{"id":37853,"date":"2019-06-18T11:11:33","date_gmt":"2019-06-18T09:11:33","guid":{"rendered":"http:\/\/136.144.181.85\/~nedzink\/samples-aanvragen\/"},"modified":"2021-06-30T14:09:25","modified_gmt":"2021-06-30T12:09:25","slug":"samples-aanvragen","status":"publish","type":"page","link":"https:\/\/www.nedzink.com\/nl-be\/samples-aanvragen\/","title":{"rendered":"Samples aanvragen"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column][mk_padding_divider size=&#8221;50&#8243;][\/vc_column][\/vc_row][vc_row equal_columns=&#8221;true&#8221; attached=&#8221;true&#8221; column_padding=&#8221;2&#8243; css=&#8221;.vc_custom_1556549325048{padding-top: 30px !important;background-color: #ffffff !important;}&#8221; id=&#8221;samples&#8221;][vc_column][vc_column_text css=&#8221;.vc_custom_1560867652072{margin-bottom: 0px !important;}&#8221;]\n<h3>Documentatie en Samples opvragen<\/h3>\n<p>Geef in onderstaande lijst aan wat u graag wilt ontvangen.[\/vc_column_text][mk_padding_divider size=&#8221;20&#8243;][vc_column_text css=&#8221;.vc_custom_1625054959103{margin-bottom: 0px !important;}&#8221;]<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework form-no-title_wrapper' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_5' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Documentatie en samples aanvragen (BE-NL)<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5' class='form-no-title' action='\/nl-be\/wp-json\/wp\/v2\/pages\/37853' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><li id=\"field_5_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gf_list_inline aw-gf-w30 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"b30c796c\" data-field-span=\"4\"><label id='gfield_label_5_5' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Particulier \/ Zakelijk<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_5'>\n\t\t\t<li class='gchoice gchoice_5_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Particulier'  id='choice_5_5_0'    \/>\n\t\t\t\t<label for='choice_5_5_0' id='label_5_5_0' class='gform-field-label gform-field-label--type-inline'>Particulier<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='Zakelijk'  id='choice_5_5_1'    \/>\n\t\t\t\t<label for='choice_5_5_1' id='label_5_5_1' class='gform-field-label gform-field-label--type-inline'>Zakelijk<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_21\" class=\"gfield gfield--type-text gfield--width-two-thirds gf-right-third aw-gf-w70 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"db0d85b4\" data-field-span=\"8\"><label id='gfield_label_5_21' class='gfield_label gform-field-label' for='input_5_21'><span class='gform-field-label__text'>Bedrijfsnaam:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_5_21' type='text' value='' class='medium'    placeholder='Bedrijfsnaam invullen'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_6\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"d7c2ed24\" data-field-span=\"12\"><label id='gfield_label_5_6' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Aanhef<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_6'>\n\t\t\t<li class='gchoice gchoice_5_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='De heer'  id='choice_5_6_0'    \/>\n\t\t\t\t<label for='choice_5_6_0' id='label_5_6_0' class='gform-field-label gform-field-label--type-inline'>De heer<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Mevrouw'  id='choice_5_6_1'    \/>\n\t\t\t\t<label for='choice_5_6_1' id='label_5_6_1' class='gform-field-label gform-field-label--type-inline'>Mevrouw<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_7\" class=\"gfield gfield--type-text gfield--width-half aw-form-leftside aw-gf-w50 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"d83a7ea3\" data-field-span=\"6\"><label id='gfield_label_5_7' class='gfield_label gform-field-label' for='input_5_7'><span class='gform-field-label__text'>Voornaam<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_5_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_3\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half aw-form-rightside aw-gf-w50 aw-documentatie gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"54477955\" data-field-span=\"6\"><label id='gfield_label_5_3' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Documentatie:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_3'><li class='gchoice gchoice_5_3_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.1' type='checkbox'  value='Architectenbox'  id='choice_5_3_1'    aria-labelledby=\"label_5_3_1 gfield_label_5_3\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_3_1' id='label_5_3_1' class='gform-field-label