{"id":415,"date":"2026-09-03T19:11:54","date_gmt":"2026-09-03T19:11:54","guid":{"rendered":"https:\/\/calebadventministry.nl\/?page_id=415"},"modified":"2026-09-07T17:42:31","modified_gmt":"2026-09-07T15:42:31","slug":"intakeformulier-2","status":"publish","type":"page","link":"https:\/\/calebadventministry.nl\/?page_id=415","title":{"rendered":"Intakeformulier"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"415\" class=\"elementor elementor-415\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4652653b e-flex e-con-boxed e-con e-parent\" data-id=\"4652653b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b652291 e-flex e-con-boxed e-con e-parent\" data-id=\"b652291\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-490730b e-con-full e-flex e-con e-parent\" data-id=\"490730b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-82b3b8a elementor-widget elementor-widget-html\" data-id=\"82b3b8a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<div id=\"intake-container\" style=\"padding:30px; border:1px solid #dcdcdc; border-radius:14px; font-family:Arial, sans-serif; line-height:1.7; max-width:900px; margin:auto;\">\r\n\r\n<!-- Bedankmelding (verborgen tot verzending) -->\r\n<div id=\"bedankt-bericht\" style=\"display:none; padding:25px; background:#f0f8ff; border:1px solid #bcd; border-radius:10px; margin-bottom:30px;\">\r\n  <h2 style=\"font-size:24px; color:#003366;\">\u2714 Bedankt voor uw inzending<\/h2>\r\n  <p style=\"font-size:16px;\">\r\n    Uw intakeformulier is succesvol verzonden.<br>\r\n    U ontvangt binnen <strong>24\u201348 uur<\/strong> een reactie.\r\n  <\/p>\r\n<\/div>\r\n\r\n<!-- FORMULIER -->\r\n<form id=\"intake-form\" action=\"\/verwerk-intake.php\" method=\"post\" target=\"_self\" style=\"font-size:16px;\">\r\n\r\n<h1 style=\"font-size:32px; margin-bottom:10px; color:#003366;\">\ud83d\udcdd Intakeformulier \u2013 Caleb Advent Ministry<\/h1>\r\n\r\n<h2 style=\"font-size:24px; margin-top:25px; color:#444;\">\ud83d\ude4f Welkom<\/h2>\r\n<p style=\"font-size:16px;\">\r\nFijn dat u de stap zet om dit intakeformulier in te vullen. Dit formulier helpt mij om een eerste, zorgvuldig en professioneel beeld te krijgen van uw situatie, zodat we gericht en verantwoord kunnen starten met begeleiding.\r\n<\/p>\r\n<p style=\"font-size:16px; font-weight:bold;\">\r\nAlles wat u invult wordt volledig vertrouwelijk behandeld volgens de AVG\u2011richtlijnen.\r\n<\/p>\r\n\r\n<hr style=\"margin:40px 0;\">\r\n\r\n<!-- BASISGEGEVENS -->\r\n<h2 style=\"font-size:26px; color:#003366;\">\ud83d\udc64 Basisgegevens<\/h2>\r\n\r\n<fieldset style=\"border:none; margin-bottom:35px;\">\r\n\r\n<label>Naam:<br>\r\n<input name=\"naam\" required type=\"text\" style=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\">\r\n<\/label><br><br>\r\n\r\n<label>Geboortedatum:<br>\r\n<input name=\"geboortedatum\" type=\"date\" style=\"padding:10px; border-radius:6px; border:1px solid #ccc;\">\r\n<\/label><br><br>\r\n\r\n<label>Adres:<br>\r\n<input name=\"adres\" type=\"text\" style=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\">\r\n<\/label><br><br>\r\n\r\n<label>Telefoonnummer:<br>\r\n<input name=\"telefoon\" type=\"tel\" style=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\">\r\n<\/label><br><br>\r\n\r\n<label>E\u2011mail:<br>\r\n<input name=\"email\" required