www.jouw-mening.be
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urlscan Pro
2600:9000:2057:ba00:d:820c:9940:93a1
Public Scan
Submitted URL: https://echo7.bluehornet.com/ct/60979131:JIvA1AVNE:m:1:3002189222:4288B7E6A9449674F118E4081DDF504A:r
Effective URL: https://www.jouw-mening.be/nl/signup?id=hkf0kzjsqvzuhor&offer_id=8988&aff_id=1412&aff_sub=472589&transaction_id=1028ba26db2...
Submission: On August 12 via api from BE — Scanned from DE
Effective URL: https://www.jouw-mening.be/nl/signup?id=hkf0kzjsqvzuhor&offer_id=8988&aff_id=1412&aff_sub=472589&transaction_id=1028ba26db2...
Submission: On August 12 via api from BE — Scanned from DE
Form analysis 1 forms found in the DOM
Name: ff.form —
<form name="ff.form" ng-submit="ff.submit()" novalidate="" autocomplete="off" class="ng-pristine ng-valid-pattern ng-invalid ng-invalid-required ng-valid-email ng-valid-match">
<!-- Prevent autocompletes -->
<input type="password" style="display: none">
<ng-transclude>
<div class="twoColumns ng-scope">
<div class="col-1">
<div class="form-description ng-scope" form-group-desc="">
<div ng-bind-html="$root.unsafeHTML(ff.getActiveGroup().description)" class="ng-binding">
<style>
.imageContainer a:nth-child(1) {
display: none !important;
}
.securityLogos {
display: none !important;
}
h2 {
padding-bottom: 8px;
}
.btn,
.button {
font-weight: 600;
}
</style>
<h2>Twee korte stappen tussen u en uw eerste enquête!</h2>
<p>We hebben enkele basisgegevens nodig om aan de slag te gaan.</p>
</div>
</div>
<div style="margin-bottom: 30px; margin-top: 30px; text-align: center">
<div prefix="Aanmelden met"></div>
</div>
<div class="form-description" ng-bind-html-recompile="vm.campaignTranslations.offer"></div>
<!-- ngIf: vm.campaignTranslations -->
<div ng-if="vm.campaignTranslations" class="terms-link ng-scope">
<a href="" ng-click="vm.createTermsModal()" class="ng-binding"></a>
</div><!-- end ngIf: vm.campaignTranslations -->
</div>
<div class="col-2">
<div form-steps="" class="ng-scope">
<div class="reg-steps">
<ul class="steps">
<!-- ngRepeat: group in ff.groups -->
<li ng-repeat="group in ff.groups" ng-class="{ active: ff.activeGroupIndex === $index }" class="ng-scope active">
<span class="step-label"><b class="ng-binding">1</b></span>
<span class="step-text ng-binding">Uw Gegevens</span>
</li><!-- end ngRepeat: group in ff.groups -->
<li ng-repeat="group in ff.groups" ng-class="{ active: ff.activeGroupIndex === $index }" class="ng-scope">
<span class="step-label"><b class="ng-binding">2</b></span>
<span class="step-text ng-binding">Afsluiten</span>
</li><!-- end ngRepeat: group in ff.groups -->
</ul>
</div>
</div>
<div form-elements="" class="ng-scope"><!-- ngIf: ff.formCannotLoad -->
<!-- ngIf: !ff.formCannotLoad -->
<div cg-busy="ff.isLoadingPromise" ng-if="!ff.formCannotLoad" class="ng-scope" style="position: relative;">
<!-- Global Errors -->
<div class="form-type1-row field-global-errors ng-hide ng-inactive" ng-show="ff.hasGlobalErrors()" ng-messages="" for="ff.globalErrors">
<span class="fa fa-exclamation-circle field-global-error-icon" aria-hidden="true"></span>
<!-- ngMessagesInclude: v-error-messages --><!-- ngMessage: birthDate -->
<!-- ngMessage: required -->
<!-- ngMessage: number -->
<!-- ngMessage: date -->
<!-- ngMessage: email -->
<!-- ngMessage: pattern -->
<!-- ngMessage: emailMatch -->
<!-- ngMessage: existingPostalCode -->
<!-- ngMessage: passwordMatch -->
<!-- ngMessage: uniqueEmail -->
<!-- ngMessage: alternateEmailNotMatchPrimary -->
<!-- ngMessage: error_ageMin -->
<!-- ngMessage: error_requiredDataMissing -->
<!-- ngMessage: error_brandNotExist -->
<!-- ngMessage: error_consentNotGiven -->
<!-- ngMessage: error_captcha -->
<!-- ngMessage: error_emailExist -->
<!-- ngMessage: error_enrollmentSuspended -->
<!-- ngMessage: error_generalError -->
<!-- ngMessage: error_invalidCaptcha -->
<!-- ngMessage: error_inactivePanel -->
<!-- ngMessage: error_invalidCredentials -->
<!-- ngMessage: error_invalidToken -->
<!-- ngMessage: error_mobileNotVerified -->
<!-- ngMessage: error_panelNotExist -->
<!-- ngMessage: error_passwordNotMatch -->
<!-- ngMessage: error_invalidValue -->
<!-- ngMessage: error_passwordRequirementFail -->
<!-- ngMessage: error_postalCode -->
<!-- ngMessage: error_unexpectedError -->
<!-- ngMessage: error_userDeleted -->
<!-- ngMessage: error_userLocked -->
<!-- ngMessage: error_userNotFound -->
<!-- ngMessage: error_resourceNotFound -->
<!-- ngMessage: error_taxFormRequired -->
<!-- ngMessage: error_resourceDoesNotExist -->
<!-- ngMessage: error_wrongAnswer -->
<!-- ngMessage: error_wrongPassword -->
<!-- ngMessage: error_matchCurrentPassword -->
<!-- ngMessage: error_noVouchersAvailable -->
<!-- ngMessage: error_exceeded_points_per_time -->
<!-- ngMessage: error_exceeded_awards_at_once -->
<!-- ngMessage: error_exceeded_redemptions_per_time -->
<!-- ngMessage: error_exceeded_redemptions_per_time_per_reward -->
<!-- ngMessage: minlength -->
</div>
<!-- Formly Form Elements -->
<ng-form class="form-type1 formly ng-pristine ng-valid ng-isolate-scope" name="formly_1" role="form" form="ff.form" ng-show="ff.formReady" model="ff.model" fields="ff.formFields">
<!-- ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-name" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index">
<div class="form-type1-row ng-scope">
<!-- Error Handling for First Name -->
<label class="form-type1-title" for="firstName">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.model.firstName.label)" class="ng-binding">Voornaam</span>
<!-- ngIf: form.$submitted || !form.firstName.$pristine -->
<!-- ngIf: form.firstName.$valid && form.firstName.$dirty && !form.firstName.$pristine -->
<!-- ngIf: form.firstName.$pending && form.firstName.$dirty -->
</label>
