__CONFIG_lead_generation_code__<style>#_form_3_ { font-size:14px; line-height:1.6; font-family:arial, helvetica, sans-serif; margin:0; }#_form_3_ * { outline:0; }._form_hide { display:none; visibility:hidden; }._form_show { display:block; visibility:visible; }#_form_3_._form-top { top:0; }#_form_3_._form-bottom { bottom:0; }#_form_3_._form-left { left:0; }#_form_3_._form-right { right:0; }#_form_3_ input[type="text"],#_form_3_ input[type="date"],#_form_3_ textarea { padding:6px; height:auto; border:#979797 1px solid; border-radius:4px; color:#000 !important; font-size:13px; -webkit-box-sizing:border-box; -moz-box-sizing:border-box; box-sizing:border-box; }#_form_3_ textarea { resize:none; }#_form_3_ ._submit { -webkit-appearance:none; cursor:pointer; font-family:arial, sans-serif; font-size:14px; text-align:center; background:#ff2b58 !important; border:0 !important; -moz-border-radius:4px !important; -webkit-border-radius:4px !important; border-radius:4px !important; color:#fff !important; padding:10px !important; }#_form_3_ ._close-icon { cursor:pointer; background-image:url('https://d226aj4ao1t61q.cloudfront.net/esfkyjh1u_forms-close-dark.png'); background-repeat:no-repeat; background-size:14.2px 14.2px; position:absolute; display:block; top:11px; right:9px; overflow:hidden; width:16.2px; height:16.2px; }#_form_3_ ._close-icon:before { position:relative; }#_form_3_ ._form-body { margin-bottom:30px; }#_form_3_ ._form-image-left { width:150px; float:left; }#_form_3_ ._form-content-right { margin-left:164px; }#_form_3_ ._form-branding { color:#fff; font-size:10px; clear:both; text-align:left; margin-top:30px; font-weight:100; }#_form_3_ ._form-branding ._logo { display:block; width:130px; height:14px; margin-top:6px; background-image:url('https://d226aj4ao1t61q.cloudfront.net/hh9ujqgv5_aclogo_li.png'); background-size:130px auto; background-repeat:no-repeat; }#_form_3_ ._form-label,#_form_3_ ._form_element ._form-label { font-weight:bold; margin-bottom:5px; display:block; 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}#_form_3_ ._form_element { margin:0 0 20px; padding:0; width:100%; }#_form_3_ ._form-element,#_form_3_ ._inline-style,#_form_3_ input[type="text"],#_form_3_ label,#_form_3_ p,#_form_3_ textarea:not(.g-recaptcha-response) { float:none; display:block; width:100%; }#_form_3_ ._row._checkbox-radio label { display:inline; }#_form_3_ ._row,#_form_3_ p,#_form_3_ label { margin-bottom:0.7em; width:100%; }#_form_3_ ._row input[type="checkbox"],#_form_3_ ._row input[type="radio"] { margin:0 !important; vertical-align:middle !important; }#_form_3_ ._row input[type="checkbox"] + span label { display:inline; }#_form_3_ ._row span label { margin:0 !important; width:initial !important; vertical-align:middle !important; }#_form_3_ ._form-image { max-width:100%; height:auto !important; }#_form_3_ input[type="text"] { padding-left:10px; padding-right:10px; font-size:16px; line-height:1.3em; -webkit-appearance:none; }#_form_3_ input[type="radio"],#_form_3_ input[type="checkbox"] { display:inline-block; width:1.3em; height:1.3em; font-size:1em; margin:0 0.3em 0 0; vertical-align:baseline; }#_form_3_ button[type="submit"] { padding:20px; font-size:1.5em; }#_form_3_ ._inline-style { margin:20px 0 0 !important; }}#_form_3_ { position:relative; text-align:left; margin:25px auto 0; padding:20px; -webkit-box-sizing:border-box; -moz-box-sizing:border-box; box-sizing:border-box; *zoom:1; background:#fff !important; border:0px solid #b0b0b0 !important; width:500px; -moz-border-radius:0px !important; -webkit-border-radius:0px !important; border-radius:0px !important; color:#000 !important; }#_form_3_ ._form-title { font-size:22px; line-height:22px; font-weight:600; margin-bottom:0; }#_form_3_:before,#_form_3_:after { content:" "; display:table; }#_form_3_:after { clear:both; }#_form_3_._inline-style { width:auto; display:inline-block; }#_form_3_._inline-style input[type="text"],#_form_3_._inline-style