{"id":369,"date":"2017-06-19T16:17:39","date_gmt":"2017-06-19T16:17:39","guid":{"rendered":"https:\/\/verbeterjebrein.nl\/?page_id=369"},"modified":"2017-10-30T13:35:50","modified_gmt":"2017-10-30T13:35:50","slug":"lezen-en-ingespannenwerk","status":"publish","type":"page","link":"https:\/\/verbeterjebrein.nl\/lezen-en-ingespannenwerk\/","title":{"rendered":"Lezen en ingespannen werk"},"content":{"rendered":"<h2>Vragenformulier<\/h2>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_safari gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_5' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'>\r\n<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/wp-json\/wp\/v2\/pages\/369' 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_above'><li id=\"field_5_1\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_1\" ><label class='gfield_label gform-field-label' for='input_5_1'>Naam<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_5_1' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_37\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_37\" ><label class='gfield_label gform-field-label' for='input_5_37'>E-mailadres<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_37' id='input_5_37' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_3\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_3\" ><h2 class=\"gsection_title\">Vragenlijst<\/h2><div class='gsection_description' id='gfield_description_5_3'>Wilt u de onderstaande vragen beantwoorden over hoe uw ogen aanvoelen terwijl u leest of ingespannen werk verricht, bijv. op de computer? <\/div><\/li><li id=\"field_5_38\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_38\" ><label class='gfield_label gform-field-label' >Voelen uw ogen dan vermoeid?<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_38'>\n\t\t\t<li class='gchoice gchoice_5_38_0'>\n\t\t\t\t<input name='input_38' type='radio' value='gquiz382e24ac15'  id='choice_5_38_0'    \/>\n\t\t\t\t<label for='choice_5_38_0' id='label_5_38_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_38_1'>\n\t\t\t\t<input name='input_38' type='radio' value='gquiz3869047eaf'  id='choice_5_38_1'    \/>\n\t\t\t\t<label for='choice_5_38_1' id='label_5_38_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_38_2'>\n\t\t\t\t<input name='input_38' type='radio' value='gquiz3876b2347c'  id='choice_5_38_2'    \/>\n\t\t\t\t<label for='choice_5_38_2' id='label_5_38_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_38_3'>\n\t\t\t\t<input name='input_38' type='radio' value='gquiz38dc93762f'  id='choice_5_38_3'    \/>\n\t\t\t\t<label for='choice_5_38_3' id='label_5_38_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_38_4'>\n\t\t\t\t<input name='input_38' type='radio' value='gquiz381be3cfeb'  id='choice_5_38_4'    \/>\n\t\t\t\t<label for='choice_5_38_4' id='label_5_38_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_39\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_39\" ><label class='gfield_label gform-field-label' >Voelen uw ogen dan ongemakkelijk aan?<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_39'>\n\t\t\t<li class='gchoice gchoice_5_39_0'>\n\t\t\t\t<input name='input_39' type='radio' value='gquiz382e24ac15'  id='choice_5_39_0'    \/>\n\t\t\t\t<label for='choice_5_39_0' id='label_5_39_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_39_1'>\n\t\t\t\t<input name='input_39' type='radio' value='gquiz3869047eaf'  id='choice_5_39_1'    \/>\n\t\t\t\t<label for='choice_5_39_1' id='label_5_39_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_39_2'>\n\t\t\t\t<input name='input_39' type='radio' value='gquiz3876b2347c'  id='choice_5_39_2'    \/>\n\t\t\t\t<label for='choice_5_39_2' id='label_5_39_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_39_3'>\n\t\t\t\t<input name='input_39' type='radio' value='gquiz38dc93762f'  id='choice_5_39_3'    \/>\n\t\t\t\t<label for='choice_5_39_3' id='label_5_39_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_39_4'>\n\t\t\t\t<input name='input_39' type='radio' value='gquiz381be3cfeb'  id='choice_5_39_4'    \/>\n\t\t\t\t<label for='choice_5_39_4' id='label_5_39_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_40\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_40\" ><label class='gfield_label gform-field-label' >Krijgt u hoofdpijn?