type=\"email\" style=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\">\r\n<\/label><br><br>\r\n\r\n<label>Datum intake:<br>\r\n<input name=\"datum_intake\" type=\"date\" style=\"padding:10px; border-radius:6px; border:1px solid #ccc;\">\r\n<\/label><br><br>\r\n\r\n<p><strong>Verwijzer:<\/strong><\/p>\r\n\r\n<label><input name=\"verwijzer\" type=\"radio\" value=\"huisarts\"> Huisarts<\/label><br>\r\n<label><input name=\"verwijzer\" type=\"radio\" value=\"ggz\"> GGZ<\/label><br>\r\n<label><input name=\"verwijzer\" type=\"radio\" value=\"zelfverwijzer\"> Zelfverwijzer<\/label><br>\r\n<label><input name=\"verwijzer\" type=\"radio\" value=\"anders\"> Anders<\/label><br>\r\n\r\n<input name=\"verwijzer_anders\" type=\"text\" placeholder=\"Toelichting\" style=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\">\r\n\r\n<\/fieldset>\r\n<!-- HULPVRAAG -->\r\n<h2 style=\"font-size:26px; color:#003366;\">\ud83d\udcac Hulpvraag<\/h2>\r\n\r\n<fieldset style=\"border:none; margin-bottom:35px;\">\r\n\r\n<p><strong>Hoofdreden van aanmelding:<\/strong><\/p>\r\n\r\n<label><input name=\"hulpreden[]\" type=\"checkbox\" value=\"angst\"> Angstklachten<\/label><br>\r\n<label><input name=\"hulpreden[]\" type=\"checkbox\" value=\"somberheid\"> Somberheid \/ depressie<\/label><br>\r\n<label><input name=\"hulpreden[]\" type=\"checkbox\" value=\"stress\"> Stress \/ burnout<\/label><br>\r\n<label><input name=\"hulpreden[]\" type=\"checkbox\" value=\"trauma\"> Trauma \/ PTSS<\/label><br>\r\n<label><input name=\"hulpreden[]\" type=\"checkbox\" value=\"relatieproblemen\"> Relatieproblemen<\/label><br>\r\n<label><input name=\"hulpreden[]\" type=\"checkbox\" value=\"identiteit\"> Identiteitsvragen<\/label><br>\r\n<label><input name=\"hulpreden[]\" type=\"checkbox\" value=\"rouw\"> Rouw \/ verlies<\/label><br>\r\n<label><input name=\"hulpreden[]\" type=\"checkbox\" value=\"gedrag\"> Gedragsproblemen<\/label><br>\r\n<label><input name=\"hulpreden[]\" type=\"checkbox\" value=\"anders\"> Anders<\/label><br>\r\n\r\n<input name=\"hulpreden_anders\" type=\"text\" placeholder=\"Toelichting\" \r\nstyle=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\"><br><br>\r\n\r\n<p><strong>Duur van de klachten:<\/strong><\/p>\r\n\r\n<label><input name=\"duur_klachten\" type=\"radio\" value=\"<1mnd\"> &lt; 1 maand<\/label><br>\r\n<label><input name=\"duur_klachten\" type=\"radio\" value=\"1-6mnd\"> 1\u20136 maanden<\/label><br>\r\n<label><input name=\"duur_klachten\" type=\"radio\" value=\"6-12mnd\"> 6\u201312 maanden<\/label><br>\r\n<label><input name=\"duur_klachten\" type=\"radio\" value=\">1jr\"> &gt; 1 jaar<\/label>\r\n\r\n<\/fieldset>\r\n\r\n\r\n<!-- KLACHTENINVENTARISATIE -->\r\n<h2 style=\"font-size:26px; color:#003366;\">\ud83d\udcca Klachteninventarisatie<\/h2>\r\n\r\n<fieldset style=\"border:none; margin-bottom:35px;\">\r\n\r\n<p><strong>Frequentie:<\/strong><\/p>\r\n\r\n<label><input name=\"frequentie\" type=\"radio\" value=\"dagelijks\"> Dagelijks<\/label><br>\r\n<label><input name=\"frequentie\" type=\"radio\" value=\"meerdere_per_week\"> Meerdere keren per week<\/label><br>\r\n<label><input name=\"frequentie\" type=\"radio\" value=\"wekelijks\"> Wekelijks<\/label><br>\r\n<label><input name=\"frequentie\" type=\"radio\" value=\"wisselend\"> Wisselend<\/label><br><br>\r\n\r\n<p><strong>Ernst:<\/strong><\/p>\r\n\r\n<label><input