mijnwooncomfort.nl
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Submitted URL: https://storage.googleapis.com/newjun07/isoltienlsdf76d87f6s8d6f876df87sd
Effective URL: https://mijnwooncomfort.nl/isolatie-expert/?clickid=OTO6814bd349e221d8f5e3cc0a3f2486936
Submission: On June 10 via manual from NL — Scanned from NL
Effective URL: https://mijnwooncomfort.nl/isolatie-expert/?clickid=OTO6814bd349e221d8f5e3cc0a3f2486936
Submission: On June 10 via manual from NL — Scanned from NL
Form analysis 2 forms found in the DOM
POST /isolatie-expert/?clickid=OTO6814bd349e221d8f5e3cc0a3f2486936#gf_2
<form method="post" enctype="multipart/form-data" id="gform_2" action="/isolatie-expert/?clickid=OTO6814bd349e221d8f5e3cc0a3f2486936#gf_2" data-formid="2" novalidate="">
<div id="gf_page_steps_2" class="gf_page_steps">
<div id="gf_step_2_1" class="gf_step gf_step_active gf_step_first"><span class="gf_step_number">1</span><span class="gf_step_label">WONING</span></div>
<div id="gf_step_2_2" class="gf_step gf_step_next gf_step_pending"><span class="gf_step_number">2</span><span class="gf_step_label">BOUWJAAR</span></div>
<div id="gf_step_2_3" class="gf_step gf_step_pending"><span class="gf_step_number">3</span><span class="gf_step_label">LOCATIE</span></div>
<div id="gf_step_2_4" class="gf_step gf_step_last gf_step_pending"><span class="gf_step_number">4</span><span class="gf_step_label">GEGEVENS</span></div>
</div>
<div class="gform-body gform_body">
<div id="gform_page_2_1" class="gform_page " data-js="page-field-id-1">
<div class="gform_page_fields">
<div id="gform_fields_2" class="gform_fields top_label form_sublabel_above description_below validation_below">
<div id="field_2_7" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_7">
<h3 class="gsection_title">Opdrachtomschrijving</h3>
</div>
<div id="field_2_11"
class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_11"><label class="gfield_label gform-field-label" for="input_2_11">Type woning:<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_11" id="input_2_11" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="Woonhuis" selected="selected">Woonhuis</option>
<option value="Appartement">Appartement</option>
<option value="Anders">Anders</option>
</select></div>
</div>
<div id="field_2_12"
class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_12"><label class="gfield_label gform-field-label" for="input_2_12">Ben je eigenaar van de woning?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_12" id="input_2_12" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="Ja, ik ben eigenaar" selected="selected">Ja, ik ben eigenaar</option>
<option value="Nee, ik word binnen 3 maanden eigenaar">Nee, ik word binnen 3 maanden eigenaar</option>
<option value="Nee, ik word over meer dan 3 maanden eigenaar">Nee, ik word over meer dan 3 maanden eigenaar</option>
<option value="Nee, ik overweeg te gaan kopen">Nee, ik overweeg te gaan kopen</option>
<option value="Nee, ik huur">Nee, ik huur</option>
</select></div>
</div>
<fieldset id="field_2_16"
class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_16" data-conditional-logic="hidden" style="display: none;">
<legend class="gfield_label gform-field-label">Heb je toestemming van de verhuurder?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_2_16">
<div class="gchoice gchoice_2_16_0">
<input class="gfield-choice-input" name="input_16" type="radio" value="Ja" id="choice_2_16_0" onchange="gformToggleRadioOther( this )" disabled="disabled">
<label for="choice_2_16_0" id="label_2_16_0" class="gform-field-label gform-field-label--type-inline">Ja</label>
</div>
<div class="gchoice gchoice_2_16_1">
<input class="gfield-choice-input" name="input_16" type="radio" value="Nee" id="choice_2_16_1" onchange="gformToggleRadioOther( this )" disabled="disabled">
<label for="choice_2_16_1" id="label_2_16_1" class="gform-field-label gform-field-label--type-inline">Nee</label>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_next_button_2_17" class="gform_next_button gform-theme-button button" value="Next"
onclick="jQuery("#gform_target_page_number_2").val("2"); jQuery("#gform_2").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_2").val("2"); jQuery("#gform_2").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_2_2" class="gform_page" data-js="page-field-id-17" style="display:none;">
<div class="gform_page_fields">
<div id="gform_fields_2_2" class="gform_fields top_label form_sublabel_above description_below validation_below">
<div id="field_2_50" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_50">
<div class="ginput_container ginput_container_text"><input name="input_50" id="input_2_50" type="hidden" class="gform_hidden" aria-invalid="false" value="null"></div>
</div>
<div id="field_2_51" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_51">
<div class="ginput_container ginput_container_text"><input name="input_51" id="input_2_51" type="hidden" class="gform_hidden" aria-invalid="false" value="null"></div>
</div>
<div id="field_2_52" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_52">
<div class="ginput_container ginput_container_text"><input name="input_52" id="input_2_52" type="hidden" class="gform_hidden" aria-invalid="false" value="null"></div>
</div>
<fieldset id="field_2_18"
class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_18">
