{"id":169,"date":"2017-07-05T13:44:35","date_gmt":"2017-07-05T11:44:35","guid":{"rendered":"https:\/\/www.skh-harderwijk.nl\/skhtest\/?page_id=169"},"modified":"2020-04-29T13:48:54","modified_gmt":"2020-04-29T11:48:54","slug":"formulier","status":"publish","type":"page","link":"https:\/\/www.skh-harderwijk.nl\/stichting-kinderspeelzalen-harderwijk\/kwaliteit-en-klachten\/formulier\/","title":{"rendered":"Klachtenformulier"},"content":{"rendered":"<script type=\"text\/javascript\">var 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description_below'><li id=\"field_3_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_1\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Naam<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_1'>\n                            \n                            <span id='input_3_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_3_1_3' value='' tabindex='501'  aria-required='true'   placeholder='Voornaam'  \/>\n                                                    <label for='input_3_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Voornaam<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_3_1_6' value='' tabindex='503'  aria-required='true'   placeholder='Achternaam'  \/>\n                                                    <label for='input_3_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Achternaam<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_2\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_2\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Ouder\/Verzorger van<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_2'>\n                            \n                            <span id='input_3_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_3_2_3' value='' tabindex='506'  aria-required='true'   placeholder='Voornaam'  \/>\n                                                    <label for='input_3_2_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Voornaam<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_3_2_6' value='' tabindex='508'  aria-required='true'   placeholder='Achternaam'  \/>\n                                                    <label for='input_3_2_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Achternaam<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_3\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_3\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Adres<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_3_3' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_3_1_container' >\n                                        <input type='text' name='input_3.1' id='input_3_3_1' value='' tabindex='510'   aria-required='false'    \/>\n                                        <label for='input_3_3_1' id='input_3_3_1_label' class='gform-field-label gform-field-label--type-sub '>Straat + huisnummer<\/label>\n                                    <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_3_3_5_container' >\n                                    <input type='text' name='input_3.5' id='input_3_3_5' value='' tabindex='511'   aria-required='false'    \/>\n                                    <label for='input_3_3_5' id='input_3_3_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                <\/span><span class='ginput_right address_city ginput_address_city gform-grid-col' id='input_3_3_3_container' >\n                                    <input type='text' name='input_3.3' id='input_3_3_3' value='' tabindex='512'   aria-required='false'    \/>\n                                    <label for='input_3_3_3' id='input_3_3_3_label' class='gform-field-label gform-field-label--type-sub '>Stad<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_3.4' id='input_3_3_4' value=''\/><input type='hidden' class='gform_hidden' name='input_3.6' id='input_3_3_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_3_4\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_4\" ><label class='gfield_label gform-field-label' for='input_3_4'>Telefoon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_3_4' type='tel' value='' class='medium' tabindex='513'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_5\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_5\" ><label class='gfield_label gform-field-label' for='input_3_5'>E-mailadres<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_3_5' type='email' value='' class='medium' tabindex='514'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_6\" ><label class='gfield_label gform-field-label' >Wat voor klacht heeft u?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_6'>Geeft u hier aan om wat voor soort klacht het gaat.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_6'>\n\t\t\t<li class='gchoice gchoice_3_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Locatie gebonden zaken (bv. huisregels, openingstijden)'  id='choice_3_6_0' tabindex='515'   \/>\n\t\t\t\t<label for='choice_3_6_0' id='label_3_6_0' class='gform-field-label gform-field-label--type-inline'>Locatie gebonden zaken (bv. huisregels, openingstijden)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Veiligheid (bv accommodatie, spelmateriaal, niet volgen van protocol)'  id='choice_3_6_1' tabindex='516'   \/>\n\t\t\t\t<label for='choice_3_6_1' id='label_3_6_1' class='gform-field-label gform-field-label--type-inline'>Veiligheid (bv accommodatie, spelmateriaal, niet volgen van protocol)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_2'>\n\t\t\t\t<input name='input_6' type='radio' value='Pedagogisch handelen (bv. functioneren medewerker)'  id='choice_3_6_2' tabindex='517'   \/>\n\t\t\t\t<label for='choice_3_6_2' id='label_3_6_2' class='gform-field-label gform-field-label--type-inline'>Pedagogisch handelen (bv. functioneren medewerker)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_3'>\n\t\t\t\t<input name='input_6' type='radio' value='Hygi\u00ebne (bv. schoonmaak, persoonlijke hygi\u00ebne)'  id='choice_3_6_3' tabindex='518'   \/>\n\t\t\t\t<label for='choice_3_6_3' id='label_3_6_3' class='gform-field-label gform-field-label--type-inline'>Hygi\u00ebne (bv. schoonmaak, persoonlijke hygi\u00ebne)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_4'>\n\t\t\t\t<input name='input_6' type='radio' value='Communicatie'  id='choice_3_6_4' tabindex='519'   \/>\n\t\t\t\t<label for='choice_3_6_4' id='label_3_6_4' class='gform-field-label gform-field-label--type-inline'>Communicatie<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_5'>\n\t\t\t\t<input name='input_6' type='radio' value='Vervoer'  id='choice_3_6_5' tabindex='520'   \/>\n\t\t\t\t<label for='choice_3_6_5' id='label_3_6_5' class='gform-field-label gform-field-label--type-inline'>Vervoer<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_6'>\n\t\t\t\t<input name='input_6' type='radio' value='Financi\u00ebn'  id='choice_3_6_6' tabindex='521'   \/>\n\t\t\t\t<label for='choice_3_6_6' id='label_3_6_6' class='gform-field-label gform-field-label--type-inline'>Financi\u00ebn<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_6_7'>\n\t\t\t\t<input name='input_6' type='radio' value='gf_other_choice'  id='choice_3_6_7' tabindex='522'  onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_3_6_other' name='input_6_other' type='text' value='Anders' aria-label='Anders' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Anders\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Anders\"); }' tabindex='522'  \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_7\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_7\" ><label class='gfield_label gform-field-label' for='input_3_7'>Uw klacht<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_7'>Omschrijft u hier uw klacht. Hebt u een klacht over een specifieke situatie of gebeurtenis? 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