name=\"ernst\" type=\"radio\" value=\"mild\"> Mild<\/label><br>\r\n<label><input name=\"ernst\" type=\"radio\" value=\"matig\"> Matig<\/label><br>\r\n<label><input name=\"ernst\" type=\"radio\" value=\"ernstig\"> Ernstig<\/label><br><br>\r\n\r\n<p><strong>Invloed op functioneren:<\/strong><\/p>\r\n\r\n<label><input name=\"invloed[]\" type=\"checkbox\" value=\"werk_studie\"> Werk \/ studie<\/label><br>\r\n<label><input name=\"invloed[]\" type=\"checkbox\" value=\"relaties\"> Relaties<\/label><br>\r\n<label><input name=\"invloed[]\" type=\"checkbox\" value=\"zelfzorg\"> Zelfzorg<\/label><br>\r\n<label><input name=\"invloed[]\" type=\"checkbox\" value=\"dagstructuur\"> Dagstructuur<\/label><br>\r\n<label><input name=\"invloed[]\" type=\"checkbox\" value=\"slaap\"> Slaap<\/label><br>\r\n<label><input name=\"invloed[]\" type=\"checkbox\" value=\"anders\"> Anders<\/label><br>\r\n\r\n<input name=\"invloed_anders\" type=\"text\" placeholder=\"Toelichting\" \r\nstyle=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\">\r\n\r\n<\/fieldset>\r\n\r\n\r\n<!-- PSYCHISCHE VOORGESCHIEDENIS -->\r\n<h2 style=\"font-size:26px; color:#003366;\">\ud83e\udde0 Psychische voorgeschiedenis<\/h2>\r\n\r\n<fieldset style=\"border:none; margin-bottom:35px;\">\r\n\r\n<p><strong>Eerdere therapie:<\/strong><\/p>\r\n\r\n<label><input name=\"therapie\" type=\"radio\" value=\"ja\"> Ja<\/label><br>\r\n<input name=\"therapie_omschrijving\" type=\"text\" placeholder=\"Welke therapie?\" \r\nstyle=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\"><br><br>\r\n\r\n<label><input name=\"therapie\" type=\"radio\" value=\"nee\"> Nee<\/label><br><br>\r\n\r\n<p><strong>Eerdere diagnoses:<\/strong><\/p>\r\n\r\n<label><input name=\"diagnoses[]\" type=\"checkbox\" value=\"geen\"> Geen<\/label><br>\r\n<label><input name=\"diagnoses[]\" type=\"checkbox\" value=\"angst\"> Angststoornis<\/label><br>\r\n<label><input name=\"diagnoses[]\" type=\"checkbox\" value=\"depressie\"> Depressie<\/label><br>\r\n<label><input name=\"diagnoses[]\" type=\"checkbox\" value=\"trauma\"> Trauma \/ PTSS<\/label><br>\r\n<label><input name=\"diagnoses[]\" type=\"checkbox\" value=\"ocd\"> OCD<\/label><br>\r\n<label><input name=\"diagnoses[]\" type=\"checkbox\" value=\"adhd\"> ADHD<\/label><br>\r\n<label><input name=\"diagnoses[]\" type=\"checkbox\" value=\"anders\"> Anders<\/label><br>\r\n\r\n<input name=\"diagnoses_anders\" type=\"text\" placeholder=\"Toelichting\" \r\nstyle=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\"><br><br>\r\n\r\n<p><strong>Medicatie:<\/strong><\/p>\r\n\r\n<label><input name=\"medicatie[]\" type=\"checkbox\" value=\"geen\"> Geen<\/label><br>\r\n<label><input name=\"medicatie[]\" type=\"checkbox\" value=\"antidepressiva\"> Antidepressiva<\/label><br>\r\n<label><input name=\"medicatie[]\" type=\"checkbox\" value=\"angstremmers\"> Angstremmers<\/label><br>\r\n<label><input name=\"medicatie[]\" type=\"checkbox\" value=\"anders\"> Anders<\/label><br>\r\n\r\n<input name=\"medicatie_anders\" type=\"text\" placeholder=\"Toelichting\" \r\nstyle=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\">\r\n\r\n<\/fieldset>\r\n<!