{"success":true,"content":"\n    <div class=\"container feedback-mod\">\n        <form id=\"feedback-fm\" action=\"https:\/\/6paknutrition.com\/pl\/module\/bpfeedbacks\/feedback?ajax=1\">\n            <div class=\"col-xs-12\">\n                <div class=\"title\">\n                    Wype\u0142nij, aby przes\u0142a\u0107 zg\u0142oszenie.\n                <\/div>\n            <\/div>\n            <div class=\"col-xs-12\">\n                <div>\n                    <label for=\"fm_name\">Imi\u0119 i nazwisko <small>(opcjonalnie)<\/small><\/label>\n                    <input id=\"fm_name\" type=\"text\" name=\"name\">\n                <\/div>\n            <\/div>\n            <div class=\"col-xs-12\">\n                <div>\n                    <label for=\"fm_email\">E-mail <small>(opcjonalnie)<\/small><\/label>\n                    <input id=\"fm_email\" type=\"text\" name=\"email\">\n                <\/div>\n            <\/div>\n            <div class=\"col-xs-12\">\n                <div>\n                    <label for=\"fm_content\">Raport dotyczy tre\u015bci:<\/label>\n                    <textarea id=\"fm_content\" type=\"text\" name=\"content\" required  maxlength=\"500\"><\/textarea>\n                <\/div>\n            <\/div>\n            <div class=\"col-xs-12\">\n                <div>\n                    <label for=\"fm_reason\">Uzasadnienie zg\u0142oszenia (powiedz nam, dlaczego tre\u015b\u0107 jest nielegalna):<\/label>\n                    <textarea id=\"fm_reason\" type=\"text\" name=\"reason\" required maxlength=\"500\"><\/textarea>\n                <\/div>\n            <\/div>\n            <div class=\"col-xs-12\">\n                <div>\n                    <label for=\"fm_statement\">\n                        <input id=\"fm_statement\" type=\"checkbox\" name=\"statement\" required><\/input>\n                        <span><i class=\"material-icons rtl-no-flip checkbox-checked\">\ue5ca<\/i><\/span>\n                        O\u015bwiadczam, \u017ce dokonuj\u0119 zg\u0142oszenia w dobrej wierze i zgodnie z moj\u0105 najlepsz\u0105 wiedz\u0105 informacje w nim zawarte, w tym tak\u017ce zarzuty dotycz\u0105ce tre\u015bci, s\u0105 zgodne z prawd\u0105.<\/label>\n                <\/div>\n            <\/div>\n            <div class=\"col-xs-12 mt-1\">\n                <div>Zg\u0142oszenia mo\u017cesz dokona\u0107 anonimowo. Mo\u017cesz tak\u017ce poda\u0107 swoje imi\u0119, nazwisko lub adres e-mail. Administratorem Twoich danych osobowych jest Trec Nutrition sp. z o.o. z siedzib\u0105 w Gdyni.<div>\n                <div><a href=\"\/pl\/informacja-rodo\" title=\"RODO\"><b>Kliknij i dowiedz si\u0119 wi\u0119cej o ochronie Twoich danych.<\/b><\/a><div>\n            <\/div>\n            <div class=\"col-xs-12 actions\">\n                <button class=\"btnSubmit\" name=\"submitFeedback\" type=\"submit\" value=\"save\">Wy\u015blij<\/button>\n            <\/div>\n        <\/form>\n    <\/div>\n\n<script>$(\"#feedback-fm\").on(\"submit\",function(event){event.preventDefault();sendfeedback();});<\/script>\n\n"}