<style><!-- [et_pb_line_break_holder] --> #_form_7_ { font-size:14px; line-height:1.6; font-family:arial, helvetica, sans-serif; margin:0; }<!-- [et_pb_line_break_holder] --> #_form_7_ * { outline:0; }<!-- [et_pb_line_break_holder] --> ._form_hide { display:none; visibility:hidden; }<!-- [et_pb_line_break_holder] --> ._form_show { display:block; visibility:visible; }<!-- [et_pb_line_break_holder] --> #_form_7_._form-top { top:0; }<!-- [et_pb_line_break_holder] --> #_form_7_._form-bottom { bottom:0; }<!-- [et_pb_line_break_holder] --> #_form_7_._form-left { left:0; }<!-- [et_pb_line_break_holder] --> #_form_7_._form-right { right:0; }<!-- [et_pb_line_break_holder] --> #_form_7_ input[type="text"],#_form_7_ input[type="date"],#_form_7_ textarea { padding:6px; height:auto; border:#979797 1px solid; border-radius:4px; color:#000 !important; font-size:13px; -webkit-box-sizing:border-box; -moz-box-sizing:border-box; box-sizing:border-box; }<!-- [et_pb_line_break_holder] --> #_form_7_ textarea { resize:none; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._submit { -webkit-appearance:none; cursor:pointer; font-family:arial, sans-serif; font-size:14px; text-align:center; background:#fff !important; border:0 !important; -moz-border-radius:4px !important; -webkit-border-radius:4px !important; border-radius:4px !important; color:#000 !important; padding:10px !important; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._close-icon { cursor:pointer; background-image:url('https://d226aj4ao1t61q.cloudfront.net/esfkyjh1u_forms-close-dark.png'); background-repeat:no-repeat; background-size:14.2px 14.2px; position:absolute; display:block; top:11px; right:9px; overflow:hidden; width:16.2px; height:16.2px; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._close-icon:before { position:relative; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-body { margin-bottom:30px; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-image-left { width:150px; float:left; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-content-right { margin-left:164px; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-branding { color:#fff; font-size:10px; clear:both; text-align:left; margin-top:30px; font-weight:100; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-branding ._logo { display:block; width:130px; height:14px; margin-top:6px; background-image:url('https://d226aj4ao1t61q.cloudfront.net/hh9ujqgv5_aclogo_li.png'); background-size:130px auto; background-repeat:no-repeat; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-label,#_form_7_ ._form_element ._form-label { font-weight:bold; margin-bottom:5px; display:block; }<!-- [et_pb_line_break_holder] --> #_form_7_._dark ._form-branding { color:#333; }<!-- [et_pb_line_break_holder] --> #_form_7_._dark ._form-branding ._logo { background-image:url('https://d226aj4ao1t61q.cloudfront.net/jftq2c8s_aclogo_dk.png'); }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form_element { position:relative; margin-bottom:10px; font-size:0; max-width:100%; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form_element * { font-size:14px; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form_element._clear { clear:both; width:100%; float:none; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form_element._clear:after { clear:left; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form_element input[type="text"],#_form_7_ ._form_element input[type="date"],#_form_7_ ._form_element select,#_form_7_ ._form_element textarea:not(.g-recaptcha-response) { display:block; width:100%; -webkit-box-sizing:border-box; -moz-box-sizing:border-box; box-sizing:border-box; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._field-wrapper { position:relative; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._inline-style { float:left; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._inline-style input[type="text"] { width:150px; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._inline-style:not(._clear) + ._inline-style:not(._clear) { margin-left:20px; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form_element img._form-image { max-width:100%; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._clear-element { clear:left; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._full_width { width:100%; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form_full_field { display:block; width:100%; margin-bottom:10px; }<!