{"id":7022,"date":"2025-04-16T05:50:56","date_gmt":"2025-04-16T05:50:56","guid":{"rendered":"https:\/\/spital-deva.ro\/spj\/?page_id=7022"},"modified":"2025-04-16T05:50:57","modified_gmt":"2025-04-16T05:50:57","slug":"feedback-pacienti","status":"publish","type":"page","link":"https:\/\/spital-deva.ro\/spj\/feedback-pacienti\/","title":{"rendered":"Feedback Pacien\u021bi"},"content":{"rendered":"<div class='fluentform ff-default fluentform_wrapper_6 ffs_default_wrap'><form data-form_id=\"6\" id=\"fluentform_6\" class=\"frm-fluent-form fluent_form_6 ff-el-form-top ff_form_instance_6_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_6_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Blank Form (#6)<\/legend><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"80\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><input type='hidden' name='__fluent_form_embded_post_id' value='7022' \/><input type=\"hidden\" id=\"_fluentform_6_fluentformnonce\" name=\"_fluentform_6_fluentformnonce\" value=\"7ff8d070d4\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/spj\/wp-json\/wp\/v2\/pages\/7022\" \/><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_1\" ><h3 class='ff-el-section-title'>Chestionar privind satisfac\u021bia pacientului<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-left'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_datetime' aria-label=\"Data intern\u0103rii\">Data intern\u0103rii<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Data intern\u0103rii Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" value=\"16\/10\/2026\" id=\"ff_6_datetime\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group ff-el-form-left'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown' aria-label=\"Sec\u021bia\">Sec\u021bia<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_6_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">- Selecteaz\u0103 sec\u021bia -<\/option><option value=\"Ambulatoriu (Cabinete Policlinic\u0103)\"  >Ambulatoriu (Cabinete Policlinic\u0103)<\/option><option value=\"ATI\"  >ATI<\/option><option value=\"Boli Infec\u021bioase\"  >Boli Infec\u021bioase<\/option><option value=\"Cardiologie\"  >Cardiologie<\/option><option value=\"Chirurgie General\u0103\"  >Chirurgie General\u0103<\/option><option value=\"Chirurgie plastic\u0103 \u0219i recuperatorie\"  >Chirurgie plastic\u0103 \u0219i recuperatorie<\/option><option value=\"Dermatologie\"  >Dermatologie<\/option><option value=\"Hematologie\"  >Hematologie<\/option><option value=\"Gastroenterologie\"  >Gastroenterologie<\/option><option value=\"Medicin\u0103 Fizic\u0103 \u0219i de Reabilitare\"  >Medicin\u0103 Fizic\u0103 \u0219i de Reabilitare<\/option><option value=\"Medicin\u0103 Intern\u0103\"  >Medicin\u0103 Intern\u0103<\/option><option value=\"Nefrologie\"  >Nefrologie<\/option><option value=\"Neonatologie (nou n\u0103scu\u021bi)\"  >Neonatologie (nou n\u0103scu\u021bi)<\/option><option value=\"Neurochirurgie\"  >Neurochirurgie<\/option><option value=\"Neurologie\"  >Neurologie<\/option><option value=\"Obstetric\u0103-Ginecologie\"  >Obstetric\u0103-Ginecologie<\/option><option value=\"Oftalmologie\"  >Oftalmologie<\/option><option value=\"Oncologie medical\u0103\"  >Oncologie medical\u0103<\/option><option value=\"Otorinolaringologie (ORL)\"  >Otorinolaringologie (ORL)<\/option><option value=\"Ortopedie \u0219i Traumatologie\"  >Ortopedie \u0219i Traumatologie<\/option><option value=\"Pediatie\"  >Pediatie<\/option><option value=\"Pneumologie\"  >Pneumologie<\/option><option value=\"Psihiatrie\"  >Psihiatrie<\/option><option value=\"Reumatologie\"  >Reumatologie<\/option><option value=\"Urologie\"  >Urologie<\/option><\/select><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-6_2\" ><h3 class='ff-el-section-title'>Sec\u021biunea 1<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_1  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-6_3\" ><p><strong>1.C\u00e2nd a\u021bi intrat prima dat\u0103 \u00een aceast\u0103 unitate ce impresie v-a\u021bi f\u0103cut? Alege\u021bi 3 cuvinte care descriu cel mai bine situa\u021bia din acel moment, din unitatea de primire:\u00a0<\/strong><\/p>\n<p>&nbsp;<\/p><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Lux\">Lux<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=lux_88bc182a8873a1f249e2efac38dafbaf><input  type=\"radio\" name=\"lux\" data-name=\"lux\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='lux_88bc182a8873a1f249e2efac38dafbaf' aria-label='1' aria-invalid='false' aria-required=false> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=lux_b3e010c54c1c0bad200a1ae0a5a3a2b9><input  type=\"radio\" name=\"lux\" data-name=\"lux\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='lux_b3e010c54c1c0bad200a1ae0a5a3a2b9' aria-label='2' aria-invalid='false' aria-required=false> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=lux_523b79db91cdc0f75f68ffd8f7a03eec><input  type=\"radio\" name=\"lux\" data-name=\"lux\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='lux_523b79db91cdc0f75f68ffd8f7a03eec' aria-label='3' aria-invalid='false' aria-required=false> <span>3<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Cur\u0103\u021benie\">Cur\u0103\u021benie<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=curatenie_c3370bba4f1d232953e9890370c62788><input  