{"id":7777,"date":"2026-07-29T11:56:26","date_gmt":"2026-07-29T09:56:26","guid":{"rendered":"https:\/\/white-beauty.pl\/?page_id=7777"},"modified":"2026-09-30T12:59:33","modified_gmt":"2026-09-30T10:59:33","slug":"eligibility-questionnaire","status":"publish","type":"page","link":"https:\/\/white-beauty.pl\/en\/ankieta-kwalifikacyjna\/","title":{"rendered":"Pre-selection questionnaire"},"content":{"rendered":"<div class=\"wp-block-uagb-container uagb-block-633ebf0c alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-advanced-heading uagb-block-62fbb34c\"><h1 class=\"uagb-heading-text\">Pre-selection questionnaire<\/h1><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-056bcbd4 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-info-box uagb-block-6776af73 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-title-wrap\"><h3 class=\"uagb-ifb-title-prefix\">Safe teeth whitening<\/h3><h5 class=\"uagb-ifb-title\"><strong><strong><strong><strong>Find out if you\u2019re eligible for teeth whitening?<\/strong><\/strong><\/strong><\/strong><\/h5><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-f6f6b592\">\n<div class=\"wp-block-uagb-container uagb-block-ad439221\"><\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-d667b7e9\">\n<div class=\"wp-block-uagb-info-box uagb-block-963c8793 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top wp-block-uagb-info-box--has-margin\"><div class=\"uagb-infobox-margin-wrapper\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-title-wrap\"><h3 class=\"uagb-ifb-title\">Pre-selection questionnaire<\/h3><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f7920-o1\" lang=\"pl-PL\" dir=\"ltr\" data-wpcf7-id=\"7920\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/7777#wpcf7-f7920-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-no-scroll cf7mls-auto-return-first-step cf7mls-no-moving-animation\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/7777#wpcf7-f7920-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"7920\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pl_PL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f7920-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:7920,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;repeater_remove_button&quot;:&quot;bottom&quot;}}\" \/>\n<\/fieldset>\n<div class=\"wpcf7-turnstile cf-turnstile\" data-sitekey=\"0x4AAAAAAD2fKmHd9z5PDAih\" data-response-field-name=\"_wpcf7_turnstile_response\"><\/div>\n\n<div class=\"wb-survey\" data-wb-survey>\n\n<!-- KROK 1: WIEK -->\n\t<section class=\"wb-step is-active\" data-wb-step=\"age\">\n\t\t<p class=\"wb-step-number\">Question 1 of 7\n\t\t<\/p>\n\t\t<h3>How old are you?*\n\t\t<\/h3>\n\t\t<div class=\"wb-options\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"age\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"age\" value=\"Poni\u017cej 16 lat\" \/><span class=\"wpcf7-list-item-label\">Under 16<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"age\" value=\"16-18 lat\" \/><span class=\"wpcf7-list-item-label\">16\u201318 years old<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"age\" value=\"Powy\u017cej 18 lat\" \/><span class=\"wpcf7-list-item-label\">Aged 18 and over<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"age\" value=\"Nie dotyczy\" \/><span class=\"wpcf7-list-item-label\">Not applicable<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"wb-minor-information\" data-wb-minor-note hidden>\n\t\t\t<p><br \/>\nYou may continue with the questionnaire. Please note, however, that as you are aged between 16 and 18, you will need written consent from a parent or legal guardian to undergo in-clinic teeth whitening.\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p class=\"wb-answer-error\" hidden>Select one answer.\n\t\t<\/p>\n\t\t<div class=\"wb-navigation wb-navigation-first\">\n\t\t\t<p><button type=\"button\" class=\"wb-next fusion-button fusion-xlarge button-default\">Next<\/button>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/section>\n\n\n<!-- KROK 2: P\u0141E\u0106 -->\n\t<section class=\"wb-step\" data-wb-step=\"gender\">\n\t\t<p class=\"wb-step-number\">Question 2 of 7\n\t\t<\/p>\n\t\t<h3>Are you?*\n\t\t<\/h3>\n\t\t<div class=\"wb-options\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"gender\" value=\"Kobiet\u0105\" \/><span class=\"wpcf7-list-item-label\">A woman<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"gender\" value=\"M\u0119\u017cczyzn\u0105\" \/><span class=\"wpcf7-list-item-label\">A man<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"gender\" value=\"Nie dotyczy\" \/><span class=\"wpcf7-list-item-label\">Not applicable<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p class=\"wb-answer-error\" hidden>Select one answer.