{"id":2392,"date":"2025-01-03T12:31:44","date_gmt":"2025-01-03T11:31:44","guid":{"rendered":"https:\/\/pcdoktertest.nl\/?page_id=2392"},"modified":"2025-01-09T17:51:27","modified_gmt":"2025-01-09T16:51:27","slug":"intakeform-reparatie","status":"publish","type":"page","link":"https:\/\/pcdoktertest.nl\/en\/intakeform-reparatie\/","title":{"rendered":"Intakeform reparatie"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2392\" class=\"elementor elementor-2392\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-21bee4b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"21bee4b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-10883bb\" data-id=\"10883bb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aa50d1c elementor-widget elementor-widget-heading\" data-id=\"aa50d1c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Intakeformulier reparatie<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-96d5bc2 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"96d5bc2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36ad3b5 elementor-widget elementor-widget-text-editor\" data-id=\"36ad3b5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><span style=\"font-size: 24pt; font-family: verdana, geneva, sans-serif;\">Vul onderstaand formulier in<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-868ff5a eael-fluentform-form-button-custom eael-ff-step-header-yes eael-ff-step-progressbar-yes elementor-widget elementor-widget-eael-fluentform\" data-id=\"868ff5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-fluentform.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"eael-contact-form eael-fluent-form-wrapper clearfix eael-contact-form-align-default\">\n\n            \n            <div class='fluentform ff-default fluentform_wrapper_5 ffs_custom_wrap'><form data-form_id=\"5\" id=\"fluentform_5\" class=\"frm-fluent-form fluent_form_5 ff-el-form-top ff_form_instance_5_1 ff-form-loading ffs_custom\" data-form_instance=\"ff_form_instance_5_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">NL-Intake formulier Reparatie<\/legend><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"49\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p>        <div\n                style=\"display: none!important; position: absolute!important; transform: translateX(1000%)!important;\"\n                class=\"ff-el-group ff-hpsf-container\"\n        >\n            <div class=\"ff-el-input--label asterisk-right\">\n                <label for=\"ff_5_item_sf\" aria-label=\"Notify\">\n                    Notify                <\/label>\n            <\/div>\n            <div class=\"ff-el-input--content\">\n                <input type=\"text\"\n                       name=\"item_5__fluent_sf\"\n                       class=\"ff-el-form-control\"\n                       id=\"ff_5_item_sf\"\n                \/>\n            <\/div>\n        <\/div>\n        <input type='hidden' name='__fluent_form_embded_post_id' value='2392' \/><input type=\"hidden\" id=\"_fluentform_5_fluentformnonce\" name=\"_fluentform_5_fluentformnonce\" value=\"38ccfb84f7\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/2392\" \/><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_4 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_date-time_14' id='label_ff_5_date-time_14' aria-label=\"Datum inzending intakeformulier\">Datum inzending intakeformulier<\/label><div class=\"ff-el-tooltip\" data-content=\"Kies indien nodig een andere datum\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><input  aria-label='Datum inzending intakeformulier Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d.m.Y' name=\"date-time_14\" value=\"22\/08\/2026\" type=\"text\" class=\"ff-el-form-control ff-el-datepicker\" id=\"ff_5_date-time_14\" data-name=\"date-time_14\" tabindex=\"1\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><\/div><\/div><div data-type=\"name-element\" data-name=\"name_0\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_name_0_first_name_' id='label_ff_5_name_0_first_name_' >Voornaam<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"name_0[first_name]\" id=\"ff_5_name_0_first_name_\" class=\"ff-el-form-control\" placeholder=\"Voornaam\" tabindex=\"2\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_name_0_last_name_' id='label_ff_5_name_0_last_name_' >Achternaam<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"name_0[last_name]\" id=\"ff_5_name_0_last_name_\" class=\"ff-el-form-control\" placeholder=\"Achternaam\" tabindex=\"3\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_email_1' id='label_ff_5_email_1' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_1\" class=\"ff-el-form-control\" id=\"ff_5_email_1\" placeholder=\"Emailadres\" data-name=\"email_1\" tabindex=\"4\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_email' id='label_ff_5_email' aria-label=\"Emailadres ter bevestiging\">Emailadres ter bevestiging<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_5_email\" class=\"ff-el-form-control\" placeholder=\"Emailadres\" data-name=\"email\" tabindex=\"5\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_phone_9' id='label_ff_5_phone_9' aria-label=\"Telefoon\">Telefoon<\/label><\/div><div class='ff-el-input--content'><input name=\"phone_9\" id=\"ff_5_phone_9\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" data-name=\"phone_9\" tabindex=\"6\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-5_1\" ><h2 style=\"text-align: center\"><strong>Opdracht<\/strong><\/h2><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Gegevens bewerking\">Gegevens