-- [et_pb_line_break_holder] --> #_form_7_ input[type="text"]._has_error,#_form_7_ textarea._has_error { border:#f37c7b 1px solid; }<!-- [et_pb_line_break_holder] --> #_form_7_ input[type="checkbox"]._has_error { outline:#f37c7b 1px solid; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._error { display:block; position:absolute; font-size:13px; z-index:10000001; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._error._above { padding-bottom:4px; top:-41px; right:0; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._error._below { padding-top:4px; top:100%; right:0; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._error._above ._error-arrow { bottom:0; right:15px; border-left:5px solid transparent; border-right:5px solid transparent; border-top:5px solid #f37c7b; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._error._below ._error-arrow { top:0; right:15px; border-left:5px solid transparent; border-right:5px solid transparent; border-bottom:5px solid #f37c7b; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._error-inner { padding:8px 12px; background-color:#f37c7b; font-size:13px; font-family:arial, sans-serif; color:#fff; text-align:center; text-decoration:none; -webkit-border-radius:4px; -moz-border-radius:4px; border-radius:4px; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._error-inner._form_error { margin-bottom:5px; text-align:left; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._button-wrapper ._error-inner._form_error { position:static; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._error-inner._no_arrow { margin-bottom:10px; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._error-arrow { position:absolute; width:0; height:0; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._error-html { margin-bottom:10px; }<!-- [et_pb_line_break_holder] --> .pika-single { z-index:10000001 !important; }<!-- [et_pb_line_break_holder] --> @media all and (min-width:320px) and (max-width:667px) { ::-webkit-scrollbar { display:none; }<!-- [et_pb_line_break_holder] --> #_form_7_ { margin:0; width:100%; min-width:100%; max-width:100%; box-sizing:border-box; }<!-- [et_pb_line_break_holder] --> #_form_7_ * { -webkit-box-sizing:border-box; -moz-box-sizing:border-box; box-sizing:border-box; font-size:1em; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-content { margin:0; width:100%; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-inner { display:block; min-width:100%; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-title,#_form_7_ ._inline-style { margin-top:0; margin-right:0; margin-left:0; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-title { font-size:1.2em; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form_element { margin:0 0 20px; padding:0; width:100%; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-element,#_form_7_ ._inline-style,#_form_7_ input[type="text"],#_form_7_ label,#_form_7_ p,#_form_7_ textarea:not(.g-recaptcha-response) { float:none; display:block; width:100%; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._row._checkbox-radio label { display:inline; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._row,#_form_7_ p,#_form_7_ label { margin-bottom:0.7em; width:100%; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._row input[type="checkbox"],#_form_7_ ._row input[type="radio"] { margin:0 !important; vertical-align:middle !important; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._row input[type="checkbox"] + span label { display:inline; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._row span label { margin:0 !important; width:initial !important; vertical-align:middle !important; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-image { max-width:100%; height:auto !important; }<!-- [et_pb_line_break_holder] --> #_form_7_ input[type="text"] { padding-left:10px; padding-right:10px; font-size:16px; line-height:1.3em; -webkit-appearance:none; }<!-- [et_pb_line_break_holder] --> #_form_7_ input[type="radio"],#_form_7_ input[type="checkbox"] { display:inline-block; width:1.3em; height:1.3em; font-size:1em; margin:0 0.3em 0 0; vertical-align:baseline; }<!