{"id":260,"date":"2018-01-28T19:14:27","date_gmt":"2018-01-28T18:14:27","guid":{"rendered":"http:\/\/192.168.33.10\/findmyapps\/?page_id=260"},"modified":"2020-12-18T16:18:26","modified_gmt":"2020-12-18T15:18:26","slug":"eligibility-check","status":"publish","type":"page","link":"https:\/\/findmyapps.io\/en\/eligibility-check","title":{"rendered":"Eligibility check"},"content":{"rendered":"<div class=\"main-content block--faded\" style=\"\"><div class=\"main-content__wrapper\">\n<h1>Eligibility check<\/h1>\n<p>Fill out the short questionnaire below to check if you are eligible to participate in this research.<\/p>\n<form class=\"eligibility-check-form\" action=\"\">\n<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n\n<div class=\"ec-phases\">\n\t<div class=\"phase\" data-phase=\"1\">\n\t\t<p>Thank you for your interest to participate in this study. To check if you are eligible to participate in our research, we will ask you a few questions.<\/p>\n\t\t<p>Your answers to the questions will only be shared with the research team.<\/p>\n\t\t<p>Filling out the questionnaire will take around 5 minutes. <\/p>\n\t\t<br><br>\n\t\t<div class=\"question\">\n\t\t\t<span class=\"question__text\"><p>How did you learn about this research?<\/p><\/span>\n\t\t\t<div class=\"question__answers question__answers--column\">\n\t\t\t\t<div class=\"styled-select\">\n\t\t\t\t\t<select name=\"ec-reference\" required=\"required\">\n\t\t\t\t\t\t<option selected value=\"\" disabled>Maak een keuze...<\/option>\n\t\t\t\t\t\t<option value=\"Nieuwsbrief\">Newsletter<\/option>\n\t\t\t\t\t\t<option value=\"Vrienden\">Vrienden<\/option>\n\t\t\t\t\t\t<option value=\"Programmaco\u00f6rdinator van de Ontmoetingscentra\">Programmaco\u00f6rdinator van de Ontmoetingscentra<\/option>\n\t\t\t\t\t\t<option value=\"Dagvoorziening\">Dagvoorziening<\/option>\n\t\t\t\t\t\t<option value=\"Geheugenpolikliniek\">Geheugenpolikliniek<\/option>\n\t\t\t\t\t\t<option value=\"Huisarts\">Huisarts<\/option>\n\t\t\t\t\t\t<option value=\"Internet\">Internet<\/option>\n\t\t\t\t\t\t<option value=\"Twitter\">Twitter<\/option>\n\t\t\t\t\t\t<option value=\"Anders\">Anders, kunt u dit toelichten?<\/option>\n\t\t\t\t\t<\/select>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"question\">\n\t\t\t<span class=\"question__text\"><p>Do you have cognitive problems?\/Do you have the diagnosis dementia?<\/p><\/span>\n\t\t\t<div class=\"question__answers\">\n\t\t\t\t<label><input name=\"ec-check-1\" type=\"radio\" required=\"required\" value=\"Ja\"><span>Yes<\/span><\/label>\n\t\t\t\t<label><input name=\"ec-check-1\" type=\"radio\" required=\"required\" value=\"Nee\"><span>No<\/span><\/label>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"question\">\n\t\t\t<span class=\"question__text\"><p>Are you interested in technology?<\/p><\/span>\n\t\t\t<div class=\"question__answers\">\n\t\t\t\t<label><input name=\"ec-check-2\" type=\"radio\" required=\"required\" value=\"Ja\"><span>Yes<\/span><\/label>\n\t\t\t\t<label><input name=\"ec-check-2\" type=\"radio\" required=\"required\" value=\"Nee\"><span>No<\/span><\/label>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"question\">\n\t\t\t<span class=\"question__text\"><p>Do you have a family member\/informal caregiver who could help you in the use of a tablet computer?<\/p><\/span>\n\t\t\t<div class=\"question__answers\">\n\t\t\t\t<label><input name=\"ec-check-3\" type=\"radio\" required=\"required\" value=\"Ja\"><span>Yes<\/span><\/label>\n\t\t\t\t<label><input name=\"ec-check-3\" type=\"radio\" required=\"required\" value=\"Nee\"><span>No<\/span><\/label>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"question\">\n\t\t\t<span class=\"question__text\"><p>Do you live in the West or the East of the Netherlands?