www.acqui-city.com Open in urlscan Pro
37.187.196.79  Public Scan

Submitted URL: https://communication-be.alpro.com/nl/link?c=a5s&d=dc&h=1occvhjqhfh585v0igsv9ln7h0&i=38l&iw=1&p=H1095379168&s=lp&sn=67&z=1q8ec
Effective URL: https://www.acqui-city.com/202110_ALPRO_VDM/nl/?p=eyJFQyI6IkVDMSIsIkNvbnRhY3RJRCI6IjdhMGMyMjI5MmUwZjQ2NmZlY2E2ZWNiYjk1MjFkN...
Submission: On October 16 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

Name: registerPOST

<form name="register" method="POST" onsubmit="javascript: return checkForm(this);" class="RespTable">
  <div id="errmsg"></div>
  <div class="center instructions">
    <p>Gelieve onderstaande velden eerst nog in te vullen:</p>
    <p>
      <input type="radio" id="gender-1" name="register[SexCode]" value="M"> <label for="gender-1">Mijnheer</label>
      <input type="radio" id="gender-2" name="register[SexCode]" value="F" checked="" style="margin-left:30px;"><label for="gender-2">Mevrouw</label>
    </p>
    <p><label for="EmailAddress">E-mailadres</label><input type="text" name="register[EmailAddress]" value="annevandenbroeck@telenet.be" placeholder="E-mailadres" id="EmailAddress" readonly=""></p>
    <p><label for="FirstName">Voornaam</label><input type="text" name="register[FirstName]" value="Anne" placeholder="Voornaam" id="FirstName"></p>
    <p><label for="LastName">Naam</label><input type="text" name="register[LastName]" value="Van den Broeck" placeholder="Naam" id="LastName"></p>
    <p><input type="hidden" name="register[ZipCode]" value="" placeholder="Gemeente" id="ZipCode"></p>
    <p><input type="hidden" name="register[City]" value="" placeholder="Postcode" id="City"></p>
    <h3><strong>Hoe vaak consumeren</strong> u en uw gezin onderstaande producten of hun plantaardige alternatieven?</h3>
    <div class="RespTable RespTable--5cols RespTable--collapse">
      <div class="RespTable-cell RespTable-top">
        <h3>&nbsp;</h3>
      </div>
      <div class="RespTable-cell RespTable-top"><span>Meerdere keren per week</span></div>
      <div class="RespTable-cell RespTable-top"><span>Meerdere keren per maand</span></div>
      <div class="RespTable-cell RespTable-top"><span>Meerdere keren per jaar</span></div>
      <div class="RespTable-cell RespTable-top"><span>Wij eten dit product niet</span></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Drinks</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_DRINKS_USE-1" name="register[SURVEY_DRINKS_USE]" value="1" type="radio"><label for="SURVEY_DRINKS_USE-1"><span>Meerdere keren per week</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_DRINKS_USE-2" name="register[SURVEY_DRINKS_USE]" value="2" type="radio"><label for="SURVEY_DRINKS_USE-2"><span>Meerdere keren per maand</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_DRINKS_USE-3" name="register[SURVEY_DRINKS_USE]" value="3" type="radio"><label for="SURVEY_DRINKS_USE-3"><span>Meerdere keren per jaar</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_DRINKS_USE-4" name="register[SURVEY_DRINKS_USE]" value="4" type="radio"><label for="SURVEY_DRINKS_USE-4"><span>Wij eten dit product niet</span></label></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Yoghurt</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_YOGURT_USE-1" name="register[SURVEY_YOGURT_USE]" value="1" type="radio"><label for="SURVEY_YOGURT_USE-1"><span>Meerdere keren per week</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_YOGURT_USE-2" name="register[SURVEY_YOGURT_USE]" value="2" type="radio"><label for="SURVEY_YOGURT_USE-2"><span>Meerdere keren per maand</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_YOGURT_USE-3" name="register[SURVEY_YOGURT_USE]" value="3" type="radio"><label for="SURVEY_YOGURT_USE-3"><span>Meerdere keren per jaar</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_YOGURT_USE-4" name="register[SURVEY_YOGURT_USE]" value="4" type="radio"><label for="SURVEY_YOGURT_USE-4"><span>Wij eten dit product niet</span></label></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Room</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_FRESH_CREAM_USE-1" name="register[SURVEY_FRESH_CREAM_USE]" value="1" type="radio"><label for="SURVEY_FRESH_CREAM_USE-1"><span>Meerdere keren per week</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_FRESH_CREAM_USE-2" name="register[SURVEY_FRESH_CREAM_USE]" value="2" type="radio"><label for="SURVEY_FRESH_CREAM_USE-2"><span>Meerdere keren per maand</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_FRESH_CREAM_USE-3" name="register[SURVEY_FRESH_CREAM_USE]" value="3" type="radio"><label for="SURVEY_FRESH_CREAM_USE-3"><span>Meerdere keren per jaar</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_FRESH_CREAM_USE-4" name="register[SURVEY_FRESH_CREAM_USE]" value="4" type="radio"><label