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Form analysis 1 forms found in the DOM
Name: survey_197 — POST https://leadformulier.arsretailservice.nl/?survey=197
<form method="post" action="https://leadformulier.arsretailservice.nl/?survey=197" name="survey_197">
<div class="survey page_1" id="survey_197_page_1">
<div class="introduction-block">
<p class="introduction"></p>
<p>Heeft u interesse in één of meerdere Audi modellen of wilt u op de hoogte blijven van Audi nieuws, geef dit dan onderstaand door.</p>
<p></p>
</div>
<div class="question row" id="survey_197_question_1">
<div class="open">
<div class="number">1</div>
<div class="open_question_wrapper">
<div for="241b7ed7bcfda7db6a13c0aa5c51d48a" class="question_title">Naam</div>
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<div class="open">
<div class="number">2</div>
<div class="open_question_wrapper">
<div for="7888969dcafc5df60a8dc4e70db06fbc" class="question_title">E-mailadres</div>
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<div class="open">
<div class="number">3</div>
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<div for="1f835df99253d2deb4b56a86ae1ff323" class="question_title">Telefoonnummer</div>
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<div class="question row" id="survey_197_question_4">
<div class="multi">
<div class="number">4</div>
<div class="select multi_question">
<div class="question_title">Ik ontvang graag informatie over:</div>
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<li id="select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f6990" tabindex="0"><span><label><input type="checkbox" "=""><span>Audi e-tron</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f6991"
tabindex="0"><span><label><input type="checkbox" "=""><span>Audi e-tron S</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f6992" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi Q4 e-tron</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f6993" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi Q8 e-tron</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f6994" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi SQ8 e-tron</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f6995" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi e-tron GT</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f6996" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi RS e-tron GT</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f6997" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi A1</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f6998" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi A3</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f6999" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi S3</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f69910" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi RS 3</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f69911" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi A4</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f69912" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi RS 4</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f69913" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi A5</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f69914" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi A5 Cabriolet</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f69915" tabindex="0"><span><label><input
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type="checkbox" "=""><span>Audi A6</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f69918" tabindex="0"><span><label><input
type="checkbox" "=""><span>Audi RS 6</span></label></span></li><li id=" select-options-5f9303f8-2e88-ae59-57c5-aa0a5268f69919"
tabindex="0"><span><label><input type="checkbox" "=""><span>Audi A7</span></label></span></li><li id="
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TT Roadster</option>
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<div class="question row" id="survey_197_question_5">
<div class="multi">
<div class="number">5</div>
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<div class="question_title">Voorkeursdealer</div>
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<li id="select-options-f84a8c32-a6a3-68ec-b995-ea3a362092972" tabindex="0"><span>Audi Centrum Amsterdam</span></li>
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<option value="1a0eaa37f2b7693fb0d0d48a3c847b21" id="survey_197_question_5_option_20">Van Tilburg-Bastianen</option>
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<option value="6447c6e8b1e5db5f8f690d8bd49836b2" id="survey_197_question_5_option_22">Wittebrug</option>
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</div>
</div>
</div>
</div>
<div class="question row" id="survey_197_question_6">
<div class="multi">
<div class="number">6</div>
<div class="boxes multi_question">
<div class="question_title">Ik ontvang graag algemene Audi updates met en informatie over events</div>
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de Audi nieuwsbrief</span></label></div>
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