<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_40'>\n\t\t\t<li class='gchoice gchoice_5_40_0'>\n\t\t\t\t<input name='input_40' type='radio' value='gquiz382e24ac15'  id='choice_5_40_0'    \/>\n\t\t\t\t<label for='choice_5_40_0' id='label_5_40_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_40_1'>\n\t\t\t\t<input name='input_40' type='radio' value='gquiz3869047eaf'  id='choice_5_40_1'    \/>\n\t\t\t\t<label for='choice_5_40_1' id='label_5_40_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_40_2'>\n\t\t\t\t<input name='input_40' type='radio' value='gquiz3876b2347c'  id='choice_5_40_2'    \/>\n\t\t\t\t<label for='choice_5_40_2' id='label_5_40_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_40_3'>\n\t\t\t\t<input name='input_40' type='radio' value='gquiz38dc93762f'  id='choice_5_40_3'    \/>\n\t\t\t\t<label for='choice_5_40_3' id='label_5_40_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_40_4'>\n\t\t\t\t<input name='input_40' type='radio' value='gquiz381be3cfeb'  id='choice_5_40_4'    \/>\n\t\t\t\t<label for='choice_5_40_4' id='label_5_40_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_41\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_41\" ><label class='gfield_label gform-field-label' >Voelt u zich slaperig worden?<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_41'>\n\t\t\t<li class='gchoice gchoice_5_41_0'>\n\t\t\t\t<input name='input_41' type='radio' value='gquiz382e24ac15'  id='choice_5_41_0'    \/>\n\t\t\t\t<label for='choice_5_41_0' id='label_5_41_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_41_1'>\n\t\t\t\t<input name='input_41' type='radio' value='gquiz3869047eaf'  id='choice_5_41_1'    \/>\n\t\t\t\t<label for='choice_5_41_1' id='label_5_41_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_41_2'>\n\t\t\t\t<input name='input_41' type='radio' value='gquiz3876b2347c'  id='choice_5_41_2'    \/>\n\t\t\t\t<label for='choice_5_41_2' id='label_5_41_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_41_3'>\n\t\t\t\t<input name='input_41' type='radio' value='gquiz38dc93762f'  id='choice_5_41_3'    \/>\n\t\t\t\t<label for='choice_5_41_3' id='label_5_41_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_41_4'>\n\t\t\t\t<input name='input_41' type='radio' value='gquiz381be3cfeb'  id='choice_5_41_4'    \/>\n\t\t\t\t<label for='choice_5_41_4' id='label_5_41_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_42\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_42\" ><label class='gfield_label gform-field-label' >Verliest u uw concentratie?<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_42'>\n\t\t\t<li class='gchoice gchoice_5_42_0'>\n\t\t\t\t<input name='input_42' type='radio' value='gquiz382e24ac15'  id='choice_5_42_0'    \/>\n\t\t\t\t<label for='choice_5_42_0' id='label_5_42_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_42_1'>\n\t\t\t\t<input name='input_42' type='radio' value='gquiz3869047eaf'  id='choice_5_42_1'    \/>\n\t\t\t\t<label for='choice_5_42_1' id='label_5_42_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_42_2'>\n\t\t\t\t<input name='input_42' type='radio' value='gquiz3876b2347c'  id='choice_5_42_2'    \/>\n\t\t\t\t<label for='choice_5_42_2' id='label_5_42_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_42_3'>\n\t\t\t\t<input name='input_42' type='radio' value='gquiz38dc93762f'  id='choice_5_42_3'    \/>\n\t\t\t\t<label for='choice_5_42_3' id='label_5_42_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_42_4'>\n\t\t\t\t<input name='input_42' type='radio' value='gquiz381be3cfeb'  id='choice_5_42_4'    \/>\n\t\t\t\t<label for='choice_5_42_4' id='label_5_42_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_43\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_43\" ><label class='gfield_label gform-field-label' >Ziet u dubbel?<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_43'>\n\t\t\t<li class='gchoice gchoice_5_43_0'>\n\t\t\t\t<input name='input_43' type='radio' value='gquiz382e24ac15'  id='choice_5_43_0'    \/>\n\t\t\t\t<label for='choice_5_43_0' id='label_5_43_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_43_1'>\n\t\t\t\t<input name='input_43' type='radio' value='gquiz3869047eaf'  id='choice_5_43_1'    \/>\n\t\t\t\t<label for='choice_5_43_1' id='label_5_43_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_43_2'>\n\t\t\t\t<input name='input_43' type='radio' value='gquiz3876b2347c'  id='choice_5_43_2'    \/>\n\t\t\t\t<label for='choice_5_43_2' id='label_5_43_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_43_3'>\n\t\t\t\t<input name='input_43' type='radio' value='gquiz38dc93762f'  id='choice_5_43_3'    \/>\n\t\t\t\t<label for='choice_5_43_3' id='label_5_43_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_43_4'>\n\t\t\t\t<input name='input_43' type='radio' value='gquiz381be3cfeb'  id='choice_5_43_4'    \/>\n\t\t\t\t<label for='choice_5_43_4' id='label_5_43_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_44\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_44\" ><label class='gfield_label gform-field-label' >Ziet u woorden bewegen, springen, zwemmen, lijken ze te zweven op de bladzijde?