<input pattern=".*" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-empty ng-valid-pattern ng-invalid ng-invalid-required" type="text" name="firstName" id="firstName"
ng-required="options.templateOptions.model.firstName.required" ng-model="options.model.firstName" ng-model-options="{debounce: 700}" placeholder="" formly-custom-validation="" required="required">
<!-- ngIf: options.templateOptions.model.firstName.supportingText -->
</div>
<div class="form-type1-row ng-scope">
<!-- Error Handling for Last Name -->
<label class="form-type1-title" for="lastName">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.model.lastName.label)" class="ng-binding">Familienaam</span>
<!-- ngIf: form.$submitted || !form.lastName.$pristine -->
<!-- ngIf: form.lastName.$valid && form.lastName.$dirty && !form.lastName.$pristine -->
<!-- ngIf: form.lastName.$pending && form.lastName.$dirty -->
</label>
<input pattern=".*" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-empty ng-valid-pattern ng-invalid ng-invalid-required" type="text" name="lastName" id="lastName"
ng-required="options.templateOptions.model.lastName.required" ng-model="options.model.lastName" ng-model-options="{debounce: 700}" placeholder="" formly-custom-validation="" required="required">
<!-- ngIf: options.templateOptions.model.lastName.supportingText -->
</div>
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-select" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index"><!-- ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div class="form-type1-row ng-scope" ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" ng-init="field = def.__key">
<!-- Error Handling -->
<label class="form-type1-title" for="gender">
<span ng-bind-html="$root.unsafeHTML(def.label)" class="ng-binding">Geslacht</span>
<!-- ngIf: form.$submitted || !form[field].$pristine -->
<!-- ngIf: form[field].$valid && form[field].$dirty && !form[field].$pristine -->
<!-- ngIf: form[field].$pending && form[field].$dirty -->
</label>
<select class="form-type1-select ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required" name="gender" id="gender" ng-model="options.model[field]" ng-required="true" formly-custom-validation="" required="required">
<option value="" selected="" disabled="" style="display:none" class="ng-binding">Maak een keuze:</option>
<!-- ngRepeat: option in def.values track by $index -->
<option value="M" ng-repeat="option in def.values track by $index" class="ng-binding ng-scope">Mannelijk</option><!-- end ngRepeat: option in def.values track by $index -->
<option value="F" ng-repeat="option in def.values track by $index" class="ng-binding ng-scope">Vrouwelijk</option><!-- end ngRepeat: option in def.values track by $index -->
</select>
<!-- ngIf: def.supportingText -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-birthDate" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index">
<div class="form-type1-row ng-scope">
<!-- Error Handling -->
<label class="form-type1-title">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.label)" class="ng-binding">Geboortedatum</span>
<span class="field-errors">
<!-- ngIf: form.$submitted || (!form.month.$pristine && !form.day.$pristine && !form.year.$pristine) -->
<!-- ngIf: birthDateField.complete && birthDateField.validDob && birthDateField.minAge -->
</span>
</label>
<div class="form-type1-inline-date">
<!-- ngRepeat: key in ['day', 'month', 'year'] --><select ng-repeat="key in ['day', 'month', 'year']" class="form-type1-select day ng-empty ng-invalid ng-invalid-required" name="day" id="day" ng-change="validateBirthDate()"
ng-model="birthDateField[key]" ng-required="true" formly-custom-validation="" required="required">
<option value="" selected="" disabled="" style="display:none" class="ng-binding">dag</option>
<!-- ngRepeat: option in dateOptions[key] track by $index -->
<option value="01" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">01</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="02" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">02</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="03" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">03</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="04" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">04</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="05" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">05</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="06" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">06</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="07" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">07</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="08" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">08</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="09" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">09</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="10" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">10</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="11" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">11</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="12" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">12</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="13" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">13</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="14" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">14</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="15" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">15</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="16" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">16</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="17" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">17</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