<legend class="gfield_label gform-field-label">Wanneer is je woning gebouwd?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_2_18">
<div class="gchoice gchoice_2_18_0">
<input class="gfield-choice-input" name="input_18" type="radio" value="Bouwjaar vóór 1920" id="choice_2_18_0" onchange="gformToggleRadioOther( this )">
<label for="choice_2_18_0" id="label_2_18_0" class="gform-field-label gform-field-label--type-inline">Bouwjaar vóór 1920</label>
</div>
<div class="gchoice gchoice_2_18_1">
<input class="gfield-choice-input" name="input_18" type="radio" value="Bouwjaar tussen 1920 en 1976" id="choice_2_18_1" onchange="gformToggleRadioOther( this )">
<label for="choice_2_18_1" id="label_2_18_1" class="gform-field-label gform-field-label--type-inline">Bouwjaar tussen 1920 en 1976</label>
</div>
<div class="gchoice gchoice_2_18_2">
<input class="gfield-choice-input" name="input_18" type="radio" value="Bouwjaar tussen 1977 en 1984" id="choice_2_18_2" onchange="gformToggleRadioOther( this )">
<label for="choice_2_18_2" id="label_2_18_2" class="gform-field-label gform-field-label--type-inline">Bouwjaar tussen 1977 en 1984</label>
</div>
<div class="gchoice gchoice_2_18_3">
<input class="gfield-choice-input" name="input_18" type="radio" value="Bouwjaar tussen 1985 en 1991" id="choice_2_18_3" onchange="gformToggleRadioOther( this )">
<label for="choice_2_18_3" id="label_2_18_3" class="gform-field-label gform-field-label--type-inline">Bouwjaar tussen 1985 en 1991</label>
</div>
<div class="gchoice gchoice_2_18_4">
<input class="gfield-choice-input" name="input_18" type="radio" value="Bouwjaar ná 1991" id="choice_2_18_4" onchange="gformToggleRadioOther( this )">
<label for="choice_2_18_4" id="label_2_18_4" class="gform-field-label gform-field-label--type-inline">Bouwjaar ná 1991</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_2_19"
class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_19" data-conditional-logic="hidden" style="display: none;">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Wat wil je isoleren?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_2_19">
<div class="gchoice gchoice_2_19_1">
<input class="gfield-choice-input" name="input_19.1" type="checkbox" value="De buitenkant van mijn muur" id="choice_2_19_1" disabled="disabled">
<label for="choice_2_19_1" id="label_2_19_1" class="gform-field-label gform-field-label--type-inline">De buitenkant van mijn muur</label>
</div>
<div class="gchoice gchoice_2_19_2">
<input class="gfield-choice-input" name="input_19.2" type="checkbox" value="Vloer isoleren" id="choice_2_19_2" disabled="disabled">
<label for="choice_2_19_2" id="label_2_19_2" class="gform-field-label gform-field-label--type-inline">Vloer isoleren</label>
</div>
<div class="gchoice gchoice_2_19_3">
<input class="gfield-choice-input" name="input_19.3" type="checkbox" value="Dak isoleren" id="choice_2_19_3" disabled="disabled">
<label for="choice_2_19_3" id="label_2_19_3" class="gform-field-label gform-field-label--type-inline">Dak isoleren</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_2_20"
class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_20" data-conditional-logic="hidden" style="display: none;">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Wat wil je isoleren?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_2_20">
<div class="gchoice gchoice_2_20_1">
<input class="gfield-choice-input" name="input_20.1" type="checkbox" value="Spouwmuur isoleren (isolatie in de muur)" id="choice_2_20_1" disabled="disabled">
<label for="choice_2_20_1" id="label_2_20_1" class="gform-field-label gform-field-label--type-inline">Spouwmuur isoleren (isolatie in de muur)</label>
</div>
<div class="gchoice gchoice_2_20_2">
<input class="gfield-choice-input" name="input_20.2" type="checkbox" value="Vloer isoleren" id="choice_2_20_2" disabled="disabled">
<label for="choice_2_20_2" id="label_2_20_2" class="gform-field-label gform-field-label--type-inline">Vloer isoleren</label>
</div>
<div class="gchoice gchoice_2_20_3">
<input class="gfield-choice-input" name="input_20.3" type="checkbox" value="Dak isoleren" id="choice_2_20_3" disabled="disabled">
<label for="choice_2_20_3" id="label_2_20_3" class="gform-field-label gform-field-label--type-inline">Dak isoleren</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_2_21"
class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_21" data-conditional-logic="hidden" style="display: none;">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Wat wil je isoleren?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_2_21">
<div class="gchoice gchoice_2_21_1">
<input class="gfield-choice-input" name="input_21.1" type="checkbox" value="Spouwmuur na-isoleren (isolatie in de muur verbeteren)" id="choice_2_21_1" disabled="disabled">
<label for="choice_2_21_1" id="label_2_21_1" class="gform-field-label gform-field-label--type-inline">Spouwmuur na-isoleren (isolatie in de muur verbeteren)</label>
</div>
<div class="gchoice gchoice_2_21_2">
<input class="gfield-choice-input" name="input_21.2" type="checkbox" value="Vloer isoleren" id="choice_2_21_2" disabled="disabled">
<label for="choice_2_21_2" id="label_2_21_2" class="gform-field-label gform-field-label--type-inline">Vloer isoleren</label>
</div>
<div class="gchoice gchoice_2_21_3">
<input class="gfield-choice-input" name="input_21.3" type="checkbox" value="Dak isoleren" id="choice_2_21_3" disabled="disabled">