bewerking<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_02bca5e0ff50398c1bdecb47fc4b15f5'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"7\" value=\"Windows (her-)installatie\"  id='checkbox_02bca5e0ff50398c1bdecb47fc4b15f5' aria-label='Windows (her-)installatie' aria-invalid='false' aria-required=false> <span>Windows (her-)installatie<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_db45de9fd8a9ed40bf394a8bf6421150'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Windows herstellen\"  id='checkbox_db45de9fd8a9ed40bf394a8bf6421150' aria-label='Windows herstellen' aria-invalid='false' aria-required=false> <span>Windows herstellen<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_754d6f0b11136c53dad9dbcf5ec89609'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Software installatie\"  id='checkbox_754d6f0b11136c53dad9dbcf5ec89609' aria-label='Software installatie' aria-invalid='false' aria-required=false> <span>Software installatie<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_8fc525ed45f9afa72a8834840497612f'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Data herstel\"  id='checkbox_8fc525ed45f9afa72a8834840497612f' aria-label='Data herstel' aria-invalid='false' aria-required=false> <span>Data herstel<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_9ab0011e11786aed315429c8a908e187'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Data backup\"  id='checkbox_9ab0011e11786aed315429c8a908e187' aria-label='Data backup' aria-invalid='false' aria-required=false> <span>Data backup<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Overige\">Overige<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_64acc198cacd56726b19c8fb9fccbab8'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"8\" value=\"Virus\/spyware verwijderen\"  id='checkbox_1_64acc198cacd56726b19c8fb9fccbab8' aria-label='Virus\/spyware verwijderen' aria-invalid='false' aria-required=false> <span>Virus\/spyware verwijderen<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_b3faada25392feaf4b495900c0de942b'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Klein onderhoud\"  id='checkbox_1_b3faada25392feaf4b495900c0de942b' aria-label='Klein onderhoud' aria-invalid='false' aria-required=false> <span>Klein onderhoud<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_f15c372b14d77742a3eb88a670b10ea1'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Groot onderhoud\"  id='checkbox_1_f15c372b14d77742a3eb88a670b10ea1' aria-label='Groot onderhoud' aria-invalid='false' aria-required=false> <span>Groot onderhoud<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_a0ce5817483fd1fb324adb8329389b0c'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Hardware assembleren\"  id='checkbox_1_a0ce5817483fd1fb324adb8329389b0c' aria-label='Hardware assembleren' aria-invalid='false' aria-required=false> <span>Hardware assembleren<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_89f4c54b05c1daeaaca1d62146a60cef'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Overige (vermelden bij opmerkingen)\"  id='checkbox_1_89f4c54b05c1daeaaca1d62146a60cef' aria-label='Overige (vermelden bij opmerkingen)' aria-invalid='false' aria-required=false> <span>Overige (vermelden bij opmerkingen)<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Ingeleverde accessoires\">Ingeleverde accessoires<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_7bd84ea589ef3ab2a690d6c618c1e8c8'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"9\" value=\"Laptoptas\"  id='checkbox_2_7bd84ea589ef3ab2a690d6c618c1e8c8' aria-label='Laptoptas' aria-invalid='false' aria-required=false> <span>Laptoptas<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_a12ce99e6cd71c9099cc1dfbdf20ab11'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Oplader\"  id='checkbox_2_a12ce99e6cd71c9099cc1dfbdf20ab11' aria-label='Oplader' aria-invalid='false' aria-required=false> <span>Oplader<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_cf8989ce00fcaeddc9d75c92e10eeff1'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Externe HD\"  id='checkbox_2_cf8989ce00fcaeddc9d75c92e10eeff1' aria-label='Externe HD' aria-invalid='false' aria-required=false> <span>Externe HD<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_2d2c6668c4a7de6e67e620f3868b877d'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Losse accu\"  id='checkbox_2_2d2c6668c4a7de6e67e620f3868b877d' aria-label='Losse accu' aria-invalid='false' aria-required=false> <span>Losse accu<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_3735b99493f5cb0420ebea11b1500afd'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Overige\"  id='checkbox_2_3735b99493f5cb0420ebea11b1500afd' aria-label='Overige' aria-invalid='false' aria-required=false> <span>Overige<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Behoud van gegevens bij (her-)installatie\">Behoud van gegevens bij (her-)installatie<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_b5be1cdf473cb9db05b6fca1294bc865'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"10\" value=\"Ja\"  id='input_radio_b5be1cdf473cb9db05b6fca1294bc865' aria-label='Ja' aria-invalid='false' aria-required=true> <span>Ja<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7a92ccab969cfd4e9d3a90c69be8d8a1'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Nee\"  id='input_radio_7a92ccab969cfd4e9d3a90c69be8d8a1' aria-label='Nee' aria-invalid='false' aria-required=true> <span>Nee<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_5_input_text' id='label_ff_5_input_text' aria-label=\"Overige ingeleverde accessoires\">Overige ingeleverde accessoires<\/label><\/div><div 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