="18" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">18</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="19" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">19</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="20" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">20</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="21" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">21</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="22" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">22</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="23" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">23</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="24" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">24</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="25" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">25</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="26" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">26</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="27" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">27</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="28" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">28</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="29" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">29</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="30" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">30</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="31" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">31</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
</select><!-- end ngRepeat: key in ['day', 'month', 'year'] --><select ng-repeat="key in ['day', 'month', 'year']" class="form-type1-select month ng-empty ng-invalid ng-invalid-required" name="month" id="month"
ng-change="validateBirthDate()" ng-model="birthDateField[key]" ng-required="true" formly-custom-validation="" required="required">
<option value="" selected="" disabled="" style="display:none" class="ng-binding">Maand</option>
<!-- ngRepeat: option in dateOptions[key] track by $index -->
<option value="01" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">01</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="02" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">02</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="03" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">03</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="04" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">04</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="05" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">05</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="06" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">06</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="07" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">07</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="08" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">08</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="09" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">09</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="10" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">10</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="11" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">11</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="12" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">12</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
</select><!-- end ngRepeat: key in ['day', 'month', 'year'] --><select ng-repeat="key in ['day', 'month', 'year']" class="form-type1-select year ng-empty ng-invalid ng-invalid-required" name="year" id="year"
ng-change="validateBirthDate()" ng-model="birthDateField[key]" ng-required="true" formly-custom-validation="" required="required">
<option value="" selected="" disabled="" style="display:none" class="ng-binding">Jaar</option>
<!-- ngRepeat: option in dateOptions[key] track by $index -->
<option value="2022" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2022</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2021" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2021</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2020" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2020</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2019" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2019</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2018" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2018</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2017" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2017</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2016" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2016</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2015" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2015</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2014" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2014</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2013" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2013</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2012" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2012</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2011" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2011</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2010" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2010</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2009" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2009</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2008" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2008</