\n\t\t<\/p>\n\t\t<div class=\"wb-navigation\">\n\t\t\t<p><button type=\"button\" class=\"wb-back\">Undo<\/button>\n\t\t\t<\/p>\n\t\t\t<p><button type=\"button\" class=\"wb-next fusion-button fusion-xlarge button-default\">Next<\/button>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/section>\n\n\n<!-- KROK 3: CI\u0104\u017bA LUB KARMIENIE -->\n\t<section class=\"wb-step\" data-wb-step=\"pregnancy\">\n\t\t<p class=\"wb-step-number\">Question 3 of 7\n\t\t<\/p>\n\t\t<h3>Are you currently pregnant or breastfeeding?*\n\t\t<\/h3>\n\t\t<div class=\"wb-options\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pregnancy\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"pregnancy\" value=\"Tak\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"pregnancy\" value=\"Nie\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"pregnancy\" value=\"Nie dotyczy\" \/><span class=\"wpcf7-list-item-label\">Not applicable<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p class=\"wb-answer-error\" hidden>Select one answer.\n\t\t<\/p>\n\t\t<div class=\"wb-navigation\">\n\t\t\t<p><button type=\"button\" class=\"wb-back\">Undo<\/button>\n\t\t\t<\/p>\n\t\t\t<p><button type=\"button\" class=\"wb-next fusion-button fusion-xlarge button-default\">Next<\/button>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/section>\n\n\n<!-- KROK 4: APARAT ORTODONTYCZNY -->\n\t<section class=\"wb-step\" data-wb-step=\"orthodontic\">\n\t\t<p class=\"wb-step-number\">Question 4 of 7\n\t\t<\/p>\n\t\t<h3>Are you currently undergoing treatment with fixed braces?*\n\t\t<\/h3>\n\t\t<div class=\"wb-options\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"orthodontic\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"orthodontic\" value=\"Tak\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"orthodontic\" value=\"Nie\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"orthodontic\" value=\"Nie dotyczy\" \/><span class=\"wpcf7-list-item-label\">Not applicable<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p class=\"wb-answer-error\" hidden>Select one answer.\n\t\t<\/p>\n\t\t<div class=\"wb-navigation\">\n\t\t\t<p><button type=\"button\" class=\"wb-back\">Undo<\/button>\n\t\t\t<\/p>\n\t\t\t<p><button type=\"button\" class=\"wb-next fusion-button fusion-xlarge button-default\">Next<\/button>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/section>\n\n\n<!-- KROK 5: NIEWYLECZONE UBYTKI -->\n\t<section class=\"wb-step\" data-wb-step=\"cavities\">\n\t\t<p class=\"wb-step-number\">Question 5 of 7\n\t\t<\/p>\n\t\t<h3>Have you recently been found to have any untreated cavities in teeth 1 to 5?*\n\t\t<\/h3>\n\t\t<div class=\"wb-options\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cavities\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"cavities\" value=\"Tak\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"cavities\" value=\"Nie\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"cavities\" value=\"Nie dotyczy\" \/><span class=\"wpcf7-list-item-label\">Not applicable<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p class=\"wb-answer-error\" hidden>Select one answer.\n\t\t<\/p>\n\t\t<div class=\"wb-navigation\">\n\t\t\t<p><button type=\"button\" class=\"wb-back\">Undo<\/button>\n\t\t\t<\/p>\n\t\t\t<p><button type=\"button\" class=\"wb-next fusion-button fusion-xlarge button-default\">Next<\/button>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/section>\n\n\n<!-- KROK 6: PR\u00d3CHNICA -->\n\t<section class=\"wb-step\" data-wb-step=\"caries\">\n\t\t<p class=\"wb-step-number\">Question 6 of 7\n\t\t<\/p>\n\t\t<h3>Have you been diagnosed with dental caries grades 1 to 5 in the last while?*\n\t\t<\/h3>\n\t\t<div class=\"wb-options\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"caries\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"caries\" value=\"Tak\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"caries\" value=\"Nie\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"caries\" value=\"Nie dotyczy\" \/><span class=\"wpcf7-list-item-label\">Not applicable<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p class=\"wb-answer-error\" hidden>Select one answer.