Toelichting

</div><div class="button-bar"><button class="ok-button">OK</button></div></div></div></div><div id="error_layer" class="hidden dialog-layer"><div id="error_dialog" data-overlay-theme="e" class="ui-overlay-shadow ui-body-inherit ui-corner-all dialog"><div id="error_header" data-role="header" data-theme="a" class="ui-corner-top dialog-title"></div><div class="content" data-theme="c"><div id="error_text"/><div class="button-bar"><button class="ok-button">OK</button></div></div></div></div><div id="image_layer" class="hidden dialog-layer"><div id="image_dialog" data-overlay-theme="e" class="ui-overlay-shadow ui-body-inherit ui-corner-all dialog"><div id="image_header" data-role="header" data-theme="a" class="ui-corner-top dialog-title"> </div><div data-theme="c"><div id="image_container"/></div></div></div><div id="p3" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p3_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p3_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="COACH_WEL_NIET-element-container" data-role="none" class="element-container"><fieldset id="COACH_WEL_NIET" data-theme="d" data-role="controlgroup"><legend/><input id="COACH_WEL_NIET_1" data-theme="d" value="1" name="COACH_WEL_NIET" type="radio"/><label for="COACH_WEL_NIET_1" class="option"><span id="COACH_WEL_NIET_1_option" class="option">Coach</span></label><input id="COACH_WEL_NIET_2" data-theme="d" value="2" name="COACH_WEL_NIET" type="radio"/><label for="COACH_WEL_NIET_2" class="option"><span id="COACH_WEL_NIET_2_option" class="option">Geen coach</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p3_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p3_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p3_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p4" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p4_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p4_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="KANAAL_AANGEMELD-element-container" data-role="none" class="element-container"><fieldset id="KANAAL_AANGEMELD" data-theme="d" data-role="controlgroup"><legend/><input id="KANAAL_AANGEMELD_1" data-theme="d" value="1" name="KANAAL_AANGEMELD" type="radio"/><label for="KANAAL_AANGEMELD_1" class="option"><span id="KANAAL_AANGEMELD_1_option" class="option">Ikstopnu</span></label><input id="KANAAL_AANGEMELD_2" data-theme="d" value="2" name="KANAAL_AANGEMELD" type="radio"/><label for="KANAAL_AANGEMELD_2" class="option"><span id="KANAAL_AANGEMELD_2_option" class="option">Zorgprofs</span></label><input id="KANAAL_AANGEMELD_3" data-theme="d" value="3" name="KANAAL_AANGEMELD" type="radio"/><label for="KANAAL_AANGEMELD_3" class="option"><span id="KANAAL_AANGEMELD_3_option" class="option">Onbekend</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p4_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p4_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p4_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p5" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p5_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p5_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="ONBEKEND-element-container" data-role="none" class="element-container"><fieldset id="ONBEKEND" data-theme="d" data-role="controlgroup"><legend/><input id="ONBEKEND_1" data-theme="d" value="1" name="ONBEKEND" type="radio"/><label for="ONBEKEND_1" class="option"><span id="ONBEKEND_1_option" class="option">Onbekend</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p5_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p5_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p5_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p6" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p6_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p6_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="VRAAGTEKST_EMAIL-element-container" data-role="none" class="element-container"><fieldset id="VRAAGTEKST_EMAIL" data-theme="d" data-role="controlgroup"><legend/><input id="VRAAGTEKST_EMAIL_1" data-theme="d" value="1" name="VRAAGTEKST_EMAIL" type="radio"/><label for="VRAAGTEKST_EMAIL_1" class="option"><span id="VRAAGTEKST_EMAIL_1_option" class="option">E-mailadres*</span></label><input id="VRAAGTEKST_EMAIL_2" data-theme="d" value="2" name="VRAAGTEKST_EMAIL" type="radio"/><label for="VRAAGTEKST_EMAIL_2" class="option"><span id="VRAAGTEKST_EMAIL_2_option" class="option">E-mailadres*<font class="markdown" size="-1"> We sturen een bevestigingsmail naar de ouder.</font></span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p6_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p6_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p6_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p7" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p7_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p7_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="VRAAGTEKST_ZWANGER-element-container" data-role="none" class="element-container"><fieldset id="VRAAGTEKST_ZWANGER" data-theme="d" data-role="controlgroup"><legend/><input id="VRAAGTEKST_ZWANGER_1" data-theme="d" value="1" name="VRAAGTEKST_ZWANGER" type="radio"/><label for="VRAAGTEKST_ZWANGER_1" class="option"><span id="VRAAGTEKST_ZWANGER_1_option" class="option">Ben je zwanger?</span></label><input id="VRAAGTEKST_ZWANGER_2" data-theme="d" value="2" name="VRAAGTEKST_ZWANGER" type="radio"/><label for="VRAAGTEKST_ZWANGER_2" class="option"><span id="VRAAGTEKST_ZWANGER_2_option" class="option">Is de ouder zwanger?</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p7_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p7_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p7_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p8" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p8_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p8_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="VRAAGTEKST_BEREIKBAAR-element-container" data-role="none" class="element-container"><fieldset id="VRAAGTEKST_BEREIKBAAR" data-theme="d" data-role="controlgroup"><legend/><input id="VRAAGTEKST_BEREIKBAAR_1" data-theme="d" value="1" name="VRAAGTEKST_BEREIKBAAR" type="radio"/><label for="VRAAGTEKST_BEREIKBAAR_1" class="option"><span id="VRAAGTEKST_BEREIKBAAR_1_option" class="option">Op welk tijdstip ben je het beste telefonisch bereikbaar?</span></label><input id="VRAAGTEKST_BEREIKBAAR_2" data-theme="d" value="2" name="VRAAGTEKST_BEREIKBAAR" type="radio"/><label for="VRAAGTEKST_BEREIKBAAR_2" class="option"><span id="VRAAGTEKST_BEREIKBAAR_2_option" class="option">Op welk tijdstip is de ouder het beste telefonisch bereikbaar?</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p8_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p8_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p8_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p9" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p9_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p9_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="VRAAGTEKST_VERZEKER-element-container" data-role="none" class="element-container"><fieldset id="VRAAGTEKST_VERZEKER" data-theme="d" data-role="controlgroup"><legend/><input id="VRAAGTEKST_VERZEKER_1" data-theme="d" value="1" name="VRAAGTEKST_VERZEKER" type="radio"/><label for="VRAAGTEKST_VERZEKER_1" class="option"><span id="VRAAGTEKST_VERZEKER_1_option" class="option">Waar ben je verzekerd?*<font class="markdown" size="-1"> We proberen een stoppen-met-roken coach voor je te vinden die een contract heeft afgesloten met jouw zorgverzekeraar. Op die manier vergroten we de kans dat je niet of minder hoeft te betalen voor de telefonische coaching als je daarmee start.