<\/p><\/span>\n\t\t\t<div class=\"question__answers\">\n\t\t\t\t<label><input name=\"ec-check-4\" type=\"radio\" required=\"required\" value=\"Ja\"><span>Yes<\/span><\/label>\n\t\t\t\t<label><input name=\"ec-check-4\" type=\"radio\" required=\"required\" value=\"Ja\"><span>No<\/span><\/label>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"question\">\n\t\t\t<span class=\"question__text\"><p>Do you have severe vision problems or are you blind?<\/p><\/span>\n\t\t\t<div class=\"question__answers\">\n\t\t\t\t<label><input name=\"ec-check-5\" type=\"radio\" required=\"required\" value=\"Ja\"><span>Yes<\/span><\/label>\n\t\t\t\t<label><input name=\"ec-check-5\" type=\"radio\" required=\"required\" value=\"Nee\"><span>No<\/span><\/label>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<input type=\"submit\" class=\"button\" value=\"Check answers\">\n\t<\/div>\n\t<div class=\"phase\" data-phase=\"2\">\n\t\t<p class=\"highlight\">Het spijt ons zeer, maar helaas komt u niet in aanmerking voor deelname aan het onderzoek. <\/p>\n\t<\/div>\n\t<div class=\"phase\" data-phase=\"3\">\n\t\t<p class=\"highlight\">Goed nieuws! U komt mogelijk in aanmerking om deel te nemen aan het onderzoek.<p>\n\t\t<p>Als u de resultaten van de deelname check naar het onderzoeksteam wilt sturen en als u door het onderzoeksteam benaderd wilt worden voor meer informatie, vul dan onderstaand formulier in.<\/p>\n\t\t<p>Houd er rekening mee dat als u uw informatie niet wilt delen met het onderzoeksteam wij dan geen contact met u kunnen opnemen.<\/p>\n\t\t<br><br>\n\t\t<div class=\"question\">\n\t\t\t<span class=\"question__text\"><p>Uw voornaam en achternaam<\/p><\/span>\n\t\t\t<div class=\"question__answers\">\n\t\t\t\t<input name=\"name\" type=\"text\" required=\"required\" value=\"\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"question\">\n\t\t\t<span class=\"question__text\"><p>Uw e-mailadres<\/p><\/span>\n\t\t\t<div class=\"question__answers\">\n\t\t\t\t<input name=\"email\" type=\"email\" required=\"required\" value=\"\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"question\">\n\t\t\t<span class=\"question__text\"><p>Uw telefoonnummer (optioneel)<\/p><\/span>\n\t\t\t<div class=\"question__answers\">\n\t\t\t\t<input name=\"phone\" type=\"tel\" value=\"\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"message\"><\/div>\n\t\t<input type=\"hidden\" name=\"form_type\" value=\"ec-check\">\n\t\t<input type=\"submit\" class=\"button\" value=\"Verstuur contactgegevens\">\n\t<\/div>\n\t<div class=\"phase\" data-phase=\"4\">\n\t\t<p class=\"highlight\">Bericht verstuurd!<p>\n\t\t<p>Uw bericht is succesvol ontvangen. Wij zullen zo spoedig mogelijk contact met u opnemen.<\/p>\n\t<\/div>\n<\/div>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-260","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/findmyapps.io\/en\/wp-json\/wp\/v2\/pages\/260","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/findmyapps.io\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/findmyapps.io\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/findmyapps.io\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/findmyapps.io\/en\/wp-json\/wp\/v2\/comments?post=260"}],"version-history":[{"count":6,"href":"https:\/\/findmyapps.io\/en\/wp-json\/wp\/v2\/pages\/260\/revisions"}],"predecessor-version":[{"id":890,"href":"https:\/\/findmyapps.io\/en\/wp-json\/wp\/v2\/pages\/260\/revisions\/890"}],"wp:attachment":[{"href":"https:\/\/findmyapps.io\/en\/wp-json\/wp\/v2\/media?parent=260"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}