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type="text" name="answer[v_10_mm]" id="answer_v_10_mm"> <input placeholder="JJJJ" size="5" autocomplete="off" class="date" data-field="{"key":"v_10_yyyy"}" data-default-date-key="yyyy" data-required="true" type="text" name="answer[v_10_yyyy]" id="answer_v_10_yyyy"> </span> <div class="error valid_date valid_date_day_month_year hidden">Vul een geldige datum in met formaat DD-MM-JJJJ, bijvoorbeeld 13-08-2015.</div> </td> </tr> <tr class="dark row"> <td class="main" data-for="v_11" rowspan="1"> <label for="answer_v_11"><p>P6</p></label> </td> <td class="dark item" colspan="1" id="item_v_11" rowspan="1" style="width:66%"> <div class="fields string" id="answer_v_11_input"> <input autocomplete="off" class="string" size="30" data-field-key="v_11" type="text" name="answer[v_11]" id="answer_v_11"> </div> </td> </tr> <tr class="light row"> <td class="main" data-for="v_12" rowspan="1"> <label for="answer_v_12"><p>P7</p></label> </td> <td class="item light" id="item_v_12" rowspan="1" style="width:66%"> <div class="fields integer" id="answer_v_12_input"> <input autocomplete="off" class="integer" data-field-key="v_12" type="text" name="answer[v_12]" id="answer_v_12"> <span class="unit"></span> <div class="error valid_integer hidden">Uw antwoord moet een afgerond getal zijn.</div> </div> </td> </tr> <tr class="dark row"> <td class="main" data-for="v_13" rowspan="1"> <label for="answer_v_13"><p>P8</p></label> </td> <td class="dark item" colspan="1" id="item_v_13" rowspan="1" style="width:66%"> <div class="fields textarea" id="answer_v_13_input"> <textarea rows="6" cols="40" autocomplete="off" class="textarea" data-field-key="v_13" maxlength="5000" name="answer[v_13]" id="answer_v_13"></textarea> </div> </td> </tr> </tbody> </table> </div> <!-- End _item.html.haml --> <!-- Begin _item.html.haml --> <div class="check_box item vertical" id="item_v_14"> <div class="error too_many_checked hidden">U heeft te veel opties gekozen.</div> <div class="description-and-fields"> <div class="description"> </div> <div class="fields" id="answer_v_14_input"> <div class="option" for="v_14"> <div class="radiocheckwrapper"> <input name="answer[v_14_a1]" type="hidden" value="0"><input onclick="correctAllNothingCheckboxes(this.checked, '', 'v_14_a3'); handleDisableCheckboxSubQuestions(this);" class="check_box" data-field-key="v_14_a1" type="checkbox" value="1" name="answer[v_14_a1]" id="answer_v_14_a1"> </div> <div class="labelwrapper"> <label for="answer_v_14_a1"> <span> </span> </label> </div> </div> <div class="option" for="v_14"> <div class="radiocheckwrapper"> <input name="answer[v_14_a2]" type="hidden" value="0"><input onclick="correctAllNothingCheckboxes(this.checked, '', 'v_14_a3'); handleDisableCheckboxSubQuestions(this);" class="check_box" data-field-key="v_14_a2" type="checkbox" value="1" name="answer[v_14_a2]" id="answer_v_14_a2"> </div> <div class="labelwrapper"> <label for="answer_v_14_a2"> <span> </span> </label> </div> </div> <div class="option" for="v_14"> <div class="radiocheckwrapper"> <input name="answer[v_14_a3]" type="hidden" value="0"><input onclick="setAllCheckboxes(this.checked, '', 'v_14_a3', 'v_14', false); handleDisableCheckboxSubQuestions(this);" class="check_box" data-field-key="v_14_a3" type="checkbox" value="1" name="answer[v_14_a3]" id="answer_v_14_a3"> </div> <div class="labelwrapper"> <label for="answer_v_14_a3"> <span> </span> </label> </div> </div> </div> </div> </div> <!-- End _item.html.haml --> <!-- Begin _item.html.haml --> <div class="check_box item vertical" id="item_v_15"> <div class="error not_all_checked hidden">U heeft te weinig opties gekozen.