gform-field-label--type-inline'>Architectenbox<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_3_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.2' type='checkbox'  value='Company Brochure &lt;br&gt;Download als PDF, &lt;a href=&quot;https:\/\/www.nedzink.com\/wp-content\/uploads\/2021\/10\/31520-nz-totaalbrochure-2021-nl_web.pdf&quot; style=&quot;text-decoration: underline&quot; target=&quot;_blank&quot;&gt; klik hier&lt;\/a&gt;'  id='choice_5_3_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_3_2' id='label_5_3_2' class='gform-field-label gform-field-label--type-inline'>Company Brochure <br>Download als PDF, <a href=\"https:\/\/www.nedzink.com\/wp-content\/uploads\/2021\/10\/31520-nz-totaalbrochure-2021-nl_web.pdf\" style=\"text-decoration: underline\" target=\"_blank\"> klik hier<\/a><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_3_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.3' type='checkbox'  value='Technisch Adviesboek&lt;br&gt;Download als PDF, &lt;a href=&quot;https:\/\/www.nedzink.com\/wp-content\/uploads\/2020\/08\/18008-nz-technisch-adviesboek-nl-nov-2019-voor-pdf-lr.pdf&quot; style=&quot;text-decoration: underline&quot; target=&quot;_blank&quot;&gt; klik hier&lt;\/a&gt;'  id='choice_5_3_3'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_3_3' id='label_5_3_3' class='gform-field-label gform-field-label--type-inline'>Technisch Adviesboek<br>Download als PDF, <a href=\"https:\/\/www.nedzink.com\/wp-content\/uploads\/2020\/08\/18008-nz-technisch-adviesboek-nl-nov-2019-voor-pdf-lr.pdf\" style=\"text-decoration: underline\" target=\"_blank\"> klik hier<\/a><\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_3_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.4' type='checkbox'  value='Monstermap met NATUREL, NOVA, NEO, NOIR'  id='choice_5_3_4'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_3_4' id='label_5_3_4' class='gform-field-label gform-field-label--type-inline'>Monstermap met NATUREL, NOVA, NEO, NOIR<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_3_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.5' type='checkbox'  value='Monstermap met NUANCE'  id='choice_5_3_5'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_3_5' id='label_5_3_5' class='gform-field-label gform-field-label--type-inline'>Monstermap met NUANCE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_3_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.6' type='checkbox'  value='Na overleg kunnen er A4 - monsterplaten en felsbanen (lengte 30cm) toegestuurd worden.'  id='choice_5_3_6'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_3_6' id='label_5_3_6' class='gform-field-label gform-field-label--type-inline'>Na overleg kunnen er A4 - monsterplaten en felsbanen (lengte 30cm) toegestuurd worden.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_3_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.7' type='checkbox'  value='Overige, nl:'  id='choice_5_3_7'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_3_7' id='label_5_3_7' class='gform-field-label gform-field-label--type-inline'>Overige, nl:<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_10\" class=\"gfield gfield--type-text aw-form-leftside aw-gf-w50 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3707e5e9\" data-field-span=\"12\"><label id='gfield_label_5_10' class='gfield_label gform-field-label' for='input_5_10'><span class='gform-field-label__text'>Achternaam<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_5_10' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_22\" class=\"gfield gfield--type-text aw-form-leftside aw-gf-w25 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"d2019ada\" data-field-span=\"12\"><label id='gfield_label_5_22' class='gfield_label gform-field-label' for='input_5_22'><span class='gform-field-label__text'>Adres<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_5_22' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_32\" class=\"gfield gfield--type-text gfield--width-full aw-form-leftside aw-gf-w25 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"80b1648e\" data-field-span=\"12\"><label id='gfield_label_5_32' class='gfield_label gform-field-label' for='input_5_32'><span class='gform-field-label__text'>Huisnummer<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_5_32' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_15\" class=\"gfield gfield--type-email gfield--width-full aw-gf-w50 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"56a86e26\" data-field-span=\"12\"><label id='gfield_label_5_15' class='gfield_label