-- [et_pb_line_break_holder] --> #_form_7_ button[type="submit"] { padding:20px; font-size:1.5em; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._inline-style { margin:20px 0 0 !important; }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> #_form_7_ { position:relative; text-align:left; margin:25px auto 0; padding:20px; -webkit-box-sizing:border-box; -moz-box-sizing:border-box; box-sizing:border-box; *zoom:1; background:#25b1ff !important; border:0px solid #b0b0b0 !important; width:500px; -moz-border-radius:0px !important; -webkit-border-radius:0px !important; border-radius:0px !important; color:#000 !important; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-title { font-size:22px; line-height:22px; font-weight:600; margin-bottom:0; }<!-- [et_pb_line_break_holder] --> #_form_7_:before,#_form_7_:after { content:" "; display:table; }<!-- [et_pb_line_break_holder] --> #_form_7_:after { clear:both; }<!-- [et_pb_line_break_holder] --> #_form_7_._inline-style { width:auto; display:inline-block; }<!-- [et_pb_line_break_holder] --> #_form_7_._inline-style input[type="text"],#_form_7_._inline-style input[type="date"] { padding:10px 12px; }<!-- [et_pb_line_break_holder] --> #_form_7_._inline-style button._inline-style { position:relative; top:27px; }<!-- [et_pb_line_break_holder] --> #_form_7_._inline-style p { margin:0; }<!-- [et_pb_line_break_holder] --> #_form_7_._inline-style ._button-wrapper { position:relative; margin:27px 12.5px 0 20px; }<!-- [et_pb_line_break_holder] --> #_form_7_ ._form-thank-you { position:relative; left:0; right:0; text-align:center; font-size:18px; }<!-- [et_pb_line_break_holder] --> @media all and (min-width:320px) and (max-width:667px) { #_form_7_._inline-form._inline-style ._inline-style._button-wrapper { margin-top:20px !important; margin-left:0 !important; }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><form method="POST" action="https://praktijkde3061.activehosted.com/proc.php" id="_form_7_" class="_form _form_7 _inline-form " novalidate><!-- [et_pb_line_break_holder] --> <input type="hidden" name="u" value="7" /><!-- [et_pb_line_break_holder] --> <input type="hidden" name="f" value="7" /><!-- [et_pb_line_break_holder] --> <input type="hidden" name="s" /><!-- [et_pb_line_break_holder] --> <input type="hidden" name="c" value="0" /><!-- [et_pb_line_break_holder] --> <input type="hidden" name="m" value="0" /><!-- [et_pb_line_break_holder] --> <input type="hidden" name="act" value="sub" /><!-- [et_pb_line_break_holder] --> <input type="hidden" name="v" value="2" /><!-- [et_pb_line_break_holder] --> <div class="_form-content"><!-- [et_pb_line_break_holder] --> <div class="_form_element _x07484508 _full_width _clear" ><!-- [et_pb_line_break_holder] --> <div class="_form-title"><!-- [et_pb_line_break_holder] --> Wil je al onze blogs in je mailbox ontvangen?<!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _x01158861 _full_width _clear" ><!-- [et_pb_line_break_holder] --> <div class="_html-code"><!-- [et_pb_line_break_holder] --> <p><!-- [et_pb_line_break_holder] --> Dat kan. Vul hier je gegevens in en naar welk onderwerp je voorkeur uit gaat, met de control of command toets kun je meerdere onderwerpen selecteren. Zodra er een nieuw blog klaar is, sturen wij je een email. Je geeft tevens toestemming om commerciële emails van Praktijk de Wissel te ontvangen.<!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _x84019897 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Voornaam<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="firstname" placeholder="Typ je voornaam in" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _x00134761 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Achternaam<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="lastname" placeholder="Typ je achternaam in" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _x09260952 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> E-mail*<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <input type="text" name="email" placeholder="Typ je e-mailadres in" required/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field17 _full_width " ><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Ik schrijf me graag in voor de volgende onderwerpen<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> <input type="hidden" name="field[17][]" value="~|"><!-- [et_pb_line_break_holder] --> <div class="_field-wrapper"><!-- [et_pb_line_break_holder] --> <select multiple="true" name="field[17][]" ><!-- [et_pb_line_break_holder] --> <option value="Gezond gewicht" ><!