{"id":18016,"date":"2026-02-04T12:00:04","date_gmt":"2026-02-04T12:00:04","guid":{"rendered":"https:\/\/next-fertilitynordic.com\/zapolnite-anketu-o-sostoyanii-zdorovyya\/"},"modified":"2026-02-04T13:46:55","modified_gmt":"2026-02-04T13:46:55","slug":"zapolnite-anketu-o-sostoyanii-zdorovyya","status":"publish","type":"page","link":"https:\/\/next-fertilitynordic.com\/ru\/zapolnite-anketu-o-sostoyanii-zdorovyya\/","title":{"rendered":"\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u0430\u043d\u043a\u0435\u0442\u0443 \u043e \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0438 \u0437\u0434\u043e\u0440\u043e\u0432\u044c\u044f."},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row content_placement=&#187;middle&#187; css=&#187;.vc_custom_1770203557301{margin-top: 50px !important;margin-bottom: 50px !important;}&#187; el_class=&#187;page_form_helper&#187;][vc_column][vc_custom_heading text=&#187;\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u0430\u043d\u043a\u0435\u0442\u0443 \u043e \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0438 \u0437\u0434\u043e\u0440\u043e\u0432\u044c\u044f.&#187; use_theme_fonts=&#187;yes&#187;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f18022-o1\" lang=\"et\" dir=\"ltr\" data-wpcf7-id=\"18022\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ru\/wp-json\/wp\/v2\/pages\/18016#wpcf7-f18022-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"18022\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"et\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f18022-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p>\u0411\u043b\u0430\u0433\u043e\u0434\u0430\u0440\u0438\u043c \u0432\u0430\u0441 \u0437\u0430 \u0436\u0435\u043b\u0430\u043d\u0438\u0435 \u0441\u0442\u0430\u0442\u044c \u0434\u043e\u043d\u043e\u0440\u043e\u043c! \u041f\u043e\u0436\u0430\u043b\u0443\u0439\u0441\u0442\u0430, \u0437\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u0430\u043d\u043a\u0435\u0442\u0443 \u043e \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0438 \u0437\u0434\u043e\u0440\u043e\u0432\u044c\u044f, \u043c\u044b \u0441\u0432\u044f\u0436\u0435\u043c\u0441\u044f \u0441 \u0432\u0430\u043c\u0438 \u0432 \u0431\u043b\u0438\u0436\u0430\u0439\u0448\u0435\u0435 \u0432\u0440\u0435\u043c\u044f!\n<\/p>\n<div class=\"row\">\n\t<p><label>\u0418\u043c\u044f \u0438 \u0444\u0430\u043c\u0438\u043b\u0438\u044f<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ees_perekonnanimi\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0418\u043c\u044f \u0438 \u0444\u0430\u043c\u0438\u043b\u0438\u044f\" value=\"\" type=\"text\" name=\"ees_perekonnanimi\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>Email<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0410\u0434\u0440\u0435\u0441 \u044d\u043b\u0435\u043a\u0442\u0440\u043e\u043d\u043d\u043e\u0439 \u043f\u043e\u0447\u0442\u044b\" value=\"\" type=\"email\" name=\"email\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n<\/div>\n<div class=\"row\">\n\t<p><label>\u041d\u043e\u043c\u0435\u0440 \u0442\u0435\u043b\u0435\u0444\u043e\u043d\u0430<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"+372 XXXXXXXX\" value=\"\" type=\"tel\" name=\"telefon\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>\u041c\u0435\u0441\u0442\u043e \u043f\u0440\u043e\u0436\u0438\u0432\u0430\u043d\u0438\u044f (\u0433\u043e\u0440\u043e\u0434)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"elukoht\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0413\u043e\u0440\u043e\u0434\" value=\"\" type=\"text\" name=\"elukoht\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n<\/div>\n<div class=\"row\">\n\t<p><label>\u0412\u043e\u0437\u0440\u0430\u0441\u0442<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"vanus\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" min=\"0\" step=\"1\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0412\u043e\u0437\u0440\u0430\u0441\u0442 (\u0446\u0435\u043b\u043e\u0435 \u0447\u0438\u0441\u043b\u043e)\" value=\"\" type=\"number\" name=\"vanus\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>\u041d\u0430\u0446\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u043e\u0441\u0442\u044c<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rahvus\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u041d\u0430\u0446\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u043e\u0441\u0442\u044c\" value=\"\" type=\"text\" name=\"rahvus\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n<\/div>\n<div