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<title>Vragenlijst</title>
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<div class="noprint" id="force-submit" style="display: none;">
<h1>Deze vragenlijst is nog niet volledig ingevuld!</h1>
<p>Als u de vragenlijst toch opslaat, kan het zijn dat er geen schaalscores berekend worden omdat hiervoor onvoldoende informatie voorhanden is. U kunt uw antwoorden hieronder alsnog aanvullen. Vragen die nog niet volledig zijn beantwoord, worden rood gemarkeerd.</p>
<input type="submit" name="save_anyway" value="Toch opslaan" data-disable-with="Toch opslaan">
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<span class="panel-action-link">
<a href="javascript:hotkeyDialog();" title="Klik hier voor informatie over de sneltoetsen.">
Sneltoetsen Help
</a>
<div class="hotkeyDialog" style="display:none" title="Sneltoetsen">
<p>Gebruik de volgende toetsen voor het invullen van de schalen:</p>
<table>
<tbody><tr>
<td>
<input type="radio" name="RB" id="RB_1" value="1">
<span>1</span>
</td>
<td>
<input type="radio" name="RB" id="RB_2" value="2">
<span>2</span>
</td>
<td>
<input type="radio" name="RB" id="RB_3" value="3">
<span>3</span>
</td>
<td>
<input type="radio" name="RB" id="RB_4" value="4">
<span>4</span>
</td>
<td>
<input type="radio" name="RB" id="RB_5" value="5">
<span>5</span>
</td>
<td>
<input type="radio" name="RB" id="RB_6" value="6">
<span>6</span>
</td>
<td>
<input type="radio" name="RB" id="RB_7" value="7">
<span>7</span>
</td>
<td>
<input type="radio" name="RB" id="RB_8" value="8">
<span>8</span>
</td>
<td>
<input type="radio" name="RB" id="RB_9" value="9">
<span>9</span>
</td>
</tr>
<tr>
<td>
<img src="/assets/quby/shortkeys/1key.jpg">
</td>
<td>
<img src="/assets/quby/shortkeys/2key.jpg">
</td>
<td>
<img src="/assets/quby/shortkeys/3key.jpg">
</td>
<td>
<img src="/assets/quby/shortkeys/4key.jpg">
</td>
<td>
<img src="/assets/quby/shortkeys/5key.jpg">
</td>
<td>
<img src="/assets/quby/shortkeys/6key.jpg">
</td>
<td>
<img src="/assets/quby/shortkeys/7key.jpg">
</td>
<td>
<img src="/assets/quby/shortkeys/8key.jpg">
</td>
<td>
<img src="/assets/quby/shortkeys/9key.jpg">
</td>
<td>
<img src="/assets/quby/shortkeys/0key.jpg">
</td>
</tr>
</tbody></table>
<p>
De cijfers komen overeen met de score op de schaal. Indien er geen scores bij de opties staan is de eerste optie gekoppeld aan cijfer 1,
de tweede aan cijfer 2 enz.
</p>
<p>
Gebruik de <img src="/assets/quby/shortkeys/enterkey.jpg"> toets om door te gaan naar een volgende vraag.
</p>
<p>
Gebruik de spatiebalk voor het aanvinken van Checkboxes.
<input type="checkbox" name="CB" id="CB" value="1">
</p>
<p>Gebruik de toetsen <img src="/assets/quby/shortkeys/pgdwnkey.jpg"> <img src="/assets/quby/shortkeys/pgupkey.jpg">, <img src="/assets/quby/shortkeys/tabkey.jpg"> (Tab) en Shift+<img src="/assets/quby/shortkeys/tabkey.jpg"> of <img src="/assets/quby/shortkeys/dwnkey.jpg"> <img src="/assets/quby/shortkeys/upkey.jpg"> om van vraag naar vraag te gaan.</p>
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licht
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<div class="option" for="v_7">
<div class="radiocheckwrapper">
<input class="radio deselectable" data-field-key="v_7" type="radio" value="a4" name="answer[v_7]" id="answer_v_7_a4">
</div>
<div class="labelwrapper">
<label for="answer_v_7_a4">
<span>
<p>matig show 3</p>
</span>
</label>
</div>
</div>
<div class="option" for="v_7">
<div class="radiocheckwrapper">
<input class="radio deselectable" data-field-key="v_7" type="radio" value="a5" name="answer[v_7]" id="answer_v_7_a5">
</div>
<div class="labelwrapper">
<label for="answer_v_7_a5">
<span>
<p>matig ernstig show 3,4,5,6,7,8</p>
</span>
</label>
</div>
</div>
<div class="option" for="v_7">
<div class="radiocheckwrapper">
<input class="radio deselectable" data-field-key="v_7" type="radio" value="a6" name="answer[v_7]" id="answer_v_7_a6">
</div>
<div class="labelwrapper">
<label for="answer_v_7_a6">
<span>
<p>ernstig hide 3</p>
</span>
</label>
</div>
</div>
<div class="option" for="v_7">
<div class="radiocheckwrapper">
<input class="radio deselectable" data-field-key="v_7" type="radio" value="a7" name="answer[v_7]" id="answer_v_7_a7">
</div>
<div class="labelwrapper">
<label for="answer_v_7_a7">
<span>
<p>extreem show 3</p>
</span>
</label>
</div>
<div class="subquestions"><!-- Begin _item.html.haml -->
<div class="item string subitem vertical" id="item_v_7sub">



