Playbrush Widget

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<div class="control-group ticket_section">
                 <label class="  control-label cf_order_number_413554-label " for="helpdesk_ticket_cf_order_number_413554">Wie lautet deine Bestellnummer?</label>
            <div class="controls   ">
              <input class="  number section_field span12" id="helpdesk_ticket_custom_field_cf_order_number_413554" name="helpdesk_ticket[custom_field][cf_order_number_413554]" size="30" type="text" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_pb_device_413554-label " for="helpdesk_ticket_cf_pb_device_413554">Welche Playbrush hast du?</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_pb_device_413554" name="helpdesk_ticket[custom_field][cf_pb_device_413554]"><option value="">...</option>
<option value="Playbrush Smart ( Aufsatz für Kinder-Handzahnbürsten)" data-id="17000378095">Playbrush Smart ( Aufsatz für Kinder-Handzahnbürsten)</option>
<option value="Playbrush Smart Sonic (Schallzahnbürste für Kinder)" data-id="17000378096">Playbrush Smart Sonic (Schallzahnbürste für Kinder)</option>
<option value="Playbrush Smart One (Schallzahnbürste für Erwachsene)" data-id="17000378097">Playbrush Smart One (Schallzahnbürste für Erwachsene)</option>
<option value="Sonstiges" data-id="17000378098">Sonstiges</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_hardware_issue_413554-label " for="helpdesk_ticket_cf_hardware_issue_413554">Welches Problem hast du?</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_hardware_issue_413554" name="helpdesk_ticket[custom_field][cf_hardware_issue_413554]"><option value="">...</option>
<option value="Einschalten funktioniert nicht" data-id="17000378075">Einschalten funktioniert nicht</option>
<option value="Ladevorgang (permanentes/blinkendes Licht)" data-id="17000378076">Ladevorgang (permanentes/blinkendes Licht)</option>
<option value="Batterie schwach" data-id="17000378077">Batterie schwach</option>
<option value="Verbindungsprobleme" data-id="17000378078">Verbindungsprobleme</option>
<option value="Die Vibrationen sind unregelmäßig" data-id="17000378079">Die Vibrationen sind unregelmäßig</option>
<option value="Andere" data-id="17000378080">Andere</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_costumer_device_413554-label " for="helpdesk_ticket_cf_costumer_device_413554">Welches Handy/Tablet verwendest du?</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_costumer_device_413554" name="helpdesk_ticket[custom_field][cf_costumer_device_413554]"><option value="">...</option>
<option value="iPhone" data-id="17000378064">iPhone</option>
<option value="Android (Samsung, Huawei, etc.)" data-id="17000378065">Android (Samsung, Huawei, etc.)</option>
<option value="Amazon Tablet" data-id="17000378066">Amazon Tablet</option>
<option value="Sonstige" data-id="17000378121">Sonstige</option></select>
            </div> 
                </div>

<div class="control-group ticket_section">
                 <label class=" required control-label cf_pb_device_413554-label " for="helpdesk_ticket_cf_pb_device_413554">Welche Playbrush hast du?</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_pb_device_413554" name="helpdesk_ticket[custom_field][cf_pb_device_413554]"><option value="">...</option>
<option value="Playbrush Smart ( Aufsatz für Kinder-Handzahnbürsten)" data-id="17000378095">Playbrush Smart ( Aufsatz für Kinder-Handzahnbürsten)</option>
<option value="Playbrush Smart Sonic (Schallzahnbürste für Kinder)" data-id="17000378096">Playbrush Smart Sonic (Schallzahnbürste für Kinder)</option>
<option value="Playbrush Smart One (Schallzahnbürste für Erwachsene)" data-id="17000378097">Playbrush Smart One (Schallzahnbürste für Erwachsene)</option>
<option value="Sonstiges" data-id="17000378098">Sonstiges</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_costumer_device_413554-label " for="helpdesk_ticket_cf_costumer_device_413554">Welches Handy/Tablet verwendest du?</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_costumer_device_413554" name="helpdesk_ticket[custom_field][cf_costumer_device_413554]"><option value="">...</option>
