www.m-f-care.de Open in urlscan Pro
188.40.218.100  Public Scan

Submitted URL: https://m-f-care.de/
Effective URL: https://www.m-f-care.de/
Submission: On June 08 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

POST /#gf_1

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" action="/#gf_1" data-formid="1" novalidate="">
  <div class="gform-body gform_body">
    <div id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below validation_below">
      <div id="field_1_1" class="gfield gfield--type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_1">
        <label class="gfield_label gform-field-label" for="input_1_1">Anrede<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><span class="uael-gf-select-custom"><select name="input_1" id="input_1_1" class="large gfield_select" tabindex="1" aria-required="true" aria-invalid="false">
              <option value="" selected="selected" class="gf_placeholder">Bitte auswählen...</option>
              <option value="Herr">Herr</option>
              <option value="Frau">Frau</option>
            </select></span></div>
      </div>
      <div id="field_1_3" class="gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_3">
        <label class="gfield_label gform-field-label" for="input_1_3">Vorname<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_3" id="input_1_3" type="text" value="" class="large" tabindex="2" aria-required="true" aria-invalid="false"> </div>
      </div>
      <div id="field_1_4" class="gfield gfield--type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_4">
        <label class="gfield_label gform-field-label" for="input_1_4">Nachname<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_4" id="input_1_4" type="text" value="" class="large" tabindex="3" aria-required="true" aria-invalid="false"> </div>
      </div>
      <div id="field_1_5" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_5">
        <label class="gfield_label gform-field-label" for="input_1_5">E-Mail<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_5" id="input_1_5" type="email" value="" class="large" tabindex="4" aria-required="true" aria-invalid="false">
        </div>
      </div>
      <div id="field_1_6" class="gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_6"><label
          class="gfield_label gform-field-label" for="input_1_6">Telefonnummer</label>
        <div class="ginput_container ginput_container_text"><input name="input_6" id="input_1_6" type="text" value="" class="large" tabindex="5" aria-invalid="false"> </div>
      </div>
      <div id="field_1_7" class="gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_7"><label class="gfield_label gform-field-label" for="input_1_7">Ihre Nachricht<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_7" id="input_1_7" class="textarea medium" tabindex="6" aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
      <fieldset id="field_1_8"
        class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_8">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Datenschutz<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
        <div class="ginput_container ginput_container_consent"><input name="input_8.1" id="input_1_8_1" type="checkbox" value="1" tabindex="7" aria-describedby="gfield_consent_description_1_8" aria-required="true" aria-invalid="false"> <label
            class="gform-field-label gform-field-label--type-inline gfield_consent_label" for="input_1_8_1">Ich stimme der Datenschutzerklärung zu.</label><input type="hidden" name="input_8.2" value="Ich stimme der Datenschutzerklärung zu."
            class="gform_hidden"><input type="hidden" name="input_8.3" value="1" class="gform_hidden"></div>
        <div class="gfield_description gfield_consent_description" id="gfield_consent_description_1_8">Ich habe die <a href="/datenschutzerklaerung" target="_blank">Datenschutzerklärung</a> zur Kenntnis genommen. Ich stimme zu, dass meine Angaben und
          Daten zur Beantwortung meiner Anfrage elektronisch erhoben und gespeichert werden. Hinweis: Sie können Ihre Einwilligung jederzeit für die Zukunft per E-Mail an <a href="mailto:<br />
wessel@m-f-care.de">wessel@m-f-care.de</a> widerrufen.</div>
      </fieldset>
      <div id="field_1_9" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_9"><label
          class="gfield_label gform-field-label" for="input_1_9">Name</label>
        <div class="ginput_container"><input name="input_9" id="input_1_9" type="text" value="" autocomplete="new-password"></div>
        <div class="gfield_description" id="gfield_description_1_9">Dieses Feld dient zur Validierung und sollte nicht verändert werden.</div>
      </div>
    </div>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Absenden" tabindex="8"
      onclick="if(window[&quot;gf_submitting_1&quot;]){return false;}  if( !jQuery(&quot;#gform_1&quot;)[0].checkValidity || jQuery(&quot;#gform_1&quot;)[0].checkValidity()){window[&quot;gf_submitting_1&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_1&quot;]){return false;} if( !jQuery(&quot;#gform_1&quot;)[0].checkValidity || jQuery(&quot;#gform_1&quot;)[0].checkValidity()){window[&quot;gf_submitting_1&quot;]=true;}  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" name="gform_ajax" value="form_id=1&amp;title=&amp;description=&amp;tabindex=1&amp;theme=gravity-theme">
    <input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="1">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_1"
      value="WyJ7XCIxXCI6W1wiNDcwYzQyN2FmZDY3MDYwNWYxN2YxZGJiNjljZDUxZDNcIixcIjE1NjA3NDhhZDYxYzU1NmUxMDBjMDFkOWQ0MzY2ZjRkXCJdLFwiOC4xXCI6XCJhZjgwM2Q3ODZkYjIwZjY4ZDc0NGY3ZjgwZTQzNjdiMVwiLFwiOC4yXCI6XCI5MjZiZDY1MGVhNDljMDkwYjY3OGM1YTk5Y2UwNDE5Y1wiLFwiOC4zXCI6XCJhZjgwM2Q3ODZkYjIwZjY4ZDc0NGY3ZjgwZTQzNjdiMVwifSIsImU5YjkxMGIwNTZmNTJiMTFhNzgwZjkwNGY2NTYyNmU4Il0=">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
</form>

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KONTAKTFORMULAR

„*“ zeigt erforderliche Felder an

Anrede*
Bitte auswählen...HerrFrau
Vorname*

Nachname*

E-Mail*

Telefonnummer

Ihre Nachricht*

Datenschutz*
Ich stimme der Datenschutzerklärung zu.
Ich habe die Datenschutzerklärung zur Kenntnis genommen. Ich stimme zu, dass
meine Angaben und Daten zur Beantwortung meiner Anfrage elektronisch erhoben und
gespeichert werden. Hinweis: Sie können Ihre Einwilligung jederzeit für die
Zukunft per E-Mail an wessel@m-f-care.de widerrufen.
Name

Dieses Feld dient zur Validierung und sollte nicht verändert werden.


 * Am Straßacker 1
 * 82438 Eschenlohe
 * Tel. 0151 / 424 23 388
 * wessel@m-f-care.de

 * Impressum
 * Datenschutzerklärung

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