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2007" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2007</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2006" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2006</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2005" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2005</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2004" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2004</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2003" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2003</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2002" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2002</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2001" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2001</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2000" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2000</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1999" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1999</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1998" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1998</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1997" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1997</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1996" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1996</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1995" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1995</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1994" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1994</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1993" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1993</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1992" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1992</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1991" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1991</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1990" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1990</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1989" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1989</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1988" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1988</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1987" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1987</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1986" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1986</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1985" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1985</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1984" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1984</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1983" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1983</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1982" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1982</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1981" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1981</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1980" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1980</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1979" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1979</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1978" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1978</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1977" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1977</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1976" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1976</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1975" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1975</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1974" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1974</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1973" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1973</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1972" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1972</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1971" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1971</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1970" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1970</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1969" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1969</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1968" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1968</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1967" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1967</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1966" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1966</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1965" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1965</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1964" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1964</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1963" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1963</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1962" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1962</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1961" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1961</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1960" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1960</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1959" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1959</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1958" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1958</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1957" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1957</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1956" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1956</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1955" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1955</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1954" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1954</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1953" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1953</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1952" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1952</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1951" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1951</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1950" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1950</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1949" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1949</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1948" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1948</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1947" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1947</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1946" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1946</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1945" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1945</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1944" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1944</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1943" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1943</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1942" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1942</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1941" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1941</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1940" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1940</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1939" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1939</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1938" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1938</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1937" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1937</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1936" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1936</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1935" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1935</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1934" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1934</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1933" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1933</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1932" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1932</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1931" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1931</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1930" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1930</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1929" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1929</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1928" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1928</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1927" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1927</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1926" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1926</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1925" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1925</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1924" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1924</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1923" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1923</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1922" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1922</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
</select><!-- end ngRepeat: key in ['day', 'month', 'year'] -->
</div>
<!-- ngIf: options.templateOptions.model.birthDate.supportingText -->
</div>
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-postal" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index"><!-- ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" class="ng-scope">
<!-- ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
<div class="form-type1-row ng-scope" ng-init="field = def.__key" ng-if="(def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text'">
<!-- Error Handling -->
<label class="form-type1-title" for="200">
<span ng-bind-html="$root.unsafeHTML(def.label)" class="ng-binding">Wat is uw postcode?</span>
<!-- ngIf: form.$submitted || !form[field].$pristine -->
<!-- ngIf: form[field].$valid && form[field].$dirty && !form[field].$pristine -->
<!-- ngIf: form[field].$pending && form[field].$dirty -->
</label>
<!-- ngIf: def.inputType === 'postal' --><input ng-if="def.inputType === 'postal'" data-postalcode-check="1" autocomplete="off"
class="form-type1-text one-third ng-pristine ng-untouched ng-scope ng-isolate-scope ng-empty ng-invalid ng-invalid-required ng-valid-pattern" type="text" name="200" id="200" custom-validation="customValidation"
ng-disabled="def.readOnly" ng-required="def.required" ng-pattern="^([0-9]{4})$" ng-model="postalTemp" ng-model-options="{debounce: 700}" placeholder="" formly-custom-validation=""
required="required"><!-- end ngIf: def.inputType === 'postal' -->
