{"id":5433,"date":"2024-05-14T09:31:18","date_gmt":"2024-05-14T08:31:18","guid":{"rendered":"https:\/\/www.varodem.com\/?page_id=5433"},"modified":"2024-08-24T10:22:05","modified_gmt":"2024-08-24T08:22:05","slug":"klanttevredenheidsonderzoek","status":"publish","type":"page","link":"https:\/\/www.varodem.com\/nl\/klanttevredenheidsonderzoek\/","title":{"rendered":"Klanttevredenheidsonderzoek"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5433\" class=\"elementor elementor-5433\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-fc1cd04 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"fc1cd04\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-53d68cc\" data-id=\"53d68cc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a7e1dc5 elementor-widget elementor-widget-text-editor\" data-id=\"a7e1dc5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"selectable-text copyable-text\">Regelmatig toetsen wij, als Varodem, onze klantgerichtheid. Dit doen wij door het houden van klanttevredenheidsonderzoeken. Met behulp van dit online vragenformulier kun je als klant, zorgverlener of drager van onze medische compressiehulpmiddelen jouw tevredenheid aan ons doorgeven. Maak je anoniem gebruik van ons formulier, dan kunnen wij niet inhoudelijk op je antwoorden reageren. Mocht je dit wel willen, laat dan je gegevens achter.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e8c3579 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"e8c3579\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-eb0c9f2 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"eb0c9f2\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-7b3cab0\" data-id=\"7b3cab0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9c2c4b1 elementor-widget elementor-widget-text-editor\" data-id=\"9c2c4b1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var 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method='post' enctype='multipart\/form-data'  id='gform_10'  action='\/nl\/wp-json\/wp\/v2\/pages\/5433' data-formid='10' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_10' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_10_46\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_46'>Comments<\/label><div class='ginput_container'><input name='input_46' id='input_10_46' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_10_46'>Dit veld is voor validatiedoeleinden en moet ongewijzigd blijven.<\/div><\/div><fieldset id=\"field_10_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Vul je dit formulier anoniem in?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Verplicht)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_16'>\n\t\t\t<div class='gchoice gchoice_10_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Ja'  id='choice_10_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_16_0' id='label_10_16_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Nee'  id='choice_10_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_16_1' id='label_10_16_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Naam<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Verplicht)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_10_1'>\n                            \n                            <span id='input_10_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_10_1_3' class='gform-field-label gform-field-label--type-sub '>Eerste<\/label>\n                                                    <input type='text' name='input_1.3' id='input_10_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_10_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_10_1_6' class='gform-field-label gform-field-label--type-sub '>Laatste<\/label>\n                                                            <input type='text' name='input_1.6' id='input_10_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_10_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_2'>E-mailadres<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Verplicht)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_10_2' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                        <\/div><\/div><div id=\"field_10_3\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_3'>Bedrijfsnaam \/ Praktijknaam<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_10_3' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_18'>In welke hoedanigheid vul je dit formulier in?<\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_10_18' class='large gfield_select'  aria-describedby=\"gfield_description_10_18\"   aria-invalid=\"false\" ><option value='Leverancier' >Leverancier<\/option><option value='Eindgebruiker' >Eindgebruiker<\/option><option value='Mantelzorger' >Mantelzorger<\/option><option value='Zorgverlener - therapeut' >Zorgverlener &#8211; therapeut<\/option><option value='Zorgverlener - arts' >Zorgverlener &#8211; arts<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_10_18'>Wij willen graag weten wat je relatie tot onze medische compressiehulpmiddelen is.<\/div><\/div><fieldset id=\"field_10_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Heb je in de afgelopen 12 maanden een product bij Varodem besteld?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_19'>\n\t\t\t<div class='gchoice gchoice_10_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Ja'  id='choice_10_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_19_0' id='label_10_19_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Nee'  id='choice_10_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_19_1' id='label_10_19_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Heb je ervaringen met medische compressiehulpmiddelen van Varodem?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_21'>\n\t\t\t<div class='gchoice gchoice_10_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Ja'  id='choice_10_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_21_0' id='label_10_21_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Nee'  id='choice_10_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_21_1' id='label_10_21_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Heb je ervaringen met therapeutische elastische kousen met naad (vlakbrei) van Varodem?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_22'>\n\t\t\t<div class='gchoice gchoice_10_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Ja'  id='choice_10_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_22_0' id='label_10_22_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Nee'  id='choice_10_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_22_1' id='label_10_22_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Heb je ervaringen met therapeutische elastische kousen zonder naad (rondbrei) van Varodem?