<label for="choice_2_21_3" id="label_2_21_3" class="gform-field-label gform-field-label--type-inline">Dak isoleren</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_2_22"
class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_22" data-conditional-logic="hidden" style="display: none;">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Wat wil je isoleren?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_2_22">
<div class="gchoice gchoice_2_22_1">
<input class="gfield-choice-input" name="input_22.1" type="checkbox" value="Spouwmuur na-isoleren (isolatie in de muur verbeteren)" id="choice_2_22_1" disabled="disabled">
<label for="choice_2_22_1" id="label_2_22_1" class="gform-field-label gform-field-label--type-inline">Spouwmuur na-isoleren (isolatie in de muur verbeteren)</label>
</div>
<div class="gchoice gchoice_2_22_2">
<input class="gfield-choice-input" name="input_22.2" type="checkbox" value="Dak isoleren" id="choice_2_22_2" disabled="disabled">
<label for="choice_2_22_2" id="label_2_22_2" class="gform-field-label gform-field-label--type-inline">Dak isoleren</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_2_23"
class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_23" data-conditional-logic="hidden" style="display: none;">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Wat wil je isoleren?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_2_23">
<div class="gchoice gchoice_2_23_1">
<input class="gfield-choice-input" name="input_23.1" type="checkbox" value="De buitenkant van mijn muur" id="choice_2_23_1" disabled="disabled">
<label for="choice_2_23_1" id="label_2_23_1" class="gform-field-label gform-field-label--type-inline">De buitenkant van mijn muur</label>
</div>
<div class="gchoice gchoice_2_23_2">
<input class="gfield-choice-input" name="input_23.2" type="checkbox" value="Dak isoleren" id="choice_2_23_2" disabled="disabled">
<label for="choice_2_23_2" id="label_2_23_2" class="gform-field-label gform-field-label--type-inline">Dak isoleren</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_2_24"
class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_24" data-conditional-logic="hidden" style="display: none;">
<legend class="gfield_label gform-field-label">Soort dak<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_2_24">
<div class="gchoice gchoice_2_24_0">
<input class="gfield-choice-input" name="input_24" type="radio" value="Schuin dak" id="choice_2_24_0" onchange="gformToggleRadioOther( this )" disabled="disabled">
<label for="choice_2_24_0" id="label_2_24_0" class="gform-field-label gform-field-label--type-inline">Schuin dak</label>
</div>
<div class="gchoice gchoice_2_24_1">
<input class="gfield-choice-input" name="input_24" type="radio" value="Plat dak" id="choice_2_24_1" onchange="gformToggleRadioOther( this )" disabled="disabled">
<label for="choice_2_24_1" id="label_2_24_1" class="gform-field-label gform-field-label--type-inline">Plat dak</label>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_2_28" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
onclick="jQuery("#gform_target_page_number_2").val("1"); jQuery("#gform_2").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_2").val("1"); jQuery("#gform_2").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_2_28"
class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery("#gform_target_page_number_2").val("3"); jQuery("#gform_2").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_2").val("3"); jQuery("#gform_2").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_2_3" class="gform_page" data-js="page-field-id-28" style="display:none;">
<div class="gform_page_fields">
<div id="gform_fields_2_3" class="gform_fields top_label form_sublabel_above description_below validation_below">
<div id="field_2_30" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_30">
<h3 class="gsection_title">Adresgegevens</h3>
<div class="gsection_description" id="gfield_description_2_30">Wij vragen je adresgegevens zodat wij specialisten kunnen vinden die werkzaam zijn in je regio.</div>
</div>
<div id="field_2_31"
class="gfield gfield--type-text gfield--input-type-text gfield--width-two-thirds gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_31"><label class="gfield_label gform-field-label" for="input_2_31">Postcode<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_31" id="input_2_31" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_2_32" class="gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_32"><label class="gfield_label gform-field-label" for="input_2_32">Huisnummer<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_32" id="input_2_32" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_2_45" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_45"><label class="gfield_label gform-field-label" for="input_2_45">Woonplaats</label>
<div class="ginput_container ginput_container_text"><input name="input_45" id="input_2_45" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_2_46" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_46"><label class="gfield_label gform-field-label" for="input_2_46">Straatnaam</label>
<div class="ginput_container ginput_container_text"><input name="input_46" id="input_2_46" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
</div>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_2_34" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