</font></span></label><input id="VRAAGTEKST_VERZEKER_2" data-theme="d" value="2" name="VRAAGTEKST_VERZEKER" type="radio"/><label for="VRAAGTEKST_VERZEKER_2" class="option"><span id="VRAAGTEKST_VERZEKER_2_option" class="option">Zorgverzekeraar ouder*<font class="markdown" size="-1"> We proberen een stoppen-met-roken coach te vinden die een contract heeft afgesloten met de zorgverzekeraar van de ouder.</font></span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p9_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p9_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p9_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p10" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p10_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p10_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="EXITTEKST-element-container" data-role="none" class="element-container"><fieldset id="EXITTEKST" data-theme="d" data-role="controlgroup"><legend/><input id="EXITTEKST_1" data-theme="d" value="1" name="EXITTEKST" type="radio"/><label for="EXITTEKST_1" class="option"><span id="EXITTEKST_1_option" class="option">Bedankt voor je aanmelding. De stoppen-met-roken coach neemt binnen een week contact met je op voor een gratis kennismakingsgesprek. Ben je zwanger? Dan neemt de coach binnen 2-3 dagen contact met je op.</span></label><input id="EXITTEKST_2" data-theme="d" value="2" name="EXITTEKST" type="radio"/><label for="EXITTEKST_2" class="option"><span id="EXITTEKST_2_option" class="option">Bedankt voor de doorverwijzing. Onze coaches nemen zo spoedig mogelijk contact op met de (aanstaande) ouder.</span></label><input id="EXITTEKST_3" data-theme="d" value="3" name="EXITTEKST" type="radio"/><label for="EXITTEKST_3" class="option"><span id="EXITTEKST_3_option" class="option">De wijzigingen zijn opgeslagen. Je kunt dit venster sluiten om terug te gaan naar het overzicht met aanmeldingen.</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p10_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p10_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p10_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p12" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p12_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p12_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="B-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="B_comment" class="comment">Begin aanmeldpagina</div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p12_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p12_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p12_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p13" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p13_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p13_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="C-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="C_comment" class="comment"><b class="markdown"><font size="+2">Telefonische stoppen-met-roken hulp Rookvrije Ouders</font></b><br class="markdown"/><br class="markdown"/>Mooi dat je nadenkt over stoppen met roken! Vul hieronder jouw gegevens in. Binnen een week neemt een stoppen-met-roken coach contact met je op over Rookvrije Ouders. Ben je zwanger? Dan neemt de coach binnen drie dagen contact met je op. Dit gesprek is <b class="markdown">gratis</b>. Tijdens of na dit gesprek beslis je pas of je wilt starten met Rookvrije Ouders.</div></div></div><div id="D-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="D_comment" class="comment"><b class="markdown"><font size="+2">Telefonische stoppen-met-roken coaching Rookvrije Ouders</font></b><br class="markdown"/><br class="markdown"/>Vul hieronder de gegevens in van de (aanstaande) ouder die je wilt aanmelden voor een vrijblijvend en gratis kennismakingsgesprek over de telefonische coaching.</div></div></div><div id="VNAAM-element-container" data-role="none" class="element-container"><div id="VNAAM-input-container" data-role="none"><label for="VNAAM"><div id="VNAAM_question" class="question">Voornaam*</div></label><div class="input-box"><input id="VNAAM" type="text" name="VNAAM"/></div></div></div><div id="ANAAM-element-container" data-role="none" class="element-container"><div id="ANAAM-input-container" data-role="none"><label for="ANAAM"><div id="ANAAM_question" class="question">Achternaam*</div></label><div class="input-box"><input id="ANAAM" type="text" name="ANAAM"/></div></div></div><div id="ZWANGER-element-container" data-role="none" class="element-container"><fieldset id="ZWANGER" data-role="controlgroup"><legend><div id="ZWANGER_question" class="hidden">${VRAAGTEKST_ZWANGER}*</div><div id="XZWANGER_question" class="question">${VRAAGTEKST_ZWANGER}*</div></legend><input id="ZWANGER_1" data-theme="d" value="1" name="ZWANGER" type="radio"/><label for="ZWANGER_1" class="option"><span id="ZWANGER_1_option" class="option">Ja</span></label><input id="ZWANGER_2" data-theme="d" value="2" name="ZWANGER" type="radio"/><label for="ZWANGER_2" class="option"><span id="ZWANGER_2_option" class="option">Nee</span></label></fieldset></div><div id="ANAAMKIND-element-container" data-role="none" class="element-container"><div id="ANAAMKIND-input-container" data-role="none"><label for="ANAAMKIND"><div id="ANAAMKIND_question" class="question">Achternaam kind</div></label><div class="input-box"><input id="ANAAMKIND" type="text" name="ANAAMKIND"/></div></div></div><div id="GEBDATKIND-element-container" data-role="none" class="element-container"><div id="GEBDATKIND-input-container" data-role="none"><label for="GEBDATKIND"><div id="GEBDATKIND_question" class="question">Geboortedatum kind</div></label><div class="input-box"><input id="GEBDATKIND" type="date" name="GEBDATKIND"/></div></div></div><div id="TELNR-element-container" data-role="none" class="element-container"><div id="TELNR-input-container" data-role="none"><label for="TELNR"><div id="TELNR_question" class="question">Telefoonnummer*</div></label><div class="input-box"><input id="TELNR" pattern="^\d{10}$" type="text" name="TELNR" class="uppercase"/></div></div></div><div id="OUDEREMAIL-element-container" data-role="none" class="element-container"><div id="OUDEREMAIL-input-container" data-role="none"><label for="OUDEREMAIL"><div id="OUDEREMAIL_question" class="hidden">${VRAAGTEKST_EMAIL}</div><div id="XOUDEREMAIL_question" class="question">${VRAAGTEKST_EMAIL}</div></label><div class="input-box"><input id="OUDEREMAIL" pattern="^[a-zA-Z0-9.!#$%&'*+/=?^_`{|}~-]+@[a-zA-Z0-9](?:[a-zA-Z0-9-]{0,61}[a-zA-Z0-9])?(?:\.[a-zA-Z0-9](?:[a-zA-Z0-9-]{0,61}[a-zA-Z0-9])?)*$" type="text" name="OUDEREMAIL"/></div></div></div><div id="BEREIKBAAR-element-container" data-role="none" class="element-container"><div id="BEREIKBAAR-input-container" data-role="none"><label for="BEREIKBAAR"><div id="BEREIKBAAR_question" class="hidden">${VRAAGTEKST_BEREIKBAAR}</div><div id="XBEREIKBAAR_question" class="question">${VRAAGTEKST_BEREIKBAAR}</div></label><div class="input-box"><input id="BEREIKBAAR" type="text" name="BEREIKBAAR"/></div></div></div><div id="VERZEKER-element-container" data-role="none" class="element-container"><div id="VERZEKER-input-container" data-role="none"><label for="VERZEKER"><div id="VERZEKER_question" class="hidden">${VRAAGTEKST_VERZEKER}</div><div id="XVERZEKER_question" class="question">${VRAAGTEKST_VERZEKER}</div></label><div class="input-box"><div><select id="VERZEKER" data-role="none" name="VERZEKER" class="single-selectbox ui-shadow-inset ui-corner-all ui-body-inherit ui-input-text"><option/><option id="VERZEKER_1_option" value="1">Aevitae (Amersfoortse)</option><option id="VERZEKER_2_option" value="2">Aevitae (ASR)</option><option id="VERZEKER_3_option" value="3">Aevitae (Avero Achmea)</option><option id="VERZEKER_4_option" value="4">Aevitae (VGZ)</option><option id="VERZEKER_5_option" value="5">Anderzorg</option><option