<option value="iPhone" data-id="17000378064">iPhone</option>
<option value="Android (Samsung, Huawei, etc.)" data-id="17000378065">Android (Samsung, Huawei, etc.)</option>
<option value="Amazon Tablet" data-id="17000378066">Amazon Tablet</option>
<option value="Sonstige" data-id="17000378121">Sonstige</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_pb_413554-label " for="helpdesk_ticket_cf_pb_413554">Welche App macht Probleme?</label>
            <div class="controls nested_field  ">
              <select class=" required nested_field section_field" id="helpdesk_ticket_custom_field_cf_pb_413554_17000378092" name="helpdesk_ticket[custom_field][cf_pb_413554]"><option value="">...</option>
<option value="Playbrush Kids App">Playbrush Kids App</option>
<option value="Utoothia">Utoothia</option>
<option value="Utoothia Paint">Utoothia Paint</option>
<option value="Utoothia Magic">Utoothia Magic</option>
<option value="Utoothia Sky">Utoothia Sky</option>
<option value="Utoothia Dance">Utoothia Dance</option>
<option value="Playbrush App ( für Erwachsene)">Playbrush App ( für Erwachsene)</option>
<option value="Sonstige">Sonstige</option></select><div class="level_2"><label class="required">Welche Funktion?</label><select class=" required nested_field section_field" id="helpdesk_ticket_custom_field_cf_pdf_413554_17000378092" name="helpdesk_ticket[custom_field][cf_pdf_413554]"><option value="">...</option>
</select></div><div class="level_3"><label class="required">Welches Spiel?</label><select class=" required nested_field section_field" id="helpdesk_ticket_custom_field_cf_ff_413554_17000378092" name="helpdesk_ticket[custom_field][cf_ff_413554]"><option value="">...</option>
</select></div><script type="text/javascript">
//<![CDATA[
jQuery('#helpdesk_ticket_custom_field_cf_pb_413554_17000378092').nested_select_tag({"data_tree":[["Playbrush Kids App","Playbrush Kids App",[["Zahnputzcoach","Zahnputzcoach",[]],["Statistiken","Statistiken",[]],["In-App Spiele","In-App Spiele",[["Feeding Frenzy","Feeding Frenzy"],["Fancy Football","Fancy Football"],["Super Stars","Super Stars"],["Making Music","Making Music"],["Sketching Shapes","Sketching Shapes"],["Running Routes","Running Routes"],["Matching Madness","Matching Madness"]]]]],["Utoothia","Utoothia",[]],["Utoothia Paint","Utoothia Paint",[]],["Utoothia Magic","Utoothia Magic",[]],["Utoothia Sky","Utoothia Sky",[]],["Utoothia Dance","Utoothia Dance",[]],["Playbrush App ( f\u00fcr Erwachsene)","Playbrush App ( f\u00fcr Erwachsene)",[["Zahnputzcoach","Zahnputzcoach",[]],["Statistiken","Statistiken",[]],["Quiz-Game","Quiz-Game",[]]]],["Sonstige","Sonstige",[]]],"initValues":null,"disable_children":false,"include_blank":"...","selected":null,"pl_value_id":"17000378092","subcategory_id":"helpdesk_ticket_custom_field_cf_pdf_413554_17000378092","item_id":"helpdesk_ticket_custom_field_cf_ff_413554_17000378092"});
//]]>
</script>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_software_issue_413554-label " for="helpdesk_ticket_cf_software_issue_413554">Welches Problem hast du?</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_software_issue_413554" name="helpdesk_ticket[custom_field][cf_software_issue_413554]"><option value="">...</option>
<option value="Verbindungsprobleme" data-id="17000378069">Verbindungsprobleme</option>
<option value="Statistiken fehlen" data-id="17000378070">Statistiken fehlen</option>
<option value="Einloggen funktioniert nicht" data-id="17000378071">Einloggen funktioniert nicht</option>
<option value="Ich komme im Spiel nicht weiter" data-id="17000378072">Ich komme im Spiel nicht weiter</option>
<option value="Es wird mir die falsche Seite angezeigt" data-id="17000378073">Es wird mir die falsche Seite angezeigt</option>
<option value="Andere" data-id="17000378074">Andere</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_pb_email_413554-label " for="helpdesk_ticket_cf_pb_email_413554">Mit welcher E-Mail Adresse nutzt du die App?</label>
            <div class="controls   ">
