{"id":3444,"date":"2025-12-17T15:00:30","date_gmt":"2025-12-17T15:00:30","guid":{"rendered":"https:\/\/peersupportutrecht.nl\/?page_id=3444"},"modified":"2026-01-08T12:39:07","modified_gmt":"2026-01-08T12:39:07","slug":"afspraak-formulier","status":"publish","type":"page","link":"https:\/\/peersupportutrecht.nl\/index.php\/afspraak-formulier\/","title":{"rendered":"Afspraak inplannen"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3443-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"3443\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/3444#wpcf7-f3443-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3443\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.4\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3443-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_uacf7_hidden_conditional_fields\" value=\"\" \/>\n<\/fieldset>\n\t\t\t\t<style>\n\t\t\t\t\t.uacf7-uacf7style-3443 label {\n\t\t\t\t\t\tfont-style: normal;font-weight: normal;\t\t\t\t\t}\n\n\t\t\t\t\t.uacf7-uacf7style-3443 input[type=\"email\"],\n\t\t\t\t\t.uacf7-uacf7style-3443 input[type=\"number\"],\n\t\t\t\t\t.uacf7-uacf7style-3443 input[type=\"password\"],\n\t\t\t\t\t.uacf7-uacf7style-3443 input[type=\"search\"],\n\t\t\t\t\t.uacf7-uacf7style-3443 input[type=\"tel\"],\n\t\t\t\t\t.uacf7-uacf7style-3443 input[type=\"text\"],\n\t\t\t\t\t.uacf7-uacf7style-3443 input[type=\"url\"],\n\t\t\t\t\t.uacf7-uacf7style-3443 input[type=\"date\"],\n\t\t\t\t\t.uacf7-uacf7style-3443 input[type=\"radio\"],\n\t\t\t\t\t.uacf7-uacf7style-3443 input[type=\"checkbox\"],\n\t\t\t\t\t.uacf7-uacf7style-3443 select,\n\t\t\t\t\t.uacf7-uacf7style-3443 textarea {\n\t\t\t\t\t\tfont-style: normal;font-weight: normal;border-style: solid!important;\t\t\t\t\t}\n\n\t\t\t\t\t.uacf7-uacf7style-3443 .wpcf7-radio span,\n\t\t\t\t\t.uacf7-uacf7style-3443 .wpcf7-checkbox span {\n\t\t\t\t\t\tfont-style: normal;font-weight: normal;\t\t\t\t\t}\n\n\t\t\t\t\t.uacf7-uacf7style-3443 textarea {\n\t\t\t\t\t\t\t\t\t\t\t}\n\n\t\t\t\t\t.wpcf7-form-control-wrap select {\n\t\t\t\t\t\twidth: 100%;\n\t\t\t\t\t}\n\n\t\t\t\t\t.uacf7-uacf7style-3443 input[type=\"submit\"] {\n\t\t\t\t\t\tfont-style: normal;font-weight: normal;border-style: none;\t\t\t\t\t}\n\n\t\t\t\t\t.uacf7-uacf7style-3443 input[type=\"submit\"]:hover {\n\t\t\t\t\t\t\t\t\t\t\t}\n\n\t\t\t\t\t\/* === Contact Form 7 \u2013 Afspraakformulier === *\/\r\n\r\n.cf7-form-grid {\r\n  display: flex;\r\n  flex-direction: column;\r\n  gap: 20px;\r\n  max-width: 800px;\r\n  margin: 0 auto;\r\n  background-color: #fafafa;\r\n  padding: 30px;\r\n  border-radius: 10px;\r\n  box-shadow: 0 2px 10px rgba(0,0,0,0.05);\r\n}\r\n\r\n.cf7-form-grid .form-row {\r\n  display: grid;\r\n  grid-template-columns: repeat(2, 1fr);\r\n  gap: 20px;\r\n}\r\n\r\n\/* Volle breedte voor textarea, radiobuttons en verzendknop *\/\r\n.cf7-form-grid .form-row:has(textarea),\r\n.cf7-form-grid .form-row:has([type=\"radio\"]),\r\n.cf7-form-grid .verzendknop {\r\n  grid-template-columns: 1fr;\r\n}\r\n\r\n.cf7-form-grid label {\r\n  display: flex;\r\n  flex-direction: column;\r\n  font-weight: 600;\r\n  color: #134d56;\r\n}\r\n\r\n.cf7-form-grid input,\r\n.cf7-form-grid textarea,\r\n.cf7-form-grid select {\r\n  width: 100%;\r\n  padding: 10px 12px;\r\n  border: 1px solid #ccc;\r\n  border-radius: 6px;\r\n  font-size: 1.5rem;\r\n  box-sizing: border-box;\r\n  background-color: #fff;\r\n  transition: border-color 0.3s, box-shadow 0.3s;\r\n}\r\n\r\n.cf7-form-grid input:focus,\r\n.cf7-form-grid textarea:focus,\r\n.cf7-form-grid select:focus {\r\n  border-color: #0073aa;\r\n  box-shadow: 0 0 3px rgba(0,115,170,0.4);\r\n  outline: none;\r\n}\r\n\r\n\/* Radiobuttons *\/\r\n.cf7-form-grid .wpcf7-list-item {\r\n  margin-right: 