<!-- ngIf: def.inputType === 'text' -->
<!-- ngIf: def.inputType === 'select' && def.values.length > 0 -->
<!-- ngIf: def.supportingText -->
</div><!-- end ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" class="ng-scope">
<!-- ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" class="ng-scope">
<!-- ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-confirmEmail" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index">
<div class="form-type1-row ng-scope">
<!-- Error Handling for Email -->
<label class="form-type1-title" for="email">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.model.email.label)" class="ng-binding">E-mail</span>
<!-- ngIf: form.$submitted || !form.email.$pristine -->
<!-- ngIf: form.email.$valid && form.email.$dirty && !form.email.$pristine -->
<!-- ngIf: form.email.$pending && form.email.$dirty -->
</label>
<input pattern="^\w+([-+.']\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*$" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-isolate-scope ng-empty ng-valid-email ng-valid-pattern ng-invalid ng-invalid-required"
type="email" name="email" id="email" ng-disabled="options.templateOptions.model.email.readOnly" ng-required="options.templateOptions.model.email.required" ng-model="options.model.email" ng-model-options="{debounce: 700}"
placeholder="" custom-email="^\w+([-+.']\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*$" formly-custom-validation="" required="required">
<!-- ngIf: options.templateOptions.model.email.supportingText -->
</div>
<div class="form-type1-row ng-scope">
<!-- Error Handling for Confirm Email -->
<label class="form-type1-title" for="confirmEmail">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.model.confirmEmail.label)" class="ng-binding">E-mailadres bevestigen</span>
<!-- ngIf: form.$submitted || !form.confirmEmail.$pristine -->
<!-- ngIf: form.confirmEmail.$valid && form.confirmEmail.$dirty && !form.confirmEmail.$pristine -->
<span ng-show="form.confirmEmail.$pending && form.confirmEmail.$dirty" class="ng-hide">
<i class="fa fa-spin fa-circle-o-notch" aria-hidden="true"></i>
</span>
</label>
<input pattern="" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-isolate-scope ng-empty ng-valid-pattern ng-invalid ng-invalid-required ng-valid-match" type="text" name="confirmEmail" id="confirmEmail"
ng-disabled="options.templateOptions.model.confirmEmail.readOnly" ng-required="options.templateOptions.model.confirmEmail.required" ng-model="options.model.confirmEmail" ng-model-options="{debounce: 700}" placeholder=""
field-match="options.model.email" field-message-name="match" formly-custom-validation="" required="required" data-exclude="1">
<!-- ngIf: options.templateOptions.model.emailConfirm.supportingText -->
</div>
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-passwordConfirm" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index">
<div class="form-type1-row ng-scope">
<!-- Error Handling for Password -->
<label class="form-type1-title" for="password">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.model.password.label)" class="ng-binding">Wachtwoord</span>
<!-- ngIf: form.$submitted || !form.password.$pristine -->
<!-- ngIf: form.password.$valid && form.password.$dirty && !form.password.$pristine -->
<!-- ngIf: form.password.$pending && form.password.$dirty -->
</label>
<input pattern="^(?=.*\d)(?=.*[^\d]).{8,100}$" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-empty ng-valid-pattern ng-invalid ng-invalid-required" type="password" name="password" id="password"
ng-disabled="options.templateOptions.model.password.readOnly" ng-required="options.templateOptions.model.password.required" ng-model="options.model.password" ng-model-options="{debounce: 700}" placeholder=""
custom-password="^(?=.*\d)(?=.*[^\d]).{8,100}$" formly-custom-validation="" required="required">
<!-- ngIf: options.templateOptions.model.password.supportingText -->
<div class="form-help-text ng-binding ng-scope" ng-if="options.templateOptions.model.password.supportingText" ng-bind-html="$root.unsafeHTML(options.templateOptions.model.password.supportingText)">U dient ten minste 8 tekens in te
geven waarbij minstens een (1) letter en een (1) cijfer.</div><!-- end ngIf: options.templateOptions.model.password.supportingText -->
</div>
<div class="form-type1-row ng-scope">
<!-- Error Handling for Confirm Password -->
<label class="form-type1-title" for="confirmPassword">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.model.confirmPassword.label)" class="ng-binding">Wachtwoord bevestigen</span>
<!-- ngIf: form.$submitted || !form.confirmPassword.$pristine -->
<!-- ngIf: form.confirmPassword.$valid && form.confirmPassword.$dirty && !form.confirmPassword.$pristine -->
<!-- ngIf: form.confirmPassword.$pending && form.confirmPassword.$dirty -->
</label>
<input pattern="" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-isolate-scope ng-empty ng-valid-pattern ng-invalid ng-invalid-required ng-valid-match" type="password" name="confirmPassword"
id="confirmPassword" ng-disabled="options.templateOptions.model.confirmPassword.readOnly" ng-required="options.templateOptions.model.confirmPassword.required" ng-model="options.model.confirmPassword"
ng-model-options="{debounce: 700}" placeholder="" field-match="options.model.password" field-message-name="match" formly-custom-validation="" required="required">
<!-- ngIf: options.templateOptions.model.confirmPassword.supportingText -->
</div>
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-recaptcha" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index">
<div class="form-type1-row ng-scope">
<!-- Error Handling -->
<label class="form-type1-title" for="recaptcha">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.model[options.key].label)" class="ng-binding">Geef de onderstaande CAPTCHA in a.u.b.</span>
