{"id":3362,"date":"2025-05-26T09:07:09","date_gmt":"2025-05-26T09:07:09","guid":{"rendered":"https:\/\/gynolifeivf.com\/?page_id=3362"},"modified":"2025-05-26T09:20:55","modified_gmt":"2025-05-26T09:20:55","slug":"reactieformulier","status":"publish","type":"page","link":"https:\/\/gynolifeivf.com\/nl\/contact-met-ons-opnemen\/reactieformulier\/","title":{"rendered":"Feedbackformulier"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"3362\" class=\"elementor elementor-3362\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b5470a4 e-flex e-con-boxed e-con e-parent\" data-id=\"b5470a4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-98ce257 elementor-widget elementor-widget-text-editor\" data-id=\"98ce257\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4570-o1\" lang=\"\" dir=\"ltr\" data-wpcf7-id=\"4570\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/nl\/wp-json\/wp\/v2\/pages\/3362#wpcf7-f4570-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/nl\/wp-json\/wp\/v2\/pages\/3362#wpcf7-f4570-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4570\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4570-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"glf-container\">\n\t<div class=\"glf-header\">\n\t\t<h1>GynoLife Pati\u00ebnt Feedback Formulier\n\t\t<\/h1>\n\t\t<p>Uw feedback helpt ons om de zorg die wij bieden voortdurend te verbeteren\n\t\t<\/p>\n\t<\/div>\n\n <!-- SECTION 1: Patient Information -->\n\t<div class=\"glf-section\">\n\t\t<h3 class=\"glf-section-title\">\ud83d\udc64 Pati\u00ebntinformatie\n\t\t<\/h3>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Volledige naam <span class=\"required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"full-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw volledige naam\" value=\"\" type=\"text\" name=\"full-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>E-mailadres <span class=\"required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"you@example.com\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Telefoonnummer (met landcode)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"+90 5XX XXX XX XX\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Land van verblijf <span class=\"required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"country\"><option value=\"\">&#8212;Kies een optie&#8212;<\/option><option value=\"Select your country\">Selecteer uw land<\/option><option value=\"North Cyprus (KKTC)\">Noord-Cyprus (KKTC)<\/option><option value=\"Turkey\">Turkije<\/option><option value=\"United Kingdom\">Verenigd Koninkrijk<\/option><option value=\"Germany\">Duitsland<\/option><option value=\"Netherlands\">Nederland<\/option><option value=\"Sweden\">Zweden<\/option><option value=\"Denmark\">Denemarken<\/option><option value=\"Norway\">Noorwegen<\/option><option value=\"France\">Frankrijk<\/option><option value=\"Ireland\">Ierland<\/option><option value=\"Israel\">Isra\u00ebl<\/option><option value=\"Russia\">Rusland<\/option><option value=\"Ukraine\">Oekra\u00efne<\/option><option value=\"Kazakhstan\">Kazachstan<\/option><option value=\"Azerbaijan\">Azerbeidzjan<\/option><option value=\"Iran\">Iran<\/option><option value=\"Iraq\">Irak<\/option><option value=\"Libya\">Libi\u00eb<\/option><option value=\"Jordan\">Jordani\u00eb<\/option><option value=\"Saudi Arabia\">Saoedi-Arabi\u00eb<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Other\">Andere<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Behandeling Ontvangen <span class=\"required\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"service-type\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"service-type\"><option value=\"\">&#8212;Kies een optie&#8212;<\/option><option value=\"Select treatment\">Behandeling selecteren<\/option><option value=\"IVF Treatment\">IVF-behandeling<\/option><option value=\"Egg Donation IVF\">Egg Donation IVF<\/option><option value=\"Embryo Donation\">Embryo donatie<\/option><option value=\"Intrauterine Insemination (IUI)\">Intra-uteriene inseminatie (IUI)<\/option><option value=\"Egg Freezing\">Eieren invriezen<\/option><option value=\"Sperm Freezing\">Sperma invriezen<\/option><option value=\"Genetic Testing (PGT)\">Genetische prenatale diagnostiek (GPD)<\/option><option value=\"Gender Selection\">Geslachtselectie<\/option><option value=\"Consultation Only\">Alleen consultatie<\/option><option value=\"Other\">Andere<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Behandelend arts<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"treating-doctor\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"treating-doctor\"><option value=\"\">&#8212;Kies een optie&#8212;<\/option><option value=\"Select doctor\">Selecteer arts<\/option><option value=\"Dr. Hayat Izel\">Dr. Hayat Izel<\/option><option value=\"Prof. Dr. Burcu Ozbakir\">Prof. Dr. Burcu \u00d6zbak\u0131r<\/option><option value=\"Other\">Andere<\/option><option value=\"I don&#039;t remember\">Ik herinner me het niet<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Behandeldatum (ongeveer)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"treatment-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"treatment-date\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Behandelstatus<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"treatment-status\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"treatment-status\"><option value=\"\">&#8212;Kies een optie&#8212;<\/option><option value=\"Select status\">Status selecteren<\/option><option value=\"Completed successfully\">Succesvol voltooid<\/option><option value=\"Treatment ongoing\">Behandeling lopende<\/option><option value=\"Awaiting results\">Resultaten afwachten<\/option><option value=\"Did not proceed\">Niet verder gegaan<\/option><option value=\"Prefer not to say\">Zeg ik liever niet<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<hr class=\"glf-divider\" \/>\n\n <!