{"id":20090,"date":"2024-08-07T14:06:51","date_gmt":"2024-08-07T12:06:51","guid":{"rendered":"https:\/\/veselyok.sigma.aurius.sk\/ocny-test\/"},"modified":"2025-10-17T09:03:25","modified_gmt":"2025-10-17T07:03:25","slug":"eye-test","status":"publish","type":"page","link":"https:\/\/veselyok.sigma.aurius.sk\/en\/eye-test\/","title":{"rendered":"Eye test"},"content":{"rendered":"<div class=\"eye-test-wrapper\">\r\n<div class=\"container\">\r\n<div class=\"eye-benefit-banner\">Not sure if the surgery is right for you?<\/div>\r\n<div class=\"row align-items-start\">\r\n<div class=\"col-lg-8\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework form-eye-test_wrapper' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_13' style='display:none'><div id='gf_13' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Not sure if the surgery is right for you?<\/h2>\n                            <p class='gform_description'><h3 class=\"mt-1\">We\u2019ll be happy to help you.<\/h3>  \r\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/veselyok.com\/wp-content\/themes\/wp-bootstrap-starter\/logo.svg\" alt=\"\" width=\"300\" height=\"93\" class=\"alignnone size-medium wp-image-18988\" \/><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_13' id='gform_13' class='form-eye-test' action='\/en\/wp-json\/wp\/v2\/pages\/20090#gf_13' data-formid='13' novalidate>\n        <div id='gf_progressbar_wrapper_13' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>7<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_14' style='width:14%;'><span>14%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_13_1' class='gform_page interactive-eye-test--first-screen' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_13' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_13_56\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gfield_label gform-field-label\">Your new perspective on the world starts HERE<\/div >\n<div class=\"text-center\"><a href=\"#\" class=\"interactive-eye-test__btn interactive-eye-test__btn--start\">Start the online eye test<\/a><\/div ><\/div><div id=\"field_13_57\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full interactive-eye-test__result field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_13_57'>V\u00fdsledok interaktivneho testu<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_13_57' type='text' value='0' class='small'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_13_9' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_13_2' class='gform_page' data-js='page-field-id-9' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_2' class='gform_fields top_label form_sublabel_above description_below validation_below'><fieldset id=\"field_13_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What is your age group?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_24'>\n\t\t\t<div class='gchoice gchoice_13_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Neodpor\u00fa\u010da sa'  id='choice_13_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_24_0' id='label_13_24_0' class='gform-field-label gform-field-label--type-inline'>under 19<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Laserov\u00e1 korekcia zraku'  id='choice_13_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_24_1' id='label_13_24_1' class='gform-field-label gform-field-label--type-inline'>19-39<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_24_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='V\u00fdmena  \u0161o\u0161ovky'  id='choice_13_24_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_24_2' id='label_13_24_2' class='gform-field-label gform-field-label--type-inline'>40-59<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_24_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='V\u00fdmena \u0161o\u0161ovky'  id='choice_13_24_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_24_3' id='label_13_24_3' class='gform-field-label gform-field-label--type-inline'>60+<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_13_29' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Back'  \/> <input type='button' id='gform_next_button_13_29' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_13_3' class='gform_page' data-js='page-field-id-29' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_3' class='gform_fields top_label form_sublabel_above description_below validation_below'><fieldset id=\"field_13_27\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Without your visual aid, you have difficulty with\u2026<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_27'>\n\t\t\t<div class='gchoice gchoice_13_27_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Seeing distant objects'  id='choice_13_27_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_27_0' id='label_13_27_0' class='gform-field-label gform-field-label--type-inline'>Seeing distant objects<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_27_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Seeing nearby objects'  id='choice_13_27_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_27_1' id='label_13_27_1' class='gform-field-label gform-field-label--type-inline'>Seeing nearby objects<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_27_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Seeing both distant and nearby objects'  id='choice_13_27_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_27_2' id='label_13_27_2' class='gform-field-label gform-field-label--type-inline'>Seeing both distant and nearby objects<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_27_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='Overall blurry vision'  id='choice_13_27_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_13_27_3' id='label_13_27_3' class='gform-field-label gform-field-label--type-inline'>Overall blurry vision<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_13_50' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Back'  \/> <input type='button' id='gform_next_button_13_50' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_13_4' class='gform_page' data-js='page-field-id-50' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_4' class='gform_fields top_label form_sublabel_above description_below validation_below'><fieldset id=\"field_13_58\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full input-custom-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please select the options that apply to you<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_13_58'><div class='gchoice gchoice_13_58_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.1' type='checkbox'  