{"id":11219,"date":"2018-09-04T17:17:50","date_gmt":"2018-09-04T15:17:50","guid":{"rendered":"https:\/\/abouthealthonline.nl\/?page_id=11219"},"modified":"2018-09-04T18:35:27","modified_gmt":"2018-09-04T16:35:27","slug":"online-anamnese","status":"publish","type":"page","link":"https:\/\/abouthealthonline.nl\/online-anamnese\/","title":{"rendered":"Online anamnese"},"content":{"rendered":"[mk_page_section bg_image=&#8221;https:\/\/abouthealthonline.nl\/wp-content\/uploads\/2018\/09\/berries-1546125_1920.jpg&#8221; bg_color=&#8221;rgba(10,10,10,0.01)&#8221; bg_position=&#8221;left center&#8221; bg_stretch=&#8221;true&#8221; enable_3d=&#8221;true&#8221; bg_gradient=&#8221;left_top&#8221; video_color_mask=&#8221;rgba(0,0,0,0.8)&#8221; gr_end=&#8221;rgba(0,0,0,0.35)&#8221; video_opacity=&#8221;0.9&#8243; top_shape_color=&#8221;#ffffff&#8221; has_bottom_shape_divider=&#8221;true&#8221; bottom_shape_size=&#8221;small&#8221; bottom_shape_color=&#8221;#ffffff&#8221; el_class=&#8221;custom-jueves-gradient-bg&#8221; sidebar=&#8221;sidebar-1&#8243;][vc_column][mk_padding_divider size=&#8221;240&#8243;][mk_fancy_title strip_tags=&#8221;true&#8221; tag_name=&#8221;h4&#8243; color=&#8221;#ffffff&#8221; size=&#8221;30&#8243; force_font_size=&#8221;true&#8221; size_tablet=&#8221;15&#8243; size_phone=&#8221;15&#8243; line_height=&#8221;0&#8243; font_weight=&#8221;400&#8243; font_style=&#8221;normal&#8221; txt_transform=&#8221;uppercase&#8221; letter_spacing=&#8221;6.7&#8243; margin_bottom=&#8221;0&#8243; font_family=&#8221;Montserrat&#8221; font_type=&#8221;google&#8221; animation=&#8221;left-to-right&#8221;]Vul online de[\/mk_fancy_title][mk_fancy_title strip_tags=&#8221;true&#8221; tag_name=&#8221;h1&#8243; color=&#8221;#ffffff&#8221; size=&#8221;56&#8243; force_font_size=&#8221;true&#8221; size_tablet=&#8221;40&#8243; size_phone=&#8221;30&#8243; font_weight=&#8221;bold&#8221; font_style=&#8221;normal&#8221; txt_transform=&#8221;uppercase&#8221; letter_spacing=&#8221;12.6&#8243; margin_bottom=&#8221;0&#8243; font_family=&#8221;Montserrat&#8221; font_type=&#8221;google&#8221; animation=&#8221;left-to-right&#8221;]anamnese in[\/mk_fancy_title][vc_row_inner visibility=&#8221;hidden-sm&#8221;][vc_column_inner css=&#8221;.vc_custom_1496256982578{padding-left: 0px !important;}&#8221;][mk_divider style=&#8221;thin_solid&#8221; divider_width=&#8221;one_fourth&#8221; align=&#8221;left&#8221; thin_single_color=&#8221;#a7fd51&#8243; thickness=&#8221;7&#8243; margin_top=&#8221;0&#8243; margin_bottom=&#8221;120&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/mk_page_section][mk_page_section bg_color=&#8221;#ffffff&#8221; sidebar=&#8221;sidebar-1&#8243;][vc_column css=&#8221;.vc_custom_1481456801701{padding-right: 20px !important;}&#8221;][mk_padding_divider size=&#8221;120&#8243;][vc_column_text align=&#8221;center&#8221; animation=&#8221;scale-up&#8221; css=&#8221;.vc_custom_1536074256354{margin-bottom: 0px !important;}&#8221;]Vul het onderstaande anamnese formulier in.[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1536076741148{margin-bottom: 0px !important;}&#8221;]\n<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.7\" data-cf-form-id=\"CF5b8ea2a0e8d0f\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/abouthealthonline.nl\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF5b8ea2a0e8d0f caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5b8ea2a0e8d0f_1\" data-form-id=\"CF5b8ea2a0e8d0f\" aria-label=\"Online anamnese\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF5b8ea2a0e8d0f-tmpl\" data-cfajax=\"CF5b8ea2a0e8d0f\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/abouthealthonline.nl\/cf-api\/CF5b8ea2a0e8d0f\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5b8ea2a0e8d0f\" name=\"_cf_verify\" value=\"5ad4b441d7\"  data-nonce-time=\"1711603697\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/11219\" \/><div id=\"cf2-CF5b8ea2a0e8d0f_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5b8ea2a0e8d0f\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5b8ea2a0e8d0f\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"11219\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Company<\/label><input type=\"text\" name=\"company\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5b8ea2a0e8d0f_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><hr id=\"fld_4037738_1\" class=\"\" style=\"width: 100%\" \/><\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-2\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_7938807\" class=\"form-group\" id=\"fld_7938807_1-wrap\">\r\n\t<label id=\"fld_7938807Label\" for=\"fld_7938807_1\" class=\"control-label\">Voornaam <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_7938807\" class=\" form-control\" id=\"fld_7938807_1\" name=\"fld_7938807\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_7938807Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6815520\" class=\"form-group\" id=\"fld_6815520_1-wrap\">\r\n\t<label id=\"fld_6815520Label\" for=\"fld_6815520_1\" class=\"control-label\">Achternaam <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6815520\" class=\" form-control\" id=\"fld_6815520_1\" name=\"fld_6815520\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6815520Label\" >\t\t\t<\/div>\r\n<\/div>\r\n\n<div data-field-wrapper=\"fld_4060687\" class=\"form-group\" id=\"fld_4060687_1-wrap\">\r\n\t<label id=\"fld_4060687Label\" for=\"fld_4060687_1\" class=\"control-label\">Geboortedatum <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_4060687\" value=\"\" id=\"fld_4060687_1\" data-field=\"fld_4060687\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"dd-mm-yyyy\" required=\"1\" data-date-start-view=\"year\" data-date-language=\"nl\"   aria-labelledby=\"fld_4060687Label\" required  \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_818616\" class=\"form-group\" id=\"fld_818616_1-wrap\">\r\n\t<label id=\"fld_818616Label\" for=\"fld_818616_1\" class=\"control-label\">Burger Serivce Nummer (BSN) <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_818616\" class=\" form-control\" id=\"fld_818616_1\" name=\"fld_818616\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_818616Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2354061\" class=\"form-group\" id=\"fld_2354061_1-wrap\">\r\n\t<label id=\"fld_2354061Label\" for=\"fld_2354061_1\" class=\"control-label\">Straat en huisnummer <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_2354061\" class=\" form-control\" id=\"fld_2354061_1\" name=\"fld_2354061\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_2354061Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4922501\" class=\"form-group\" id=\"fld_4922501_1-wrap\">\r\n\t<label id=\"fld_4922501Label\" for=\"fld_4922501_1\" class=\"control-label\">Plaats <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_4922501\" class=\" form-control\" id=\"fld_4922501_1\" name=\"fld_4922501\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_4922501Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_3503316\" class=\"form-group\" id=\"fld_3503316_1-wrap\">\r\n\t<label id=\"fld_3503316Label\" for=\"fld_3503316_1\" class=\"control-label\">Geslacht <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_3503316\" value=\"\" data-field=\"fld_3503316\" class=\"form-control\" id=\"fld_3503316_1\"  required=\"required\"  aria-labelledby=\"fld_3503316Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Man\"  data-calc-value=\"Man\" >\n\t\t\t\t\t\tMan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Vrouw\"  data-calc-value=\"Vrouw\" >\n\t\t\t\t\t\tVrouw\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Anders\"  data-calc-value=\"Anders\" >\n\t\t\t\t\t\tAnders\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8986025\" class=\"form-group\" id=\"fld_8986025_1-wrap\">\r\n\t<label id=\"fld_8986025Label\" for=\"fld_8986025_1\" class=\"control-label\">Telefoonnummer <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '99-99999999'\"  required type=\"phone\" data-field=\"fld_8986025\" class=\" form-control\" id=\"fld_8986025_1\" name=\"fld_8986025\" value=\"\" data-type=\"phone\" aria-required=\"true\"   aria-labelledby=\"fld_8986025Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8029059\" class=\"form-group\" id=\"fld_8029059_1-wrap\">\r\n\t<label id=\"fld_8029059Label\" for=\"fld_8029059_1\" class=\"control-label\">Nationaliteit <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_8029059\" class=\" form-control\" id=\"fld_8029059_1\" name=\"fld_8029059\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_8029059Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6708536\" class=\"form-group\" id=\"fld_6708536_1-wrap\">\r\n\t<label id=\"fld_6708536Label\" for=\"fld_6708536_1\" class=\"control-label\">Verzekeringsnummer\/Polisnummer <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6708536\" class=\" form-control\" id=\"fld_6708536_1\" name=\"fld_6708536\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6708536Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7904614\" class=\"form-group\" id=\"fld_7904614_1-wrap\">\r\n\t<label id=\"fld_7904614Label\" for=\"fld_7904614_1\" class=\"control-label\">Postcode <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_7904614\" class=\" form-control\" id=\"fld_7904614_1\" name=\"fld_7904614\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_7904614Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1199076\" class=\"form-group\" id=\"fld_1199076_1-wrap\">\r\n\t<label id=\"fld_1199076Label\" for=\"fld_1199076_1\" class=\"control-label\">Land <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_1199076\" class=\" form-control\" id=\"fld_1199076_1\" name=\"fld_1199076\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_1199076Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-3\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_7894559\" class=\"form-group\" id=\"fld_7894559_1-wrap\">\r\n\t<label id=\"fld_7894559Label\" for=\"fld_7894559_1\" class=\"control-label\">Kruis hieronder aan welke situatie voor jou van toepassing is: Ik heb (interesse in)\u2026<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1719033\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Coeliakie\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1719033\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1719033]\"\n                                value=\"Coeliakie\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Coeliakie\"\n                            >\n                    Coeliakie                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1132102\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Colitis Ulcerosa \/ ziekte van Crohn\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1132102\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1132102]\"\n                                value=\"Colitis Ulcerosa \/ ziekte van Crohn\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Colitis Ulcerosa \/ ziekte van Crohn\"\n                            >\n                    Colitis Ulcerosa \/ ziekte van Crohn                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1561469\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"COPD \/Astma\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1561469\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1561469]\"\n                                value=\"COPD \/Astma\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"COPD \/Astma\"\n                            >\n                    COPD \/Astma                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1436485\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Diabetes Mellitus\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1436485\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1436485]\"\n                                value=\"Diabetes Mellitus\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Diabetes Mellitus\"\n                            >\n                    Diabetes Mellitus                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1832137\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Gezonde \/ volwaardige voeding\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1832137\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1832137]\"\n                                value=\"Gezonde \/ volwaardige voeding\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Gezonde \/ volwaardige voeding\"\n                            >\n                    Gezonde \/ volwaardige voeding                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1800786\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Lipoedeem\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1800786\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1800786]\"\n                                value=\"Lipoedeem\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Lipoedeem\"\n                            >\n                    Lipoedeem                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1341953\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Maag-darmklachten\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1341953\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1341953]\"\n                                value=\"Maag-darmklachten\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Maag-darmklachten\"\n                            >\n                    Maag-darmklachten                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1961564\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Multiple Sclerose\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1961564\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1961564]\"\n                                value=\"Multiple Sclerose\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Multiple Sclerose\"\n                            >\n                    Multiple Sclerose                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1104013\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Nieraandoening\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1104013\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1104013]\"\n                                value=\"Nieraandoening\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Nieraandoening\"\n                            >\n                    Nieraandoening                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt2083787\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"PCOS \/ Endometriose\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt2083787\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt2083787]\"\n                                value=\"PCOS \/ Endometriose\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"PCOS \/ Endometriose\"\n                            >\n                    PCOS \/ Endometriose                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1194494\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Prikkelbare Darm Syndroom\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1194494\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1194494]\"\n                                value=\"Prikkelbare Darm Syndroom\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Prikkelbare Darm Syndroom\"\n                            >\n                    Prikkelbare Darm Syndroom                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1577809\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Reuma \/ Jicht \/ Artrose\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1577809\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1577809]\"\n                                value=\"Reuma \/ Jicht \/ Artrose\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Reuma \/ Jicht \/ Artrose\"\n                            >\n                    Reuma \/ Jicht \/ Artrose                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt2034709\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Regelmatig last van brandend maagzuur\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt2034709\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt2034709]\"\n                                value=\"Regelmatig last van brandend maagzuur\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Regelmatig last van brandend maagzuur\"\n                            >\n                    Regelmatig last van brandend maagzuur                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1176174\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Regelmatig last van diarree of verstopping\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1176174\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1176174]\"\n                                value=\"Regelmatig last van diarree of verstopping\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Regelmatig last van diarree of verstopping\"\n                            >\n                    Regelmatig last van diarree of verstopping                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1076788\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Te hoge bloeddruk\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1076788\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1076788]\"\n                                