class=\"row\">\n\t<p><label>\u0420\u043e\u0441\u0442 (\u0441\u043c)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pikkus\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" min=\"0\" step=\"1\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0420\u043e\u0441\u0442 (\u0441\u043c)\" value=\"\" type=\"number\" name=\"pikkus\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>\u0412\u0435\u0441 (\u043a\u0433)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"kehakaal\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" min=\"0\" step=\"0.1\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0412\u0435\u0441 (\u043a\u0433)\" value=\"\" type=\"number\" name=\"kehakaal\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n<\/div>\n<div class=\"row\">\n\t<p><label>\u0426\u0432\u0435\u0442 \u0432\u043e\u043b\u043e\u0441<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"juuksevarv\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0426\u0432\u0435\u0442 \u0432\u043e\u043b\u043e\u0441\" value=\"\" type=\"text\" name=\"juuksevarv\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>\u0426\u0432\u0435\u0442 \u0433\u043b\u0430\u0437<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"silmade_varv\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u0426\u0432\u0435\u0442 \u0433\u043b\u0430\u0437\" value=\"\" type=\"text\" name=\"silmade_varv\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n<\/div>\n<p><label>\u042f \u0445\u043e\u0447\u0443 \u043f\u043e\u0436\u0435\u0440\u0442\u0432\u043e\u0432\u0430\u0442\u044c<span class=\"wpcf7-form-control-wrap\" data-name=\"soovin_annetada\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"soovin_annetada\"><option value=\"\u042f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043a\u0438\">\u042f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043a\u0438<\/option><option value=\"\u0421\u043f\u0435\u0440\u043c\u0443\">\u0421\u043f\u0435\u0440\u043c\u0443<\/option><\/select><\/span><\/label>\n<\/p>\n<p><label>\u0423\u0440\u043e\u0432\u0435\u043d\u044c \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u044f<span class=\"wpcf7-form-control-wrap\" data-name=\"haridustase\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"haridustase\"><option value=\"\u041e\u0441\u043d\u043e\u0432\u043d\u043e\u0435 \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435\">\u041e\u0441\u043d\u043e\u0432\u043d\u043e\u0435 \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435<\/option><option value=\"\u041f\u0440\u043e\u0444\u0435\u0441\u0441\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u043e\u0435 \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435\">\u041f\u0440\u043e\u0444\u0435\u0441\u0441\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u043e\u0435 \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435<\/option><option value=\"\u0421\u0440\u0435\u0434\u043d\u0435\u0435 \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435\">\u0421\u0440\u0435\u0434\u043d\u0435\u0435 \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435<\/option><option value=\"\u0411\u0430\u043a\u0430\u043b\u0430\u0432\u0440\">\u0411\u0430\u043a\u0430\u043b\u0430\u0432\u0440<\/option><option value=\"\u041c\u0430\u0433\u0438\u0441\u0442\u0440\">\u041c\u0430\u0433\u0438\u0441\u0442\u0440<\/option><option value=\"\u0414\u043e\u043a\u0442\u043e\u0440\">\u0414\u043e\u043a\u0442\u043e\u0440<\/option><option value=\"\u0414\u0440\u0443\u0433\u043e\u0435\">\u0414\u0440\u0443\u0433\u043e\u0435<\/option><\/select><\/span><\/label>\n<\/p>\n<p><label>\u0412\u044b \u043a\u0443\u0440\u0438\u0442\u0435 (\u0435\u0441\u043b\u0438 \u0434\u0430, \u0441\u043a\u043e\u043b\u044c\u043a\u043e \u0432 \u0434\u0435\u043d\u044c\/\u043d\u0435\u0434\u0435\u043b\u044e)?