-- [et_pb_line_break_holder] --> Gezond gewicht<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Chronische klachten" ><!-- [et_pb_line_break_holder] --> Chronische klachten<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Houding" ><!-- [et_pb_line_break_holder] --> Houding<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> <option value="Stress en Spanningsklachten" ><!-- [et_pb_line_break_holder] --> Stress en Spanningsklachten<!-- [et_pb_line_break_holder] --> </option><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form_element _field2 _full_width " ><!-- [et_pb_line_break_holder] --> <div class="_row"><!-- [et_pb_line_break_holder] --> <label class="_form-label"><!-- [et_pb_line_break_holder] --> Toestemmingen<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <input type="hidden" name="field[2][]" value="~|"><!-- [et_pb_line_break_holder] --> <div class="_row _checkbox-radio"><!-- [et_pb_line_break_holder] --> <input id="field_2Ik ga er mee akkoord dat de ingevoerde gegevens uitsluitend worden gebruikt om mij op de hoogte te houden van nieuwe blogs, ontwikkelingen, diensten en producten van Praktijk de Wissel" type="checkbox" name="field[2][]" value="Ik ga er mee akkoord dat de ingevoerde gegevens uitsluitend worden gebruikt om mij op de hoogte te houden van nieuwe blogs, ontwikkelingen, diensten en producten van Praktijk de Wissel" ><!-- [et_pb_line_break_holder] --> <span><!-- [et_pb_line_break_holder] --> <label for="field_2Ik ga er mee akkoord dat de ingevoerde gegevens uitsluitend worden gebruikt om mij op de hoogte te houden van nieuwe blogs, ontwikkelingen, diensten en producten van Praktijk de Wissel"><!-- [et_pb_line_break_holder] --> Ik ga er mee akkoord dat de ingevoerde gegevens uitsluitend worden gebruikt om mij op de hoogte te houden van nieuwe blogs, ontwikkelingen, diensten en producten van Praktijk de Wissel<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> </span><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_row _checkbox-radio"><!-- [et_pb_line_break_holder] --> <input id="field_2Ik ga akkoord met het privacyreglement." type="checkbox" name="field[2][]" value="Ik ga akkoord met het privacyreglement." ><!-- [et_pb_line_break_holder] --> <span><!-- [et_pb_line_break_holder] --> <label for="field_2Ik ga akkoord met het privacyreglement."><!-- [et_pb_line_break_holder] --> Ik ga akkoord met het privacyreglement.<!-- [et_pb_line_break_holder] --> </label><!-- [et_pb_line_break_holder] --> </span><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_button-wrapper _full_width"><!-- [et_pb_line_break_holder] --> <button id="_form_7_submit" class="_submit" type="submit"><!-- [et_pb_line_break_holder] --> Aanmelden<!-- [et_pb_line_break_holder] --> </button><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_clear-element"><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="_form-thank-you" style="display:none;"><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --></form><script type="text/javascript"><!-- [et_pb_line_break_holder] -->window.cfields = {"17":"ik_schrijf_me_graag_in_voor_de_volgende_onderwerpen","2":"toestemmingen"};<!-- [et_pb_line_break_holder] -->window._show_thank_you = function(id, message, trackcmp_url) {<!-- [et_pb_line_break_holder] --> var form = document.getElementById('_form_' + id + '_'), thank_you = form.querySelector('._form-thank-you');<!-- [et_pb_line_break_holder] --> form.querySelector('._form-content').style.display = 'none';<!-- [et_pb_line_break_holder] --> thank_you.innerHTML = message;<!-- [et_pb_line_break_holder] --> thank_you.style.display = 'block';<!-- [et_pb_line_break_holder] --> if (typeof(trackcmp_url) != 'undefined' && trackcmp_url) {<!-- [et_pb_line_break_holder] --> // Site tracking URL to use after inline form submission.<!-- [et_pb_line_break_holder] --> _load_script(trackcmp_url);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (typeof window._form_callback !== 'undefined') window._form_callback(id);<!-- [et_pb_line_break_holder] -->};<!-- [et_pb_line_break_holder] -->window._show_error = function(id, message, html) {<!-- [et_pb_line_break_holder] --> var form = document.getElementById('_form_' + id + '_'), err = document.createElement('div'), button = form.querySelector('button'), old_error = form.querySelector('._form_error');<!-- [et_pb_line_break_holder] --> if (old_error) old_error.parentNode.removeChild(old_error);<!