type=\"radio\" name=\"curatenie\" data-name=\"curatenie\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='curatenie_c3370bba4f1d232953e9890370c62788' aria-label='1' aria-invalid='false' aria-required=false> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=curatenie_e437fe1215214f170d67edbca24b9d75><input  type=\"radio\" name=\"curatenie\" data-name=\"curatenie\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='curatenie_e437fe1215214f170d67edbca24b9d75' aria-label='2' aria-invalid='false' aria-required=false> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=curatenie_a014969312c61cfcddd8c4092338caab><input  type=\"radio\" name=\"curatenie\" data-name=\"curatenie\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='curatenie_a014969312c61cfcddd8c4092338caab' aria-label='3' aria-invalid='false' aria-required=false> <span>3<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Aglomera\u021bie\">Aglomera\u021bie<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_15c60ef646a2230c56f167bec88e21fd><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_6_15c60ef646a2230c56f167bec88e21fd' aria-label='1' aria-invalid='false' aria-required=false> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_645439b425cbf48a8f29b0be85895257><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_6_645439b425cbf48a8f29b0be85895257' aria-label='2' aria-invalid='false' aria-required=false> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_c7392832de215cf9c6c5a0ecb2b940ed><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_6_c7392832de215cf9c6c5a0ecb2b940ed' aria-label='3' aria-invalid='false' aria-required=false> <span>3<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Dezordine\">Dezordine<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_7_8f677613cb4eaedfb8af3b752a8d467e><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_7_8f677613cb4eaedfb8af3b752a8d467e' aria-label='1' aria-invalid='false' aria-required=false> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_7_6f06a2e777ac58893d9042f7140581d6><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_7_6f06a2e777ac58893d9042f7140581d6' aria-label='2' aria-invalid='false' aria-required=false> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_7_8af7e047fba37f7b037c445debceb8e4><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_7_8af7e047fba37f7b037c445debceb8e4' aria-label='3' aria-invalid='false' aria-required=false> <span>3<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Mizerie\">Mizerie<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_01acd8aae09627928adf3c6b3595cbc8><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_3_01acd8aae09627928adf3c6b3595cbc8' aria-label='1' aria-invalid='false' aria-required=false> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_1bb53e4ec66053e22a83a5407a54e509><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_3_1bb53e4ec66053e22a83a5407a54e509' aria-label='2' aria-invalid='false' aria-required=false> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_a47f1307affcdda2607f73328e3b5f53><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_3_a47f1307affcdda2607f73328e3b5f53' aria-label='3' aria-invalid='false' aria-required=false> <span>3<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Disciplin\u0103\">Disciplin\u0103<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_3549b155f89d7c941db9a42b3e9bba4a><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_8_3549b155f89d7c941db9a42b3e9bba4a' aria-label='1' aria-invalid='false' aria-required=false> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_6927bf55499ff8280a385d2826b880f4><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_8_6927bf55499ff8280a385d2826b880f4' aria-label='2' aria-invalid='false' aria-required=false> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_773bc2ffa8028882ff0fdf0ca3311466><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_8_773bc2ffa8028882ff0fdf0ca3311466' aria-label='3' aria-invalid='false' aria-required=false> <span>3<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Lini\u0219te\">Lini\u0219te<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_9_292dca9abb2de6e277fda9dec019bd59><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_9_292dca9abb2de6e277fda9dec019bd59' aria-label='1' aria-invalid='false' aria-required=false> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_9_dab63c33ffcde14a50d6d2d0c7b52751><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_9_dab63c33ffcde14a50d6d2d0c7b52751' aria-label='2' aria-invalid='false' aria-required=false> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_9_d9314a4cf20d0e67ab339fcc3e29f242><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_9_d9314a4cf20d0e67ab339fcc3e29f242' aria-label='3' aria-invalid='false' aria-required=false> <span>3<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"S\u0103r\u0103cie\">S\u0103r\u0103cie<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_10_2598f5106fab73ac56d238ab114cc241><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_10_2598f5106fab73ac56d238ab114cc241' aria-label='1' aria-invalid='false' aria-required=false> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_10_851b93ae65a84885174f6630e1d9f041><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_10_851b93ae65a84885174f6630e1d9f041' aria-label='2' aria-invalid='false' aria-required=false> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_10_fe9f6bc5088045250cf53fb7956eb5f1><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_10_fe9f6bc5088045250cf53fb7956eb5f1' aria-label='3' aria-invalid='false' aria-required=false> <span>3<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Altul 