{"id":1869,"date":"2015-11-10T15:41:47","date_gmt":"2015-11-10T14:41:47","guid":{"rendered":"http:\/\/pt-020.nl\/?page_id=437"},"modified":"2025-01-07T17:30:46","modified_gmt":"2025-01-07T16:30:46","slug":"intake","status":"publish","type":"page","link":"https:\/\/pt-020.nl\/nl\/intake\/","title":{"rendered":"Intake"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1869\" class=\"elementor elementor-1869\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5f86a9a9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5f86a9a9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-1e40376c\" data-id=\"1e40376c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-32fbf071 elementor-widget elementor-widget-text-editor\" data-id=\"32fbf071\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p class=\"p1\">Om een duidelijk beeld te krijgen van jouw situatie en behoeftes, willen wij jou vragen om deze vragen naar waarheid te beantwoorden. Alleen als jij de vragen eerlijk beantwoord, kunnen wij een passend, veilig en effectief trainings- en voedingsprogramma voor jou samenstellen.<\/p><p class=\"p1\">Neem dus de tijd om de intake zo nauwkeurig mogelijk in te vullen.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4d533247 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"4d533247\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-3797db95\" data-id=\"3797db95\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e2ed39b elementor-widget elementor-widget-heading\" data-id=\"e2ed39b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Vragen?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f0850b2 elementor-widget elementor-widget-text-editor\" data-id=\"1f0850b2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Er kunnen gevoelige vragen tussen zitten. Hieronder proberen we eventuele vragen hierover te beantwoorden.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-606593b elementor-widget elementor-widget-accordion\" data-id=\"606593b\" data-element_type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1011\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1011\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Hoe verwerken jullie deze informatie?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1011\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1011\"><p>Jouw informatie wordt op geen enkel moment gedeeld met derde partijen. Alleen jouw Personal Trainer heeft inzage in de beantwoorde vragen.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1012\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1012\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Waarom willen jullie weten of mijn ouders bepaalde ziekten hebben gehad?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1012\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1012\"><p>Omdat we een goed beeld van jou als persoon willen hebben. Eventuele erfelijke aandoeningen kunnen invloed hebben op het programma wat we voor jou samenstellen.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1013\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1013\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Wat moet ik doen als tijdens de training bepaalde antwoorden zijn veranderd?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1013\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1013\"><p>Houd altijd je personal trainer op de hoogte van eventuele veranderingen in je leefstijl en medische situatie.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1014\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1014\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Ik heb geen toestemming van mijn huisarts nodig om te kunnen sporten toch?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1014\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1014\"><p>In sommige gevallen is het verstandig om met de huisarts te overleggen of een bepaalde fysieke inspanning tot problemen kan leiden. Vandaar dat we de Belastbaarheids vragen stellen. Wij raden daarom ook aan met de huisarts te overleggen als je een van deze vragen met ja hebt beantwoord.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-5935f6a\" data-id=\"5935f6a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cb41f91 elementor-widget elementor-widget-text-editor\" data-id=\"cb41f91\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-2\" class=\"vfbp-form\"><div style=\"display:none;\"><label for=\"vfbp-EMAIL-AN8fuQyoDLXem\">If you are human, leave this field blank.<\/label><input size=\"25\" autocomplete=\"off\" type=\"text\" name=\"vfbp-EMAIL-AN8fuQyoDLXem\" value=\"\" id=\"\"><\/div><input type=\"hidden\" name=\"_vfb-timestamp-2\" value=\"1779194429\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"2\" id=\"\"><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"first-title\">Persoonlijke gegevens<\/h4><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField47\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField9\"><div class=\"vfb-form-group\"><label for=\"vfb-field-9\" class=\"vfb-control-label\">Voornaam <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-9\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-9\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField10\"><div class=\"vfb-form-group\"><label for=\"vfb-field-10\" class=\"vfb-control-label\">Achternaam <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-10\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-10\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField12\"><div class=\"vfb-form-group\"><label for=\"vfb-field-12\" class=\"vfb-control-label\">Adres<\/label><div><input id=\"vfb-field-12\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-12\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField13\"><div class=\"vfb-form-group\"><label for=\"vfb-field-13\" class=\"vfb-control-label\">Postcode<\/label><div><input id=\"vfb-field-13\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-13\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField14\"><div class=\"vfb-form-group\"><label for=\"vfb-field-14\" class=\"vfb-control-label\">Woonplaats<\/label><div><input id=\"vfb-field-14\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-14\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-phone\" id=\"vfbField15\"><div class=\"vfb-form-group\"><label for=\"vfb-field-15\" class=\"vfb-control-label\">Telefoon <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-15\" class=\"vfb-form-control vfb-intl-phone\" placeholder=\"\" required=\"required\" data-default-country=\"nl\" data-number-type=\"MOBILE\" data-hide-flags=\"1\" data-national-mode=\"1\" data-auto-hide-dial-code=\"1\" type=\"tel\" name=\"vfb-field-15\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField11\"><div class=\"vfb-form-group\"><label for=\"vfb-field-11\" class=\"vfb-control-label\">E-mail <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-11\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"email\" name=\"vfb-field-11\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField16\"><div class=\"vfb-form-group\"><label for=\"vfb-field-16\" class=\"vfb-control-label\">Leeftijd <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-16\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"number\" name=\"vfb-field-16\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField17\"><div class=\"vfb-form-group\"><label for=\"vfb-field-17\" class=\"vfb-control-label\">Lengte <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-17\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"number\" name=\"vfb-field-17\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField18\"><div class=\"vfb-form-group\"><label for=\"vfb-field-18\" class=\"vfb-control-label\">Startgewicht <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-18\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"number\" name=\"vfb-field-18\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField19\"><div class=\"vfb-form-group\"><label for=\"vfb-field-19\" class=\"vfb-control-label\">Streefgewicht <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-19\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"number\" name=\"vfb-field-19\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"\">Trainingsdoel<\/h4><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField22\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField23\"><label for=\"vfb-field-23\" class=\"vfb-control-label\">Trainingsdoel: (meerdere opties mogelijk) <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-row\"><div class=\"vfb-col-6\"><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-23-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-23\" required=\"required\" type=\"checkbox\" name=\"vfb-field-23[0]\" value=\"1\">Vetverlies<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-23-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-23\" type=\"checkbox\" name=\"vfb-field-23[1]\" value=\"1\">Strakker worden<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-23-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-23\" type=\"checkbox\" name=\"vfb-field-23[2]\" value=\"1\">Spieropbouw<\/label><\/div><\/div><div class=\"vfb-col-6\"><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-23-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-23\" type=\"checkbox\" name=\"vfb-field-23[3]\" value=\"1\"> Uithoudingsvermogen verbeteren<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-23-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-23\" type=\"checkbox\" name=\"vfb-field-23[4]\" value=\"1\">Lenigheid<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-23-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-23\" type=\"checkbox\" name=\"vfb-field-23[5]\" value=\"1\">Algehele fitheid\/gezondheid<\/label><\/div><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField50\"><div class=\"vfb-form-group\"><label for=\"vfb-field-50\" class=\"vfb-control-label\">Wat is jouw belangrijkste doel? Wees zo specifiek mogelijk <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-50\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-50\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField51\"><div class=\"vfb-form-group\"><label for=\"vfb-field-51\" class=\"vfb-control-label\">Wat heeft jou tot nu toe weerhouden om dit doel te bereiken? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-51\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-51\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField31\"><label for=\"vfb-field-31\" class=\"vfb-control-label\">Zie jij jezelf als iemand met discipline? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-31-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-31\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-31-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-31\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField53\"><label for=\"vfb-field-53\" class=\"vfb-control-label\">Ben jij bereid om dingen op te offeren en je leefstijl te veranderen om je fysieke doelen te behalen? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-53-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-53\" value=\"1\">1<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-53-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-53\" value=\"2\">2<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-53-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-53\" value=\"3\">3<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-53-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-53\" value=\"4\">4<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-53-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-53\" value=\"5\">5<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-53-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-53\" value=\"6\">6<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-53-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-53\" value=\"7\">7<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-53-7\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-53\" value=\"8\">8<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-53-8\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-53\" value=\"9\">9<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-53-9\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-53\" value=\"10\">10<\/label><\/div><\/div><span class=\"vfb-help-block\">1: niet bereid, 10: tot alles bereid<\/span><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField54\"><label for=\"vfb-field-54\" class=\"vfb-control-label\">Hoeveel tijd in de week zou je kunnen committeren aan personal training? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-54-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-54\" value=\"2 sessies per week\">2 sessies per week<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-54-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-54\" value=\"3 sessies per week\">3 sessies per week<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-54-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-54\" value=\"4 sessies per week\">4 sessies per week<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-54-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-54\" value=\"5 sessies per week\">5 sessies per week<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField55\"><div class=\"vfb-form-group\"><label for=\"vfb-field-55\" class=\"vfb-control-label\">Is er iets fysieks wat je momenteel niet kunt, maar waarvan je altijd hebt gedroomd het te kunnen? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-55\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-55\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField56\"><label for=\"vfb-field-56\" class=\"vfb-control-label\">Hoe wil jij je voelen na een trainingssessie?  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-56-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-56\" value=\"Gedreven tot het uiterste\">Gedreven tot het uiterste<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-56-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-56\" value=\"Sterk en lekker moe\">Sterk en lekker moe<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-56-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-56\" value=\"Fris &amp; vol energie\">Fris &#038; vol energie<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-56-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-56\" value=\"Anders, namelijk\">Anders, namelijk<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField63\"><div class=\"vfb-form-group\"><label for=\"vfb-field-63\" class=\"vfb-control-label\"><\/label><div><input id=\"vfb-field-63\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-63\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField57\"><label for=\"vfb-field-57\" class=\"vfb-control-label\">Als je voor de spiegel staat ben je blij met hoe je lichaam eruit ziet? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-57-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-57\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-57-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-57\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField58\"><div class=\"vfb-form-group\"><label for=\"vfb-field-58\" class=\"vfb-control-label\">Om een beeld te vormen van je doelstelling qua lichaamscompositie, is er iemand (atleet\/filmster\/beroemdheid) waarvan je het fysiek zou willen ervaren? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-58\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-58\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField60\"><label for=\"vfb-field-60\" class=\"vfb-control-label\">Binnen welk termijn zou jij realistisch gezien jouw doel(en) willen bereiken? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-60-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-60\" value=\"8 weken\">8 weken<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-60-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-60\" value=\"12 &aacute; 16 weken\">12 \u00e1 16 weken<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-60-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-60\" value=\"6 maanden\">6 maanden<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-60-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-60\" value=\"12 maanden\">12 maanden<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"\">Trainingslevel<\/h4><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField24\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField61\"><label for=\"vfb-field-61\" class=\"vfb-control-label\">Doe jij momenteel aan kracht- of cardiotraining? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-61-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-61\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-61-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-61\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField65\"><label for=\"vfb-field-65\" class=\"vfb-control-label\">Wat voor training doe jij? (Meerdere opties mogelijk)<\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-65-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-65\" type=\"checkbox\" name=\"vfb-field-65[0]\" value=\"1\">Krachttraining\/gewichtheffen\/fitness\/crossfit etc<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-65-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-65\" type=\"checkbox\" name=\"vfb-field-65[1]\" value=\"1\">Groepslessen zoals HIIT\/bootcamp\/krachtcircuit\/BBB\/Les Mills <\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-65-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-65\" type=\"checkbox\" name=\"vfb-field-65[2]\" value=\"1\">Cardiotraining zoals hardlopen\/wielrennen\/zwemmen<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-65-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-65\" type=\"checkbox\" name=\"vfb-field-65[3]\" value=\"1\">Yoga\/pilates\/barre<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-65-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-65\" type=\"checkbox\" name=\"vfb-field-65[4]\" value=\"1\">Sportieve activiteit zoals boksen\/tennis\/hockey\/voetbal<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField64\"><label for=\"vfb-field-64\" class=\"vfb-control-label\">Waar train je voornamelijk? <\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-64-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-64\" value=\"Sportschool\">Sportschool<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-64-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-64\" value=\"Buiten\">Buiten<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-64-2\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-64\" value=\"Thuis\">Thuis<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField66\"><label for=\"vfb-field-66\" class=\"vfb-control-label\">Hoeveel uur per week train je?