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Form analysis
1 forms found in the DOM

Name: form-element — POST /f-e8a88faa65fbff08a080ddb66b2b6819ed792a0525282955

<form id="form" name="form-element" action="/f-e8a88faa65fbff08a080ddb66b2b6819ed792a0525282955" method="post" enctype="multipart/form-data">
  <input type="hidden" name="submit" value="submit">
  <div class="form-group" id="question-0">
    <input name="input-question-0" id="input-question-0" value="" type="text" class="form-control " placeholder="Voornaam *" required="">
  </div>
  <div class="form-group" id="question-2">
    <input name="input-question-2" id="input-question-2" value="" type="text" class="form-control " placeholder="Naam *" required="">
  </div>
  <div class="form-group radiobuttons-horizontal" id="question-32">
    <label class="flx-question-label" id="label-question-32"> </label>
    <div class="radiobuttons-group-horizontal" data-required="">
      <div id="question-32-0">
        <input type="radio" name="input-question-32" id="input-question-32-0" value="1" data-group="rdb-group-32" class="radiobutton-horizontal">
        <label for="input-question-32-0" id="label-question-32-0"><span><span></span></span> Man </label>
      </div>
      <div id="question-32-1">
        <input type="radio" name="input-question-32" id="input-question-32-1" value="2" data-group="rdb-group-32" class="radiobutton-horizontal">
        <label for="input-question-32-1" id="label-question-32-1"><span><span></span></span> Vrouw </label>
      </div>
      <div id="question-32-2">
        <input type="radio" name="input-question-32" id="input-question-32-2" value="3" data-group="rdb-group-32" class="radiobutton-horizontal">
        <label for="input-question-32-2" id="label-question-32-2"><span><span></span></span> Non-binair </label>
      </div>
    </div>
    <div class="chars-counter">
      <label>&nbsp;</label>
      <p>&nbsp;</p>
    </div>
  </div>
  <div class="form-group" id="question-8">
    <input name="input-question-8" id="input-question-8" value="" type="text" class="form-control " placeholder="Leeftijd *" required="">
  </div>
  <div class="form-group" id="question-6">
    <input name="input-question-6" id="input-question-6" value="" type="text" class="form-control " placeholder="GSM-nummer *" required="">
  </div>
  <div class="form-group" id="question-4">
    <input name="input-question-4" id="input-question-4" value="axl@salve.media" type="text" class="form-control " placeholder="E-mailadres *" required="">
  </div>
  <div class="form-group radiobuttons-horizontal" id="question-12">
    <label class="flx-question-label" id="label-question-12">Wat is jouw huidige werksituatie? *</label>
    <div class="radiobuttons-group-horizontal" data-required="required">
      <div id="question-12-0">
        <input type="radio" name="input-question-12" id="input-question-12-0" value="1" data-group="rdb-group-12" class="radiobutton-horizontal" required="required">
        <label for="input-question-12-0" id="label-question-12-0"><span><span></span></span> Ik studeer nog </label>
      </div>
      <div id="question-12-1">
        <input type="radio" name="input-question-12" id="input-question-12-1" value="3" data-group="rdb-group-12" class="radiobutton-horizontal" required="required">
        <label for="input-question-12-1" id="label-question-12-1"><span><span></span></span> Ik loop stage </label>
      </div>
      <div id="question-12-2">
        <input type="radio" name="input-question-12" id="input-question-12-2" value="4" data-group="rdb-group-12" class="radiobutton-horizontal" required="required">
        <label for="input-question-12-2" id="label-question-12-2"><span><span></span></span> Ik ben werkzoekend </label>
      </div>
      <div id="question-12-3">
        <input type="radio" name="input-question-12" id="input-question-12-3" value="2" data-group="rdb-group-12" class="radiobutton-horizontal" required="required">
        <label for="input-question-12-3" id="label-question-12-3"><span><span></span></span> Ik werk deeltijds </label>
      </div>
      <div id="question-12-4">
        <input type="radio" name="input-question-12" id="input-question-12-4" value="6" data-group="rdb-group-12" class="radiobutton-horizontal" required="required">
        <label for="input-question-12-4" id="label-question-12-4"><span><span></span></span> Ik werk voltijds </label>
      </div>
      <div id="question-12-5">
        <input type="radio" name="input-question-12" id="input-question-12-5" value="5" data-group="rdb-group-12" class="radiobutton-horizontal" required="required">
        <label for="input-question-12-5" id="label-question-12-5"><span><span></span></span> Anders </label>
      </div>
    </div>
    <div class="chars-counter">
      <label>&nbsp;</label>
      <p>&nbsp;</p>
    </div>
  </div>
  <div class="form-group checkboxes-horizontal" id="question-56">