for="SURVEY_FRESH_CREAM_USE-4"><span>Wij eten dit product niet</span></label></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Ijs</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_CREAM_USE-1" name="register[SURVEY_ICE_CREAM_USE]" value="1" type="radio"><label for="SURVEY_ICE_CREAM_USE-1"><span>Meerdere keren per week</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_CREAM_USE-2" name="register[SURVEY_ICE_CREAM_USE]" value="2" type="radio"><label for="SURVEY_ICE_CREAM_USE-2"><span>Meerdere keren per maand</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_CREAM_USE-3" name="register[SURVEY_ICE_CREAM_USE]" value="3" type="radio"><label for="SURVEY_ICE_CREAM_USE-3"><span>Meerdere keren per jaar</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_CREAM_USE-4" name="register[SURVEY_ICE_CREAM_USE]" value="4" type="radio"><label for="SURVEY_ICE_CREAM_USE-4"><span>Wij eten dit product niet</span></label></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Ijskoffie</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_COFFEE_USE-1" name="register[SURVEY_ICE_COFFEE_USE]" value="1" type="radio"><label for="SURVEY_ICE_COFFEE_USE-1"><span>Meerdere keren per week</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_COFFEE_USE-2" name="register[SURVEY_ICE_COFFEE_USE]" value="2" type="radio"><label for="SURVEY_ICE_COFFEE_USE-2"><span>Meerdere keren per maand</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_COFFEE_USE-3" name="register[SURVEY_ICE_COFFEE_USE]" value="3" type="radio"><label for="SURVEY_ICE_COFFEE_USE-3"><span>Meerdere keren per jaar</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_COFFEE_USE-4" name="register[SURVEY_ICE_COFFEE_USE]" value="4" type="radio"><label for="SURVEY_ICE_COFFEE_USE-4"><span>Wij eten dit product niet</span></label></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Pudding</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_PUDDING_USE-1" name="register[SURVEY_PUDDING_USE]" value="1" type="radio"><label for="SURVEY_PUDDING_USE-1"><span>Meerdere keren per week</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_PUDDING_USE-2" name="register[SURVEY_PUDDING_USE]" value="2" type="radio"><label for="SURVEY_PUDDING_USE-2"><span>Meerdere keren per maand</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_PUDDING_USE-3" name="register[SURVEY_PUDDING_USE]" value="3" type="radio"><label for="SURVEY_PUDDING_USE-3"><span>Meerdere keren per jaar</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_PUDDING_USE-4" name="register[SURVEY_PUDDING_USE]" value="4" type="radio"><label for="SURVEY_PUDDING_USE-4"><span>Wij eten dit product niet</span></label></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Margarine</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_MARGARINE_USE-1" name="register[SURVEY_MARGARINE_USE]" value="1" type="radio"><label for="SURVEY_MARGARINE_USE-1"><span>Meerdere keren per week</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_MARGARINE_USE-2" name="register[SURVEY_MARGARINE_USE]" value="2" type="radio"><label for="SURVEY_MARGARINE_USE-2"><span>Meerdere keren per maand</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_MARGARINE_USE-3" name="register[SURVEY_MARGARINE_USE]" value="3" type="radio"><label for="SURVEY_MARGARINE_USE-3"><span>Meerdere keren per jaar</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_MARGARINE_USE-4" name="register[SURVEY_MARGARINE_USE]" value="4" type="radio"><label for="SURVEY_MARGARINE_USE-4"><span>Wij eten dit product niet</span></label></div>
    </div>
    <h3><strong>Hoe vaak koop</strong> je Alpro in deze categorieën?</h3>
    <div class="RespTable RespTable--4cols RespTable--collapse">
      <div class="RespTable-cell RespTable-top">
        <h3>&nbsp;</h3>
      </div>
      <div class="RespTable-cell RespTable-top"><span><strong>Nooit</strong> Alpro</span></div>
      <div class="RespTable-cell RespTable-top"><span>Een mix van merken waaronder <strong>soms</strong> Alpro</span></div>
      <div class="RespTable-cell RespTable-top"><span>In de <strong>meeste gevallen</strong> Alpro</span></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Drinks</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_DRINKS_BUY-1" name="register[SURVEY_DRINKS_BUY]" value="1" type="radio"><label for="SURVEY_DRINKS_BUY-1"><span><strong>Nooit</strong> Alpro</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_DRINKS_BUY-2" name="register[SURVEY_DRINKS_BUY]" value="2" type="radio"><label for="SURVEY_DRINKS_BUY-2"><span>Een mix van merken waaronder <strong>soms</strong> Alpro</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_DRINKS_BUY-3" name="register[SURVEY_DRINKS_BUY]" value="3" type="radio"><label for="SURVEY_DRINKS_BUY-3"><span>In de <strong>meeste