-- MEDISCHE VOORGESCHIEDENIS -->\r\n<h2 style=\"font-size:26px; color:#003366;\">\u2764\ufe0f Medische voorgeschiedenis<\/h2>\r\n\r\n<fieldset style=\"border:none; margin-bottom:35px;\">\r\n\r\n<p><strong>Chronische aandoeningen:<\/strong><\/p>\r\n\r\n<label><input name=\"aandoeningen[]\" type=\"checkbox\" value=\"geen\"> Geen<\/label><br>\r\n<label><input name=\"aandoeningen[]\" type=\"checkbox\" value=\"diabetes\"> Diabetes<\/label><br>\r\n<label><input name=\"aandoeningen[]\" type=\"checkbox\" value=\"hart_vaat\"> Hart\u2011 en vaatziekten<\/label><br>\r\n<label><input name=\"aandoeningen[]\" type=\"checkbox\" value=\"schildklier\"> Schildklierproblemen<\/label><br>\r\n<label><input name=\"aandoeningen[]\" type=\"checkbox\" value=\"anders\"> Anders<\/label><br>\r\n\r\n<input name=\"aandoeningen_anders\" type=\"text\" placeholder=\"Toelichting\"\r\nstyle=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\"><br><br>\r\n\r\n<p><strong>Slaapkwaliteit:<\/strong><\/p>\r\n\r\n<label><input name=\"slaapkwaliteit\" type=\"radio\" value=\"goed\"> Goed<\/label><br>\r\n<label><input name=\"slaapkwaliteit\" type=\"radio\" value=\"matig\"> Matig<\/label><br>\r\n<label><input name=\"slaapkwaliteit\" type=\"radio\" value=\"slecht\"> Slecht<\/label>\r\n\r\n<\/fieldset>\r\n\r\n\r\n<!-- LEVENSGEBIEDEN -->\r\n<h2 style=\"font-size:26px; color:#003366;\">\ud83c\udf31 Levensgebieden<\/h2>\r\n\r\n<fieldset style=\"border:none; margin-bottom:35px;\">\r\n\r\n<p><strong>Werk \/ studie:<\/strong><\/p>\r\n\r\n<label><input name=\"werk_situatie\" type=\"radio\" value=\"werkend\"> Werkend<\/label><br>\r\n<label><input name=\"werk_situatie\" type=\"radio\" value=\"studerend\"> Studerend<\/label><br>\r\n<label><input name=\"werk_situatie\" type=\"radio\" value=\"werkloos\"> Werkloos<\/label><br>\r\n<label><input name=\"werk_situatie\" type=\"radio\" value=\"arbeidsongeschikt\"> Arbeidsongeschikt<\/label><br><br>\r\n\r\n<p><strong>Relatiestatus:<\/strong><\/p>\r\n\r\n<label><input name=\"relatiestatus\" type=\"radio\" value=\"single\"> Single<\/label><br>\r\n<label><input name=\"relatiestatus\" type=\"radio\" value=\"relatie\"> Relatie<\/label><br>\r\n<label><input name=\"relatiestatus\" type=\"radio\" value=\"getrouwd\"> Getrouwd<\/label><br>\r\n<label><input name=\"relatiestatus\" type=\"radio\" value=\"gescheiden\"> Gescheiden<\/label><br><br>\r\n\r\n<p><strong>Sociale steun:<\/strong><\/p>\r\n\r\n<label><input name=\"sociale_steun\" type=\"radio\" value=\"goed\"> Goed<\/label><br>\r\n<label><input name=\"sociale_steun\" type=\"radio\" value=\"matig\"> Matig<\/label><br>\r\n<label><input name=\"sociale_steun\" type=\"radio\" value=\"beperkt\"> Beperkt<\/label><br><br>\r\n\r\n<p><strong>Dagstructuur:<\/strong><\/p>\r\n\r\n<label><input name=\"dagstructuur\" type=\"radio\" value=\"goed\"> Goed<\/label><br>\r\n<label><input name=\"dagstructuur\" type=\"radio\" value=\"matig\"> Matig<\/label><br>\r\n<label><input name=\"dagstructuur\" type=\"radio\" value=\"chaotisch\"> Chaotisch<\/label>\r\n\r\n<\/fieldset>\r\n\r\n\r\n<!-- STRESSFACTOREN -->\r\n<h2 style=\"font-size:26px; color:#003366;\">\u26a0\ufe0f Stressfactoren<\/h2>\r\n\r\n<fieldset style=\"border:none; margin-bottom:35px;\">\r\n\r\n<p><strong>Recente gebeurtenissen:<\/strong><\/p>\r\n\r\n<label><input name=\"stress[]\" type=\"checkbox\" value=\"geen\"> Geen<\/label><br>\r\n<label><input name=\"stress[]\" type=\"checkbox\" value=\"verlies\"> Verlies \/ rouw<\/label><br>\r\n<label><input name=\"stress[]\" type=\"checkbox\" value=\"relatiebreuk\"> Relatiebreuk<\/label><br>\r\n<label><input name=\"stress[]\" type=\"checkbox\" value=\"werkstress\"> Werkstress<\/label><br>\r\n<label><input name=\"stress[]\" type=\"checkbox\" value=\"gezondheid\"> Gezondheidsproblemen<\/label><br>\r\n<label><input name=\"stress[]\" type=\"checkbox\" value=\"anders\"> Anders<\/label><br>\r\n\r\n<input name=\"stress_anders\" type=\"text\" placeholder=\"Toelichting\"\r\nstyle=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\">\r\n\r\n<\/fieldset>\r\n\r\n\r\n<!