input[type="date"] { padding:10px 12px; }#_form_3_._inline-style button._inline-style { position:relative; top:27px; }#_form_3_._inline-style p { margin:0; }#_form_3_._inline-style ._button-wrapper { position:relative; margin:27px 12.5px 0 20px; }#_form_3_ ._form-thank-you { position:relative; left:0; right:0; text-align:center; font-size:18px; }@media all and (min-width:320px) and (max-width:667px) { #_form_3_._inline-form._inline-style ._inline-style._button-wrapper { margin-top:20px !important; margin-left:0 !important; }}</style><form method="POST" action="https://praxis-dr-buergel.activehosted.com/proc.php" id="_form_3_" class="_form _form_3 _inline-form _dark" novalidate><input type="hidden" name="u" value="3" /><input type="hidden" name="f" value="3" /><input type="hidden" name="s" /><input type="hidden" name="c" value="0" /><input type="hidden" name="m" value="0" /><input type="hidden" name="act" value="sub" /><input type="hidden" name="v" value="2" /><div class="_form-content"><div class="_form_element _x46427659 _full_width _clear" ><div class="_form-title">Starte Deinen Weg zu Dir selbst!</div></div><div class="_form_element _x87341514 _full_width _clear" ><div class="_html-code"><p>Melde Dich für meinen Newsletter an!</p></div></div><div class="_form_element _x26151922 _full_width " ><label class="_form-label">Vorname</label><div class="_field-wrapper"><input type="text" name="firstname" placeholder="Vorname" /></div></div><div class="_form_element _x99102605 _full_width " ><label class="_form-label">E-mail*</label><div class="_field-wrapper"><input type="text" name="email" placeholder="E-mail-Adresse" required/></div></div><div class="_button-wrapper _full_width"><button id="_form_3_submit" class="_submit" type="submit">Jetzt abonnieren!</button></div><div class="_clear-element"></div></div><div class="_form-thank-you" style="display:none;"></div></form><script type="text/javascript">window.cfields = [];window._show_thank_you = function(id, message, trackcmp_url) {var form = document.getElementById('_form_' + id + '_'), thank_you = form.querySelector('._form-thank-you');form.querySelector('._form-content').style.display = 'none';thank_you.innerHTML = message;thank_you.style.display = 'block';if (typeof(trackcmp_url) != 'undefined' && trackcmp_url) {// Site tracking URL to use after inline form submission._load_script(trackcmp_url);}if (typeof window._form_callback !== 'undefined') window._form_callback(id);};window._show_error = function(id, message, html) {var form = document.getElementById('_form_' + id + '_'), err = document.createElement('div'), button = form.querySelector('button'), old_error = form.querySelector('._form_error');if (old_error) old_error.parentNode.removeChild(old_error);err.innerHTML = message;err.className = '_error-inner _form_error _no_arrow';var wrapper = document.createElement('div');wrapper.className = '_form-inner';wrapper.appendChild(err);button.parentNode.insertBefore(wrapper, button);document.querySelector('[id^="_form"][id$="_submit"]').disabled = false;if (html) {var div = document.createElement('div');div.className = '_error-html';div.innerHTML = html;err.appendChild(div);}};window._load_script = function(url, callback) {var head = document.querySelector('head'), script = document.createElement('script'), r = false;script.type = 'text/javascript';script.charset = 'utf-8';script.src = url;if (callback) {script.onload = script.onreadystatechange = function() {if (!r && (!this.readyState || this.readyState == 'complete')) {r = true;callback();}};}head.appendChild(script);};(function() {if (window.location.search.search("excludeform") !