    <label class="flx-question-label" id="label-question-56">Werk je in een van onderstaande sectoren of werken er gezinsleden van jou in een van deze sectoren? *</label>
    <div class="checkboxes-group-horizontal" data-required="required">
      <div id="question-56-5">
        <input type="checkbox" name="input-question-56-5" id="input-question-56-5" value="Banken- en verzekeringen" data-group="chk-group-56" class="checkbox-horizontal" required="required">
        <label for="input-question-56-5" id="label-question-56-5"><span><span></span></span> Banken en verzekeringen </label>
      </div>
      <div id="question-56-2">
        <input type="checkbox" name="input-question-56-2" id="input-question-56-2" value="Journalistiek" data-group="chk-group-56" class="checkbox-horizontal" required="required">
        <label for="input-question-56-2" id="label-question-56-2"><span><span></span></span> Journalistiek </label>
      </div>
      <div id="question-56-4">
        <input type="checkbox" name="input-question-56-4" id="input-question-56-4" value="Marktonderzoek" data-group="chk-group-56" class="checkbox-horizontal" required="required">
        <label for="input-question-56-4" id="label-question-56-4"><span><span></span></span> Marktonderzoek </label>
      </div>
      <div id="question-56-3">
        <input type="checkbox" name="input-question-56-3" id="input-question-56-3" value="Media" data-group="chk-group-56" class="checkbox-horizontal" required="required">
        <label for="input-question-56-3" id="label-question-56-3"><span><span></span></span> Media </label>
      </div>
      <div id="question-56-1">
        <input type="checkbox" name="input-question-56-1" id="input-question-56-1" value="Reclame" data-group="chk-group-56" class="checkbox-horizontal" required="required">
        <label for="input-question-56-1" id="label-question-56-1"><span><span></span></span> Reclame </label>
      </div>
      <div id="question-56-6">
        <input type="checkbox" name="input-question-56-6" id="input-question-56-6" value="Geen" data-group="chk-group-56" class="checkbox-horizontal" required="required">
        <label for="input-question-56-6" id="label-question-56-6"><span><span></span></span> Geen van bovenstaande </label>
      </div>
    </div>
    <div class="chars-counter">
      <label>&nbsp;</label>
      <p>&nbsp;</p>
    </div>
  </div>
  <div class="form-group checkboxes-horizontal" id="question-80">
    <label class="flx-question-label" id="label-question-80">Bij welke banken ben je klant? *</label>
    <div class="question-comment">Meerdere antwoorden mogelijk</div>
    <div class="checkboxes-group-horizontal" data-required="required">
      <div id="question-80-1">
        <input type="checkbox" name="input-question-80-1" id="input-question-80-1" value="KBC" data-group="chk-group-80" class="checkbox-horizontal" required="required">
        <label for="input-question-80-1" id="label-question-80-1"><span><span></span></span> KBC </label>
      </div>
      <div id="question-80-7">
        <input type="checkbox" name="input-question-80-7" id="input-question-80-7" value="Revolut" data-group="chk-group-80" class="checkbox-horizontal" required="required">
        <label for="input-question-80-7" id="label-question-80-7"><span><span></span></span> Revolut </label>
      </div>
      <div id="question-80-16">
        <input type="checkbox" name="input-question-80-16" id="input-question-80-16" value="Andere" data-group="chk-group-80" class="checkbox-horizontal" required="required">
        <label for="input-question-80-16" id="label-question-80-16"><span><span></span></span> Andere </label>
      </div>
    </div>
    <div class="chars-counter">
      <label>&nbsp;</label>
      <p>&nbsp;</p>
    </div>
  </div>
  <div class="form-group checkboxes-vertical" id="question-84">
    <label class="flx-question-label" id="label-question-84">Gebruik je de mobiele app van jouw bank(en)? *</label>
    <div class="checkboxes-group-vertical" data-required="required">
      <div id="question-84-1">
        <input type="checkbox" name="input-question-84-1" id="input-question-84-1" value="OK" data-group="chk-group-84" class="checkbox-vertical" required="required">
        <label for="input-question-84-1" id="label-question-84-1"><span><span></span></span> Ja, van KBC </label>
      </div>
      <div id="question-84-2">
        <input type="checkbox" name="input-question-84-2" id="input-question-84-2" value="OK" data-group="chk-group-84" class="checkbox-vertical" required="required">
        <label for="input-question-84-2" id="label-question-84-2"><span><span></span></span> Ja, van Revolut </label>
      </div>
      <div id="question-84-4">
        <input type="checkbox" name="input-question-84-4" id="input-question-84-4" value="STOP" data-group="chk-group-84" class="checkbox-vertical" required="required">