\n\t\t<\/p>\n\t\t<div class=\"wb-navigation\">\n\t\t\t<p><button type=\"button\" class=\"wb-back\">Undo<\/button>\n\t\t\t<\/p>\n\t\t\t<p><button type=\"button\" class=\"wb-next fusion-button fusion-xlarge button-default\">Next<\/button>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/section>\n\n\n<!-- KROK 7: CHOROBY -->\n\t<section class=\"wb-step\" data-wb-step=\"diseases\">\n\t\t<p class=\"wb-step-number\">Question 7 of 7\n\t\t<\/p>\n\t\t<h3>Have you been diagnosed with any of the following conditions: periodontitis, epilepsy, Parkinson\u2019s disease or cancer?*\n\t\t<\/h3>\n\t\t<div class=\"wb-options\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"diseases\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"diseases\" value=\"Tak\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"diseases\" value=\"Nie\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"diseases\" value=\"Nie dotyczy\" \/><span class=\"wpcf7-list-item-label\">Not applicable<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p class=\"wb-answer-error\" hidden>Select one answer.\n\t\t<\/p>\n\t\t<div class=\"wb-navigation\">\n\t\t\t<p><button type=\"button\" class=\"wb-back\">Undo<\/button>\n\t\t\t<\/p>\n\t\t\t<p><button type=\"button\" class=\"wb-next fusion-button fusion-xlarge button-default\">Next<\/button>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/section>\n\n<!-- WYNIK I WSP\u00d3LNY FORMULARZ KONTAKTOWY -->\n\t<section class=\"wb-step wb-contact-step\" data-wb-step=\"contact\">\n\n <!-- WYNIK POZYTYWNY -->\n\t\t<div class=\"wb-result-box wb-positive-result\" data-wb-positive-result hidden>\n\t\t\t<div class=\"wb-result-icon wb-result-icon-positive\" aria-hidden=\"true\">\n\t\t\t\t<p>\u2713\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<h3>The preliminary survey has been successfully completed\n\t\t\t<\/h3>\n\t\t\t<p><br \/>\nBased on the responses provided, none of the contraindications listed in the questionnaire were identified.\n\t\t\t<\/p>\n\t\t\t<p><br \/>\nIt is highly likely that you could benefit from a teeth-whitening treatment.\n\t\t\t<\/p>\n\t\t\t<div class=\"wb-minor-information\" data-wb-final-minor-note hidden>\n\t\t\t\t<p><br \/>\nPlease note that if you are aged between 16 and 18, you will need written consent from a parent or legal guardian to undergo in-clinic teeth whitening treatment.\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<p class=\"wb-result-note\"><br \/>\nThe final assessment takes place in the surgery following an evaluation of the condition of the teeth and the ruling out of any contraindications.\n\t\t\t<\/p>\n\t\t<\/div>\n\n\n <!-- WYNIK NEGATYWNY -->\n\t\t<div class=\"wb-result-box wb-negative-result-box\" data-wb-negative-result hidden>\n\t\t\t<div class=\"wb-result-icon wb-result-icon-negative\" aria-hidden=\"true\">\n\t\t\t\t<p>!\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<h3>Unfortunately, you are not currently eligible for the procedure\n\t\t\t<\/h3>\n\t\t\t<p><br \/>\nYour answer suggests that, at present, you are not eligible for teeth whitening treatment.\n\t\t\t<\/p>\n\t\t\t<p><br \/>\nIf you\u2019d like us to ring you, please leave your contact details. We\u2019ll get back to you with a suggestion for resolving the issue or a proposed meeting time.<br \/>\nYou can also <a href=\"https:\/\/white-beauty.pl\/en\/contact-poznan\/\">contact us<\/a>.\n\t\t\t<\/p>\n\t\t\t<p class=\"wb-result-note\"><br \/>\nThis questionnaire is preliminary and for information purposes only. If you have any questions or concerns, please contact the practice of your choice.\n\t\t\t<\/p>\n\t\t<\/div>\n\n\n <!-- WSP\u00d3LNY FORMULARZ KONTAKTOWY -->\n\t\t<div class=\"wb-contact-fields\">\n\t\t\t<h3>Please provide your contact details\n\t\t\t<\/h3>\n\t\t\t<div class=\"fusion-one-full fusion-layout-column fusion-column-last fusion-spacing-yes\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"* First name and surname\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"fusion-one-half fusion-layout-column fusion-spacing-yes\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-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=\"* Email address\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"fusion-one-half fusion-layout-column fusion-column-last fusion-spacing-yes\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><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=\"* Telephone number\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"fusion-one-full fusion-layout-column fusion-column-last