id="VERZEKER_6_option" value="6">Avéro Achmea</option><option id="VERZEKER_7_option" value="7">Azivo</option><option id="VERZEKER_8_option" value="8">AZVZ</option><option id="VERZEKER_9_option" value="9">Besured</option><option id="VERZEKER_10_option" value="10">Bewuzt (VGZ)</option><option id="VERZEKER_11_option" value="11">Caresco (Avero Achmea)</option><option id="VERZEKER_12_option" value="12">Caresco (ASR/Amersfoortse)</option><option id="VERZEKER_13_option" value="13">Caresco (lptiq)</option><option id="VERZEKER_14_option" value="14">Caresco (VGZ)</option><option id="VERZEKER_15_option" value="15">Caresq</option><option id="VERZEKER_16_option" value="16">Collectiviteit (Menzis)</option><option id="VERZEKER_17_option" value="17">CZ</option><option id="VERZEKER_18_option" value="18">CZdirect.nl</option><option id="VERZEKER_19_option" value="19">De Amersfoortse</option><option id="VERZEKER_20_option" value="20">De Friesland</option><option id="VERZEKER_21_option" value="21">Delta Lloyd</option><option id="VERZEKER_22_option" value="22">Ditzo</option><option id="VERZEKER_23_option" value="23">DSW</option><option id="VERZEKER_24_option" value="24">EUCARE</option><option id="VERZEKER_25_option" value="25">FBTO</option><option id="VERZEKER_26_option" value="26">Gewoon ZEKUR polis</option><option id="VERZEKER_27_option" value="27">Goudse</option><option id="VERZEKER_28_option" value="28">HEMA (Menzis)</option><option id="VERZEKER_29_option" value="29">HollandZorg</option><option id="VERZEKER_30_option" value="30">IAK (ASR)</option><option id="VERZEKER_31_option" value="31">IAK (Avero Achmea)</option><option id="VERZEKER_32_option" value="32">IAK (VGZ)</option><option id="VERZEKER_33_option" value="33">Interpolis</option><option id="VERZEKER_34_option" value="34">inTwente</option><option id="VERZEKER_35_option" value="35">IZA</option><option id="VERZEKER_36_option" value="36">IZA Gezond Samen (VNG)</option><option id="VERZEKER_37_option" value="37">IZA Cura</option><option id="VERZEKER_38_option" value="38">IZZ</option><option id="VERZEKER_39_option" value="39">Just CZ (was CZ Direct)</option><option id="VERZEKER_40_option" value="40">Kiemer</option><option id="VERZEKER_41_option" value="41">Menzis</option><option id="VERZEKER_42_option" value="42">National Academic</option><option id="VERZEKER_43_option" value="43">Nationale Nederlanden</option><option id="VERZEKER_44_option" value="44">Nedasco (De Amersfoortse)</option><option id="VERZEKER_45_option" value="45">Nedasco (VGZ)</option><option id="VERZEKER_46_option" value="46">Nedasco Avero (Achmea)</option><option id="VERZEKER_47_option" value="47">OHRA</option><option id="VERZEKER_48_option" value="48">One Underwriting (Achmea)</option><option id="VERZEKER_49_option" value="49">ONVZ</option><option id="VERZEKER_50_option" value="50">OZF</option><option id="VERZEKER_51_option" value="51">PMA</option><option id="VERZEKER_52_option" value="52">PNO Zorg</option><option id="VERZEKER_53_option" value="53">Pro Life</option><option id="VERZEKER_54_option" value="54">Promovendum</option><option id="VERZEKER_55_option" value="55">Salland</option><option id="VERZEKER_56_option" value="56">Stad Holland</option><option id="VERZEKER_57_option" value="57">SZVK</option><option id="VERZEKER_58_option" value="58">Turien & Co (Achmea)</option><option id="VERZEKER_59_option" value="59">Turien & Co (VGZ)</option><option id="VERZEKER_60_option" value="60">UMC</option><option id="VERZEKER_61_option" value="61">United Consumers / VGZ</option><option id="VERZEKER_62_option" value="62">Univé</option><option id="VERZEKER_63_option" value="63">U-Polis</option><option id="VERZEKER_64_option" value="64">VGZ</option><option id="VERZEKER_65_option" value="65">VGZ Cares</option><option id="VERZEKER_66_option" value="66">VvAA</option><option id="VERZEKER_67_option" value="67">ZEKUR (Univé)</option><option id="VERZEKER_68_option" value="68">ZieZo</option><option id="VERZEKER_69_option" value="69">Zilveren Kruis Achmea</option><option id="VERZEKER_70_option" value="70">Zorg & Zekerheid</option><option id="VERZEKER_71_option" value="71">Zorgverzekeraar UMC</option><option id="VERZEKER_72_option" value="72">ZorgDirect</option><option id="VERZEKER_73_option" value="73">Zorgzaam</option><option id="VERZEKER_74_option" value="74">Overige verzekeraars</option><option id="VERZEKER_75_option" value="75">Onverzekerd</option></select></div></div></div></div><div id="TOESTEM-element-container" data-role="none" class="element-container"><fieldset id="TOESTEM" data-role="controlgroup"><legend><div id="TOESTEM_question" class="question">Ik geef toestemming:*</div></legend><input id="TOESTEM_1" data-theme="d" value="1" name="TOESTEM_1" type="checkbox"/><label for="TOESTEM_1" class="option"><span id="TOESTEM_1_option" class="option"><font class="markdown" size="-1">- om door een stoppen-met-roken coach gebeld te worden over de telefonische coaching Rookvrije Ouders;<br/>- voor terugkoppeling van gegevens aan het Trimbos-instituut om het programma Rookvrije Ouders te evalueren. Deze gegevens betreffen mijn naam en of ik wel/niet gestart ben met de telefonische coaching.</font></span></label></fieldset></div><div id="TOESTEM2-element-container" data-role="none" class="element-container"><fieldset id="TOESTEM2" data-role="controlgroup"><legend><div id="TOESTEM2_question" class="question">De ouder heeft toestemming gegeven:*</div></legend><input id="TOESTEM2_1" data-theme="d" value="1" name="TOESTEM2_1" type="checkbox"/><label for="TOESTEM2_1" class="option"><span id="TOESTEM2_1_option" class="option"><font class="markdown" size="-1">- om doorverwezen te worden naar Rookvrije Ouders en om door een stoppen-met-roken coach gebeld te worden over de telefonische coaching Rookvrije Ouders;<br/>- voor terugkoppeling van de gegevens van de ouder aan het Trimbos-instituut om het programma Rookvrije Ouders te evalueren. Deze gegevens betreffen de naam van de ouder en of de ouder wel/niet gestart is met de telefonische coaching.</font></span></label></fieldset></div><div id="TERUGKOPPELING-element-container" data-role="none" class="element-container"><div id="TERUGKOPPELING-input-container" data-role="none"><label for="TERUGKOPPELING"><div id="TERUGKOPPELING_question" class="question">Wil je van de coach een terugkoppeling ontvangen? Vul dan hieronder je gegevens in (naam, telefoon, e-mailadres en evt. zorgmail).</div></label><div class="input-box"><div><textarea id="TERUGKOPPELING" name="TERUGKOPPELING" class="ui-input-text" rows="5"/></div></div></div></div><div id="OPMERKINGEN-element-container" data-role="none" class="element-container"><div id="OPMERKINGEN-input-container" data-role="none"><label for="OPMERKINGEN"><div id="OPMERKINGEN_question" class="question">Heb je nog opmerkingen?</div></label><div class="input-box"><input id="OPMERKINGEN" type="text" name="OPMERKINGEN"/></div></div></div><div id="E-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="E_comment" class="comment"><p class="markdown"><b>Heb je nog vragen over Rookvrije Ouders?</b>
<br/>Neem dan contact met ons op via <a href="mailto:rookvrijestart@trimbos.nl">rookvrijestart@trimbos.nl</a> of bel met de Stoplijn: 0800-1995 (gratis).</p><p class="markdown">Lees in de <u><a target="_blank" href="https://assets-sites.trimbos.nl/docs/d502fbaa-00e7-4b7c-ad0b-d28df8803e1a.pdf">privacyverklaring</a></u> hoe wij omgaan met persoonsgegevens.</p><p class="markdown"><i>* Invullen verplicht</i></p></div></div></div><div id="F-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="F_comment" class="comment"><p class="markdown"><b>Heb je nog vragen over het programma Rookvrije Ouders?</b>