value=\"Te hoge bloeddruk\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Te hoge bloeddruk\"\n                            >\n                    Te hoge bloeddruk                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1586324\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Te hoog cholesterol\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1586324\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1586324]\"\n                                value=\"Te hoog cholesterol\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Te hoog cholesterol\"\n                            >\n                    Te hoog cholesterol                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1969251\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Vaak last van gaatjes in mijn gebit \"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1969251\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1969251]\"\n                                value=\"Vaak last van gaatjes in mijn gebit \"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Vaak last van gaatjes in mijn gebit \"\n                            >\n                    Vaak last van gaatjes in mijn gebit                 <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1952470\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Overgewicht\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1952470\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1952470]\"\n                                value=\"Overgewicht\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Overgewicht\"\n                            >\n                    Overgewicht                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt2023520\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Ondergewicht\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt2023520\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt2023520]\"\n                                value=\"Ondergewicht\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Ondergewicht\"\n                            >\n                    Ondergewicht                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1067058\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Voedselallergie of -intolerantie\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1067058\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1067058]\"\n                                value=\"Voedselallergie of -intolerantie\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Voedselallergie of -intolerantie\"\n                            >\n                    Voedselallergie of -intolerantie                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7894559_1_opt1601789\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Anders\"\n                                data-field=\"fld_7894559\"\n                                id=\"fld_7894559_1_opt1601789\"\n                                class=\"fld_7894559_1\"\n                                name=\"fld_7894559[opt1601789]\"\n                                value=\"Anders\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7894559_1\"\n                                                                data-calc-value=\"Anders\"\n                            >\n                    Anders                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-4\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_1640059\" class=\"form-group\" id=\"fld_1640059_1-wrap\">\r\n\t<label id=\"fld_1640059Label\" for=\"fld_1640059_1\" class=\"control-label\">Welke aandoeningen heb je nu of heb je in het verleden gehad? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_1640059\" class=\" form-control\" id=\"fld_1640059_1\" name=\"fld_1640059\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_1640059Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3424642\" class=\"form-group\" id=\"fld_3424642_1-wrap\">\r\n\t<label id=\"fld_3424642Label\" for=\"fld_3424642_1\" class=\"control-label\">Beschrijf zo precies mogelijk welke eventuele (lichamelijke) klachten je hebt; <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_3424642\" value=\"\" data-field=\"fld_3424642\" class=\"form-control\" id=\"fld_3424642_1\" rows=\"4\"  required=\"required\"  aria-labelledby=\"fld_3424642Label\" aria-describedby=\"fld_3424642Caption\" ><\/textarea>\n\t\t<span id=\"fld_3424642Caption\" class=\"help-block\">Welke klachten, hoe lang al, mogelijke oorzaak, wordt er al iets aan gedaan?<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6584967\" class=\"form-group\" id=\"fld_6584967_1-wrap\">\r\n\t<label id=\"fld_6584967Label\" for=\"fld_6584967_1\" class=\"control-label\">Welke medicatie en\/of supplementen neem je? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6584967\" class=\" form-control\" id=\"fld_6584967_1\" name=\"fld_6584967\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6584967Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-5\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_8558145\" class=\"form-group\" id=\"fld_8558145_1-wrap\">\r\n\t<label id=\"fld_8558145Label\" for=\"fld_8558145_1\" class=\"control-label\">Rook je? Zo ja, hoeveel per dag? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_8558145\" class=\" form-control\" id=\"fld_8558145_1\" name=\"fld_8558145\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_8558145Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6462673\" class=\"form-group\" id=\"fld_6462673_1-wrap\">\r\n\t<label id=\"fld_6462673Label\" for=\"fld_6462673_1\" class=\"control-label\">Heb je ooit gerookt? Zo ja, hoe lang en hoeveel per dag? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6462673\" class=\" form-control\" id=\"fld_6462673_1\" name=\"fld_6462673\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6462673Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_9472480\" class=\"form-group\" id=\"fld_9472480_1-wrap\">\r\n\t<label id=\"fld_9472480Label\" for=\"fld_9472480_1\" class=\"control-label\">Drink je alcohol? Zo ja, hoeveel per dag\/week? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9472480\" class=\" form-control\" id=\"fld_9472480_1\" name=\"fld_9472480\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9472480Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5744781\" class=\"form-group\" id=\"fld_5744781_1-wrap\">\r\n\t<label id=\"fld_5744781Label\" for=\"fld_5744781_1\" class=\"control-label\">Gebruik je weleens drugs? Zo ja, welke en hoe vaak?<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5744781\" class=\" form-control\" id=\"fld_5744781_1\" name=\"fld_5744781\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5744781Label\" aria-describedby=\"fld_5744781Caption\" >\t\t<span id=\"fld_5744781Caption\" class=\"help-block\">Wiet en lachgas vallen ook onder drugs.<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-6\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_4578486\" class=\"form-group\" id=\"fld_4578486_1-wrap\">\r\n\t<label id=\"fld_4578486Label\" for=\"fld_4578486_1\" class=\"control-label\">Hoeveel (minuten) beweeg je gemiddeld per dag? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_4578486\" class=\" form-control\" id=\"fld_4578486_1\" name=\"fld_4578486\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_4578486Label\" aria-describedby=\"fld_4578486Caption\" >\t\t<span id=\"fld_4578486Caption\" class=\"help-block\">Je kunt dit beschrijven als een kwartier naar werk fietsen en terug, een actieve baan hebben met veel lopen of eventuele sporten die je beoefent en hoe vaak per week.<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_43724\" class=\"form-group\" id=\"fld_43724_1-wrap\">\r\n\t<label id=\"fld_43724Label\" for=\"fld_43724_1\" class=\"control-label\">Hoe beoordeel je je slaap\/waak ritme? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_43724\" class=\" form-control\" id=\"fld_43724_1\" name=\"fld_43724\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_43724Label\" aria-describedby=\"fld_43724Caption\" >\t\t<span id=\"fld_43724Caption\" class=\"help-block\">Hoeveel uur slaap je gemiddeld per nacht? Sta je uitgerust op? Ben je overdag weleens vermoeid zonder duidelijke reden? Doe je weleens een middagdutje?<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3754737\" class=\"form-group\" id=\"fld_3754737_1-wrap\">\r\n\t<label id=\"fld_3754737Label\" for=\"fld_3754737_1\" class=\"control-label\">Wat is de reden om op zoek te gaan naar een di\u00ebtist? Wat verwacht je van de di\u00ebtist? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_3754737\" class=\" form-control\" id=\"fld_3754737_1\" name=\"fld_3754737\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_3754737Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1843988\" class=\"form-group\" id=\"fld_1843988_1-wrap\">\r\n\t<label id=\"fld_1843988Label\" for=\"fld_1843988_1\" class=\"control-label\">Heb je een gezondheidsdoel? Maak dit concreet. <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_1843988\" class=\" form-control\" id=\"fld_1843988_1\" name=\"fld_1843988\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_1843988Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4485952\" class=\"form-group\" id=\"fld_4485952_1-wrap\">\r\n\t<label id=\"fld_4485952Label\" for=\"fld_4485952_1\" class=\"control-label\">Waarom is het je eerder niet gelukt om je doel te bereiken? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_4485952\" class=\" form-control\" id=\"fld_4485952_1\" name=\"fld_4485952\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_4485952Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9933312\" class=\"form-group\" id=\"fld_9933312_1-wrap\">\r\n\t<label id=\"fld_9933312Label\" for=\"fld_9933312_1\" class=\"control-label\">Welk beroep\/opleiding doe je momenteel? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9933312\" class=\" form-control\" id=\"fld_9933312_1\" name=\"fld_9933312\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9933312Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-7\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_3017506\" class=\"form-group\" id=\"fld_3017506_1-wrap\">\r\n\t<label id=\"fld_3017506Label\" for=\"fld_3017506_1\" class=\"control-label\">Wat is je lichaamslengte (in cm) <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_3017506\" class=\" form-control\" id=\"fld_3017506_1\" name=\"fld_3017506\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_3017506Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7746572\" class=\"form-group\" id=\"fld_7746572_1-wrap\">\r\n\t<label id=\"fld_7746572Label\" for=\"fld_7746572_1\" class=\"control-label\">Wat is je middelomtrek (in cm) <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_7746572\" class=\" form-control\" id=\"fld_7746572_1\" name=\"fld_7746572\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_7746572Label\" aria-describedby=\"fld_7746572Caption\" >\t\t<span id=\"fld_7746572Caption\" class=\"help-block\">Deze kun je meten met een meetlint die je om je middel houdt. De correcte meethoogte is precies in het midden van de onderste rib en de heupbot.<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_956670\" class=\"form-group\" id=\"fld_956670_1-wrap\">\r\n\t<label id=\"fld_956670Label\" for=\"fld_956670_1\" class=\"control-label\">Wat is je gewicht (in kg) <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_956670\" class=\" form-control\" id=\"fld_956670_1\" name=\"fld_956670\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_956670Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9737542\" class=\"form-group\" id=\"fld_9737542_1-wrap\">\r\n\t<label id=\"fld_9737542Label\" for=\"fld_9737542_1\" class=\"control-label\">Hoe was je gewichtsverloop de afgelopen maanden\/jaren? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9737542\" class=\" form-control\" id=\"fld_9737542_1\" name=\"fld_9737542\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9737542Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-8\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_2214914\" class=\"form-group\" id=\"fld_2214914_1-wrap\">\r\n\t<label id=\"fld_2214914Label\" for=\"fld_2214914_1\" class=\"control-label\">Wat heb je in het verleden al gedaan op het gebied van voeding? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_2214914\" class=\" form-control\" id=\"fld_2214914_1\" name=\"fld_2214914\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_2214914Label\" aria-describedby=\"fld_2214914Caption\" >\t\t<span id=\"fld_2214914Caption\" class=\"help-block\">Welke aanpassingen (naam dieet), hoe lang, hoe vaak, welke resultaten heb je behaald?<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_622105\" class=\"form-group\" id=\"fld_622105_1-wrap\">\r\n\t<label id=\"fld_622105Label\" for=\"fld_622105_1\" class=\"control-label\">Is er voeding waar je klachten van krijgt? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_622105\" class=\" form-control\" id=\"fld_622105_1\" name=\"fld_622105\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_622105Label\" aria-describedby=\"fld_622105Caption\" >\t\t<span id=\"fld_622105Caption\" class=\"help-block\">Dit kunnen klachten van je maag, darmen en\/of ontlasting zijn. Benoem ook voedingsmiddelen waar je eventueel allergisch voor bent.<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9159256\" class=\"form-group\" id=\"fld_9159256_1-wrap\">\r\n\t<label id=\"fld_9159256Label\" for=\"fld_9159256_1\" class=\"control-label\">Zijn er voedingsmiddelen die je niet eet? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9159256\" class=\" form-control\" id=\"fld_9159256_1\" name=\"fld_9159256\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9159256Label\" aria-describedby=\"fld_9159256Caption\" >\t\t<span id=\"fld_9159256Caption\" class=\"help-block\">Bijvoorbeeld omdat je het niet lekker vindt, vanwege religieuze overwegingen of andere redenen.<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-9\"  class=\"row \"><div  class=\"col-sm-12  single\"><hr id=\"fld_3527296_1\" class=\"\" style=\"width: 100%\" \/><div class=\"\"><p>Hoe vaak eet je de volgende producten?<\/p>\n<\/div><div data-field-wrapper=\"fld_6639577\" class=\"form-group cf-toggle-switch\" id=\"fld_6639577_1-wrap\">\r\n\t<label id=\"fld_6639577Label\" for=\"fld_6639577_1\" class=\"control-label\">Groenten<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_6639577_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_6639577\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_6639577Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_6639577_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_6639577\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_6639577Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_6639577_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_6639577\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_6639577Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_6639577_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_6639577\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_6639577Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6639577_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_6639577\" data-ref=\"fld_6639577_1_opt1874411\" class=\"cf-toggle-group-radio fld_6639577_1\" name=\"fld_6639577\" value=\"Dagelijks\"  data-radio-field=\"fld_6639577_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6639577_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_6639577\" data-ref=\"fld_6639577_1_opt1317426\" class=\"cf-toggle-group-radio fld_6639577_1\" name=\"fld_6639577\" value=\"Wekelijks\"  data-radio-field=\"fld_6639577_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6639577_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_6639577\" data-ref=\"fld_6639577_1_opt1083398\" class=\"cf-toggle-group-radio fld_6639577_1\" name=\"fld_6639577\" value=\"Maandelijks\"  data-radio-field=\"fld_6639577_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6639577_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_6639577\" data-ref=\"fld_6639577_1_opt1707305\" class=\"cf-toggle-group-radio fld_6639577_1\" name=\"fld_6639577\" value=\"Nooit\"  data-radio-field=\"fld_6639577_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3449331\" class=\"form-group cf-toggle-switch\" id=\"fld_3449331_1-wrap\">\r\n\t<label id=\"fld_3449331Label\" for=\"fld_3449331_1\" class=\"control-label\">Fruit<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_3449331_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_3449331\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_3449331Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_3449331_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_3449331\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_3449331Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_3449331_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_3449331\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_3449331Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_3449331_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_3449331\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_3449331Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_3449331_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_3449331\" data-ref=\"fld_3449331_1_opt1874411\" class=\"cf-toggle-group-radio