fusion-spacing-yes\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"select-city\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-city\"><option value=\"\">Select a city*<\/option><option value=\"Bia\u0142ystok\">Bialystok<\/option><option value=\"Bielsko-Bia\u0142a\">Bielsko-Biala<\/option><option value=\"Bydgoszcz\">Bydgoszcz<\/option><option value=\"Bytom\">Bytom<\/option><option value=\"Cz\u0119stochowa\">Cz\u0119stochowa<\/option><option value=\"Gda\u0144sk\">Gdansk<\/option><option value=\"Gorz\u00f3w Wielkopolski\">Gorz\u00f3w Wielkopolski<\/option><option value=\"Katowice\">Katowice<\/option><option value=\"Kielce\">Kielce<\/option><option value=\"Konin\">Konin<\/option><option value=\"Koszalin\">Koszalin<\/option><option value=\"Krak\u00f3w\">Krakow<\/option><option value=\"Leszno\">Leszno<\/option><option value=\"Lublin\">Lublin<\/option><option value=\"\u0141\u00f3d\u017a\">\u0141\u00f3d\u017a<\/option><option value=\"Nowy S\u0105cz\">Nowy S\u0105cz<\/option><option value=\"Olsztyn\">Olsztyn<\/option><option value=\"Ostr\u00f3w Wielkopolski\">Ostr\u00f3w Wielkopolski<\/option><option value=\"Pi\u0142a\">Saw<\/option><option value=\"Pozna\u0144\">Poznan<\/option><option value=\"Radom\">Radom<\/option><option value=\"Rzesz\u00f3w\">Rzesz\u00f3w<\/option><option value=\"Szczecin\">Szczecin<\/option><option value=\"Szczecinek\">Szczecinek<\/option><option value=\"Tarn\u00f3w\">Tarn\u00f3w<\/option><option value=\"Toru\u0144\">Torun<\/option><option value=\"Wa\u0142cz\">Walcz<\/option><option value=\"Warszawa\">Warsaw<\/option><option value=\"W\u0142oc\u0142awek\">Wloclawek<\/option><option value=\"Wroc\u0142aw\">Wroc\u0142aw<\/option><option value=\"Zielona G\u00f3ra\">Zielona G\u00f3ra<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"fusion-one-full fusion-layout-column fusion-column-last fusion-spacing-yes\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"callback-time\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"At what times or on which days can we ring you?\" value=\"\" type=\"text\" name=\"callback-time\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<p class=\"callback-note\"><br \/>\nIf we are unable to reach you by phone, we will send you a text message, to which you can reply or call us back.\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"fusion-one-full fusion-layout-column fusion-column-last fusion-spacing-yes\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Content of the message\" name=\"your-message\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"fusion-one-full fusion-layout-column fusion-column-last fusion-spacing-yes\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-question\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"How do you know about White &amp; Beauty?\" value=\"\" type=\"text\" name=\"your-question\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"wb-consent\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"privacy-consent\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"privacy-consent\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I consent to the processing of my personal data for the purpose of handling this enquiry. I have read and understood <a href=\"\/en\/privacy-policy\/\" target=\"_blank\">privacy policy<\/a>.<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"wb-navigation wb-final-navigation\">\n\t\t\t\t<p><button type=\"button\" class=\"wb-back\">Undo<\/button>\n\t\t\t\t<\/p>\n\t\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner fusion-button fusion-xlarge button-default send\" type=\"submit\" value=\"Send\" \/>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/section>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-54d404cf alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-ef6c0e95\">\n<div class=\"wp-block-uagb-info-box uagb-block-e8bf8bd6 uagb-infobox__content-wrap  uagb-infobox-icon-left uagb-infobox-left uagb-infobox-stacked-mobile uagb-infobox-image-valign-top wp-block-uagb-info-box--has-margin\"><div class=\"uagb-infobox-margin-wrapper\"><div class=\"uagb-ifb-icon-wrap\"><div class=\"uagb-iconbox-icon-wrap uagb-infobox-shape-circle\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 512 512\"><path d=\"M511.2 387l-23.25 100.8c-3.266 14.25-15.79 24.22-30.46 24.22C205.2 512 0 306.8 0 54.5c0-14.66 9.969-27.2 24.22-30.45l100.8-23.25C139.7-2.602 154.7 5.018 160.8 18.92l46.52 108.5c5.438 12.78 1.77 27.67-8.98 36.45L144.5 207.1c33.98 69.22 90.26 125.5 159.5 159.5l44.08-53.8c8.688-10.78 