<br/>Neem dan contact met ons op via <a href="mailto:rookvrijestart@trimbos.nl">rookvrijestart@trimbos.nl</a>.</p><p class="markdown">Lees in de <u><a target="_blank" href="https://assets-sites.trimbos.nl/docs/d502fbaa-00e7-4b7c-ad0b-d28df8803e1a.pdf">privacyverklaring</a></u> hoe wij omgaan met persoonsgegevens.</p><p class="markdown"><i>* Invullen verplicht</i></p></div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p13_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p13_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p13_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p15" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p15_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p15_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="TERUGKOPPELING_CALC-element-container" data-role="none" class="element-container"><fieldset id="TERUGKOPPELING_CALC" data-theme="d" data-role="controlgroup"><legend/><input id="TERUGKOPPELING_CALC_1" data-theme="d" value="1" name="TERUGKOPPELING_CALC" type="radio"/><label for="TERUGKOPPELING_CALC_1" class="option"><span id="TERUGKOPPELING_CALC_1_option" class="option">Wel terugkoppeling</span></label><input id="TERUGKOPPELING_CALC_2" data-theme="d" value="2" name="TERUGKOPPELING_CALC" type="radio"/><label for="TERUGKOPPELING_CALC_2" class="option"><span id="TERUGKOPPELING_CALC_2_option" class="option">Geen terugkoppeling</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p15_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p15_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p15_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p16" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p16_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p16_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="TERUGKOPPELING_ZORGPROFS_CALC-element-container" data-role="none" class="element-container"><fieldset id="TERUGKOPPELING_ZORGPROFS_CALC" data-theme="d" data-role="controlgroup"><legend/><input id="TERUGKOPPELING_ZORGPROFS_CALC_1" data-theme="d" value="1" name="TERUGKOPPELING_ZORGPROFS_CALC" type="radio"/><label for="TERUGKOPPELING_ZORGPROFS_CALC_1" class="option"><span id="TERUGKOPPELING_ZORGPROFS_CALC_1_option" class="option">Wel terugkoppeling zorgprofs</span></label><input id="TERUGKOPPELING_ZORGPROFS_CALC_2" data-theme="d" value="2" name="TERUGKOPPELING_ZORGPROFS_CALC" type="radio"/><label for="TERUGKOPPELING_ZORGPROFS_CALC_2" class="option"><span id="TERUGKOPPELING_ZORGPROFS_CALC_2_option" class="option">Geen terugkoppeling zorgprofs</span></label><input id="TERUGKOPPELING_ZORGPROFS_CALC_3" data-theme="d" value="3" name="TERUGKOPPELING_ZORGPROFS_CALC" type="radio"/><label for="TERUGKOPPELING_ZORGPROFS_CALC_3" class="option"><span id="TERUGKOPPELING_ZORGPROFS_CALC_3_option" class="option">Overig</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p16_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p16_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p16_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p17" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p17_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p17_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="G-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="G_comment" class="comment">Einde aanmeldpagina</div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p17_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p17_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p17_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p18" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p18_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p18_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="H-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="H_comment" class="comment">Begin selectie coach</div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p18_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p18_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p18_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p19" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p19_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p19_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="I-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="I_comment" class="comment">Coach doet niet mee (vakantie e.d.): vink deze coach aan bij 'alternative' bij de calculation EXCLUDE. Sla deze keuze op d.m.v. OK.</div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p19_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p19_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p19_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p20" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p20_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p20_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="EXCLUDE-element-container" data-role="none" class="element-container"><fieldset id="EXCLUDE" data-role="controlgroup"><legend/><input id="EXCLUDE_1" value="1" name="EXCLUDE_1" type="checkbox" data-theme="d"/><label for="EXCLUDE_1" class="option"><span id="EXCLUDE_1_option" class="option">SineFuma</span></label><input id="EXCLUDE_2" value="2" name="EXCLUDE_2" type="checkbox" data-theme="d"/><label for="EXCLUDE_2" class="option"><span id="EXCLUDE_2_option" class="option">Psymind</span></label><input id="EXCLUDE_3" value="3" name="EXCLUDE_3" type="checkbox" data-theme="d"/><label for="EXCLUDE_3" class="option"><span id="EXCLUDE_3_option" class="option">GGD Fryslan</span></label><input id="EXCLUDE_4" value="4" name="EXCLUDE_4" type="checkbox" data-theme="d"/><label for="EXCLUDE_4" class="option"><span id="EXCLUDE_4_option" class="option">Linda de Boer</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p20_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p20_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p20_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p21" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p21_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p21_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="VOLLEDIG-element-container" data-role="none" class="element-container"><fieldset id="VOLLEDIG" data-role="controlgroup"><legend/><input id="VOLLEDIG_1" value="1" name="VOLLEDIG_1" type="checkbox" data-theme="d"/><label for="VOLLEDIG_1" class="option"><span id="VOLLEDIG_1_option" class="option">SineFuma</span></label><input id="VOLLEDIG_2" value="2" name="VOLLEDIG_2" type="checkbox" data-theme="d"/><label for="VOLLEDIG_2" class="option"><span id="VOLLEDIG_2_option" class="option">Psymind</span></label><input id="VOLLEDIG_3" value="3" name="VOLLEDIG_3" type="checkbox" data-theme="d"/><label for="VOLLEDIG_3" class="option"><span id="VOLLEDIG_3_option" class="option">GGD Fryslan</span></label><input id="VOLLEDIG_4" value="4" name="VOLLEDIG_4" type="checkbox" data-theme="d"/><label for="VOLLEDIG_4" class="option"><span id="VOLLEDIG_4_option" class="option">Linda de Boer</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p21_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p21_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p21_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p22" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p22_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p22_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="GEDEELTELIJK-element-container" data-role="none" class="element-container"><fieldset id="GEDEELTELIJK" data-role="controlgroup"><legend/><input id="GEDEELTELIJK_1" value="1" name="GEDEELTELIJK_1" type="checkbox" data-theme="d"/><label for="GEDEELTELIJK_1" class="option"><span id="GEDEELTELIJK_1_option" class="option">SineFuma</span></label><input id="GEDEELTELIJK_2" value="2" name="GEDEELTELIJK_2" type="checkbox" data-theme="d"/><label for="GEDEELTELIJK_2" class="option"><span id="GEDEELTELIJK_2_option" class="option">Psymind</span></label><input