-- VEILIGHEID -->\r\n<h2 style=\"font-size:26px; color:#003366;\">\ud83d\udee1\ufe0f Veiligheid<\/h2>\r\n\r\n<fieldset style=\"border:none; margin-bottom:35px;\">\r\n\r\n<p><strong>Su\u00efcidaliteit:<\/strong><\/p>\r\n\r\n<label><input name=\"suicidaliteit\" type=\"radio\" value=\"nee\"> Nee<\/label><br>\r\n<label><input name=\"suicidaliteit\" type=\"radio\" value=\"gedachten\"> Ja, gedachten<\/label><br>\r\n<label><input name=\"suicidaliteit\" type=\"radio\" value=\"plannen\"> Ja, plannen<\/label><br>\r\n<label><input name=\"suicidaliteit\" type=\"radio\" value=\"poging\"> Ja, eerdere poging<\/label><br><br>\r\n\r\n<p><strong>Automutilatie:<\/strong><\/p>\r\n\r\n<label><input name=\"automutilatie\" type=\"radio\" value=\"nee\"> Nee<\/label><br>\r\n<label><input name=\"automutilatie\" type=\"radio\" value=\"ja\"> Ja<\/label><br><br>\r\n\r\n<p><strong>Risico voor anderen:<\/strong><\/p>\r\n\r\n<label><input name=\"risico_anderen\" type=\"radio\" value=\"nee\"> Nee<\/label><br>\r\n<label><input name=\"risico_anderen\" type=\"radio\" value=\"ja\"> Ja<\/label>\r\n\r\n<\/fieldset>\r\n\r\n\r\n<!-- SPIRITUELE FACTOREN -->\r\n<h2 style=\"font-size:26px; color:#003366;\">\ud83c\udf3f Spirituele factoren<\/h2>\r\n\r\n<fieldset style=\"border:none; margin-bottom:35px;\">\r\n\r\n<p><strong>Speelt geloof een rol?<\/strong><\/p>\r\n\r\n<label><input name=\"geloof_rol\" type=\"radio\" value=\"nee\"> Nee<\/label><br>\r\n<label><input name=\"geloof_rol\" type=\"radio\" value=\"ja\"> Ja<\/label><br>\r\n\r\n<input name=\"geloof_toelichting\" type=\"text\" placeholder=\"Toelichting\"\r\nstyle=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\">\r\n\r\n<\/fieldset>\r\n\r\n\r\n<!-- DOELEN -->\r\n<h2 style=\"font-size:26px; color:#003366;\">\ud83c\udfaf Doelen<\/h2>\r\n\r\n<fieldset style=\"border:none; margin-bottom:35px;\">\r\n\r\n<p><strong>Korte\u2011termijndoelen:<\/strong><\/p>\r\n\r\n<label><input name=\"doelen_kort[]\" type=\"checkbox\" value=\"minder_angst\"> Minder angst<\/label><br>\r\n<label><input name=\"doelen_kort[]\" type=\"checkbox\" value=\"meer_rust\"> Meer rust<\/label><br>\r\n<label><input name=\"doelen_kort[]\" type=\"checkbox\" value=\"betere_coping\"> Betere coping<\/label><br>\r\n<label><input name=\"doelen_kort[]\" type=\"checkbox\" value=\"meer_stabiliteit\"> Meer stabiliteit<\/label><br>\r\n<label><input name=\"doelen_kort[]\" type=\"checkbox\" value=\"betere_relaties\"> Betere relaties<\/label><br>\r\n<label><input name=\"doelen_kort[]\" type=\"checkbox\" value=\"anders\"> Anders<\/label><br>\r\n\r\n<input name=\"doelen_kort_anders\" type=\"text\" placeholder=\"Toelichting\"\r\nstyle=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\"><br><br>\r\n\r\n<p><strong>Lange\u2011termijndoelen:<\/strong><\/p>\r\n\r\n<label><input name=\"doelen_lang[]\" type=\"checkbox\" value=\"herstel\"> Herstel<\/label><br>\r\n<label><input