{"id":559,"date":"2020-05-27T09:21:23","date_gmt":"2020-05-27T09:21:23","guid":{"rendered":"https:\/\/www.tandartspraktijkdeliefde.nl\/?page_id=559"},"modified":"2020-05-28T14:04:17","modified_gmt":"2020-05-28T14:04:17","slug":"complaints-form","status":"publish","type":"page","link":"https:\/\/www.tandartspraktijkdeliefde.nl\/en\/complaints-form\/","title":{"rendered":"Complaints form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]<\/p>\n<h2 class=\"section-titles-20\">The complaints form at Dental Practice De Liefde<\/h2>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Do you have any complaints? Please fill in this form. We will contact you as soon as possible.[\/vc_column_text]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f560-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"560\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/559#wpcf7-f560-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=\"560\" \/><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-f560-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;:560,&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=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"row\">\n\t<p><label class=\"col-xs-12 col-sm-6\"><br \/>\nFirst name<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\" value=\"\" type=\"text\" name=\"voornaam\" \/><\/span><br \/>\n<\/label><label class=\"col-xs-12 col-sm-6\"><br \/>\nSurname<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"achternaam\"><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=\"achternaam\" \/><\/span><br \/>\n<\/label><label class=\"col-xs-12 col-sm-6\"><br \/>\nEmail address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"e-mailadres\"><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=\"e-mailadres\" \/><\/span><br \/>\n<\/label><label class=\"col-xs-12 col-sm-6\"><br \/>\nPhone number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefoonnummer\"><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=\"telefoonnummer\" \/><\/span><br \/>\n<\/label><label class=\"col-xs-12 col-sm-6\"><br \/>\nWhen is the right time to reach up to you?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bereikbaar_wanneer\"><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=\"bereikbaar_wanneer\" \/><\/span><br \/>\n<\/label><label class=\"col-xs-12 col-sm-6\"><br \/>\nWhat is the nature of your complaint?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"aard_van_klacht\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"aard_van_klacht\"><option value=\"Dental\">Dental<\/option><option value=\"Administrative\">Administrative<\/option><option value=\"Provision of information\">Provision of information<\/option><option value=\"Treatment\">Treatment<\/option><\/select><\/span><br \/>\n<\/label><label class=\"col-xs-12 col-sm-12\"><br \/>\nWhat happened?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"omschrijving\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"omschrijving\"><\/textarea><\/span><br \/>\n<\/label><label class=\"col-xs-12 col-sm-12\"><br \/>\nHow come you are dissatisfied?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"reden_ontevredenheid\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"reden_ontevredenheid\"><\/textarea><\/span><br \/>\n<\/label><label class=\"col-xs-12 col-sm-12\"><br \/>\nHave you spoken about this with someone from Tandartspraktijk Plantage Middenlaan? If so, with whom?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"heeft_al_hierover_gesproken\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"heeft_al_hierover_gesproken\"><\/textarea><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<div class=\"col-xs-12 col-sm-6\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"akkoord_privacy_verklaring\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"akkoord_privacy_verklaring\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I have read <a href=\"https:\/\/www.tandartspraktijkdeliefde.nl\/privacy-verklaring\/\" target=\"_blank\">privacy verklaring<\/a> and agree with it<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-xs-12 col-sm-6\">\n\t\t<p><br class=\"vc_hidden-sm vc_hidden-md vc_hidden-lg\" \/><input class=\"wpcf7-form-control wpcf7-submit has-spinner col-xs-12\" type=\"submit\" value=\"Send\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] The complaints form at Dental Practice De Liefde [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Do you have any complaints? Please fill in this form. We will contact you as soon as possible.[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-559","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Complaints form - Tandartspraktijk De Liefde<\/title>\n<meta name=\"description\" content=\"Do you have any complaints? Please fill in this form. 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