id="GEDEELTELIJK_3" value="3" name="GEDEELTELIJK_3" type="checkbox" data-theme="d"/><label for="GEDEELTELIJK_3" class="option"><span id="GEDEELTELIJK_3_option" class="option">GGD Fryslan</span></label><input id="GEDEELTELIJK_4" value="4" name="GEDEELTELIJK_4" type="checkbox" data-theme="d"/><label for="GEDEELTELIJK_4" class="option"><span id="GEDEELTELIJK_4_option" class="option">Linda de Boer</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p22_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p22_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p22_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p23" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p23_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p23_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="GEEN-element-container" data-role="none" class="element-container"><fieldset id="GEEN" data-role="controlgroup"><legend/><input id="GEEN_1" value="1" name="GEEN_1" type="checkbox" data-theme="d"/><label for="GEEN_1" class="option"><span id="GEEN_1_option" class="option">SineFuma</span></label><input id="GEEN_2" value="2" name="GEEN_2" type="checkbox" data-theme="d"/><label for="GEEN_2" class="option"><span id="GEEN_2_option" class="option">Psymind</span></label><input id="GEEN_3" value="3" name="GEEN_3" type="checkbox" data-theme="d"/><label for="GEEN_3" class="option"><span id="GEEN_3_option" class="option">GGD Fryslan</span></label><input id="GEEN_4" value="4" name="GEEN_4" type="checkbox" data-theme="d"/><label for="GEEN_4" class="option"><span id="GEEN_4_option" class="option">Linda de Boer</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p23_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p23_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p23_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p24" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p24_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p24_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="SELECTIE1-element-container" data-role="none" class="element-container"><fieldset id="SELECTIE1" data-role="controlgroup"><legend/><input id="SELECTIE1_1" value="1" name="SELECTIE1_1" type="checkbox" data-theme="d"/><label for="SELECTIE1_1" class="option"><span id="SELECTIE1_1_option" class="option">SineFuma</span></label><input id="SELECTIE1_2" value="2" name="SELECTIE1_2" type="checkbox" data-theme="d"/><label for="SELECTIE1_2" class="option"><span id="SELECTIE1_2_option" class="option">Psymind</span></label><input id="SELECTIE1_3" value="3" name="SELECTIE1_3" type="checkbox" data-theme="d"/><label for="SELECTIE1_3" class="option"><span id="SELECTIE1_3_option" class="option">GGD Fryslan</span></label><input id="SELECTIE1_4" value="4" name="SELECTIE1_4" type="checkbox" data-theme="d"/><label for="SELECTIE1_4" class="option"><span id="SELECTIE1_4_option" class="option">Linda de Boer</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p24_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p24_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p24_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p25" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p25_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p25_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="SELECTIE2-element-container" data-role="none" class="element-container"><fieldset id="SELECTIE2" data-role="controlgroup"><legend/><input id="SELECTIE2_1" value="1" name="SELECTIE2_1" type="checkbox" data-theme="d"/><label for="SELECTIE2_1" class="option"><span id="SELECTIE2_1_option" class="option">SineFuma</span></label><input id="SELECTIE2_2" value="2" name="SELECTIE2_2" type="checkbox" data-theme="d"/><label for="SELECTIE2_2" class="option"><span id="SELECTIE2_2_option" class="option">Psymind</span></label><input id="SELECTIE2_3" value="3" name="SELECTIE2_3" type="checkbox" data-theme="d"/><label for="SELECTIE2_3" class="option"><span id="SELECTIE2_3_option" class="option">GGD Fryslan</span></label><input id="SELECTIE2_4" value="4" name="SELECTIE2_4" type="checkbox" data-theme="d"/><label for="SELECTIE2_4" class="option"><span id="SELECTIE2_4_option" class="option">Linda de Boer</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p25_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p25_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p25_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p26" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p26_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p26_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="COACH-element-container" data-role="none" class="element-container"><fieldset id="COACH" data-role="controlgroup"><legend/><div class="ui-radio"><input id="COACH_1" value="1" name="COACH" type="radio" data-theme="c"/><label for="COACH_1" class="option"><span id="COACH_1_option" class="option">SineFuma</span></label></div><div class="ui-radio"><input id="COACH_2" value="2" name="COACH" type="radio" data-theme="c"/><label for="COACH_2" class="option"><span id="COACH_2_option" class="option">Psymind</span></label></div><div class="ui-radio"><input id="COACH_3" value="3" name="COACH" type="radio" data-theme="c"/><label for="COACH_3" class="option"><span id="COACH_3_option" class="option">GGD Fryslan</span></label></div><div class="ui-radio"><input id="COACH_4" value="4" name="COACH" type="radio" data-theme="c"/><label for="COACH_4" class="option"><span id="COACH_4_option" class="option">Linda de Boer</span></label></div></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p26_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p26_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p26_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p27" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p27_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p27_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="COACH2-element-container" data-role="none" class="element-container"><fieldset id="COACH2" data-role="controlgroup"><legend><div id="COACH2_question" class="question">Coach (variabele voor dashboard)</div></legend><input id="COACH2_1" data-theme="d" value="1" name="COACH2" type="radio" onclick="Survey_s1.radioClicked('COACH2',1,checked,null)"/><label for="COACH2_1" class="option"><span id="COACH2_1_option" class="option">SineFuma</span></label><input id="COACH2_2" data-theme="d" value="2" name="COACH2" type="radio" onclick="Survey_s1.radioClicked('COACH2',2,checked,null)"/><label for="COACH2_2" class="option"><span id="COACH2_2_option" class="option">Psymind</span></label><input id="COACH2_3" data-theme="d" value="3" name="COACH2" type="radio" onclick="Survey_s1.radioClicked('COACH2',3,checked,null)"/><label for="COACH2_3" class="option"><span id="COACH2_3_option" class="option">GGD Fryslan</span></label><input id="COACH2_4" data-theme="d" value="4" name="COACH2" type="radio" onclick="Survey_s1.radioClicked('COACH2',4,checked,null)"/><label for="COACH2_4" class="option"><span id="COACH2_4_option" class="option">Linda de Boer</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p27_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p27_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p27_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p28" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p28_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p28_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="J-element-container" data-role="none" class="element-container"><div id="J" class="custom">Custom question