20px;\r\n}\r\n.cf7-form-grid .wpcf7-list-item-label {\r\n  margin-left: 5px;\r\n  color: #134d56;\r\n}\r\n\r\n.verzendknop {\r\n  text-align: right;\r\n}\r\n\r\n.verzendknop input[type=\"submit\"] {\r\n  background-color: #134d56;\r\n  color: #fff;\r\n  border: none;\r\n  padding: 12px 30px;\r\n  border-radius: 6px;\r\n  cursor: pointer;\r\n  font-size: 1.5rem;\r\n  font-weight: 600;\r\n  transition: background-color 0.3s, transform 0.2s;\r\n}\r\n\r\n.verzendknop input[type=\"submit\"]:hover {\r\n  background-color: #8c6f4a;\r\n  transform: translateY(-2px);\r\n}\r\n\r\n@media (max-width: 600px) {\r\n  .cf7-form-grid .form-row {\r\n    grid-template-columns: 1fr;\r\n  }\r\n}\r\n\t\t\t\t<\/style>\n\n\t\t\t\t<div class=\"uacf7-uacf7style uacf7-uacf7style-3443\">\t\t\t\t<style>\n\t\t\t\t\t.uacf7-form-3443\t\t\t\t\t::placeholder {\n\t\t\t\t\t\tcolor:\n\t\t\t\t\t\t\t\t\t\t\t\t\t;\n\t\t\t\t\t\tbackground-color:\n\t\t\t\t\t\t\t\t\t\t\t\t\t;\n\t\t\t\t\t\tfont-size:\n\t\t\t\t\t\t\tpx\t\t\t\t\t\t;\n\t\t\t\t\t\tfont-family:\n\t\t\t\t\t\t\t\t\t\t\t\t\t;\n\t\t\t\t\t\tfont-style:\n\t\t\t\t\t\t\tnormal\t\t\t\t\t\t;\n\t\t\t\t\t\tfont-weight:\n\t\t\t\t\t\t\tnormal\t\t\t\t\t\t;\n\t\t\t\t\t}\n\n\t\t\t\t\t.uacf7-form-\n\n\t\t\t\t\t3443\t\t\t\t\t::-webkit-input-placeholder {\n\t\t\t\t\t\t\/* Edge *\/\n\t\t\t\t\t\tcolor:\n\t\t\t\t\t\t\t\t\t\t\t\t\t;\n\t\t\t\t\t\tbackground-color:\n\t\t\t\t\t\t\t\t\t\t\t\t\t;\n\t\t\t\t\t\tfont-size:\n\t\t\t\t\t\t\tpx\t\t\t\t\t\t;\n\t\t\t\t\t\tfont-family:\n\t\t\t\t\t\t\t\t\t\t\t\t\t;\n\t\t\t\t\t\tfont-style:\n\t\t\t\t\t\t\tnormal\t\t\t\t\t\t;\n\t\t\t\t\t\tfont-weight:\n\t\t\t\t\t\t\tnormal\t\t\t\t\t\t;\n\t\t\t\t\t}\n\n\t\t\t\t\t.uacf7-form-\n\n\t\t\t\t\t3443\t\t\t\t\t:-ms-input-placeholder {\n\t\t\t\t\t\t\/* Internet Explorer 10-11 *\/\n\t\t\t\t\t\tcolor:\n\t\t\t\t\t\t\t\t\t\t\t\t\t;\n\t\t\t\t\t\tbackground-color:\n\t\t\t\t\t\t\t\t\t\t\t\t\t;\n\t\t\t\t\t\tfont-size:\n\t\t\t\t\t\t\tpx\t\t\t\t\t\t;\n\t\t\t\t\t\tfont-family:\n\t\t\t\t\t\t\t\t\t\t\t\t\t;\n\t\t\t\t\t\tfont-style:\n\t\t\t\t\t\t\tnormal\t\t\t\t\t\t;\n\t\t\t\t\t\tfont-weight:\n\t\t\t\t\t\t\tnormal\t\t\t\t\t\t;\n\t\t\t\t\t}\n\t\t\t\t<\/style>\n\t\t\t\t<div class=\"uacf7-form-wrapper-container uacf7-form-3443  uacf7-uacf7style uacf7-uacf7style-3443\"><p><strong>Afspraak inplannen<\/strong><br>\nWil je een afspraak maken voor een Intake gesprek of heb je een vraag over orthomoleculaire ondersteuning of Lifestyle Support?  \nVul het formulier in en ik neem persoonlijk contact met je op.<\/p>\n<div class=\"cf7-form-grid\">\n\n  <!-- Rij 1 -->\n  <div class=\"form-row\">\n   <label>Dhr\/Mevr*<br>\n   <span class=\"wpcf7-form-control-wrap\" data-name=\"onderwerp2\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"onderwerp2\"><option value=\"\">&#8212;Kies een optie&#8212;<\/option><option value=\"Dhr\">Dhr<\/option><option value=\"Mevr\">Mevr<\/option><\/select><\/span>\n   <\/label><label>Voornaam*<br>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"voornaam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Voornaam\" value=\"\" type=\"text\" name=\"voornaam\" \/><\/span>\n    <\/label>\n  <\/div>\n\n  <!-- Rij 2 -->\n  <div class=\"form-row\">\n<label>Achternaam*<br>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"achternaam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Achternaam\" value=\"\" type=\"text\" name=\"achternaam\" \/><\/span>\n    <\/label>\n    <label>E-mailadres*<br>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-mailadres\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n    <\/label>\n  <\/div>\n\n  <!-- Rij 3 -->\n  <div class=\"form-row\">\n   <label>Telefoonnummer*<br>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"telefoon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Telefoonnummer\" value=\"\" type=\"tel\" name=\"telefoon\" \/><\/span>\n    <\/label>\n    <label>Afspraak voor...