fld_3449331_1\" name=\"fld_3449331\" value=\"Dagelijks\"  data-radio-field=\"fld_3449331_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_3449331_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_3449331\" data-ref=\"fld_3449331_1_opt1317426\" class=\"cf-toggle-group-radio fld_3449331_1\" name=\"fld_3449331\" value=\"Wekelijks\"  data-radio-field=\"fld_3449331_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_3449331_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_3449331\" data-ref=\"fld_3449331_1_opt1083398\" class=\"cf-toggle-group-radio fld_3449331_1\" name=\"fld_3449331\" value=\"Maandelijks\"  data-radio-field=\"fld_3449331_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_3449331_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_3449331\" data-ref=\"fld_3449331_1_opt1707305\" class=\"cf-toggle-group-radio fld_3449331_1\" name=\"fld_3449331\" value=\"Nooit\"  data-radio-field=\"fld_3449331_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1825077\" class=\"form-group cf-toggle-switch\" id=\"fld_1825077_1-wrap\">\r\n\t<label id=\"fld_1825077Label\" for=\"fld_1825077_1\" class=\"control-label\">Brood<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_1825077_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_1825077\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_1825077Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_1825077_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_1825077\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_1825077Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_1825077_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_1825077\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_1825077Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_1825077_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_1825077\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_1825077Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_1825077_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_1825077\" data-ref=\"fld_1825077_1_opt1874411\" class=\"cf-toggle-group-radio fld_1825077_1\" name=\"fld_1825077\" value=\"Dagelijks\"  data-radio-field=\"fld_1825077_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_1825077_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_1825077\" data-ref=\"fld_1825077_1_opt1317426\" class=\"cf-toggle-group-radio fld_1825077_1\" name=\"fld_1825077\" value=\"Wekelijks\"  data-radio-field=\"fld_1825077_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_1825077_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_1825077\" data-ref=\"fld_1825077_1_opt1083398\" class=\"cf-toggle-group-radio fld_1825077_1\" name=\"fld_1825077\" value=\"Maandelijks\"  data-radio-field=\"fld_1825077_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_1825077_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_1825077\" data-ref=\"fld_1825077_1_opt1707305\" class=\"cf-toggle-group-radio fld_1825077_1\" name=\"fld_1825077\" value=\"Nooit\"  data-radio-field=\"fld_1825077_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5407086\" class=\"form-group cf-toggle-switch\" id=\"fld_5407086_1-wrap\">\r\n\t<label id=\"fld_5407086Label\" for=\"fld_5407086_1\" class=\"control-label\">Crackers<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_5407086_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_5407086\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_5407086Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_5407086_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_5407086\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_5407086Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_5407086_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_5407086\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_5407086Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_5407086_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_5407086\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_5407086Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_5407086_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_5407086\" data-ref=\"fld_5407086_1_opt1874411\" class=\"cf-toggle-group-radio fld_5407086_1\" name=\"fld_5407086\" value=\"Dagelijks\"  data-radio-field=\"fld_5407086_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_5407086_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_5407086\" data-ref=\"fld_5407086_1_opt1317426\" class=\"cf-toggle-group-radio fld_5407086_1\" name=\"fld_5407086\" value=\"Wekelijks\"  data-radio-field=\"fld_5407086_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_5407086_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_5407086\" data-ref=\"fld_5407086_1_opt1083398\" class=\"cf-toggle-group-radio fld_5407086_1\" name=\"fld_5407086\" value=\"Maandelijks\"  data-radio-field=\"fld_5407086_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_5407086_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_5407086\" data-ref=\"fld_5407086_1_opt1707305\" class=\"cf-toggle-group-radio fld_5407086_1\" name=\"fld_5407086\" value=\"Nooit\"  data-radio-field=\"fld_5407086_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4126373\" class=\"form-group cf-toggle-switch\" id=\"fld_4126373_1-wrap\">\r\n\t<label id=\"fld_4126373Label\" for=\"fld_4126373_1\" class=\"control-label\">Ontbijtgranen zoals havermout en muesli<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_4126373_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_4126373\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_4126373Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_4126373_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_4126373\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_4126373Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_4126373_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_4126373\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_4126373Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_4126373_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_4126373\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_4126373Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_4126373_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_4126373\" data-ref=\"fld_4126373_1_opt1874411\" class=\"cf-toggle-group-radio fld_4126373_1\" name=\"fld_4126373\" value=\"Dagelijks\"  data-radio-field=\"fld_4126373_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_4126373_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_4126373\" data-ref=\"fld_4126373_1_opt1317426\" class=\"cf-toggle-group-radio fld_4126373_1\" name=\"fld_4126373\" value=\"Wekelijks\"  data-radio-field=\"fld_4126373_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_4126373_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_4126373\" data-ref=\"fld_4126373_1_opt1083398\" class=\"cf-toggle-group-radio fld_4126373_1\" name=\"fld_4126373\" value=\"Maandelijks\"  data-radio-field=\"fld_4126373_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_4126373_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_4126373\" data-ref=\"fld_4126373_1_opt1707305\" class=\"cf-toggle-group-radio fld_4126373_1\" name=\"fld_4126373\" value=\"Nooit\"  data-radio-field=\"fld_4126373_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8883422\" class=\"form-group cf-toggle-switch\" id=\"fld_8883422_1-wrap\">\r\n\t<label id=\"fld_8883422Label\" for=\"fld_8883422_1\" class=\"control-label\">Granen zoals pasta en rijst<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_8883422_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_8883422\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_8883422Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_8883422_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_8883422\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_8883422Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_8883422_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_8883422\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_8883422Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_8883422_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_8883422\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_8883422Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_8883422_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_8883422\" data-ref=\"fld_8883422_1_opt1874411\" class=\"cf-toggle-group-radio fld_8883422_1\" name=\"fld_8883422\" value=\"Dagelijks\"  data-radio-field=\"fld_8883422_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_8883422_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_8883422\" data-ref=\"fld_8883422_1_opt1317426\" class=\"cf-toggle-group-radio fld_8883422_1\" name=\"fld_8883422\" value=\"Wekelijks\"  data-radio-field=\"fld_8883422_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_8883422_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_8883422\" data-ref=\"fld_8883422_1_opt1083398\" class=\"cf-toggle-group-radio fld_8883422_1\" name=\"fld_8883422\" value=\"Maandelijks\"  data-radio-field=\"fld_8883422_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_8883422_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_8883422\" data-ref=\"fld_8883422_1_opt1707305\" class=\"cf-toggle-group-radio fld_8883422_1\" name=\"fld_8883422\" value=\"Nooit\"  data-radio-field=\"fld_8883422_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2496800\" class=\"form-group cf-toggle-switch\" id=\"fld_2496800_1-wrap\">\r\n\t<label id=\"fld_2496800Label\" for=\"fld_2496800_1\" class=\"control-label\">Aardappels<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_2496800_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_2496800\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_2496800Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_2496800_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_2496800\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_2496800Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_2496800_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_2496800\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_2496800Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_2496800_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_2496800\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_2496800Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2496800_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_2496800\" data-ref=\"fld_2496800_1_opt1874411\" class=\"cf-toggle-group-radio fld_2496800_1\" name=\"fld_2496800\" value=\"Dagelijks\"  data-radio-field=\"fld_2496800_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2496800_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_2496800\" data-ref=\"fld_2496800_1_opt1317426\" class=\"cf-toggle-group-radio fld_2496800_1\" name=\"fld_2496800\" value=\"Wekelijks\"  data-radio-field=\"fld_2496800_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2496800_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_2496800\" data-ref=\"fld_2496800_1_opt1083398\" class=\"cf-toggle-group-radio fld_2496800_1\" name=\"fld_2496800\" value=\"Maandelijks\"  data-radio-field=\"fld_2496800_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2496800_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_2496800\" data-ref=\"fld_2496800_1_opt1707305\" class=\"cf-toggle-group-radio fld_2496800_1\" name=\"fld_2496800\" value=\"Nooit\"  data-radio-field=\"fld_2496800_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7858794\" class=\"form-group cf-toggle-switch\" id=\"fld_7858794_1-wrap\">\r\n\t<label id=\"fld_7858794Label\" for=\"fld_7858794_1\" class=\"control-label\">Vis en zeevruchten<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_7858794_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_7858794\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_7858794Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_7858794_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_7858794\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_7858794Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_7858794_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_7858794\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_7858794Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_7858794_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_7858794\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_7858794Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7858794_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_7858794\" data-ref=\"fld_7858794_1_opt1874411\" class=\"cf-toggle-group-radio fld_7858794_1\" name=\"fld_7858794\" value=\"Dagelijks\"  data-radio-field=\"fld_7858794_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7858794_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_7858794\" data-ref=\"fld_7858794_1_opt1317426\" class=\"cf-toggle-group-radio fld_7858794_1\" name=\"fld_7858794\" value=\"Wekelijks\"  data-radio-field=\"fld_7858794_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7858794_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_7858794\" data-ref=\"fld_7858794_1_opt1083398\" class=\"cf-toggle-group-radio fld_7858794_1\" name=\"fld_7858794\" value=\"Maandelijks\"  data-radio-field=\"fld_7858794_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7858794_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_7858794\" data-ref=\"fld_7858794_1_opt1707305\" class=\"cf-toggle-group-radio fld_7858794_1\" name=\"fld_7858794\" value=\"Nooit\"  data-radio-field=\"fld_7858794_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6247121\" class=\"form-group cf-toggle-switch\" id=\"fld_6247121_1-wrap\">\r\n\t<label id=\"fld_6247121Label\" for=\"fld_6247121_1\" class=\"control-label\">Peulvruchten zoals bonen en linzen<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_6247121_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_6247121\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_6247121Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_6247121_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_6247121\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_6247121Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_6247121_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_6247121\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_6247121Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_6247121_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_6247121\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_6247121Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6247121_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_6247121\" data-ref=\"fld_6247121_1_opt1874411\" class=\"cf-toggle-group-radio fld_6247121_1\" name=\"fld_6247121\" value=\"Dagelijks\"  data-radio-field=\"fld_6247121_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6247121_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_6247121\" data-ref=\"fld_6247121_1_opt1317426\" class=\"cf-toggle-group-radio fld_6247121_1\" name=\"fld_6247121\" value=\"Wekelijks\"  data-radio-field=\"fld_6247121_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6247121_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_6247121\" data-ref=\"fld_6247121_1_opt1083398\" class=\"cf-toggle-group-radio fld_6247121_1\" name=\"fld_6247121\" value=\"Maandelijks\"  data-radio-field=\"fld_6247121_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6247121_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_6247121\" data-ref=\"fld_6247121_1_opt1707305\" class=\"cf-toggle-group-radio fld_6247121_1\" name=\"fld_6247121\" value=\"Nooit\"  data-radio-field=\"fld_6247121_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7827614\" class=\"form-group cf-toggle-switch\" id=\"fld_7827614_1-wrap\">\r\n\t<label id=\"fld_7827614Label\" for=\"fld_7827614_1\" class=\"control-label\">Gevogelte zoals kip en kalkoen<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_7827614_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_7827614\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_7827614Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_7827614_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_7827614\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_7827614Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_7827614_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_7827614\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_7827614Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_7827614_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_7827614\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_7827614Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7827614_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_7827614\" data-ref=\"fld_7827614_1_opt1874411\" class=\"cf-toggle-group-radio fld_7827614_1\" name=\"fld_7827614\" value=\"Dagelijks\"  data-radio-field=\"fld_7827614_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7827614_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_7827614\" data-ref=\"fld_7827614_1_opt1317426\" class=\"cf-toggle-group-radio fld_7827614_1\" name=\"fld_7827614\" value=\"Wekelijks\"  