-- SECTION 2: Satisfaction Ratings -->\n\t<div class=\"glf-section\">\n\t\t<h3 class=\"glf-section-title\">\u2b50 Jouw Ervaring\n\t\t<\/h3>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Totale Ervaring <span class=\"required\">*<\/span><\/label>\n\t\t\t<\/p>\n\t\t\t<div class=\"glf-rating\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"overall-satisfaction\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"overall-satisfaction\" value=\"1\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"overall-satisfaction\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"overall-satisfaction\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"overall-satisfaction\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"overall-satisfaction\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"glf-rating-legend\">\n\t\t\t\t<p><span>Zeer slecht<\/span><br \/>\n<span>Arm<\/span><br \/>\n<span>Gemiddelde<\/span><br \/>\n<span>Goed<\/span><br \/>\n<span>Uitstekend<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Arts &amp; Medisch Team <span class=\"required\">*<\/span><\/label>\n\t\t\t<\/p>\n\t\t\t<div class=\"glf-rating\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"doctor-satisfaction\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"doctor-satisfaction\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"doctor-satisfaction\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"doctor-satisfaction\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"doctor-satisfaction\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"doctor-satisfaction\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"glf-rating-legend\">\n\t\t\t\t<p><span>Zeer slecht<\/span><br \/>\n<span>Arm<\/span><br \/>\n<span>Gemiddelde<\/span><br \/>\n<span>Goed<\/span><br \/>\n<span>Uitstekend<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Communicatie &amp; Taalondersteuning <span class=\"required\">*<\/span><\/label>\n\t\t\t<\/p>\n\t\t\t<div class=\"glf-rating\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"communication\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"communication\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"communication\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"communication\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"communication\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"communication\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"glf-rating-legend\">\n\t\t\t\t<p><span>Zeer slecht<\/span><br \/>\n<span>Arm<\/span><br \/>\n<span>Gemiddelde<\/span><br \/>\n<span>Goed<\/span><br \/>\n<span>Uitstekend<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Kliniek Hygi\u00ebne &amp; Comfort <span class=\"required\">*<\/span><\/label>\n\t\t\t<\/p>\n\t\t\t<div class=\"glf-rating\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"clinic-environment\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"clinic-environment\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"clinic-environment\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"clinic-environment\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"clinic-environment\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"clinic-environment\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"glf-rating-legend\">\n\t\t\t\t<p><span>Zeer slecht<\/span><br \/>\n<span>Arm<\/span><br \/>\n<span>Gemiddelde<\/span><br \/>\n<span>Goed<\/span><br \/>\n<span>Uitstekend<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Luchthavenvervoer &amp; Accommodatieondersteuning<\/label>\n\t\t\t<\/p>\n\t\t\t<div class=\"glf-rating\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"logistics\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"logistics\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"logistics\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"logistics\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"logistics\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"logistics\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"logistics\" value=\"N\/A\" \/><span class=\"wpcf7-list-item-label\">N.v.t.<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"glf-rating-legend\">\n\t\t\t\t<p><span>Zeer slecht<\/span><br \/>\n<span>Arm<\/span><br \/>\n<span>Gemiddelde<\/span><br \/>\n<span>Goed<\/span><br \/>\n<span>Uitstekend<\/span><br \/>\n<span>N.v.t.<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<hr class=\"glf-divider\" \/>\n\n <!