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-66-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-66\" value=\"1 uur\">1 uur<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-66-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-66\" value=\"2 uur\">2 uur<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-66-2\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-66\" value=\"3 uur\">3 uur<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-66-3\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-66\" value=\"4 uur\">4 uur<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-66-4\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-66\" value=\"Meer dan 4\">Meer dan 4<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-select\" id=\"vfbField25\"><label for=\"vfb-field-25\" class=\"vfb-control-label\">Op welk trainingsniveau schat jij jezelf in? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-form-group\"><select id=\"vfb-field-25\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" name=\"vfb-field-25\"><option value=\"Beginner\">Beginner<\/option><option value=\"Licht Gevorderd\">Licht Gevorderd<\/option><option value=\"Gevorderd\">Gevorderd<\/option><option value=\"Professioneel\">Professioneel<\/option><\/select><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"\">Huidige lichaamsbeweging<\/h4><span class=\"vfb-help-block\">Vink aan wat het meest overeen komt met jouw dagelijkse lichaamsbeweging:<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField26\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField27\"><label for=\"vfb-field-27\" class=\"vfb-control-label\">Hoe actief ben je in het dagelijks leven? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-27-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-27\" required=\"required\" type=\"checkbox\" name=\"vfb-field-27[0]\" value=\"1\">Niet actief (zittend werk)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-27-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-27\" type=\"checkbox\" name=\"vfb-field-27[1]\" value=\"1\">Matig actief (bijv. staand werk of veel beweging op de werkvloer of thuis)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-27-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-27\" type=\"checkbox\" name=\"vfb-field-27[2]\" value=\"1\">Actief (actief werk en ik train 1-3x per week)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-27-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-27\" type=\"checkbox\" name=\"vfb-field-27[3]\" value=\"1\">Zeer actief (actief werk en ik train 3-5x per week)<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField67\"><div class=\"vfb-form-group\"><label for=\"vfb-field-67\" class=\"vfb-control-label\">Welke sport heb je altijd willen doen of zou je weer willen oppakken?<\/label><div><input id=\"vfb-field-67\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-67\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField68\"><label for=\"vfb-field-68\" class=\"vfb-control-label\">Heb je weleens eerder gewerkt met een personal trainer? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-68-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-68\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-68-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-68\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"\">Trainingsschema<\/h4><span class=\"vfb-help-block\">Het leven is hectisch, maar om de gewenste resultaten te behalen is het toch noodzakelijk om 2 tot 5 keer per week 30-60 minuten te trainen.<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField28\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField69\"><label for=\"vfb-field-69\" class=\"vfb-control-label\">Welke dagen komen voor jou het beste uit om te trainen? Graag meerdere dagen aanvinken <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-69-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-69\" required=\"required\" type=\"checkbox\" name=\"vfb-field-69[0]\" value=\"1\">Maandag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-69-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-69\" type=\"checkbox\" name=\"vfb-field-69[1]\" value=\"1\">Dinsdag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-69-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-69\" type=\"checkbox\" name=\"vfb-field-69[2]\" value=\"1\">Woensdag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-69-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-69\" type=\"checkbox\" name=\"vfb-field-69[3]\" value=\"1\">Donderdag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-69-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-69\" type=\"checkbox\" name=\"vfb-field-69[4]\" value=\"1\">Vrijdag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-69-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-69\" type=\"checkbox\" name=\"vfb-field-69[5]\" value=\"1\">Zaterdag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-69-6\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-69\" type=\"checkbox\" name=\"vfb-field-69[6]\" value=\"1\">Zondag<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField70\"><label for=\"vfb-field-70\" class=\"vfb-control-label\">Welk dagdeel komt jou het beste uit? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-70-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-70\" required=\"required\" type=\"checkbox\" name=\"vfb-field-70[0]\" value=\"1\">Ochtend<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-70-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-70\" type=\"checkbox\" name=\"vfb-field-70[1]\" value=\"1\">Middag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-70-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-70\" type=\"checkbox\" name=\"vfb-field-70[2]\" value=\"1\">Avond<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField71\"><label for=\"vfb-field-71\" class=\"vfb-control-label\">Hoe vaak per week wil je graag trainen? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-71-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-71\" required=\"required\" type=\"checkbox\" name=\"vfb-field-71[0]\" value=\"1\">1x per week<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-71-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-71\" type=\"checkbox\" name=\"vfb-field-71[1]\" value=\"1\">2x per week<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-71-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-71\" type=\"checkbox\" name=\"vfb-field-71[2]\" value=\"1\">3x per week<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-71-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-71\" type=\"checkbox\" name=\"vfb-field-71[3]\" value=\"1\">4x per week<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-71-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-71\" type=\"checkbox\" name=\"vfb-field-71[4]\" value=\"1\">5x per week<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-71-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-71\" type=\"checkbox\" name=\"vfb-field-71[5]\" value=\"1\">Meer dan 5x per week<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"\">Voedingspatroon<\/h4><span class=\"vfb-help-block\">Iedereen is anders en reageert dus anders op voeding. Omdat jij uniek bent, heb jij ook een uniek metabolisme. Jouw unieke metabolisme bepaalt welke samenstelling van koolhydraten, eiwitten &amp; vetten jij nodig hebt voor de beste resultaten.