== -1) return false;var getCookie = function(name) {var match = document.cookie.match(new RegExp('(^|; )' + name + '=([^;]+)'));return match ? match[2] : null;}var setCookie = function(name, value) {var now = new Date();var time = now.getTime();var expireTime = time + 1000 * 60 * 60 * 24 * 365;now.setTime(expireTime);document.cookie = name + '=' + value + '; expires=' + now + ';path=/';}var addEvent = function(element, event, func) {if (element.addEventListener) {element.addEventListener(event, func);} else {var oldFunc = element['on' + event];element['on' + event] = function() {oldFunc.apply(this, arguments);func.apply(this, arguments);};}}var _removed = false;var form_to_submit = document.getElementById('_form_3_');var allInputs = form_to_submit.querySelectorAll('input, select, textarea'), tooltips = [], submitted = false;var getUrlParam = function(name) {var regexStr = '[?&]' + name + '=([^&#]*)';var results = new RegExp(regexStr, 'i').exec(window.location.href);return results != undefined ? decodeURIComponent(results[1]) : false;};for (var i = 0; i < allInputs.length; i++) {var regexStr = "field[(d+)]";var results = new RegExp(regexStr).exec(allInputs[i].name);if (results != undefined) {allInputs[i].dataset.name = window.cfields[results[1]];} else {allInputs[i].dataset.name = allInputs[i].name;}var fieldVal = getUrlParam(allInputs[i].dataset.name);if (fieldVal) {if (allInputs[i].type == "radio" || allInputs[i].type == "checkbox") {if (allInputs[i].value == fieldVal) {allInputs[i].checked = true;}} else {allInputs[i].value = fieldVal;}}}var remove_tooltips = function() {for (var i = 0; i < tooltips.length; i++) {tooltips[i].tip.parentNode.removeChild(tooltips[i].tip);}tooltips = [];};var remove_tooltip = function(elem) {for (var i = 0; i < tooltips.length; i++) {if (tooltips[i].elem === elem) {tooltips[i].tip.parentNode.removeChild(tooltips[i].tip);tooltips.splice(i, 1);return;}}};var create_tooltip = function(elem, text) {var tooltip = document.createElement('div'), arrow = document.createElement('div'), inner = document.createElement('div'), new_tooltip = {};if (elem.type != 'radio' && elem.type != 'checkbox') {tooltip.className = '_error';arrow.className = '_error-arrow';inner.className = '_error-inner';inner.innerHTML = text;tooltip.appendChild(arrow);tooltip.appendChild(inner);elem.parentNode.appendChild(tooltip);} else {tooltip.className = '_error-inner _no_arrow';tooltip.innerHTML = text;elem.parentNode.insertBefore(tooltip, elem);new_tooltip.no_arrow = true;}new_tooltip.tip = tooltip;new_tooltip.elem = elem;tooltips.push(new_tooltip);return new_tooltip;};var resize_tooltip = function(tooltip) {var rect = tooltip.elem.getBoundingClientRect();var doc = document.documentElement, scrollPosition = rect.top - ((window.pageYOffset || doc.scrollTop) - (doc.clientTop || 0));if (scrollPosition < 40) {tooltip.tip.className = tooltip.tip.className.replace(/ ?(_above|_below) ?/g, '') + ' _below';} else {tooltip.tip.className = tooltip.tip.className.replace(/ ?(_above|_below) ?/g, '') + ' _above';}};var resize_tooltips = function() {if (_removed) return;for (var i = 0; i < tooltips.length; i++) {if (!tooltips[i].no_arrow) resize_tooltip(tooltips[i]);}};var validate_field = function(elem, remove) {var tooltip = null, value = elem.value, no_error = true;remove ? remove_tooltip(elem) : false;if (elem.type != 'checkbox') elem.className = elem.className.replace(/ ?_has_error ?/g, '');if (elem.getAttribute('required') !== null) {if (elem.type == 'radio' || (elem.type == 'checkbox' && /any/.test(elem.className))) {var elems = form_to_submit.elements[elem.name];if (!(elems instanceof NodeList || elems instanceof HTMLCollection) || elems.length <= 1) {no_error = elem.checked;}else {no_error = false;for (var i = 0; i < elems.length; i++) {if (elems[i].checked) no_error = true;}}if (!no_error) {tooltip = create_tooltip(elem, "Bitte eine Option auswählen.");}} else if (elem.type =='checkbox') {var elems = form_to_submit.elements[elem.name], found = false, err = [];no_error = true;for (var i = 0; i < elems.length; i++) {if (elems[i].getAttribute('required') === null) continue;if (!found && elems[i] !== elem) return true;found = true;elems[i].className = elems[i].className.replace(/ ?_has_error ?