</div> <div class="description-and-fields"> <div class="description"> </div> <div class="fields" id="answer_v_15_input"> <div class="option" for="v_15"> <div class="radiocheckwrapper"> <input name="answer[v_15_a1]" type="hidden" value="0"><input onclick="correctAllNothingCheckboxes(this.checked, 'v_15_a3', ''); handleDisableCheckboxSubQuestions(this);" class="check_box" data-field-key="v_15_a1" type="checkbox" value="1" name="answer[v_15_a1]" id="answer_v_15_a1"> </div> <div class="labelwrapper"> <label for="answer_v_15_a1"> <span> </span> </label> </div> </div> <div class="option" for="v_15"> <div class="radiocheckwrapper"> <input name="answer[v_15_a2]" type="hidden" value="0"><input onclick="correctAllNothingCheckboxes(this.checked, 'v_15_a3', ''); handleDisableCheckboxSubQuestions(this);" class="check_box" data-field-key="v_15_a2" type="checkbox" value="1" name="answer[v_15_a2]" id="answer_v_15_a2"> </div> <div class="labelwrapper"> <label for="answer_v_15_a2"> <span> </span> </label> </div> </div> <div class="option" for="v_15"> <div class="radiocheckwrapper"> <input name="answer[v_15_a3]" type="hidden" value="0"><input onclick="setAllCheckboxes(this.checked, 'v_15_a3', '', 'v_15', true); handleDisableCheckboxSubQuestions(this);" class="check_box" data-field-key="v_15_a3" type="checkbox" value="1" name="answer[v_15_a3]" id="answer_v_15_a3"> </div> <div class="labelwrapper"> <label for="answer_v_15_a3"> <span> </span> </label> </div> </div> </div> </div> </div> <!-- End _item.html.haml --> <div class="progress-bar" data-panel-length="3" data-panel-number="1"> <div class="progress-wrapper"> <div class="progress-slider"> <span class="active current first-child progress-stop step-1">1</span> <span class="progress-stop step-2">2</span> <span class="last-child progress-stop step-3">3</span> </div> <div class="progress-details"> Stap 1 van 3 </div> </div> </div> <div class="buttons"> <div class="prev" style="visibility: hidden;"> <input type="submit" name="previous" value="← Terug" id="prevButton0" tabindex="-1" data-disable-with="← Terug"> </div> <div class="abort"> </div> <div class="next"> <input type="submit" name="next" value="Verder →" id="nextButton0" data-disable-with="Verder →"> </div> </div> </fieldset> <!-- End _panel.html.haml --> <!-- Begin _panel.html.haml --> <fieldset class="panel hidden" id="panel1" style="display: none;"> <div class="panel-action-links"> </div> <script> panel_validations["panel1"] = {"v_8":[],"v_9":[]}; </script> <script> $(function() { Quby.currentPanelQuestions = new Quby.Collections.Questions; var questions = [{"class":"Quby::Questionnaires::Entities::Questions::RadioQuestion","key":"v_8","title":"\u003cp\u003eP3\u003c/p\u003e","description":"","type":"radio","unit":null,"hidden":null,"displayModes":null,"defaultInvisible":false,"viewSelector":"[data-for=v_8], 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<!-- Begin _item.html.haml --> <div class="item text vertical"> <div class="text"><p>Text</p></div> </div> <!-- End _item.html.haml --> <!-- Begin _item.html.haml --> <div class="item table vertical"> <table> <tbody> <tr class="light row"> <td class="main" data-for="v_8" rowspan="1"> <label for="answer_v_8"><p>P3</p></label> </td> <td class="light option" data-for="v_8" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_8" type="radio" value="a1" name="answer[v_8]" id="answer_v_8_a1"> </div> <div class="labelwrapper"> <label for="answer_v_8_a1"> <span> <p>afwezig</p> </span> </label> </div> </td> <td class="light option" data-for="v_8" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_8" type="radio" value="a2" name="answer[v_8]" id="answer_v_8_a2"> </div> <div class="labelwrapper"> <label for="answer_v_8_a2"> <span> <p>minimaal</p> </span> </label> </div> </td> <td class="light option" data-for="v_8" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_8" type="radio" value="a3" name="answer[v_8]" id="answer_v_8_a3"> </div> <div class="labelwrapper"> <label for="answer_v_8_a3"> <span> <p>licht</p> </span> </label> </div> </td> <td