{"id":36,"date":"2024-08-14T12:48:01","date_gmt":"2024-08-14T12:48:01","guid":{"rendered":"https:\/\/www.mcdegolfbreker.nl\/sluis\/praktijkinformatie\/klachtenregeling\/klachtenformulier\/"},"modified":"2025-09-01T07:13:03","modified_gmt":"2025-09-01T07:13:03","slug":"klachtenformulier","status":"publish","type":"page","link":"https:\/\/www.mcdegolfbreker.nl\/sluis\/praktijkinformatie\/klachtenregeling\/klachtenformulier\/","title":{"rendered":"Klachtenformulier"},"content":{"rendered":"<p>Vul dit formulier in om de ervaring die u had met ons te delen.<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f192-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"192\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/sluis\/wp-json\/wp\/v2\/pages\/36#wpcf7-f192-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=\"192\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f192-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:192,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/><input type=\"hidden\" name=\"_wpcf7dtx_version\" value=\"5.0.5\" \/>\n<\/fieldset>\n<b>Uw gegevens<\/b> (de melder van de klacht)\n<div class=\"form_item\"><div class=\"label\">Geslacht*<\/div><div class=\"form_field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"geslacht\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"geslacht\" value=\"M\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">M<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"geslacht\" value=\"V\" \/><span class=\"wpcf7-list-item-label\">V<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"geslacht\" value=\"Anders\" \/><span class=\"wpcf7-list-item-label\">Anders<\/span><\/label><\/span><\/span><\/span><\/div><\/div>\n<div class=\"form_item\"><div class=\"label\">Voor- en familienaam*<\/div><div class=\"form_field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"naam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"naam\" \/><\/span><\/div><\/div>\n<div class=\"form_item\"><div class=\"label\">Straat en huisnummer*<\/div><div class=\"form_field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"adres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adres\" \/><\/span><\/div><\/div>\n<div class=\"form_item\"><div class=\"label\">Postcode*<\/div><div class=\"form_field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"postcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postcode\" \/><\/span><\/div><\/div>\n<div class=\"form_item\"><div class=\"label\">Woonplaats*<\/div><div class=\"form_field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"woonplaats\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"woonplaats\" \/><\/span><\/div><\/div>\n<div class=\"form_item\"><div class=\"label\">E-mailadres*<\/div><div class=\"form_field\"><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\" value=\"\" type=\"email\" name=\"email\" \/><\/span><\/div><\/div>\n<div class=\"form_item\"><div class=\"label\">Telefoon<\/div><div class=\"form_field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"telefoonnummer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefoonnummer\" \/><\/span><\/div><\/div>\n\n<b>Gegevens van de pati\u00ebnt <\/b> (dit kan de melder zijn, of iemand anders)\n<div class=\"form_item\"><div class=\"label\">BSN-nummer*<\/div><div class=\"form_field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bsn\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"bsn\" \/><\/span><\/div><\/div>\n<div class=\"form_item\"><div class=\"label\">Geboortenaam*<\/div><div class=\"form_field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"geboortenaam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"geboortenaam\" \/><\/span><\/div><\/div>\n<div class=\"form_item\"><div class=\"label\">Geboortedatum*<\/div><div class=\"form_field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"geboortedatum\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"geboortedatum\" \/><\/span><\/div><\/div>\n\n<b>Beschrijving van de klacht<\/b> \n<div class=\"form_item\"><div class=\"label\">Datum waarop het contact heeft plaatsgevonden*<\/div><div class=\"form_field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"datum_contact\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"datum_contact\" \/><\/span><\/div><\/div>\n<div class=\"form_item\"><div class=\"label\">Omschrijving klacht<\/div><div class=\"form_field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"omschrijving\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"omschrijving\"><\/textarea><\/span><\/div><\/div>\n<div class=\"form_item\"><div class=\"label\">Wilt u dat wij contact met u opnemen over deze melding?*<\/div><div class=\"form_field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"contact_opnemen\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"contact_opnemen\" value=\"Ja\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"contact_opnemen\" value=\"Nee\" \/><span class=\"wpcf7-list-item-label\">Nee<\/span><\/label><\/span><\/span><\/span><\/div><\/div>\n\n<b>Toestemming verwerken persoonsgegevens <\/b>\n<div class=\"form_item\"><span class=\"wpcf7-form-control-wrap\" data-name=\"persoonsgegevens\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"persoonsgegevens\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ja ik ga akkoord<\/span><\/label><\/span><\/span><\/span><\/div>\n<div class=\"form_item\"><i>Bij het versturen van dit formulier geef ik toestemming dat deze gegevens mogen worden gebruikt ten behoeve van de verwerking van deze klacht.\nUw gegevens zullen niet worden gebruikt voor andere doeleinden en niet worden verstrekt aan derden. Uw gegevens kunnen te allen tijde weer worden verwijderd.\nVoor volledige informatie over het verwerken van uw gegevens zie ons privacybeleid.<\/i><\/div>\n\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"Zuiddijkstraat 8d\" type=\"hidden\" name=\"praktijkadres\" \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"4524 AR\" type=\"hidden\" name=\"praktijkpostcode\" \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"Sluis\" type=\"hidden\" name=\"praktijkplaats\" \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" value=\"0117 - 421 421\" type=\"hidden\" name=\"praktijktelefoon\" \/>\n\n<div class=\"form_item\"><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Verzenden\" \/><\/div><input type=\"text\" name=\"SvSJ7\" value=\"\" style=\"display: none !important;\" \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Vul dit formulier in om de ervaring die u had met ons te delen.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":20,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-36","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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