value='Chronick\u00e9 ochorenie'  id='choice_13_58_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_58_1' id='label_13_58_1' class='gform-field-label gform-field-label--type-inline'>I suffer from a chronic condition or take medication regularly<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_58_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.2' type='checkbox'  value='Boles\u0165, zahmlen\u00e9 videnie'  id='choice_13_58_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_58_2' id='label_13_58_2' class='gform-field-label gform-field-label--type-inline'>I suffer from frequent headaches or blurred vision<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_58_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.3' type='checkbox'  value='Stabilizovan\u00e1 dioptria'  id='choice_13_58_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_58_3' id='label_13_58_3' class='gform-field-label gform-field-label--type-inline'>My prescription is stable. It hasn\u2019t changed for over a year.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_58_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.4' type='checkbox'  value='Syndr\u00f3m such\u00e9ho oka'  id='choice_13_58_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_58_4' id='label_13_58_4' class='gform-field-label gform-field-label--type-inline'>I suffer from dry eye syndrome<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_13_43' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Back'  \/> <input type='button' id='gform_next_button_13_43' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_13_5' class='gform_page' data-js='page-field-id-43' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_5' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_13_3\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full input-custom-color gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_3'>What phone number can we contact you at?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_13_3' type='tel' value='' class='large'  placeholder='09xxxxxxxx' aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"tel\" \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_13_23' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Back'  \/> <input type='button' id='gform_next_button_13_23' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_13_6' class='gform_page' data-js='page-field-id-23' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_6' class='gform_fields top_label form_sublabel_above description_below validation_below'><fieldset id=\"field_13_39\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full input-custom-color gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What is your name?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_13_39'>\n                            \n                            <span id='input_13_39_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_13_39_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                    <input type='text' name='input_39.3' id='input_13_39_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_13_39_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_13_39_6' class='gform-field-label gform-field-label--type-sub '>Last name<\/label>\n                                                            <input type='text' name='input_39.6' id='input_13_39_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_13_21' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Back'  \/> <input type='button' id='gform_next_button_13_21' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_13_7' class='gform_page' data-js='page-field-id-21' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_13_7' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_13_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full input-custom-color gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_13_2'>Which email should we send the results to?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_13_2' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                        <\/div><\/div><div id=\"field_13_32\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Vo v\u0161eobecnosti plat\u00ed, \u017ee vhodn\u00fd pacient na laserov\u00fa oper\u00e1ciu o\u010d\u00ed by mal ma\u0165 minim\u00e1lne 18 rokov. Do dov\u0155\u0161enia tohto veku je \u013eudsk\u00e9 oko st\u00e1le vo v\u00fdvoji a zrak sa e\u0161te m\u00f4\u017ee meni\u0165. Refrak\u010dn\u00fd laserov\u00fd z\u00e1krok m\u00f4\u017eete podst\u00fapi\u0165, a\u017e ke\u010f je zrak stabilizovan\u00fd. \n<br><br>\nObjednajte sa na komplexn\u00e9 vy\u0161etrenie, ktor\u00e9 n\u00e1m pom\u00f4\u017ee diagnostikova\u0165 v\u00e1\u0161 zdravotn\u00fd stav s progn\u00f3zou do bud\u00facna.<\/div><fieldset id=\"field_13_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full text-gray gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Potvrdenie spracovania osobn\u00fdch \u00fadajov<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_13_40'><div class='gchoice gchoice_13_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='\u00c1no'  id='choice_13_40_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_40_1' id='label_13_40_1' class='gform-field-label gform-field-label--type-inline'>I confirm that I have read the information regarding <a href=\"https:\/\/veselyok.com\/ochrana-osobnych-udajov\/\" target=\"_blank\" rel=\"noopener\">the processing of personal data at VESELY O\u010dn\u00e1 Klinika<\/a> [1].<span style=\"color: #ff0000\">*<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_41\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full text-gray gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Untitled<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_13_41'><div class='gchoice gchoice_13_41_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.1' type='checkbox'  value='\u00c1no'  id='choice_13_41_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_41_1' id='label_13_41_1' class='gform-field-label gform-field-label--type-inline'>In accordance with Article 6 and Article 7 of Regulation No 2016\/679 of the European Parliament and the Council of the European Union of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data and Act No 18\/2018 Coll. on the protection of Personal Data, I hereby give my consent to VESELY O\u010dn\u00e1 Klinika, s. r. o. to process my personal data to the extent of: first name, surname, email and telephone number for the purpose of contacting me back. The legal basis for the processing of personal data is given under Article 6(1)(a) of the Regulation. 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