onclick="jQuery("#gform_target_page_number_2").val("2"); jQuery("#gform_2").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_2").val("2"); jQuery("#gform_2").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_2_34"
class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery("#gform_target_page_number_2").val("4"); jQuery("#gform_2").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_2").val("4"); jQuery("#gform_2").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_2_4" class="gform_page" data-js="page-field-id-34" style="display:none;">
<div class="gform_page_fields">
<div id="gform_fields_2_4" class="gform_fields top_label form_sublabel_above description_below validation_below">
<div id="field_2_35" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_35">
<h3 class="gsection_title">Contactgegevens</h3>
</div>
<fieldset id="field_2_36"
class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_36">
<legend class="gfield_label gform-field-label">Aanhef<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_2_36">
<div class="gchoice gchoice_2_36_0">
<input class="gfield-choice-input" name="input_36" type="radio" value="mr" checked="checked" id="choice_2_36_0" onchange="gformToggleRadioOther( this )">
<label for="choice_2_36_0" id="label_2_36_0" class="gform-field-label gform-field-label--type-inline">Meneer</label>
</div>
<div class="gchoice gchoice_2_36_1">
<input class="gfield-choice-input" name="input_36" type="radio" value="mrs" id="choice_2_36_1" onchange="gformToggleRadioOther( this )">
<label for="choice_2_36_1" id="label_2_36_1" class="gform-field-label gform-field-label--type-inline">Mevrouw</label>
</div>
</div>
</div>
</fieldset>
<div id="field_2_39" class="gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_39"><label class="gfield_label gform-field-label" for="input_2_39">Voornaam<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_39" id="input_2_39" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_2_38" class="gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_38"><label class="gfield_label gform-field-label" for="input_2_38">Achternaam<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_38" id="input_2_38" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_2_40" class="gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_40"><label class="gfield_label gform-field-label" for="input_2_40">Telefoon<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_40" id="input_2_40" type="text" value="" class="large" aria-describedby="gfield_description_2_40" aria-required="true" aria-invalid="false"> </div>
<div class="gfield_description" id="gfield_description_2_40">Je telefoonnummer wordt uitsluitend gedeeld met bedrijven die we matchen aan jouw project. We sturen je een SMS om je nummer te verifiëren.</div>
</div>
<div id="field_2_41" class="gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_41"><label class="gfield_label gform-field-label" for="input_2_41">E-mailadres<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_41" id="input_2_41" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
</div>
</div>
<div class="gform_page_footer top_label"><input type="submit" id="gform_previous_button_2" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
onclick="if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} jQuery("#gform_2").trigger("submit",[true]); }">
<input type="submit" id="gform_submit_button_2" class="gform_button button" value="Aanvraag insturen">
<input type="hidden" class="gform_hidden" name="is_submit_2" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="2">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_2"
value="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">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_2" id="gform_target_page_number_2" value="2">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_2" id="gform_source_page_number_2" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</div>
</div>
</form>POST /isolatie-expert/?clickid=OTO6814bd349e221d8f5e3cc0a3f2486936#gf_2
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_2" id="gform_2" action="/isolatie-expert/?clickid=OTO6814bd349e221d8f5e3cc0a3f2486936#gf_2" data-formid="2" novalidate="">
<div id="gf_page_steps_2" class="gf_page_steps">
<div id="gf_step_2_1" class="gf_step gf_step_active gf_step_first"><span class="gf_step_number">1</span><span class="gf_step_label">WONING</span></div>
<div id="gf_step_2_2" class="gf_step gf_step_next gf_step_pending"><span class="gf_step_number">2</span><span class="gf_step_label">BOUWJAAR</span></div>
<div id="gf_step_2_3" class="gf_step gf_step_pending"><span class="gf_step_number">3</span><span class="gf_step_label">LOCATIE</span></div>
<div id="gf_step_2_4" class="gf_step gf_step_last gf_step_pending"><span class="gf_step_number">4</span><span class="gf_step_label">GEGEVENS</span></div>
</div>
<div class="gform-body gform_body">
<div id="gform_page_2_1" class="gform_page " data-js="page-field-id-1">
<div class="gform_page_fields">
<div id="gform_fields_2" class="gform_fields top_label form_sublabel_above description_below validation_below">
<div id="field_2_7" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_7">
<h3 class="gsection_title">Opdrachtomschrijving</h3>
</div>
<div id="field_2_11"