setvalue</div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p28_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p28_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p28_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p29" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p29_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p29_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="COACHEMAIL-element-container" data-role="none" class="element-container"><fieldset id="COACHEMAIL" data-theme="d" data-role="controlgroup"><legend/><input id="COACHEMAIL_1" data-theme="d" value="1" name="COACHEMAIL" type="radio"/><label for="COACHEMAIL_1" class="option"><span id="COACHEMAIL_1_option" class="option">info@rookvrijookjij.nl</span></label><input id="COACHEMAIL_2" data-theme="d" value="2" name="COACHEMAIL" type="radio"/><label for="COACHEMAIL_2" class="option"><span id="COACHEMAIL_2_option" class="option">info@psymind.nl</span></label><input id="COACHEMAIL_3" data-theme="d" value="3" name="COACHEMAIL" type="radio"/><label for="COACHEMAIL_3" class="option"><span id="COACHEMAIL_3_option" class="option">stoppenmetroken@ggdfryslan.nl</span></label><input id="COACHEMAIL_4" data-theme="d" value="4" name="COACHEMAIL" type="radio"/><label for="COACHEMAIL_4" class="option"><span id="COACHEMAIL_4_option" class="option">linda.deboer@aesculaap-ma.nl</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p29_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p29_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p29_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p30" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p30_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p30_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="NOTIFICATION_COACHEMAIL-element-container" data-role="none" class="element-container"><label for="NOTIFICATION_COACHEMAIL"/><input id="NOTIFICATION_COACHEMAIL" type="text" name="NOTIFICATION_COACHEMAIL"/></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p30_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p30_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p30_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p31" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p31_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p31_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="NOTIFICATION_BCCEMAIL-element-container" data-role="none" class="element-container"><label for="NOTIFICATION_BCCEMAIL"/><input id="NOTIFICATION_BCCEMAIL" type="text" name="NOTIFICATION_BCCEMAIL"/></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p31_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p31_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p31_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p32" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p32_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p32_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="K-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="K_comment" class="hidden"><p class="markdown">EXCLUDE=${EXCLUDE}
<br/>VOLLEDIG=${VOLLEDIG}
<br/>GEDEELTELIJK=${GEDEELTELIJK}
<br/>GEEN=${GEEN}</p><p class="markdown">SELECTIE1=${SELECTIE1}
<br/>SELECTIE2=${SELECTIE2}
<br/>COACH=${COACH}</p></div><div id="XK_comment" class="comment"><p class="markdown">EXCLUDE=${EXCLUDE}
<br/>VOLLEDIG=${VOLLEDIG}
<br/>GEDEELTELIJK=${GEDEELTELIJK}
<br/>GEEN=${GEEN}</p><p class="markdown">SELECTIE1=${SELECTIE1}
<br/>SELECTIE2=${SELECTIE2}
<br/>COACH=${COACH}</p></div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p32_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p32_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p32_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p33" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p33_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p33_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="TEKST1_ZWANGER-element-container" data-role="none" class="element-container"><fieldset id="TEKST1_ZWANGER" data-theme="d" data-role="controlgroup"><legend/><input id="TEKST1_ZWANGER_1" data-theme="d" value="1" name="TEKST1_ZWANGER" type="radio"/><label for="TEKST1_ZWANGER_1" class="option"><span id="TEKST1_ZWANGER_1_option" class="option">(zwangere)</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p33_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p33_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p33_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p34" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p34_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p34_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="TEKST2_ZWANGER-element-container" data-role="none" class="element-container"><fieldset id="TEKST2_ZWANGER" data-theme="d" data-role="controlgroup"><legend/><input id="TEKST2_ZWANGER_1" data-theme="d" value="1" name="TEKST2_ZWANGER" type="radio"/><label for="TEKST2_ZWANGER_1" class="option"><span id="TEKST2_ZWANGER_1_option" class="option">nieuwe ouder</span></label><input id="TEKST2_ZWANGER_2" data-theme="d" value="2" name="TEKST2_ZWANGER" type="radio"/><label for="TEKST2_ZWANGER_2" class="option"><span id="TEKST2_ZWANGER_2_option" class="option">nieuwe zwangere vrouw</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p34_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p34_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p34_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p35" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p35_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p35_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="TEKST3_ZWANGER-element-container" data-role="none" class="element-container"><fieldset id="TEKST3_ZWANGER" data-theme="d" data-role="controlgroup"><legend/><input id="TEKST3_ZWANGER_1" data-theme="d" value="1" name="TEKST3_ZWANGER" type="radio"/><label for="TEKST3_ZWANGER_1" class="option"><span id="TEKST3_ZWANGER_1_option" class="option">ouder</span></label><input id="TEKST3_ZWANGER_2" data-theme="d" value="2" name="TEKST3_ZWANGER" type="radio"/><label for="TEKST3_ZWANGER_2" class="option"><span id="TEKST3_ZWANGER_2_option" class="option">zwangere</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p35_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p35_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p35_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p36" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p36_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p36_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="TEKST4_ZWANGER-element-container" data-role="none" class="element-container"><fieldset id="TEKST4_ZWANGER" data-theme="d" data-role="controlgroup"><legend/><input id="TEKST4_ZWANGER_1" data-theme="d" value="1" name="TEKST4_ZWANGER" type="radio"/><label for="TEKST4_ZWANGER_1" class="option"><span id="TEKST4_ZWANGER_1_option" class="option">één week</span></label><input id="TEKST4_ZWANGER_2" data-theme="d" value="2" name="TEKST4_ZWANGER" type="radio"/><label for="TEKST4_ZWANGER_2" class="option"><span id="TEKST4_ZWANGER_2_option" class="option">drie dagen</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p36_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p36_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p36_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p37" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p37_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p37_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="TEKST5_ZWANGER-element-container" data-role="none" class="element-container"><fieldset id="TEKST5_ZWANGER" data-theme="d" data-role="controlgroup"><legend/><input id="TEKST5_ZWANGER_1" data-theme="d" value="1" name="TEKST5_ZWANGER" type="radio"/><label for="TEKST5_ZWANGER_1" class="option"><span id="TEKST5_ZWANGER_1_option" class="option">heer/mevrouw</span></label><input id="TEKST5_ZWANGER_2" data-theme="d" value="2" name="TEKST5_ZWANGER" type="radio"/><label