data-radio-field=\"fld_7827614_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7827614_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_7827614\" data-ref=\"fld_7827614_1_opt1083398\" class=\"cf-toggle-group-radio fld_7827614_1\" name=\"fld_7827614\" value=\"Maandelijks\"  data-radio-field=\"fld_7827614_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7827614_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_7827614\" data-ref=\"fld_7827614_1_opt1707305\" class=\"cf-toggle-group-radio fld_7827614_1\" name=\"fld_7827614\" value=\"Nooit\"  data-radio-field=\"fld_7827614_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_383917\" class=\"form-group cf-toggle-switch\" id=\"fld_383917_1-wrap\">\r\n\t<label id=\"fld_383917Label\" for=\"fld_383917_1\" class=\"control-label\">Onbewerkt vlees zoals varkens- en runderlappen<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_383917_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_383917\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_383917Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_383917_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_383917\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_383917Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_383917_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_383917\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_383917Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_383917_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_383917\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_383917Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_383917_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_383917\" data-ref=\"fld_383917_1_opt1874411\" class=\"cf-toggle-group-radio fld_383917_1\" name=\"fld_383917\" value=\"Dagelijks\"  data-radio-field=\"fld_383917_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_383917_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_383917\" data-ref=\"fld_383917_1_opt1317426\" class=\"cf-toggle-group-radio fld_383917_1\" name=\"fld_383917\" value=\"Wekelijks\"  data-radio-field=\"fld_383917_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_383917_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_383917\" data-ref=\"fld_383917_1_opt1083398\" class=\"cf-toggle-group-radio fld_383917_1\" name=\"fld_383917\" value=\"Maandelijks\"  data-radio-field=\"fld_383917_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_383917_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_383917\" data-ref=\"fld_383917_1_opt1707305\" class=\"cf-toggle-group-radio fld_383917_1\" name=\"fld_383917\" value=\"Nooit\"  data-radio-field=\"fld_383917_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9933300\" class=\"form-group cf-toggle-switch\" id=\"fld_9933300_1-wrap\">\r\n\t<label id=\"fld_9933300Label\" for=\"fld_9933300_1\" class=\"control-label\">Bewerkt vlees zoals worst en hamburgers<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_9933300_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_9933300\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_9933300Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_9933300_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_9933300\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_9933300Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_9933300_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_9933300\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_9933300Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_9933300_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_9933300\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_9933300Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_9933300_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_9933300\" data-ref=\"fld_9933300_1_opt1874411\" class=\"cf-toggle-group-radio fld_9933300_1\" name=\"fld_9933300\" value=\"Dagelijks\"  data-radio-field=\"fld_9933300_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_9933300_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_9933300\" data-ref=\"fld_9933300_1_opt1317426\" class=\"cf-toggle-group-radio fld_9933300_1\" name=\"fld_9933300\" value=\"Wekelijks\"  data-radio-field=\"fld_9933300_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_9933300_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_9933300\" data-ref=\"fld_9933300_1_opt1083398\" class=\"cf-toggle-group-radio fld_9933300_1\" name=\"fld_9933300\" value=\"Maandelijks\"  data-radio-field=\"fld_9933300_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_9933300_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_9933300\" data-ref=\"fld_9933300_1_opt1707305\" class=\"cf-toggle-group-radio fld_9933300_1\" name=\"fld_9933300\" value=\"Nooit\"  data-radio-field=\"fld_9933300_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3466525\" class=\"form-group cf-toggle-switch\" id=\"fld_3466525_1-wrap\">\r\n\t<label id=\"fld_3466525Label\" for=\"fld_3466525_1\" class=\"control-label\">Vleesvervangers zoals temp\u00e9 en kant-en-klare vleesvervangers<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_3466525_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_3466525\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_3466525Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_3466525_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_3466525\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_3466525Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_3466525_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_3466525\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_3466525Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_3466525_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_3466525\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_3466525Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_3466525_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_3466525\" data-ref=\"fld_3466525_1_opt1874411\" class=\"cf-toggle-group-radio fld_3466525_1\" name=\"fld_3466525\" value=\"Dagelijks\"  data-radio-field=\"fld_3466525_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_3466525_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_3466525\" data-ref=\"fld_3466525_1_opt1317426\" class=\"cf-toggle-group-radio fld_3466525_1\" name=\"fld_3466525\" value=\"Wekelijks\"  data-radio-field=\"fld_3466525_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_3466525_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_3466525\" data-ref=\"fld_3466525_1_opt1083398\" class=\"cf-toggle-group-radio fld_3466525_1\" name=\"fld_3466525\" value=\"Maandelijks\"  data-radio-field=\"fld_3466525_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_3466525_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_3466525\" data-ref=\"fld_3466525_1_opt1707305\" class=\"cf-toggle-group-radio fld_3466525_1\" name=\"fld_3466525\" value=\"Nooit\"  data-radio-field=\"fld_3466525_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2864401\" class=\"form-group cf-toggle-switch\" id=\"fld_2864401_1-wrap\">\r\n\t<label id=\"fld_2864401Label\" for=\"fld_2864401_1\" class=\"control-label\">Eieren<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_2864401_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_2864401\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_2864401Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_2864401_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_2864401\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_2864401Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_2864401_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_2864401\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_2864401Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_2864401_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_2864401\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_2864401Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2864401_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_2864401\" data-ref=\"fld_2864401_1_opt1874411\" class=\"cf-toggle-group-radio fld_2864401_1\" name=\"fld_2864401\" value=\"Dagelijks\"  data-radio-field=\"fld_2864401_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2864401_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_2864401\" data-ref=\"fld_2864401_1_opt1317426\" class=\"cf-toggle-group-radio fld_2864401_1\" name=\"fld_2864401\" value=\"Wekelijks\"  data-radio-field=\"fld_2864401_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2864401_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_2864401\" data-ref=\"fld_2864401_1_opt1083398\" class=\"cf-toggle-group-radio fld_2864401_1\" name=\"fld_2864401\" value=\"Maandelijks\"  data-radio-field=\"fld_2864401_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2864401_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_2864401\" data-ref=\"fld_2864401_1_opt1707305\" class=\"cf-toggle-group-radio fld_2864401_1\" name=\"fld_2864401\" value=\"Nooit\"  data-radio-field=\"fld_2864401_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5140289\" class=\"form-group cf-toggle-switch\" id=\"fld_5140289_1-wrap\">\r\n\t<label id=\"fld_5140289Label\" for=\"fld_5140289_1\" class=\"control-label\">Vleeswaren zoals kipfilet en ham<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_5140289_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_5140289\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_5140289Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_5140289_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_5140289\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_5140289Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_5140289_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_5140289\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_5140289Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_5140289_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_5140289\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_5140289Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_5140289_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_5140289\" data-ref=\"fld_5140289_1_opt1874411\" class=\"cf-toggle-group-radio fld_5140289_1\" name=\"fld_5140289\" value=\"Dagelijks\"  data-radio-field=\"fld_5140289_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_5140289_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_5140289\" data-ref=\"fld_5140289_1_opt1317426\" class=\"cf-toggle-group-radio fld_5140289_1\" name=\"fld_5140289\" value=\"Wekelijks\"  data-radio-field=\"fld_5140289_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_5140289_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_5140289\" data-ref=\"fld_5140289_1_opt1083398\" class=\"cf-toggle-group-radio fld_5140289_1\" name=\"fld_5140289\" value=\"Maandelijks\"  data-radio-field=\"fld_5140289_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_5140289_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_5140289\" data-ref=\"fld_5140289_1_opt1707305\" class=\"cf-toggle-group-radio fld_5140289_1\" name=\"fld_5140289\" value=\"Nooit\"  data-radio-field=\"fld_5140289_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7842519\" class=\"form-group cf-toggle-switch\" id=\"fld_7842519_1-wrap\">\r\n\t<label id=\"fld_7842519Label\" for=\"fld_7842519_1\" class=\"control-label\">Zoet beleg zoals jam en hagelslag<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_7842519_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_7842519\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_7842519Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_7842519_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_7842519\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_7842519Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_7842519_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_7842519\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_7842519Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_7842519_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_7842519\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_7842519Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7842519_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_7842519\" data-ref=\"fld_7842519_1_opt1874411\" class=\"cf-toggle-group-radio fld_7842519_1\" name=\"fld_7842519\" value=\"Dagelijks\"  data-radio-field=\"fld_7842519_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7842519_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_7842519\" data-ref=\"fld_7842519_1_opt1317426\" class=\"cf-toggle-group-radio fld_7842519_1\" name=\"fld_7842519\" value=\"Wekelijks\"  data-radio-field=\"fld_7842519_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7842519_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_7842519\" data-ref=\"fld_7842519_1_opt1083398\" class=\"cf-toggle-group-radio fld_7842519_1\" name=\"fld_7842519\" value=\"Maandelijks\"  data-radio-field=\"fld_7842519_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7842519_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_7842519\" data-ref=\"fld_7842519_1_opt1707305\" class=\"cf-toggle-group-radio fld_7842519_1\" name=\"fld_7842519\" value=\"Nooit\"  data-radio-field=\"fld_7842519_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_771441\" class=\"form-group cf-toggle-switch\" id=\"fld_771441_1-wrap\">\r\n\t<label id=\"fld_771441Label\" for=\"fld_771441_1\" class=\"control-label\">Noten zoals walnoten en pecannoten<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_771441_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_771441\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_771441Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_771441_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_771441\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_771441Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_771441_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_771441\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_771441Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_771441_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_771441\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_771441Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_771441_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_771441\" data-ref=\"fld_771441_1_opt1874411\" class=\"cf-toggle-group-radio fld_771441_1\" name=\"fld_771441\" value=\"Dagelijks\"  data-radio-field=\"fld_771441_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_771441_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_771441\" data-ref=\"fld_771441_1_opt1317426\" class=\"cf-toggle-group-radio fld_771441_1\" name=\"fld_771441\" value=\"Wekelijks\"  data-radio-field=\"fld_771441_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_771441_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_771441\" data-ref=\"fld_771441_1_opt1083398\" class=\"cf-toggle-group-radio fld_771441_1\" name=\"fld_771441\" value=\"Maandelijks\"  data-radio-field=\"fld_771441_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_771441_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_771441\" data-ref=\"fld_771441_1_opt1707305\" class=\"cf-toggle-group-radio fld_771441_1\" name=\"fld_771441\" value=\"Nooit\"  data-radio-field=\"fld_771441_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1105059\" class=\"form-group cf-toggle-switch\" id=\"fld_1105059_1-wrap\">\r\n\t<label id=\"fld_1105059Label\" for=\"fld_1105059_1\" class=\"control-label\">Zuivel zoals melk, yoghurt en kwark<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_1105059_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_1105059\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_1105059Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_1105059_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_1105059\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_1105059Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_1105059_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_1105059\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_1105059Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_1105059_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_1105059\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_1105059Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_1105059_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_1105059\" data-ref=\"fld_1105059_1_opt1874411\" class=\"cf-toggle-group-radio fld_1105059_1\" name=\"fld_1105059\" value=\"Dagelijks\"  data-radio-field=\"fld_1105059_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_1105059_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_1105059\" data-ref=\"fld_1105059_1_opt1317426\" class=\"cf-toggle-group-radio fld_1105059_1\" name=\"fld_1105059\" value=\"Wekelijks\"  data-radio-field=\"fld_1105059_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_1105059_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_1105059\" data-ref=\"fld_1105059_1_opt1083398\" class=\"cf-toggle-group-radio fld_1105059_1\" name=\"fld_1105059\" value=\"Maandelijks\"  data-radio-field=\"fld_1105059_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_1105059_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_1105059\" data-ref=\"fld_1105059_1_opt1707305\" class=\"cf-toggle-group-radio