-- [et_pb_line_break_holder] --> err.innerHTML = message;<!-- [et_pb_line_break_holder] --> err.className = '_error-inner _form_error _no_arrow';<!-- [et_pb_line_break_holder] --> var wrapper = document.createElement('div');<!-- [et_pb_line_break_holder] --> wrapper.className = '_form-inner';<!-- [et_pb_line_break_holder] --> wrapper.appendChild(err);<!-- [et_pb_line_break_holder] --> button.parentNode.insertBefore(wrapper, button);<!-- [et_pb_line_break_holder] --> document.querySelector('[id^="_form"][id$="_submit"]').disabled = false;<!-- [et_pb_line_break_holder] --> if (html) {<!-- [et_pb_line_break_holder] --> var div = document.createElement('div');<!-- [et_pb_line_break_holder] --> div.className = '_error-html';<!-- [et_pb_line_break_holder] --> div.innerHTML = html;<!-- [et_pb_line_break_holder] --> err.appendChild(div);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] -->};<!-- [et_pb_line_break_holder] -->window._load_script = function(url, callback) {<!-- [et_pb_line_break_holder] --> var head = document.querySelector('head'), script = document.createElement('script'), r = false;<!-- [et_pb_line_break_holder] --> script.type = 'text/javascript';<!-- [et_pb_line_break_holder] --> script.charset = 'utf-8';<!-- [et_pb_line_break_holder] --> script.src = url;<!-- [et_pb_line_break_holder] --> if (callback) {<!-- [et_pb_line_break_holder] --> script.onload = script.onreadystatechange = function() {<!-- [et_pb_line_break_holder] --> if (!r && (!this.readyState <!-- [et_pb_line_break_holder] --> this.readyState == 'complete')) {<!-- [et_pb_line_break_holder] --> r = true;<!-- [et_pb_line_break_holder] --> callback();<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> head.appendChild(script);<!-- [et_pb_line_break_holder] -->};<!-- [et_pb_line_break_holder] -->(function() {<!-- [et_pb_line_break_holder] --> if (window.location.search.search("excludeform") !== -1) return false;<!-- [et_pb_line_break_holder] --> var getCookie = function(name) {<!-- [et_pb_line_break_holder] --> var match = document.cookie.match(new RegExp('(^|; )' + name + '=([^;]+)'));<!-- [et_pb_line_break_holder] --> return match ? match[2] : null;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> var setCookie = function(name, value) {<!-- [et_pb_line_break_holder] --> var now = new Date();<!-- [et_pb_line_break_holder] --> var time = now.getTime();<!-- [et_pb_line_break_holder] --> var expireTime = time + 1000 * 60 * 60 * 24 * 365;<!-- [et_pb_line_break_holder] --> now.setTime(expireTime);<!-- [et_pb_line_break_holder] --> document.cookie = name + '=' + value + '; expires=' + now + ';path=/';<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> var addEvent = function(element, event, func) {<!-- [et_pb_line_break_holder] --> if (element.addEventListener) {<!-- [et_pb_line_break_holder] --> element.addEventListener(event, func);<!-- [et_pb_line_break_holder] --> } else {<!-- [et_pb_line_break_holder] --> var oldFunc = element['on' + event];<!-- [et_pb_line_break_holder] --> element['on' + event] = function() {<!-- [et_pb_line_break_holder] --> oldFunc.apply(this, arguments);<!-- [et_pb_line_break_holder] --> func.apply(this, arguments);<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> var _removed = false;<!-- [et_pb_line_break_holder] --> var form_to_submit = document.getElementById('_form_7_');<!-- [et_pb_line_break_holder] --> var allInputs = form_to_submit.querySelectorAll('input, select, textarea'), tooltips = [], submitted = false;<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> var getUrlParam = function(name) {<!-- [et_pb_line_break_holder] --> var regexStr = '[\?&]' + name + '=([^]*)';<!-- [et_pb_line_break_holder] --> var results = new RegExp(regexStr, 'i').exec(window.location.href);<!-- [et_pb_line_break_holder] --> return results != undefined ? decodeURIComponent(results[1]) : false;<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> for (var i = 0; i < allInputs.length; i++) {<!-- [et_pb_line_break_holder] --> var regexStr = "field\\[(\\d+)\\]";<!-- [et_pb_line_break_holder] --> var results = new RegExp(regexStr).exec(allInputs[i].name);<!-- [et_pb_line_break_holder] --> if (results != undefined) {<!-- [et_pb_line_break_holder] --> allInputs[i].dataset.name = window.cfields[results[1]];<!-- [et_pb_line_break_holder] --> } else {<!