{"id":200,"date":"2016-07-04T20:21:56","date_gmt":"2016-07-04T18:21:56","guid":{"rendered":"http:\/\/www.deleerwijzer.nl\/?page_id=200"},"modified":"2018-09-11T20:20:58","modified_gmt":"2018-09-11T18:20:58","slug":"vragenlijst-dyslexie-new","status":"publish","type":"page","link":"https:\/\/www.deleerwijzer.nl\/?page_id=200","title":{"rendered":"Vragenlijst dyslexie"},"content":{"rendered":"<p>&#8230;<\/p>\n<div id=\"usermessage2a\" class=\"cf_info \"><\/div><form enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F200#usermessage2a\" method=\"post\" class=\"cform cformsdirect vragenlijst-dyslexie-1 \" id=\"cforms2form\"><ol class=\"cf-ol\"><li id=\"li-2-1\" class=\"textonly\"><div class=\"vrtg\">&#10102;&minus; &#10113;&minus; &#10114;&minus; &#10115;&minus; &#10116;&minus; &#10117;&minus; &#10118;&minus; &#10119;&minus; &#10120;&minus; &#10121;<\/div><\/li><li id=\"li-2-2\" class=\"\"><label id=\"label-2-2\" for=\"cf2_field_2\"><span>Pagina 1<\/span><\/label><input readonly=\"readonly\" disabled=\"disabled\" type=\"text\" name=\"cf2_field_2\" id=\"cf2_field_2\" class=\"single readonly\" value=\"van 10\" title=\"\"\/><\/li><\/ol><fieldset class=\"cf-fs1\" style=\"\"><legend>Personalia <\/legend><ol class=\"cf-ol\"><li id=\"li-2-4\" class=\"\"><label id=\"label-2-4\" for=\"cf2_field_4\"><span>Naam<\/span><\/label><input type=\"text\" name=\"cf2_field_4\" id=\"cf2_field_4\" class=\"single fldrequired\" value=\"\" title=\"De voornaam van uw kind\"\/><span class=\"reqtxt\">(Verplicht)<\/span><\/li><li id=\"li-2-5\" class=\"\"><label id=\"label-2-5\" for=\"cf2_field_5\"><span>Geboortedatum<\/span><\/label><input type=\"text\" name=\"cf2_field_5\" id=\"cf2_field_5\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(Verplicht)<\/span><\/li><li id=\"li-2-6\" class=\"\"><label id=\"label-2-6\" for=\"cf2_field_6\"><span>Leeftijd<\/span><\/label><input type=\"text\" name=\"cf2_field_6\" id=\"cf2_field_6\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(Verplicht)<\/span><\/li><li id=\"li-2-7\" class=\"\"><label id=\"label-2-7\" for=\"cf2_field_7\"><span>Straat (woonadres)<\/span><\/label><input type=\"text\" name=\"cf2_field_7\" id=\"cf2_field_7\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(Verplicht)<\/span><\/li><li id=\"li-2-8\" class=\"\"><label id=\"label-2-8\" for=\"cf2_field_8\"><span>Huisnummer (woonadres)<\/span><\/label><input type=\"text\" name=\"cf2_field_8\" id=\"cf2_field_8\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(Verplicht)<\/span><\/li><li id=\"li-2-9\" class=\"\"><label id=\"label-2-9\" for=\"cf2_field_9\"><span>Postcode (woonadres)<\/span><\/label><input type=\"text\" name=\"cf2_field_9\" id=\"cf2_field_9\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(Verplicht)<\/span><\/li><li id=\"li-2-10\" class=\"\"><label id=\"label-2-10\" for=\"cf2_field_10\"><span>Woonplaats<\/span><\/label><input type=\"text\" name=\"cf2_field_10\" id=\"cf2_field_10\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-2-11\" class=\"\"><label id=\"label-2-11\" for=\"cf2_field_11\"><span>Telefoon<\/span><\/label><input required=\"required\"  type=\"tel\" name=\"cf2_field_11\" id=\"cf2_field_11\" class=\" fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(Verplicht)<\/span><\/li><\/ol><\/fieldset><fieldset