        <label for="input-question-84-4" id="label-question-84-4"><span><span></span></span> Ja, van andere banken </label>
      </div>
      <div id="question-84-3">
        <input type="checkbox" name="input-question-84-3" id="input-question-84-3" value="STOP" data-group="chk-group-84" class="checkbox-vertical" required="required">
        <label for="input-question-84-3" id="label-question-84-3"><span><span></span></span> Neen, van geen enkele bank waar ik klant ben </label>
      </div>
    </div>
    <div class="chars-counter">
      <label>&nbsp;</label>
      <p>&nbsp;</p>
    </div>
  </div>
  <div class="form-group radiobuttons-vertical" id="question-82">
    <label class="flx-question-label" id="label-question-82">Heb je een computer met werkende camera en microfoon om deel te nemen aan een online videogesprek? *</label>
    <div class="radiobuttons-group-vertical" data-required="required">
      <div id="question-82-0">
        <input type="radio" name="input-question-82" id="input-question-82-0" value="1" data-group="rdb-group-82" class="radiobutton-vertical" required="required">
        <label for="input-question-82-0" id="label-question-82-0"><span><span></span></span> Ja </label>
      </div>
      <div id="question-82-1">
        <input type="radio" name="input-question-82" id="input-question-82-1" value="2" data-group="rdb-group-82" class="radiobutton-vertical" required="required">
        <label for="input-question-82-1" id="label-question-82-1"><span><span></span></span> Neen </label>
      </div>
    </div>
    <div class="chars-counter">
      <label>&nbsp;</label>
      <p>&nbsp;</p>
    </div>
  </div>
  <div class="form-group static-content">
    <p><span style="color: #555555;"><b>Op welke van onderstaande tijdstippen ben je beschikbaar om deel te nemen aan een online videogesprek van 1 uur? </b><em><span style="font-size: 12px;">Gelieve alle tijdstippen aan te duiden waarop je
            beschikbaar bent. Indien je in aanmerking komt, contacteren wij jou zo snel mogelijk om een tijdstip vast te leggen.</span></em></span></p>
  </div>
  <div class="form-group checkboxes-horizontal" id="question-70">
    <label class="flx-question-label" id="label-question-70">Donderdag 20 juni *</label>
    <div class="checkboxes-group-horizontal" data-required="required">
      <div id="question-70-1">
        <input type="checkbox" name="input-question-70-1" id="input-question-70-1" value="09u00 - 10u00" data-group="chk-group-70" class="checkbox-horizontal" required="required">
        <label for="input-question-70-1" id="label-question-70-1"><span><span></span></span> 09u00 - 10u00 </label>
      </div>
      <div id="question-70-2">
        <input type="checkbox" name="input-question-70-2" id="input-question-70-2" value="10u15 - 11u15" data-group="chk-group-70" class="checkbox-horizontal" required="required">
        <label for="input-question-70-2" id="label-question-70-2"><span><span></span></span> 10u15 - 11u15 </label>
      </div>
      <div id="question-70-3">
        <input type="checkbox" name="input-question-70-3" id="input-question-70-3" value="11u30 - 12u30" data-group="chk-group-70" class="checkbox-horizontal" required="required">
        <label for="input-question-70-3" id="label-question-70-3"><span><span></span></span> 11u30 - 12u30 </label>
      </div>
      <div id="question-70-4">
        <input type="checkbox" name="input-question-70-4" id="input-question-70-4" value="13u30 - 14u30" data-group="chk-group-70" class="checkbox-horizontal" required="required">
        <label for="input-question-70-4" id="label-question-70-4"><span><span></span></span> 13u30 - 14u30 </label>
      </div>
      <div id="question-70-5">
        <input type="checkbox" name="input-question-70-5" id="input-question-70-5" value="14u45 - 15u45" data-group="chk-group-70" class="checkbox-horizontal" required="required">
        <label for="input-question-70-5" id="label-question-70-5"><span><span></span></span> 14u45 - 15u45 </label>
      </div>
      <div id="question-70-9">
        <input type="checkbox" name="input-question-70-9" id="input-question-70-9" value="16u00 - 17u00" data-group="chk-group-70" class="checkbox-horizontal" required="required">
        <label for="input-question-70-9" id="label-question-70-9"><span><span></span></span> 16u00 - 17u00 </label>
      </div>
      <div id="question-70-8">
        <input type="checkbox" name="input-question-70-8" id="input-question-70-8" value="STOP" data-group="chk-group-70" class="checkbox-horizontal" required="required">
        <label for="input-question-70-8" id="label-question-70-8"><span><span></span></span> Geen van bovenstaande </label>
      </div>
    </div>
    <div class="chars-counter">
      <label>&nbsp;</label>
      <p>&nbsp;</p>
    </div>
  </div>
  <div id="container-btn">
    <button type="submit" class="btn btn-block" id="button-submit">Verzenden</button>
  </div>
</form>