class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_11"><label class="gfield_label gform-field-label" for="input_2_11">Type woning:<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_11" id="input_2_11" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="Woonhuis" selected="selected">Woonhuis</option>
<option value="Appartement">Appartement</option>
<option value="Anders">Anders</option>
</select></div>
</div>
<div id="field_2_12"
class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_12"><label class="gfield_label gform-field-label" for="input_2_12">Ben je eigenaar van de woning?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_12" id="input_2_12" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="Ja, ik ben eigenaar" selected="selected">Ja, ik ben eigenaar</option>
<option value="Nee, ik word binnen 3 maanden eigenaar">Nee, ik word binnen 3 maanden eigenaar</option>
<option value="Nee, ik word over meer dan 3 maanden eigenaar">Nee, ik word over meer dan 3 maanden eigenaar</option>
<option value="Nee, ik overweeg te gaan kopen">Nee, ik overweeg te gaan kopen</option>
<option value="Nee, ik huur">Nee, ik huur</option>
</select></div>
</div>
<fieldset id="field_2_16"
class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_16">
<legend class="gfield_label gform-field-label">Heb je toestemming van de verhuurder?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_2_16">
<div class="gchoice gchoice_2_16_0">
<input class="gfield-choice-input" name="input_16" type="radio" value="Ja" id="choice_2_16_0" onchange="gformToggleRadioOther( this )">
<label for="choice_2_16_0" id="label_2_16_0" class="gform-field-label gform-field-label--type-inline">Ja</label>
</div>
<div class="gchoice gchoice_2_16_1">
<input class="gfield-choice-input" name="input_16" type="radio" value="Nee" id="choice_2_16_1" onchange="gformToggleRadioOther( this )">
<label for="choice_2_16_1" id="label_2_16_1" class="gform-field-label gform-field-label--type-inline">Nee</label>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_next_button_2_17" class="gform_next_button gform-theme-button button" value="Next"
onclick="jQuery("#gform_target_page_number_2").val("2"); jQuery("#gform_2").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_2").val("2"); jQuery("#gform_2").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_2_2" class="gform_page" data-js="page-field-id-17" style="display:none;">
<div class="gform_page_fields">
<div id="gform_fields_2_2" class="gform_fields top_label form_sublabel_above description_below validation_below">
<div id="field_2_50" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_50">
<div class="ginput_container ginput_container_text"><input name="input_50" id="input_2_50" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</div>
<div id="field_2_51" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_51">
<div class="ginput_container ginput_container_text"><input name="input_51" id="input_2_51" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</div>
<div id="field_2_52" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_52">
<div class="ginput_container ginput_container_text"><input name="input_52" id="input_2_52" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</div>
<fieldset id="field_2_18"
class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_18">
<legend class="gfield_label gform-field-label">Wanneer is je woning gebouwd?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_2_18">
<div class="gchoice gchoice_2_18_0">
<input class="gfield-choice-input" name="input_18" type="radio" value="Bouwjaar vóór 1920" id="choice_2_18_0" onchange="gformToggleRadioOther( this )">
<label for="choice_2_18_0" id="label_2_18_0" class="gform-field-label gform-field-label--type-inline">Bouwjaar vóór 1920</label>
</div>
<div class="gchoice gchoice_2_18_1">
<input class="gfield-choice-input" name="input_18" type="radio" value="Bouwjaar tussen 1920 en 1976" id="choice_2_18_1" onchange="gformToggleRadioOther( this )">
<label for="choice_2_18_1" id="label_2_18_1" class="gform-field-label gform-field-label--type-inline">Bouwjaar tussen 1920 en 1976</label>
</div>
<div class="gchoice gchoice_2_18_2">
<input class="gfield-choice-input" name="input_18" type="radio" value="Bouwjaar tussen 1977 en 1984" id="choice_2_18_2" onchange="gformToggleRadioOther( this )">
<label for="choice_2_18_2" id="label_2_18_2" class="gform-field-label gform-field-label--type-inline">Bouwjaar tussen 1977 en 1984</label>
</div>
<div class="gchoice gchoice_2_18_3">
<input class="gfield-choice-input" name="input_18" type="radio" value="Bouwjaar tussen 1985 en 1991" id="choice_2_18_3" onchange="gformToggleRadioOther( this )">
<label for="choice_2_18_3" id="label_2_18_3" class="gform-field-label gform-field-label--type-inline">Bouwjaar tussen 1985 en 1991</label>
</div>
<div class="gchoice gchoice_2_18_4">
<input class="gfield-choice-input" name="input_18" type="radio" value="Bouwjaar ná 1991" id="choice_2_18_4" onchange="gformToggleRadioOther( this )">
<label for="choice_2_18_4" id="label_2_18_4" class="gform-field-label gform-field-label--type-inline">Bouwjaar ná 1991</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_2_19"
class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_19">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Wat wil je isoleren?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_2_19">
<div class="gchoice gchoice_2_19_1">
<input class="gfield-choice-input" name="input_19.1" type="checkbox" value="De buitenkant van mijn muur" id="choice_2_19_1">