1\">Altul 1<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_11_b1d2c022377c4a9e77c4365ed23f1816><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_11_b1d2c022377c4a9e77c4365ed23f1816' aria-label='1' aria-invalid='false' aria-required=false> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_11_cfb73e38f9320a53910fa343759b8c71><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_11_cfb73e38f9320a53910fa343759b8c71' aria-label='2' aria-invalid='false' aria-required=false> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_11_d9a4f5779dc1dd163a5b054327351723><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_11_d9a4f5779dc1dd163a5b054327351723' aria-label='3' aria-invalid='false' aria-required=false> <span>3<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-6_4\" ><p>*) Bifa\u021bi 1,2 sau 3 \u00een ordinea priorit\u0103\u021bii<\/p><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_1  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-6_5\" ><p><strong>2. Situa\u021bia din unitatea de primire, pe care tocmai a\u021bi descris-o, v-a modificat starea de spirit?\u00a0<\/strong><\/p><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"M-a demoralizat\">M-a demoralizat<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_f973e478598c0a7109d65097377c618d><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Da\"  id='input_radio_f973e478598c0a7109d65097377c618d' aria-label='Da' aria-invalid='false' aria-required=false> <span>Da<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_4aa70ee169f4d94a40762b0e35f347e9><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nu\"  id='input_radio_4aa70ee169f4d94a40762b0e35f347e9' aria-label='Nu' aria-invalid='false' aria-required=false> <span>Nu<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Nu a avut niciun efect\">Nu a avut niciun efect<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_6bc8bf8dd3597a2476ba62c1e84a1ca0><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Da\"  id='input_radio_1_6bc8bf8dd3597a2476ba62c1e84a1ca0' aria-label='Da' aria-invalid='false' aria-required=false> <span>Da<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_af2844d40a9e91a53f5b15e98b7beff6><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nu\"  id='input_radio_1_af2844d40a9e91a53f5b15e98b7beff6' aria-label='Nu' aria-invalid='false' aria-required=false> <span>Nu<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Mi-a ridicat moralul\">Mi-a ridicat moralul<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_2_1de3971b771490d7f22420b32e61a791><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Da\"  id='input_radio_2_1de3971b771490d7f22420b32e61a791' aria-label='Da' aria-invalid='false' aria-required=false> <span>Da<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_2_eb9c33c0ad4fabe146563544a370e372><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nu\"  id='input_radio_2_eb9c33c0ad4fabe146563544a370e372' aria-label='Nu' aria-invalid='false' aria-required=false> <span>Nu<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-6_6\" ><p>(bifa\u021bi o singur\u0103 variant\u0103)<\/p><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_1  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-6_7\" ><p><strong>3. Cum a\u021bi ajuns s\u0103 apela\u021bi pentru internare la spitalul nostru?<\/strong><\/p><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Internare\">Internare <\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_12_0b26baf473938101af26e20be5e0954d><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"a. V-a\u021bi prezentat la camera de gard\u0103;\"  id='input_radio_12_0b26baf473938101af26e20be5e0954d' aria-label='a. V-a\u021bi prezentat la camera de gard\u0103;' aria-invalid='false' aria-required=false> <span>a. V-a\u021bi prezentat la camera de gard\u0103;<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_12_cff64269cbca537d91f34db137fa66ae><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"b. A\u021bi avut trimitere de la medicul dumneavostr\u0103 de familie\"  id='input_radio_12_cff64269cbca537d91f34db137fa66ae' aria-label='b. A\u021bi avut trimitere de la medicul dumneavostr\u0103 de familie' aria-invalid='false' aria-required=false> <span>b. A\u021bi avut trimitere de la medicul dumneavostr\u0103 de familie<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_12_a579578b7226f60513ce575e3431fa44><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"c. A\u021bi venit cu trimitere de la medicul dumneavoastr\u0103 de familie;\"  id='input_radio_12_a579578b7226f60513ce575e3431fa44' aria-label='c. A\u021bi venit cu trimitere de la medicul dumneavoastr\u0103 de familie;' aria-invalid='false' aria-required=false> <span>c. A\u021bi venit cu trimitere de la medicul dumneavoastr\u0103 de familie;<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_12_eba1004625bbd2b04c2c776a4b8ac001><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"d. A\u021bi venit cu ambulan\u021ba;\"  id='input_radio_12_eba1004625bbd2b04c2c776a4b8ac001' aria-label='d. A\u021bi venit cu ambulan\u021ba;' aria-invalid='false' aria-required=false> <span>d. A\u021bi venit cu ambulan\u021ba;<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_12_e7acb2e859df4ac0aa0a6b5832404936><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"e. Alt\u0103 situa\u021bie.