<div class="description-and-fields">
<div class="description">
</div>
<div class="fields" id="answer_v_7sub_input">
<input autocomplete="off" class="string subinput" sets_textvar="" disabled="disabled" data-field-key="v_7sub" type="text" name="answer[v_7sub]" id="answer_v_7sub">

</div>
</div>

</div>
<!-- End _item.html.haml -->
</div>
</div>
</div>
</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_10" rowspan="1">
<label for="answer_v_10"><p>P5</p></label>
</td>

<td class="item light" id="item_v_10" rowspan="1" style="width:66%">
<span class="date fields nowrap" id="answer_v_10_input">
<input placeholder="DD" size="3" autocomplete="off" class="date" data-field="{&quot;key&quot;:&quot;v_10_dd&quot;}" data-default-date-key="dd" data-required="true" type="text" name="answer[v_10_dd]" id="answer_v_10_dd">
<input placeholder="MM" size="3" autocomplete="off" class="date" data-field="{&quot;key&quot;:&quot;v_10_mm&quot;}" data-default-date-key="mm" data-required="true" type="text" name="answer[v_10_mm]" id="answer_v_10_mm">
<input placeholder="JJJJ" size="5" autocomplete="off" class="date" data-field="{&quot;key&quot;:&quot;v_10_yyyy&quot;}" 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="bulkitem check_box item oddRow vertical" id="item_v_14">
<div class="error too_many_checked hidden">U heeft te veel opties gekozen.</div>

<label class="main" for="answer_v_14">


</label>
<div class="description-and-fields">
<div class="description">
</div>
<div class="fields options3" id="answer_v_14_input">
<div class="option optionwidth3 show_values" 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="" data-field-key="v_14_a1" type="checkbox" value="1" name="answer[v_14_a1]" id="answer_v_14_a1">
</div>
<div class="value"></div>
<div class="labelwrapper">
<label for="answer_v_14_a1">
<span>

</span>
</label>
</div>
</div>
<div class="option optionwidth3 show_values" 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="" data-field-key="v_14_a2" type="checkbox" value="1" name="answer[v_14_a2]" id="answer_v_14_a2">
</div>
<div class="value"></div>
<div class="labelwrapper">
<label for="answer_v_14_a2">
<span>

</span>
</label>
</div>
</div>
<div class="option optionwidth3 show_values" 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="" data-field-key="v_14_a3" type="checkbox" value="1" name="answer[v_14_a3]" id="answer_v_14_a3">
</div>
<div class="value"></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="bulkitem check_box evenRow item vertical" id="item_v_15">
<div class="error not_all_checked hidden">U heeft te weinig opties gekozen.</div>

<label class="main" for="answer_v_15">


</label>
<div class="description-and-fields">
<div class="description">
</div>
<div class="fields options3" id="answer_v_15_input">
<div class="option optionwidth3 show_values" 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="" data-field-key="v_15_a1" type="checkbox" value="1" name="answer[v_15_a1]" id="answer_v_15_a1">
</div>
<div class="value"></div>
<div class="labelwrapper">
<label for="answer_v_15_a1">
<span>

</span>
</label>
</div>
</div>
<div class="option optionwidth3 show_values" 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="" data-field-key="v_15_a2" type="checkbox" value="1" name="answer[v_15_a2]" id="answer_v_15_a2">
</div>
<div class="value"></div>
<div class="labelwrapper">
<label for="answer_v_15_a2">
<span>

</span>
</label>
</div>
</div>
<div class="option optionwidth3 show_values" 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="" data-field-key="v_15_a3" type="checkbox" value="1" name="answer[v_15_a3]" id="answer_v_15_a3">
</div>
<div class="value"></div>
<div class="labelwrapper">
<label for="answer_v_15_a3">
<span>

</span>
</label>
</div>
</div>
</div>
</div>

</div>
<!-- End _item.html.haml -->

</fieldset>
<fieldset class="panel" id="panel1">
<script>
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</script>
<script>
  $(function() {
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</script>

<!-- 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 -->



</fieldset>
<fieldset class="panel" id="panel2">
<script>
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</script>
<script>
  $(function() {
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</script>

<!-- Begin _item.html.haml -->
<div class="item text vertical">
</div>
<!-- End _item.html.haml -->

</fieldset>
<div class="buttons">
<div class="prev">&nbsp;</div>
<div class="save">
<input type="submit" name="done" value="Klaar" id="done-button" data-disable-with="Klaar">
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<div class="print">
<a class="print_button" data-url="/quby/questionnaires/question_hiding/answers/e500c4f3-9458-4dc4-80b5-f0225bdfdd9b/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 '&lt; Safari' geheel linksboven.

Ga in de browser terug met de terug knop '&lt;' en druk op 'Klaar' om je invulling vast te leggen.
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</div>

</div>
</form>

<script>
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<div class="hidden" id="modalFrameDialog">
<iframe id="modalFrame"></iframe>
</div>


<div class="flash">
</div>
</div>
<div class="x_container"></div>
<noscript>
&lt;div id='noscript-warning'&gt;Deze vragenlijst heeft ondersteuning voor JavaScript nodig.&lt;/div&gt;
</noscript>


</body></html>