fld_1105059_1\" name=\"fld_1105059\" value=\"Nooit\"  data-radio-field=\"fld_1105059_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3668214\" class=\"form-group cf-toggle-switch\" id=\"fld_3668214_1-wrap\">\r\n\t<label id=\"fld_3668214Label\" for=\"fld_3668214_1\" class=\"control-label\">Harde en zachte kazen<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_3668214_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_3668214\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_3668214Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_3668214_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_3668214\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_3668214Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_3668214_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_3668214\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_3668214Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_3668214_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_3668214\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_3668214Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_3668214_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_3668214\" data-ref=\"fld_3668214_1_opt1874411\" class=\"cf-toggle-group-radio fld_3668214_1\" name=\"fld_3668214\" value=\"Dagelijks\"  data-radio-field=\"fld_3668214_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_3668214_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_3668214\" data-ref=\"fld_3668214_1_opt1317426\" class=\"cf-toggle-group-radio fld_3668214_1\" name=\"fld_3668214\" value=\"Wekelijks\"  data-radio-field=\"fld_3668214_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_3668214_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_3668214\" data-ref=\"fld_3668214_1_opt1083398\" class=\"cf-toggle-group-radio fld_3668214_1\" name=\"fld_3668214\" value=\"Maandelijks\"  data-radio-field=\"fld_3668214_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_3668214_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_3668214\" data-ref=\"fld_3668214_1_opt1707305\" class=\"cf-toggle-group-radio fld_3668214_1\" name=\"fld_3668214\" value=\"Nooit\"  data-radio-field=\"fld_3668214_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7845553\" class=\"form-group cf-toggle-switch\" id=\"fld_7845553_1-wrap\">\r\n\t<label id=\"fld_7845553Label\" for=\"fld_7845553_1\" class=\"control-label\">Dranken zoals water, koffie en thee (zonder toegevoegd suiker)<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_7845553_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_7845553\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_7845553Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_7845553_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_7845553\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_7845553Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_7845553_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_7845553\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_7845553Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_7845553_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_7845553\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_7845553Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7845553_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_7845553\" data-ref=\"fld_7845553_1_opt1874411\" class=\"cf-toggle-group-radio fld_7845553_1\" name=\"fld_7845553\" value=\"Dagelijks\"  data-radio-field=\"fld_7845553_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7845553_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_7845553\" data-ref=\"fld_7845553_1_opt1317426\" class=\"cf-toggle-group-radio fld_7845553_1\" name=\"fld_7845553\" value=\"Wekelijks\"  data-radio-field=\"fld_7845553_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7845553_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_7845553\" data-ref=\"fld_7845553_1_opt1083398\" class=\"cf-toggle-group-radio fld_7845553_1\" name=\"fld_7845553\" value=\"Maandelijks\"  data-radio-field=\"fld_7845553_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7845553_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_7845553\" data-ref=\"fld_7845553_1_opt1707305\" class=\"cf-toggle-group-radio fld_7845553_1\" name=\"fld_7845553\" value=\"Nooit\"  data-radio-field=\"fld_7845553_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2599853\" class=\"form-group cf-toggle-switch\" id=\"fld_2599853_1-wrap\">\r\n\t<label id=\"fld_2599853Label\" for=\"fld_2599853_1\" class=\"control-label\">Frisdranken met suiker<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_2599853_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_2599853\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_2599853Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_2599853_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_2599853\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_2599853Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_2599853_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_2599853\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_2599853Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_2599853_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_2599853\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_2599853Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2599853_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_2599853\" data-ref=\"fld_2599853_1_opt1874411\" class=\"cf-toggle-group-radio fld_2599853_1\" name=\"fld_2599853\" value=\"Dagelijks\"  data-radio-field=\"fld_2599853_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2599853_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_2599853\" data-ref=\"fld_2599853_1_opt1317426\" class=\"cf-toggle-group-radio fld_2599853_1\" name=\"fld_2599853\" value=\"Wekelijks\"  data-radio-field=\"fld_2599853_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2599853_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_2599853\" data-ref=\"fld_2599853_1_opt1083398\" class=\"cf-toggle-group-radio fld_2599853_1\" name=\"fld_2599853\" value=\"Maandelijks\"  data-radio-field=\"fld_2599853_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2599853_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_2599853\" data-ref=\"fld_2599853_1_opt1707305\" class=\"cf-toggle-group-radio fld_2599853_1\" name=\"fld_2599853\" value=\"Nooit\"  data-radio-field=\"fld_2599853_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6956034\" class=\"form-group cf-toggle-switch\" id=\"fld_6956034_1-wrap\">\r\n\t<label id=\"fld_6956034Label\" for=\"fld_6956034_1\" class=\"control-label\">Light frisdranken<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_6956034_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_6956034\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_6956034Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_6956034_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_6956034\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_6956034Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_6956034_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_6956034\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_6956034Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_6956034_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_6956034\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_6956034Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6956034_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_6956034\" data-ref=\"fld_6956034_1_opt1874411\" class=\"cf-toggle-group-radio fld_6956034_1\" name=\"fld_6956034\" value=\"Dagelijks\"  data-radio-field=\"fld_6956034_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6956034_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_6956034\" data-ref=\"fld_6956034_1_opt1317426\" class=\"cf-toggle-group-radio fld_6956034_1\" name=\"fld_6956034\" value=\"Wekelijks\"  data-radio-field=\"fld_6956034_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6956034_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_6956034\" data-ref=\"fld_6956034_1_opt1083398\" class=\"cf-toggle-group-radio fld_6956034_1\" name=\"fld_6956034\" value=\"Maandelijks\"  data-radio-field=\"fld_6956034_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6956034_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_6956034\" data-ref=\"fld_6956034_1_opt1707305\" class=\"cf-toggle-group-radio fld_6956034_1\" name=\"fld_6956034\" value=\"Nooit\"  data-radio-field=\"fld_6956034_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_713430\" class=\"form-group cf-toggle-switch\" id=\"fld_713430_1-wrap\">\r\n\t<label id=\"fld_713430Label\" for=\"fld_713430_1\" class=\"control-label\">Groentesap zoals wortelsap en bietensap<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_713430_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_713430\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_713430Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_713430_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_713430\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_713430Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_713430_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_713430\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_713430Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_713430_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_713430\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_713430Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_713430_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_713430\" data-ref=\"fld_713430_1_opt1874411\" class=\"cf-toggle-group-radio fld_713430_1\" name=\"fld_713430\" value=\"Dagelijks\"  data-radio-field=\"fld_713430_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_713430_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_713430\" data-ref=\"fld_713430_1_opt1317426\" class=\"cf-toggle-group-radio fld_713430_1\" name=\"fld_713430\" value=\"Wekelijks\"  data-radio-field=\"fld_713430_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_713430_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_713430\" data-ref=\"fld_713430_1_opt1083398\" class=\"cf-toggle-group-radio fld_713430_1\" name=\"fld_713430\" value=\"Maandelijks\"  data-radio-field=\"fld_713430_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_713430_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_713430\" data-ref=\"fld_713430_1_opt1707305\" class=\"cf-toggle-group-radio fld_713430_1\" name=\"fld_713430\" value=\"Nooit\"  data-radio-field=\"fld_713430_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2600179\" class=\"form-group cf-toggle-switch\" id=\"fld_2600179_1-wrap\">\r\n\t<label id=\"fld_2600179Label\" for=\"fld_2600179_1\" class=\"control-label\">Fruitsap zoals sinaasappelsap en bessensap<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_2600179_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_2600179\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_2600179Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_2600179_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_2600179\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_2600179Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_2600179_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_2600179\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_2600179Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_2600179_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_2600179\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_2600179Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2600179_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_2600179\" data-ref=\"fld_2600179_1_opt1874411\" class=\"cf-toggle-group-radio fld_2600179_1\" name=\"fld_2600179\" value=\"Dagelijks\"  data-radio-field=\"fld_2600179_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2600179_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_2600179\" data-ref=\"fld_2600179_1_opt1317426\" class=\"cf-toggle-group-radio fld_2600179_1\" name=\"fld_2600179\" value=\"Wekelijks\"  data-radio-field=\"fld_2600179_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2600179_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_2600179\" data-ref=\"fld_2600179_1_opt1083398\" class=\"cf-toggle-group-radio fld_2600179_1\" name=\"fld_2600179\" value=\"Maandelijks\"  data-radio-field=\"fld_2600179_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_2600179_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_2600179\" data-ref=\"fld_2600179_1_opt1707305\" class=\"cf-toggle-group-radio fld_2600179_1\" name=\"fld_2600179\" value=\"Nooit\"  data-radio-field=\"fld_2600179_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6424270\" class=\"form-group cf-toggle-switch\" id=\"fld_6424270_1-wrap\">\r\n\t<label id=\"fld_6424270Label\" for=\"fld_6424270_1\" class=\"control-label\">Zoute snacks zoals chips en popcorn<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_6424270_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_6424270\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_6424270Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_6424270_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_6424270\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_6424270Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_6424270_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_6424270\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_6424270Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_6424270_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_6424270\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_6424270Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6424270_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_6424270\" data-ref=\"fld_6424270_1_opt1874411\" class=\"cf-toggle-group-radio fld_6424270_1\" name=\"fld_6424270\" value=\"Dagelijks\"  data-radio-field=\"fld_6424270_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6424270_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_6424270\" data-ref=\"fld_6424270_1_opt1317426\" class=\"cf-toggle-group-radio fld_6424270_1\" name=\"fld_6424270\" value=\"Wekelijks\"  data-radio-field=\"fld_6424270_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6424270_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_6424270\" data-ref=\"fld_6424270_1_opt1083398\" class=\"cf-toggle-group-radio fld_6424270_1\" name=\"fld_6424270\" value=\"Maandelijks\"  data-radio-field=\"fld_6424270_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_6424270_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_6424270\" data-ref=\"fld_6424270_1_opt1707305\" class=\"cf-toggle-group-radio fld_6424270_1\" name=\"fld_6424270\" value=\"Nooit\"  data-radio-field=\"fld_6424270_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5549493\" class=\"form-group cf-toggle-switch\" id=\"fld_5549493_1-wrap\">\r\n\t<label id=\"fld_5549493Label\" for=\"fld_5549493_1\" class=\"control-label\">Zoete snacks zoals cake en taart<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_5549493_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_5549493\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_5549493Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_5549493_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_5549493\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_5549493Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_5549493_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_5549493\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_5549493Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_5549493_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_5549493\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_5549493Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_5549493_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_5549493\" data-ref=\"fld_5549493_1_opt1874411\" class=\"cf-toggle-group-radio fld_5549493_1\" name=\"fld_5549493\" value=\"Dagelijks\"  data-radio-field=\"fld_5549493_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_5549493_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_5549493\" data-ref=\"fld_5549493_1_opt1317426\" class=\"cf-toggle-group-radio fld_5549493_1\" name=\"fld_5549493\" value=\"Wekelijks\"  data-radio-field=\"fld_5549493_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_5549493_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_5549493\" data-ref=\"fld_5549493_1_opt1083398\" class=\"cf-toggle-group-radio fld_5549493_1\" name=\"fld_5549493\" value=\"Maandelijks\"  data-radio-field=\"fld_5549493_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_5549493_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_5549493\" data-ref=\"fld_5549493_1_opt1707305\" class=\"cf-toggle-group-radio fld_5549493_1\" name=\"fld_5549493\" value=\"Nooit\"  data-radio-field=\"fld_5549493_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7277762\" class=\"form-group cf-toggle-switch\" id=\"fld_7277762_1-wrap\">\r\n\t<label id=\"fld_7277762Label\" for=\"fld_7277762_1\" class=\"control-label\">Snoep zoals winegum en