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_23'>\n\t\t\t<div class='gchoice gchoice_10_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Ja'  id='choice_10_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_23_0' id='label_10_23_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Nee'  id='choice_10_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_23_1' id='label_10_23_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Heb je ervaring met het VaroCare Wrap zwachtelsysteem met klittenband?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_24'>\n\t\t\t<div class='gchoice gchoice_10_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Ja'  id='choice_10_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_24_0' id='label_10_24_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Nee'  id='choice_10_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_24_1' id='label_10_24_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Heb je ervaring met Curetex compressiebandages?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_25'>\n\t\t\t<div class='gchoice gchoice_10_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Ja'  id='choice_10_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_25_0' id='label_10_25_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Nee'  id='choice_10_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_25_1' id='label_10_25_1' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_44\" class=\"gfield gfield--type-post_title gfield--input-type-post_title gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_44'>Wil je jouw tevredenheid ten aanzien van onze service aangeven over de volgende onderwerpen:<\/label><div class='ginput_container ginput_container_post_title'>\n\t\t\t\t\t<input name='input_44' id='input_10_44' type='text' value='' class='large'    aria-invalid=\"false\"  \/>\n\t\t\t\t<\/div><\/div><fieldset id=\"field_10_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >algemeen<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_35'>\n\t\t\t<div class='gchoice gchoice_10_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Erg tevreden'  id='choice_10_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_35_0' id='label_10_35_0' class='gform-field-label gform-field-label--type-inline'>Erg tevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Tevreden'  id='choice_10_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_35_1' id='label_10_35_1' class='gform-field-label gform-field-label--type-inline'>Tevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_35_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Neutraal'  id='choice_10_35_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_35_2' id='label_10_35_2' class='gform-field-label gform-field-label--type-inline'>Neutraal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_35_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Ontevreden'  id='choice_10_35_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_35_3' id='label_10_35_3' class='gform-field-label gform-field-label--type-inline'>Ontevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_35_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Erg ontevreden'  id='choice_10_35_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_35_4' id='label_10_35_4' class='gform-field-label gform-field-label--type-inline'>Erg ontevreden<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Ons informatie aanbod<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_41'>\n\t\t\t<div class='gchoice gchoice_10_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Erg tevreden'  id='choice_10_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_41_0' id='label_10_41_0' class='gform-field-label gform-field-label--type-inline'>Erg tevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Tevreden'  id='choice_10_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_41_1' id='label_10_41_1' class='gform-field-label gform-field-label--type-inline'>Tevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_41_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Neutraal'  id='choice_10_41_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_41_2' id='label_10_41_2' class='gform-field-label gform-field-label--type-inline'>Neutraal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_41_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Ontevreden'  id='choice_10_41_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_41_3' id='label_10_41_3' class='gform-field-label gform-field-label--type-inline'>Ontevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_41_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Erg ontevreden'  id='choice_10_41_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_41_4' id='label_10_41_4' class='gform-field-label gform-field-label--type-inline'>Erg ontevreden<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Onze levertijden<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_40'>\n\t\t\t<div class='gchoice gchoice_10_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Erg tevreden'  id='choice_10_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_40_0' id='label_10_40_0' class='gform-field-label gform-field-label--type-inline'>Erg tevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Tevreden'  id='choice_10_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_40_1' id='label_10_40_1' class='gform-field-label gform-field-label--type-inline'>Tevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Neutraal'  id='choice_10_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_40_2' id='label_10_40_2' class='gform-field-label gform-field-label--type-inline'>Neutraal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Ontevreden'  id='choice_10_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_40_3' id='label_10_40_3' class='gform-field-label gform-field-label--type-inline'>Ontevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_40_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Erg ontevreden'  id='choice_10_40_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_40_4' id='label_10_40_4' class='gform-field-label gform-field-label--type-inline'>Erg ontevreden<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Onze