<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField30\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField33\"><label for=\"vfb-field-33\" class=\"vfb-control-label\">Heb je een voedingsallergie of zijn er andere bijzonderheden? Zo ja vink aan: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-33-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-33\" required=\"required\" type=\"checkbox\" name=\"vfb-field-33[0]\" value=\"1\">Geen<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-33-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-33\" type=\"checkbox\" name=\"vfb-field-33[1]\" value=\"1\">(Koe)melkallergie<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-33-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-33\" type=\"checkbox\" name=\"vfb-field-33[2]\" value=\"1\">Lactose intolerantie<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-33-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-33\" type=\"checkbox\" name=\"vfb-field-33[3]\" value=\"1\">Pinda\/notenallergie<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-33-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-33\" type=\"checkbox\" name=\"vfb-field-33[4]\" value=\"1\">Glutenallergie<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-33-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-33\" type=\"checkbox\" name=\"vfb-field-33[5]\" value=\"1\">Vegetarisch<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-33-6\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-33\" type=\"checkbox\" name=\"vfb-field-33[6]\" value=\"1\">Veganistisch<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-33-7\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-33\" type=\"checkbox\" name=\"vfb-field-33[7]\" value=\"1\">Anders<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField76\"><label for=\"vfb-field-76\" class=\"vfb-control-label\">Hoe vaak eet je per dag? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-76-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-76\" required=\"required\" type=\"checkbox\" name=\"vfb-field-76[0]\" value=\"1\">1x per dag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-76-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-76\" type=\"checkbox\" name=\"vfb-field-76[1]\" value=\"1\">2x per dag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-76-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-76\" type=\"checkbox\" name=\"vfb-field-76[2]\" value=\"1\">3x per dag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-76-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-76\" type=\"checkbox\" name=\"vfb-field-76[3]\" value=\"1\">4x per dag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-76-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-76\" type=\"checkbox\" name=\"vfb-field-76[4]\" value=\"1\">5x per dag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-76-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-76\" type=\"checkbox\" name=\"vfb-field-76[5]\" value=\"1\">6x per dag<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-76-6\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-76\" type=\"checkbox\" name=\"vfb-field-76[6]\" value=\"1\">De hele dag door<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField78\"><label for=\"vfb-field-78\" class=\"vfb-control-label\">Hoe vaak eet je thuis bereide maaltijden?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-78-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-78\" value=\"Nooit\">Nooit<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-78-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-78\" value=\"1 a 3x per week\">1 a 3x per week<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-78-2\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-78\" value=\"3 a 5x per week\">3 a 5x per week<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-78-3\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-78\" value=\"Elke dag\">Elke dag<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField81\"><label for=\"vfb-field-81\" class=\"vfb-control-label\">Hoeveel water drink je per dag? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-81-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-81\" value=\"Nooit\">Nooit<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-81-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-81\" value=\"Minder dan 1 liter\">Minder dan 1 liter<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-81-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-81\" value=\"1 a 2 liter\">1 a 2 liter<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-81-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-81\" value=\"3 liter\">3 liter<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-81-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-81\" value=\"Meer dan 3 liter\">Meer dan 3 liter<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField83\"><label for=\"vfb-field-83\" class=\"vfb-control-label\">Welke voedingsproducten eet je dagelijks? Vink aan <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-row\"><div class=\"vfb-col-6\"><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" required=\"required\" type=\"checkbox\" name=\"vfb-field-83[0]\" value=\"1\">Vlees<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[1]\" value=\"1\">Vis<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[2]\" value=\"1\">Groente<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[3]\" value=\"1\">Fruit<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[4]\" value=\"1\">Eieren<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[5]\" value=\"1\">Aardappelen<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-6\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[6]\" value=\"1\">Rijst<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-7\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[7]\" value=\"1\">Pasta<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-8\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[8]\" value=\"1\">Brood<\/label><\/div><\/div><div class=\"vfb-col-6\"><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-9\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[9]\" value=\"1\">Melk<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-10\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[10]\" value=\"1\">Noten\/zaden<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-11\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[11]\" value=\"1\">Vruchtsappen<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-12\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[12]\" value=\"1\">Chips<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-13\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[13]\" value=\"1\">Muesli\/ontbijtgranen<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-14\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[14]\" value=\"1\">Frisdranken (Cola, Fanta, Red Bull, Rivella etc.)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-15\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[15]\" value=\"1\">Toetjes (vla, ijs, taart, cake etc.)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-83-16\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-83\" type=\"checkbox\" name=\"vfb-field-83[16]\" value=\"1\">Snoep (chocola, drop etc.)<\/label><\/div><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-time\" id=\"vfbField84\"><div class=\"vfb-form-group\"><label for=\"vfb-field-84\" class=\"vfb-control-label\">Hoe laat eet jij je laatste maaltijd? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-84\" class=\"vfb-form-control vfb-clockpicker\" placeholder=\"\" required=\"required\" data-donetext=\"Done\" type=\"text\" name=\"vfb-field-84\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField85\"><div class=\"vfb-form-group\"><label for=\"vfb-field-85\" class=\"vfb-control-label\">Welke voedingssupplementen gebruik je momenteel en waarom?<\/label><div><input id=\"vfb-field-85\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-85\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField52\"><label for=\"vfb-field-52\" class=\"vfb-control-label\">Heb je weleens een dieet of voedingsprogramma gevolgd om af te vallen? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-52-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-52\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-52-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-52\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField87\"><label for=\"vfb-field-87\" class=\"vfb-control-label\">Heb je met dat dieet\/voedingsprogramma goede resultaten bereikt?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-87-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-87\" value=\"Ja, ik ben meerdere kg afgevallen\">Ja, ik ben meerdere kg afgevallen<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-87-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-87\" value=\"Ja, maar ik kwam daarna heel snel weer aan naar hetzelfde gewicht als voor het dieet\/voedingsprogramma (of zelfs meer gewicht dan daarvoor)\">Ja, maar ik kwam daarna heel snel weer aan naar hetzelfde gewicht als voor het dieet\/voedingsprogramma (of zelfs meer gewicht dan daarvoor)<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-87-2\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-87\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField88\"><label for=\"vfb-field-88\" class=\"vfb-control-label\">Hoe vaak is je stoelgang? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-88-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-88\" value=\"1x per 2, 3 of meer dagen\">1x per 2, 3 of meer dagen<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-88-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-88\" value=\"Elke dag\">Elke dag<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-88-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-88\" value=\"2x of meer per dag\">2x of meer per dag<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField89\"><label for=\"vfb-field-89\" class=\"vfb-control-label\">Mijn ontlasting is <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-89-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-89\" value=\"Normaal\">Normaal<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-89-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-89\" value=\"Dun en waterig\">Dun en waterig<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-89-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-89\" value=\"Hard en vaak moeizaam\">Hard en vaak moeizaam<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-89-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-89\" value=\"Zeer wisselend, soms hard en soms zacht\">Zeer wisselend, soms hard en soms zacht<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"\">Leefstijl<\/h4><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField32\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField91\"><label for=\"vfb-field-91\" class=\"vfb-control-label\">Hoeveel uur werk je per week? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-91-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-91\" value=\"Meer dan 60 uur\">Meer dan 60 uur<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-91-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-91\" value=\"Tussen de 40-60 uur per week\">Tussen de 40-60 uur per week<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-91-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-91\" value=\"Tussen de 30-40 uur in de week\">Tussen de 30-40 uur in de week<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-91-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-91\" value=\"Minder dan 20 uur\">Minder dan 20 uur<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-91-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-91\" value=\"Ik werk niet\">Ik werk niet<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField92\"><label for=\"vfb-field-92\" class=\"vfb-control-label\">Werk je in ploegendienst?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-92-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-92\" value=\"Nee\">Nee<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-92-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-92\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-92-2\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-92\" value=\"Soms\">Soms<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField93\"><label for=\"vfb-field-93\" class=\"vfb-control-label\">Wanneer werk je normaal gesproken?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-93-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-93\" value=\"Van 9-5\">Van 9-5<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-93-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-93\" value=\"In de avond\">In de avond<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-93-2\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-93\" value=\"Ik kan mijn eigen tijd indelen\">Ik kan mijn eigen tijd indelen<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-93-3\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-93\" value=\"In principe altijd\">In principe altijd<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField94\"><label for=\"vfb-field-94\" class=\"vfb-control-label\">Hoe kom je meestal op werk?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-94-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-94\" value=\"Ik werk thuis\">Ik werk thuis<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-94-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-94\" value=\"Met de fiets\">Met de fiets<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-94-2\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-94\" value=\"Met de scooter of motor\">Met de scooter of motor<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-94-3\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-94\" value=\"Met de auto\">Met de auto<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-94-4\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-94\" value=\"Met het openbaar vervoer\">Met het openbaar vervoer<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-94-5\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-94\" value=\"Lopend\">Lopend<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-number\" id=\"vfbField99\"><div class=\"vfb-form-group\"><label for=\"vfb-field-99\" class=\"vfb-control-label\">Hoe vaak in het jaar reis je voor je werk naar het buitenland? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-99\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"number\" name=\"vfb-field-99\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField95\"><label for=\"vfb-field-95\" class=\"vfb-control-label\">Hoeveel keer in de week heb je zakelijke of sociale etentjes?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-95-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-95\" value=\"Nooit\">Nooit<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-95-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-95\" value=\"1-2x per week\">1-2x per week<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-95-2\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-95\" value=\"2-4x per week\">2-4x per week<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-95-3\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-95\" value=\"Meer dan 4x per week\">Meer dan 4x per week<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField96\"><label for=\"vfb-field-96\" class=\"vfb-control-label\">Wat is de mate van stress in je leven <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-96-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-96\" value=\"Geen stress\">Geen stress<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-96-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-96\" value=\"Beetje stress\">Beetje stress<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-96-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-96\" value=\"Gemiddelde stress\">Gemiddelde stress<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-96-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-96\" value=\"Veel stress\">Veel stress<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-96-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-96\" value=\"Tegen burnout aan\">Tegen burnout aan<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField97\"><label for=\"vfb-field-97\" class=\"vfb-control-label\">Hoeveel uur slaap je per nacht? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-97-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-97\" value=\"Ik slaap niet of nauwelijks\">Ik slaap niet of nauwelijks<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-97-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-97\" value=\"4 uur of minder\">4 uur of minder<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-97-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-97\" value=\"6 uur of minder\">6 uur of minder<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-97-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-97\" value=\"8 uur of minder\">8 uur of minder<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-97-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-97\" value=\"Minder dan 8uur\">Minder dan 8uur<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField98\"><label for=\"vfb-field-98\" class=\"vfb-control-label\">Hoe vaak word je gemiddeld wakker &#8216;s nachts <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-98-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-98\" value=\"Nooit, ik slaap als een blok\">Nooit, ik slaap als een blok<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-98-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-98\" value=\"1x om naar de wc te gaan\">1x om naar de wc te gaan<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-98-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-98\" value=\"2-4x per nacht\">2-4x per nacht<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-98-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-98\" value=\"5x of meer\">5x of meer<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField100\"><label for=\"vfb-field-100\" class=\"vfb-control-label\">Heb je moeite met in slaap komen \u2018s avonds? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-100-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-100\" value=\"Nee, ik val binnen 5 minuten in slaap\">Nee, ik val binnen 5 minuten in slaap<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-100-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-100\" value=\"Ja\">Ja<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField101\"><label for=\"vfb-field-101\" class=\"vfb-control-label\">Heb je moeite met opstaan in de ochtend <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-101-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-101\" value=\"Ja, zonder alarm word ik niet wakker\">Ja, zonder alarm word ik niet wakker<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-101-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-101\" value=\"Nee\">Nee<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-101-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-101\" value=\"Soms\">Soms<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField102\"><label for=\"vfb-field-102\" class=\"vfb-control-label\">Word je vermoeid wakker in de ochtend?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-102-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-102\" value=\"Nee\">Nee<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-102-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-102\" value=\"Ja\">Ja<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-time\" id=\"vfbField103\"><div class=\"vfb-form-group\"><label for=\"vfb-field-103\" class=\"vfb-control-label\">Hoe laat ga jij meestal naar bed? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-103\" class=\"vfb-form-control vfb-clockpicker\" placeholder=\"\" required=\"required\" data-donetext=\"Done\" type=\"text\" name=\"vfb-field-103\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-time\" id=\"vfbField104\"><div class=\"vfb-form-group\"><label for=\"vfb-field-104\" class=\"vfb-control-label\">Hoe laat sta jij meestal op? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-104\" class=\"vfb-form-control vfb-clockpicker\" placeholder=\"\" required=\"required\" data-donetext=\"Done\" type=\"text\" name=\"vfb-field-104\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField105\"><label for=\"vfb-field-105\" class=\"vfb-control-label\">Gebruik je medicatie om beter te kunnen slapen? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-105-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-105\" value=\"Nee\">Nee<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-105-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-105\" value=\"Ja, namelijk\">Ja, namelijk<input class=\"vfb-form-control\" id=\"vfb-field-105-other\" type=\"text\" name=\"vfb-field-105-other\" value=\"\"><\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField41\"><label for=\"vfb-field-41\" class=\"vfb-control-label\">Drink je weleens koffie of andere cafe\u00efne-houdende dranken? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-41-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-41\" value=\"Nooit\">Nooit<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-41-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-41\" value=\"minder dan 1 keer per week\">minder dan 1 keer per week<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-41-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-41\" value=\"wekelijks 1 of 2 kopjes\">wekelijks 1 of 2 kopjes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-41-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-41\" value=\"wekelijks 3 of 4 kopjes\">wekelijks 3 of 4 kopjes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-41-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-41\" value=\"wekelijks meer dan 4 kopjes\">wekelijks meer dan 4 kopjes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-41-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-41\" value=\"dagelijks 1 of 2 kopjes\">dagelijks 1 of 2 kopjes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-41-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-41\" value=\"dagelijks 3 of 4 kopjes\">dagelijks 3 of 4 kopjes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-41-7\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-41\" value=\"dagelijks meer dan 4 kopjes\">dagelijks meer dan 4 kopjes<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField40\"><label for=\"vfb-field-40\" class=\"vfb-control-label\">Drink jij weleens alcoholhoudende dranken? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-40-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-40\" value=\"Nooit\">Nooit<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-40-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-40\" value=\"minder dan 1 keer per week\">minder dan 1 keer per week<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-40-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-40\" value=\"wekelijks 1 of 2 glazen\">wekelijks 1 of 2 glazen<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-40-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-40\" value=\"wekelijks 3 of 4 glazen\">wekelijks 3 of 4 glazen<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-40-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-40\" value=\"wekelijks meer dan 4 glazen\">wekelijks meer dan 4 glazen<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-40-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-40\" value=\"dagelijks 1 of 2 glazen\">dagelijks 1 of 2 glazen<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-40-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-40\" value=\"dagelijks 3 of 4 glazen\">dagelijks 3 of 4 glazen<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-40-7\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-40\" value=\"dagelijks meer dan 4 glazen\">dagelijks meer dan 4 glazen<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField131\"><label for=\"vfb-field-131\" class=\"vfb-control-label\">Gebruik je of heb je het volgende gebruikt in het afgelopen jaar?<\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-131-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-131\" type=\"checkbox\" name=\"vfb-field-131[0]\" value=\"1\">Medicatie op recept<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-131-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-131\" type=\"checkbox\" name=\"vfb-field-131[1]\" value=\"1\">Party drugs<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-131-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-131\" type=\"checkbox\" name=\"vfb-field-131[2]\" value=\"1\">Hormonen<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-131-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-131\" type=\"checkbox\" name=\"vfb-field-131[3]\" value=\"1\">Prestatie verbeterende medicatie<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-131-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-131\" type=\"checkbox\" name=\"vfb-field-131[4]\" value=\"1\">Anticonceptie pil<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-131-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-131\" type=\"checkbox\" name=\"vfb-field-131[5]\" value=\"1\">Niks van het bovenstaande<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField107\"><div class=\"vfb-form-group\"><label for=\"vfb-field-107\" class=\"vfb-control-label\">Geef van het bovenstaande aan wat je hebt gebruikt in het afgelopen jaar en  waarvoor<\/label><div><textarea id=\"vfb-field-107\" class=\"vfb-form-control\" placeholder=\"\" rows=\"10\" name=\"vfb-field-107\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField42\"><label for=\"vfb-field-42\" class=\"vfb-control-label\">Rook je? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-42-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-42\" value=\"Nooit\">Nooit<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-42-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-42\" value=\"minder dan 1 keer per week\">minder dan 1 keer per week<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-42-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-42\" value=\"wekelijks minder dan 5 sigaretten\">wekelijks minder dan 5 sigaretten<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-42-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-42\" value=\"dagelijks &eacute;&eacute;n of twee sigaretten\">dagelijks \u00e9\u00e9n of twee sigaretten<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-42-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-42\" value=\"dagelijks 5-10 sigaretten\">dagelijks 5-10 sigaretten<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-42-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-42\" value=\"dagelijks 10-20 sigaretten\">dagelijks 10-20 sigaretten<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-42-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-42\" value=\"dagelijks 20-30 sigaretten\">dagelijks 20-30 sigaretten<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-42-7\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-42\" value=\"dagelijks meer dan 30 sigaretten\">dagelijks meer dan 30 sigaretten<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"\">Blessures<\/h4><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField90\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField109\"><label for=\"vfb-field-109\" class=\"vfb-control-label\">Heb je in het verleden of op dit moment \u00e9\u00e9n of meerdere blessures gehad? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-109-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-109\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-109-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-109\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField110\"><label for=\"vfb-field-110\" class=\"vfb-control-label\">Ben je momenteel in behandeling bij een fysiotherapeut of andere deskundige voor jouw blessure?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-110-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-110\" value=\"Nee\">Nee<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-110-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-110\" value=\"Ja, namelijk\">Ja, namelijk<input class=\"vfb-form-control\" id=\"vfb-field-110-other\" type=\"text\" name=\"vfb-field-110-other\" value=\"\"><\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField111\"><label for=\"vfb-field-111\" class=\"vfb-control-label\">Ben je in het verleden weleens geblesseerd geraakt?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-111-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-111\" value=\"Nee\">Nee<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-111-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-111\" value=\"Hoelang geleden was dit?\">Hoelang geleden was dit?<input class=\"vfb-form-control\" id=\"vfb-field-111-other\" type=\"text\" name=\"vfb-field-111-other\" value=\"\"><\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"\">Medische Vragen<\/h4><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField108\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField37\"><label for=\"vfb-field-37\" class=\"vfb-control-label\">Heb je gezondheidsproblemen? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-37-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-37\" value=\"Nee\">Nee<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-37-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-37\" value=\"Ja, namelijk\">Ja, namelijk<input class=\"vfb-form-control\" id=\"vfb-field-37-other\" type=\"text\" name=\"vfb-field-37-other\" value=\"\"><\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField245\"><label for=\"vfb-field-245\" class=\"vfb-control-label\">Zijn bij jouw directe voorouders de volgende medische aandoeningen terug te vinden? (vink aan wat van toepassing is):<\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-245-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-245\" type=\"checkbox\" name=\"vfb-field-245[0]\" value=\"1\">Diabetes<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-245-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-245\" type=\"checkbox\" name=\"vfb-field-245[1]\" value=\"1\">Hart en vaat ziekten<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-245-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-245\" type=\"checkbox\" name=\"vfb-field-245[2]\" value=\"1\">Kanker<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-245-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-245\" type=\"checkbox\" name=\"vfb-field-245[3]\" value=\"1\">Luchtwegziekten<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-245-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-245\" type=\"checkbox\" name=\"vfb-field-245[4]\" value=\"1\">Alzheimer<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-245-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-245\" type=\"checkbox\" name=\"vfb-field-245[5]\" value=\"1\">Geen medische aandoeningen<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField35\"><label for=\"vfb-field-35\" class=\"vfb-control-label\">Heb je in jouw leven operaties ondergaan? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-35-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-35\" value=\"Nee\">Nee<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-35-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-35\" value=\"Ja, namelijk\">Ja, namelijk<input class=\"vfb-form-control\" id=\"vfb-field-35-other\" type=\"text\" name=\"vfb-field-35-other\" value=\"\"><\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField36\"><label for=\"vfb-field-36\" class=\"vfb-control-label\">Gebruik je medicijnen die het trainen kunnen beinvloeden? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-36-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-36\" value=\"Nee\">Nee<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-36-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-36\" value=\"Ja, namelijk\">Ja, namelijk<input class=\"vfb-form-control\" id=\"vfb-field-36-other\" type=\"text\" name=\"vfb-field-36-other\" value=\"\"><\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField38\"><label for=\"vfb-field-38\" class=\"vfb-control-label\">Verlies jij wel eens jouw balans of bewustzijn als gevolg van duizeligheid? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-38-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-38\" value=\"Nee\">Nee<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-38-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-38\" value=\"Zo ja, hoe vaak en wanneer gebeurt dit? \">Zo ja, hoe vaak en wanneer gebeurt dit? <input class=\"vfb-form-control\" id=\"vfb-field-38-other\" type=\"text\" name=\"vfb-field-38-other\" value=\"\"><\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField39\"><label for=\"vfb-field-39\" class=\"vfb-control-label\">Heb je op dit moment een sportblessure, of een oude sportblessure waar we rekening mee moeten houden? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-39-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-39\" value=\"Nee\">Nee<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-39-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-39\" value=\"Ja, namelijk\">Ja, namelijk<input class=\"vfb-form-control\" id=\"vfb-field-39-other\" type=\"text\" name=\"vfb-field-39-other\" value=\"\"><\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"\">Belastbaarheid<\/h4><span class=\"vfb-help-block\">Voor de meeste mensen zal meer bewegen geen problemen opleveren, voor anderen eventueel verhoogd risico met zich meebrengen. De onderstaande vragenlijst is ontworpen om die kleine groep mensen te indentificeren waarbij fysieke inspanning minder geschikt zou kunnen zijn. Of voor degene die medisch advies nodig hebben met betrekking tot het soort inspanning wat voor hun het meest geschikt is.<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField113\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField114\"><label for=\"vfb-field-114\" class=\"vfb-control-label\">Heeft uw arts ooit gezegd dat u een bot- of gewrichtsprobleem heeft, zoals artritis, dat verergerd wordt door inspanning? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-114-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-114\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-114-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-114\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField115\"><label for=\"vfb-field-115\" class=\"vfb-control-label\">Heeft u een hoge bloeddruk? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-115-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-115\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-115-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-115\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField116\"><label for=\"vfb-field-116\" class=\"vfb-control-label\">Heeft u diabetes of een anders stofwisselingsziekte? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-116-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-116\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-116-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-116\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField117\"><label for=\"vfb-field-117\" class=\"vfb-control-label\">Heeft uw arts ooit gezegd dat u een hartaandoening heeft en, dat u alleen lichaamsbeweging mag doen door uw arts wordt aanbevolen? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-117-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-117\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-117-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-117\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField118\"><label for=\"vfb-field-118\" class=\"vfb-control-label\">Heeft u ooit pijn gevoeld in je borst wanneer u aan lichaamsbeweging doet? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-118-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-118\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-118-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-118\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField119\"><label for=\"vfb-field-119\" class=\"vfb-control-label\">Schrijft uw arts op dit moment medicijnen voor? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-119-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-119\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-119-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-119\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField120\"><label for=\"vfb-field-120\" class=\"vfb-control-label\">Heeft u ooit in rust of met lichte inspanning last gehad van ongewone kortademigheid? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-120-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-120\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-120-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-120\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField121\"><label for=\"vfb-field-121\" class=\"vfb-control-label\">Is er in uw familie een geschiedenis van coronaire hartziekten? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-121-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-121\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-121-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-121\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField122\"><label for=\"vfb-field-122\" class=\"vfb-control-label\">Voelt u zich vaak zwak, heeft u last van ernstige duizeligheid of raakt u uw bewustzijn soms kwijt? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-122-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-122\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-122-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-122\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField123\"><label for=\"vfb-field-123\" class=\"vfb-control-label\">Drinkt u momenteel meer dan 10 glazen alcohol per week? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-123-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-123\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-123-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-123\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField124\"><label for=\"vfb-field-124\" class=\"vfb-control-label\">Bent u, of bestaat er een mogelijkheid dat u misschien zwanger bent? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-124-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-124\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-124-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-124\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField125\"><label for=\"vfb-field-125\" class=\"vfb-control-label\">Is er een goede reden die nog niet is genoemd waardoor je niet mee zou kunnen doen aan een programma met veel fysieke inspanning? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-125-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-125\" value=\"Nee\">Nee<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-125-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-125\" value=\"Ja, namelijk\">Ja, namelijk<input class=\"vfb-form-control\" id=\"vfb-field-125-other\" type=\"text\" name=\"vfb-field-125-other\" value=\"\"><\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField46\"><div class=\"vfb-form-group\"><label for=\"vfb-field-46\" class=\"vfb-control-label\">Risico Beoordeling<\/label><div class=\"\"><p>Als je Ja hebt geantwoord bij 1 of meerdere vragen van de &#8216;Belastbaarheids Vragenlijst&#8217;.<br \/>\nRaadpleeg dan je dokter per telefoon of persoonlijk voordat je deel gaat nemen aan een programma dat fysieke inspanning eist. Tenzij je recentelijk contact hebt gehad met je dokter.<\/p>\n<p>Vertel je dokter welke vragen je met ja hebt beantwoord. Nadat medische evaluatie heeft plaatsgevonden raadpleeg je dokter voor advies. En vraag hierbij of je geschikt bent voor:<\/p>\n<ol>\n<li>\u00a0Ongelimiteerde fysieke inspanning waarbij rustig wordt begonnen en geleidelijk de belasting toeneemt.<\/li>\n<li>\u00a0Gecontroleerde of onder toezicht fysieke inspanning om je in jouw specifieke behoefte te voorzien; in ieder geval in de aanvangsfase.<\/li>\n<\/ol>\n<p>Hebt u nauwlettend nee geantwoord op alle vragen, dan bent u aannemelijk geschikt om:<\/p>\n<ol>\n<li>Een progressief inspanningsschema te volgen<\/li>\n<li>Een fitness evaluatie te ondergaan<\/li>\n<\/ol>\n<\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField127\"><label for=\"vfb-field-127\" class=\"vfb-control-label\">Ik heb &#8216;Ja&#8217; geantwoord bij 1 of meerdere vragen en ik heb om medisch advies gevraagd en mijn dokter heeft akkoord gegeven dat ik kan gaan sporten: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-127-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-127\" value=\"Ja\">Ja<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-127-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-127\" value=\"Nee\">Nee<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><h4 class=\"\">Verklaringen<\/h4><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField130\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField128\"><label for=\"vfb-field-128\" class=\"vfb-control-label\">Ik verklaar dat ik wil deelnemen aan activiteiten zoals cardio oefeningen, krachttraining en stretching <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-128-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-128\" value=\"Ja\">Ja<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField129\"><label for=\"vfb-field-129\" class=\"vfb-control-label\">Ik realiseer mij dat bij het deelnemen aan deze activiteiten ik het risico loop blessures te krijgen en er mogelijke kans op overlijden bestaat <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-129-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-129\" value=\"Ja\">Ja<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField43\"><label for=\"vfb-field-43\" class=\"vfb-control-label\"> <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-43-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-43\" required=\"required\" type=\"checkbox\" name=\"vfb-field-43[0]\" value=\"1\">Ik ga akkoord met de <a href=\"https:\/\/pt-020.nl\/algemene-voorwaarden-pt020\/\" target=\"_blank\" rel=\"noopener\">algemene voorwaarden<\/a> en de <a href=\"https:\/\/pt-020.nl\/privacy-statement\/\" target=\"_blank\" rel=\"noopener\">Privacy Statement<\/a> van PT020<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField126\"><div class=\"vfb-form-group\"><label for=\"vfb-field-126\" class=\"vfb-control-label\">Dit is het einde van de intake, bedankt voor je tijd!<\/label><div class=\"\"><p>We willen je er nogmaals op attenderen alle vragen eerlijk te beantwoorden. Alleen dan kunnen wij een passend, veilig en effectief trainings- en voedingsprogramma voor je samenstellen.<\/p>\n<\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField247\"><label for=\"vfb-field-247\" class=\"vfb-control-label\">Ik heb deze vragen naar waarheid beantwoord <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-247-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-247\" required=\"required\" type=\"checkbox\" name=\"vfb-field-247[0]\" value=\"1\">Ja<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-submit\" id=\"vfbField44\"><button id=\"vfb-field-44\" class=\" btn btn-primary\" placeholder=\"\" type=\"submit\" name=\"_vfb-submit\">Intake Versturen<\/button><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-captcha\" id=\"vfbField254\"><div class=\"vfb-form-group\"><div><div class=\"g-recaptcha-v3\" data-sitekey=\"6Lc_a10qAAAAAL_zXBnMRUGWC2n4PflHPhlK0ebP\"><\/div><input type=\"hidden\" name=\"_vfb_recaptcha_enabled\" value=\"1\" id=\"\"><input type=\"hidden\" id=\"g-recaptcha-response\" name=\"g-recaptcha-response\"><div class=\"vfb-has-error\" id=\"vfb-recaptcha-error\"><span class=\"vfb-help-block\">reCAPTCHA is required.<\/span><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/form>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Om een duidelijk beeld te krijgen van jouw situatie en behoeftes, willen wij jou vragen om deze vragen naar waarheid te beantwoorden. Alleen als jij de vragen eerlijk beantwoord, kunnen wij een passend, veilig en effectief trainings- en voedingsprogramma voor jou samenstellen. Neem dus de tijd om de intake zo nauwkeurig mogelijk in te vullen. [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_sitemap_exclude":false,"_sitemap_priority":"","_sitemap_frequency":"","footnotes":""},"class_list":["post-1869","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pt-020.nl\/nl\/wp-json\/wp\/v2\/pages\/1869","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pt-020.nl\/nl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pt-020.nl\/nl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pt-020.nl\/nl\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/pt-020.nl\/nl\/wp-json\/wp\/v2\/comments?post=1869"}],"version-history":[{"count":40,"href":"https:\/\/pt-020.nl\/nl\/wp-json\/wp\/v2\/pages\/1869\/revisions"}],"predecessor-version":[{"id":2985,"href":"https:\/\/pt-020.nl\/nl\/wp-json\/wp\/v2\/pages\/1869\/revisions\/2985"}],"wp:attachment":[{"href":"https:\/\/pt-020.nl\/nl\/wp-json\/wp\/v2\/media?parent=1869"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}