-- [et_pb_line_break_holder] --> allInputs[i].dataset.name = allInputs[i].name;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> var fieldVal = getUrlParam(allInputs[i].dataset.name);<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> if (fieldVal) {<!-- [et_pb_line_break_holder] --> if (allInputs[i].type == "radio" <!-- [et_pb_line_break_holder] --> allInputs[i].type == "checkbox") {<!-- [et_pb_line_break_holder] --> if (allInputs[i].value == fieldVal) {<!-- [et_pb_line_break_holder] --> allInputs[i].checked = true;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else {<!-- [et_pb_line_break_holder] --> allInputs[i].value = fieldVal;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> var remove_tooltips = function() {<!-- [et_pb_line_break_holder] --> for (var i = 0; i < tooltips.length; i++) {<!-- [et_pb_line_break_holder] --> tooltips[i].tip.parentNode.removeChild(tooltips[i].tip);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> tooltips = [];<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var remove_tooltip = function(elem) {<!-- [et_pb_line_break_holder] --> for (var i = 0; i < tooltips.length; i++) {<!-- [et_pb_line_break_holder] --> if (tooltips[i].elem === elem) {<!-- [et_pb_line_break_holder] --> tooltips[i].tip.parentNode.removeChild(tooltips[i].tip);<!-- [et_pb_line_break_holder] --> tooltips.splice(i, 1);<!-- [et_pb_line_break_holder] --> return;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var create_tooltip = function(elem, text) {<!-- [et_pb_line_break_holder] --> var tooltip = document.createElement('div'), arrow = document.createElement('div'), inner = document.createElement('div'), new_tooltip = {};<!-- [et_pb_line_break_holder] --> if (elem.type != 'radio' && elem.type != 'checkbox') {<!-- [et_pb_line_break_holder] --> tooltip.className = '_error';<!-- [et_pb_line_break_holder] --> arrow.className = '_error-arrow';<!-- [et_pb_line_break_holder] --> inner.className = '_error-inner';<!-- [et_pb_line_break_holder] --> inner.innerHTML = text;<!-- [et_pb_line_break_holder] --> tooltip.appendChild(arrow);<!-- [et_pb_line_break_holder] --> tooltip.appendChild(inner);<!-- [et_pb_line_break_holder] --> elem.parentNode.appendChild(tooltip);<!-- [et_pb_line_break_holder] --> } else {<!-- [et_pb_line_break_holder] --> tooltip.className = '_error-inner _no_arrow';<!-- [et_pb_line_break_holder] --> tooltip.innerHTML = text;<!-- [et_pb_line_break_holder] --> elem.parentNode.insertBefore(tooltip, elem);<!-- [et_pb_line_break_holder] --> new_tooltip.no_arrow = true;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> new_tooltip.tip = tooltip;<!-- [et_pb_line_break_holder] --> new_tooltip.elem = elem;<!-- [et_pb_line_break_holder] --> tooltips.push(new_tooltip);<!-- [et_pb_line_break_holder] --> return new_tooltip;<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var resize_tooltip = function(tooltip) {<!-- [et_pb_line_break_holder] --> var rect = tooltip.elem.getBoundingClientRect();<!-- [et_pb_line_break_holder] --> var doc = document.documentElement, scrollPosition = rect.top - ((window.pageYOffset <!-- [et_pb_line_break_holder] --> doc.scrollTop) - (doc.clientTop <!-- [et_pb_line_break_holder] --> 0));<!-- [et_pb_line_break_holder] --> if (scrollPosition < 40) {<!-- [et_pb_line_break_holder] --> tooltip.tip.className = tooltip.tip.className.replace(/ ?(_above|_below) ?/g, '') + ' _below';<!-- [et_pb_line_break_holder] --> } else {<!-- [et_pb_line_break_holder] --> tooltip.tip.className = tooltip.tip.className.replace(/ ?(_above|_below) ?/g, '') + ' _above';<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var resize_tooltips = function() {<!-- [et_pb_line_break_holder] --> if (_removed) return;<!-- [et_pb_line_break_holder] --> for (var i = 0; i < tooltips.length; i++) {<!-- [et_pb_line_break_holder] --> if (!tooltips[i].no_arrow) resize_tooltip(tooltips[i]);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var validate_field = function(elem, remove) {<!-- [et_pb_line_break_holder] --> var tooltip = null, value = elem.value, no_error = true;<!-- [et_pb_line_break_holder] --> remove ? remove_tooltip(elem) : false;<!-- [et_pb_line_break_holder] --> if (elem.type != 'checkbox') elem.className = elem.className.replace(/ ?_has_error ?/g, '');<!-- [et_pb_line_break_holder] --> if (elem.getAttribute('required') !== null) {<!-- [et_pb_line_break_holder] --> if (elem.type == 'radio' <!-- [et_pb_line_break_holder] --> (elem.type == 'checkbox' && /any/.test(elem.className))) {<!