<label for="choice_2_19_1" id="label_2_19_1" class="gform-field-label gform-field-label--type-inline">De buitenkant van mijn muur</label>
</div>
<div class="gchoice gchoice_2_19_2">
<input class="gfield-choice-input" name="input_19.2" type="checkbox" value="Vloer isoleren" id="choice_2_19_2">
<label for="choice_2_19_2" id="label_2_19_2" class="gform-field-label gform-field-label--type-inline">Vloer isoleren</label>
</div>
<div class="gchoice gchoice_2_19_3">
<input class="gfield-choice-input" name="input_19.3" type="checkbox" value="Dak isoleren" id="choice_2_19_3">
<label for="choice_2_19_3" id="label_2_19_3" class="gform-field-label gform-field-label--type-inline">Dak isoleren</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_2_20"
class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_20">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Wat wil je isoleren?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_2_20">
<div class="gchoice gchoice_2_20_1">
<input class="gfield-choice-input" name="input_20.1" type="checkbox" value="Spouwmuur isoleren (isolatie in de muur)" id="choice_2_20_1">
<label for="choice_2_20_1" id="label_2_20_1" class="gform-field-label gform-field-label--type-inline">Spouwmuur isoleren (isolatie in de muur)</label>
</div>
<div class="gchoice gchoice_2_20_2">
<input class="gfield-choice-input" name="input_20.2" type="checkbox" value="Vloer isoleren" id="choice_2_20_2">
<label for="choice_2_20_2" id="label_2_20_2" class="gform-field-label gform-field-label--type-inline">Vloer isoleren</label>
</div>
<div class="gchoice gchoice_2_20_3">
<input class="gfield-choice-input" name="input_20.3" type="checkbox" value="Dak isoleren" id="choice_2_20_3">
<label for="choice_2_20_3" id="label_2_20_3" class="gform-field-label gform-field-label--type-inline">Dak isoleren</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_2_21"
class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_21">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Wat wil je isoleren?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_2_21">
<div class="gchoice gchoice_2_21_1">
<input class="gfield-choice-input" name="input_21.1" type="checkbox" value="Spouwmuur na-isoleren (isolatie in de muur verbeteren)" id="choice_2_21_1">
<label for="choice_2_21_1" id="label_2_21_1" class="gform-field-label gform-field-label--type-inline">Spouwmuur na-isoleren (isolatie in de muur verbeteren)</label>
</div>
<div class="gchoice gchoice_2_21_2">
<input class="gfield-choice-input" name="input_21.2" type="checkbox" value="Vloer isoleren" id="choice_2_21_2">
<label for="choice_2_21_2" id="label_2_21_2" class="gform-field-label gform-field-label--type-inline">Vloer isoleren</label>
</div>
<div class="gchoice gchoice_2_21_3">
<input class="gfield-choice-input" name="input_21.3" type="checkbox" value="Dak isoleren" id="choice_2_21_3">
<label for="choice_2_21_3" id="label_2_21_3" class="gform-field-label gform-field-label--type-inline">Dak isoleren</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_2_22"
class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_22">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Wat wil je isoleren?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_2_22">
<div class="gchoice gchoice_2_22_1">
<input class="gfield-choice-input" name="input_22.1" type="checkbox" value="Spouwmuur na-isoleren (isolatie in de muur verbeteren)" id="choice_2_22_1">
<label for="choice_2_22_1" id="label_2_22_1" class="gform-field-label gform-field-label--type-inline">Spouwmuur na-isoleren (isolatie in de muur verbeteren)</label>
</div>
<div class="gchoice gchoice_2_22_2">
<input class="gfield-choice-input" name="input_22.2" type="checkbox" value="Dak isoleren" id="choice_2_22_2">
<label for="choice_2_22_2" id="label_2_22_2" class="gform-field-label gform-field-label--type-inline">Dak isoleren</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_2_23"
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data-js-reload="field_2_23">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Wat wil je isoleren?<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_2_23">
<div class="gchoice gchoice_2_23_1">
<input class="gfield-choice-input" name="input_23.1" type="checkbox" value="De buitenkant van mijn muur" id="choice_2_23_1">
<label for="choice_2_23_1" id="label_2_23_1" class="gform-field-label gform-field-label--type-inline">De buitenkant van mijn muur</label>
</div>
<div class="gchoice gchoice_2_23_2">
<input class="gfield-choice-input" name="input_23.2" type="checkbox" value="Dak isoleren" id="choice_2_23_2">
<label for="choice_2_23_2" id="label_2_23_2" class="gform-field-label gform-field-label--type-inline">Dak isoleren</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_2_24"
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data-js-reload="field_2_24">
<legend class="gfield_label gform-field-label">Soort dak<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_2_24">
<div class="gchoice gchoice_2_24_0">
<input class="gfield-choice-input" name="input_24" type="radio" value="Schuin dak" id="choice_2_24_0" onchange="gformToggleRadioOther( this )">
<label for="choice_2_24_0" id="label_2_24_0" class="gform-field-label gform-field-label--type-inline">Schuin dak</label>
</div>
<div class="gchoice gchoice_2_24_1">