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"suitsetad\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u041d\u0430\u043f\u0440\u0438\u043c\u0435\u0440: \u041d\u0435\u0442 \/ 5 \u0441\u0438\u0433\u0430\u0440\u0435\u0442 \u0432 \u0434\u0435\u043d\u044c\" value=\"\" type=\"text\" name=\"suitsetad\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>\u0412\u044b \u0443\u043f\u043e\u0442\u0440\u0435\u0431\u043b\u044f\u0435\u0442\u0435 \u0430\u043b\u043a\u043e\u0433\u043e\u043b\u044c (\u0435\u0441\u043b\u0438 \u0434\u0430, \u0441\u043a\u043e\u043b\u044c\u043a\u043e \u0432 \u043d\u0435\u0434\u0435\u043b\u044e\/\u043c\u0435\u0441\u044f\u0446)?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"alkohol\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u041d\u0430\u043f\u0440\u0438\u043c\u0435\u0440: \u041d\u0435\u0442 \/ \u0440\u0430\u0437 \u0432 \u043d\u0435\u0434\u0435\u043b\u044e \/ 10 \u0435\u0434\u0438\u043d\u0438\u0446 \u0432 \u043c\u0435\u0441\u044f\u0446\" value=\"\" type=\"text\" name=\"alkohol\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>\u0412\u044b \u0443\u043f\u043e\u0442\u0440\u0435\u0431\u043b\u044f\u0435\u0442\u0435 \u043d\u0430\u0440\u043a\u043e\u0442\u0438\u043a\u0438 (\u0435\u0441\u043b\u0438 \u0434\u0430, \u0442\u043e \u0441\u043a\u043e\u043b\u044c\u043a\u043e \u0432 \u043d\u0435\u0434\u0435\u043b\u044e\/\u043c\u0435\u0441\u044f\u0446)?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"narko\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"narko\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>\u0423 \u0432\u0430\u0441 \u0443\u0436\u0435 \u0431\u044b\u043b \u043f\u043e\u043b\u043e\u0432\u043e\u0439 \u0430\u043a\u0442?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"suguuhted\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u041d\u0430\u043f\u0440\u0438\u043c\u0435\u0440: \u041d\u0435\u0442 \/ \u0414\u0430\" value=\"\" type=\"text\" name=\"suguuhted\" \/><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>\u041e\u043f\u0438\u0448\u0438\u0442\u0435 \u043a\u0430\u043a \u043c\u043e\u0436\u043d\u043e \u043f\u043e\u0434\u0440\u043e\u0431\u043d\u0435\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0435 \u0432\u0430\u0448\u0435\u0433\u043e \u0437\u0434\u043e\u0440\u043e\u0432\u044c\u044f<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tervis\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u041e\u043f\u0438\u0441\u0430\u043d\u0438\u0435...\" name=\"tervis\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>\u041e\u043f\u0438\u0448\u0438\u0442\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0435 \u0437\u0434\u043e\u0440\u043e\u0432\u044c\u044f \u0432\u0430\u0448\u0438\u0445 \u0431\u043b\u0438\u0437\u043a\u0438\u0445 \u0440\u043e\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u0438\u043a\u043e\u0432. \u0415\u0441\u0442\u044c \u043b\u0438 \u043d\u0430\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f \u0438\u043b\u0438 \u0441\u0435\u0440\u044c\u0451\u0437\u043d\u044b\u0435 \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u044b \u0441\u043e \u0437\u0434\u043e\u0440\u043e\u0432\u044c\u0435\u043c?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sugulaste_tervis\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u041e\u043f\u0438\u0448\u0438\u0442\u0435...\" name=\"sugulaste_tervis\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><label>\u041a\u0430\u043a\u0438\u0435 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0430 \u0432\u044b \u043f\u0440\u0438\u043d\u0438\u043c\u0430\u043b\u0438 \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 \u043f\u043e\u0441\u043b\u0435\u0434\u043d\u0438\u0445 12 \u043c\u0435\u0441\u044f\u0446\u0435\u0432?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ravimid\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\u041f\u0435\u0440\u0435\u0447\u0438\u0441\u043b\u0438\u0442\u0435 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0430 \u0438 \u043f\u0435\u0440\u0438\u043e\u0434 \u043f\u0440\u0438\u0451\u043c\u0430\" name=\"ravimid\"><\/textarea><\/span><br \/>\n<\/label>\n<\/p>\n<p><label class=\"gdpr\"><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-387\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-387\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">\u042f \u043e\u0437\u043d\u0430\u043a\u043e\u043c\u0438\u043b\u0441\u044f(-\u0430\u0441\u044c) \u0441 <a href='https:\/\/sugurakudoonor.ee\/andmekaitsetingimused\/' 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