-- [et_pb_line_break_holder] --> var elems = form_to_submit.elements[elem.name];<!-- [et_pb_line_break_holder] --> if (!(elems instanceof NodeList <!-- [et_pb_line_break_holder] --> elems instanceof HTMLCollection) <!-- [et_pb_line_break_holder] --> elems.length <= 1) {<!-- [et_pb_line_break_holder] --> no_error = elem.checked;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> else {<!-- [et_pb_line_break_holder] --> no_error = false;<!-- [et_pb_line_break_holder] --> for (var i = 0; i < elems.length; i++) {<!-- [et_pb_line_break_holder] --> if (elems[i].checked) no_error = true;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (!no_error) {<!-- [et_pb_line_break_holder] --> tooltip = create_tooltip(elem, "Maak a.u.b. een keuze");<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else if (elem.type =='checkbox') {<!-- [et_pb_line_break_holder] --> var elems = form_to_submit.elements[elem.name], found = false, err = [];<!-- [et_pb_line_break_holder] --> no_error = true;<!-- [et_pb_line_break_holder] --> for (var i = 0; i < elems.length; i++) {<!-- [et_pb_line_break_holder] --> if (elems[i].getAttribute('required') === null) continue;<!-- [et_pb_line_break_holder] --> if (!found && elems[i] !== elem) return true;<!-- [et_pb_line_break_holder] --> found = true;<!-- [et_pb_line_break_holder] --> elems[i].className = elems[i].className.replace(/ ?_has_error ?/g, '');<!-- [et_pb_line_break_holder] --> if (!elems[i].checked) {<!-- [et_pb_line_break_holder] --> no_error = false;<!-- [et_pb_line_break_holder] --> elems[i].className = elems[i].className + ' _has_error';<!-- [et_pb_line_break_holder] --> err.push("Afvinken van %s is vereist".replace("%s", elems[i].value));<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (!no_error) {<!-- [et_pb_line_break_holder] --> tooltip = create_tooltip(elem, err.join('<br/>'));<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else if (elem.tagName == 'SELECT') {<!-- [et_pb_line_break_holder] --> var selected = true;<!-- [et_pb_line_break_holder] --> if (elem.multiple) {<!-- [et_pb_line_break_holder] --> selected = false;<!-- [et_pb_line_break_holder] --> for (var i = 0; i < elem.options.length; i++) {<!-- [et_pb_line_break_holder] --> if (elem.options[i].selected) {<!-- [et_pb_line_break_holder] --> selected = true;<!-- [et_pb_line_break_holder] --> break;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else {<!-- [et_pb_line_break_holder] --> for (var i = 0; i < elem.options.length; i++) {<!-- [et_pb_line_break_holder] --> if (elem.options[i].selected && !elem.options[i].value) {<!-- [et_pb_line_break_holder] --> selected = false;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (!selected) {<!-- [et_pb_line_break_holder] --> elem.className = elem.className + ' _has_error';<!-- [et_pb_line_break_holder] --> no_error = false;<!-- [et_pb_line_break_holder] --> tooltip = create_tooltip(elem, "Maak a.u.b. een keuze");<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else if (value === undefined <!-- [et_pb_line_break_holder] --> value === null <!-- [et_pb_line_break_holder] --> value === '') {<!-- [et_pb_line_break_holder] --> elem.className = elem.className + ' _has_error';<!-- [et_pb_line_break_holder] --> no_error = false;<!-- [et_pb_line_break_holder] --> tooltip = create_tooltip(elem, "Dit veld is verplicht.");<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (no_error && elem.name == 'email') {<!-- [et_pb_line_break_holder] --> if (!value.match(/^[\+_a-z0-9-'&=]+(\.[\+_a-z0-9-']+)*@[a-z0-9-]+(\.[a-z0-9-]+)*(\.[a-z]{2,})$/i)) {<!-- [et_pb_line_break_holder] --> elem.className = elem.className + ' _has_error';<!-- [et_pb_line_break_holder] --> no_error = false;<!-- [et_pb_line_break_holder] --> tooltip = create_tooltip(elem, "Voer een geldig e-mailadres in.");<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (no_error && /date_field/.test(elem.className)) {<!-- [et_pb_line_break_holder] --> if (!value.match(/^\d\d\d\d-\d\d-\d\d$/)) {<!-- [et_pb_line_break_holder] --> elem.className = elem.className + ' _has_error';<!-- [et_pb_line_break_holder] --> no_error = false;<!-- [et_pb_line_break_holder] --> tooltip = create_tooltip(elem, "Voer een geldige datum in.");<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> tooltip ? resize_tooltip(tooltip) : false;<!-- [et_pb_line_break_holder] --> return no_error;<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var needs_validate = function(el) {<!