<input class="gfield-choice-input" name="input_24" type="radio" value="Plat dak" id="choice_2_24_1" onchange="gformToggleRadioOther( this )">
<label for="choice_2_24_1" id="label_2_24_1" class="gform-field-label gform-field-label--type-inline">Plat dak</label>
</div>
</div>
</div>
</fieldset>
</div>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_2_28" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
onclick="jQuery("#gform_target_page_number_2").val("1"); jQuery("#gform_2").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_2").val("1"); jQuery("#gform_2").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_2_28"
class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery("#gform_target_page_number_2").val("3"); jQuery("#gform_2").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_2").val("3"); jQuery("#gform_2").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_2_3" class="gform_page" data-js="page-field-id-28" style="display:none;">
<div class="gform_page_fields">
<div id="gform_fields_2_3" class="gform_fields top_label form_sublabel_above description_below validation_below">
<div id="field_2_30" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_30">
<h3 class="gsection_title">Adresgegevens</h3>
<div class="gsection_description" id="gfield_description_2_30">Wij vragen je adresgegevens zodat wij specialisten kunnen vinden die werkzaam zijn in je regio.</div>
</div>
<div id="field_2_31"
class="gfield gfield--type-text gfield--input-type-text gfield--width-two-thirds gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_31"><label class="gfield_label gform-field-label" for="input_2_31">Postcode<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_31" id="input_2_31" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_2_32" class="gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_32"><label class="gfield_label gform-field-label" for="input_2_32">Huisnummer<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_32" id="input_2_32" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_2_45" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_45"><label class="gfield_label gform-field-label" for="input_2_45">Woonplaats</label>
<div class="ginput_container ginput_container_text"><input name="input_45" id="input_2_45" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_2_46" class="gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_46"><label class="gfield_label gform-field-label" for="input_2_46">Straatnaam</label>
<div class="ginput_container ginput_container_text"><input name="input_46" id="input_2_46" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
</div>
</div>
<div class="gform_page_footer top_label">
<input type="button" id="gform_previous_button_2_34" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
onclick="jQuery("#gform_target_page_number_2").val("2"); jQuery("#gform_2").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_2").val("2"); jQuery("#gform_2").trigger("submit",[true]); } "> <input type="button" id="gform_next_button_2_34"
class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery("#gform_target_page_number_2").val("4"); jQuery("#gform_2").trigger("submit",[true]); "
onkeypress="if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_2").val("4"); jQuery("#gform_2").trigger("submit",[true]); } ">
</div>
</div>
<div id="gform_page_2_4" class="gform_page" data-js="page-field-id-34" style="display:none;">
<div class="gform_page_fields">
<div id="gform_fields_2_4" class="gform_fields top_label form_sublabel_above description_below validation_below">
<div id="field_2_35" class="gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_35">
<h3 class="gsection_title">Contactgegevens</h3>
</div>
<fieldset id="field_2_36"
class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_36">
<legend class="gfield_label gform-field-label">Aanhef<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_2_36">
<div class="gchoice gchoice_2_36_0">
<input class="gfield-choice-input" name="input_36" type="radio" value="mr" checked="checked" id="choice_2_36_0" onchange="gformToggleRadioOther( this )">
<label for="choice_2_36_0" id="label_2_36_0" class="gform-field-label gform-field-label--type-inline">Meneer</label>
</div>
<div class="gchoice gchoice_2_36_1">
<input class="gfield-choice-input" name="input_36" type="radio" value="mrs" id="choice_2_36_1" onchange="gformToggleRadioOther( this )">
<label for="choice_2_36_1" id="label_2_36_1" class="gform-field-label gform-field-label--type-inline">Mevrouw</label>
</div>
</div>
</div>
</fieldset>
<div id="field_2_39" class="gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_39"><label class="gfield_label gform-field-label" for="input_2_39">Voornaam<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_39" id="input_2_39" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_2_38" class="gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_38"><label class="gfield_label gform-field-label" for="input_2_38">Achternaam<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_38" id="input_2_38" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_2_40" class="gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_40"><label class="gfield_label gform-field-label" for="input_2_40">Telefoon<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_40" id="input_2_40" type="text" value="" class="large" aria-describedby="gfield_description_2_40" aria-required="true" aria-invalid="false"> </div>
