JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
The version of the browser you are using is no longer supported. Please upgrade to a
supported browser
.
Dismiss
Untitled form
Send
Sign in
Untitled form
Questions
Responses
Section 1 of 1
Form title
evaluatie lactatiekundige zorg
Form description
Email address
*
Valid email address
professionaliteit
*
Question
professionaliteit
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Vond je de lactatiekundige deskundig?
Loading image...
Caption
ja, heel deskundig
1
2
3
4
5
nee, niet deskundig
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Require a response in each row
Required
Required
Loading...
Loading...
multicultureel
*
Question
multicultureel
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
kan respectvol omgaan met de verschillende culturen
Loading image...
Caption
goed/prettig
1
2
3
4
5
slecht/onprettig
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Require a response in each row
Required
Required
Loading...
Loading...
Counselling
*
Question
Counselling
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Hoe vond je de mentale ondersteuning?
Loading image...
Caption
goed
1
2
3
4
5
slecht
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Require a response in each row
Required
Required
Loading...
Loading...
Openheid
*
Question
Openheid
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
voelde je je op je gemak en werd je serieus genomen?
Loading image...
Caption
ja
niet helemaal
een beetje
nee
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Require a response in each row
Required
Required
Loading...
Loading...
bereikbaarheid
*
Question
bereikbaarheid
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
kon je de lactatiekundige goed bereiken en kon ze snel komen?
Loading image...
Caption
goed
1
2
3
4
5
slecht
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Require a response in each row
Required
Required
Loading...
Loading...
communicatie
*
Question
communicatie
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
wat vond je van de communicatie
Loading image...
Caption
goed/prettig
1
2
3
4
5
slecht /onprettig
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Require a response in each row
Required
Required
Loading...
Loading...
Finishing touch
*
Question
Finishing touch
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
wat zou je voor een cijfer geven aan de lactatiekundige?
Loading image...
Caption
zeer slecht
1
2
3
4
5
6
7
8
9
10
uitstekend
0
1
to
2
3
4
5
6
7
8
9
10
1
Label (optional)
10
Label (optional)
Answer key
(0 points)
Require a response in each row
Required
Required
Loading...
Loading...
Kosten
*
Question
Kosten
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
betaalde je verzekering en zo nee vond je de kosten aanvaardbaar?
Loading image...
Caption
ja mijn verzekering betaalde
nee, en de kosten zijn het bezoek waard
nee, en de kosten zijn hoog maar toch aanvaard
nee, en ik vond het eigenlijk veel te duur
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Require a response in each row
Required
Required
Loading...
Loading...
Pay it foward
*
Question
Pay it foward
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Zou je andere moeders een lactatiekundige aanraden
Loading image...
Caption
ja
nee
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Require a response in each row
Required
Required
Loading...
Loading...
Borstvoeding
*
Question
Borstvoeding
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Wat krijgt je baby?
Loading image...
Caption
volledig borstvoeding
moedermelk in de fles
combinatie borst/fles
kunstvoeding
anders
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Require a response in each row
Required
Required
Loading...
Loading...
The number of responses collected by this form may exceed the limit supported by Sheets. If you're having trouble viewing your responses in Sheets, try
downloading a .CSV
instead.
Not accepting responses
Accepting responses
Message for respondents
This form is no longer accepting responses
The form "evaluatie lactatiekundige zorg" is no longer accepting responses. Try contacting the owner of the form if you think this is a mistake.
Summary
Question
Individual
Insights
Total points distribution
Loading...
Loading responses...
professionaliteit
No responses yet for this question.
multicultureel
No responses yet for this question.
Counselling
No responses yet for this question.
Openheid
No responses yet for this question.
bereikbaarheid
No responses yet for this question.
communicatie
No responses yet for this question.
Finishing touch
No responses yet for this question.
Kosten
No responses yet for this question.
Pay it foward
No responses yet for this question.
Borstvoeding
No responses yet for this question.
Waiting for responses
of
10
of
1
Main menu
.