class="light option" data-for="v_8" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_8" type="radio" value="a4" name="answer[v_8]" id="answer_v_8_a4"> </div> <div class="labelwrapper"> <label for="answer_v_8_a4"> <span> <p>matig</p> </span> </label> </div> </td> <td class="light option" data-for="v_8" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_8" type="radio" value="a5" name="answer[v_8]" id="answer_v_8_a5"> </div> <div class="labelwrapper"> <label for="answer_v_8_a5"> <span> <p>matig ernstig</p> </span> </label> </div> </td> <td class="light option" data-for="v_8" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_8" type="radio" value="a6" name="answer[v_8]" id="answer_v_8_a6"> </div> <div class="labelwrapper"> <label for="answer_v_8_a6"> <span> <p>ernstig</p> </span> </label> </div> </td> <td class="light option" data-for="v_8" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_8" type="radio" value="a7" name="answer[v_8]" id="answer_v_8_a7"> </div> <div class="labelwrapper"> <label for="answer_v_8_a7"> <span> <p>extreem</p> </span> </label> </div> </td> </tr> <tr class="dark row"> <td class="main" data-for="v_9" rowspan="1"> <label for="answer_v_9"><p>P4</p></label> </td> <td class="dark option" data-for="v_9" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_9" type="radio" value="a1" name="answer[v_9]" id="answer_v_9_a1"> </div> <div class="labelwrapper"> <label for="answer_v_9_a1"> <span> <p>afwezig</p> </span> </label> </div> </td> <td class="dark option" data-for="v_9" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_9" type="radio" value="a2" name="answer[v_9]" id="answer_v_9_a2"> </div> <div class="labelwrapper"> <label for="answer_v_9_a2"> <span> <p>minimaal</p> </span> </label> </div> </td> <td class="dark option" data-for="v_9" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_9" type="radio" value="a3" name="answer[v_9]" id="answer_v_9_a3"> </div> <div class="labelwrapper"> <label for="answer_v_9_a3"> <span> <p>licht</p> </span> </label> </div> </td> <td class="dark option" data-for="v_9" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_9" type="radio" value="a4" name="answer[v_9]" id="answer_v_9_a4"> </div> <div class="labelwrapper"> <label for="answer_v_9_a4"> <span> <p>matig</p> </span> </label> </div> </td> <td class="dark option" data-for="v_9" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_9" type="radio" value="a5" name="answer[v_9]" id="answer_v_9_a5"> </div> <div class="labelwrapper"> <label for="answer_v_9_a5"> <span> <p>matig ernstig</p> </span> </label> </div> </td> <td class="dark option" data-for="v_9" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_9" type="radio" value="a6" name="answer[v_9]" id="answer_v_9_a6"> </div> <div class="labelwrapper"> <label for="answer_v_9_a6"> <span> <p>ernstig</p> </span> </label> </div> </td> <td class="dark option" data-for="v_9" rowspan="1" style="width:9%"> <div class="radiocheckwrapper"> <input class="radio deselectable" data-field-key="v_9" type="radio" value="a7" name="answer[v_9]" id="answer_v_9_a7"> </div> <div class="labelwrapper"> <label for="answer_v_9_a7"> <span> <p>extreem</p> </span> </label> </div> </td> </tr> </tbody> </table> </div> <!-- End _item.html.haml --> <div class="progress-bar" data-panel-length="3" data-panel-number="2"> <div class="progress-wrapper"> <div class="progress-slider"> <span class="active first-child progress-stop step-1">1</span> <span class="active current progress-stop step-2">2</span> <span class="last-child progress-stop step-3">3</span> </div> <div class="progress-details"> Stap 2 van 3 </div> </div> </div> <div class="buttons"> <div class="prev"> <input type="submit" name="previous" value="← Terug" id="prevButton1" tabindex="-1" data-disable-with="← Terug"> </div> <div class="abort"> </div> <div class="next"> <input type="submit" name="next" value="Verder →" id="nextButton1" data-disable-with="Verder →"> </div> </div> </fieldset> <!