survey.alchemer.eu Open in urlscan Pro
18.245.86.114  Public Scan

Form analysis
1 forms found in the DOM

POST /s3/90339192/nl-be-installation-intake

<form action="/s3/90339192/nl-be-installation-intake" method="post" enctype="multipart/form-data" class="sg-survey-form" id="sg_FormFor90339192" novalidate="">
  <div class="sg-hidden-inputs"><input type="hidden" name="sg_navchoice" id="sg_navchoice" value=""><input type="hidden" name="sg_currentpageid" id="sg_currentpageid" value="50"><input type="hidden" name="sg_surveyident" id="sg_surveyident"
      value="90339192"><input type="hidden" name="sg_sessionid" id="sg_sessionid" value="1713960954_6628f7fa7ad471.81539121"><input type="hidden" name="sg_high_contrast" id="sg_high_contrast" value=""><input type="hidden" name="sg_cint_panelist"
      id="sg_cint_panelist" value=""><input id="sg_referer" type="hidden" name="sg_referer" value=""><input type="hidden" name="sg_interactionlevel" id="sg_interactionlevel" value="1"><input type="hidden" name="sg_interactionlevel_sig"
      id="sg_interactionlevel_sig" value="origin-1"><input type="hidden" name="sgf78d3c60410d6b5bd5babbb38e6403ba" id="sgf78d3c60410d6b5bd5babbb38e6403ba" value="2813913045">
    <script>
      window["Fingerprint"] && (document.getElementById("sgf78d3c60410d6b5bd5babbb38e6403ba").value = new Fingerprint({
        canvas: true
      }).get());
    </script>
  </div>
  <div class="sg-wrapper">
    <div class="sg-header">
      <div class="sg-header-hook-1"></div>
      <img class="sg-header-image" src="https://widgixeu-library.s3.amazonaws.com/library/90024400/SRLOGO.png" alt="">
      <h1 class="sg-title" tabindex="0"><span>BE KBC installation intake</span></h1>
      <div class="sg-header-hook-2"></div>
    </div>
    <div class="sg-content" id="sg-skipnav-target">
      <div class="sg-content-hook-1"></div>
      <h2 class="sg-page-title" role="heading" tabindex="0">Voordat we beginnen!</h2>
      <div class="sg-page-description" tabindex="0">De online installatie intake zou gemakkelijk moeten zijn om in te vullen. Desondanks raden we u toch aan om goed voorbereid te zijn voordat u begint.<br><br> Zodra u alle informatie van tevoren hebt
        verzameld, verwachten we dat de online intake zo ongeveer 10 minuten duurt om te doorlopen.<br><br> &nbsp;</div>
      <div class="sg-question-set">
        <script id="sgE-90339192-50-101-box" type="text/javascript">
          $(document).ready(function() {
            $('#sg_NextButton').val('Ik ben er klaar voor, start de online intake');
          });
        </script>
        <input class="" type="hidden" name="sgE-90339192-50-102" id="sgE-90339192-50-102-element" value="">
        <input class="" type="hidden" name="sgE-90339192-50-103" id="sgE-90339192-50-103-element" value="1713960954_6628f7fa7ad471.81539121">
      </div>
      <div class="sg-content-hook-2"></div>
      <div class="sg-footer">
        <div class="sg-footer-hook-1"></div>
        <div class="sg-button-bar"><input type="submit" class="sg-button sg-next-button" id="sg_NextButton" name="sGizmoNextButton" onclick="$SG('sg_navchoice').value='sGizmoNextButton';return(true);" aria-label="Volgende"
            value="Ik ben er klaar voor, start de online intake"></div>
        <div class="sg-progress-bar" role="progressbar" aria-valuemin="0" aria-valuemax="100" aria-valuenow="0">
          <div class="sg-progress-bar-text">0%</div>
          <div class="sg-progress-bar-background">
            <div class="sg-progress-bar-inner" style="width:0%;"></div>
          </div>
        </div>
        <div class="sg-footer-hook-2"></div>
      </div>
    </div>
  </div>
</form>

Text Content

We've detected that Javascript is not enabled. It is required for an optimal
survey taking experience.
Please check your browser's settings and make sure Javascript is turned on.
Learn how to enable Javascript.

Skip survey header


BE KBC INSTALLATION INTAKE




VOORDAT WE BEGINNEN!

De online installatie intake zou gemakkelijk moeten zijn om in te vullen.
Desondanks raden we u toch aan om goed voorbereid te zijn voordat u begint.

Zodra u alle informatie van tevoren hebt verzameld, verwachten we dat de online
intake zo ongeveer 10 minuten duurt om te doorlopen.

 


0%