<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_44'>\n\t\t\t<li class='gchoice gchoice_5_44_0'>\n\t\t\t\t<input name='input_44' type='radio' value='gquiz382e24ac15'  id='choice_5_44_0'    \/>\n\t\t\t\t<label for='choice_5_44_0' id='label_5_44_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_44_1'>\n\t\t\t\t<input name='input_44' type='radio' value='gquiz3869047eaf'  id='choice_5_44_1'    \/>\n\t\t\t\t<label for='choice_5_44_1' id='label_5_44_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_44_2'>\n\t\t\t\t<input name='input_44' type='radio' value='gquiz3876b2347c'  id='choice_5_44_2'    \/>\n\t\t\t\t<label for='choice_5_44_2' id='label_5_44_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_44_3'>\n\t\t\t\t<input name='input_44' type='radio' value='gquiz38dc93762f'  id='choice_5_44_3'    \/>\n\t\t\t\t<label for='choice_5_44_3' id='label_5_44_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_44_4'>\n\t\t\t\t<input name='input_44' type='radio' value='gquiz381be3cfeb'  id='choice_5_44_4'    \/>\n\t\t\t\t<label for='choice_5_44_4' id='label_5_44_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_45\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_45\" ><label class='gfield_label gform-field-label' >Leest u langzaam?<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_45'>\n\t\t\t<li class='gchoice gchoice_5_45_0'>\n\t\t\t\t<input name='input_45' type='radio' value='gquiz382e24ac15'  id='choice_5_45_0'    \/>\n\t\t\t\t<label for='choice_5_45_0' id='label_5_45_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_45_1'>\n\t\t\t\t<input name='input_45' type='radio' value='gquiz3869047eaf'  id='choice_5_45_1'    \/>\n\t\t\t\t<label for='choice_5_45_1' id='label_5_45_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_45_2'>\n\t\t\t\t<input name='input_45' type='radio' value='gquiz3876b2347c'  id='choice_5_45_2'    \/>\n\t\t\t\t<label for='choice_5_45_2' id='label_5_45_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_45_3'>\n\t\t\t\t<input name='input_45' type='radio' value='gquiz38dc93762f'  id='choice_5_45_3'    \/>\n\t\t\t\t<label for='choice_5_45_3' id='label_5_45_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_45_4'>\n\t\t\t\t<input name='input_45' type='radio' value='gquiz381be3cfeb'  id='choice_5_45_4'    \/>\n\t\t\t\t<label for='choice_5_45_4' id='label_5_45_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_46\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_46\" ><label class='gfield_label gform-field-label' >Doen uw ogen weleens pijn?<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_46'>\n\t\t\t<li class='gchoice gchoice_5_46_0'>\n\t\t\t\t<input name='input_46' type='radio' value='gquiz382e24ac15'  id='choice_5_46_0'    \/>\n\t\t\t\t<label for='choice_5_46_0' id='label_5_46_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_46_1'>\n\t\t\t\t<input name='input_46' type='radio' value='gquiz3869047eaf'  id='choice_5_46_1'    \/>\n\t\t\t\t<label for='choice_5_46_1' id='label_5_46_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_46_2'>\n\t\t\t\t<input name='input_46' type='radio' value='gquiz3876b2347c'  id='choice_5_46_2'    \/>\n\t\t\t\t<label for='choice_5_46_2' id='label_5_46_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_46_3'>\n\t\t\t\t<input name='input_46' type='radio' value='gquiz38dc93762f'  id='choice_5_46_3'    \/>\n\t\t\t\t<label for='choice_5_46_3' id='label_5_46_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_46_4'>\n\t\t\t\t<input name='input_46' type='radio' value='gquiz381be3cfeb'  id='choice_5_46_4'    \/>\n\t\t\t\t<label for='choice_5_46_4' id='label_5_46_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_47\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_47\" ><label class='gfield_label gform-field-label' >Prikken uw ogen weleens?