gform-field-label' for='input_5_15'><span class='gform-field-label__text'>E-mailadres<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_5_15' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_24\" class=\"gfield gfield--type-text aw-form-leftside aw-gf-w25 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"ef006877\" data-field-span=\"12\"><label id='gfield_label_5_24' class='gfield_label gform-field-label' for='input_5_24'><span class='gform-field-label__text'>Plaats<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_5_24' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_25\" class=\"gfield gfield--type-text aw-form-leftside aw-gf-w25 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"cc003196\" data-field-span=\"12\"><label id='gfield_label_5_25' class='gfield_label gform-field-label' for='input_5_25'><span class='gform-field-label__text'>Postcode<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_5_25' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_23\" class=\"gfield gfield--type-text aw-form-leftside aw-gf-w25 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"34bb5fda\" data-field-span=\"12\"><label id='gfield_label_5_23' class='gfield_label gform-field-label' for='input_5_23'><span class='gform-field-label__text'>Land<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_5_23' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_16\" class=\"gfield gfield--type-phone gfield--phone-format-standard aw-gf-w25 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"9d47b2f1\" data-field-span=\"12\"><label id='gfield_label_5_16' class='gfield_label gform-field-label' for='input_5_16'><span class='gform-field-label__text'>Telefoon<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_16' id='input_5_16' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_5_29\" class=\"gfield gfield--type-text gfield--width-full aw-verzoek-documentatie field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"fa3e0b5a\" data-field-span=\"12\"><label id='gfield_label_5_29' class='gfield_label gform-field-label' for='input_5_29'><span class='gform-field-label__text'>Overig<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_5_29' type='text' value='' class='medium'    placeholder='Overig'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_28\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"b771936d\" data-field-span=\"12\"><script>\njQuery( document ).ready(function() {\n    jQuery('.aw-verzoek-documentatie').appendTo('.aw-documentatie');\n});\n<\/script><\/li><li id=\"field_5_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-third gf_list_inline aw-gf-w30 aw-block gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"42636602\" data-field-span=\"4\"><label id='gfield_label_5_4' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Bent u met een actueel project bezig?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_4'>\n\t\t\t<li class='gchoice gchoice_5_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Nee'  id='choice_5_4_0'    \/>\n\t\t\t\t<label for='choice_5_4_0' id='label_5_4_0' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='Ja'  id='choice_5_4_1'    \/>\n\t\t\t\t<label for='choice_5_4_1' id='label_5_4_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_27\" class=\"gfield gfield--type-text gfield--width-two-thirds aw-gf-w70 aw-block field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"aac747fa\" data-field-span=\"8\"><label id='gfield_label_5_27' class='gfield_label gform-field-label' for='input_5_27'><span class='gform-field-label__text'>Projectomschrijving<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_5_27' type='text' value='' class='medium'    placeholder='Projectomschrijving'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_17\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"08facfa2\" data-field-span=\"12\"><label id='gfield_label_5_17' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Digitale nieuwsbrief ontvangen<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_17'>\n\t\t\t<li class='gchoice gchoice_5_17_0'>\n\t\t\t\t<input name='input_17' type='radio' value='Nee'  id='choice_5_17_0'    \/>\n\t\t\t\t<label for='choice_5_17_0' id='label_5_17_0' class='gform-field-label gform-field-label--type-inline'>Nee<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_17_1'>\n\t\t\t\t<input name='input_17' type='radio' value='Ja'  id='choice_5_17_1'    \/>\n\t\t\t\t<label for='choice_5_17_1' id='label_5_17_1' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_20\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"e633625a\" 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