23.69-14.51 36.47-8.975l108.5 46.51C506.1 357.2 514.6 372.4 511.2 387z\"><\/path><\/svg><\/div><\/div><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-title-wrap\"><\/div><div class=\"uagb-ifb-button-wrapper wp-block-button\"><a href=\"tel:+48887167548\" target=\"_self\" onclick=\"return true;\" class=\"uagb-infobox-cta-link\" rel=\"noopener noreferrer\"><span class=\"uagb-inline-editing\">(+48) 887 167 548<\/span><\/a><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-info-box uagb-block-6792b9b9 uagb-infobox__content-wrap  uagb-infobox-icon-left uagb-infobox-left uagb-infobox-stacked-mobile uagb-infobox-image-valign-top wp-block-uagb-info-box--has-margin\"><div class=\"uagb-infobox-margin-wrapper\"><div class=\"uagb-ifb-icon-wrap\"><div class=\"uagb-iconbox-icon-wrap uagb-infobox-shape-circle\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 512 512\"><path d=\"M464 64C490.5 64 512 85.49 512 112C512 127.1 504.9 141.3 492.8 150.4L275.2 313.6C263.8 322.1 248.2 322.1 236.8 313.6L19.2 150.4C7.113 141.3 0 127.1 0 112C0 85.49 21.49 64 48 64H464zM217.6 339.2C240.4 356.3 271.6 356.3 294.4 339.2L512 176V384C512 419.3 483.3 448 448 448H64C28.65 448 0 419.3 0 384V176L217.6 339.2z\"><\/path><\/svg><\/div><\/div><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-title-wrap\"><\/div><div class=\"uagb-ifb-button-wrapper wp-block-button\"><a href=\"mailto:kontakt@white-beauty.pl\" target=\"_self\" onclick=\"return true;\" class=\"uagb-infobox-cta-link\" rel=\"noopener noreferrer\"><span class=\"uagb-inline-editing\">kontakt@white-beauty.pl<\/span><\/a><\/div><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-9ca2e3b4\">\n<div class=\"wp-block-uagb-info-box uagb-block-cd437336 uagb-infobox__content-wrap  uagb-infobox-icon-left uagb-infobox-left uagb-infobox-stacked-mobile uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-icon-wrap\"><div class=\"uagb-iconbox-icon-wrap uagb-infobox-shape-circle\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 384 512\"><path d=\"M168.3 499.2C116.1 435 0 279.4 0 192C0 85.96 85.96 0 192 0C298 0 384 85.96 384 192C384 279.4 267 435 215.7 499.2C203.4 514.5 180.6 514.5 168.3 499.2H168.3zM192 256C227.3 256 256 227.3 256 192C256 156.7 227.3 128 192 128C156.7 128 128 156.7 128 192C128 227.3 156.7 256 192 256z\"><\/path><\/svg><\/div><\/div><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">White &amp; Beauty Headquarters<br>A. Mickiewicza St. 28<br>60-836 Poznan <\/h4><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-64158d3b\">\n<div class=\"wp-block-uagb-buttons uagb-buttons__outer-wrap uagb-btn__default-btn uagb-btn-tablet__default-btn uagb-btn-mobile__default-btn uagb-block-c9490571\"><div class=\"uagb-buttons__wrap uagb-buttons-layout-wrap\">\n<div class=\"wp-block-uagb-buttons-child uagb-buttons__outer-wrap uagb-block-7451f4b2 wp-block-button\"><div class=\"uagb-button__wrapper\"><a class=\"uagb-buttons-repeater wp-block-button__link\" aria-label=\"\" href=\"https:\/\/white-beauty.pl\/en\/laser-teeth-whitening\/\" rel=\"follow noopener\" target=\"_self\" role=\"button\"><div class=\"uagb-button__link\">Teeth whitening clinics<\/div><\/a><\/div><\/div>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Pre-selection questionnaire<\/p>","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_uag_custom_page_level_css":"","site-sidebar-layout":"no-sidebar","site-content-layout":"plain-container","ast-site-content-layout":"normal-width-container","site-content-style":"unboxed","site-sidebar-style":"unboxed","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"enabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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kwalifikacyjna","_links":{"self":[{"href":"https:\/\/white-beauty.pl\/en\/wp-json\/wp\/v2\/pages\/7777","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/white-beauty.pl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/white-beauty.pl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/white-beauty.pl\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/white-beauty.pl\/en\/wp-json\/wp\/v2\/comments?post=7777"}],"version-history":[{"count":48,"href":"https:\/\/white-beauty.pl\/en\/wp-json\/wp\/v2\/pages\/7777\/revisions"}],"predecessor-version":[{"id":7976,"href":"https:\/\/white-beauty.pl\/en\/wp-json\/wp\/v2\/pages\/7777\/revisions\/7976"}],"wp:attachment":[{"href":"https:\/\/white-beauty.pl\/en\/wp-json\/wp\/v2\/media?parent=7777"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}