for="TEKST5_ZWANGER_2" class="option"><span id="TEKST5_ZWANGER_2_option" class="option">mevrouw</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p37_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p37_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p37_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p38" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p38_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p38_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="OUDEREMAIL2-element-container" data-role="none" class="element-container"><label for="OUDEREMAIL2"/><input id="OUDEREMAIL2" type="text" name="OUDEREMAIL2"/></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p38_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p38_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p38_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p39" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p39_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p39_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="L-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="L_comment" class="comment">Einde selectie coach</div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p39_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p39_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p39_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p41" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p41_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p41_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="N-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="N_comment" class="comment">Begin pagina coach</div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p41_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p41_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p41_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p42" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p42_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p42_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="O-element-container" data-role="none" class="element-container"><div id="O" class="custom">Custom question setfixedvalue</div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p42_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p42_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p42_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p43" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p43_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p43_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="P-element-container" data-role="none" class="element-container"><div id="P" class="custom">Custom question setfixedvalue</div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p43_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p43_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p43_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p44" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p44_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p44_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="Q-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="Q_comment" class="hidden"><p class="markdown"><b><font size="+2">Nieuwe aanmelding Rookvrije Ouders</font></b></p><table class="markdown"><tbody><tr><td>Voornaam:</td><td>${VNAAM}</td></tr><tr><td>Achternaam:</td><td>${ANAAM}</td></tr><tr><td>Achternaam kind:</td><td>${ANAAMKIND}</td></tr><tr><td>Geboortedatum kind:</td><td>${GEBDATKIND}</td></tr><tr><td>Zwanger:</td><td>${ZWANGER}</td></tr><tr><td>Telefoonnummer:</td><td>${TELNR}</td></tr><tr><td>Bereikbaar op:</td><td>${BEREIKBAAR}</td></tr><tr><td>E-mailadres:</td><td>${OUDEREMAIL}</td></tr><tr><td>Zorgverzekeraar:</td><td>${VERZEKER}</td></tr><tr><td>Aangemeld via:</td><td>${KANAAL_AANGEMELD}</td></tr></tbody></table></div><div id="XQ_comment" class="comment"><p class="markdown"><b><font size="+2">Nieuwe aanmelding Rookvrije Ouders</font></b></p><table class="markdown"><tbody><tr><td>Voornaam:</td><td>${VNAAM}</td></tr><tr><td>Achternaam:</td><td>${ANAAM}</td></tr><tr><td>Achternaam kind:</td><td>${ANAAMKIND}</td></tr><tr><td>Geboortedatum kind:</td><td>${GEBDATKIND}</td></tr><tr><td>Zwanger:</td><td>${ZWANGER}</td></tr><tr><td>Telefoonnummer:</td><td>${TELNR}</td></tr><tr><td>Bereikbaar op:</td><td>${BEREIKBAAR}</td></tr><tr><td>E-mailadres:</td><td>${OUDEREMAIL}</td></tr><tr><td>Zorgverzekeraar:</td><td>${VERZEKER}</td></tr><tr><td>Aangemeld via:</td><td>${KANAAL_AANGEMELD}</td></tr></tbody></table></div></div></div><div id="R-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="R_comment" class="hidden"><p class="markdown"><b><font size="+2">Nieuwe aanmelding Rookvrije Ouders</font></b></p><table class="markdown"><tbody><tr><td>Voornaam:</td><td>${VNAAM}</td></tr><tr><td>Achternaam:</td><td>${ANAAM}</td></tr><tr><td>Achternaam kind:</td><td>${ANAAMKIND}</td></tr><tr><td>Geboortedatum kind:</td><td>${GEBDATKIND}</td></tr><tr><td>Zwanger:</td><td>${ZWANGER}</td></tr><tr><td>Telefoonnummer:</td><td>${TELNR}</td></tr><tr><td>Bereikbaar op:</td><td>${BEREIKBAAR}</td></tr><tr><td>E-mailadres:</td><td>${OUDEREMAIL}</td></tr><tr><td>Zorgverzekeraar:</td><td>${VERZEKER}</td></tr><tr><td>Aangemeld via:</td><td>${KANAAL_AANGEMELD}</td></tr><tr><td>Opmerkingen zorgprofessional:</td><td>${OPMERKINGEN}</td></tr></tbody></table></div><div id="XR_comment" class="comment"><p class="markdown"><b><font size="+2">Nieuwe aanmelding Rookvrije Ouders</font></b></p><table class="markdown"><tbody><tr><td>Voornaam:</td><td>${VNAAM}</td></tr><tr><td>Achternaam:</td><td>${ANAAM}</td></tr><tr><td>Achternaam kind:</td><td>${ANAAMKIND}</td></tr><tr><td>Geboortedatum kind:</td><td>${GEBDATKIND}</td></tr><tr><td>Zwanger:</td><td>${ZWANGER}</td></tr><tr><td>Telefoonnummer:</td><td>${TELNR}</td></tr><tr><td>Bereikbaar op:</td><td>${BEREIKBAAR}</td></tr><tr><td>E-mailadres:</td><td>${OUDEREMAIL}</td></tr><tr><td>Zorgverzekeraar:</td><td>${VERZEKER}</td></tr><tr><td>Aangemeld via:</td><td>${KANAAL_AANGEMELD}</td></tr><tr><td>Opmerkingen zorgprofessional:</td><td>${OPMERKINGEN}</td></tr></tbody></table></div></div></div><div id="S-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="S_comment" class="hidden">De zorgprofessional wil graag terugkoppeling ontvangen en geeft als contactinfo:<br class="markdown"/>${TERUGKOPPELING}</div><div id="XS_comment" class="comment">De zorgprofessional wil graag terugkoppeling ontvangen en geeft als contactinfo:<br class="markdown"/>${TERUGKOPPELING}</div></div></div><div id="T-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="T_comment" class="comment">De zorgprofessional hoeft geen terugkoppeling te ontvangen.</div></div></div><div id="OPMERKING-element-container" data-role="none" class="element-container"><div id="OPMERKING-input-container" data-role="none"><label for="OPMERKING"><div id="OPMERKING_question" class="question">Opmerkingen:</div></label><div class="input-box"><div><textarea id="OPMERKING" name="OPMERKING" class="ui-input-text" rows="5"/></div></div></div></div><div id="STARTEN-element-container" data-role="none" class="element-container"><fieldset id="STARTEN" data-role="controlgroup"><legend><div id="STARTEN_question" class="question">Wil deze ouder starten met de telefonische coaching Rookvrije Ouders?