gevallen</strong> Alpro</span></label></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Yoghurt</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_YOGURT_BUY-1" name="register[SURVEY_YOGURT_BUY]" value="1" type="radio"><label for="SURVEY_YOGURT_BUY-1"><span><strong>Nooit</strong> Alpro</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_YOGURT_BUY-2" name="register[SURVEY_YOGURT_BUY]" value="2" type="radio"><label for="SURVEY_YOGURT_BUY-2"><span>Een mix van merken waaronder <strong>soms</strong> Alpro</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_YOGURT_BUY-3" name="register[SURVEY_YOGURT_BUY]" value="3" type="radio"><label for="SURVEY_YOGURT_BUY-3"><span>In de <strong>meeste gevallen</strong> Alpro</span></label></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Room</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_FRESH_CREAM_BUY-1" name="register[SURVEY_FRESH_CREAM_BUY]" value="1" type="radio"><label for="SURVEY_FRESH_CREAM_BUY-1"><span><strong>Nooit</strong> Alpro</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_FRESH_CREAM_BUY-2" name="register[SURVEY_FRESH_CREAM_BUY]" value="2" type="radio"><label for="SURVEY_FRESH_CREAM_BUY-2"><span>Een mix van merken waaronder <strong>soms</strong> Alpro</span></label>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_FRESH_CREAM_BUY-3" name="register[SURVEY_FRESH_CREAM_BUY]" value="3" type="radio"><label for="SURVEY_FRESH_CREAM_BUY-3"><span>In de <strong>meeste gevallen</strong> Alpro</span></label></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Ijs</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_CREAM_BUY-1" name="register[SURVEY_ICE_CREAM_BUY]" value="1" type="radio"><label for="SURVEY_ICE_CREAM_BUY-1"><span><strong>Nooit</strong> Alpro</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_CREAM_BUY-2" name="register[SURVEY_ICE_CREAM_BUY]" value="2" type="radio"><label for="SURVEY_ICE_CREAM_BUY-2"><span>Een mix van merken waaronder <strong>soms</strong> Alpro</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_CREAM_BUY-3" name="register[SURVEY_ICE_CREAM_BUY]" value="3" type="radio"><label for="SURVEY_ICE_CREAM_BUY-3"><span>In de <strong>meeste gevallen</strong> Alpro</span></label></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Ijskoffie</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_COFFEE_BUY-1" name="register[SURVEY_ICE_COFFEE_BUY]" value="1" type="radio"><label for="SURVEY_ICE_COFFEE_BUY-1"><span><strong>Nooit</strong> Alpro</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_COFFEE_BUY-2" name="register[SURVEY_ICE_COFFEE_BUY]" value="2" type="radio"><label for="SURVEY_ICE_COFFEE_BUY-2"><span>Een mix van merken waaronder <strong>soms</strong> Alpro</span></label>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_ICE_COFFEE_BUY-3" name="register[SURVEY_ICE_COFFEE_BUY]" value="3" type="radio"><label for="SURVEY_ICE_COFFEE_BUY-3"><span>In de <strong>meeste gevallen</strong> Alpro</span></label></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Pudding</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_PUDDING_BUY-1" name="register[SURVEY_PUDDING_BUY]" value="1" type="radio"><label for="SURVEY_PUDDING_BUY-1"><span><strong>Nooit</strong> Alpro</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_PUDDING_BUY-2" name="register[SURVEY_PUDDING_BUY]" value="2" type="radio"><label for="SURVEY_PUDDING_BUY-2"><span>Een mix van merken waaronder <strong>soms</strong> Alpro</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_PUDDING_BUY-3" name="register[SURVEY_PUDDING_BUY]" value="3" type="radio"><label for="SURVEY_PUDDING_BUY-3"><span>In de <strong>meeste gevallen</strong> Alpro</span></label></div>
      <div class="RespTable-cell RespTable-cell--head">
        <h3>Margarine</h3>
      </div>
      <div class="RespTable-cell"><input id="SURVEY_MARGARINE_BUY-1" name="register[SURVEY_MARGARINE_BUY]" value="1" type="radio"><label for="SURVEY_MARGARINE_BUY-1"><span><strong>Nooit</strong> Alpro</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_MARGARINE_BUY-2" name="register[SURVEY_MARGARINE_BUY]" value="2" type="radio"><label for="SURVEY_MARGARINE_BUY-2"><span>Een mix van merken waaronder <strong>soms</strong> Alpro</span></label></div>
      <div class="RespTable-cell"><input id="SURVEY_MARGARINE_BUY-3" name="register[SURVEY_MARGARINE_BUY]" value="3" type="radio"><label for="SURVEY_MARGARINE_BUY-3"><span>In de <strong>meeste gevallen</strong> Alpro</span></label></div>
    </div>
    <p><input type="hidden" value="EC1" name="ec"></p>
    <p> </p>
    <p><input type="hidden" name="register[ContactID]" value="7a0c22292e0f466feca6ecbb9521d6543be5c0442643d9d86cab5010e5b7a1c410428" placeholder="" id="ContactID"></p>
    <p></p>
    <p><input type="submit" value="OK"></p>
  </div>
</form>