<div class="gfield_description" id="gfield_description_2_40">Je telefoonnummer wordt uitsluitend gedeeld met bedrijven die we matchen aan jouw project. We sturen je een SMS om je nummer te verifiëren.</div>
</div>
<div id="field_2_41" class="gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_2_41"><label class="gfield_label gform-field-label" for="input_2_41">E-mailadres<span class="gfield_required"><span class="gfield_required gfield_required_custom">(Vereist)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_41" id="input_2_41" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
</div>
</div>
<div class="gform_page_footer top_label"><input type="submit" id="gform_previous_button_2" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
onclick="if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} jQuery("#gform_2").trigger("submit",[true]); }">
<input type="submit" id="gform_submit_button_2" class="gform_button button" value="Aanvraag insturen"
onclick="if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} jQuery("#gform_2").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=2&title=yes&description=yes&tabindex=0&theme=orbital">
<input type="hidden" class="gform_hidden" name="is_submit_2" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="2">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_2"
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<input type="hidden" class="gform_hidden" name="gform_source_page_number_2" id="gform_source_page_number_2" value="1">
<input type="hidden" name="gform_field_values" value="">
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</div>
</div>
</form>Text Content
UW HUIS ISOLEREN? WIJ HELPEN U GRATIS! WAAR MOET JE BEGINNEN, HOEVEEL KOST HET? VUL HET FORMULIER IN ZODAT WIJ JOUW GRATIS EN VRIJBLIJVEND KUNNEN HELPEN. VOOR EEN SNELLE VERIFICATIE EN OM AAN DE WETTELIJKE EISEN TE VOLDOEN, BELLEN WE U KORT (1 MINUUT) OP. VUL ALSTUBLIEFT UW JUISTE TELEFOONNUMMER IN, ZODAT WIJ U GRATIS EN VRIJBLIJVEND OP MAAT GEMAAKTE INFORMATIE EN OFFERTES OVER ISOLATIE TE VERSTREKKEN. 100% GRATIS SERVICE * Stap 1 Wensen invullen Stap 2 Gegevens invullen Stap 3 Gratis offertes ontvangen "(Vereist)" geeft vereiste velden aan 1WONING 2BOUWJAAR 3LOCATIE 4GEGEVENS OPDRACHTOMSCHRIJVING Type woning:(Vereist) WoonhuisAppartementAnders Ben je eigenaar van de woning?(Vereist) Ja, ik ben eigenaarNee, ik word binnen 3 maanden eigenaarNee, ik word over meer dan 3 maanden eigenaarNee, ik overweeg te gaan kopenNee, ik huur Heb je toestemming van de verhuurder?(Vereist) Ja Nee Wanneer is je woning gebouwd?(Vereist) Bouwjaar vóór 1920 Bouwjaar tussen 1920 en 1976 Bouwjaar tussen 1977 en 1984 Bouwjaar tussen 1985 en 1991 Bouwjaar ná 1991 Wat wil je isoleren?(Vereist) De buitenkant van mijn muur Vloer isoleren Dak isoleren Wat wil je isoleren?(Vereist) Spouwmuur isoleren (isolatie in de muur) Vloer isoleren Dak isoleren Wat wil je isoleren?(Vereist) Spouwmuur na-isoleren (isolatie in de muur verbeteren) Vloer isoleren Dak isoleren Wat wil je isoleren?(Vereist) Spouwmuur na-isoleren (isolatie in de muur verbeteren) Dak isoleren Wat wil je isoleren?(Vereist) De buitenkant van mijn muur Dak isoleren Soort dak(Vereist) Schuin dak Plat dak ADRESGEGEVENS Wij vragen je adresgegevens zodat wij specialisten kunnen vinden die werkzaam zijn in je regio. Postcode(Vereist) Huisnummer(Vereist) Woonplaats Straatnaam CONTACTGEGEVENS Aanhef(Vereist) Meneer Mevrouw Voornaam(Vereist) Achternaam(Vereist) Telefoon(Vereist) Je telefoonnummer wordt uitsluitend gedeeld met bedrijven die we matchen aan jouw project. We sturen je een SMS om je nummer te verifiëren. E-mailadres(Vereist) WAAROM MIJNWOONCOMFORT.NL * BINNEN 1 MINUUT GEREGELD * VRIJBLIJVENDE OFFERTES * BETROUWBARE VAKMENSEN * DE BESTE PRIJS ISOLATION EXPERT - NL "(Vereist)" geeft vereiste velden aan 1WONING 2BOUWJAAR 3LOCATIE 4GEGEVENS OPDRACHTOMSCHRIJVING Type woning:(Vereist) WoonhuisAppartementAnders Ben je eigenaar van de woning?(Vereist) Ja, ik ben eigenaarNee, ik word binnen 3 maanden eigenaarNee, ik word over meer dan 3 maanden eigenaarNee, ik overweeg te gaan kopenNee, ik huur Heb je toestemming van de verhuurder?(Vereist) Ja Nee Wanneer is je woning gebouwd?(Vereist) Bouwjaar vóór 1920 Bouwjaar tussen 1920 en 1976 Bouwjaar tussen 1977 en 1984 Bouwjaar tussen 1985 en 1991 Bouwjaar ná 1991 Wat wil je isoleren?(Vereist) De buitenkant van mijn muur Vloer isoleren Dak isoleren Wat wil je isoleren?(Vereist) Spouwmuur isoleren (isolatie in de muur) Vloer isoleren Dak isoleren Wat wil je isoleren?(Vereist) Spouwmuur na-isoleren (isolatie in de muur verbeteren) Vloer isoleren Dak isoleren Wat wil je isoleren?(Vereist) Spouwmuur na-isoleren (isolatie in de muur verbeteren) Dak isoleren Wat wil je isoleren?(Vereist) De buitenkant van mijn muur Dak isoleren Soort dak(Vereist) Schuin dak Plat dak ADRESGEGEVENS Wij vragen je adresgegevens zodat wij specialisten kunnen vinden die werkzaam zijn in je regio. Postcode(Vereist) Huisnummer(Vereist) Woonplaats Straatnaam CONTACTGEGEVENS Aanhef(Vereist) Meneer Mevrouw Voornaam(Vereist) Achternaam(Vereist) Telefoon(Vereist) Je telefoonnummer wordt uitsluitend gedeeld met bedrijven die we matchen aan jouw project. We sturen je een SMS om je nummer te verifiëren. E-mailadres(Vereist) WAAROM MIJNWOONCOMFORT.NL * BINNEN 1 MINUUT GEREGELD * VRIJBLIJVENDE OFFERTES * BETROUWBARE VAKMENSEN * DE BESTE PRIJS Meldingen