<!-- ngIf: form.$submitted || !form[options.key].$pristine -->
<!-- ngIf: form[options.key].$valid && form[options.key].$dirty && !form[options.key].$pristine -->
<!-- ngIf: form[options.key].$pending && form[options.key].$dirty -->
</label>
<input type="hidden" name="recaptcha" ng-model="options.model[options.key]" id="ff.form_recaptcha_recaptcha_6" formly-custom-validation="" class="ng-pristine ng-untouched ng-valid ng-empty">
<div class="form-type1-row">
<div class="g-recaptcha" id="recaptcha_1660316780795">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcLxwMTAAAAAC7dz-plX055g19vhvY6J7Pvy1qs&co=aHR0cHM6Ly93d3cuam91dy1tZW5pbmcuYmU6NDQz&hl=nl&v=gWN_U6xTIPevg0vuq7g1hct0&size=normal&cb=j7hz5527w7ix"
width="304" height="78" role="presentation" name="a-1zjo6qgizrok" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</div>
<!-- ngIf: options.templateOptions.model[options.key].supportingText -->
</div>
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-consent" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index"><!-- Consent -->
<!-- ngRepeat: (parameterId, parameter) in parameters[0] -->
<div class="parameter-rendered ng-scope checkbox_grid" ng-repeat="(parameterId, parameter) in parameters[0]" ng-class="getParameterClass(parameter)">
<div class="field-errors ng-hide" ng-show="!isValidAnswerValue(parameter, options.model[parameterId]) && !isValidForm">
<span class="ng-binding">* Kies één van de volgende antwoorden.</span>
</div>
<!-- ngIf: parameter.values.length > 0 -->
<div class="questionAndAnswerWrap ng-scope" ng-if="parameter.values.length > 0">
<div class="answers">
<!-- ngIf: hasParameterClass('checkbox_grid', parameter) -->
<div ng-if="hasParameterClass('checkbox_grid', parameter)" class="ng-scope">
<div class="answer first" ng-class="{'first':$index === 0}">
<div class="answer-wrapper">
<label for="sstb_85_">
<input autocomplete="off" id="sstb_85_" class="multi_select ng-pristine ng-untouched ng-valid ng-empty ng-valid-required" type="checkbox" ng-disabled="isAnswerDisabled(parameter, answer)"
ng-model="options.model[parameter.parameterId]" ng-required="false" ng-true-value="'296151'" ng-false-value="'296153'" name="ff.form_consent_85_7" formly-custom-validation="">
<span ng-bind-html="sanitizeHtml(parameter.label)" class="ng-binding">Ik ga akkoord met het verzamelen, gebruiken en delen van de profielgegevens die ik opgeef, zodat ik deel kan nemen aan dit martktonderzoek</span>
</label>
</div>
</div>
</div><!-- end ngIf: hasParameterClass('checkbox_grid', parameter) -->
</div>
</div><!-- end ngIf: parameter.values.length > 0 -->
</div><!-- end ngRepeat: (parameterId, parameter) in parameters[0] -->
<div class="parameter-rendered ng-scope checkbox_grid" ng-repeat="(parameterId, parameter) in parameters[0]" ng-class="getParameterClass(parameter)">
<div class="field-errors ng-hide" ng-show="!isValidAnswerValue(parameter, options.model[parameterId]) && !isValidForm">
<span class="ng-binding">* Kies één van de volgende antwoorden.</span>
</div>
<!-- ngIf: parameter.values.length > 0 -->
<div class="questionAndAnswerWrap ng-scope" ng-if="parameter.values.length > 0">
<div class="answers">
<!-- ngIf: hasParameterClass('checkbox_grid', parameter) -->
<div ng-if="hasParameterClass('checkbox_grid', parameter)" class="ng-scope">
<div class="answer" ng-class="{'first':$index === 0}">
<div class="answer-wrapper">
<label for="sstb_86_">
<input autocomplete="off" id="sstb_86_" class="multi_select ng-pristine ng-untouched ng-valid ng-empty ng-valid-required" type="checkbox" ng-disabled="isAnswerDisabled(parameter, answer)"
ng-model="options.model[parameter.parameterId]" ng-required="false" ng-true-value="'296151'" ng-false-value="'296153'" name="ff.form_consent_85_7" formly-custom-validation="">
<span ng-bind-html="sanitizeHtml(parameter.label)" class="ng-binding">Ik heb het <a href="https://www.jouw-mening.be/privacy" target="_blank">
Privacybeleid gelezen
</a> , begrepen en akkoord bevonden.</span>
</label>
</div>
</div>
</div><!-- end ngIf: hasParameterClass('checkbox_grid', parameter) -->
</div>
</div><!-- end ngIf: parameter.values.length > 0 -->
</div><!-- end ngRepeat: (parameterId, parameter) in parameters[0] -->
<div class="parameter-rendered ng-scope checkbox_grid" ng-repeat="(parameterId, parameter) in parameters[0]" ng-class="getParameterClass(parameter)">
<div class="field-errors ng-hide" ng-show="!isValidAnswerValue(parameter, options.model[parameterId]) && !isValidForm">
<span class="ng-binding">* Kies één van de volgende antwoorden.</span>
</div>
<!-- ngIf: parameter.values.length > 0 -->
<div class="questionAndAnswerWrap ng-scope" ng-if="parameter.values.length > 0">
<div class="answers">
<!-- ngIf: hasParameterClass('checkbox_grid', parameter) -->
<div ng-if="hasParameterClass('checkbox_grid', parameter)" class="ng-scope">
<div class="answer" ng-class="{'first':$index === 0}">
<div class="answer-wrapper">
<label for="sstb_87_">
<input autocomplete="off" id="sstb_87_" class="multi_select ng-pristine ng-untouched ng-valid ng-empty ng-valid-required" type="checkbox" ng-disabled="isAnswerDisabled(parameter, answer)"
ng-model="options.model[parameter.parameterId]" ng-required="false" ng-true-value="'296151'" ng-false-value="'296153'" name="ff.form_consent_85_7" formly-custom-validation="">
<span ng-bind-html="sanitizeHtml(parameter.label)" class="ng-binding">Ik heb de <a href="https://www.jouw-mening.be/terms" target="_blank">Algemene Voorwaarden</a>, begrepen en akkoord bevonden. Ik begrijp dat ik e-mails
zal ontvangen over relevante enquêtes en updates van het lidmaatschap als ik gebruik wil maken van de dienst.</span>
</label>
</div>
</div>
</div><!-- end ngIf: hasParameterClass('checkbox_grid', parameter) -->