<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_47'>\n\t\t\t<li class='gchoice gchoice_5_47_0'>\n\t\t\t\t<input name='input_47' type='radio' value='gquiz382e24ac15'  id='choice_5_47_0'    \/>\n\t\t\t\t<label for='choice_5_47_0' id='label_5_47_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_47_1'>\n\t\t\t\t<input name='input_47' type='radio' value='gquiz3869047eaf'  id='choice_5_47_1'    \/>\n\t\t\t\t<label for='choice_5_47_1' id='label_5_47_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_47_2'>\n\t\t\t\t<input name='input_47' type='radio' value='gquiz3876b2347c'  id='choice_5_47_2'    \/>\n\t\t\t\t<label for='choice_5_47_2' id='label_5_47_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_47_3'>\n\t\t\t\t<input name='input_47' type='radio' value='gquiz38dc93762f'  id='choice_5_47_3'    \/>\n\t\t\t\t<label for='choice_5_47_3' id='label_5_47_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_47_4'>\n\t\t\t\t<input name='input_47' type='radio' value='gquiz381be3cfeb'  id='choice_5_47_4'    \/>\n\t\t\t\t<label for='choice_5_47_4' id='label_5_47_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_48\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_48\" ><label class='gfield_label gform-field-label' >Heeft u weleens een trekkend gevoel rondom uw ogen?<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_48'>\n\t\t\t<li class='gchoice gchoice_5_48_0'>\n\t\t\t\t<input name='input_48' type='radio' value='gquiz382e24ac15'  id='choice_5_48_0'    \/>\n\t\t\t\t<label for='choice_5_48_0' id='label_5_48_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_48_1'>\n\t\t\t\t<input name='input_48' type='radio' value='gquiz3869047eaf'  id='choice_5_48_1'    \/>\n\t\t\t\t<label for='choice_5_48_1' id='label_5_48_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_48_2'>\n\t\t\t\t<input name='input_48' type='radio' value='gquiz3876b2347c'  id='choice_5_48_2'    \/>\n\t\t\t\t<label for='choice_5_48_2' id='label_5_48_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_48_3'>\n\t\t\t\t<input name='input_48' type='radio' value='gquiz38dc93762f'  id='choice_5_48_3'    \/>\n\t\t\t\t<label for='choice_5_48_3' id='label_5_48_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_48_4'>\n\t\t\t\t<input name='input_48' type='radio' value='gquiz381be3cfeb'  id='choice_5_48_4'    \/>\n\t\t\t\t<label for='choice_5_48_4' id='label_5_48_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_49\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_49\" ><label class='gfield_label gform-field-label' >Ziet u woorden verdwijnen\/verschijnen bij het focussen\/scherpstellen?<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_49'>\n\t\t\t<li class='gchoice gchoice_5_49_0'>\n\t\t\t\t<input name='input_49' type='radio' value='gquiz382e24ac15'  id='choice_5_49_0'    \/>\n\t\t\t\t<label for='choice_5_49_0' id='label_5_49_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_49_1'>\n\t\t\t\t<input name='input_49' type='radio' value='gquiz3869047eaf'  id='choice_5_49_1'    \/>\n\t\t\t\t<label for='choice_5_49_1' id='label_5_49_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_49_2'>\n\t\t\t\t<input name='input_49' type='radio' value='gquiz3876b2347c'  id='choice_5_49_2'    \/>\n\t\t\t\t<label for='choice_5_49_2' id='label_5_49_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_49_3'>\n\t\t\t\t<input name='input_49' type='radio' value='gquiz38dc93762f'  id='choice_5_49_3'    \/>\n\t\t\t\t<label for='choice_5_49_3' id='label_5_49_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_49_4'>\n\t\t\t\t<input name='input_49' type='radio' value='gquiz381be3cfeb'  id='choice_5_49_4'    \/>\n\t\t\t\t<label for='choice_5_49_4' id='label_5_49_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_50\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_50\" ><label class='gfield_label gform-field-label' >Vergeet u weleens waar u bent tijdens het lezen? Gebruikt u uw vinger als bladwijzer?<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_50'>\n\t\t\t<li class='gchoice gchoice_5_50_0'>\n\t\t\t\t<input name='input_50' type='radio' value='gquiz382e24ac15'  id='choice_5_50_0'    \/>\n\t\t\t\t<label for='choice_5_50_0' id='label_5_50_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_50_1'>\n\t\t\t\t<input name='input_50' type='radio' value='gquiz3869047eaf'  id='choice_5_50_1'    \/>\n\t\t\t\t<label for='choice_5_50_1' id='label_5_50_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_50_2'>\n\t\t\t\t<input name='input_50' type='radio' value='gquiz3876b2347c'  id='choice_5_50_2'    \/>\n\t\t\t\t<label for='choice_5_50_2' id='label_5_50_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_50_3'>\n\t\t\t\t<input name='input_50' type='radio' value='gquiz38dc93762f'  id='choice_5_50_3'    \/>\n\t\t\t\t<label for='choice_5_50_3' id='label_5_50_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_50_4'>\n\t\t\t\t<input name='input_50' type='radio' value='gquiz381be3cfeb'  id='choice_5_50_4'    \/>\n\t\t\t\t<label for='choice_5_50_4' id='label_5_50_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_51\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible gquiz-field \"  data-field-class=\"gquiz-field\" data-js-reload=\"field_5_51\" ><label class='gfield_label gform-field-label' >Herleest u een zin?