class=\"cf-fs2\" style=\"\"><legend>Gezinssamenstelling<\/legend><ol class=\"cf-ol\"><li id=\"li-2-13\" class=\"\"><label id=\"label-2-13\" for=\"cf2_field_13\"><span>Gezins<wbr>samenstelling<\/span><\/label><select name=\"cf2_field_13\" id=\"cf2_field_13\" class=\"cformselect fldrequired\" title=\"\"><option value=\"volledig gezin\">volledig gezin<\/option><option value=\"gescheiden\">gescheiden<\/option><option value=\"namelijk:\">anders<\/option><\/select><span class=\"reqtxt\">(Verplicht)<\/span><\/li><li id=\"li-2-14\" class=\"\"><label id=\"label-2-14\" for=\"cf2_field_14\"><span>Indien anders<\/span><\/label><input type=\"text\" name=\"cf2_field_14\" id=\"cf2_field_14\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-2-15\" class=\"\"><label id=\"label-2-15\" for=\"cf2_field_15\"><span>Beroep moeder<\/span><\/label><input type=\"text\" name=\"cf2_field_15\" id=\"cf2_field_15\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-2-16\" class=\"\"><label id=\"label-2-16\" for=\"cf2_field_16\"><span>Beroep vader<\/span><\/label><input type=\"text\" name=\"cf2_field_16\" id=\"cf2_field_16\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-2-17\" class=\"\"><label id=\"label-2-17\" for=\"cf2_field_17\"><span>Aantal broers<\/span><\/label><input type=\"text\" name=\"cf2_field_17\" id=\"cf2_field_17\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-2-18\" class=\"\"><label id=\"label-2-18\" for=\"cf2_field_18\"><span>Aantal zussen<\/span><\/label><input type=\"text\" name=\"cf2_field_18\" id=\"cf2_field_18\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-2-19\" class=\"\"><label id=\"label-2-19\" for=\"cf2_field_19\"><span>Plaats in de kinderrij<\/span><\/label><input type=\"text\" name=\"cf2_field_19\" id=\"cf2_field_19\" class=\"single\" value=\"\" title=\"\"\/><\/li><\/ol><\/fieldset><fieldset class=\"cf-fs3\" style=\"\"><legend>School<\/legend><ol class=\"cf-ol\"><li id=\"li-2-21\" class=\"\"><label id=\"label-2-21\" for=\"cf2_field_21\"><span>Huidige opleidingsniveau<\/span><\/label><select name=\"cf2_field_21\" id=\"cf2_field_21\" class=\"cformselect fldrequired\" title=\"\"><option value=\"Basisschool\">Basisschool<\/option><option value=\"Voortgezet Onderwijs : vmbo-b\">Voortgezet Onderwijs : vmbo-b<\/option><option value=\"Voortgezet Onderwijs : vmbo-k\">Voortgezet Onderwijs : vmbo-k<\/option><option value=\"Voortgezet Onderwijs : vmbo-tl\">Voortgezet Onderwijs : vmbo-tl<\/option><option value=\"Voortgezet Onderwijs : havo\">Voortgezet Onderwijs : havo<\/option><option value=\"Voortgezet Onderwijs : vwo\">Voortgezet Onderwijs : vwo<\/option><option value=\"Speciaal onderwijs\">Speciaal onderwijs<\/option><option value=\"namelijk:\">Anders<\/option><\/select><span class=\"reqtxt\">(Verplicht)<\/span><\/li><li id=\"li-2-22\" class=\"\"><label id=\"label-2-22\" for=\"cf2_field_22\"><span>Indien anders<\/span><\/label><input type=\"text\" name=\"cf2_field_22\" id=\"cf2_field_22\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-2-23\" class=\"\"><label id=\"label-2-23\" for=\"cf2_field_23\"><span>Huidige groep\/klas<\/span><\/label><input type=\"text\" name=\"cf2_field_23\" id=\"cf2_field_23\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-2-24\" class=\" cf-box-title\">Kleuterklas<wbr>verlenging\/<wbr>doublures<\/li><li