name=\"doelen_lang[]\" type=\"checkbox\" value=\"balans\"> Balans<\/label><br>\r\n<label><input name=\"doelen_lang[]\" type=\"checkbox\" value=\"zelfinzicht\"> Zelfinzicht<\/label><br>\r\n<label><input name=\"doelen_lang[]\" type=\"checkbox\" value=\"functioneren\"> Functioneren verbeteren<\/label><br>\r\n<label><input name=\"doelen_lang[]\" type=\"checkbox\" value=\"anders\"> Anders<\/label><br>\r\n\r\n<input name=\"doelen_lang_anders\" type=\"text\" placeholder=\"Toelichting\"\r\nstyle=\"width:100%; padding:10px; border-radius:6px; border:1px solid #ccc;\">\r\n\r\n<\/fieldset>\r\n\r\n\r\n<!-- VERSTUURKNOP -->\r\n<button type=\"submit\"\r\nstyle=\"padding:12px 25px; font-size:18px; background:#0066cc; color:white; border:none; border-radius:6px; cursor:pointer;\">\r\n\ud83d\udce8 Verstuur intakeformulier\r\n<\/button>\r\n\r\n<\/form>\r\n\r\n<script>\r\ndocument.getElementById('intake-form').addEventListener('submit', function(e) {\r\n    e.preventDefault();\r\n\r\n    var formData = new FormData(this);\r\n\r\n    fetch('\/verwerk-intake.php', {\r\n        method: 'POST',\r\n        body: formData\r\n    })\r\n    .then(response => response.text())\r\n    .then(data => {\r\n        document.getElementById('intake-form').style.display = 'none';\r\n        document.getElementById('bedankt-bericht').style.display = 'block';\r\n    })\r\n    .catch(error => console.error('Fout:', error));\r\n});\r\n<\/script>\r\n\r\n<\/div>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-060e224 e-flex e-con-boxed e-con e-parent\" data-id=\"060e224\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-35f221d elementor-widget elementor-widget-html\" data-id=\"35f221d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<form action=\"\/verwerk-intake.php\" method=\"post\">\r\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-27a991f e-flex e-con-boxed e-con e-parent\" data-id=\"27a991f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u2714 Bedankt voor uw inzending Uw intakeformulier is succesvol verzonden. U ontvangt binnen 24\u201348 uur een reactie. \ud83d\udcdd Intakeformulier \u2013 Caleb Advent Ministry \ud83d\ude4f Welkom Fijn dat u de stap zet om dit intakeformulier in te vullen. Dit formulier helpt mij om een eerste, zorgvuldig en professioneel beeld te krijgen van uw situatie, zodat we [&hellip;]<\/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-415","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/calebadventministry.nl\/index.php?rest_route=\/wp\/v2\/pages\/415","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/calebadventministry.nl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/calebadventministry.nl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/calebadventministry.nl\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/calebadventministry.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=415"}],"version-history":[{"count":21,"href":"https:\/\/calebadventministry.nl\/index.php?rest_route=\/wp\/v2\/pages\/415\/revisions"}],"predecessor-version":[{"id":705,"href":"https:\/\/calebadventministry.nl\/index.php?rest_route=\/wp\/v2\/pages\/415\/revisions\/705"}],"wp:attachment":[{"href":"https:\/\/calebadventministry.nl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=415"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}