\"  id='input_radio_12_e7acb2e859df4ac0aa0a6b5832404936' aria-label='e. Alt\u0103 situa\u021bie.' aria-invalid='false' aria-required=false> <span>e. Alt\u0103 situa\u021bie.<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-6_8\" ><p>(bifa\u021bi una din variantele de r\u0103spuns)<\/p><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_1  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-6_9\" ><p><strong>4. ... Tip internare<\/strong><\/p><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Tip internare\">Tip internare<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_16_b33ce83fc0ac575c11752e84cf323f07><input  type=\"radio\" name=\"input_radio_16\" data-name=\"input_radio_16\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"a) Prima internare;\"  id='input_radio_16_b33ce83fc0ac575c11752e84cf323f07' aria-label='a) Prima internare;' aria-invalid='false' aria-required=false> <span>a) Prima internare;<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_16_88adc2ad91bb0b0910e6bc99e7d6f305><input  type=\"radio\" name=\"input_radio_16\" data-name=\"input_radio_16\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"b) Reinternare.\"  id='input_radio_16_88adc2ad91bb0b0910e6bc99e7d6f305' aria-label='b) Reinternare.' aria-invalid='false' aria-required=false> <span>b) Reinternare.<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_1  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-6_10\" ><p><strong>5. Cum a\u021bi ajuns s\u0103 apela\u021bi pentru internare la spitalul nostru?<\/strong><\/p><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"1. A\u021bi fost primit cu amabilitate de la \u00eenceput?\">1. A\u021bi fost primit cu amabilitate de la \u00eenceput?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_13_b0623ac799adba4adec7a86ee2fd9380><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Da\"  id='input_radio_13_b0623ac799adba4adec7a86ee2fd9380' aria-label='Da' aria-invalid='false' aria-required=false> <span>Da<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_13_50d917a9813233006a7efa8c8c7edc5f><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nu\"  id='input_radio_13_50d917a9813233006a7efa8c8c7edc5f' aria-label='Nu' aria-invalid='false' aria-required=false> <span>Nu<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"2. A\u021bi fost informat pe \u00een\u021belesul dvs. despre boal\u0103, tratament, risc operator, prognostic??\">2. A\u021bi fost informat pe \u00een\u021belesul dvs. despre boal\u0103, tratament, risc operator, prognostic??<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_14_7539c21b863d42b3c0eb43c10d89820c><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Da\"  id='input_radio_14_7539c21b863d42b3c0eb43c10d89820c' aria-label='Da' aria-invalid='false' aria-required=false> <span>Da<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_14_33bdf6212f104afbf0f8d635828e2fb7><input  type=\"radio\" name=\"input_radio_14\" data-name=\"input_radio_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nu\"  id='input_radio_14_33bdf6212f104afbf0f8d635828e2fb7' aria-label='Nu' aria-invalid='false' aria-required=false> <span>Nu<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-left  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"2. A\u021bi fost condus la explor\u0103ri (ecografie, radiografie)?\">2. A\u021bi fost condus la explor\u0103ri (ecografie, radiografie)?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_15_54aa13a9dc607caf7d4366e2c72943c2><input  type=\"radio\" name=\"input_radio_15\" data-name=\"input_radio_15\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Da\"  id='input_radio_15_54aa13a9dc607caf7d4366e2c72943c2' aria-label='Da' aria-invalid='false' aria-required=false> <span>Da<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_15_a7eb1b89f5858ddf302619c0009aa0c3><input  type=\"radio\" name=\"input_radio_15\" data-name=\"input_radio_15\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Nu\"  id='input_radio_15_a7eb1b89f5858ddf302619c0009aa0c3' aria-label='Nu' aria-invalid='false' aria-required=false> <span>Nu<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper ff_submit_btn_wrapper_custom'><button class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style wpf_has_custom_css\" type=\"submit\" name=\"custom_submit_button-6_11\" data-name=\"custom_submit_button-6_11\" >Trimite feedback<\/button><style>form.fluent_form_6 .wpf_has_custom_css.ff-btn-submit { background-color:#1a7efb;border-color:#1a7efb;color:#ffffff;min-width:100%; 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