dropjes<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_7277762_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_7277762\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_7277762Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_7277762_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_7277762\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_7277762Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_7277762_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_7277762\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_7277762Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_7277762_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_7277762\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_7277762Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7277762_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_7277762\" data-ref=\"fld_7277762_1_opt1874411\" class=\"cf-toggle-group-radio fld_7277762_1\" name=\"fld_7277762\" value=\"Dagelijks\"  data-radio-field=\"fld_7277762_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7277762_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_7277762\" data-ref=\"fld_7277762_1_opt1317426\" class=\"cf-toggle-group-radio fld_7277762_1\" name=\"fld_7277762\" value=\"Wekelijks\"  data-radio-field=\"fld_7277762_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7277762_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_7277762\" data-ref=\"fld_7277762_1_opt1083398\" class=\"cf-toggle-group-radio fld_7277762_1\" name=\"fld_7277762\" value=\"Maandelijks\"  data-radio-field=\"fld_7277762_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_7277762_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_7277762\" data-ref=\"fld_7277762_1_opt1707305\" class=\"cf-toggle-group-radio fld_7277762_1\" name=\"fld_7277762\" value=\"Nooit\"  data-radio-field=\"fld_7277762_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_27456\" class=\"form-group cf-toggle-switch\" id=\"fld_27456_1-wrap\">\r\n\t<label id=\"fld_27456Label\" for=\"fld_27456_1\" class=\"control-label\">Kant-en-klare maaltijden zoals soep en magnetronmaaltijden<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_27456_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_27456\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_27456Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_27456_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_27456\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_27456Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_27456_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_27456\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_27456Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_27456_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_27456\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_27456Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_27456_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_27456\" data-ref=\"fld_27456_1_opt1874411\" class=\"cf-toggle-group-radio fld_27456_1\" name=\"fld_27456\" value=\"Dagelijks\"  data-radio-field=\"fld_27456_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_27456_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_27456\" data-ref=\"fld_27456_1_opt1317426\" class=\"cf-toggle-group-radio fld_27456_1\" name=\"fld_27456\" value=\"Wekelijks\"  data-radio-field=\"fld_27456_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_27456_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_27456\" data-ref=\"fld_27456_1_opt1083398\" class=\"cf-toggle-group-radio fld_27456_1\" name=\"fld_27456\" value=\"Maandelijks\"  data-radio-field=\"fld_27456_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_27456_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_27456\" data-ref=\"fld_27456_1_opt1707305\" class=\"cf-toggle-group-radio fld_27456_1\" name=\"fld_27456\" value=\"Nooit\"  data-radio-field=\"fld_27456_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1170134\" class=\"form-group cf-toggle-switch\" id=\"fld_1170134_1-wrap\">\r\n\t<label id=\"fld_1170134Label\" for=\"fld_1170134_1\" class=\"control-label\">Uit pakjes en zakjes zoals Conimex en Knorr<\/label>\r\n\t<div class=\"\">\r\n\t<div class=\"caldera-config-field init_field_type\" data-type=\"toggle_button\">\n\t\t<div class=\"cf-toggle-group-buttons btn-group\">\n\t\t\t<a id=\"fld_1170134_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_1170134\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Dagelijks\"  aria-labelledby=\"fld_1170134Label\" title=\"Kies optieDagelijks\">Dagelijks<\/a><a id=\"fld_1170134_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_1170134\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Wekelijks\"  aria-labelledby=\"fld_1170134Label\" title=\"Kies optieWekelijks\">Wekelijks<\/a><a id=\"fld_1170134_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_1170134\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Maandelijks\"  aria-labelledby=\"fld_1170134Label\" title=\"Kies optieMaandelijks\">Maandelijks<\/a><a id=\"fld_1170134_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_1170134\" data-active=\"btn-success\" data-default=\"btn-default\" class=\"btn btn-default\" data-value=\"Nooit\"  aria-labelledby=\"fld_1170134Label\" title=\"Kies optieNooit\">Nooit<\/a>\t\t\n\t\t<\/div>\n\t\t<div style=\"display:none;\" aria-hidden=\"true\">\n\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_1170134_1_opt1874411\" data-label=\"Dagelijks\" data-field=\"fld_1170134\" data-ref=\"fld_1170134_1_opt1874411\" class=\"cf-toggle-group-radio fld_1170134_1\" name=\"fld_1170134\" value=\"Dagelijks\"  data-radio-field=\"fld_1170134_1\" data-calc-value=\"Dagelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_1170134_1_opt1317426\" data-label=\"Wekelijks\" data-field=\"fld_1170134\" data-ref=\"fld_1170134_1_opt1317426\" class=\"cf-toggle-group-radio fld_1170134_1\" name=\"fld_1170134\" value=\"Wekelijks\"  data-radio-field=\"fld_1170134_1\" data-calc-value=\"Wekelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_1170134_1_opt1083398\" data-label=\"Maandelijks\" data-field=\"fld_1170134\" data-ref=\"fld_1170134_1_opt1083398\" class=\"cf-toggle-group-radio fld_1170134_1\" name=\"fld_1170134\" value=\"Maandelijks\"  data-radio-field=\"fld_1170134_1\" data-calc-value=\"Maandelijks\" >\n\t\t\t\t\t\t\t\t<input  type=\"radio\" id=\"fld_1170134_1_opt1707305\" data-label=\"Nooit\" data-field=\"fld_1170134\" data-ref=\"fld_1170134_1_opt1707305\" class=\"cf-toggle-group-radio fld_1170134_1\" name=\"fld_1170134\" value=\"Nooit\"  data-radio-field=\"fld_1170134_1\" data-calc-value=\"Nooit\" >\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\r\n<\/div>\r\n<hr id=\"fld_8260178_1\" class=\"\" style=\"width: 100%\" \/><div class=\"\"><p>Geef hieronder aan welke productkeuzes je (weleens) maakt<\/p>\n<\/div><div data-field-wrapper=\"fld_8945023\" class=\"form-group\" id=\"fld_8945023_1-wrap\">\r\n\t<label id=\"fld_8945023Label\" for=\"fld_8945023_1\" class=\"control-label\">Voorbewerkte groenten<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_8945023_1_opt1369037\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Uit pot, blik of diepvries (zonder zout en\/of suiker)\"\n                                data-field=\"fld_8945023\"\n                                id=\"fld_8945023_1_opt1369037\"\n                                class=\"fld_8945023_1\"\n                                name=\"fld_8945023[opt1369037]\"\n                                value=\"Uit pot, blik of diepvries (zonder zout en\/of suiker)\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8945023_1\"\n                                                                data-calc-value=\"Uit pot, blik of diepvries (zonder zout en\/of suiker)\"\n                            >\n                    Uit pot, blik of diepvries (zonder zout en\/of suiker)                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_8945023_1_opt1317494\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Uit pot of blik (met zout en\/of suiker)\"\n                                data-field=\"fld_8945023\"\n                                id=\"fld_8945023_1_opt1317494\"\n                                class=\"fld_8945023_1\"\n                                name=\"fld_8945023[opt1317494]\"\n                                value=\"Uit pot of blik (met zout en\/of suiker)\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8945023_1\"\n                                                                data-calc-value=\"Uit pot of blik (met zout en\/of suiker)\"\n                            >\n                    Uit pot of blik (met zout en\/of suiker)                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1769602\" class=\"form-group\" id=\"fld_1769602_1-wrap\">\r\n\t<label id=\"fld_1769602Label\" for=\"fld_1769602_1\" class=\"control-label\">Bewerkt fruit<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1769602_1_opt538797\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Gepureerd zonder toevoeging (zoals appelmoes zonder toevoegingen)\"\n                                data-field=\"fld_1769602\"\n                                id=\"fld_1769602_1_opt538797\"\n                                class=\"fld_1769602_1\"\n                                name=\"fld_1769602[opt538797]\"\n                                value=\"Gepureerd zonder toevoeging (zoals appelmoes zonder toevoegingen)\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1769602_1\"\n                                                                data-calc-value=\"Gepureerd zonder toevoeging (zoals appelmoes zonder toevoegingen)\"\n                            >\n                    Gepureerd zonder toevoeging (zoals appelmoes zonder toevoegingen)                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1769602_1_opt1809439\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Gedroogd (zoals gedroogde abrikoos of pruim zonder toevoegingen)\"\n                                data-field=\"fld_1769602\"\n                                id=\"fld_1769602_1_opt1809439\"\n                                class=\"fld_1769602_1\"\n                                name=\"fld_1769602[opt1809439]\"\n                                value=\"Gedroogd (zoals gedroogde abrikoos of pruim zonder toevoegingen)\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1769602_1\"\n                                                                data-calc-value=\"Gedroogd (zoals gedroogde abrikoos of pruim zonder toevoegingen)\"\n                            >\n                    Gedroogd (zoals gedroogde abrikoos of pruim zonder toevoegingen)                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1769602_1_opt2981627\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Gedroogd en gesuikerd (zoals gedroogde abrikoos of pruim met toevoegingen)\"\n                                data-field=\"fld_1769602\"\n                                id=\"fld_1769602_1_opt2981627\"\n                                class=\"fld_1769602_1\"\n                                name=\"fld_1769602[opt2981627]\"\n                                value=\"Gedroogd en gesuikerd (zoals gedroogde abrikoos of pruim met toevoegingen)\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1769602_1\"\n                                                                data-calc-value=\"Gedroogd en gesuikerd (zoals gedroogde abrikoos of pruim met toevoegingen)\"\n                            >\n                    Gedroogd en gesuikerd (zoals gedroogde abrikoos of pruim met toevoegingen)                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_1769602_1_opt3411980\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Op siroop in blik of glas (zoals ananas)\"\n                                data-field=\"fld_1769602\"\n                                id=\"fld_1769602_1_opt3411980\"\n                                class=\"fld_1769602_1\"\n                                name=\"fld_1769602[opt3411980]\"\n                                value=\"Op siroop in blik of glas (zoals ananas)\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1769602_1\"\n                                                                data-calc-value=\"Op siroop in blik of glas (zoals ananas)\"\n                            >\n                    Op siroop in blik of glas (zoals ananas)                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4049153\" class=\"form-group\" id=\"fld_4049153_1-wrap\">\r\n\t<label id=\"fld_4049153Label\" for=\"fld_4049153_1\" class=\"control-label\">Brood<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_4049153_1_opt128627\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Bruin \/ volkoren (incl. harde en zachte broodjes)\"\n                                data-field=\"fld_4049153\"\n                                id=\"fld_4049153_1_opt128627\"\n                                class=\"fld_4049153_1\"\n                                name=\"fld_4049153[opt128627]\"\n                                value=\"Bruin \/ volkoren (incl. harde en zachte broodjes)\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4049153_1\"\n                                                                data-calc-value=\"Bruin \/ volkoren (incl. harde en zachte broodjes)\"\n                            >\n                    Bruin \/ volkoren (incl. harde en zachte broodjes)                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_4049153_1_opt1980221\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Wit, suikerbrood, croissant (incl. harde en zachte broodjes)\"\n                                data-field=\"fld_4049153\"\n                                id=\"fld_4049153_1_opt1980221\"\n                                class=\"fld_4049153_1\"\n                                name=\"fld_4049153[opt1980221]\"\n                                value=\"Wit, suikerbrood, croissant (incl. harde en zachte broodjes)\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4049153_1\"\n                                                                data-calc-value=\"Wit, suikerbrood, croissant (incl. harde en zachte broodjes)\"\n                            >\n                    Wit, suikerbrood, croissant (incl. harde en zachte broodjes)                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5677225\" class=\"form-group\" id=\"fld_5677225_1-wrap\">\r\n\t<label id=\"fld_5677225Label\" for=\"fld_5677225_1\" class=\"control-label\">Crackers<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_5677225_1_opt877684\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Met zaden\/pitten\/volkorengranen\"\n                                data-field=\"fld_5677225\"\n                                id=\"fld_5677225_1_opt877684\"\n                                class=\"fld_5677225_1\"\n                                name=\"fld_5677225[opt877684]\"\n                                value=\"Met zaden\/pitten\/volkorengranen\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_5677225_1\"\n                                                                data-calc-value=\"Met zaden\/pitten\/volkorengranen\"\n                            >\n                    Met zaden\/pitten\/volkorengranen                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_5677225_1_opt1874512\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Zonder zaden\/pitten\/volkorengranen\"\n                                data-field=\"fld_5677225\"\n                                id=\"fld_5677225_1_opt1874512\"\n                                class=\"fld_5677225_1\"\n                                name=\"fld_5677225[opt1874512]\"\n                                value=\"Zonder zaden\/pitten\/volkorengranen\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_5677225_1\"\n                                                                data-calc-value=\"Zonder zaden\/pitten\/volkorengranen\"\n                            >\n                    Zonder zaden\/pitten\/volkorengranen                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_5677225_1_opt2410018\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Beschuit (normaal)\"\n                                data-field=\"fld_5677225\"\n                                id=\"fld_5677225_1_opt2410018\"\n                                class=\"fld_5677225_1\"\n                                name=\"fld_5677225[opt2410018]\"\n                                value=\"Beschuit (normaal)\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_5677225_1\"\n                                                                data-calc-value=\"Beschuit (normaal)\"\n                            >\n                    Beschuit (normaal)                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_5677225_1_opt3480037\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Volkoren beschuit\"\n                                data-field=\"fld_5677225\"\n                                id=\"fld_5677225_1_opt3480037\"\n                                class=\"fld_5677225_1\"\n                                name=\"fld_5677225[opt3480037]\"\n                                value=\"Volkoren