*<br>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"onderwerp1\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"onderwerp1\"><option value=\"\">&#8212;Kies een optie&#8212;<\/option><option value=\"Orthomoleculaire Ondersteuning\">Orthomoleculaire Ondersteuning<\/option><option value=\"Lifestyle Support\">Lifestyle Support<\/option><\/select><\/span>\n<\/label>\n  <\/div>\n\n<!-- Rij 4 -->\n  <div class=\"form-row\">\n   <label>Betreffende*<br>\n   <span class=\"wpcf7-form-control-wrap\" data-name=\"onderwerp\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"onderwerp\"><option value=\"\">&#8212;Kies een optie&#8212;<\/option><option value=\"Intake\">Intake<\/option><option value=\"Kennismakingsgesprek\">Kennismakingsgesprek<\/option><\/select><\/span>\n   <\/label>\n   <label>Korte toelichting (optioneel)<br>\n   <span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Beschrijf in het kort waarvoor je een afspraak wilt maken, bijvoorbeeld: Long Covid klachten, Stress, Darmklachten, Vermoeidheid &amp; energieproblemen, Psychische klachten, Metabole Klachten, Leefstijl verandering of anders.\" name=\"your-message\"><\/textarea><\/span>\n   <\/label>\n  <\/div>\n\n  <!-- Rij 5 -->\n  <div class=\"form-row\">\n    <label>Gewenste Datum*<br>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"afspraak-datum\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"afspraak-datum\" min=\"2026-09-21\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Kies een datum\" value=\"\" type=\"date\" name=\"afspraak-datum\" \/><\/span>\n    <\/label>\n    <label>Gewenste Tijd*<br>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"afspraak-tijd\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"afspraak-tijd\"><option value=\"\">&#8212;Kies een optie&#8212;<\/option><option value=\"09:00\">09:00<\/option><option value=\"09:30\">09:30<\/option><option value=\"10:00\">10:00<\/option><option value=\"10:30\">10:30<\/option><option value=\"11:00\">11:00<\/option><option value=\"11:30\">11:30<\/option><option value=\"12:00\">12:00<\/option><option value=\"12:30\">12:30<\/option><option value=\"13:00\">13:00<\/option><option value=\"13:30\">13:30<\/option><option value=\"14:00\">14:00<\/option><option value=\"14:30\">14:30<\/option><option value=\"15:00\">15:00<\/option><option value=\"15:30\">15:30<\/option><option value=\"16:00\">16:00<\/option><option value=\"16:30\">16:30<\/option><\/select><\/span>\n    <\/label>\n  <\/div>\n\n  <!-- Rij 6 -->\n  <div class=\"form-row verzendknop\">\n    <input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Afspraak plannen\" \/>\n  <\/div>\n\n<\/div><\/div><\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3444","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/peersupportutrecht.nl\/index.php\/wp-json\/wp\/v2\/pages\/3444","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/peersupportutrecht.nl\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/peersupportutrecht.nl\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/peersupportutrecht.nl\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/peersupportutrecht.nl\/index.php\/wp-json\/wp\/v2\/comments?post=3444"}],"version-history":[{"count":6,"href":"https:\/\/peersupportutrecht.nl\/index.php\/wp-json\/wp\/v2\/pages\/3444\/revisions"}],"predecessor-version":[{"id":3802,"href":"https:\/\/peersupportutrecht.nl\/index.php\/wp-json\/wp\/v2\/pages\/3444\/revisions\/3802"}],"wp:attachment":[{"href":"https:\/\/peersupportutrecht.nl\/index.php\/wp-json\/wp\/v2\/media?parent=3444"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}