-- [et_pb_line_break_holder] --> return el.name == 'email' <!-- [et_pb_line_break_holder] --> el.getAttribute('required') !== null;<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> var validate_form = function(e) {<!-- [et_pb_line_break_holder] --> var err = form_to_submit.querySelector('._form_error'), no_error = true;<!-- [et_pb_line_break_holder] --> if (!submitted) {<!-- [et_pb_line_break_holder] --> submitted = true;<!-- [et_pb_line_break_holder] --> for (var i = 0, len = allInputs.length; i < len; i++) {<!-- [et_pb_line_break_holder] --> var input = allInputs[i];<!-- [et_pb_line_break_holder] --> if (needs_validate(input)) {<!-- [et_pb_line_break_holder] --> if (input.type == 'text') {<!-- [et_pb_line_break_holder] --> addEvent(input, 'blur', function() {<!-- [et_pb_line_break_holder] --> this.value = this.value.trim();<!-- [et_pb_line_break_holder] --> validate_field(this, true);<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --> addEvent(input, 'input', function() {<!-- [et_pb_line_break_holder] --> validate_field(this, true);<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --> } else if (input.type == 'radio' <!-- [et_pb_line_break_holder] --> input.type == 'checkbox') {<!-- [et_pb_line_break_holder] --> (function(el) {<!-- [et_pb_line_break_holder] --> var radios = form_to_submit.elements[el.name];<!-- [et_pb_line_break_holder] --> for (var i = 0; i < radios.length; i++) {<!-- [et_pb_line_break_holder] --> addEvent(radios[i], 'click', function() {<!-- [et_pb_line_break_holder] --> validate_field(el, true);<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> })(input);<!-- [et_pb_line_break_holder] --> } else if (input.tagName == 'SELECT') {<!-- [et_pb_line_break_holder] --> addEvent(input, 'change', function() {<!-- [et_pb_line_break_holder] --> validate_field(this, true);<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> remove_tooltips();<!-- [et_pb_line_break_holder] --> for (var i = 0, len = allInputs.length; i < len; i++) {<!-- [et_pb_line_break_holder] --> var elem = allInputs[i];<!-- [et_pb_line_break_holder] --> if (needs_validate(elem)) {<!-- [et_pb_line_break_holder] --> if (elem.tagName.toLowerCase() !== "select") {<!-- [et_pb_line_break_holder] --> elem.value = elem.value.trim();<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> validate_field(elem) ? true : no_error = false;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> if (!no_error && e) {<!-- [et_pb_line_break_holder] --> e.preventDefault();<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> resize_tooltips();<!-- [et_pb_line_break_holder] --> return no_error;<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> addEvent(window, 'resize', resize_tooltips);<!-- [et_pb_line_break_holder] --> addEvent(window, 'scroll', resize_tooltips);<!-- [et_pb_line_break_holder] --> window._old_serialize = null;<!-- [et_pb_line_break_holder] --> if (typeof serialize !== 'undefined') window._old_serialize = window.serialize;<!-- [et_pb_line_break_holder] --> _load_script("//d3rxaij56vjege.cloudfront.net/form-serialize/0.3/serialize.min.js", function() {<!-- [et_pb_line_break_holder] --> window._form_serialize = window.serialize;<!-- [et_pb_line_break_holder] --> if (window._old_serialize) window.serialize = window._old_serialize;<!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] --> var form_submit = function(e) {<!-- [et_pb_line_break_holder] --> e.preventDefault();<!-- [et_pb_line_break_holder] --> if (validate_form()) {<!-- [et_pb_line_break_holder] --> // use this trick to get the submit button & disable it using plain javascript<!-- [et_pb_line_break_holder] --> document.querySelector('#_form_7_submit').disabled = true;<!-- [et_pb_line_break_holder] --> var serialized = _form_serialize(document.getElementById('_form_7_'));<!-- [et_pb_line_break_holder] --> var err = form_to_submit.querySelector('._form_error');<!-- [et_pb_line_break_holder] --> err ? err.parentNode.removeChild(err) : false;<!-- [et_pb_line_break_holder] --> _load_script('https://praktijkde3061.activehosted.com/proc.php?' + serialized + '&jsonp=true');<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> };<!-- [et_pb_line_break_holder] --> addEvent(form_to_submit, 'submit', form_submit);<!-- [et_pb_line_break_holder] -->})();<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></script>