Text Content

 




PRINT JE


KORTINGSBON

Gelieve onderstaande velden eerst nog in te vullen:

Mijnheer Mevrouw

E-mailadres

Voornaam

Naam






HOE VAAK CONSUMEREN U EN UW GEZIN ONDERSTAANDE PRODUCTEN OF HUN PLANTAARDIGE
ALTERNATIEVEN?


 

Meerdere keren per week
Meerdere keren per maand
Meerdere keren per jaar
Wij eten dit product niet


DRINKS

Meerdere keren per week
Meerdere keren per maand
Meerdere keren per jaar
Wij eten dit product niet


YOGHURT

Meerdere keren per week
Meerdere keren per maand
Meerdere keren per jaar
Wij eten dit product niet


ROOM

Meerdere keren per week
Meerdere keren per maand
Meerdere keren per jaar
Wij eten dit product niet


IJS

Meerdere keren per week
Meerdere keren per maand
Meerdere keren per jaar
Wij eten dit product niet


IJSKOFFIE

Meerdere keren per week
Meerdere keren per maand
Meerdere keren per jaar
Wij eten dit product niet


PUDDING

Meerdere keren per week
Meerdere keren per maand
Meerdere keren per jaar
Wij eten dit product niet


MARGARINE

Meerdere keren per week
Meerdere keren per maand
Meerdere keren per jaar
Wij eten dit product niet


HOE VAAK KOOP JE ALPRO IN DEZE CATEGORIEËN?


 

Nooit Alpro
Een mix van merken waaronder soms Alpro
In de meeste gevallen Alpro


DRINKS

Nooit Alpro
Een mix van merken waaronder soms Alpro
In de meeste gevallen Alpro


YOGHURT

Nooit Alpro
Een mix van merken waaronder soms Alpro
In de meeste gevallen Alpro


ROOM

Nooit Alpro
Een mix van merken waaronder soms Alpro
In de meeste gevallen Alpro


IJS

Nooit Alpro
Een mix van merken waaronder soms Alpro
In de meeste gevallen Alpro


IJSKOFFIE

Nooit Alpro
Een mix van merken waaronder soms Alpro
In de meeste gevallen Alpro


PUDDING

Nooit Alpro
Een mix van merken waaronder soms Alpro
In de meeste gevallen Alpro


MARGARINE

Nooit Alpro
Een mix van merken waaronder soms Alpro
In de meeste gevallen Alpro












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