              <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_pb_email_413554" name="helpdesk_ticket[custom_field][cf_pb_email_413554]" size="30" type="text" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_pb_profile_name_413554-label " for="helpdesk_ticket_cf_pb_profile_name_413554">Wie lautet dein Profilname?</label>
            <div class="controls   ">
              <input class="  text section_field span12" id="helpdesk_ticket_custom_field_cf_pb_profile_name_413554" name="helpdesk_ticket[custom_field][cf_pb_profile_name_413554]" size="30" type="text" />
            </div> 
                </div>

<div class="control-group ticket_section">
                 <label class=" required control-label cf_playbrush_device_413554-label " for="helpdesk_ticket_cf_playbrush_device_413554">Zu welchem Abo hast du eine Frage?</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_playbrush_device_413554" name="helpdesk_ticket[custom_field][cf_playbrush_device_413554]"><option value="">...</option>
<option value="Abo für Kinder" data-id="17000378060">Abo für Kinder</option>
<option value="Abo für Erwachsene" data-id="17000378061">Abo für Erwachsene</option>
<option value="Sonstige" data-id="17000378122">Sonstige</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_subscription_issue_413554-label " for="helpdesk_ticket_cf_subscription_issue_413554">Zu welchem Thema hast du Fragen?</label>
            <div class="controls   ">
              <select class=" required dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_subscription_issue_413554" name="helpdesk_ticket[custom_field][cf_subscription_issue_413554]"><option value="">...</option>
<option value="Zahlungsmethode ändern" data-id="17000378081">Zahlungsmethode ändern</option>
<option value="Kündigung" data-id="17000378082">Kündigung</option>
<option value="Bonuspunkte" data-id="17000378083">Bonuspunkte</option>
<option value="Abo-Tausch" data-id="17000378084">Abo-Tausch</option>
<option value="Ersatzbürsten/ Ersatzbürstenköpfe" data-id="17000378085">Ersatzbürsten/ Ersatzbürstenköpfe</option>
<option value="Abo-Aktivierung" data-id="17000378086">Abo-Aktivierung</option>
<option value="Versicherung für Kinder" data-id="17000378087">Versicherung für Kinder</option>
<option value="Andere" data-id="17000378123">Andere</option>
<option value="Zahnarztbonus für Erwachsene" data-id="17000380756">Zahnarztbonus für Erwachsene</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class=" required control-label cf_pb_email_413554-label " for="helpdesk_ticket_cf_pb_email_413554">Mit welcher E-Mail Adresse nutzt du die App?</label>
            <div class="controls   ">
              <input class=" required text section_field span12" id="helpdesk_ticket_custom_field_cf_pb_email_413554" name="helpdesk_ticket[custom_field][cf_pb_email_413554]" size="30" type="text" />
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_webshop_vs_inapp_413554-label " for="helpdesk_ticket_cf_webshop_vs_inapp_413554">Wo hast du dein Abo gekauft?</label>
            <div class="controls   ">
              <select class="  dropdown_blank section_field dynamic_sections" id="helpdesk_ticket_custom_field_cf_webshop_vs_inapp_413554" name="helpdesk_ticket[custom_field][cf_webshop_vs_inapp_413554]"><option value="">...</option>
<option value="Über den Playbrush Webshop" data-id="17000378090">Über den Playbrush Webshop</option>
<option value="Durch die App (iPhone in-app Kauf via apple)" data-id="17000378091">Durch die App (iPhone in-app Kauf via apple)</option></select>
            </div> 
                </div>
      <div class="control-group ticket_section">
                 <label class="  control-label cf_order_number_413554-label " for="helpdesk_ticket_cf_order_number_413554">Wie lautet deine Bestellnummer?</label>
            <div class="controls   ">
              <input class="  number section_field span12" id="helpdesk_ticket_custom_field_cf_order_number_413554" name="helpdesk_ticket[custom_field][cf_order_number_413554]" size="30" type="text" />
            </div> 
                </div>

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