-- SECTION 3: Recommendation & Comments -->\n\t<div class=\"glf-section\">\n\t\t<h3 class=\"glf-section-title\">\ud83d\udcac Jouw feedback\n\t\t<\/h3>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Hoe waarschijnlijk is het dat u GynoLife zou aanbevelen aan een vriend of familielid? <span class=\"required\">*<\/span><\/label>\n\t\t\t<\/p>\n\t\t\t<div class=\"glf-rating\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nps-score\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"nps-score\" value=\"0\" \/><span class=\"wpcf7-list-item-label\">0<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"nps-score\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"nps-score\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"nps-score\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"nps-score\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"nps-score\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"nps-score\" value=\"6\" \/><span class=\"wpcf7-list-item-label\">6<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"nps-score\" value=\"7\" \/><span class=\"wpcf7-list-item-label\">7<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"nps-score\" value=\"8\" \/><span class=\"wpcf7-list-item-label\">8<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"nps-score\" value=\"9\" \/><span class=\"wpcf7-list-item-label\">9<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"nps-score\" value=\"10\" \/><span class=\"wpcf7-list-item-label\">10<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"glf-rating-legend\">\n\t\t\t\t<p><span>Helemaal onwaarschijnlijk<\/span><br \/>\n<span>Zeer waarschijnlijk<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Hoe heb je van GynoLife gehoord?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"referral-source\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"referral-source\"><option value=\"\">&#8212;Kies een optie&#8212;<\/option><option value=\"Select\">Selecteer<\/option><option value=\"Google Search\">Google Zoeken<\/option><option value=\"Instagram\">Instagram<\/option><option value=\"Facebook\">Facebook<\/option><option value=\"YouTube\">YouTube<\/option><option value=\"Friend \/ Family Referral\">Vrienden \/ Familie Verwijzing<\/option><option value=\"Doctor Referral\">Artsverwijzing<\/option><option value=\"Medical Tourism Agency\">Medisch Toerisme Bureau<\/option><option value=\"Online Forum\">Online Forum<\/option><option value=\"Other\">Andere<\/option><\/select><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Wat deden we goed?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"positive-feedback\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Vertel ons wat u het meest waardeerde...\" name=\"positive-feedback\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<p><label>Wat zouden we kunnen verbeteren?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"improvement-feedback\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Suggesties om ons te helpen het beter te doen...\" name=\"improvement-feedback\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"glf-field\">\n\t\t\t<div class=\"glf-checks\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"consent\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"consent[]\" value=\"I agree that my feedback may be used anonymously for quality improvement purposes.\" \/><span class=\"wpcf7-list-item-label\">Ik ga ermee akkoord dat mijn feedback anoniem mag worden gebruikt voor kwaliteitsverbeteringsdoeleinden.<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"testimonial\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"testimonial[]\" value=\"I give permission for my feedback to be used as an anonymous testimonial on GynoLife&#039;s website and social media.\" \/><span class=\"wpcf7-list-item-label\">Ik geef toestemming dat mijn feedback anoniem als getuigenis mag worden gebruikt op de website en social media van GynoLife.<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"newsletter\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"newsletter[]\" value=\"I&#039;d like to receive health tips and updates from GynoLife.\" \/><span class=\"wpcf7-list-item-label\">Ik ontvang graag gezondheidstips en updates van GynoLife.<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner glf-submit\" type=\"submit\" value=\"Feedback verzenden\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>Delta<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"84\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"nl\"\/><\/form>\n<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":499,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"clinicmaster_template.php","meta":{"footnotes":""},"class_list":["post-3362","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/gynolifeivf.com\/nl\/wp-json\/wp\/v2\/pages\/3362","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gynolifeivf.com\/nl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/gynolifeivf.com\/nl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/gynolifeivf.com\/nl\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gynolifeivf.com\/nl\/wp-json\/wp\/v2\/comments?post=3362"}],"version-history":[{"count":0,"href":"https:\/\/gynolifeivf.com\/nl\/wp-json\/wp\/v2\/pages\/3362\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/gynolifeivf.com\/nl\/wp-json\/wp\/v2\/pages\/499"}],"wp:attachment":[{"href":"https:\/\/gynolifeivf.com\/nl\/wp-json\/wp\/v2\/media?parent=3362"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}