beschuit\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_5677225_1\"\n                                                                data-calc-value=\"Volkoren beschuit\"\n                            >\n                    Volkoren beschuit                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2402140\" class=\"form-group\" id=\"fld_2402140_1-wrap\">\r\n\t<label id=\"fld_2402140Label\" for=\"fld_2402140_1\" class=\"control-label\">Ontbijtgranen<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_2402140_1_opt63938\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Havermout \"\n                                data-field=\"fld_2402140\"\n                                id=\"fld_2402140_1_opt63938\"\n                                class=\"fld_2402140_1\"\n                                name=\"fld_2402140[opt63938]\"\n                                value=\"Havermout \"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_2402140_1\"\n                                                                data-calc-value=\"Havermout \"\n                            >\n                    Havermout                 <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_2402140_1_opt1248877\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Mueslimengsels bestaande uit granen, noten en gedroogd fruit\"\n                                data-field=\"fld_2402140\"\n                                id=\"fld_2402140_1_opt1248877\"\n                                class=\"fld_2402140_1\"\n                                name=\"fld_2402140[opt1248877]\"\n                                value=\"Mueslimengsels bestaande uit granen, noten en gedroogd fruit\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_2402140_1\"\n                                                                data-calc-value=\"Mueslimengsels bestaande uit granen, noten en gedroogd fruit\"\n                            >\n                    Mueslimengsels bestaande uit granen, noten en gedroogd fruit                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_2402140_1_opt3006145\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Krokante muesli \"\n                                data-field=\"fld_2402140\"\n                                id=\"fld_2402140_1_opt3006145\"\n                                class=\"fld_2402140_1\"\n                                name=\"fld_2402140[opt3006145]\"\n                                value=\"Krokante muesli \"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_2402140_1\"\n                                                                data-calc-value=\"Krokante muesli \"\n                            >\n                    Krokante muesli                 <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8140287\" class=\"form-group\" id=\"fld_8140287_1-wrap\">\r\n\t<label id=\"fld_8140287Label\" for=\"fld_8140287_1\" class=\"control-label\">Granen<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_8140287_1_opt932747\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Zilvervliesrijst, volkorenpasta, volkoren couscous, volkoren Bulgur, Quinoa\"\n                                data-field=\"fld_8140287\"\n                                id=\"fld_8140287_1_opt932747\"\n                                class=\"fld_8140287_1\"\n                                name=\"fld_8140287[opt932747]\"\n                                value=\"Zilvervliesrijst, volkorenpasta, volkoren couscous, volkoren Bulgur, Quinoa\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8140287_1\"\n                                                                data-calc-value=\"Zilvervliesrijst, volkorenpasta, volkoren couscous, volkoren Bulgur, Quinoa\"\n                            >\n                    Zilvervliesrijst, volkorenpasta, volkoren couscous, volkoren Bulgur, Quinoa                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_8140287_1_opt1572889\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Witte rijst, witte pasta, witte couscous\"\n                                data-field=\"fld_8140287\"\n                                id=\"fld_8140287_1_opt1572889\"\n                                class=\"fld_8140287_1\"\n                                name=\"fld_8140287[opt1572889]\"\n                                value=\"Witte rijst, witte pasta, witte couscous\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8140287_1\"\n                                                                data-calc-value=\"Witte rijst, witte pasta, witte couscous\"\n                            >\n                    Witte rijst, witte pasta, witte couscous                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8521865\" class=\"form-group\" id=\"fld_8521865_1-wrap\">\r\n\t<label id=\"fld_8521865Label\" for=\"fld_8521865_1\" class=\"control-label\">Peulvruchten<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_8521865_1_opt369231\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Peulvruchten vers bereid of zonder toegevoegd suiker \"\n                                data-field=\"fld_8521865\"\n                                id=\"fld_8521865_1_opt369231\"\n                                class=\"fld_8521865_1\"\n                                name=\"fld_8521865[opt369231]\"\n                                value=\"Peulvruchten vers bereid of zonder toegevoegd suiker \"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8521865_1\"\n                                                                data-calc-value=\"Peulvruchten vers bereid of zonder toegevoegd suiker \"\n                            >\n                    Peulvruchten vers bereid of zonder toegevoegd suiker                 <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_8521865_1_opt1513892\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Peulvruchten met toegevoegd suiker\"\n                                data-field=\"fld_8521865\"\n                                id=\"fld_8521865_1_opt1513892\"\n                                class=\"fld_8521865_1\"\n                                name=\"fld_8521865[opt1513892]\"\n                                value=\"Peulvruchten met toegevoegd suiker\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_8521865_1\"\n                                                                data-calc-value=\"Peulvruchten met toegevoegd suiker\"\n                            >\n                    Peulvruchten met toegevoegd suiker                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4434735\" class=\"form-group\" id=\"fld_4434735_1-wrap\">\r\n\t<label id=\"fld_4434735Label\" for=\"fld_4434735_1\" class=\"control-label\">Noten<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_4434735_1_opt792975\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Gezouten \/ gesuikerd \"\n                                data-field=\"fld_4434735\"\n                                id=\"fld_4434735_1_opt792975\"\n                                class=\"fld_4434735_1\"\n                                name=\"fld_4434735[opt792975]\"\n                                value=\"Gezouten \/ gesuikerd \"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4434735_1\"\n                                                                data-calc-value=\"Gezouten \/ gesuikerd \"\n                            >\n                    Gezouten \/ gesuikerd                 <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_4434735_1_opt1898563\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Ongezouten en ongesuikerd \"\n                                data-field=\"fld_4434735\"\n                                id=\"fld_4434735_1_opt1898563\"\n                                class=\"fld_4434735_1\"\n                                name=\"fld_4434735[opt1898563]\"\n                                value=\"Ongezouten en ongesuikerd \"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4434735_1\"\n                                                                data-calc-value=\"Ongezouten en ongesuikerd \"\n                            >\n                    Ongezouten en ongesuikerd                 <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_4434735_1_opt2666112\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Notenpasta \/ pindakaas zonder suiker \/zout\"\n                                data-field=\"fld_4434735\"\n                                id=\"fld_4434735_1_opt2666112\"\n                                class=\"fld_4434735_1\"\n                                name=\"fld_4434735[opt2666112]\"\n                                value=\"Notenpasta \/ pindakaas zonder suiker \/zout\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4434735_1\"\n                                                                data-calc-value=\"Notenpasta \/ pindakaas zonder suiker \/zout\"\n                            >\n                    Notenpasta \/ pindakaas zonder suiker \/zout                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_4434735_1_opt4070280\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Notenpasta \/ pindakaas met suiker \/ zout\"\n                                data-field=\"fld_4434735\"\n                                id=\"fld_4434735_1_opt4070280\"\n                                class=\"fld_4434735_1\"\n                                name=\"fld_4434735[opt4070280]\"\n                                value=\"Notenpasta \/ pindakaas met suiker \/ zout\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_4434735_1\"\n                                                                data-calc-value=\"Notenpasta \/ pindakaas met suiker \/ zout\"\n                            >\n                    Notenpasta \/ pindakaas met suiker \/ zout                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3793398\" class=\"form-group\" id=\"fld_3793398_1-wrap\">\r\n\t<label id=\"fld_3793398Label\" for=\"fld_3793398_1\" class=\"control-label\">Melk en melkproducten<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3793398_1_opt591971\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Magere en halfvolle varianten van melk, yoghurt en kwark, karnemelk\"\n                                data-field=\"fld_3793398\"\n                                id=\"fld_3793398_1_opt591971\"\n                                class=\"fld_3793398_1\"\n                                name=\"fld_3793398[opt591971]\"\n                                value=\"Magere en halfvolle varianten van melk, yoghurt en kwark, karnemelk\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3793398_1\"\n                                                                data-calc-value=\"Magere en halfvolle varianten van melk, yoghurt en kwark, karnemelk\"\n                            >\n                    Magere en halfvolle varianten van melk, yoghurt en kwark, karnemelk                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3793398_1_opt1946300\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Volle melk en\/of yoghurt, vla, pudding\"\n                                data-field=\"fld_3793398\"\n                                id=\"fld_3793398_1_opt1946300\"\n                                class=\"fld_3793398_1\"\n                                name=\"fld_3793398[opt1946300]\"\n                                value=\"Volle melk en\/of yoghurt, vla, pudding\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3793398_1\"\n                                                                data-calc-value=\"Volle melk en\/of yoghurt, vla, pudding\"\n                            >\n                    Volle melk en\/of yoghurt, vla, pudding                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3793398_1_opt2966632\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Yoghurtdranken en vruchtenyoghurt met toegevoegd suiker \"\n                                data-field=\"fld_3793398\"\n                                id=\"fld_3793398_1_opt2966632\"\n                                class=\"fld_3793398_1\"\n                                name=\"fld_3793398[opt2966632]\"\n                                value=\"Yoghurtdranken en vruchtenyoghurt met toegevoegd suiker \"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3793398_1\"\n                                                                data-calc-value=\"Yoghurtdranken en vruchtenyoghurt met toegevoegd suiker \"\n                            >\n                    Yoghurtdranken en vruchtenyoghurt met toegevoegd suiker                 <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3836381\" class=\"form-group\" id=\"fld_3836381_1-wrap\">\r\n\t<label id=\"fld_3836381Label\" for=\"fld_3836381_1\" class=\"control-label\">Kaas<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3836381_1_opt83721\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"20+, 30+ kaas met minder zout\"\n                                data-field=\"fld_3836381\"\n                                id=\"fld_3836381_1_opt83721\"\n                                class=\"fld_3836381_1\"\n                                name=\"fld_3836381[opt83721]\"\n                                value=\"20+, 30+ kaas met minder zout\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3836381_1\"\n                                                                data-calc-value=\"20+, 30+ kaas met minder zout\"\n                            >\n                    20+, 30+ kaas met minder zout                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3836381_1_opt1601547\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"40+ of 48+ kaas\"\n                                data-field=\"fld_3836381\"\n                                id=\"fld_3836381_1_opt1601547\"\n                                class=\"fld_3836381_1\"\n                                name=\"fld_3836381[opt1601547]\"\n                                value=\"40+ of 48+ kaas\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3836381_1\"\n                                                                data-calc-value=\"40+ of 48+ kaas\"\n                            >\n                    40+ of 48+ kaas                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3836381_1_opt2416450\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Zachte geitenkaas Mozzarella Zuivelspread \"\n                                data-field=\"fld_3836381\"\n                                id=\"fld_3836381_1_opt2416450\"\n                                class=\"fld_3836381_1\"\n                                name=\"fld_3836381[opt2416450]\"\n                                value=\"Zachte geitenkaas Mozzarella Zuivelspread \"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3836381_1\"\n                                                                data-calc-value=\"Zachte geitenkaas Mozzarella Zuivelspread \"\n                            >\n                    Zachte geitenkaas Mozzarella Zuivelspread                 <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_3836381_1_opt3575713\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Diverse buitenlandse kaassoorten, zoals brie, blauwgeaderde kaas\"\n                                data-field=\"fld_3836381\"\n                                id=\"fld_3836381_1_opt3575713\"\n                                class=\"fld_3836381_1\"\n                                name=\"fld_3836381[opt3575713]\"\n                                value=\"Diverse buitenlandse kaassoorten, zoals brie, blauwgeaderde kaas\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3836381_1\"\n                                                                data-calc-value=\"Diverse buitenlandse kaassoorten, zoals brie, blauwgeaderde kaas\"\n                            >\n                    Diverse buitenlandse kaassoorten, zoals brie, blauwgeaderde kaas                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7349530\" class=\"form-group\" id=\"fld_7349530_1-wrap\">\r\n\t<label id=\"fld_7349530Label\" for=\"fld_7349530_1\" class=\"control-label\">Smeer- en bereidingsvetten<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7349530_1_opt1003308\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Halvarine en margarine uit een kuipje\"\n                                data-field=\"fld_7349530\"\n                                id=\"fld_7349530_1_opt1003308\"\n                                class=\"fld_7349530_1\"\n                                name=\"fld_7349530[opt1003308]\"\n                                value=\"Halvarine en margarine uit een kuipje\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7349530_1\"\n                                                                data-calc-value=\"Halvarine en margarine uit een kuipje\"\n                            >\n                    Halvarine en margarine uit een kuipje                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7349530_1_opt1327739\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Margarine en bak- en braadvet in een wikkel\"\n                                data-field=\"fld_7349530\"\n                                id=\"fld_7349530_1_opt1327739\"\n                                class=\"fld_7349530_1\"\n                                