<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_51'>\n\t\t\t<li class='gchoice gchoice_5_51_0'>\n\t\t\t\t<input name='input_51' type='radio' value='gquiz382e24ac15'  id='choice_5_51_0'    \/>\n\t\t\t\t<label for='choice_5_51_0' id='label_5_51_0' class='gform-field-label gform-field-label--type-inline'>Nooit<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_51_1'>\n\t\t\t\t<input name='input_51' type='radio' value='gquiz3869047eaf'  id='choice_5_51_1'    \/>\n\t\t\t\t<label for='choice_5_51_1' id='label_5_51_1' class='gform-field-label gform-field-label--type-inline'>Soms<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_51_2'>\n\t\t\t\t<input name='input_51' type='radio' value='gquiz3876b2347c'  id='choice_5_51_2'    \/>\n\t\t\t\t<label for='choice_5_51_2' id='label_5_51_2' class='gform-field-label gform-field-label--type-inline'>Regelmatig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_51_3'>\n\t\t\t\t<input name='input_51' type='radio' value='gquiz38dc93762f'  id='choice_5_51_3'    \/>\n\t\t\t\t<label for='choice_5_51_3' id='label_5_51_3' class='gform-field-label gform-field-label--type-inline'>Vaak<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_51_4'>\n\t\t\t\t<input name='input_51' type='radio' value='gquiz381be3cfeb'  id='choice_5_51_4'    \/>\n\t\t\t\t<label for='choice_5_51_4' id='label_5_51_4' class='gform-field-label gform-field-label--type-inline'>Altijd<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_52\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_52\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Gebruik persoonsgegevens<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_52'>Wij gaan zorgvuldig om met de gegevens die je ons toestuurt. Lees meer hierover in onze <a href=\"\/privacyverklaring\">Privacyverklaring<\/a>.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_52'><li class='gchoice gchoice_5_52_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.1' type='checkbox'  value='Ik geef toestemming voor gebruik van mijn persoonsgegevens'  id='choice_5_52_1'   aria-describedby=\"gfield_description_5_52\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_52_1' id='label_5_52_1' class='gform-field-label gform-field-label--type-inline'>Ik geef toestemming voor gebruik van mijn persoonsgegevens<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_53\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_53\" ><label class='gfield_label gform-field-label' for='input_5_53'>Comments<\/label><div class='gfield_description' id='gfield_description_5_53'>Dit veld is bedoeld voor validatiedoeleinden en moet niet worden gewijzigd.<\/div><div class='ginput_container'><input name='input_53' id='input_5_53' type='text' value='' autocomplete='new-password'\/><\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_5' class='gform_button button' value='Versturen'  onclick='if(window[\"gf_submitting_5\"]){return false;}  if( !jQuery(\"#gform_5\")[0].checkValidity || jQuery(\"#gform_5\")[0].checkValidity()){window[\"gf_submitting_5\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_5\"]){return false;} if( !jQuery(\"#gform_5\")[0].checkValidity || jQuery(\"#gform_5\")[0].checkValidity()){window[\"gf_submitting_5\"]=true;}  jQuery(\"#gform_5\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' value='WyJbXSIsImFlOWRhNGJlNzc0ZmI4NDMyNmM3YWE3N2IwYmM1ZjkyIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_5' id='gform_target_page_number_5' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_5' id='gform_source_page_number_5' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 5, 'https:\/\/verbeterjebrein.nl\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_5').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_5');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_5').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! 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