/g, '');if (!elems[i].checked) {no_error = false;elems[i].className = elems[i].className + ' _has_error';err.push("Die Markierung von %s ist erforderlich.".replace("%s", elems[i].value));}}if (!no_error) {tooltip = create_tooltip(elem, err.join('<br/>'));}} else if (elem.tagName == 'SELECT') {var selected = true;if (elem.multiple) {selected = false;for (var i = 0; i < elem.options.length; i++) {if (elem.options[i].selected) {selected = true;break;}}} else {for (var i = 0; i < elem.options.length; i++) {if (elem.options[i].selected && !elem.options[i].value) {selected = false;}}}if (!selected) {elem.className = elem.className + ' _has_error';no_error = false;tooltip = create_tooltip(elem, "Bitte eine Option auswählen.");}} else if (value === undefined || value === null || value === '') {elem.className = elem.className + ' _has_error';no_error = false;tooltip = create_tooltip(elem, "Bitte füllen Sie das markierte Pflichtfeld aus.");}}if (no_error && elem.name == 'email') {if (!value.match(/^[+_a-z0-9-'&=]+(.[+_a-z0-9-']+)*@[a-z0-9-]+(.[a-z0-9-]+)*(.[a-z]{2,})$/i)) {elem.className = elem.className + ' _has_error';no_error = false;tooltip = create_tooltip(elem, "Geben Sie eine gültige E-Mail-Adresse ein.");}}if (no_error && /date_field/.test(elem.className)) {if (!value.match(/^dddd-dd-dd$/)) {elem.className = elem.className + ' _has_error';no_error = false;tooltip = create_tooltip(elem, "Gültiges Datum eingeben");}}tooltip ? resize_tooltip(tooltip) : false;return no_error;};var needs_validate = function(el) {return el.name == 'email' || el.getAttribute('required') !== null;};var validate_form = function(e) {var err = form_to_submit.querySelector('._form_error'), no_error = true;if (!submitted) {submitted = true;for (var i = 0, len = allInputs.length; i < len; i++) {var input = allInputs[i];if (needs_validate(input)) {if (input.type == 'text') {addEvent(input, 'blur', function() {this.value = this.value.trim();validate_field(this, true);});addEvent(input, 'input', function() {validate_field(this, true);});} else if (input.type == 'radio' || input.type == 'checkbox') {(function(el) {var radios = form_to_submit.elements[el.name];for (var i = 0; i < radios.length; i++) {addEvent(radios[i], 'click', function() {validate_field(el, true);});}})(input);} else if (input.tagName == 'SELECT') {addEvent(input, 'change', function() {validate_field(this, true);});}}}}remove_tooltips();for (var i = 0, len = allInputs.length; i < len; i++) {var elem = allInputs[i];if (needs_validate(elem)) {if (elem.tagName.toLowerCase() !== "select") {elem.value = elem.value.trim();}validate_field(elem) ? true : no_error = false;}}if (!no_error && e) {e.preventDefault();}resize_tooltips();return no_error;};addEvent(window, 'resize', resize_tooltips);addEvent(window, 'scroll', resize_tooltips);window._old_serialize = null;if (typeof serialize !== 'undefined') window._old_serialize = window.serialize;_load_script("//d3rxaij56vjege.cloudfront.net/form-serialize/0.3/serialize.min.js", function() {window._form_serialize = window.serialize;if (window._old_serialize) window.serialize = window._old_serialize;});var form_submit = function(e) {e.preventDefault();if (validate_form()) {// use this trick to get the submit button & disable it using plain javascriptdocument.querySelector('#_form_3_submit').disabled = true;var serialized = _form_serialize(document.getElementById('_form_3_'));var err = form_to_submit.querySelector('._form_error');err ? err.parentNode.removeChild(err) : false;_load_script('https://praxis-dr-buergel.activehosted.com/proc.php?' + serialized + '&jsonp=true');}return false;};addEvent(form_to_submit, 'submit', form_submit);})();</script>__CONFIG_lead_generation_code__
Du erhältst etwa wöchentlich meine E-Mail-Tipps mit Infos und Hilfestellungen rund um dein erfülltes und selbstbestimmtes Leben und Hinweise zu meinen Angeboten. Du kannst deine Einwilligung zum Empfang der E-Mails jederzeit widerrufen. Mehr Informationen dazu erhältst du auch in meiner Datenschutzerklärung .