name=\"fld_7349530[opt1327739]\"\n                                value=\"Margarine en bak- en braadvet in een wikkel\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7349530_1\"\n                                                                data-calc-value=\"Margarine en bak- en braadvet in een wikkel\"\n                            >\n                    Margarine en bak- en braadvet in een wikkel                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7349530_1_opt2230255\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Vloeibare margarine en bak- en braad uit een fles\"\n                                data-field=\"fld_7349530\"\n                                id=\"fld_7349530_1_opt2230255\"\n                                class=\"fld_7349530_1\"\n                                name=\"fld_7349530[opt2230255]\"\n                                value=\"Vloeibare margarine en bak- en braad uit een fles\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7349530_1\"\n                                                                data-calc-value=\"Vloeibare margarine en bak- en braad uit een fles\"\n                            >\n                    Vloeibare margarine en bak- en braad uit een fles                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7349530_1_opt3178018\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Hard frituurvet\"\n                                data-field=\"fld_7349530\"\n                                id=\"fld_7349530_1_opt3178018\"\n                                class=\"fld_7349530_1\"\n                                name=\"fld_7349530[opt3178018]\"\n                                value=\"Hard frituurvet\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7349530_1\"\n                                                                data-calc-value=\"Hard frituurvet\"\n                            >\n                    Hard frituurvet                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7349530_1_opt4752319\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Plantaardige olie, zoals zonnebloemolie en olijfolie\"\n                                data-field=\"fld_7349530\"\n                                id=\"fld_7349530_1_opt4752319\"\n                                class=\"fld_7349530_1\"\n                                name=\"fld_7349530[opt4752319]\"\n                                value=\"Plantaardige olie, zoals zonnebloemolie en olijfolie\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7349530_1\"\n                                                                data-calc-value=\"Plantaardige olie, zoals zonnebloemolie en olijfolie\"\n                            >\n                    Plantaardige olie, zoals zonnebloemolie en olijfolie                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_7349530_1_opt6263945\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Roomboter, kokosolie\/vet\"\n                                data-field=\"fld_7349530\"\n                                id=\"fld_7349530_1_opt6263945\"\n                                class=\"fld_7349530_1\"\n                                name=\"fld_7349530[opt6263945]\"\n                                value=\"Roomboter, kokosolie\/vet\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7349530_1\"\n                                                                data-calc-value=\"Roomboter, kokosolie\/vet\"\n                            >\n                    Roomboter, kokosolie\/vet                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<hr id=\"fld_1382786_1\" class=\"\" style=\"width: 100%\" \/><div class=\"\"><p>Vul hieronder in hoe je dagelijkse voedingspatroon eruit ziet.<br \/>\nEerst ontbijt, dan tussendoor ernaast (indien van toepassing), daarna lunch etc.<\/p>\n<\/div><\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-10\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_2448875\" class=\"form-group\" id=\"fld_2448875_1-wrap\">\r\n\t<label id=\"fld_2448875Label\" for=\"fld_2448875_1\" class=\"control-label\">Ontbijt. Tijd:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2448875\" class=\" form-control\" id=\"fld_2448875_1\" name=\"fld_2448875\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2448875Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3838564\" class=\"form-group\" id=\"fld_3838564_1-wrap\">\r\n\t<label id=\"fld_3838564Label\" for=\"fld_3838564_1\" class=\"control-label\">Wat en hoeveel:<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_3838564\" value=\"\" data-field=\"fld_3838564\" class=\"form-control\" id=\"fld_3838564_1\" rows=\"4\"    aria-labelledby=\"fld_3838564Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4462674\" class=\"form-group\" id=\"fld_4462674_1-wrap\">\r\n\t<label id=\"fld_4462674Label\" for=\"fld_4462674_1\" class=\"control-label\">Opmerkingen:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4462674\" class=\" form-control\" id=\"fld_4462674_1\" name=\"fld_4462674\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4462674Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_778386\" class=\"form-group\" id=\"fld_778386_1-wrap\">\r\n\t<label id=\"fld_778386Label\" for=\"fld_778386_1\" class=\"control-label\">Tussendoor. Tijd:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_778386\" class=\" form-control\" id=\"fld_778386_1\" name=\"fld_778386\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_778386Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8498986\" class=\"form-group\" id=\"fld_8498986_1-wrap\">\r\n\t<label id=\"fld_8498986Label\" for=\"fld_8498986_1\" class=\"control-label\">Wat en hoeveel<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_8498986\" value=\"\" data-field=\"fld_8498986\" class=\"form-control\" id=\"fld_8498986_1\" rows=\"4\"    aria-labelledby=\"fld_8498986Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9191994\" class=\"form-group\" id=\"fld_9191994_1-wrap\">\r\n\t<label id=\"fld_9191994Label\" for=\"fld_9191994_1\" class=\"control-label\">Opmerkingen:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9191994\" class=\" form-control\" id=\"fld_9191994_1\" name=\"fld_9191994\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9191994Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_377937\" class=\"form-group\" id=\"fld_377937_1-wrap\">\r\n\t<label id=\"fld_377937Label\" for=\"fld_377937_1\" class=\"control-label\">Lunch. Tijd:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_377937\" class=\" form-control\" id=\"fld_377937_1\" name=\"fld_377937\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_377937Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8609266\" class=\"form-group\" id=\"fld_8609266_1-wrap\">\r\n\t<label id=\"fld_8609266Label\" for=\"fld_8609266_1\" class=\"control-label\">Wat en hoeveel<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_8609266\" value=\"\" data-field=\"fld_8609266\" class=\"form-control\" id=\"fld_8609266_1\" rows=\"4\"    aria-labelledby=\"fld_8609266Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8896342\" class=\"form-group\" id=\"fld_8896342_1-wrap\">\r\n\t<label id=\"fld_8896342Label\" for=\"fld_8896342_1\" class=\"control-label\">Opmerkingen:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8896342\" class=\" form-control\" id=\"fld_8896342_1\" name=\"fld_8896342\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8896342Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-11\"  class=\"row \"><div  class=\"col-sm-12  single\"><hr id=\"fld_4313778_1\" class=\"\" style=\"width: 100%\" \/><\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-12\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_8514384\" class=\"form-group\" id=\"fld_8514384_1-wrap\">\r\n\t<label id=\"fld_8514384Label\" for=\"fld_8514384_1\" class=\"control-label\">Tussendoor. Tijd:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8514384\" class=\" form-control\" id=\"fld_8514384_1\" name=\"fld_8514384\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8514384Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2632867\" class=\"form-group\" id=\"fld_2632867_1-wrap\">\r\n\t<label id=\"fld_2632867Label\" for=\"fld_2632867_1\" class=\"control-label\">Wat en hoeveel<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_2632867\" value=\"\" data-field=\"fld_2632867\" class=\"form-control\" id=\"fld_2632867_1\" rows=\"4\"    aria-labelledby=\"fld_2632867Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3959393\" class=\"form-group\" id=\"fld_3959393_1-wrap\">\r\n\t<label id=\"fld_3959393Label\" for=\"fld_3959393_1\" class=\"control-label\">Opmerkingen:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_3959393\" class=\" form-control\" id=\"fld_3959393_1\" name=\"fld_3959393\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3959393Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_2384605\" class=\"form-group\" id=\"fld_2384605_1-wrap\">\r\n\t<label id=\"fld_2384605Label\" for=\"fld_2384605_1\" class=\"control-label\">Avond. Tijd:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2384605\" class=\" form-control\" id=\"fld_2384605_1\" name=\"fld_2384605\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2384605Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8391862\" class=\"form-group\" id=\"fld_8391862_1-wrap\">\r\n\t<label id=\"fld_8391862Label\" for=\"fld_8391862_1\" class=\"control-label\">Wat en hoeveel<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_8391862\" value=\"\" data-field=\"fld_8391862\" class=\"form-control\" id=\"fld_8391862_1\" rows=\"4\"    aria-labelledby=\"fld_8391862Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9649839\" class=\"form-group\" id=\"fld_9649839_1-wrap\">\r\n\t<label id=\"fld_9649839Label\" for=\"fld_9649839_1\" class=\"control-label\">Opmerkingen:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9649839\" class=\" form-control\" id=\"fld_9649839_1\" name=\"fld_9649839\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9649839Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_3041715\" class=\"form-group\" id=\"fld_3041715_1-wrap\">\r\n\t<label id=\"fld_3041715Label\" for=\"fld_3041715_1\" class=\"control-label\">Tussendoor. Tijd:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_3041715\" class=\" form-control\" id=\"fld_3041715_1\" name=\"fld_3041715\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3041715Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6531777\" class=\"form-group\" id=\"fld_6531777_1-wrap\">\r\n\t<label id=\"fld_6531777Label\" for=\"fld_6531777_1\" class=\"control-label\">Wat en hoeveel<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_6531777\" value=\"\" data-field=\"fld_6531777\" class=\"form-control\" id=\"fld_6531777_1\" rows=\"4\"    aria-labelledby=\"fld_6531777Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8237782\" class=\"form-group\" id=\"fld_8237782_1-wrap\">\r\n\t<label id=\"fld_8237782Label\" for=\"fld_8237782_1\" class=\"control-label\">Opmerkingen:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8237782\" class=\" form-control\" id=\"fld_8237782_1\" name=\"fld_8237782\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8237782Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-13\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_2211410\" class=\"form-group\" id=\"fld_2211410_1-wrap\">\r\n\t<label id=\"fld_2211410Label\" for=\"fld_2211410_1\" class=\"control-label\">Wil je wekelijks interessante informatiedocumenten over leefstijl toegestuurd krijgen via de mail? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_2211410\" value=\"\" data-field=\"fld_2211410\" class=\"form-control\" id=\"fld_2211410_1\"  required=\"required\"  aria-labelledby=\"fld_2211410Label\" aria-describedby=\"fld_2211410Caption\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Ja\"  data-calc-value=\"Ja\" >\n\t\t\t\t\t\tJa\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nee\"  data-calc-value=\"Nee\" >\n\t\t\t\t\t\tNee\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<span id=\"fld_2211410Caption\" class=\"help-block\">Gedurende 7 maanden krijg je iedere week een informatiedocument over verschillende leefstijl thema's. Deze kunnen je helpen om je leefstijlveranderingen waar te maken en vast te houden. Je kunt je altijd onderaan de mail afmelden als je er geen behoefte meer aan hebt. <\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5b8ea2a0e8d0f_1-row-14\"  class=\"row  last_row\"><div  class=\"col-sm-12  single\"><hr id=\"fld_6956994_1\" class=\"\" style=\"width: 100%\" \/><div data-field-wrapper=\"fld_6233938\" class=\"form-group\" id=\"fld_6233938_1-wrap\">\r\n\t<label id=\"fld_6233938Label\" for=\"fld_6233938_1\" class=\"control-label\">Overige opmerkingen indien van toepassing<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6233938\" class=\" form-control\" id=\"fld_6233938_1\" name=\"fld_6233938\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6233938Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9144493\" class=\"form-group\" id=\"fld_9144493_1-wrap\">\r\n<div class=\"\">\r\n\n<div class=\"checkbox-inline caldera-forms-consent-field\">\n    <input data-parsley-required=\"true\" data-parsley-group=\"fld_9144493_1\" data-parsley-multiple=\"fld_9144493_1\"        type=\"checkbox\" data-label=\"Ik ga akkoord met de algemene voorwaarden &gt;\"\n        data-field=\"fld_9144493\"\n        id=\"fld_9144493_1\"\n        class=\"fld_9144493_1 option-required\"\n        name=\"fld_9144493\"\n        value=\"1\"\n        data-type=\"checkbox\"\n        data-checkbox-field=\"fld_9144493_1\"\n    >\n    <label for=\"fld_9144493_1\"\n           class=\"caldera-forms-gdpr-field-label\"\n           style=\"display:inline; margin-left: 0.5rem;\"\n    >\n        Ik ga akkoord met de algemene voorwaarden &gt;        <p\n            class=\"caldera-forms-consent-field-agreement\"\n        >\n            Ik ga akkoord met de algemene voorwaarden.        <\/p>\n        <a href=\"https:\/\/abouthealthonline.nl\/cookieverklaring\/\"\n           target=\"_blank\"\n                title=\"Pagina Privacybeleid\"\n            class=\"caldera-forms-consent-field-linked_text\"\n            >\n            https:\/\/abouthealthonline.nl\/algemene-voorwaarden\/        <\/a>\n    <\/label>\n    <span style=\"color:#ff0000;\">*<\/span>\n<\/div>\n\n<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5377681\" class=\"form-group\" id=\"fld_5377681_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_5377681\" id=\"fld_5377681_1\" value=\"Versturen\" data-field=\"fld_5377681\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_5377681\" id=\"fld_5377681_1_btn\" value=\"\" data-field=\"fld_5377681\"  \/>\n<\/div><\/div><\/form>\r\n<\/div>\r\n\n[\/vc_column_text][\/vc_column][\/mk_page_section][mk_page_section bg_image=&#8221;https:\/\/abouthealthonline.nl\/wp-content\/uploads\/2016\/05\/pexels-photo-185344.jpeg&#8221; bg_stretch=&#8221;true&#8221; enable_3d=&#8221;true&#8221; video_color_mask=&#8221;#9cd361&#8243; video_opacity=&#8221;0.9&#8243; padding_top=&#8221;80&#8243; padding_bottom=&#8221;80&#8243; sidebar=&#8221;sidebar-1&#8243;][vc_column width=&#8221;2\/3&#8243;][mk_fancy_title strip_tags=&#8221;true&#8221; tag_name=&#8221;h4&#8243; color=&#8221;#ffffff&#8221; size=&#8221;25&#8243; force_font_size=&#8221;true&#8221; size_phone=&#8221;20&#8243; line_height=&#8221;0&#8243; font_weight=&#8221;400&#8243; font_style=&#8221;normal&#8221; txt_transform=&#8221;uppercase&#8221; letter_spacing=&#8221;6.7&#8243; margin_top=&#8221;20&#8243; margin_bottom=&#8221;10&#8243; font_family=&#8221;Montserrat&#8221; font_type=&#8221;google&#8221; responsive_align=&#8221;left&#8221; animation=&#8221;left-to-right&#8221;]Ga voor gezond![\/mk_fancy_title][vc_column_text disable_pattern=&#8221;false&#8221; css=&#8221;.vc_custom_1518506045441{margin-bottom: 0px !important;}&#8221;]<span style=\"color: #ffffff\">En kies een pakket met langdurige begeleiding door de online di\u00ebtist!<\/span>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][mk_padding_divider size=&#8221;15&#8243;][mk_image src=&#8221;\/wp-content\/themes\/abouthealthonline\/arrow-go.svg&#8221; image_size=&#8221;full&#8221; link=&#8221;https:\/\/abouthealthonline.nl\/online-begeleiding\/&#8221; align=&#8221;center&#8221;][\/vc_column][\/mk_page_section]\n","protected":false},"excerpt":{"rendered":"<p>[mk_page_section bg_image=&#8221;https:\/\/abouthealthonline.nl\/wp-content\/uploads\/2018\/09\/berries-1546125_1920.jpg&#8221; bg_color=&#8221;rgba(10,10,10,0.01)&#8221; bg_position=&#8221;left center&#8221; bg_stretch=&#8221;true&#8221; enable_3d=&#8221;true&#8221; bg_gradient=&#8221;left_top&#8221; video_color_mask=&#8221;rgba(0,0,0,0.8)&#8221; gr_end=&#8221;rgba(0,0,0,0.35)&#8221; video_opacity=&#8221;0.9&#8243; top_shape_color=&#8221;#ffffff&#8221; has_bottom_shape_divider=&#8221;true&#8221; bottom_shape_size=&#8221;small&#8221; bottom_shape_color=&#8221;#ffffff&#8221; el_class=&#8221;custom-jueves-gradient-bg&#8221; sidebar=&#8221;sidebar-1&#8243;][vc_column][mk_padding_divider size=&#8221;240&#8243;][mk_fancy_title strip_tags=&#8221;true&#8221; tag_name=&#8221;h4&#8243; color=&#8221;#ffffff&#8221; 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