Text Content

Verplicht
Man
Vrouw
Non-binair
 

 




Wat is jouw huidige werksituatie? *
Ik studeer nog
Ik loop stage
Ik ben werkzoekend
Ik werk deeltijds
Ik werk voltijds
Anders
 

 

Werk je in een van onderstaande sectoren of werken er gezinsleden van jou in een
van deze sectoren? *
Banken en verzekeringen
Journalistiek
Marktonderzoek
Media
Reclame
Geen van bovenstaande
 

 

Bij welke banken ben je klant? *
Meerdere antwoorden mogelijk
KBC
Revolut
Andere
 

 

Gebruik je de mobiele app van jouw bank(en)? *
Ja, van KBC
Ja, van Revolut
Ja, van andere banken
Neen, van geen enkele bank waar ik klant ben
 

 

Heb je een computer met werkende camera en microfoon om deel te nemen aan een
online videogesprek? *
Ja
Neen
 

 

Op welke van onderstaande tijdstippen ben je beschikbaar om deel te nemen aan
een online videogesprek van 1 uur? Gelieve alle tijdstippen aan te duiden waarop
je beschikbaar bent. Indien je in aanmerking komt, contacteren wij jou zo snel
mogelijk om een tijdstip vast te leggen.

Donderdag 20 juni *
09u00 - 10u00
10u15 - 11u15
11u30 - 12u30
13u30 - 14u30
14u45 - 15u45
16u00 - 17u00
Geen van bovenstaande
 

 

Verzenden