</div>
</div><!-- end ngIf: parameter.values.length > 0 -->
</div><!-- end ngRepeat: (parameterId, parameter) in parameters[0] -->
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields -->
<div ng-transclude="" class=""></div>
</ng-form>
<!-- Submit Actions -->
<!-- ngIf: ff.formReady && ff.flareFormsShowSubmit -->
<div class="form-type1-row form-type1-actions ng-scope" ng-if="ff.formReady && ff.flareFormsShowSubmit">
<button type="submit" ng-class="{ valid: ff.form.$valid }" class="button button-yellow buttonSecondary button-medium submit">
<span class="ng-binding">Volgende stap</span>
</button>
<span ng-show="vm.submitStatus === 'pending'" class="ng-hide">
<i class="fa fa-spin fa-circle-o-notch" aria-hidden="true"></i>
</span>
<span class="field-errors ng-binding ng-hide" ng-show="ff.form.$invalid && ff.form.$submitted"> Het formulier bevat fouten </span>
</div><!-- end ngIf: ff.formReady && ff.flareFormsShowSubmit -->
<div class="cg-busy cg-busy-backdrop cg-busy-backdrop-animation ng-scope ng-hide" ng-show="$cgBusyIsActive()"></div>
<div class="cg-busy cg-busy-animation ng-scope ng-hide" ng-show="$cgBusyIsActive()">
<div class="cg-busy-default-wrapper" style="position: absolute; inset: 0px;">
<div class="cg-busy-default-sign">
<div class="cg-busy-default-spinner">
<div class="bar1"></div>
<div class="bar2"></div>
<div class="bar3"></div>
<div class="bar4"></div>
<div class="bar5"></div>
<div class="bar6"></div>
<div class="bar7"></div>
<div class="bar8"></div>
<div class="bar9"></div>
<div class="bar10"></div>
<div class="bar11"></div>
<div class="bar12"></div>
</div>
<div class="cg-busy-default-text ng-binding">Wordt geladen...</div>
</div>
</div>
</div>
</div><!-- end ngIf: !ff.formCannotLoad -->
</div>
</div>
</div>
</ng-transclude>
<input type="hidden" name="ra_1" id="ra_1" style="width:1200px" value="8deb4297-bb6d-4ed8-a851-34bddddbb888"><input type="hidden" name="ra_2" id="ra_2" style="width:1200px" value="8c7da52f-bd6e-45c4-961c-5f4ac56addb4"><input type="hidden"
name="ra_3" id="ra_3" style="width:1200px" value="9a2b0080-89a6-6941-8b41-8ec8fcce9dd3"><label for="ra__493588" aria-hidden="true"
style="display: inline-block !important; height: 0 !important; width: 0 !important; border: 0 !important; padding: 0 !important; margin: 0 !important" tabindex="-1"></label><input type="text" id="ra__493588" data-exclude="1"
style="height: 0 !important; width: 0 !important; border: 0 !important; padding: 0 !important; margin: 0 !important" tabindex="-1">
</form>Text Content
U BENT AL GEREGISTREERD Hallo , Het e-mailadres is reeds geregistreerd en uw account is klaar voor gebruik. Als u uw wachtwoord opnieuw wilt instellen en uw deelname wilt hervatten, klik dan hier om uw wachtwoord opnieuw in te stellen. Dank u voor uw belangstelling! We kunnen uw registratie op dit moment niet aanvaarden. Algemene voorwaarden TWEE KORTE STAPPEN TUSSEN U EN UW EERSTE ENQUÊTE! We hebben enkele basisgegevens nodig om aan de slag te gaan. * 1 Uw Gegevens * 2 Afsluiten Voornaam Familienaam Geslacht Maak een keuze: MannelijkVrouwelijk Geboortedatum dag 01020304050607080910111213141516171819202122232425262728293031 Maand 010203040506070809101112 Jaar 20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922 Wat is uw postcode? E-mail E-mailadres bevestigen Wachtwoord U dient ten minste 8 tekens in te geven waarbij minstens een (1) letter en een (1) cijfer. Wachtwoord bevestigen Geef de onderstaande CAPTCHA in a.u.b. * Kies één van de volgende antwoorden. Ik ga akkoord met het verzamelen, gebruiken en delen van de profielgegevens die ik opgeef, zodat ik deel kan nemen aan dit martktonderzoek * Kies één van de volgende antwoorden. Ik heb het Privacybeleid gelezen , begrepen en akkoord bevonden. * Kies één van de volgende antwoorden. Ik heb de Algemene Voorwaarden, begrepen en akkoord bevonden. Ik begrijp dat ik e-mails zal ontvangen over relevante enquêtes en updates van het lidmaatschap als ik gebruik wil maken van de dienst. Volgende stap Het formulier bevat fouten Wordt geladen... Help Over ons Partners Algemene voorwaarden Juridisch Privacy ©2022 Jouw Mening. Jouw Mening is een handelsmerk van Dynata Global UK Limited (f/k/a Research Now Limited). Nederlands * Français * Nederlands Zo te zien hebt u JavaScript uitgeschakeld. Deze pagina werkt alleen als u JavaScript hebt ingeschakeld. Ga naar http://enable-javascript.com/ voor meer informatie. x Wij hebben uw toestemming nodig om verder te gaan Onze website gebruikt cookies en andere technologieën van onszelf en die van derden zodat we kunnen onthouden wie u bent, begrijpen hoe u onze website en enquêtes gebruikt en om fraude te voorkomen. Bovendien gebruiken en lezen externe partners cookies en soortgelijke technologieën via onze website om een beter begrip te krijgen van uw internetactiviteiten als onderdeel van het doeltreffendheidsprogramma voor het tracken van internetreclame. Als deelnemer aan het programma, plaatsen of lezen onze externe partners een cookie of soortgelijke technologie in uw browser waardoor wij in staat zijn om u enquêtes toe te sturen met betrekking tot de advertenties die tijdens uw internetactiviteiten getoond worden. Kennisgeving inzake cookiesGa voor een volledige lijst met bedrijven die deze technologieën gebruiken of om te bepalen of zij wel of niet op uw apparaat gebruikt kunnen worden naar onze Kennisgeving inzake cookies. U zult deze waarschuwing slechts eenmaal te zien krijgen, maar u hebt altijd de mogelijkheid om uw voorkeuren in te stellen in de Cookietoestemming-tool. Wanneer u beslist om naar onze website te gaan, zullen de bedrijven die vermeld staan in de Cookietoestemming-tool, cookies en andere technologieën gebruiken. Ga akkoord en betreed de website Privacyregeling door Evidon, Inc.