id=\"li-2-24items\" class=\"cf-box-group\"><input type=\"radio\" id=\"cf2_field_24-1\" name=\"cf2_field_24\" value=\"Ja\" class=\"cf-box-b\" title=\"\"\/><label id=\"label-2-241\" for=\"cf2_field_24-1\" class=\"cf-after\"><span>Ja<\/span><\/label><input type=\"radio\" id=\"cf2_field_24-2\" name=\"cf2_field_24\" value=\"Nee\" class=\"cf-box-b\" title=\"\"\/><label id=\"label-2-242\" for=\"cf2_field_24-2\" class=\"cf-after\"><span>Nee<\/span><\/label><\/li><li id=\"li-2-25\" class=\"\"><label id=\"label-2-25\" for=\"cf2_field_25\"><span>Indien ja. In groep\/klas<\/span><\/label><input type=\"text\" name=\"cf2_field_25\" id=\"cf2_field_25\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-2-26\" class=\"\"><label id=\"label-2-26\" for=\"cf2_field_26\"><span>Huidige opvoedingssituatie <\/span><\/label><select name=\"cf2_field_26\" id=\"cf2_field_26\" class=\"cformselect\" title=\"\"><option value=\"thuiswonend\">thuiswonend<\/option><option value=\"in instelling\">in instelling<\/option><\/select><\/li><li id=\"li-2-27\" class=\"\"><label id=\"label-2-27\" for=\"cf2_field_27\"><span>Anders namelijk<\/span><\/label><input type=\"text\" name=\"cf2_field_27\" id=\"cf2_field_27\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-2-28\" class=\"\"><label id=\"label-2-28\" for=\"cf2_field_28\"><span>Ingevuld door<\/span><\/label><input type=\"text\" name=\"cf2_field_28\" id=\"cf2_field_28\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-2-29\" class=\"\"><label id=\"label-2-29\" for=\"cf2_field_29\"><span>Ingevuld op<\/span><\/label><input  type=\"date\" name=\"cf2_field_29\" id=\"cf2_field_29\" class=\"\" value=\"\" title=\"\"\/><\/li><\/ol><\/fieldset><fieldset class=\"cf_hidden\"><legend>&nbsp;<\/legend><input type=\"hidden\" name=\"cf_working2\" id=\"cf_working2\" value=\"<span>Een ogenblik geduld aub.<\/span>\"\/><input type=\"hidden\" name=\"cf_failure2\" id=\"cf_failure2\" value=\"<span>Vul a.u.b. alle benodigde velden in<\/span>\"\/><input type=\"hidden\" name=\"cf_customerr2\" id=\"cf_customerr2\" value=\"y\"\/><\/fieldset><p class=\"cf-sb\"><input type=\"submit\" name=\"sendbutton2\" id=\"sendbutton2\" class=\"sendbutton\" value=\"Volgende\" \/><\/p><\/form><div id=\"usermessage2b\" class=\"cf_info \" ><\/div>\n","protected":false},"excerpt":{"rendered":"<p class=\"excerpt\">&#8230; <a href=\"https:\/\/www.deleerwijzer.nl\/?page_id=200\">Lees verder &rarr;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.deleerwijzer.nl\/index.php?rest_route=\/wp\/v2\/pages\/200"}],"collection":[{"href":"https:\/\/www.deleerwijzer.nl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.deleerwijzer.nl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.deleerwijzer.nl\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deleerwijzer.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=200"}],"version-history":[{"count":26,"href":"https:\/\/www.deleerwijzer.nl\/index.php?rest_route=\/wp\/v2\/pages\/200\/revisions"}],"predecessor-version":[{"id":285,"href":"https:\/\/www.deleerwijzer.nl\/index.php?rest_route=\/wp\/v2\/pages\/200\/revisions\/285"}],"wp:attachment":[{"href":"https:\/\/www.deleerwijzer.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=200"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}