</div></legend><input id="STARTEN_1" data-theme="d" value="1" name="STARTEN" type="radio" onclick="Survey_s1.radioClicked('STARTEN',1,checked,[2])"/><label for="STARTEN_1" class="option"><span id="STARTEN_1_option" class="option">Ja</span></label><input id="STARTEN_2" data-theme="d" value="2" name="STARTEN" type="radio" onclick="Survey_s1.radioClicked('STARTEN',2,checked,[2])"/><label for="STARTEN_2" class="option_other option"><span id="STARTEN_2_option" class="option_other option">Nee, omdat…</span></label><div id="p_STARTEN_2_text" data-theme="d" data-role="none" class="select-other ui-radio-on ui-corner-all ui-btn-d ui-btn hidden"><input id="STARTEN_2_text" data-theme="d" maxlength="4000" data-wrapper-class="controlgroup-textinput" name="STARTEN_2_text" type="text"/></div><input id="STARTEN_3" data-theme="d" value="3" name="STARTEN" type="radio" onclick="Survey_s1.radioClicked('STARTEN',3,checked,[2])"/><label for="STARTEN_3" class="option"><span id="STARTEN_3_option" class="option">Is nog niet bekend</span></label></fieldset></div><div id="U-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="U_comment" class="comment">Klik op 'verzenden' om het formulier op te slaan. Daarna kun je dit tabblad sluiten.</div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p44_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p44_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p44_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p45" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p45_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p45_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="KENNISMAKING-element-container" data-role="none" class="element-container"><fieldset id="KENNISMAKING" data-theme="d" data-role="controlgroup"><legend/><input id="KENNISMAKING_1" data-theme="d" value="1" name="KENNISMAKING" type="radio"/><label for="KENNISMAKING_1" class="option"><span id="KENNISMAKING_1_option" class="option">Ja</span></label><input id="KENNISMAKING_2" data-theme="d" value="2" name="KENNISMAKING" type="radio"/><label for="KENNISMAKING_2" class="option"><span id="KENNISMAKING_2_option" class="option">Nee</span></label></fieldset></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p45_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p45_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p45_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p46" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p46_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p46_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="V-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="V_comment" class="comment">Einde pagina coach</div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p46_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p46_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p46_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p47" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p47_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p47_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div><span class="survey_progress_text">${progress_percentage}%</span></div></div><div data-role="none" class="hidden survey_close"><button onclick="Survey_s1.closeSurvey();" data-transition="fade" data-icon="arrow-d" data-role="button" data-iconpos="right" data-inline="true" data-theme="e" class="button_close">Close</button></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="W-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="W_comment" class="comment">Einde vragenlijst</div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"><button onclick="Survey_s1.gotoPreviousPage();" data-transition="fade" data-inline="true" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-left ui-icon-arrow-l ui-btn-e ui-btn button_previous"><span>Terug</span></button><button onclick="Survey_s1.p47_post();" data-transition="fade" class="ui-corner-all ui-shadow ui-btn-inline ui-btn-icon-right ui-icon-arrow-r ui-btn-e ui-btn button_next" data-inline="true"><span>Verzenden</span></button></div></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p47_progress_page" data-role="none" class="survey_progress_page">Pagina ${page_nr}/${page_count}</span><div id="p47_progress_bar" data-role="none" class="survey_progress_bar"><div data-role="none" class="survey_progress_bar_outer"><div style="width:${progress_percentage}%;" data-role="none" class="survey_progress_bar_inner"/></div>${progress_percentage}%</div></div></div></div></div></div></div><div id="p48" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p48_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Einde</span></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="E1-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="E1_comment" class="hidden">${EXITTEKST}</div><div id="XE1_comment" class="comment">${EXITTEKST}</div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"/></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p48_progress_page" data-role="none" class="survey_progress_page">Einde</span></div></div></div></div></div></div><div id="p49" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p49_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Einde</span></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="E2-element-container" data-role="none" class="element-container"><div class="comment_text"><div id="E2_comment" class="comment">U heeft een niet bestaande url gebruikt. Controleer de url en/of klik nogmaals op de link.</div></div></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"/></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p49_progress_page" data-role="none" class="survey_progress_page">Einde</span></div></div></div></div></div></div><div id="p50" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p50_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Einde</span></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="E3-element-container" data-role="none" class="element-container"><div class="comment_text"/></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"/></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p50_progress_page" data-role="none" class="survey_progress_page">Einde</span></div></div></div></div></div></div><div id="p51" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p51_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Einde</span></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="E4-element-container" data-role="none" class="element-container"><div class="comment_text"/></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"/></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p51_progress_page" data-role="none" class="survey_progress_page">Einde</span></div></div></div></div></div></div><div id="p52" data-theme="c" data-role="page" data-info-page="false" class="survey_page"><div data-role="none" class="survey_main"><div data-role="none" class="survey_banner"/><div class="survey_header" data-theme="c" data-role="none"><div class="survey_header_inside"><div class="survey_header_home_container" data-role="none"><div class="survey_header_home" data-role="none"/></div><div class="survey_header_content_container" data-role="none"><div class="survey_header_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p52_progress_page" data-role="none" class="survey_progress_text survey_progress_page">Einde</span></div></div></div></div></div><div class="survey_body" data-theme="c" data-role="none"><div class="survey_body_inside"><div class="survey_middle" data-theme="c" data-role="none"><div class="survey_middle_inside"><div data-role="content" class="survey_content"><div id="E5-element-container" data-role="none" class="element-container"><div class="comment_text"/></div></div><div data-role="content"><div class="navbutton_container" data-theme="e" data-role="navbar"/></div></div></div></div></div><div class="survey_footer" data-theme="c" data-role="none"><div class="survey_footer_inside"><div class="survey_footer_content" data-theme="c" data-role="none"><div data-role="none" class="survey_progress"><span id="p52_progress_page" data-role="none" class="survey_progress_page">Einde</span></div></div></div></div></div></div></body></html>