-- End _panel.html.haml --> <!-- Begin _panel.html.haml --> <fieldset class="panel hidden last-panel" id="panel2" style="display: none;"> <div class="panel-action-links"> </div> <script> panel_validations["panel2"] = {}; </script> <script> $(function() { Quby.currentPanelQuestions = new Quby.Collections.Questions; var questions = []; var initializer = new Quby.Logic.InitQuestions(questions); Quby.currentPanelQuestions = initializer.initializeQuestions(); Quby.questions.addQuestions(Quby.currentPanelQuestions); panelProps = {panelId: 'panel2', questions: Quby.currentPanelQuestions} Quby.panels.add(new Quby.Models.Panel(panelProps)); }); </script> <!-- .panel_index= panel_counter + 1 --> <!-- Begin _item.html.haml --> <div class="item text vertical"> <div class="text"><p><em>Bedankt voor het invullen van deze vragenlijst.</em><br> * U kunt uw antwoorden afdrukken door op de knop ‘Print Antwoorden’ te klikken.<br> * Sla de antwoorden op door op de ‘Klaar’-knop onderaan te klikken. Daarna kunt u uw antwoorden niet meer wijzigen.</p></div> </div> <!-- End _item.html.haml --> <div class="progress-bar" data-panel-length="3" data-panel-number="3"> <div class="progress-wrapper"> <div class="progress-slider"> <span class="active first-child progress-stop step-1">1</span> <span class="active progress-stop step-2">2</span> <span class="active current last-child progress-stop step-3">3</span> </div> <div class="progress-details"> Stap 3 van 3 </div> </div> </div> <div class="buttons"> <div class="prev"> <input type="submit" name="previous" value="← Terug" id="prevButton2" tabindex="-1" data-disable-with="← Terug"> </div> <div class="abort"> </div> <div class="save"> <input type="submit" name="done" value="Klaar" id="done-button" data-disable-with="Klaar"> </div> <div class="print"> <a class="print_button" data-url="/quby/questionnaires/question_hiding/answers/d7dd0279-d452-40ac-9837-8b26a98111fa/pdf" href="#" id="print-button"> <img src="/assets/quby/pdf.gif"> Download als PDF </a> <div class="hidden" id="ios-download-instruction"> Er opent een nieuw tabblad waarop de download wordt gestart. Sla het bestand op in Boeken/iBooks. Keer dan terug naar de browser met de knop '< Safari' geheel linksboven. Ga in de browser terug met de terug knop '<' en druk op 'Klaar' om je invulling vast te leggen. </div> </div> </div> </fieldset> <!-- End _panel.html.haml --> </form> <script> $(function() { Quby.init({ questionnaire_key: "question_hiding", answer_value: {"v_6":"a6","v_5":{},"v_14":{},"v_15":{},"v_5_a1":0,"v_5_a2":0,"v_5_a3":0,"v_14_a1":0,"v_14_a2":0,"v_14_a3":0,"v_15_a1":0,"v_15_a2":0,"v_15_a3":0}, flag_definitions: {"question_hiding_hides_flag":{"key":"question_hiding_hides_flag","description_true":"Hides v_7","description_false":"Does not hide v_7","description":null,"internal":false,"trigger_on":true,"shows_questions":[],"hides_questions":["v_7"],"depends_on":null,"default_in_interface":null},"question_hiding_shows_flag":{"key":"question_hiding_shows_flag","description_true":"Shows v_9","description_false":"Does not show v_9","description":null,"internal":false,"trigger_on":true,"shows_questions":["v_9"],"hides_questions":[],"depends_on":null,"default_in_interface":null}}, flag_values: {}, textvars: {} }); // Initialize all panels in bulk, activate first panel otherwise if(isBulkOrSinglePage) { initShowsHides("all_panels"); } else { activatePanel($(".panel:first"), true); } }); </script> <div class="hidden" id="modalFrameDialog"> <iframe id="modalFrame"></iframe> </div> <div class="flash"> </div> </div> <div class="x_container"></div> <noscript> <div id='noscript-warning'>Deze vragenlijst heeft ondersteuning voor JavaScript nodig.</div> </noscript> </body></html>