<!DOCTYPE html><!--[if lt IE 9]><html class="no-js lt-ie9"><![endif]--><!--[if !IE]> --><html class="no-js"><!-- <![endif]--><head> <meta content="text/html; charset=utf-8" http-equiv="content-type"> <meta content="IE=edge" http-equiv="X-UA-Compatible"> <title>Vragenlijst</title> <meta content="width=device-width, initial-scale=1.0 , user-scalable=no" name="viewport"> <link rel="stylesheet" media="screen, projection" href="/assets/quby/application.css"> <link rel="stylesheet" media="print" href="/assets/quby/print.css"> <script src="/assets/quby/application.js"></script> <script src="/assets/quby/disable_keys.js"></script> <script src="/assets/quby/answers.js"></script> <style> </style> <script> $(function() { if (navigator.userAgent.indexOf("Trident/5") > -1) $("html").addClass("lt-ie9") }); </script> </head> <body> <div id="masthead"></div> <div id="content"> <div class="flash"> </div> <script> window.panel_validations = {}; // for setting values of raw_content window.extra_question_values = {}; // for showing validations of raw content window.extra_failed_validations = {}; </script> <form class="question_hiding bulk" autocomplete="off" id="questionnaire-form" action="/quby/questionnaires/question_hiding/answers/e500c4f3-9458-4dc4-80b5-f0225bdfdd9b" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="_method" value="put"> <input type="hidden" name="token" id="token"> <input type="hidden" name="hmac" id="hmac"> <input type="hidden" name="timestamp" id="timestamp"> <input type="hidden" name="return_url" id="return_url"> <input type="hidden" name="return_token" id="return_token"> <input type="hidden" name="display_mode" id="display_mode" value="bulk"> <input type="hidden" name="rendered_at" id="rendered_at" value="1574700684"> <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"> </div> <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> </div> </span> <fieldset class="panel" id="panel0"> <script> panel_validations["panel0"] = 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<!-- 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="{"key":"v_10_dd"}" 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="{"key":"v_10_mm"}" 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="{"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="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> 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":"P3","description":null,"type":"radio","unit":null,"hidden":null,"displayModes":null,"defaultInvisible":false,"viewSelector":"[data-for=v_8], 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<!-- 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> 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> <!-- Begin _item.html.haml --> <div class="item text vertical"> </div> <!-- End _item.html.haml --> </fieldset> <div class="buttons"> <div class="prev"> </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/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 '< 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> </form> <script> $(function() { Quby.init({ questionnaire_key: "question_hiding", answer_value: {"v_5":{},"v_14":{},"v_15":{},"v_5_a1":0,"v_5_a2":0,"v_5_a3":0,"v_14_a1":0,"v_14_a2":0,"v_14_a3":0,"v_15_a1":0,"v_15_a2":0,"v_15_a3":0}, flag_definitions: {"question_hiding_hides_flag":{"key":"question_hiding_hides_flag","description_true":"Hides v_7","description_false":"Does not hide v_7","description":null,"internal":false,"trigger_on":true,"shows_questions":[],"hides_questions":["v_7"],"depends_on":null,"default_in_interface":null},"question_hiding_shows_flag":{"key":"question_hiding_shows_flag","description_true":"Shows v_9","description_false":"Does not show v_9","description":null,"internal":false,"trigger_on":true,"shows_questions":["v_9"],"hides_questions":[],"depends_on":null,"default_in_interface":null}}, flag_values: {}, textvars: {} }); // Initialize all panels in bulk, activate first panel otherwise if(isBulkOrSinglePage) { initShowsHides("all_panels"); } else { activatePanel($(".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>