option_selected":false,"option_assigned_groups":null},{"option_label":"30\u201360 Minuten","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"\u00fcber 60 Minuten","option_value":"3","option_selected":false,"option_assigned_groups":null}]},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-28","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-28","field_type":"text","text":"<p>8. Wann f\u00e4llt dir das Gr\u00fcbeln am meisten auf?<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-29","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-29","field_type":"radio","field_label":"Antwortm\u00f6glichkeiten","field_placeholder":"","field_required":"1","field_label_required_error":"kaum","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"abends vor dem Schlafengehen","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"in der Nacht beim Aufwachen","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"untertags bei der Arbeit","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"in der Freizeit oder mit der Familie","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"kein klares Muster","option_value":"1","option_selected":false,"option_assigned_groups":null}]},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-24","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-24","field_type":"text","text":"<p>10. Hast du eher das Gef\u00fchl, f\u00fcr andere da zu sein oder f\u00fcr dich selbst?<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-25","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-25","field_type":"radio","field_label":"Antwortm\u00f6glichkeiten","field_placeholder":"","field_required":"1","field_label_required_error":"kaum","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"klar f\u00fcr mich","option_value":"0","option_selected":false,"option_assigned_groups":null},{"option_label":"relativ ausgewogen","option_value":"1","option_selected":false,"option_assigned_groups":null},{"option_label":"\u00fcberwiegend f\u00fcr andere","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"fast nur f\u00fcr andere","option_value":"3","option_selected":false,"option_assigned_groups":null}]},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-17","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-17","field_type":"text","text":"<p>12. Wie sehr hast du das Gef\u00fchl, aktuell im Funktionsmodus zu sein?<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-18","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-18","field_type":"radio","field_label":"Antwortm\u00f6glichkeiten","field_placeholder":"","field_required":"1","field_label_required_error":"kaum","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"kaum","option_value":"0","option_selected":false,"option_assigned_groups":null},{"option_label":"m\u00e4\u00dfig","option_value":"1","option_selected":false,"option_assigned_groups":null},{"option_label":"stark","option_value":"2","option_selected":false,"option_assigned_groups":null},{"option_label":"sehr stark","option_value":"3","option_selected":false,"option_assigned_groups":null}]}]}]},{"columns":[{"columnWidth":12,"fields":[{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-4","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-4","field_type":"title","field_label":"Anrede","field_placeholder":"Ausw\u00e4hlen","clientField":"title"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-6","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-6","field_type":"firstname","field_label":"Vorname","field_placeholder":"Vorname","clientField":"firstname"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-10","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-10","field_type":"input_email","field_label":"E-Mail","field_placeholder":"E-Mail"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-15","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-15","field_type":"text","text":"<p>Dein Wunsch:<\/p>"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-13","field_name":"Textfeld","field_type":"textarea","field_label":"Was w\u00fcrdest du dir in den n\u00e4chsten vier Wochen am meisten w\u00fcnschen, was sich in deinem Alltag ver\u00e4ndert?","field_placeholder":"","field_required":null,"field_label_required_error":"","field_hidden":null},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-1","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-1","field_type":"button","field_label":"Absenden","buttonClasses":"wsw-block-button-default wsw-button-solid wsw-button-rounded wsw-button-custom-size wsw-button-custom-padding","field_placeholder":"","field_required":null,"field_label_required_error":"","field_hidden":null,"field_value":"","field_button_size":"custom","field_button_custom_size":"2.9","field_button_style":"inherit","field_button_shape":"inherit","field_button_padding_vertical":"0","field_button_padding_horizontal":"7.9"}]},{"columnWidth":12,"fields":[{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-8","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-8","field_type":"lastname","field_label":"Nachname","field_placeholder":"Nachname","clientField":"lastname"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-56","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-56","field_type":"phone","field_label":"Telefon","field_placeholder":"Telefon","clientField":"phone"},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-57","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-57","field_type":"radio","field_label":"Terminwunsch","field_placeholder":"","field_required":null,"field_label_required_error":"","field_hidden":null,"field_select_multiple":null,"field_label_no_option":"","options":[{"option_label":"vor Ort","option_value":"","option_selected":false,"option_assigned_groups":null},{"option_label":"Online","option_value":"","option_selected":false,"option_assigned_groups":null}]},{"field_id":"2688db73-5b32-464e-b11c-c736d0686cf0-field-5","field_name":"2688db73-5b32-464e-b11c-c736d0686cf0-field-5","field_type":"spacer","height":"33.625px"}]}]}]}

{"no_option":"Keine Option","subscribe_to_newsletter":"Newsletter abonnieren","subscribe_to_newsletter_yes":"Ja","subscribe_to_newsletter_no":"Nein","send_form_to_me_label":"Kopie an mich senden","choose_file":"Datei ausw\u00e4hlen","invalid_email":"E-Mail ist nicht korrekt","email_does_not_match":"E-Mail stimmt nicht \u00fcberein","password_does_not_match":"Passwort stimmt nicht \u00fcberein","captcha_failed":"Captcha-Verifikation fehlgeschlagen. Bitte versuchen Sie es erneut.","field_required":"Dieses Feld ist notwendig","unknown_error":"Unbekannter Error. Bitte neu laden","on_submit_text":"Vielen Dank f\u00fcr das Einreichen des Formulars."}