reactietijd<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_39'>\n\t\t\t<div class='gchoice gchoice_10_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Erg tevreden'  id='choice_10_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_39_0' id='label_10_39_0' class='gform-field-label gform-field-label--type-inline'>Erg tevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Tevreden'  id='choice_10_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_39_1' id='label_10_39_1' class='gform-field-label gform-field-label--type-inline'>Tevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_39_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Neutraal'  id='choice_10_39_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_39_2' id='label_10_39_2' class='gform-field-label gform-field-label--type-inline'>Neutraal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_39_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Ontevreden'  id='choice_10_39_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_39_3' id='label_10_39_3' class='gform-field-label gform-field-label--type-inline'>Ontevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_39_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Erg ontevreden'  id='choice_10_39_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_39_4' id='label_10_39_4' class='gform-field-label gform-field-label--type-inline'>Erg ontevreden<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Retourenservice<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_42'>\n\t\t\t<div class='gchoice gchoice_10_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Erg tevreden'  id='choice_10_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_42_0' id='label_10_42_0' class='gform-field-label gform-field-label--type-inline'>Erg tevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Tevreden'  id='choice_10_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_42_1' id='label_10_42_1' class='gform-field-label gform-field-label--type-inline'>Tevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_42_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Neutraal'  id='choice_10_42_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_42_2' id='label_10_42_2' class='gform-field-label gform-field-label--type-inline'>Neutraal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_42_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Ontevreden'  id='choice_10_42_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_42_3' id='label_10_42_3' class='gform-field-label gform-field-label--type-inline'>Ontevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_42_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Erg ontevreden'  id='choice_10_42_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_42_4' id='label_10_42_4' class='gform-field-label gform-field-label--type-inline'>Erg ontevreden<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Onze behulpzaamheid<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_43'>\n\t\t\t<div class='gchoice gchoice_10_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Erg tevreden'  id='choice_10_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_43_0' id='label_10_43_0' class='gform-field-label gform-field-label--type-inline'>Erg tevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Tevreden'  id='choice_10_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_43_1' id='label_10_43_1' class='gform-field-label gform-field-label--type-inline'>Tevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_43_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Neutraal'  id='choice_10_43_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_43_2' id='label_10_43_2' class='gform-field-label gform-field-label--type-inline'>Neutraal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_43_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Ontevreden'  id='choice_10_43_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_43_3' id='label_10_43_3' class='gform-field-label gform-field-label--type-inline'>Ontevreden<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_43_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Erg ontevreden'  id='choice_10_43_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_10_43_4' id='label_10_43_4' class='gform-field-label gform-field-label--type-inline'>Erg ontevreden<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_26\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Zou je Varodem aanbevelen aan bekenden, collega&#039;s, familie en\/of vrienden?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_26'><div class='gchoice gchoice_10_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Ja'  id='choice_10_26_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_26_1' id='label_10_26_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='Nee'  id='choice_10_26_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_26_2' id='label_10_26_2' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_45\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_45'>Welk rapportcijfer geef je Varodem (van 0 tot 10)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Verplicht)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_45' id='input_10_45' type='number' step='any' min='0' max='10' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_10_45\" \/><div class='gfield_description instruction ' id='gfield_instruction_10_45'>Voer een nummer in van <strong>0<\/strong> tot <strong>10<\/strong>.<\/div><\/div><\/div><div id=\"field_10_37\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_37'>Heb je aanvullende opmerkingen, vragen of informatie, dan kun dit hieronder opgeven.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_37' id='input_10_37' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_10' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Versturen'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_10' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_10' id='gform_theme_10' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_10' id='gform_style_settings_10' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_10' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='10' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='\/gPp\/bYIW1UCMrd\/\/JGaqQwJdXYxoz3gyR2IJnr5H6Ib0ELgC3i91Wdf5+nSZAtYtK81FB\/wjS45w49EAq3srBpJLKFAoa0SoZu7pesiDexjSUs=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_10' 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